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Home My WebLink About20051649.tiff RESOLUTION RE: APPROVE FOUR NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR DAY TREATMENT 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 Day Treatment 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 1,2005,and ending May 31,2006, with further terms and conditions being as stated in said awards: 1. North Colorado Medical Center- Youth Passages 2. North Range Behavioral Health - The Littler Center 3. Turning Point 4. Reflections for Youth (Berthoud) 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 Day Treatment 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. 2005-1649 SS0032 ('0 : SS p6 ao-as-- FOUR NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR DAY TREATMENT PROGRAMS PAGE 2 The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 6th day of June, A.D., 2005, nunc pro tunc, June 1, 2005. BOARD OF COUNTY COMMISSIONERS ` % qqq WELD COUNTY, COLORADO 1861 (' ` ' L9 I //t� �--"�</ /C ' ( ' 4.4,4" William H. J e, Chair %�. $'vr-. Clerk to the Board•••rtfi l //�Lt M. J. i e, Pro- m Deputy Clerk to the Board D . Lon O DAS Rob D. Mast n ounty Att ney Oink py GI nn Vaad < Date of signature: 203' 2005-1649 SS0032 (#4 DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO. 80632 Website:www.co.weld.co.us ' MEMORANDUMAdministration and Public Assistance(970)352-1551 Child Support(970)352-6933 TO: William H. Jerke, Chair Date: June 2, 2005 Board of County Commissioners • ��L COLORADOFR: Judy A. Griego, Director, Social Services' RE: Notification of Financial Assistance Awards for Day Treatment Programs with Various Providers Enclosed for Board approval are Notification of Financial Assistance Awards (NOFAAs) for Intensive Family Therapy between the Weld County Department of Social Services and various providers. The NOFAAs are based upon the provider's Request for Proposal, which has been reviewed and approved by the Families, Youth and Children(FYC) Commission. The NOFAAs were reviewed at the Board's Work Session of May 31, 2005. The major provisions of the NOFAA are as follows: 1. The term period is from June 1, 2005 through May 31, 2006. 2. The Department agrees to reimburse providers under Core Services funding according to the NOFAA and their respective bid proposal for Day Treatment Programs. These services are for children, youth, and families receiving child welfare services. 3. Providers will be reimbursed according to various rates and services as provided below: No. Core Services Description of Program/Special Award Amount Contractor Conditions A. NCMC—Youth Adolescent Partial Hospitalization for an $24.10 per hour Passages average of 7 youth at an average of 35 $155 for court testimony hours per week, for 6 to 10 weeks and up to 20 weeks. Average hours of intensive outpatient program per week are 20. Family sessions may be conducted in Spanish through a Bilingual therapist. B. North Range Capacity of 12 children and families, 29.5 $85.57 per day Behavioral Health, hours weekly, 5.9 hours daily, for 36-52 Littler Center weeks. C. Turning Point 12 adolescents and families per year in $91 per day education, substance abuse, $80 per hour court emotional/behavioral issues, and family testimony issues. D. Reflections for Youth 6 families at any one time. Structured and $83.10 per day (Berthoud) secure program,therapeutic mental health $80 per hour court services, support educationally,both testimony academic and behavioral. If you have any questions,please contact me at extension 6510. 2005-1649 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 FY05-PAC-10000 Revision (RFP-FYC-05006) Contract Award Period Name and Address of Contractor Beginning 06/01/2005 and North Colorado Medical Center-Youth Passages Ending 05/31/2006 Day Treatment Alternatives 1801 16th Street Greeley, CO 80631 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Adolescent Partial Hospitalization is a program designed Assistance Award is based upon your Request for to address the multifaceted needs of adolescents Proposal (RFP). The RFP specifies the scope of experiencing significant emotional,behavioral, services and conditions of award. Except where it is educational, interpersonal, familial problems, and in conflict with this NOFAA in which case the adolescents suffering from a wide range of psychiatric NOFAA governs, the RFP upon which this award is disorders and chemical dependency. 96 adolescents(10- based is an integral part of the action. 18 years)per year, and/or(range of 5-18 years), 7 monthly average capacity, 35 average hours per week, Special conditions for an average of 6-10 weeks, up to 20 weeks. Average hours in intensive outpatient program per week is 20. 1) Reimbursement for the Unit of Services will be based Day and outpatient programs are conducted in English on an hourly rate per child or per family. while family sessions may be conducted in Spanish 2) The hourly rate will be paid for only direct face to through a Bilingual therapist. Youth Passages does not face contact with the child and/or family, as specified prohibit south Weld County residents from attending. in the unit of costs computation. 3) Unit of service costs cannot exceed the hourly and Cost Per Unit of Service yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, Hourly Rate Per Unit of Service and referrals made by the Weld County Department Treatment Package $24.10 of Social Services. Court Testimony $155.00 5) Requests for payment must be an original submitted to the Weld County Department of Social Services Based on Approved Plan by the end of the 25th calendar day following the end of the month of service. The provider must submit Enclosures: requests for payment on forms approved by Weld X Signed RFP:Exhibit A County Department of Social Services. Supplemental Narrative to RFP: Exhibit B 6) The Contractor will notify the Department of any Recommendation(s) change in staff at the time of the change. Conditions of Approval Approvals: Program fficial: By lit riw By L� William H. Jerke, Chair Judy . rieg Director Board of Weld County Commissioners Weld ounty Departure t of Social Services Date: JUN Q(j 20(15 Date: (C/Z1 O 'rag- /64'g SIGNED RFP: EXHIBIT A 1 INVITATION TO BID BID 002-05 (05005-05011 AND 006-00) DATE: February 16, 2005 BID NO: RFP-FYC-05006 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-05006) for:Colorado Family Preservation Act--Day Treatment Program Emergency Assistance Program Deadline: March 11, 2005, 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 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, 2005,through May 31,2006, at specific rates for different types of service,the county will authorize approved vendors and rates for services only. The Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement or more restrictive placement that provides therapy and education for children. 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 C^Fyit� (l`L >n TYPED OR PRINTED SIGNATURE VENDOR North Colorado Medical Center (Name) Handwritten Signature By Authorized Officer or Agent of Vendor ADDRESS 1801 16th Street TITLE_ Greeley, CO 80631 DATE PHONE# (970) 352-4121 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 Bid 002-05 (RFP-FYC-05006) Attached A DAY TREATMENT PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER CORE SERVICES FUNDING EMERGENCY ASSISTANCE PROGRAM 2005/2006 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2005-2006 BID 002-05 (05006) NAME OF AGENCY: North Colorado Medical Center ADDRESS: 1801 16th St, Greeley, CO 80631 PHONE: (970) 352-1056 CONTACT PERSON: Karen Nicholson TITLE: Outpatient Services Coordinator DESCRIPTION OF EMERGENCY ASSISTANCE PROGRAM CATEGORY: The Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement that provides therapy and education for children. 12-Month approximate Project Dates: 12-month contract with actual time lines of: Start June 1,2005 Start 6/1/05 End May 31,2006 End 5/31/06 1TILE OF PROJECT: Youth Passages David Rastatter 0J2 y � ullV" _3,10)K- Name and Signature of Person Preparing Document bate 917eCSJO Name and Signature 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 Posposal for Bid.For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2004- 2005 to Program Fund year 2005-2006. Indicate No Change from FY 2004-2005 x Project Description x Target/Eligibility Populations x Types of services Provided x Measurable Outcomes x Service Objectives x Workload Standards x Staff Qualifications x Unit of Service Rate Computation x Program Capacity per Month x Certificate of Insurance N/A Provider Number for State Child Care Licensing Youth Passages has always been licensed as a Partial Hospitalization Program by JCAHO Page 25 of 31 Bid 002-05 (RFP-FYC-05006) Attached A Program Category Day Treatment Program Bid Category Project Title Youth Passages Vendor North Colorado Medical Center Please list your provider number as given to you from the State Child Care Licensing: N/A . PROJECT DESCRIPTION Provide a brief one-page description of the project. II. TARGET/ELIGIBILITY POPULATIONS Provide a one page brief description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients to be served. B. Total individual clients and the children's ages. C. Total family units. D. Sub-total of individuals who will receive bicultural/bilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. 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. Please address if your project will provide the service minimums as follows: A. Site based services (The Bidder must state that a minimum of site based services of 5 hours per day, ages eight through twenty-one(21) and two and one-fourth hours minimum per day for children ages three to seven)will be provided. B. Community collaboration efforts. The Bidder must describe its community collaborative efforts with: 1. The Department of Social Services. 2. The Department of Mental Health. 3. The Department of Education. 4. Others(Please Describe). C. Program components. The Bidder must describe the program components of: 1. Educational 2. Therapeutic 3. Behavioral 4. Recreational D. Parental/Caretaker involvement in all program components as indicated in the case plan and as required. Page 27 of 31 FTC PROPOSAL 1. STATEMENT OF NEED Youth Passages Adolescent Partial Hospitalization Program has been designed to address the multifaceted needs of adolescents experiencing significant emotional,behavioral,educational, intLlpersonal, and familial problems. As such, it serves adolescents with a wide range of psychiatric disorders and chemical dependency issues. Youth Passages can intensively treat these adolescents while simultaneously minimizing the disruption and stigma often associated with inpatient treatment or other restrictive settings. Youth Passages offers programming options of day treatment(Monday through Thursday, 8:00 AM-3:30 PM and Friday 8:30 AM- 1:30 PM), intensive outpatient(Monday through Friday 8:30 AM- 11:30 AM and in the evening on Monday from 4:15 PM—7:00 PM,Tuesday from 6:00 PM-8:00 PM and Wednesday from 4:15 PM-7:00 PM).Psychiatric evaluations and ongoing care are provided on a weekly basis by a board certified child and adolescent psychiatrist. In addition,a Colorado licensed master's level affective needs special education teacher is on staff to addresses academic and behavioral issues in the classroom. Until the opening of Youth Passages, adolescents needing a more intensive treatment modality than outpatient therapy were necessarily treated outside of our community and/or separated from family. Indeed,in order to assure the adolescent's safety,they were often hospitalized because there were no intermediate levels of care available. Youth Passages is currently the sole community provider of medical model adolescent partial hospitalization services. Given the level of utilization of our PAC program since June'93,Youth Passages appears to be meeting a vital need within our community. We believe that the therapeutic scope and intensity of our program is well suited to successfully intervene with children that are at risk for being placed outside of their homes. By utilizing a partial or day hospitalization model specific therapeutic interventions can be implemented with the family system or with the child's problem behavior while they continue to reside at home. Youth Passages steps children down into less intensive services as soon as they become stabilized. Criterion of stabilization includes,but is not limited to: 1)significant reduction of behavioral acting out; 2)achieving a sustained period of abstinence from drugs and alcohol; 3)a reduction in family conflict; and 4)a decrease of psychiatric symptoms(e.g. level of depression). Stepping down a level of service is achieved by returning a youth to his or her home school while continuing treatment at our facility. Examples of how we accomplish this include: 1)youth attends school in the afternoon and Youth Passages in the morning; and 2)youth attends Youth Passages all day on Monday,Wednesday and Friday and school all day on Tuesday and Thursday.We also offer a continuing care group to successful program graduates,free of charge, one hour per week(Tuesdays from 3:30 P.M.to 4:30 P.M.). 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F .?� r 6. a N i NI H •o•:. d 0 Qa V Q • VERIFICATION OF COVERAGE ISSUE DATE: Jan. 14, 2005 Issuer:Banner Health This venfication of coverage is issued as a matter of information only,and does not extend or alter the coverage carried by Banner Health. COVERED PARTY COMPANIES PROVIDING COVERAGE COMPANY BANNER HEALTH LETTER A SAMARITAN INSURANCE FUNDING.LTD. 1441 N.12TH STREET COMPANY PHOENIX, AZ 85006 LETTER B COMPANY LETTER C COMPANY Lh1ItR D COVERAGES THIS IS TO CERTIFY THAT THE INSURANCE COVERAGE LISTED BELOW IS CARRIED BY THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS VERIFICATION OF COVERAGE MAY BE ISSUED OR MAY PERTAIN,THE COVERAGE DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF THE POLICIES OF INSURANCE CARRIED BY BANNER HEALTH. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXP.DATE LIMITS A HOSPITAL PROFESSIONAL& SIFL2005 01/01/08 01/01/08 PL EACH LOSS $10,000,000 GENERAL LIABILITY GL EACH LOSS $10,000,000 GL AGGREGATE $10,000,000 HOSPITAL PROFESSIONAL HPL EACH LOSS $ LIABILITY HPL AGGREGATE $ HOSPITAL PROFESSIONAL HPL EACH LOSS $ LIABILITY HPL AGGREGATE $ MEDICAL PROFESSIONAL PER MEDICAL INCIDENT $ LIABILITY ANNUAL AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE• $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION STATUTORY LIMITS $ AND EMPLOYER'S UABILITY $ EMPLOYER'S LIABILITY COMMENTS. BANNER HEALTH HAS ARRANGED TO HAVE COVERAGE EXTENDED TO NORTH COLORADO MEDICAL CENTER, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OR MATERIALLY TO WHOM IT MAY CONCERN CHANGED BEFORE THE EXPIRATION DATE.BANNER HEALTH WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER,BUT FAILURE TO MAIL SUCH NOTCE SHALL IMPOSE NO LIABILITY OF ANY KIND UPON BANNER HEALTH,ITS INSURERS OR THEIR AGENTS OR REPRESENTATIVES. AUTHORIZED1i,'E. 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LL . aassaaaasaaasaasaa a a d2§ b ) i/ § o 8 §e § 4 gffia22aaaaaaaaaa } g } 7 § 8 Ui m F- S $ § d ~ ` § § § § § § §o B ) § § k%%f$i2aaaa2aasaaa § % ; O < O m A s § an .. } 4 - 0 k f § $§ K § in 7o 4R44R2 § ■ 2 8 § saasaaaasassa 7 % K % § k - bea 2 2 # ® § §8 ( a s § 0 0, 0 u A § § § § § § « & 812§ > §% g 29292g « ■ K « Kr « ■ I« ■ « ! k M ii 0 �0 f $ k§t(2I § ■ o � ) $ § § c . usils W E . cc 0 . 0. 2 § § ( ° § o § $ S § 2 p § m § E 0 • @ § ) & 0 § 2 0 p . e 7 O o § ) ( 7 $ 2 \ § d § a 62 ! ■ B & § \ \ r % a % k \ 2 \ § § 2 8 / / / rtP8( � § ` 4 0 0 0 § ( cla (KS § § 0 0 . . . < 0 0 0 - Home Study Home Study Update ML Relinquishment 1:1 2005 Number of Statistic: Hours/Case Cases Home Study 15 50 Home Study Update 8 15 ML Relinquishment 1:1 3 7 Total Cases 72 1872 Revenue Per Case Home Study 5 Interviews $ 900 $ 36,000 Home Study 6th interview $ 950 $ 2,850 Home Study 7th interview $ 1,000 $ 4,000 Home Study 8th interview $ 1,500 $ 4,500 Home Study 9th interview $ 2,000 Home Study Update $ 600 $ 9,000 ML Relinquishment 1:1 $ 80 $ 560 Gross Revenue $ 56,910 Deductions: No Shows $ 1,000 Net Revenue $ 55,910 Expenses: Salary-ML therapist $ 44,460 Salary Clinical Coordinator $ 543 Other(BA,Reimb,MR,etc) $ 262 Sub Total Salaries with benefits $ 45,265 Non-Salary expense: Mileage $ 3,000 Background Checks $60ea $ 9,000 Supplies $ 750 Sub Total Non-Salary $ 12,750 Total Expense $ 58,015 Contribution Margin $ (2,105) SUPPLEMENTAL NARRATIVE TO RFP: EXHIBIT B CONDITIONS ` a DEPARTMENT OF SOCIAL SERVICES P.O. BOXA 1 GEELEY,CO. 80632 W ebsite:www.co.weld.co.us ' Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 O • COLORADO April 18,2005 Gene O'Hara North Colorado Medical Center 1801 16th Street Greeley,CO 80631 Re: RFP 05010: Option B,Home Based Services RFP 05006:Day Treatment RFP 006-00:Home Studies,Relinquishment Counseling Dear Mr.O'Hara: The purpose of this letter is to outline the results of the Bid process for PY 2005-2006 and to request written information or confirmation from you by Wednesday,April 27,2005. A. Results of the Bid Process for PY 2005-2006 • The Families,Youth and Children(FYC)Commission recommended approval of the bids listed below for inclusion on our vendor list. I. RFP 05010: Option B,Home Based Services 2. RFP 05006:Day Treatment • The Families,Youth and Children(FYC)Commission recommended approval of the bid, RFP 006-00B,Home Study,Updates.Relinquishment Counseling,for inclusion on our vendor list,attaching the following conditions for all Home Study providers. Condition#1:The threshold for hours for an incomplete home study will be set at 3.5 hours. Additional home studies will be billed at a maximum of$250 per person. Condition#2: It has been mutually decided that the turnaround time for receipt of the completed home study by the Department is set at six weeks from the date of receipt of the referral. B. Required Response by FYC Bidden Concerning FYC Commission Conditions: All conditions will be incorporated as part of your Bid and Notification of Financial Assistance Award(NOFAA).If you do not accept the condition(s),you will not be authorized as a vendor unless the FYC Commission and the Weld County Department of Social Services accept your mitigating circumstances.If you do not accept the condition,you must provide in writing reasons why.A meeting will be arranged to discuss your response.Your response to the above conditions will be incorporated in the Bid and Notification of Financial Assistance Award. 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 FY05-PAC-2004 Revision (RFP-FYC-05006) Contract Award Period Name and Address of Contractor Beginning 06/01/2005 and North Range Behavioral Health Ending 05/31/2006 The Littler Center-Day Treatment 1306 11th Avenue Greeley, CO 80631 Computation of Awards Description Unit of Service The issuance of the Notification of Financial A comprehensive,highly structured service Assistance Award is based upon your Request for alternative to the out-of-home placement or the Proposal (RFP). The RFP specifies the scope of more intensive placement, that provides mental services and conditions of award. Except where it is health care and education to its student clients. in conflict with this NOFAA in which case the Capacity to serve an average of 18-20 children NOFAA governs, the RFP upon which this award is and their families during the year, of which 12 based is an integral part of the action. may be eligible for Core funded services, 29.5 hours weekly, an average of 5.9 hours daily, for Special conditions 36-52 weeks. 1) Reimbursement for the Unit of Services will be based on an hourly rate per child or per family. Cost Per Unit of Service 2) The hourly rate will be paid for only direct face-to- Per Daily Rate face contact with the child and/or family, as specified Treatment Package $85.57 in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. Enclosures: 4) Payment will only be remitted on cases open with, X Signed RFP: Exhibit A and referrals made by the Weld County Department Supplemental Narrative to RFP: Exhibit B of Social Services. Recommendation(s) 5) Requests for payment must be an original submitted Conditions of Approval to the Weld County Department of Social Services by the end of the 25th calendar day following the end of the month of service. The provider must submit requests for payment on forms approved by Weld County Department of Social Services. 6) The Contractor will notify the Department of any changes in staff at the time of the change. Approvals: ` Program Official: �Q By � ' / ce ^ ' By A �U i0 William H. Jerke, Chair Judy .. Griego')Director Board of Weld County Commissioners Weld ounty Department of Social Services Date: JUN U 6 2005 Date: W' 2/OC c 0OS /& 5'9 • SIGNED RFP: EXHIBIT A J - • INVITATION TO BID BID 002-05 (05005-05011 AND 006-00) DATE: February 16, 2005 BID NO:RFP-FYC-05006 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-05006) for:Colorado Family Preservation Act--Day Treatment Program Emergency Assistance Program Deadline: March 11,2005,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 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.RS. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to run from June 1, 2005,through May 31,2006, at specific rates for different types of service,the county will authorize approved vendors and rates for services only. The Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement or more restrictive placement that provides therapy and education for children. 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 Karen M. Thompson, R.N. , M.S. TYPED OR PRINTED SIGNATURE VENDOR North Range Behavioral Health tkA MS (Name) Hand itten Signature By Authorized Officer or Agent of Vendor ADDRESS 1306 11th Avenue 1TTLE Interim Executive Director Greeley, Colorado 80631 DATE March 9, 2005 PHONE# 970-347-2120 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 • bid 002-05/RFP-FYC-05005 through 05011 and 006-00 TERMS AND CONDITIONS RFP-FYC-04005 through 04011 and 006-00 1. The Contractor agrees it is an independent contractor and that its officers and employees do not become employees of Weld County,nor are they entitled to any employee benefits as Weld County Employees if this RFP/Bid is accepted by the Board of County Commissioners. 2. Weld County,the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of Contractor or its employees, volunteers, or agents while performing duties as described pursuant to this RFP/Bid. Contractor shall indemnify,defend, and hold harmless Weld County,the Board of County Commissioners of Weld County, its employees, volunteers, and agents. The Contractor shall provide adequate liability and worker's compensation insurance for all its employees, volunteers, and agents engaged in the performance as prescribed under the RFP/Bid. 3. No portion of this Bid shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of the RFP/bid be deemed to have created a duty of care with respect to any persons not a party to this RFP/Bid. 4. No portion of this RFP/Bid shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year. 5. If any section, subsection,paragraph, sentence,clause, or phrase of this RFP/Bid is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this RFP/Bid and each and every section, subsection,paragraph, sentence,clause, and phrase thereof irrespective of the fact that any one or more sections, subsections,paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 6. No public official or employee of Weld County, Colorado, and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved RFP/Bid or the proceeds thereof. 7. The Contractor assures that they 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 an approved RFP/Bid. 8. The Contractor assures that sufficient, auditable,and otherwise adequate records that will provide accurate,current, separate, and complete disclosure of the status of the funds received under the RFP/Bid are maintained for three(3)years or the completion and resolution of an audit. Such records shall be sufficient to allow authorized local, federal, and state auditors and representative to audit and monitor the Contractor. Page 2of31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 9. The Contractor assures that authorized local, federal, and state auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on-site visits,all contract activities, supported with funds under this RFP/Bid to ensure compliance with the terms of this RFP/Bid. Contracting parties agree that monitoring and evaluation of the performance of the RFP/Bid shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. 10. A RFP/Bid which is approved by the Board of County Commissioners of Weld County, shall be binding upon the parties hereto,their successors,heirs, legal representatives, and assigns and shall constitute a contract without further action by the Board. The Contractor or Social Services may not assign any of its rights or obligations hereunder without the prior written consent of both parties. 11. The Contractor assures that it will fully comply with the Weld County Colorado Family Preservation Act regulations promulgated, and all other applicable federal and state laws,rules and regulations. The Contractor understands that the source of funds to be used under this RFP/Bid is: Emergency Assistance Program Funds under the Colorado Family Preservation Act 12. The Contractor assures and certifies that it and its principals: a. Are not presently debarred, suspended,proposed for debarment,declared ineligible, or voluntarily excluded from covered transactions by a Federal department or agency; b. Have not,within a three-year period preceding this RFP/Bid,been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain,or performing a public(Federal, state,or local)transaction or contract under a public transaction;violation of federal or state antitrust statutes or commission of embezzlement,theft, forgery,bribery, falsification or destruction of records,making false statements,or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local)with commission of any of the offenses enumerated in paragraph 12(b) of this certification; and d. Have not within a three-year period preceding this RFP/Bid,had one or more public transactions (federal, state, and local)terminated for cause or default. 13. The Appearance of Conflict of Interest applies to the relationship of a contractor with Social Services when the contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the contractor to gain from knowledge of these opposing interests. It is only necessary that the contractor know that the two relationships are in opposition. Page 3 of 31 • Bid 002=05/RFP-FYC-05005 through 05011 and 006-00 During the term of this RFP/Bid, if it is approved by the Board of County Commissioners,the contractor shall not enter into any third party relationship that is a conflict of interest or gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation,the contractor shall submit to Social Services a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for Social Services'termination, for cause, of its contract with the contractor. 14. Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this RFP/Bid, if it is approved by the Board of County Commissioners. Except for purposes directly connected with the administration of the Emergency Assistance Program,no information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian. Contractor shall have written policies governing access to,duplication and dissemination of,all such information. Contractor shall advise its employees, agents and subcontractors,if any,that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any,with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. 15. Proprietary information for the purposes of this contract is information relating to a party's research, development,trade secrets,business affairs,internal operations and management procedures and those of its customers,clients or affiliates,but does not include information(1) lawfully obtained from third parties, (2)that which is in the public domain, or(3)that which is developed independently. Neither Party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of an executed contract. Any proprietary information removed from the State's site by the Contractor in the course of providing services under this RFPBid will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. Page 4 of 31 } • Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 PART A ADMINISTRATIVE INFORMATION 1. Legislative Authority The Colorado Family Preservation Act and the Emergency Assistance for Families with Children at Imminent Risks of Out-of-Home Placement Act authorize the Board of Weld County Commissioners to expend funds for the development and implementation of alternatives to out-of- home placement of children. 2. Issuing Office This Request for Proposal(RFP)is issued for the Board of Weld County Commissioners by the Director of General Services for the benefit of the Families,Youth,and Children Commission. The Director of General Services is the SOLE point of contact concerning this RFP. All communication must be done through the Director of General Services. 3. Purpose This RFP provides prospective bidders with sufficient information to enable them to prepare and submit proposals for consideration by the Board of County Commissioners of Weld County to satisfy the need for expert assistance in the completion of Families,Youth, and Children Commission goals of this RFP. 4. Scope This RFP contains the instructions governing the proposal to be submitted and the material to be included therein;mandatory requirements which must be met to be eligible for consideration; and other requirements to be met by each proposal. Page 5 of 31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 5. Schedule of Activities SCHEDULE OF ACTIVITIES DATE(S) ACTIVITIES DESCRIPTION A. Announcement to February 10,2005, Announcement activities will included: Prospective Bidders through February ry 13,2005 - a request to all prospective bidders to Concerning Request for pick up a bid packet(s)on February Proposal 16,2005. - a budget estimate - a requirement to all prospective bidders that the bidders must attend a Prospective Bidders Conference on February 16,2005, or a bidder will not be allowed to compete in Bid No. 002- 05 (05005 through 05011, and 006- 00.) - Activities will include: 1. Sending letters to our current contractors. 2. Advertising the announcement to prospective bidders through newspapers &radio. 3. Releasing a press release. B. Prospective Bidder February 16,2005, (1:00 The Prospective Bidder Conference will be Conference p.m.to 3:00 p.m.) mandatory and will include: - the RFP Bid Format for renewing current programs approved for FY 2004-2005. - the RFP Bid Format for all prospective bidders or current providers requesting major changes to programs approved for FY 2004-2005. - an overall description of the RFP process - a release of the RFP Bid Package which will include: A. The RFP Bid Format, B. The latest version of the Colorado Family Preservation Act criteria, C. An opportunity by Bidders to ask questions about the RFP Bid Package, and D. A listing of Assigned Social Services Division Supervisors. Page 6 of 31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 (Fait Prospective Bidder will be required to meet with its assigned Social Services Supervisor to discuss the design of its project prior to its formal submission as indicated by the signature of the assigned Social Services Supervisor in the final Bid submittal.) C. Written Inquiries from February 18,2005,by 5:00 FYC Bidders p.m. D. Response Conference to February 23,2005, from The Response Conference to Written Inquiries Written Inquiries, 1:00 p.m.to 3:00 p.m.) will be mandatory and will include: Submitted by FYC - a written response to Written Inquiries Bidders Submitted by FYC Bidders - a written response to vendors requesting renewal of FY 2004-2005 bids - a unit cost description - the evaluation instrument to be used by the FYC to assess the quality of the RFP bids E. FYC Bid meeting with February 17, 2005, Assigned Social Services through March 3,2005 Supervisor F. Submission Deadline March 11,2005,by 10:00 a.m. according to the Weld County Purchasing Time Clock G. Pre-award Visits March 16 & 17, 2005 (Estimates; optional) H. FYC Final Approval of March 18,2005 2005-2007 Revised 3-Year Plan/Programs (estimate) I. Board of Weld County April 27,2005 Commissioner Revised 3- Year Plan/Programs Approval(estimate) J. Colorado Department of May 31,2005 Human Services Revised Page 7of31 • Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 3-Year Plan/Programs Submission Approval (estimate) K. Contract Finalization May 31, 2005 Approval(estimate) L. A contract period June 1, 2005—May 31, (estimate)for 12-month 2006(Emergency programs. Assistance Program Funds) 6. Invitation for Proposals On behalf of the Board of County Commissioner of Weld County,the Families,Youth and Children Commission is hereby contacting prospective bidders who have an interest or are known to do business relevant to this RFP. All interested individuals/firms who were not contacted are invited to submit a proposal in accordance with the policies,procedures and dates set forth herein. In the event of"No Bid", please sign Invitation and Bid page,indicating"No Bid" and return to the Director of General Services. 7. Written Inquiries Prospective bidders may make written inquiries concerning this RFP to obtain clarification on requirements. No inquiries will be accepted after February 18, 2005, 5:00 p.m. Send all inquiries to: Pat Persichino,Director of General Services,Bid 002-05/RFP FYC(05005 through 05011 and 006-00) inquiry. Responses to bidder's inquiries will be made in writing and/or through a response conference by the Families,Youth and Children Commission,on behalf of the Board of County Commissioners,Weld County,on February 23,2005,from 1:00 p.m.to 3:00 p.m. at the Weld County Department of Social Services Annex, 315B N 11 Avenue, Second Floor Conference Room, Greeley, Colorado,to all prospective bidders. 8. Modification or Withdrawal of Proposals Proposals may be modified or withdrawn,by the bidder,prior to the established due time and date. 9. Proposal Submission Proposals must be received on or before the time and date indicated in the Schedule of Activities. No proposals will be accepted after this time. Bidders mailing their proposals shall allow sufficient mail delivery time to ensure receipt of their proposals by the time specified. The proposal package shall be delivered or sent by certified mail to: Pat Persichino Director of General Services 915 10th Street P.O.Box 758 Greeley, CO 80632 Bid 002-05 (05005 through 05011 and 006-00) Page 8 of 31 • Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 Proposals,which are determined to be at variance with this requirement,will not be accepted. Six (6)copies(total,including original)of the proposal must be submitted and sealed in a package showing the following information on a white label. Bidder's Name Bid 002-05 (05005 though 05011 and 006-00) Proposal due: March 11,2005; 10:00 a.m. The Invitation and Bid page MUST be signed in ink by the bidder or an officer of the bidder legally authorized to bind the bidder to the proposal. Unsigned proposals will be REJECTED. 10. Late Proposals Late proposals will not be accepted. It is the responsibility of the bidder to ensure that the proposal is received by the Director of General Services on or before the proposal opening date and time. 11. Addendum or Supplement to Request for Proposal In the event that it becomes necessary to revise any part of this RFP, an addendum will be provided to each vendor who received the original RFP at the prospective Bidder Conference of February 16, 2005, from 1:00 p.m.to 3:00 p.m. 12. Oral Presentations/Site Visits Bidders may be asked to make oral presentations or to make their facilities available for a site inspection by the Families,Youth and Children Commission evaluation committee. Such presentations and/or site visits will be at the bidder's expense. 13. Acceptance of RFP Terms A proposal submitted in response to this RFP shall constitute a binding offer. Acknowledgment of this condition shall be indicated by the autographic signature of the bidder or an officer of the bidder legally authorized to execute contractual obligations. A submission in response to this RFP acknowledges acceptance by the bidder of all terms and conditions including compensation, set forth herein. A bidder shall identify clearly and thoroughly any variations between its offer and the Families,Youth and Children's Commission RFP. Failure to do so chalk be deemed a waiver of any rights to subsequently modify the terms of performance. 14. Protested Solicitations and Awards Any actual or prospective bidder or contractor who is aggrieved in connection with the solicitation or award of a contract may protest to the Board of County Commissioners of Weld County. The protest shall be submitted in writing within seven working days after such aggrieved person knows or should have known of the facts giving rise thereto. Page 9of31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 15. Budgets Proposals MUST include Budget Information, as described under Attachment A of the application. 16. Proprietary/Confidential Information Any restrictions on the use or inspection of material contained within the proposal shall be clearly stated in the proposal itself. Proposals submitted in response to this RFP are subject to the terms of Article 72 Public(open)Records of the Colorado Revised Statutes. 17. RFP Response Material Ownership All materials submitted regarding this RFP becomes the property of the Board of Commissioners of Weld County. Responses may be reviewed by any person after the Letter of Intent has been issued, subject to the terms of Colorado Revised Statutes 24-72-202 through 24-72-206/Public(open)Records. The Board of County Commissioners of Weld County has the right to use any or all information/material presented in reply to the RFP, subject to limitations outlined in Proprietary Information. Disqualification of a bidder does not eliminate this right. 18. Bid Prices Estimated bid prices are not acceptable. 19. Selection Time The Families,Youth and Children Commission, on behalf of the Board of County Commissioners of Weld County,intends to make recommendations concerning proposal selection on or about March 18, 2005. The Board of County Commissioners of Weld County will make the final selection of proposals within two weeks of the date the Families,Youth and Children Commission provides its recommendation. Upon selection and approval by the State if appropriate, the Board of County Commissioners of Weld County will issue a Letter of Intent, and a contract must be completed and signed by all parties concerned, on or before the date indicated in Schedule of Activities. The bidder understands that the FYC Commission's final approval of 2005-2006 programs/plan and the Board of Weld County Commissioners'approval are based on allocations established by the State Department of Human Services. The contract between Social Services and the bidder will be adjusted according to final allocations provided by the State Department of Human Services. These actions may result in modifications to the original approved Bid. If the proposal selection date is not met,through no fault of the Board of County Commissioners of Weld County,the Board of County Commissioners of Weld County may elect to cancel the Letter of Intent and make the award to the next most responsible bidder. 20. Award of Contract The award will be made to that bidder whose proposal,conforming to the RFP,will be the most advantageous to Weld County,price and other factors considered. Page 10 of 31 r • Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 21. Acceptance of Proposal Content The contents of the proposal(including persons specified to implement the project)of the successful bidder are contractual obligations if the bid is accepted by the Board of County Commissioner of Weld County. 22. Standard Contract The Board of County Commissioners of Weld County reserves the right to incorporate standard state contract provisions into any contract resulting from this RFP (Ref. Special Provisions). 23. RFP Cancellation The Board of County Commissioners of Weld County reserves the right to cancel this Request for Proposal at any time,without penalty. 24. Weld Counts,Ownership of Contract Products/Services Proposals,upon established opening time,become the property of Weld County. All products/services produced in response to the contract resulting from this RFP will be the sole property of Weld County. The contents of the successful bidder's proposal will become contractual obligations. 25. Incurring Costs Weld County is not liable for any costs incurred by bidders in the course of preparing and submitting their bids. 26. Non-Discrimination The bidder shall comply with all applicable state and Federal laws,rules and regulations involving non- discrimination on the basis of race,color,religion,national origin, age or sex. 27. Rejection of Proposals The Board of County Commissioners of Weld County reserves the right to reject any or all proposals and to waive informalities and minor irregularities in proposals received and to accept any portion of a proposal or all items proposed if deemed in the best interest of Weld County. 28. Parent Company If a bidder is owned or controlled by a parent company, the name,main office address, and parent company's tax identification number shall be provided in the proposal. 29. Contract Cancellation Weld County reserves the right to cancel, for cause, any contract resulting from this RFP,by providing a Page 11 of 31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 timely written notice to the contractor. 30. Non-Collusion The bidder affirms,by signing the Invitation and Bid document,that the proposed bid price has been arrived at independently without collusion, consultation or communication as to any other bidder or with any competitor;the said bid price was not disclosed by the bidder and was not knowingly discussed prior to the submission, directly or indirectly,to any other bidder or to any competitor, and directly or indirectly,to any other bidder or to any competitor, and no attempt was made by the bidder to induce any other person,partnership or corporation to submit a proposal for restricting competition. 31. Taxes Weld County as purchaser,is exempt from all Federal taxes under Chapter 32 of the Internal Revenue Code(Registration No. 84-730123K) and from all State and Local Government Use Taxes(Ref. Colorado Revised Statutes Chapter 39-26.114(a).) Seller is hereby notified that when materials are purchased in certain political subdivisions the seller may be required to pay sales tax even though the ultimate product or service is provided to Weld County. This sales tax will not be reimbursed by either Weld County or the State. 32. Assignment Except for Assignment of Antitrust Claims,neither party to any resulting Contract may assign any portion of the RFP/Bid without the prior written consent of the other party. 33. Bid Bond/Security If the specifications contained herein so state, a bid security in an amount equal to 5%of your proposal shall be furnished to Weld County. See 24-105-201, C.R.S. 34. Contractor's Performance and Payment Bonds If the specifications contained herein so state,the contractor will be required to furnish a performance bond and a labor and material payment bond. A certified or cashier's check or bank money order may be accepted in lieu of the bonds. 35. Insurance If the specifications contained herein so state,the contractor shall procure, at its own expense,and maintain for the duration of the work,the following insurance coverage; Weld County, Colorado,by and through the Board of County Commissioner of Weld County, its employees and agents, shall be named as additional named insured on the insurance. A. Standard Workman's Compensation and Employer's Liability. 1) As required by State Statute including occupational disease, covering all employees at Page 12 of 31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 work site. B. General Liability(PL&PD) (Minimum). 1) Combined single limit- $500,000 written on an occurrence basis. 2) Any aggregate limit will not be less than$1 million. 3) Contractor must purchase additional insurance if claims reduce the annual aggregate below $500,000. 4) State of Colorado to be named as additional insured on each comprehensive general liability policy. 5) Certificate of insurance to be provided to Weld County and must be attached to the RFP Bid. 6) Insurance shall include provisions preventing cancellation without 60 days prior notice by certified mail to Weld County. C. Automobile Liability(Minimum). 1) Contractor to carry a minimum of$500,000 combined single limit auto insurance. D. Additional coverage may be required in specific solicitations. For any insurances that are required by this RFP, a completed Standard Certificate of Insurance Form shall be provided to Weld County by the potential contractor prior to the start of any contract. 36. Indemnification To the extent authorized by law,the contractor shall indemnify, save and hold harmless Weld County,its employees and agents, against any and all claims,damages, liability and court awards including costs, expenses,and attorney fees incurred as a result of any act or omission by the contractor, or its employees, agents,subcontractors,or assignees pursuant to the terms of this contract. 37. Venue The laws of the State of Colorado Weld County shall govern in connection with the formation, performance and the legal enforcement of any resulting contract. Further,the provisions of Title 24, C.R.S. as amended,Article 101 and through 112, and rules adopted to implement the statutes,govern this procurement. 38. Certifications The Bidder certifies that it has currently in effect, all necessary licenses, approvals, insurance,etc. required to properly provide the services and/or supplies covered by its bid. Page 13 of 31 . . Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 PART 13 BACKGROUND, OVERVIEW,AND GOALS Under C.R.S. 26-5.5-101 (Colorado Family Preservation Act) and C.R.S. 26-5.3-101 (Emergency Assistance for Families with Children at Imminent Risk of Out of Home Placement Act),the State of Colorado, through the Board of Weld County Commissioners, funds the Weld County Department of Social Services through an Emergency Assistance Program and State funds. The Colorado Family Preservation Act is a program that focuses on family strengths by directing intensive and time limited services to families to protect children,to prevent placement, and to reunify children and their families. The definition is based upon the following elements: A. Directed toward families B. Focused on family strengths C. Protects children D. Prevents placement or reunifies children and their families E. Time limited F. Family must be receptive to the services;however, exceptions shall be made for families who are court ordered. G. Intervention occurs at critical points. The Colorado Family Preservation Act is composed of several services that all share common purposes and elements. The Colorado Family Preservation Act has two primary goals: 1)prevent imminent placement of children; and/or 2)reunify children in placement with their families. A. For purposes of the Colorado Family Preservation Act, imminent placement is defined to mean that without intervention, a child will be placed out of the home immediately. B. For purposes of Colorado Family Preservation Act to "reunify with their family" or"to return to their own home" is defined to mean to return to the home of a parent, adoptive placement, independent living placement, foster-adoption placement, or to live with a relative if the case plan is for the child to remain with the relative on a permanent basis. Page 14 of 31 r • Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 To assist the Board of Weld County Commissioners in the effective use of these funds,the Board of Weld County Commissioners appointed Weld County's Families,Youth and Children Commission to: A. Annually prepare a plan for the provision of Colorado Family Preservation Act Services. The primary goals under the plan shall be to prevent imminent placement of children out of the home and to reunite children who have been placed out of the home. B. Review,on an ongoing basis,the effectiveness of programs within Weld County which are designed to prevent or reduce placement and report its findings to the Board of Weld County Commissioners annually. The Families,Youth and Children Commission is pursuing contractors who demonstrate the capability of meeting the FYC's goals and objectives, and will adhere to Colorado Family Preservation Act eligibility guidelines. Any public or private agency,non-profit,private for profit or community based organization(CBO)or business may receive funding;however, support and commitment to the project being proposed must be demonstrated by other appropriate local agencies and organizations in order to receive favorable consideration for funding. Page 15 of 31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 PART C STATEMENT OF WORK I. Program Requirements A. OUT-OF-HOME PLACEMENT CRITERIA Not every child/youth at risk needs out-of-home placement.These criteria are designed to provide a decision making model to assist in determining whether Core Program services and/or out-of-home placement are indicated.All three criteria must be met. Criteria#1: The child/youth may be at imminent risk of out-of-home placement(as defined in 26-5.3-103(2), C.R.S.)because one or more of the following conditions exist. 1. abandonment by or incarceration of parent/relatives/caretakers; 2. abuse/neglect-as defined in the Children's Code; 3. domestic violence-as defined in Section 18-6-800.3, C.R.S.; 4. conditions that exist to such a degree for either the child or caretaker so that the caretaker is unable to care for the child. a. substance abuse; drug-exposed infants b. mental illness c. disability d. physical illness e. homelessness 5. beyond control of parents; 6. danger to self,others, or community; 7. infant or young child of teen parent in placement; . 8. delinquency-adjudicated delinquent meeting current out-of-home placement criteria written pursuant to Section 19-1-103(2), C.R.S.; 9. relinquishment or termination of parental rights; 10. child/youth returning home from out-of-home placement or moving to less restrictive level-of-care(LOC). Criterion#2: Before considering placement, an assessment is completed to determine the level of risk. If assessment of risk determines that the child is at imminent risk of out-of-home placement,then child/family strengths are determined, and the appropriate services and/or community supports (reasonable efforts)needed to address the existing Criterion#1 Page 16 of 31 • Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 conditions are identified.When these services are not immediately available,or absent, unsuccessful,or exhausted,placement in the Core Services Program and/or out-of-home may be considered. Reasonable efforts include the intervention strategies and advocacy efforts used: 1. to identify/locate appropriate parent/relative caretaker's ability to protect children; 2. to assess the parent/relative/caretaker's ability to protect children; 3. to assist the parent/relative/caretaker and/or child/youth in assessing and utilizing the identified services to address the presenting conditions. Criterion#3: When placement is the best choice of available options/altematives at this time to reduce risk to the child/youth while continuing reasonable efforts to resolve the conditions which led to imminent risk,then,placement in the Colorado Family Preservation Act and/or out-of-home may occur. B. The Core Services Program has two primary goals: 1)prevent imminent placement of children; and/or 2)reunify children in placement with their families. 1. For purposes of the Core Services Program, imminent placement is defined to mean that without intervention, a child will be placed out of the home immediately. 2. For purposes of the Core Services Program to "reunify with their family'or"to return to their own home"is defined to mean to return to the home of the parent,adoptive placement,guardianship,independent living placement, foster-adoption placement,or to live with a relative if the case plan is for the child to remain with the relative on a permanent basis. C. Proposals receiving consideration under this RFP must provide services in Weld County. D. Creative and innovative model programs which lead to the reduction of foster care costs and avoid duplication will be encouraged. II. Fiscal Provision A. Applicants must complete all budget forms specified within the application kit. B. Funding shall be under a 12-month estimated contract from June 1,2005, through May 31, 2006. C. The Contractor shall make provisions for an independent financial audit to be performed annually. To the maximum practicable extent,the audit shall identify, examine, and report the income and expenditures specific to operation of the State-funded program or services. One copy of the audit report,together with associated special reports and the management letter, if Page 17 of 31 • Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 any, shall be furnished to Board of County Commissioners no later than September 30th each year. M. Standards of Responsibility A. The bidder selected, as a result of this RFP,must be responsible for all program costs including personnel, operating,travel, equipment, audit, and capital items. Bidders must have available the necessary financial,material, equipment, facility, and personnel resources and expertise,or the ability to obtain them since no start-up funds will be made available. All contracts are set up so as to reimburse the contractor for allowable expenses as budgeted. B. The bidding agency must be able to document a satisfactory record of program performance, financial solvency,and a satisfactory record of integrity. C. The bidding agency must be a not-for-profit organization incorporated as 501(c)(3) agency. Agencies in the process of applying for 501(c)(3)status must be fully incorporated by contract start date.Private for profit business and local and state units of government are also eligible to bid for funds. D. The RFP must reflect the appropriate time limits of the program needed to reduce risk and enhance the safety of the subject children. The RFP should reflect the precise number of sessions needed for the program to be effective, the number of sessions per week, and the cost for each session. The RFP should also reflect an average cost per family and number of sessions needed. E. The RFP must reflect a process to eliminate renewals or reduce the cost of the program should it have to be reinstated. Preference will be given to programs that incorporate a step-down plan, such as(a) fewer sessions per week or per month after intensive sessions in the first part of the program, (b)transition to ending of services or support services from bidders agency,or (c)transition to another agency. F. All renewal requests must be in writing and reflect cause for renewal.Renewal requests must be submitted in writing to the Department of Social Services 60 days prior to the end of the original service date. Social Services will reserve the right to request a meeting on any request for renewal the Department needs clarified. A renewal request for additional hours would be considered if there is evidence that there are still steps being actively taken to reunify the family, or to lower the risk of out-of-home placement, and progress is being made as the result of the provider's service. The caseworker and provider shall provide information regarding this need to the program area supervisor who will make the final decision regarding the approval of this renewal. G. The RFP must include the program design that reflects maximum number of hours in the three stages of the program: start up, middle, and end of services.No service fees will be paid for any programs that exceed these measurements per month. H. In the RFP process, approved contractors for Program Year 2004-2005,must submit a letter Page 18 of 31 • Bid 002-05/RFP-FyC-05005 through 05011 and 006-00 for all clients who are to be carried over into Core Services Program Year 2005-2006 Justifying the carryover by June 1,2005,the start of the Core Services program year. The letter should be sent to the current caseworker,Ms. Elaine Punster, CPS/CAP, Core Services Specialist,and the program area supervisor. I. The contractor must agree to: 1. Be available for court testimony when given proper notification, and such testimony is included in the rates provided under the approved rate for services over the term of the contract. Court testimony includes preparation of and actual court testimony. 2. Provide written recommendations or action plan in the client's primary language for all monolingual clients. A copy of the recommendations or action plan should be sent to Ms. Elaine Punster,CPS/CAP,Core Services Specialist, at Weld County Department of Social Services,P.O.Box A, 315 N 11 Avenue, Greeley, CO, 80632. 3. Provide a case management plan on each referred family within 30 days of the date the Contractor received the referral. The case management plan will be monitored and modified monthly to measure progress toward goals. Copies of the case management plan must be sent to the caseworker,program area supervisor, and Ms.Elaine Furister, CPS/CAP, Core Services Specialist,at Weld County Department of Social Services, P. O.Box A, 315 B N 11 Avenue, Greeley, Colorado, 80632. The case management plan, at minimum,will include goals,timelines,and measurement of success. 4. Provide a monthly client progress report as above within twenty-five(25)working days immediately after the month of service. The monthly progress report must be attached to the monthly billing for payment to be honored. Failure to submit such monthly reports will result in delays or forfeiture of payment. Monthly Reports-will be submitted no later than twenty-five(25)working days past the end of the month of service. It is expected, at a minimum,these reports will reflect: -presenting problem(s)of the client/family, -specific services provided, -extent of client(s)participation and commitment to program, -client(s)progress to date, - anticipated discharge date. 5. Report to Social Services a monthly brief report on the status of the program as prescribed by Social Services; 6. Submit a final narrative summary of program outcomes to Social Services within 30 days after the completion date; 7. Report expenditures and case disbursement at agreed upon times. Page 19 of 31 • Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 8. Submit monthly FYC completed billing forms to Ms.Elaine Furister, CPS/CAP, Core Services Specialist, on or about the 10th day of the month after the month the services were provided.All billings must be date-stamped by the Department by the 25th day of the month following service to be eligible for reimbursement.Billings received and date-stamped after the 25th day of the month will not be honored and may result in forfeiture of billed fees. 8. The provider shall submit signed,original billing forms, including all documentation required to verify services provided during the service month. The completed billing forms must be received by the Department no later than the 25th day of the month following the dates of service. No billing forms or documentation will be accepted by the Department for processing after the 25th day following the service month.All items submitted after this date shall be returned to the provider unpaid. Further,the Department will not consider payments that were originally reviewed as deficient in documentation for future reimbursement. The Department will determine billed services not eligible for payment by identifying conflicts in the following: a. Details provided in client referrals and renewals, including approved hours, days,or episodes of service, begin and end dates of service,client name, and Case ID. b. Details in supporting documentation provided by the Provider and submitted with the original bill,including,but not limited to, original signed client verifications,time of service and hours of service provided,and names of clients receiving the services. c. Details provided in the current approved contract and Notification of Financial Assistance,including,but not limited to unit of service,cost per unit of service, and Special Conditions, as stated in the Notification of Financial Assistance. The above items, 9a,b, and c,will supersede all requests from providers for review of billing errors. Items submitted for billing will be processed according to the criteria established by the above documentation. An Administrative fee may be assessed to all fees reimbursed through County only funding. Such fees include,but are not limited to,those service fees previously billed and determined by the Department to be not eligible for payment. 10. Work with family to prepare to pay for services beyond established time frame. A complete and timely billing form is identified by and must include the following elements. (See Attachment A of the Request for Proposal): Page 20 of 31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 a The billing must be an original billing signed by the provider and/or designee. b. The billing must include all forms designed for Core Services reimbursement and approved by the Department of Social Services; Core Services Authorization of Funds,Project Report,Update Report, and signed client verifications for each client serviced during the billing period. c. A service summary must be provided by the provider for clients who have active referrals during the billing month in order to direct issues to the caseworker and court. 1) Core Services Authorization forms must be submitted completely filled in with an original signature from the provider and/or designee. 2) Project reports must include the client's full name,Weld County Case ID, Weld County Referral number,hours served,hourly rate, and total billed for the month the service was provided. 3) Verification forms must include the client's original signature at the time of service, date of service,hours served, Case ID and Core service referral number.Payment through Core Services Program funds will be made only for direct client contact with the appropriate identifying client signature included on the verification form. 11. Will develop and utilise evaluation tools (pre and post assessment test instruments) to collect necessary data in cooperation with Social Services staff to monitor effectiveness of program; 12. Will meet with Social Services FPP Supervisor quarterly(more if needed)to review program usage and effectiveness to discuss necessary improvements to better serve families or increase referrals; 13. Be available to meet with DSS staff to explain program, time lines of response to referrals and answer questions to enhance program. 14. Be available for the Families, Youth and Children Commission review and attendance at the FYC meetings. Page 21 of 31 Bid 002-OS/RFP-FYC-05005 through 05011 and 006-00 PART D BIDDER RESPONSE FORMAT INFORMATION TO BE INCLUDED IN PROPOSALS The following requirements exist which must be met by all proposals submitted. It is required that bidders address the proposal requirements in the following format and use the exact replication of forms included in the attachments to these guidelines. Failure of the bidder to provide all information requested in this RFP may result in disqualification of the proposal. A. Invitation for Bid The Invitation for Bid page must be signed in ink by the bidder or an officer of the bidder legally authorized to bind the bidder to the proposal. Unsigned proposals will be rejected. This should be the first page of the document. The Invitation and Bid page should be signed for the bid proposal submitted. B. Cover Page This page must follow the Invitation to Bid page in the document. Proposals must contain an original copy with original signatures, and six copies of the proposal (Attachment A). C. Program Narrative The body of the proposal must clearly and concisely describe the overall plan for the program. However,the bidder must use the prescribed form(excluding charts and attachments). However,the only attachments to the proposal must be those specifically related to the project: 1. Project Description (5 Points) The overall mission,purpose, and design of the project should be described in this section. 2. Target/Eligibility Population (15 Points) A profile of clients to be served including such factors as age;number of clients to be served, and duration of time to be served. The Bidder must address both Part C, statement of work and the target/eligibility populations Section for the Core Services Program. A. Quality of General Description (5 Points) B. Ability to Provide Ethnically/Culturally Appropriate Services (10 Points) 3. Types of Services Provided (15 Points) Service components should be described in this section. Services should be based on the needs of clients,the community, 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). Services description must address the Types of Services Page 22 of 31 Bid 002-05/RFP-FYC-05005 through 05011 and 006-00 Provided section for the Core Services Program. A copy of the Bidder's Certificate of Insurance must be attached to the RFP. 4. Measurable Outcomes (10 Points) A list of measurable outcomes of the Colorado Family Preservation Act is to be addressed as required the Measurable Outcomes Section. The Bidder must address what methods the Bidder will use to measure, evaluate,and monitor the outcomes. 5. Service Objectives (10 Points) The Service Objectives section provides for service objectives as developed by the FYC and the Bidder. The Bidder must address what methods the Bidder will use to measure, evaluate, and monitor the objectives. 6. Workload Standards (5 Points) The Bidder must address the workload standards as described in the Workload Standards Section. 7. Staff Qualifications (10 Points) The Bidder must address the Staff Oualifications Section as required by the PAC. 8. Unit of Service Rate Computation (10 Points) The budget must be submitted in an hourly unit rate cost of direct delivery of services to a individual or family unit. The Bidder must address the Unit of Service Rate Computation Section of the Core Services Program. 9. Lowest Oualified Bid(s) (15 Points) 10. Program Capacity by Month (5 points) A description of maximum and minimum client capacity per month necessary to support program. Page 23 of 31 Bid 002-05 (RFP-FYC-05006) Attached A PART E EVALUATION PROCESS A. An evaluation committee composed of Families, Youth and Children Commission members, except those FYC members who have submitted proposals for consideration under RFP-FYC 05005 through 05011,will judge the merit of proposals received in accordance with the general criteria defined in the RFP and the adequacy and completeness of the proposal. In addition to the evaluation committee's independent reviews, the evaluation committee will obtain: 1) Independent reviews from representatives from the Colorado Department of Human Services and the Weld County Department of Social Services who will judge the merit of proposals received in accordance with the general criteria defined in the RFP and the adequacy of the proposal. 2) Any performance reports submitted by the FYC Commission in accordance with criteria defined by the FYC Commission. The recommendations of this evaluation committee will be forwarded to the Board of Weld County Commissioners. The Board of Weld County Commissioners will make the final approval of providers and/or revisions to the 2005-2007 Core Services Plan. Failure of the bidder to provide any information requested in the RFP may result in disqualification of the proposal. The sole objective of the evaluation committee will be to recommend the bidder whose proposal is most responsive to Weld County's needs while within the available resources. The specifications within the RFP represent the minimum performance necessary for response. B. Evaluation Criteria Mandatory Proposal requirements include: 1. Project Description 2. Target/EligibilityPopulations (5 Points) A. (15 Points) (5 Points) B. Cultural/Ethnically Specific Services (10 Points) 3. Type of Service Provided 4. Measurable Outcomes (10 Points) 5. Service Objectives (10 Points) 6. Workload Standards (10 Points) 7. Staff Qualifications (5 Points) 8. Unit of Service Rate Computation (10 Points) 9. Lowest Qualified Bid(s) (10 Points) 10. Program Capacity by Month (15 Points) (5 Points) Total Points 100 The proposal must obtain minimum points of 75%of total possible points to be considered for funding. Attachments A. Colorado Family Preservation Act Bid Proposal Page 24 of 31 Bid 002-05 (RFP-FYC-05006) Attached A DAY TREATMENT PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER CORE SERVICES FUNDING EMERGENCY ASSISTANCE PROGRAM 2005/2006 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2005-2006 BID 002-05(05006) NAME OF AGENCY: NORTH RANGE BEHAVIORAL HEALTH ADDRESS: 1306 11TH AVENUE GREELEY, COLORADO 80631 PHONE: (970 ) 347-2120 or 347-2127 CONTACT PERSON: Sandra K. Atwood, MSW, LCSW TITLE: Director Littler Center DESCRIPTION OF EMERGENCY ASSISTANCE PROGRAM CATEGORY: The Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement that provides therapy and education for children. 12-Month approximate Project Dates: 12-month contract with actual time lines of: Start June 1.2005 Start End May 31,2006 End TITLE OF PROJECT: KATHLEEN PAINTER LITTLER CENTER Sandra K. Atwood 03/09/2005 Name and Signature of Person Preparing Document MSW, LCSW Date Karen M. Thompson 03/09/2005 Name and Signature Chief Administrative Officer Applicant Agency RN, MS Date MANDATORY PROPOSAL REQUIREMENTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Posposal for Bid.For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2004- 2005 to Program Fund year 2005-2006. Indicate No Change from FY 2004-2005 Project Description X Da Target/Eligibility Populations X LE Types of services Provided X 1P Measurable Outcomes X Service Objectives X No Workload Standards X . Staff Qualifications X _ Unit of Service Rate Computation Program Capacity per Month X Certificate of Insurance X Provider Number for State Child Care Licensing X Page 25 of 31 •Bid 003-05(RFP-FYC-05006) Attached A Date of Meeting(s)with Social Services Division Supervisor: Co ents by SSD Supervisor: dt Nrs+••n eO+"?in?inane, 771 /mfr/ •�FIx: ACE/c1 /�/qvi c�3i�P iir��i'noz�Fi �._7q nog 2SS!�,A Name and Sign of S upervisor Date Page 26 of 31 COLORADO FAMILY PRESERVATION PROGRAM—DAY TREATMENT—North Range Behavioral Health 2005-2006 BID#RFP-FYC-05006 I. PROJECT DESCRIPTION In August 1995, Weld County School District Six (District 6), the University of Northern Colorado (UNC), and North Range Behavioral Health (NRBH) jointly opened the Carson Children's Center (CCC). In August 1999 the CCC became the Kathleen Painter Littler Center. Littler is a year around residential and day treatment program for children ages five through 12 years. It has capacity of 24 residential and 12 day treatment students. Day treatment is a comprehensive, highly structured alternative to the out-of-home placement or the more intensive placement of a child already in placement, that provides mental health care and education to its student clients. Treatment services for each client's family are an integral part of the program. The Littler Center provides highly integrated and coordinated educational and treatment services to its students. The affective needs of each child are responded to not only by the treatment staff, but by the educational and supportive services staff as well. Similarly, the students' education and emotional and behavioral needs are not solely the responsibility of the teaching staff but shared by all on-site personnel. Because all Littler students are staffed as special needs children, additional services called for in each child's individualized education plans (IEP) such as occupational therapy, speech/language services, and physical therapy are provided on-site. The Littler day begins with a welcoming group to greet the children and to help them make the transition from life at home to a day in school and in treatment. Information from each student's parents, guardians, or foster parents is obtained directly or via notebooks sent home with and brought back each day by the students to keep the staff and parents/guardians up-to-date and to encourage open communication. Each child's goals and progress toward them are updated daily before the children move to other aspects of the day. Educational and affective curricula are simultaneously in place as much as is feasible in the various daily activities. The students progress through a series of treatment and educational offerings each day. While some children are in the classroom for group or individual instruction, others are seen in individual therapy while others are in a treatment group. Each day treatment student is assigned a master level therapist who not only assists in developing individualized treatment plans, but also serves as an on-going consultant and treatment coordinator to all school staff. There are ongoing, scheduled psycho-educational groups that address new themes as well as themes from earlier sessions. These groups address social skills, conflict resolution, self-esteem, and positive relation building as well as how to handle feelings. The daily schedule is similar from day to day promoting the consistent milieu essential to the children's success. Recess, lunch, and other activities are similarly integrated. The day ends back in the room where the focus is to review the day with the children and prepare them for the transition back to their homes. Goals and successes of the day are the focus of this activity. Children may remain for a family therapy session. Family therapy typically is planned for the end of the day to allow for parents' work schedules. The schedule is sufficiently flexible to allow for such sessions during the school day as well. Individual and family therapy continues to occur during school breaks, depending on the availability of the clients. Participation in family therapy is a requirement in the day treatment program at the Littler Center to achieve optimum success. COLORADO FAMILY PRESERVATION PROGRAM—DAY TREATMENT—North Range Behavioral Health 2005-2006 BID#RFP-FYC-05006 Psychiatric services are integrated in the program. Each child receives a psychiatric evaluation including a determination of need for psychotropic medications. Follow-up psychiatric services are provided throughout each student's stay and, when appropriate, in the care that follows treatment at Littler. Students with special treatment needs have available to them the full array of services of NRBH in addition to those available at Littler. Students can be seen in groups designed to help them deal with sexual abuse and other trauma they have endured. II. TARGET/ELIGIBILITY POPULATIONS It is intended that the Littler Center serve up to 24 children ages five through 12 years and their families at any given time in the 6 to 18 month day treatment program. Of these, it is anticipated that up to ten could have the financial aspect of their care covered under the services proposed herein. Up to 18 children and their families will be served annually of whom 12 will possibly be eligible for FYC-funded services. It is anticipated that approximately 25% of_ all the students and/or their families will receive some level of bilingual/bicultural services on- site. Based on current utilization rates, it is estimated that up to 25% of the Littler students will be from southern Weld County. For the purposes of this grant, the monthly maximum program capacity is defined as 10 children with a monthly average program capacity of eight. The average length of stay in the program is estimated to be in the range of 36 to 52 weeks. Students spend a minimum of 29.5 hours weekly in the total program. In order for a child to be considered as a potential student of the Littler Center, she or he must be staffed into special education services in her or his home school district and must have demonstrated the capacity to return to her or his home school upon successful completion of the Littler program. In addition, the student must have a full scale IQ of 76 to benefit from the Littler Center program levels and expectations. Children referred to the project will have met, or be at high risk to meet, the out-of-home placement criteria detailed in the request for proposal. As mentioned above, each will also have met or be believed to qualify for special education services. III. TYPE OF SERVICES TO BE PROVIDED Site-based services to the students of the Littler Center and their families will be held each day District 6 schools are regularly in session plus through the summer. An academic year will consist of 46 total weeks with an average of not less than 29.5 hours of programming weekly, 5.9 average daily hours. The planning and implementation of the Littler Center has been a collaborative and cooperative effort from its inception. The Weld County Department of Social Services (WCDSS), involved early on in the planning process, agreed to utilize the services of this day treatment program for those of its clients demonstrating the need for it and for whom they believe they have financial responsibility. The Littler Center's admission coordinator works to ensure that FYC resources do not supplant other community resources and WCDSS caseworkers are involved prior to the 2 COLORADO FAMILY PRESERVATION PROGRAM—DAY TREATMENT—North Range Behavioral Health 2005-2006 BID#RFP-FYC-05006 screening process for all WCDSS children. The collaborative role of Weld County School District 6 has been exemplary from the planning stage forward as it furnished the past site, recruited and hired professional and paraprofessional staff, and provided administrative guidance. Similarly, NRBH, with the strong support of its Board of Directors and management team, offered administrative assistance in planning and implementing the treatment program. Extensive effort has been invested into planning the milieu and overall program of the Littler Center so that educational, therapeutic, behavioral, and recreational components are closely integrated. By design, each of these four components contains aspects of the other three. Concerted efforts helped to achieve and now serve to maintain this high level of integration. The educational component is primarily the responsibility of the District 6 teaching staff plus other instructional staff as may be required. The therapeutic component is primarily the responsibility of the NRBH on-site staff. The behavioral component of the Littler Center is present across all activities of the program and is the responsibility of all on-site personnel. Each student has an individualized education plan and a mental health services/treatment plan that spell out educational, behavioral, and emotional concerns and detail how those concerns will be addressed in the daily activities of the student. Similarly, the recreational component of the Littler Center includes educational, therapeutic, and behavioral programming to meet each student's needs. All components of the program are typically carried out on-site. Exceptions to this occur primarily during times when a student is in a transitional stage in returning to her or his home school and when off-site services, such as involvement in a particular therapy group not offered on-site, are indicated. Beginning at intake and throughout the program, parents, guardians, and other caretakers are actively encouraged to engage in their children's education and treatment. Family therapy sessions are held at least weekly for each student. In all cases, parental or guardian involvement is mandatory. This stems from a core belief that not just the child, but also his or her family must actively involve themselves in the treatment/education process for it to be effective and for the positive results to be longstanding. The mental health services plan dictates the specific nature of the family work that is required for each child. The teachers at the Littler Center are certified special education teacher for significantly identifiable emotionally disturbed children. They are assisted by three full-time, specially trained paraprofessionals in carrying out each student's individualized educational plan. Due to age of the Littler students, there has been no need for vocational or independent living assessment or training to date. Each student receives an initial mental health assessment. The therapist, parents/guardians, caseworker, if appropriate, and psychiatrist work to establish a behaviorally specific service plan that details individual therapy, family therapy, psychiatric needs, and case management needs. The service plan identifies the specific outcomes necessary for the child to be successful at a lower level of care. It is the tool by which progress is measured. Typically each student weekly receives at least one individual therapy session, five sessions of therapeutic or psycho- educational group activities, and one session of family therapy. This can vary based on the 3 COLORADO FAMILY PRESERVATION PROGRAM—DAY TREATMENT—North Range Behavioral Health 2005-2006 BID#RFP-FYC-05006 needs of the specific child and their family. More frequent services may be provided during the initial stages of treatment or during a time of crisis. Fewer services maybe provided during the lafter stages of treatment when a child is transitioning back to their home school. Those students with psychotropic medication needs are the responsibility of the Littler staff psychiatrist, Wallace LaBaw, MD. There is simultaneous development or updating of the individualized education plan when a child is staffed into the Littler Center. The physical health needs of Littler students including, but not limited to nutrition, medical, and dental, are primarily the responsibility of District 6 nursing staff. These are shared as appropriate by the staff of the Littler Center. Proactive planning for reintegrating a student into her or his home school begins during the initial screening of the child for consideration of admission to Littler. The capacity to return to one's home school, i.e., the school referring the child, or the school the child will be returning to, will depend upon promotion to her or his next higher grade, must be established before a child will be accepted into the Littler program as must be the referring school's willingness to have the student return there. Similarly, the graduation requirements for students admitted to the Littler Center are formulated in a preliminary manner during the screening and planning sessions held with each child and her or his family, the staff of the referring school, and social services caseworkers when appropriate. The requirements are largely expressed in terms of outcomes the child will achieve. The program is constructed to emphasize the positive outcomes and gains each student will make. Whenever possible, the strengths of the child will be used as the primary tools for progress. Follow-up mental health care for students graduating from the Littler will be arranged by the Littler Center's mental health staff with NRBH, other mental health centers, or a private practitioner of the graduate's family's or guardian's choosing. The transition plan that guides the student's return to her or his own school also provides for a stepped, systematic introduction to the new therapist or reintroduction to a previous therapist to ensure continuity from day treatment to more traditional outpatient services. IV. MEASURABLE OUTCOMES At the time of admission to the Littler Center, each student will be evaluated using, in part, the Colorado Clinical Assessment Report (CCAR) developed by the Colorado Office of Mental Health Services. Every six months thereafter and at discharge from the Littler Center the CCAR will again be administered. The three-page form covers a wide range of variables and assessments. The Littler Center Admission and Termination Evaluation Forms are to be used as evaluation tools as well. These look specifically at the effects of the littler program. Copies of these forms are attached at the end of this proposal. The therapist conducts a complete assessment 10 days after enrollment to develop an all inclusive behavior/treatment plan to meet the student's needs. Discharge goals are developed for all identified areas of need and the 4 COLORADO FAMILY PRESERVATION PROGRAM—DAY TREATMENT—North Range Behavioral Health 2005-2006 BID#RFP-FYC-05006 measurable short-term goals developed monthly to measure and work toward the discharge goal. It is anticipated that 90% of the children successfully completing the Littler program will reside in their own homes, or remain in placement at a similar level of care as they were at the time of their referral, for the first six months after their discharge. The criteria for success will be that each child returns to or remains in her or his home or foster home and is able to safely and constructively do so for at least the first six months they are no longer attending the Littler Center. This information will be gathered by three and six month follow-ups with the child's family and their WCDSS caseworker, if appropriate. Additionally, all successful graduates will enter, remain in, and make satisfactory progress in public school after their discharge from the Littler Center. More specifically, each graduate of Littler will maintain or enhance the progress she or he made academically, socially, behaviorally, and emotionally during her or his time in the program. This will be monitored by three and six month follow ups with the child's family, their WCDSS caseworker, if appropriate, and by the school community facilitator (or the equivalent) from her or his home school. The criteria for success will be maintenance of or improvement upon her or his levels of functioning in the four areas mentioned above as stated in their individualized educational plan and their mental health services plan. The families of 90% of the children successfully completing the Littler program will report a more relaxed, nurturing, and competent relationship with their children than existed prior to enrollment. Families will be surveyed at discharge, three months and at six months after discharge. Ninety percent of the children completing the Littler program will report and demonstrate an improved sense of self worth, self-confidence, and decreased high-risk behaviors. Appropriate improvements will be revealed when pre-C.C.C. CCAR ratings are compared with similar ratings done at the time of completed transition back to the home school. V. SERVICE OBJECTIVES The primary goal of the Littler Center is to successfully intervene in the lives of its students and their families to minimize the future need for similar intensive services, to enhance each child's ability to be educated and to benefit from that education in her or his home school, to enhance each child's ability and capacity to respond appropriately and healthfully to her or his family, and to improve each child's family's abilities to adequately and appropriately respond to and provide for the child's needs in a competent, safe, nurturing, and growth enhancing manner. In working with families to achieve the goal of improving their abilities to manage family conflict in a safe, constructive manner, the Litter Center staff works toward the objective of resolving conflicts between parents and children so that no maltreatment of the children occurs, no domestic violence occurs, no children run away from home, and no children commit status or legal offenses. Success is measured by family, caseworker, and therapist reports that the 5 COLORADO FAMILY PRESERVATION PROGRAM—DAY TREATMENT—North Range Behavioral Health 2005-2006 BID#RFP-FYC-05006 objective was met. Each family will also be asked to report on its subjective improvements in this area. To meet the Littler Center goal of improving overall parental competency, an objective of increasing the parents' abilities to develop and maintain sound, caring, effective relationships with each other and with their children is established. An additional objective is to enhance the abilities of the parents to provide, with as much proficiency as possible, for their family's care, nutrition, hygiene, discipline, protection, education, and supervision. All parents are encouraged to develop appropriate support systems designed to last beyond their child's involvement with the Littler Center. Again, the parents and children will be polled concerning their subjective opinions about the improvements they have made, as will the therapist and caseworker. The Littler Center works with each client family to achieve the goal of improving its household management competency. The objective is to enhance the capacity of the parents to provide a safe household environment for the children through competently managing the home to include cleaning, repairing, and maintaining the home, as well as via effective budgeting and purchasing. The family, therapist, and caseworker will document the improvements made in this area. The Littler Center works to improve each family's ability to find and use appropriate resources. Treatment and case management services assist each family to learn more effective means to obtain needed help from other sources in the community and from local, state, and federal governments. This is modeled in each of the families' relationships with the Littler staff. The families will report, and their caseworker and therapist will confirm, all gains made in this area. VI. WORKLOAD STANDARDS The Littler Center will provide day treatment services to 20 children aged five through 12 years who will meet the FYC funding criteria. A year round academic/treatment schedule is in place. It is anticipated that up to 18 children will be enrolled in the course of a year. The average length of stay in the program will range from 36 to 52 school weeks. Littler students will attend an average of at least 5.9 hours of programming daily on all days the school is in session. The total staff of the Littler Center numbers more than 17 individuals, comprising slightly more than the equivalent of 13 full-time employees. This staffing level exceeds all Colorado licensing rules. Said rules specify a student to total staff ratio of not more than eight to one which is far less than the four to one ratio employed at Littler. If there is a time when only one staff member is present, a second staff member is on call and immediately available to be summoned to an emergency. NRBH certificate of insurance coverage is attached. VII. STAFF QUALIFICATIONS Licensing requirements mandate that day treatment programs have a treatment leader who is responsible for the overall mental health services to each child. This person must hold a master's degree in the behavioral sciences and have not less than three years of clinical 6 COLORADO FAMILY PRESERVATION PROGRAM—DAY TREATMENT—North Range Behavioral Health 2005-2006 BID#RFP-FYC-05006 experience. Counselors in day treatment programs are mandated by the State of Colorado to have completed a bachelor's degree in the behavioral sciences or to have at least four years of experience with appropriate aged children, and must be at least 21 years of age. All of the staff meet or exceed these requirements. Matt Newman, LPC, with sixteen years of experience, much of it in intensive treatment area. Marian Schoenfelder, M.Ed., assistant director with at least six years experience with behavior disordered clients and three additional years in a residential program. Tacque Markem, MFT, soon to be licensed, has six years experience with behavior disorders and has significant speciality with sexual abuse victims. Lori Lund, LMFT, has over six years experience with trauma related issues and behaviorally disordered children. Sandee Atwood, MSW, LCSW, is the Littler Center Program Director as well as Clinical Director. Once a child is accepted into the Littler Center the intake coordinator, Shannon Harris, MA, establishes a preliminary treatment plan and then the clinical director works with the primary therapist in the development of the day treatment plan for each student. Ms. Atwood has sixteen years experience as a Psychiatric Social Worker in the school system and thirteen additional years as a clinical director for an outpatient treatment center and day treatment center. Three of those years were as Clinical Director of Devereux Cleo Wallace Treatment Center in Westminster, Colorado. Wallace LaBaw, MD, staff psychiatrist for the Littler Center, is a board certified psychiatrist. He is able to follow-up with children after they graduate from the Littler Center and enter more traditional outpatient care through NRBH. Mike Hoover, Ed.D. is the administrative supervisor of the Littler Center's educational component. Since 1992, he has been a Special Education Coordinator for District 6. Currently certified as a School Psychologist and Special Education Administrator, he has worked in the field for more than 20 years. The Littler Center's teachers are Gayle Schneider, MA, Linda Hanchulak, MA, Kathy Brittain, MA, and Meredith Kinsey, BA. Ms. Schneider is a certified special education teacher for significantly identifiable emotionally disturbed children and is also certified in the area of learning disabilities and mentally handicapped. Ms. Hanchulak is certified in all areas of special education and has an MA in counseling. Ms. Brittain is also certified in special education K-9 and an endorsement in early childhood special education. Her MA is in learning diabilities and resource. Meredith Kinsey has a BA in Psychology and presently is completing a masters program in severe affective disorders. She has a temporary teaching endorsement while completing her education. Karen Gookin, MS, CCC-SLP, is the speech/language pathologist and clinicial supervisor. Beth Gay is the School Psychologist and does assessments and conducts IEP team meetings. Ms. Gay has an Ed.S. degree in School Psychology and is a nationally certified school psychologist and is half time at the Littler Center. Heide Atrell, OTR, is a registered occupational therapist and provides both direct and consultative OT services every Thursday morning to the Littler Center. She is assisted by Amy Duer, BA, a speech/language pathologist graduate clinician and Jaclyn Mutz, BS, a speech/language graduate clinician. Added to the program this year is Judith Leigth, MA, who facilitates the Adaptive P.E. prlgram for a couple of hours every Tuesday and Thursday. Four full-time 7 COLORADO FAMILY PRESERVATION PROGRAM—DAY TREATMENT—North Range Behavioral Health 2005-2006 BID#RFP-FYC-05006 paraprofessionals, Tammy Miller, Lisa Buckner, Karen King and Patricia Erickson assist the teachers in carrying out each student's individualized educational plan. Peg Hoover, an RN and Nurse Practitioner, is the school nurse and health consultant to the program. She regularly checks in with the staff and students and is also available as needed. She is providing on-going health education classes for all students. 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Greeley CO 80633 Phone: 970-356-8030 Fax:970-356-8032 INSURERS AFFORDING COVERAGE NAICWSURE D INSURER A: Philadelphia Insurance Co INSURER B: North Range Behavioral Health INSURER C: 1306 11th Avenue INSURER D: Greeley CO 80631 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.TYPE OF N POLICY IIBR RN LTR INK YN DOIY11'� DA (YAt V O%YIY LIMITS GENERAL POLICY NUMBER GENERAL LABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY PHPK104959 01/01/05 06/01/05 pREMISEs(EabNltU oeoimse) $100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) S 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE 53,000,000 GEHL AGGREGATE LIMIT APPLES PER: PRODUCTS-COMP/OP AGG $3,000,000 —1 POLICYPR Ja I ILOC Emp Ben. 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 000 A X ANY AUTO PHPK104959 01/01/05 06/01/05 (Ea accident) ,0O 0 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LWMJTY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCES.SIUMBRELLA LIABILITY EACH OCCURRENCE 52,000,000 A X IOCCUR CLAIMS MADE PHUB039761 01/01/05 06/01/05 AGGREGATE $2,000,000 $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND (TORY LIMITS I HOER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ Myee dewibeh ider SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION KPETERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EXPFATTON DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Weld County Social Services IMPOSE NO OBLIGATION OR LIABILITY OF ANY KBD UPON THE INSURER ITS AGENTS OR 315 N. 11th Avenue Greeley CO 80631 REPRESENTATIVES. AUTIIORIZED REPRESENTATIVE Michael J Schmitt CIC ACORD 25(2001/08) O ACORD CORPORATION 1988 • Bid 002-05(RFP-FYC-05006) Attached A Program Category Day Treatment Program Bid Category Project Title KATHLEEN PAINTER LITTLER CENTER Vendor North Range Behavioral Health Please list your provider number as given to you from the State Child Care Licensing 06220 L PROJECT DESCRIPTION Provide a brief one-page description of the project. IL TARGET/ELIGIBILITY POPULATIONS Provide a one page brief description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients to be served. B. Total individual clients and the children's ages. C. Total family units. D. Sub-total of individuals who will receive bicultural/bilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. 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. Please address if your project will provide the service minimums as follows: A. Site based services(The Bidder must state that a minimum of site based services of 5 hours per day,ages eight through twenty-one(21)and two and one-fourth hours minimum per day for children ages three to seven)will be provided. B. Community collaboration efforts. The Bidder must describe its community collaborative efforts with: 1. The Department of Social Services. 2. The Department of Mental Health. 3. The Department of Education. 4. Others(Please Describe). C. Program components. The Bidder must describe the program components of: 1. Educational 2. Therapeutic 3. Behavioral 4. Recreational D. Parental/Caretaker involvement in all program components as indicated in the case plan and as required. Page 27 of 31 Bid 002-05 (RFP-FYC-05006) Attached A E. Assessment and plan to meet the needs of child and family including: 1. Education through a certified teacher. 2. Vocational/Independent living for age appropriate children. 3. Individual and family therapy which includes all family members. 4. Physical health needs,i.e.,nutrition,medical,dental, sex education,HIV, contraception,etc. 5. Mental health needs such as psychotropic medications, etc. F. Proactive planning for transition to public school setting or independent living: 1. Reintegration into public school. 2. Follow-up for individual and family therapy. 3. Completion of Day Treatment. 4. Identifies progress/outcomes. 5. Reinforces gains. Provide your quantitative measures as they directly relate to each service. At a minimum, include a number to be served in each service component. Describe your internal process to assure that FYC resources will not supplant existing and 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. Please address the following measurable outcomes: A. The children completing the Day Treatment Program will be residing in their own homes six months after discharge from the program. B. The children will enter public school upon graduation from Day Treatment. 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. The number of children placed within six months of Day Treatment graduation/discharge. B. The number of children that were enrolled in public school from graduation/discharge from the Day Treatment Program. 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. Page 28 of 31 • • - Bid 002-05 (RFP-FYC-05006) , Attached A 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. Total number of children and families served. B. Duration/length of time in program. C. Total number of hours per day/week/month. D. Total number of individuals providing these services. E. Insurance. VII. STAFF QUALIFICATIONS Please provide a one-page description of staff qualifications and address, at a minimum,the following: A. Will your staff;including supervisors,who are providing direct services have the minimum qualifications in education and experience as defined in Staff Manual Volume VII, Section 7.303.17, and Section 7.000.6, Q, Colorado Department of Human Services? Describe. B. Total number of staff,including supervisors,available for the project. C. Total number of counselor and/or treatment leader(s)to the number of children ages 5 years to 13 years. (Minimum expectation is 1 staff member to 8 children.) D. Total number of counselor and/or treatment leader(s)to the number of children ages 16 years and over. (Minimum expectation is 1 staff member to 10 children.) VIII. UNIT OF SERVICE RATE COMPUTATION The budget form is to be used to provide detailed explanation of the hourly or daily rate your organization will charge the Core Services Program for the services offered in this Request for Proposal. This rate may only be used to bill the Weld County Department of Social Services for direct,face-to-face services provided to clients referred by the Department. Requests for payment based on units of service such as telephone calls,no shows, travel time,mileage reimbursement, preparation,documentation,and other costs not involving direct face-to-face services will not be honored. Likewise,bills must be for hours or days of direct services to the client,regardless of the number of staff involved in providing those services. Therefore, it is imperative that this rate be sufficient to cover all costs associated with this client,regardless of the number of staff involved in providing these services. The rate for court testimony includes preparation of and actual court testimony during the term of this contract. Please list your requested rate for court testimony separate from your direct hourly rate for client services. There are two different ways to fill out the budget form. The budget can either be done manually or by computer. Regarding the manual budget, all areas that are required to be filled in are highlighted. The computerized budget is less work due to predefined calculations,but does require Microsoft Excel for Weld County's predefined budget. There are highlighted areas on the computerized budget that are required to be filled in as well. There are disks available that have this predefined budget on it. Finns can also design its own budget form on a spreadsheet,but at minimum, it must have all of the columns that are on the manual or computerized budget. Explanations on how to fill out the Page 29 of 31 ' , Bid 002-05 (RFP-FYC-05006) Attached A budget form are provided below and on the following pages. (A) This is an estimate of the total hours or days of direct,face-to-face services each client will receive from the time he or she enters the program until completing the program. On the manual budget,the only place to put this number is on the Program Budget worksheet. The computerized budget requires this number to be entered on the Direct Service Cost worksheet only. Once filled in there,this number is populated throughout the entire budget. (B) This is an estimate of the number of clients who will be served during the period from June 1, 2005,through May 31, 2006. On the manual budget, the only place to put this number is on the Program Budget worksheet. The computerized budget requires this number to be entered on the Direct Service Cost worksheet only. Once filled in there,this number is populated throughout the entire budget. (C) This is the total number of hours or days per client multiplied by the total number of clients to be served for(B). On the manual budget,this will have to be calculated manually on the Program Budget worksheet. The computerized budget will automatically calculate this then populated throughout the entire budget. (D) This is calculated by taking the total direct service costs(E)and dividing it by the total number of hours in(C). On the manual budget,this will have to be calculated manually. The computerized budget will automatically do this calculation for you. (E)This number represents the salary and benefits that your organization pays its direct service providers plus any costs which are directly attributable to the face-to-face session with the client. On the manual budget, all areas that are highlighted on the Direct Service Costs worksheet must be filled out according the descriptions. The Grand Total Direct Service Costs must be then carried over to the Program Budget worksheet. The computerized budget, once all of the highlighted areas are filled in,it will automatically carry the total over to the Program Budget worksheet. (F) This represents the salary and benefits of direct service, supervisory, and clerical personnel which are not incurred in providing direct, face-to-face service to the client,but can be allocated to this program for time spent on the program for activities such as travel,phone conversations,no- shows,discussions with involved parties,meeting preparation, and report completion. On the manual budget, all areas that are highlighted on the Admin Costs Non-Face-to-Face worksheet must be filled out according to the descriptions. The Grand Total Direct Service Costs Not-Face- To-Face must be carried over to the Program Budget worksheet. The computerized budget,once all of the highlighted areas are filled in on the Admin Costs Non-Face-to Face worksheet, it will automatically carry the total over to the Program Budget worksheet. (G)This represents the agency overhead costs, such as rent,utilities, supplies,postage, travel reimbursement,telephone charges, equipment, depreciation, data processing, interest, and taxes which are not incurred in providing direct, face-to-face service to the client,but can be allocated to this program for time spent on the program for activities such as travel,phone conversations, no-shows, discussions with involved parties,meeting preparation, and report completion. On the manual budget, all highlighted areas on the Overhead Costs and Profits worksheet must be completed according to the descriptions. The Total Overhead Costs must be carried over to the Page 30 of 31 ' '- Bid 0Q2-05 (RFP-FYC-05006) Attached A Program Budget worksheet. The computerized budget, once all of the highlighted areas are filled,will automatically carry over to the Program Budget worksheet. (H) This represents the total of all direct face-to-face costs, admin direct non face-to-face costs,and overhead costs. On the manual budget,this will have to be manually calculated by adding these three total costs together. The computerized budget does it automatically. (I) This represents the total amount of profit your firms expects to realize as a result of operating this program. Any difference between lines(H) and(J)must be substantiated by an amount indicated on this line. The manual budget, this amount will be entered on the Overhead Costs and Profit worksheet and then have to be carried over to the Program Budget worksheet. The computerized budget,once it is filled in on the Overhead Costs worksheet, it will then automatically be carried over to the Program Budget worksheet. (J) This represents the total costs and profits added together. This is(H)and(I). On the manual budget,it will have to be calculated manually on the Program Budget worksheet. The computerized budget will automatically calculate it on the Program Budget worksheet. (K)This represents the total hours or days of direct service for the year. This is(C) above. On the manual budget,you will have to carry this number down from(C). On the computerized budget,it is automatically carried down. (L)This is the actual direct, face-to-face hourly or daily rate at which you will be requesting payment for the services provided under the conditions of this Request for Proposal. This amount cannot be more then what is charged to the general public or collected from insurance providers. On the manual budget,this amount must be calculated by taking the total costs and profits(J) and dividing it by the total hours or days of direct service for the year(C or K). The computerized budget automatically calculates this total. All providers who receive a NOFAA must also submit a certified computation of the organization's actual expenditures for the approved Core Service program by January 31,2006, for a six-month period from June 1,2005 to November 30,2005. The actual expenditures must be submitted in the same format as the budget was prepared. The certification language must be the same as on the Computerized Actual Expenditures worksheet. The document must be signed by the Chief Executive Officer or the authorized officer of the bidder in order for it to be considered certified. The use of the actual program expenditures is to insure that the direct, face-to-face hours/daily rate is comparable to the budget computation. The actual numbers will be taken into consideration for the 2006-2007 Request for Proposal for that specific program. Page 31 of 31 5310.213(2/79) COLORADO STATE DEPARTMENT OF SOCIAL SERVICES AUTHORIZATION FOR CONTRACTURAL SERVICES 1. WELD COUNTY DATE: 2. Name of Provider 3. Address 4. City, State, Zip THE DESCRIBED SERVICE IS AUTHORIZED FOR THE CLIENT INDICATED: 5. Name of Client Household It Cat. Cat Grp. 6. Description Sv.Code 7.APPROVAL: Caseworker Date Co.Director or Supervisor 8.TO BE COMPLETED BY PROVIDER DATE OF SERVICE CHARGES$ I CERTIFY THE SERVICE AUTHORIZED WAS PROVIDED ON THE DATE INDICATED AND THE CHARGES ARE MADE PURSUANT TO A BONA FIDE CONTRACT BETWEEN ME AND THE COUNTY DEPARTMENT OF SOCIAL SERVICES INDICATED. Provider Signature Date Prepare in Triplicate,Original and One copy to Provider,One Copy for Pending File. Completed Provider's Forms-Original to County Finance Office-Copy to Case Record ca \ . u , , ) / \ es� / co 2 ) \ I ) / [a a k , n A. al E) Ge � � ) \ oat � ■ Uk a ea% \ ) /\ ] \ I § \iii ) � a ...sc. § r '< § f \f ) / § J k \ � 1 ■ u 2 a % o ;clod ( � ii It' $ \ \ 0 � ! ; / % ■ J3 � a & 2 © ) 27 ) ) � ti § \ ill ) \ o / X 0 ) ! \ 2 ) k } \ 0 § / al \ § n � 4444 O4 p <4 raa ki / Li ® � \/ o $ 7 § \ U A _ 2f k ( [k ua f § A d ® k 0a1 del / \{ ! ) ) § / ) w 7 • t - _ . O.) A 1 o ¢, > y u F •E .-0-1 0 u N O.) M ON ¢ ✓ o b W 4) O oo M g V] U FI U i u O 'U u U {1, U z4) ci) P4 o0 w rn a o4 °D y U 0 a . x U U ms o � 44. > X � u ° A OQ W c4 �o O . .-. CZ U• ." 7--. y, O o .l y Z O w >.. as ri '- " ea) - qAr d bO o 003 o U u I. o u o a C. I � 4a u trd 0 O A 3 •1 U m a a o °0e. . z' g t >, rn 5S GW O u °� b t _o C) x c w a CA 0 O w b -U Q o EEs G O o o a �' aT 0 O -O > o0 A W q 1=1E- g. 4.1�o a >' 7 u U U Z• A ti W o Vii A u w o .ti c 4 iii U u U U o u - nt b W o p w z r5 a 2 O A A y pp x b a H g 7 I . , A g u .y. u c a 'd w q 'Co W N P. p a T = .s Q p Cl 3 a o E .2 W EI a ° 0 3 a u 0 .d a v u oa 20i a a y a m a O 0 0 w �y q w Oy O 0 U V kl w° a u 0 a `n W a w • m 8 y Z a v ° b w o z x ;��" o ° d Ta �'0 V 0 A U E m F 0 a • y T y O a O O u ^ I .5 c . t C �.r W >. w 0 0 0 0 •.:et m U n 9 b � W '; al 21 O' o N m y o • m ° 3• CI o O a a 2 O W rn ui v�el. 'D t a 3 u 0 m a° U [] y y N �i"i W q O O ay O . h 'i> U .+ u a O V N > y . as ? 'C ‘.0 co � 0 y ° °� x P. a2 m O > U > t p .. ; u CI° $ °• .• 4 U zin d agt h n � " z 'h � o .:'" o a o ° Y .n6 °s � yquv o „ � " �a Rr7 u " u W rc U • cOi O a MN N .I. t ca a O ti ca w° 00 W p ft 76 U m � s u z o 0 a°. d o• ,o c 'o 0 ` tto ' X0 .°; 0 > • o ,2 a 9' e�i 0 o M E o d O :C O u O. .y 1 m • O O V Ti, 8 0 V W ,� >. m 8 a ° 04 ; y > is 7 V� a d A •I 0 E b0 l y 0 « °� b � b z k° O 0 ti o a O CO y `� A .>. O .m o ° 2 ° U oa a ' .o za Ca a M U) C> .E a 0 z � Ca . 1 . 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 April 18,2005 Karen Thompson R.N.,M.S. Interim Executive Director North Range Behavioral Health 1306 11 Avenue Greeley,CO 80631 Re: RFP 05006: Day Treatment Dear Ms. Thompson: The purposb of this letter is to outline the results of the Bid process for PY 2005-2006 and to request written confirmation from you by Wednesday,April 27,2005. The Families,Youth and Children(FYC) Commission recommended approval of your bid,RFP 05006, Day Treatment, for inclusion on our vendor list. If you have questions concerning the above,please call Gloria Romansik at 352.1551, extension 6230. Sincerely, y A. 'ego,D ctor cc: Juan Lopez,Chair,FYC Commission Gloria Romansik, Social y I I rts DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO. 80632 Website:www.co.weld.co.us I Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 O • COLORADO April 18,2005 Karen Thompson R.N.,M.S. Interim Executive Director North Range Behavioral Health 1306 11 Avenue Greeley,CO 80631 Re: RFP 05006: Day Treatment Dear Ms.Thompson: The purposb of this letter is to outline the results of the Bid process for PY 2005-2006 and to request written confirmation from you by Wednesday,April 27,2005. The Families,Youth and Children(FYC)Commission recommended approval of your bid,RFP 05006, Day Treatment, for inclusion on our vendor list. If you have questions concerning the above,please call Gloria Romansik at 352.1551, extension 6230. Sincerely, y A. 'ego, ctor cc: Juan Lopez,Chair,FYC Commission Gloria Romansik, Social 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 FY05-CORE-54 Revision (RFP-FYC-05006) Contract Award Period Name and Address of Contractor Beginning 06/01/2005 and Turning Point Ending 05/31/2006 1644 South College Avenue Fort Collins,CO 80525 Computation of Awards Description The issuance of the Notification of Financial Unit of Service Assistance Award is based upon your Request for Program focuses on youth's (ages 10-21) individual Proposal (RFP). The RFP specifies the scope of needs in areas of education, substance abuse, services and conditions of award. Except where it is emotional/behavioral issues and family issues. An in conflict with this NOFAA in which case the estimated 12 families per year will be served. Bilingual NOFAA governs, the RFP upon which this award is staff available. based is an integral part of the action. Cost Per Unit of Service Special conditions Treatment Package Per Daily Rate $91.00 1) Reimbursement for the Unit of Services will be based Court Testimony Per Hourly Rate $80.00 on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family, as specified in the unit of costs computation. 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. 5) Requests for payment must be an original submitted to the Weld County Department of Social Services by the end of the 25th calendar day following the end Enclosures: of the month of service. The provider must submit X Signed RFP: Exhibit A requests for payment on forms approved by Weld Supplemental Narrative to RFP: Exhibit B County Department of Social Services. Recommendation(s) 6) The Contractor will notify the Department of any Conditions of Approval change in staff at the time of the change. Approvals: Program Official: By 4/4,1/t By William H.Jerke,Chair Judy 'ego, irector Board o£UWeldOCQuaty�Commissioners Weld unty Department of Social Services Date: ��j) IIVV UU LLUU�� Date:_ 42 05— SIGNED RFP: EXHIBIT A • INVITATION TO BID BID 002-05 (05005-05011 AND 006-00) DATE: February 16, 2005 BID NO: RFP-FYC-05006 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-05006) for:Colorado Family Preservation Act--Day Treatment Program Emergency Assistance Program Deadline: March 11, 2005,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 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, 2005, through May 31,2006, at specific rates for different types of service, the county will authorize approved vendors and rates for services only. The Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement or more restrictive placement that provides therapy and education for children. 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 March 11, 2005 (After receipt of order) BID MUST BE SIGNED IN INK - ames k £e kv' TYPED OR PRINTED SIGNATURE VENDOR Turning Potnt (Name) H dwritten Signature By Authorized Officer or Agent of Vendor ADDRESS 1644 South College Avenue TITLE Y„84-cif 4?_ fi:64(2,f` Fort Collins, CO 80525 DATE S - OS PHONE# (970) 221_0999 ext. 36 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 Bid 002-05 (RFP-FYC-05006) Attached A DAY TREATMENT PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER CORE SERVICES FUNDING EMERGENCY ASSISTANCE PROGRAM 2005/2006 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2005-2006 BID 01)2-05 (05006) NAME OF AGENCY: Turning Point Center for Youth and Family Development, Inc. ADDRESS: 1644 South College Avenue Fort Collins Colorado 80525 PHONE: (970 ) 221-0999 ext. 36 CONTACT PERSON: James Becker. MNM TITLE: Executive Dirertnr DESCRIPTION OF EMERGENCY ASSISTANCE PROGRAM CATEGORY: The Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement that provides therapy and education for children. 12-Month approximate Project Dates: 12-month contract with actual time lines of: Start June 1,2005 Start End Mav 31,2006 End TITLE OF PROJECT: Day Treatment ' / , T ccs IC - "- 3 - (D - as — N e and Signature of Person Preparing Document Date 4 �i�� Al � 3- �o -o5 Nam and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REOUIREMENTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Posposal for Bid.For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2004- 2005 to Program Fund year 2005-2006. Indicate No Change from FY 2004-2005 qA Project Description Target/Eligibility Populations Types of services Provided Measurable Outcomes Service Objectives Workload Standards Staff Qualifications Unit of Service Rate Computation Program Capacity per Month v Certificate of Insurance Provider Number for State Child Care Licensing if.3-1-7 9 4- /co yya Page 25 of 31 Day Treatment Program Bid Proposal RFP-FYC-05006 submitted by: Turning Point Center for Youth and Family Development, Inc. Project Description: Turning Point Center for Youth and Family Development, Inc. seeks approval from the Weld County Commissioners to be listed as an approved vendor for services offered under Colorado Revised Statutes known as the Colorado Family Preservation Program Act and the Emergency Assistance for Families at Risk of Out-of-Home Placement Act. Turning Point seeks approval as a vendor during the funding year which runs from June 1, 2005 through May 31, 2006. Turning Point is proposing to develop relevant Day Treatment services to be delivered to Weld County families with youth who are: • not succeeding in public school and in danger of out-of-home placement. • recently returned home from out-of-home placement but in need of educational, emotional, and/or family services to reduce the likelihood of recidivism. • at risk of out-of-home placement for behavioral, criminal, or family issues but not yet placed. Turning Point began providing day treatment services to youth in 1983. Our program provides a safe, educational and therapeutic environment for youth that are in need of a structured placement before out-of-home placement is necessary or youth transitioning home from a more restrictive environment. Turning Point's Day Treatment Program focuses on youth's individual needs in the areas of education, substance abuse, emotional/behavioral issues and family issues. Turning Point is licensed by the Colorado Department of Human Services as a Day Treatment Facility (#45179 and #100442) for both male and female clients ages 10-21 and by the Alcohol and Drug Abuse Division (#1005) to provide intensive substance abuse treatment. Turning Point could be very flexible in designing Day Treatment services to Weld County in terms of the clients and numbers served. The capacity of the program is also flexible as Turning Point is already providing residential services in Weld County and is acquiring a large facility that will support all types of educational and therapeutic programming. A Day Treatment program specific to the county needs could be implemented by the End of Summer 2005. Page 1 of 6 Target/Eligible Population: Turning Point's Day Treatment Program focuses on youth with needs in the areas of education, substance abuse, emotional/behavioral issues and family issues. Turning Point is licensed to work with male and female youth ages 10-21 in Day Treatment. Day Treatment services will be targeted to Weld County families with youth who are: • not succeeding in public school and in danger of out-of-home placement. • recently returned home from placement but in need of educational, emotional, and/or family services so as to reduce the likelihood of recidivism. • at risk of out-of-home placement for behavioral, criminal, or family issues but not yet placed. Without a current program in place it is difficult to estimate program numbers. Turning Point will be flexible in meeting the needs of Weld County residents. We are currently operating residential programs and Turning Point estimates that the agency's RTC program will serve at least 30 youth and their families referred from Weld County DSS. Clients have typically been between 14 and 18 years of age, and approximately 50% male and 50% female. This estimate is based upon trend analysis of Turning Point's service to youth over the past two years: • 40 clients referred and 21 clients accepted during FY2003-04. • 22 clients referred and 16 accepted from July 2004—Feb 2005. Numbers are expected to increase as residential services are opened locally in Weld County in the spring of 2005. Key factors driving the expected increase are: • more beds available resulting in quicker placement. • the capacity to place local youth locally. • the ability to recruit and train a local staff with cultural competence for Weld County residents. • The ability to coordinate with local DSS staff to provide the most effective treatment planning and services. The number of individuals/families who will receive bicultural/bilingual services and the number of clients served from southern Weld County will depend upon the profile of open cases at Weld DSS over the coming year. The program does not have a projected minimum or maximum capacity; if 40%of the estimated youth served have families for which this is an appropriate service; an estimated 12 families per year will be served. Types of Services to be Offered Turning Point could offer the following services to Weld County youth in a Day Treatment program: Educational Services Turning Point's educational programs are approved by the Colorado Department of Education and are designed to accommodate students with varying needs and who are learning at varying educational levels. Licensed Special Education Teachers, specifically Affective Needs, staff each residential program. Turning Point exceeds the 1 to 10 teacher/student ratio. Along with teachers, Teacher's Aides, Day Counselors, and numerous volunteers from the community staff the classrooms. Turning Point does not Page 2 of 6 differentiate the quality and quantity of educational services provided to clients, the focus is on the individual needs of each student. Each client coming into Turning Point's Education Program will be assessed through a number of ways including the achievement battery PIAT-R, Educational Interview, and a review of educational records including IEP's. If needed, the Primary Teacher and client will meet within the first 10 days of a client's stay to develop educational goals and interventions that the client will work on throughout his or her stay. These goals and interventions will become part of the Comprehensive Treatment Plan for each client. Clients that receive Special Education services will have goals that revolve around the IEP. The progress on these goals will be documented on a monthly basis during the clients staffing. The PIAT-R is also given at the end of a client's stay to measure the level of improvement shown by grade equivalents. Turning Point's educational programs combine academics with a Service Learning component. Turning Point provides general education courses that correlate directly with Colorado Model Content Standards. All credits earned in our school program transfer directly back to home schools. Students typically fall in one of four areas including general education, GED, Post-GED, or the Weld County Alternative Diploma Program. Turning Point utilizes the computer software PLATO to enhance learning and preparation for the GED. Turning Point utilizes our existing relationships with Front Range Community College, Colorado State University and AIMS Community College to assist youth in pursuing continuing education and obtaining financial aid. Along with the day to day academics, all students participate in the Service Learning program. The combination of service and learning is powerful. It creates potential benefits beyond what either service and learning can offer separately. Family Services Turning Point utilizes a systems therapy for our family therapy modality based on Murray Bowen. The aim of Family Systems Therapy is for family members to understand and accept their individual responsibility in the emotional functioning of the family unit. By learning to recognize the emotional relationship patterns and how anxiety is handled in the family, individual family members can manage themselves in more functional ways. Relationships change and symptoms decrease as family members improve their emotional functioning. All families are invited and encouraged to attend family therapy and monthly staffings. They are involved in developing the treatment plan within the context of family sessions and the staffings. Aftercare family therapy is offered to support the transition from treatment to home. Drug and Alcohol Services Turning Point is licensed by the Colorado Department of Human Services Alcohol and Drug Abuse Division (ADAD) as an Alcohol and other Drug Abuse/Dependence Treatment Provider. Through this license, drug and alcohol services are provided to youth in all of Turning Point's programs. The D&A program works closely with the community and has direct resources in Alcoholics Anonymous, Narcotics Anonymous, Page 3 of 6 Alanon, and Alateen. Youth in our Day Treatment Services Program are offered a number of different options and interventions in this modality. Upon admission to Turning Point, a staff member reviews the clients' history and administers a drug and alcohol assessment, the SASSI (substance abuse subtle indicator). From this assessment, this staff member makes recommendations as part of the youth's Treatment Team and develops a drug and alcohol service plan for the client. This plan is reviewed and agreed upon by the team, which includes the client, parents and DHS Case Manager or DYC Client Manager. The options for Drug and Alcohol Services include: 1. Education and Prevention Track 2. Intervention and Treatment Track 3. Relapse Prevention Mental Health Services Mental health services are provided on-site, at all facilities by a Therapist who is supervised by Turning Point's Program Director and Clinical Director, both Licensed Clinical Social Workers. These services include individual, group, and family therapy. These sessions are provided weekly for youth in the Day Treatment Service. In addition to therapy, through these venues, youth are able to access a large variety of services, including ongoing assessment, treatment planning, crisis intervention, and a smooth, coordinated transition to community services. The youth's Case Manager and Therapist will also educate and link youth to local mental health centers and Medicaid providers as they are preparing to transition from the program. Any client in need of a medication evaluation is seen by a licensed Psychiatrist available on-sight each week. This individual has extensive experience and knowledge of adolescents who are dually diagnosed. Youth are informed about the medication recommendations, afforded education regarding the necessity of medication and medication interaction hazards. Medication therapy is administered daily for those youth with specific diagnosis and is dispensed only by staff trained in Medication Administration. Treatment Services When a youth is admitted to Turning Point's program, a comprehensive service plan is developed by a multi-disciplinary team of professionals, the client and the youth's parents. At this time, the FSP is reviewed and issues identified by the Case Worker, including strategies developed in prior placements for the reintegration of the youth into the community, are incorporated into the youth's services. The youth's progress and service plan are then reviewed through monthly service review sessions and staffings which include input from the youth's Case Manager, Therapist, Teacher, counselor, parents and any other individual working with the youth. Changes are made to the service plan and the team focuses on the goals and interventions they will use with the client during the following month. In addition to the above listed therapeutic services, Turning Point also offers the following adjunct therapies to help clients reach their treatment goals; therapeutic recreation, milieu therapy, gender specific programming, DBT therapy, art therapy, cognitive intervention, and mentoring services. Page 4 of 6 This proposal is unusual in format and nature in that an outline of Day Treatment services has been described but specific program components can be changed or altered to fit the needs of Weld County. The fees for service are estimates at this point, with fees to be negotiated and confirmed with Weld DSS staff prior to contracting. Measurable Outcomes Again, a Day Treatment program could have varied measurable outcomes depending on the County needs. All of a clients goals will be written in a treatment plan that is signed by the client, family, caseworker, Turning Point treatment team, and other pertinent individuals. Some possible measurable outcomes for a Day Treatment program are: • Client in program will be able to stay at home and avoid out-of-home placement after completing Day Treatment program • Client will receive his/her GED while in Day Treatment • Client will return to public school after program • Client will communicate better with family after program • Client will be able to state specific community resources for mental health assistance • Client will remain sober after completion of program These are some examples of program outcomes. Program outcomes will be written specifically with the needs of the County in mind. Service Objectives Turning Point hopes to have a 70% success rate for clients in Day Treatment. Success could be defined as: • Client stays in the home for at least six months after graduating. • Client enrolled in public school leading to graduation after completing program. • Families of client will be accessing other community programs for support. Service objectives will be tracked by follow-up calls which Turning Point has already established in their existing programs. Workload Standards The total number of youth and families served will depend upon county needs. Estimated length of stay in Day Treatment will be six months but will be individualized to each individual case plan. Typically, clients will attend Day Treatment during what would constitute a typical school day, about 8:00 a.m. until 3:00 p.m. Turning Point will maintain at least a 10-to-1 client to staff ratio but typically runs at a 6-to-1 ratio. Turning Point will be compliant with all Day Treatment licensing regulations. Turning Point will maintain all applicable insurance policies which are provided as attachments with this document. Staff Qualifications Turning Point maintains the highest standards which meet or exceed all state RCCF licensing regulations, RTC requirements, and Colorado Department of Education. Since Page 5 of 6 the Turning Point Greeley RTC program is in the process of licensing approval, staff recruiting and selection is currently under way. Turning Point intends to recruit, screen and hire for the ability to provide bilingual and ethnically/culturally appropriate services to Weld County families. For Turning Point's RTC services located in Ft. Collins, there are currently 3 bilingual (English/Spanish) staff on the payroll, and three contractors identified, screened, and trained to address youth and family needs. Due to the unusual nature of this proposal, specific program, staffing, and service are not yet defined. Turning Point's credentials indicating worthiness to be an approved provider are defined: 38 years of experience serving children and families, including: • experience in providing CORE services in neighboring community • experience and credentials in working with substance abuse issues • experience in providing day treatment, home-based services, lifeskills services, emancipation services to young adults, • commitment to following research-based best practices • now providing local RTC services • solid working relationship with Weld DSS • currently in good standing and compliant with Vol. VII and Vol. VIII rules • CJC Agency of the Year 2004 &2005, plus numerous other awards It is our belief that this submission meets the minimum requirements outlined in the RFP. If, at the discretion of the Board of County Commissioners, Turning Point is selected for placement on the provider list, Turning Point will proceed to cooperate with Weld DSS to develop innovative, research-based best practice Day Treatment programming to meet the objectives of decreasing out-of-home placement for the target population. County Commissioners and/or Families, Youth and Children Commission members are welcome to tour a facility or arrange for an oral presentation from Turning Point staff. Programming will begin when appropriate during this contract year(program development complete and clients identified). Services will be billed on a fee for service basis, with no minimum financial commitment required on the part of Weld County. The preceding pages provide evidence that Turning Point is a qualified provider uniquely positioned to offer relevant services to a specific portion of the population eligible for CORE services. If the request for approved provider status is rejected for this year, Turning Point will reapply next year. However, in such circumstances, Weld County residents will be denied access to these services until next contract year. Page 6 of 6 • F. § IIIII I | ! r ` 2 \ ) K � k IIJ } 0 0 a. / I-- Ili o 0 k a | 0 tO I 4°, x < ^ k + + \ CO { ) 2 O § ! ! i N co IL uj IL re CU C iii § \ § • O $ 3 § [ $ § !- co z E § 00 co 16▪ 8 / / § § / / § k § | b CO§ o 0 \ Z | ( 8 0 § # 4 § CO CO k § 2 / k 00 § : I § / O ` k CO 2 O e 7 7§ 1 2 : s § S * § \ Z / O § ( K Et 9 d § § U / \ ! - r < o w § e w ! e 05/O9/2005 WED 14:15 FAX fj002/002 .i et002-O5(Bn'f$C 006-0OCy - Attached-A Date of Meeting(s)with Social Services Division Supervisor: Comments by SD Supervisor. net AG " ,• ntelatim erZif*:' aniP t ,� � a-7P/� �a� <444•2 kte731 Alat404€ • 16.114_fteire;; ;;C417 06, Name and Signature of SSD S Date • Page 25 09 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD TE(MMID oa) PRODUCER 303-894-0298 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CANPO ASI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 455 SHERMAN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 207 DENVER, CO 80203-4494 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ALLIANCE OF NONPROFITS INSURANCE TURNING POINT CENTER FOR YOUTH &FAMILYI NSURER B: PINNACOL ASSURANCE DEVELOPMENT 1644 SOUTH COLLEGE AVENUE INSURER C: FORT COLLINS, CO 80525 NSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION ITR IN¢RD TYPE OF INSURANCE POLICY NUMBER DATUM/DO/WI DATFIMM/DDM9 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 2004-11832 8/01/04 8/01/05 DAMAPREMISES G RNouED rsnce) $ 100,000 CLAIMS MADE X OCCUR MEDEXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS,COMP/OPAGG $ 3,000,000 POLICY PRO, FT [ 1 JFCT LOC AUTOMOBILE LIABILITY X ANY AUTO 2004-11832 8/01/04 8/01/05 eac iden t)INGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY 5 SCHEDULED AUTOS (Per person) X HIRED AUTOS BOX NON,OWNED AUTOS (Per accILYident)INJU 5 PROPERTY DAMAGE $ (Per accident) GARAGELIABILIY AUTO ONLY,EA ACCIDENT 5 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG 5 EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE f I OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE 5 RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS I I FRt B EMPLOYERS'LIABILITY 4044167 10/01/03 10/01/04 E.L.EACH ACCIDENT $ 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE,EA EMPLOYEE $ 100,000 Syes,EasfiibeanSO E.L.DISEASE,POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER SOCIAL SERVICE PROF 2004-11832 8/01/04 8/01/05 $1,000,000-$3,000,000 IMPROPER SEXUAL COND 2004-11832 8/01/04 8/01/05 $1,000,000-$1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN WELD COUNTY DSS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL PO BOX A IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR GREELEY CO 80632 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE `1 �1..l•l L4.2.1 ACORD 25(2001/08) 'ACORD CORPORATION 1988 April 26, 2005 turning point Ms. Gloria Romansik Center for Youth and Family Social Services AdministratorDevelopment,Inc. Weld County Department of Social Services P.O. Box A Dept. of Weld County Greeley, CO 80632 social services Clerical Unit RE: RFP 05006: Day Treatment APR 2 7 2005 RFP 05005: Lifeskills Dear Ms. Romansik, This correspondence is in response to a request made by Ms. Judy Griego in a letter dated April 18, 2005, regarding the bid process for PY 2005-2006. RE: RFP 05006: Day Treatment—Turning Point would be pleased to be included on the vendor list to provide Day Treatment Services. At our next meeting with licensing officials from the Colorado State Department of Human Services, we will discuss the licensing process and take steps to initiate the process. RE: RFP 05005: Lifeskills-- Enclosed please find response and documentation per Ms. Griego's request. If we may provide additional information, I or someone from Turning Point will be available to meet with members of the Families, Youth and Children Commission or staff from your Department. I may best be reached via cell phone at 970-567-0936. B Regards �- D es Becker, MNM ecutive Director/CEO Turning Point Center enc 1644 South College Avenue • Fort Collins,Colorado 80525 f F Phone 970.221.0999 • Fax 970.221.2727 • Website:www.turningpnt.org wE,w a�w RE: RFP 05005: Lifeskills Response to Conditions outlined by FYC Commission From: Turning Point Center for Youth and Family Development, Inc. Date: April 26, 2005 1) Project Description and Target Eligibility Target Eligibility Program services will be specifically targeted toward families of youth already involved in Turning Point's residential treatment(RTC)services. Families must be referred by Weld County DSS workers, and Turning Point reserves the option to accept or deny in- home service to families, depending upon the results of the safety ascescment and other factors. In typical implementation, the DSS caseworker, Turning Point staff,youth, family, and other stakeholders will all concur that lifeskills programming is an appropriate service which will improve safety and family functioning, while reducing out- of-home placement pursuant to C.R.S. 26-5.5-101. As per statute, services to be delivered to Weld County families with youth who are: • in placement(thereby decreasing the youth's length of stay in out-of-home placement) • recently returned home from placement, but in need of family life skills programming so as to reduce the likelihood of recidivism • in some cases,younger youth in the family may be at risk of out-of-home placement, but not yet placed. The provision of family-focus life skills services is directly linked to the therapeutic relationship developed between Turning Point's RTC staff and the youth and families served. Since the Greeley RTC program is newly initiated, number of families who will receive bicultural/bilingual services and the number of clients served from southern Weld County will depend upon the profile of open cases at Weld DSS which meet the conditions described in statute. The program does not have a projected minimum or maximum capacity; if 50% of the estimated youth served have families for which this is an appropriate service, an estimated 15 families per year will be served. Services will be billed on a fee for service basis, with no minimum financial commitment required on the part of Weld County. The fees for service are estimates at this point, with fees to be negotiated and confirmed with Weld DSS staff prior to contracting. Project Description Program Goal: Families will continue to develop (as initiated in RTC treatment) pro- social behavior, knowledge and skills that will systematically prepare them for success in the community and reunification as a family. 1 a Services: typically begin with a stay in an RTC facility that allows youth to receive therapy and education while in a safe and supportive environment. As the community reintegration process begins, youth may be eligible for less expensive services under the Lifeskills Service The service is designed to facilitate the next transitional step after out-of-home placement by supporting caregivers with the transition (youth's return home). Further, caregivers are assisted in developing and practicing sustainable lifeskills. Youth and families in this program may continue to access services, therapy and education groups, as dictated by their service plan and individual needs. Staff are also available to assist with immediate needs, supervision and mentoring. A primary focus is to connect families with resources in our community, and to provide decreased levels of support from Turning Point as the family increases utilization of other resources and their own capabilities. The youth and their family are encouraged to utilize the skills they have learned in more restrictive environments, practice them in a safe, monitored home environment and then transition completely on their own as they demonstrate they are prepared. 2) Safety Assessment Turning Point is currently developing an in-home Safety Assessment that integrates elements of our RTC program's safety protocols as well as elements from the Colorado Safety Assessment and the North Carolina Family Assessment Scale (NCFAS). Key elements identified that we will a«s include the overall environment, parental capabilities, family interaction and the youth's well being. Examples of what are induded are: 1. Family's mutual support 2. Cooperation/motivation to maintain the family. 3. Role between Parents/Caregivers. 4. Parents/Caregivers in home behavior. 5. How the Parents/Caregivers describes or acts toward youth (i.e. is it predominately negative and/or has extremely unrealistic expectations). 6. Past harm caused by Parents/Caregivers to youth or credible threat of harm. 7. Inability of Parents/Caregivers to protect the youth. 8. Parents/Caregivers refuses access to the youth. 9. Parents/Caregivers is unwilling or unable to meet the youth's immediate needs for food, dothing, shelter, medical or mental health needs. 10. Parents/Caregivers is unwilling or unable to provide sufficient supervision to protect the youth from potential significant harm. 11. Disciplinary practices. 12. History of abuse or neglect of youth by Parents/Caregivers. 13. Physical living condition endangers the youth's health. 14. Parents/Caregivers alleged or observed drug or alcohol use that may seriously affect their ability to supervise, protect or care for the youth. 15.Child sexual abuse is suspected and circumstances suggest that the youth's safety is of immediate concern. 16. Domestic violence exists in the home and places the youth in danger of physical and/or emotional harm. 2 3) Staff Qualifications Turning Point has operated successful Residential Services and CORE services including Day Treatment, Home Based Family Services, Intensive Family Therapy, and outpatient Drug &Alcohol Services beginning in 1989. Turning Point currently employs over 120 highly trained, qualified and committed staff. Staff qualifications indude extensive training, professional certification, and licensure which far exceeds what is required by licensing agents and governmental entities. The Life Skills Program is overseen by a Clinical Director who is a Licensed ainiel Sodal Worker(LCSW)and Certified Addictions Counselor III (CAC III) and a Program Director who is a Licensed Marriage and Family Therapist(LMFT). The role of the Clinical Director is to guide the programming and services to be researched-based best practices and to ensure all staff are trained in the best approach to serve the dient and maintain them in their home. The role of the Program Director is to directly supervise the service and the staff in the program to ensure that the dient care is exemplary. Since the Life Skills Program is a new service offered by Turning Point, we will hire for the position assigned to working directly with the youth and families. If the youth transitions from one of our existing RTC programs, we will strive to have them continue treatment with members of their treatment team in order to provide continuity of care. The number of staff identified for this program is limited only by the number of youth in the program and could grow with the needs of the service. Caseloads, as identified in the original response, would depend on the needs of the family and would likely average 1:10. The chart on the following page details position, minimum requirements per licensing, and current Turning Point qualifications. 3 • 1 Title Minimum Experience Qualifications identified in Volume VII Sections 7.303.13 and 7.0006.Q Clinical Director Not identified Minimum Turning Point Requirement: 1. Masters degree in related field. CAC III preferred. 2. Licensed professional as a: physician, psychologist, dinical social worker, marriage and family therapist, professional counselor or registered nurse 3. Minimum of four years of treatment-oriented experience. Prefer minimum three years experience in management. Current Clinical Director is a LCSW, CAC III and has over 15 years experience in the field. Program Director Bachelors Degree Minimum Turning Point Requirement: with a major in a 1. Bachelors degree in mental health discipline. human behavioral 2. Minimum 3 years treatment oriented sciences field and experience, one of which was a supervisory or 3 yearsadministrative position. 3. Certified Addictions Counselor Level III,or eperience. actively seeldng certification at this level. Current Program Director is a LMFT and has over 7 years of experience in the field. Counselor 2 Bachelors degree Minimum Turning Point Requirement: with a major in a 1. Bachelors degree in mental health discipline. human behavioral 2. Certified Addictions Counselor Level I,or sciences field and actively seeking this certification. year experience. 3. Minimum of 2 years experience working with at- 1risk youth, prefer this experience having been in a residential setting. Additionally, prefer interest in outdoor education and experiential treatment modalities. If awarded this contract,Turning Point would advertise locally and seek a candidate who met these requirements. We prefer to have someone with experience working with families or utilize staff who meet this qualification that were on the client's treatment team if they are transitioning from one of our RTC programs. 4 • 0 Mitigating Circumstances As indicated in Turning Point's initial response to the Request for Proposals, and where appropriate in responses located above,there are two critical mitigating circumstances in Turning Point's offer to provide services: 1) adequate time is required to develop the ')elated services." youth and families Turning Point's offer to provide services is expressly contingent upon our ability to provide RTC services locally to Weld County youth -- with corresponding services provided to families(and lifeskills provided to emancipating youth)after discharge from the RTC. Since the RTC portion of the programming only recently began, we have not yet had the opportunity to develop some of the essential features of the lifeskills programming (i.e. build on the therapeutic relationship already existing between staff and families, or to hire local staff with local experience and connections in lifeskill development). Over time,these elements of quality will manifest— it will not take an entire year, which is why Turning Point offered a response to this spring RFP. But the elements are not all in place at this time because the local RTC programming is so new. 2)time to develop well-targeted programming to meet the needs of Weld County DSS and customized to the needs of the clients Best practice literature indicates that customized service plans provide the most effective results for youth, families, and communities. Turning Point has experience providing programming utilizing a variety of principles, including: substance abuse relapse prevention, adolescent emancipation programming, and various family support models (i.e. Functional Family Therapy, Multi-Systemic Therapy, or"Systems"Approach). But, consistent with the"bet practice"approach,the exactservices provided and methods used will be customized to each family, based upon service planning which involves the DSS caseworker, family members,Turning Point, and other stakeholders. The purpose of this RFP response is to provide a very basic menu of services and pricing from which a service plan may be developed and funded. The exact course and duration of the intervention will be flexible, but it will always be designed to provide the best possible service and outcome at the least overall cost to Weld County. 5 /, ,. 0S DEPARTMENT OF SOCIAL SERVICES P.O.BOX A sips GREELEY,CO.80632 Webdte:www.eawerdcaus Administration and Public Assistance(970)352-1551 - - - Child Support(970)352-6933 r CC) • April 18,2005 James K. Becker, Executive Director Turning Point 1644 South College Avenue Fort Collins, CO 80525 Re: RFP 05006:Day Treatment RFP 05005: Lifeskills Dear Mr. Becker The purpose of this letter is to outline the results of the Bid process for PY 2005-2006 and to request written information or confirmation from you by Wednesday,April 27,2005. A. Results of the Bid Process for PY 2005-2006 • The Families,Youth and Children(FYC)Commission recommended approval of your Bid#05006,Day Treatment for inclusion on our vendor list. • The Families,Youth and Children(FYC) Commission recommended that the conditions itemized below be attached to Bid#05005,Lifeskills. The FYC Commission's final recommendation for approval or non approval of your bid will be forthcoming following their review of your response and submitted documentation to the conditions itemized be1ow. 1. You are requested to resubmit the Project Description and Target Eligibility sections.Please be more specific in supplying detail and clarification of these sections. 2. You are requested to address and discuss safety assessments., 3. You are requested to address and document staff qualifications. B. Required Response by FYC Bidden Concerning FYC Commission Conditions: All conditions will be incorporated as part of your Bid and Notification of Financial Assistance Award(NOFAA). If you do not accept the condition(s),you will not be authorized as a vendor unless the FYC Commission and the Weld county Department of Social Services accept your mitigating circumstances. If you do not accept the condition,you must provide in writing reasons why. A meeting will be arranged to discuss your response. Your response to the above conditions will be incorporated in the Bid and Notification of Financial Assistance Award. Page 2 Turning Point/Results of RFP Process for PY 2005-2006 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 Wednesday,April 27, 2005, close of business. If you have questions concerning the above,please call Gloria Romansik, 970.352.1551 extension 6230. Sincerely, dy 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 FY05-CORE-53 Revision (RFP-FYC-05006) Contract Award Period Name and Address of Contractor Beginning 06/01/2005 and Reflections for Youth Ending 05/31/2006 Day Treatment Program 204 W County Road 10.5 P. O. Box 1860 Berthoud, CO 80513 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Community-based day treatment program is open to Assistance Award is based upon your Request for youth ages 12-18 requiring a well-structured and secure Proposal (RFP). The RFP specifies the scope of program, consistent supervision, therapeutic mental services and conditions of award. Except where it is health services, and extra support educationally,both in conflict with this NOFAA in which case the academic and behavioral. Total family units is six at any NOFAA governs, the RFP upon which this award is one time. Clients will be assessed for bicultural/bilingual based is an integral part of the action. services. All three on-grounds schools are located in Weld County and approximately 30 minutes from Special conditions Greeley. Average hours per week include 30 hours classroom/education, and 3 hours therapeutic services 1) Reimbursement for the Unit of Services will be based per week. on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to Cost Per Unit of Service face contact with the child and/or family, as specified Per Daily Rate in the unit of costs computation. Treatment Package $83.10 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. Court Testimony Per Hourly Rate $80.00 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. Enclosures: 5) Requests for payment must be an original submitted X Signed RFP:Exhibit A to the Weld County Department of Social Services X Supplemental Narrative to RFP: Exhibit B by the end of the 25th calendar day following the end X Recommendation(s) of the month of service. The provider must submit Conditions of Approval requests for payment on forms approved by Weld County Depaitiuent of Social Services. 6) The Contractor will notify the Department of any change in staff at the time of the change. Approvals: / Program Official:By 1 `' /7f�t, By l� William H. Jerke, Chair Judy riego Director n Board of Weld County Commissioners Weld unty Department of Social Services Date: JUN 0 6 2005 Date: 1,121 of SIGNED RFP: EXHIBIT A INVITATION TO BID BID 002-05 (05005-05011 AND 006-00) DATE: February 16, 2005 BID NO: RFP-FYC-05006 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-05006) for:Colorado Family Preservation Act--Day Treatment Program Emergency Assistance Program Deadline: March 11, 2005,Friday, 10:00 a.m. The F?—;1;ae,Youth and Children Commission, an advisory commission to the:v eiu eounty Department of Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners authority under the Colorado Family Preservation Act (r.R.S. 26-5.5-101) and Emergenc v Assistance for Families with Children at Imminent Risk of Out-of-Home Placement Act(C.R.S. 26-5.3-10i). The Families,Youth and Children Commission wishes to approve services targeted to run from June 1,2M"5, through May 31, 2006, at specific rates for different types of service,the county will authorize approved vendors and rates for services only. The Day Treatment Program Category must provide a comprehensive, highly structured program alternative to placement or more restrictive placement that provides therapy and education for children. 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 D::te (After receipt of order) BID MUST BE SIGNED IN INK T E P D I A VENDOR 9.--((��``ltd MS tfl► \p47I)(1C... ichozpn (Name) / Handwritten-I81gnature By Authorized Officer or Agent of Vendor ADDRESS CC. Do{, itb TITLE 01(LEIT-& (a7. f wnh11 ey►4 t0.6 m6 co i a DATE Q")),tn S PHONE# �C�4)' . 5140 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 Bid 002-05 (RFP-FYC-05006) Attached A DAY TREATMENT PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER CORE SERVICES FUNDING EMERGENCY ASSISTANCE PROGRAM 2005/2006 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2005-2006 �� BID 002-05 (05006) q NAME OF AGENCY: eCkd, Inc V( • 0110\jw fotDDRESS: -0,0, ho (\1kt b Co {p �� aAtrue 1 Si)S 3 PHONE: ) • 5 90 ` s J) �:'0 2A1-xi3 C-+ekcl u6.1) Eno) 'n-6w2- C yS CONTACT PERSON: ITLE ` aTOA- l�aoai 1ru: L 'F/� ut DESCRIPTION OF EMERGENCYASSISTANCE PROG CATEGORY: The Day Treatment Program C �mi:t;3y3r provide a comprehensive,highly structured program alternative to placement that provides therapy and education for children. 12-Month approximate Project Dates: 12-month contract with actual time lines of: Start June 1, 2005 Start End May 31,2006 End TITLE OF PROJECT: `j, 1TQA 9n;' lil �D eaiir - ( (9) .()01.05 - Name and ' ture of Person Pr' acing Document Date \ILI LMAName and Si a hief Adminis$ative Officer App)cant 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 Posposal for Bid.For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2004- 2005 to Program Fund year 2005-2006. Indicate No Change from FY 2004-2005 roject Description Target/Eligibility Populations Types of services Provided Measurable Outcomes Service Objectives -t' Workload Standards ' Staff Qualifications Unit of Service Rate Computation Program Capacity per Month Certificate of Insurance 1r Provider Number for State Child Care Licensing Page 25 of 31 Bid 002-05 (RFP-FYC-05006) Attached A ---------------- ----------------------------- ----------------------- Date of Meeting(s)with Social Services Division Supervisor: Comments by SSD Supervisor: / YoUm /2-/ I /es 1.644-..11 23o -- 330,p. PO 0-‹ n • . 7)/,,U,s,.., , 1 „P �o-.., �. V _ *Ler, it 7 fO 2O: /4'11:0,Cry 7{.1,-; S e-CCp 2-s/Siiy, /i'i"t�-# c�s-da _— /.2- YzL7?.�, /4-7 t f/J /7�7 f-rIC:.�/ /6�iJ i'O�:CIA CI cG x CI(�! Fo,.•1 I. !- j -7 i C t'S' /0 7..1-1,S �r� ( ni.+� y oc .2, .• --, /4r F �=-e--- - — 7 .;3-7-Z523---- Name and ` attire f$D Supervisor Date Page 26 of 31 • Reflections for Youth, Inc. "Discovering the Power of Positive Choice" I. Program Description Reflections for Youth, Inc. is a non-profit, community based residential treatment program and day treatment program for females and males ages 12-18 (can admit youth 18-21 provided they are admitted before there 18th birthday) regardless of race, color or religious preference. All residential and day treatment programs are licensed by Colorado Department of Human Services State Child Care Licensing. The license numbers are as follows: Prairie View RTC and Day Treatment license#1530128, Grismore RTC and Day Treatment license#1530130, and Wilderness RTC and Day Treatment license#1530131. Services provided for the purposes of this bid proposal include a full-day day treatment program incorporating three full academic semesters throughout a calendar year. RFY's day treatment program has been utilized as a"step- down" program for youth being served residentially and needing a transition period and extra support before returning to a public school environment, and as an option for counties and school districts needing an appropriate learning and therapeutic setting for at-risk youth living in the home of the family or in a foster home situation. The day treatment program operates out of each of the agency's three on-grounds schools. Each of these schools employs a full-time special education teacher licensed in the area of Special Education: Affective Needs. Each school also employs a full-time paraprofessional educated at the Bachelor's level with a state substitute teaching license. Each school program is licensed to serve eight residential students and up to an additional four day treatment students. Day treatment students are expected to participate in a level system similar to residentially placed students, follow classroom and program rules, adhere to an academic curriculum designed for them to meet their home school district's graduation requirements, contribute to the writing and follow-through of their I.E.P. (if applicable) or program-generated goals, and be willing to participate in individual, group and family therapy. Each student receives daily communication/behavior sheets completed by their teachers to be brought home and signed by parents or guardians for regular contact regarding their student's progress. It is the goal of Reflections for Youth to educate students in both a traditional and non-traditional manner by making certain each student receives core and elective classes needed to graduate or by aiding in the attainment of a GED, and by offering community- based activities to enhance their learning experience. Each school uses the local library and recreation center one time per week as a class,participate in frequent filed trips designed by the teachers to supplement current classroom lessons, are involved in service-learning opportunities such as Meals-on-Wheels, and Open Space, and look forward to monthly"Fun Friday" where students from each school come together as a whole for a unique,fun and sometimes challenging activities and events. In the event a student and his guardian and professional team choose to allow the youth to prepare for the GED, Reflections for Youth, Inc. educational staff arranges for he/she to take a GED locator test where their strengths and needs will be identified, and then designs a daily educational plan incorporating core classes in their deficit areas and regular study time geared towards passing the GED. In addition, RFY is committed to assisting older 1 students nearing discharge in locating appropriate community-based programs, such as the county workforce centers and Americorp, where career exploration and job training and placement are addressed, Day treatment students are required to participate in individual, group and family therapy unless contraindicated by the placement worker and/or school district referring the youth. The clinical services of the day treatment program are the overall responsibility of the Clinical Director in coordination with the Executive Director and therapist providing the services. This includes the development, implementation and coordination of the treatment program. Testing and psychiatric medication evaluations and appointments are conducted as needed. These evaluations aid in case planning and assure that the appropriate treatment is utilized for the youth's maximum growth and benefit. Reflections for Youth, Inc. therapists are all licensed and have specific training in at least one of the following: EMDR, Sand Play Therapy, Dialectic Behavioral Therapy (DBT) and/or Reactive Attachment Disorder. Reflections' treatment team evaluates each youth's treatment plan twice monthly. Monthly treatment progress reports are submitted to the appropriate agencies representing the youth and monthly(or as needed) staffings are scheduled to discuss the youth's progress in detail. A discharge plan and aftercare services are designed by the Clinical Director, assigned therapist, guardian and placement worker. II. Target/Eligibility Populations Reflections for Youth's day treatment program is open to any youth requiring a well- structured and secure program, consistent supervision, therapeutic/mental health services, and extra support educationally,both academic and behavioral. An I.E.P. is preferred but not required. Typically such youth will demonstrate behavioral and emotional difficulties and have a history that may involve one or more of the following: family conflict and discord, physical abuse, sexual abuse, running away and/or truancy issues, oppositional defiant behavior, self-defeating behaviors, delinquent acts and certain adjudications and learning/emotional disorders/disabilities. RFY, Inc. employs a contracted child psychiatrist and accepts youth currently taking or in need of psychotropic medications. Each of RFY's three on-grounds schools can accept up to four day treatment youth. Ages range from 12-18 and RFY is licensed to take 18-21 year olds if necessary. Total family units would be six at any one time(based on our bid proposal) and family constellations may include one child up to an undetermined amount of children per family. Arrangements will be made to provide therapy sessions to all appropriate family members of split families if in the best interest in of the youth in day treatment and recommended by the placement worker or school district referring the youth. The needs for bicultural/bilingual services will be assessed by individual/family need and RFY will make every effort to employ a teacher and/or paraprofessional and a therapist that can speak a second language. Currently RFY employs two staff that are used for the purposes of interpreting during sessions in which all family members can not speak English. All Reflections for Youth, Inc. on-grounds schools are located in southern Larimer County but within a few miles of Weld County. One school is located east of I- 25 on Hwy 402 and the other two programs are located near Berthoud on or near Hwy 287. All schools are approximately 30 minutes from Greeley, and one program is 20 2 minutes from Greeley. Approximately 30% of our referral base for our residential program is currently from Weld County. RFY's monthly maximum capacity for Weld County youth not in our residential program is six(6) youth. We are looking to expand to create a centralized school near Berthoud and at that time are capacity would likely increase. The average stay of a client depends upon daily/weekly progress, individual/family needs and availability of funding. All areas are important topics of discussion at the monthly staffing meetings. Currently, the youth attending Reflections for Youth, Inc. day treatment program are in the program for approximately one school semester, or close to four months. Average hours per week that a client participates in the day treatment program can be broken down into the following: 30 hours a week classroom/education hours, and approximately three hours a week for therapeutic services. Reflections for Youth, Inc. will not reject any referral solely on the basis of the youth's psychiatric/emotional history, committed delinquent acts or other problematic behavior. Youth with an extensive history of aggression to self and/or others (requiring restraint for the protection of others) as well as adjudicated sexual offenders will be assessed on a case-by-case basis and may not be admitted depending upon a pre- placement interview and evaluation. Youth with a full-scale IQ below 70 and youth requiring routine medical assistance (diabetes, seizure disorders, etc.) will also be assessed on a case-by-case basis. III. Types of Services to Be Provided A. Site based services. Reflections for Youth, Inc. will provide a minimum of 6hrs/day and 30 hours/week of educational services to the youth it serves. In addition RFY will provide approximately three hours of therapeutic service per week. These services will be provided by a state licensed special education teacher in the area of affective needs, a paraprofessional and a licensed therapist. RFY employs a Title I reading specialist who works one full school day at each facility per week. B.Community collaboration efforts. Reflections for Youth, Inc. maintains a professional working relationship with the Colorado Department of Education's Special Services Unit. Each of RFY's facility school must comply with CDE's teacher and administrator licensing requirements, state and national curriculum standards,the administration of CSAP testing each calendar year, October 1 and December counting reports, Title I compliance, No Child Left Behind, Special Education Law and FAPE. Reflections for Youth, Inc, is committed to providing excellent educational experiences for the youth it serves and welcomes frequent communication with members of CDE's Special Services Unit for the constant improvement of its educational program. Reflections for Youth, Inc. currently works in collaboration with the Weld County Department of Social Services to provide residential treatment services for adolescents and their families receiving services through the social service system. RFY receives referrals from caseworkers for the placement of adolescents 12-18 years of age. After 3 placement, RFY and the caseworkers meet on a monthly basis to discuss progress, struggles, home passes, current and future planning and aftercare plans for the youth being served. The Facility Manager, Therapist, counseling and administration staff communicate with the caseworker regularly to discuss any educational, therapeutic or residential issues that arise while the youth is placed. The same type of collaboration takes place for the current day treatment youth that RFY serves from Larimer and Boulder Counties, Larimer Center for Mental Health (North Range Behavioral Health) and St. Vrain school district. If a student receives services from a local mental health center, Reflections for Youth, Inc. makes every effort to communicate with the center and determine the student's current therapeutic and medication needs. We have developed a good relationship with North Range Behavioral Health, Larimer Center for Mental Health, Jefferson Center for Mental Health and the Mental Health Center of Boulder County. Prior to discharge we do and will continue to make every effort to assist in the arrangement of continued therapeutic and/or psychiatric services as needed by individual youth and families. C. Program Components 1. Reflections for Youth, Inc's. educational program consists of a minimum of a six and a half hour day and is offered year-round. Teacher's work year-round with a short period off during the summer semester and traditional holidays off during the school year. 240 days of education are offered per year. Upon entering the program, requests are immediately made for past school records, including the current I.E.P. (if applicable). Students are administered the P.I.A.T. (Peabody Individual Achievement Test) if valid and current grades and achievement levels can not be established and if deemed necessary by the educational team. In the even the referred youth is a special education student, the I.E.P. is reviewed for compliance and used as-is if appropriate. When a special education student is admitted with an out-of-date I.E.P., RFY's educational team will hold either an annual or triennial meeting as necessary and with proper notification/communication being given to the student's home district. If a triennial review is appropriate, the home district will be asked to collaborate with RFY for needed testing requirements. RFY's educational team can and does administer the Woodcock- Johnson III,P.I.A.T., BASC and host or attend I.E.P. meetings as agreed up[on by the home district and RFY. RFY will ask that a school psychologist and speech/language pathologist from the home district be available for the remaining portions of triennial I.E.P. testing. 2. The therapeutic components of the day treatment program at Reflections for Youth, Inc. include individual, family and group therapy. Drug and Alcohol Therapy can also be provided and is offered one evening per week (after school hours). Therapy techniques used by therapist include family systems, cognitive behavioral therapy, play therapy,EMDR and Dialectic Behavioral Therapy(DBT). Therapists provide flexibility in scheduling family sessions in order to facilitate full involvement in the treatment process. The Clinical Director and licensed clinicians develop treatment plans to target behavioral, social, emotional and family goals in both therapy and program. The clinician participates in biweekly treatment planning meetings to review goal progress and facilitate new interventions or target goals as needed, and also participates in monthly 4 staffings. RFY also provides psychiatric/medication evaluations and monitoring to the youth being served. RFY contracts with Dr. Scott Shannon, child psychiatrist to provide these services on an as needed basis and within 30 days of intake for each youth in the residential and day treatment program. 3. The day treatment program of Reflections for Youth, Inc. utilizes a behavior management level system that is peer driven, but with extensive staff support and involvement. When students meet the expectations of the day treatment program they move up the level system, gain more responsibility and earn"better" privileges unique to the level. Each student is given goals developed by educational, therapeutic, counseling staff and him or herself. The goals may be current I.E.P. goals, if appropriate, or "school/program goals" depending upon individual academic,therapeutic or behavioral needs. Students must meet a certain percentage on each goal before they can reach a higher level. At the end of each school day, teachers fill out daily communication logs that include information regarding points for the day, positive accomplishments, and/or areas needing improvement. It is our hope that parents see this information each day and the expectation is for the students to have it signed at the end of each week and given to the classroom teacher. Responsibilities and earned privileges are outlined for incoming students in the Day Treatment Handbook. 4. Day treatment students are able to participate in any recreational activity or event scheduled during the school day, as long as rules and expectations are being met to ensure safety. All students have access to the Chilson Recreational Center and Longmont Recreational Center(YMCA), and the female youth have access to Curves. A minimum of one time per week they can swim, workout with weights, run on an indoor track or play basketball for physical education. Outdoor classroom activities are also planned frequently. Fun Friday is a student favorite that takes places once per month; a different class chooses and plans a school-wide event of their choice to take place on a Friday. As a group the class must agree on an event suitable for participation by all three schools. Past Fun Fridays include: snowshoeing at Rocky Mountain National Park, Field Day (track and filed events), Talent Shows,Art and Science Fairs, Poetry Reading and Fishing. D. Parent/Caretaker involvement in all program components as indicated in the case plan and as required. Parents/Caretakers are expected to be involved in monthly staffing meetings, family therapy, I.E.P. meetings and other educational meetings, and through weekly communication with the educational staff through written materials. Individual therapy meetings are set for assessment and goal development. During intake, parents/caretakers and students are given an orientation packet that described the program components and give access phone numbers for the educational, clinical and administration staff. Parents/Caretakers receive copies of all treatment plans and progress reports. The educational or administration staff contacts parents/caretakers of severe behavioral difficulties and other significant concerns that may arise during the day treatment day. Homework and treatment goals progress are shared daily with the parent/caretaker 5 through daily reports and a signed copy must be turned into the teacher at the end of each week to ensure communication and continuity between home and placement. E. Assessment and plan to meet the needs of child and family. 1. All teachers employed by Reflections for Youth, Inc are licensed through Colorado Department of Education's educator licensing unit. All RFY teachers are required to possess or be working towards a Master's Degree in Special Education: Affective Needs. Special Education teachers' at RFY have historically moved into a teaching position after working as a counselor or paraprofessional within the agency, giving them more experience with the behavior management system and overall program philosophy. 2. Any youth being served through Reflections for Youth, Inc. will have a school/therapeutic services aftercare plan upon discharge. Most students either return to a public or alternative school within their home district or continue the preparation to take the GED. For students needing work skills or job training,RFY is committed to helping the student find the appropriate resources within their community to receive assistance in these areas. RFY currently works with county workforce agencies, local community colleges, probation departments, mental health centers and other community-based services offering assistance to youth. 3. Reflections for Youth, Inc. offers flexibility in scheduling family therapy sessions to encourage and provide opportunity for all family members to be involved. All individual and family therapy sessions are run by licensed therapists with experience in adolescent, family, group and individual therapy(LCSW, LMFT or LPC). Group education sessions are run by bachelor's level counseling or education staff with training in running the groups being offered. 4. Reflections for Youth, Inc. provides a structured recreational activities schedule for all residential and day treatment residents in placement. Recreational activities for day treatment students most often take place at a local recreation center and include swimming, weight training, walking or jogging on an indoor track, basketball and any aerobic activities offered. There are also specific times at each facility for sport activities such as football, soccer, volleyball, and basketball. The recreational activities that take place are documented daily on an Activity Log Sheet and the document details each activity that takes place in the designated time slot(s). Reflections for Youth, Inc works with USDA and in collaboration with a registered dietician who designs each facilities menu(lunch menu for day treatment students). Reflections provides a morning breakfast snack, lunch and an afternoon snack for each youth in the day treatment program. The menu is posted in the kitchen, is seasonal and rotates every other week. It details each food item and amount to be served at each meal and snack time. The meal and the number of youth receiving a meal are documented on a Daily Food Production Record Form(USDA). 6 The facility manager in each of RFY's three programs is responsible for ensuring that each youth's medical and dental appointments are completed and properly documented. In the case of day treatment youth,RFY has typically not been involved with medical and dental appointments unless a medical emergency occurs in the course of a day that the youth is present in program. Day treatment youth taking psychotropic medications or in need of a psychiatric/medication evaluation will have an appointment scheduled with RFY's psychiatrist within 30 days of intake, and are typically seen within two weeks of intake. Within the day treatment setting, RFY, Inc. offers sex education as an elective course. Presentations by the Larimer County Department of Health and Planned Parenthood take place regularly and include topics of safe sex, sexually transmitted diseases, contraception and HIV. Educational groups are also offered and are documented on a Daily Schedule Form. 5. Reflections for Youth, Inc. provides psychiatric services to all of our day treatment youth. The students are seen by our contracted psychiatrist, Dr. Scott Shannon, MD, a Board Certified Child and Adolescent Psychiatrist. He will complete an initial evaluation within the first 30 days of placement. Emergency appointments generally can occur within two weeks of intake. The student(s)then see the psychiatrist on a regular basis to monitor mental health status, progress and medications. The psychiatrist is also available in emergencies for consultation and medication management. Prior to discharge and in conjunction with social services and the family, all efforts will be made to have psychiatric services in place prior to a youth's discharge on an as needed basis. At discharge Dr. Shannon will provide prescriptions that will assure a 30-day supply of medications. F. Proactive planning for transition to public school setting or independent living 1. Prior to a student leaving RFY's day treatment program, educational staff will schedule a transition meeting with the receiving school's or program's counseling or special education department. This meeting will serve as a"change of placement" meeting for special education students. Topics of discussion will be the I.E.P. (if applicable),current progress and grades and recommendations. The student leaving RFY can also tour the new school or setting at that time. 2. Prior to a student leaving RFY's day treatment program, a discharge planning meeting will take place with the clinical and administrative staff representing RFY, the caseworker,youth and family, and any other wanted/needed professionals to discuss aftercare and what services are needed. Needed services can include individual therapy, family therapy, drug and alcohol therapy, community-based NA/AA, mental health/psychiatric through North Range Behavioral Health or similar provider. Individual therapy, family therapy and home-based services can be provided by RFY is necessary at discharge and if so desired. 3. A date for discharge will be set by the team of people involved with the student's case plan. If the student is a non-GED student, Reflections for Youth, Inc. will advocate 7 for a date that least upsets the transition back to public school. Students can lose valuable clock hours/credits if expected to return to public school in the middle of a semester or academic quarter. 4. A key area that will be addressed throughout the course of placement but certainly during a transition meeting is student progress. For special education students this will be a discussion of the I.E.P. goals and objectives and outcomes. Teachers will be able to give the receiving school information regarding the progress students made towards achieving their I.E.P. goals and their present level of functioning. Teachers and clinicians will also report on effective behavioral and academic interventions and modifications used within the classroom and throughout the day treatment day. 5. Students who have consistently attended school, retained acceptable or above- average grades, actively participated in the therapeutic program offered, and have followed the rules and expectations of the program are considered"being successful". IV. Measurable Outcomes Students attending Reflections for Youth's day treatment program will receive clinical and educational services by licensed staff. Educational services include small structured classrooms (1:5 or 1:6 ratios)with a certified special education teacher, a full-time paraprofessional and no more than 12 students in a classroom. RFY schools provide a safe environment for youth to grow and experience functional and healthy relationships with adults and other students. Basic expectations include the relationship virtues of trust, responsibility, acceptance and accountability. RFY staff members are expected to teach social skills as well as academic skills and are role models of positive and appropriate behavior for the youth served. With this dual methodology of teaching and role modeling, it is believed that the youth will begin to function and develop inner motivation and not always base behavioral choices on outer motivation (consequences and rules/laws of others). By incorporating service learning, recreational and therapeutic groups and activities within the day treatment environment, students can see education in a different light. Students may gain insights into possible future career endeavors while participating in service learning and realize the importance of utilizing trusted adults when assistance is needed. Students are expected to take personal responsibility for passing core and elective classes with support from RFY's educational and therapeutic staff. RFYT teachers work with students to achieve I.E.P. goals and individualized learning goals if a student does not have an I.E.P. Each semester teachers switch elective class offerings to give students different options to gain elective credit. RFY students earn clock hours for each class while in the day treatment program. Upon leaving the program, a comprehensive educational and therapeutic discharge summary is written including total clock hours earned. The receiving schooUdistrict will convert the earned clock hours into credits depending upon their credit system. RFY assured a continuity care for each of the youth served in its day treatment program by providing educational experiences which 8 remediate, maintain and improve academic, intellectual and social functioning. Students receive highly individualized instruction and attention, effective mental health/therapeutic intervention and complete, comprehensive transition and aftercare plans. These students are more successful upon transition back to their homes and public school systems and it is the goal of Reflections for Youth, Inc to serve each of its youth in this manner. To date, it has been our experience that all but one of our previous and current day treatment students has returned to his or her family or to a foster home if family was not available. With the one exception all were residing in their own home immediately after discharge. The majority of students who discharge from RFY day treatment program have entered public school or an alternative, non-day treatment school managed by their home district. Decisions have been made for some students attending day treatment that earning their GED is a better option. When deemed appropriate by the professionals involved with the youth (age, credit situation, etc.)RFY staff will schedule the student for a GED locator test. Based on the results of the test,the student will continue to take classes in his/her areas of need (reading, math, etc.)and be given daily preparation time as well. In addition to preparation time the student will be evaluated by suitable community-based programs to assist in the areas of career exploration and job training/placement. If the GED is not completed while at RFY,the student, guardian and placement worker will be notified of formal GED preparation class offerings within his/her community to further prepare for taking and passing the GED. Quantitative measurements of success include satisfactory progress on individual academic, behavioral and/or I.E.P. goals, progress and attainment of therapeutic goals and satisfactory compliance with rules and expectations of the program. RFY teachers are available for assistance in raising grades or re-doing assignments to get a better grade at any time. Students interested in improving their grades consistently have access to teachers and can expect that appropriate accommodations will be made to aide in the success of each individual student. RFY uses a wide range of assessment materials in evaluating student progress and performance. Teachers are trained in administering individual achievement tests and behavior rating scales. When a student enters RFY he/she will be given formal assessments in the areas of reading and written language by the Title I reading specialist and informal assessments by the classroom teacher. Each student's needs will be assessed using past school records, I.E.P.s discharge summaries and educational history. Reflections for Youth holds annual and triennial reviews for special education as indicated by the I.E.P. and teachers report on annual goals at each grading period. V. Service Objectives Reflections for Youth, Inc. will work diligently to assure that all youth attending its day treatment program will have a successful transition upon completion of the program. It is currently our experience that nearly all of our day treatment youth are living with their families at the time of placement. The exception has been for youth in which the parental rights are terminated or a family or even appropriate family member is not available to 9 reunify with. In those cases the youth is with a foster family at the time of placement and remains with that family after completion of the day treatment program. As previously stated, our average length of placement in day treatment has been for one semester or approximately 16 weeks (4 months). Our longest stay in day treatment has been seven (7) months and was based on some extenuating circumstances that neither RFY nor the placement worker had control of. The vast majority of students that have discharged from RFY's day treatment program have returned to public school or a non-day treatment school that the home school district manages. To date, over 90% of the day treatment youth have returned to public school. Decisions have also been made for some students attending day treatment that after completion of the program, the GED is a better and more realistic option when compared to public school settings. All youth in the day treatment program at RFY participate in staffings, family therapy and case plan meetings in which resources and available services are discussed. Comprehensive educational and therapeutic discharge plans are written and an aftercare plan is put together prior to the referred youth completing treatment. The aftercare plan is very community resource based and discussed in detail services that are available and may be helpful. Access to those services is discussed during regular staffings and case planning meeting with the family, youth, caseworker and program present. VL Workload Standards Reflections for Youth, Inc. has the capacity to serve six(6)youth and their families in day treatment at any one time. Program capacity per month is six (6) youth and their families. This number may increase depending upon length of stay of the youth served. This number will increase once RFY incorporates a centralized school into its services and expands the number of youth it can serve in a non-residential setting. This is projected to occur prior to the beginning of the school year 2005/2006 and no later than January 1, 2006. The length of time in the day treatment program is currently averaging four months and there is no reason to expect that there would be a significant increase or decrease in terms of length of time in the program. Total number of hours per week, including transportation would be approximately 38- 40 and includes 30 hours of educational instruction, three hours of therapy services and approximately one hour a day of transportation. Given that RFY is serving six(6) youth at any one time the total number of hours per week would be 228 hours per week. RFY offers 240 days of instruction per year or approximately 35 weeks of instruction in a calendar year. Over the course of the calendar year with six(6)youth in the day treatment program,RFY will offer 7,980 hours of service per calendar year. The individuals offering the direct and non-direct services for the youth in the day treatment program and their families will include Special Education Teachers, 10 Paraprofessionals, Therapists/Case managers, Educational Director, Executive Director, Program coordinator, Clinical Director, Transportation Coordinator, and Financial Administrator. This is approximately 14 individuals that will either directly or indirectly involved with the day treatment program at RFY. All insurance coverage for RFY is shown on the enclosed Certificate of Liability Insurance and exceeds the amounts asked for in the bid proposal. Insurance coverage includes general liability, automobile liability, comp and collision, workers compensation and employer's liability and professional liability. Weld County has been named as a certificate holder. VII. Staff Qualifications All staff, including supervisors, providing direct services have the minimum qualifications in education and experience as defined in Staff Manual Volume VII, Section 7.303.17 and Section 7.0006, Q Colorado Department of Human Services. All therapists involved in the project are master's level and fully licensed as a LCSW, LMFT or LPC. All Special Education Teachers are either fully licensed with a master's degree in special education: affective needs or are an emergency licensed special education teacher in the area of affective needs. The paraprofessionals employed within the classroom of RFY all have a minimum of a bachelor's degree and are state substitute certified. The Clinical Director is a LCSW with over ten years experience providing services in community mental health, educational and residential settings and the Lead Therapist also holds a LCSW and has over 7 years experience providing clinical and administrative services to youth in treatment. The Educational Director is a professionally licensed special education teacher, grades K-12 and a provisionally licensed special education director with 5 years experience in public school and residential/day treatment classrooms. She also has 3 years experience in an educational administrative role. The Program Coordinator holds a bachelors degree and has begun graduate study in counseling to obtain licensure as a LPC. She has over eight years experience working with youth in treatment between the ages of 5 and 18 years old. Total number of staff, including supervisors, available for the project is 12, excluding the Transportation Coordinator(bachelor's level) and Financial Administrator(Master's level and also a LMFT). The minimum ratio offered in the program is I qualified staff member to 5 children and most often the ratio is 1 qualified staff member for every 4 children. 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P.O.Box 469025 Denver,CO 80248.9025 INSURERS AFFORDING COVERAGE NAIC e I,auRED--- NsuotER A: Tudor Insurance Co. 16691 Reflections for Youth.Inc. Nsu4ER e: Great American Insurance Co._ 10780 P.O.Box 1860 ,iN$ ncnc: Pinnacol Assurance Berthoud, CO 80513INSURER D: — . INSURER E' —_J COVERAGES _ THE POO:las CF INSURANCE LISTED BELOW HAVE SEEN.SSUED TO THE INSURED NAMED ABOVE FC'R THE POLICY PERIOD INDICATED.NOTWITHSTAt3INv ANY REQUIREMENT,TERM OR CONDITION OF ANY CCN'RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSJRANCE AFFORDED eY THE POLICIES DESCRIBED HEREIN!S SUBJECT TO ALL THE'TERMS,ExCLUSION5 AND CONDIT ONS Or SJCH T POJC ES.AG3P.EGATE LIMITS SHOD MAY HAVE BEEN REDUCED BY PAID CLAIMS. CY MEN ApoLTR POLICY% ADER _ re DOII21 D"'M I —�-� _ VDTs � TOR OF INSURANCE IMMI A EALMOCCU!RENCE ;1,000000' 'MORAL uAElurr PGL718208 0980104 09120/05 •DALIA ro R€NTED X L0MmapiCtAJ G><NERAL LU&LITY I ..28Fs.rsick(r1F i 850,000 Ku EXP(my one oars xr) ;1,009 X 1 CLAIMS MADE OCCUR peRSONAL a Aw;N ufty S1 000.000 CENERALP.UG EGA' sg.000.000 PK OUCrS•COMPIOP AGO :; GEN'.AoontoATi IOC: IMIT APPLES NR. (� PRQ f -- El I , o o$*LEuAEnm CAP6184804 09120/04 09/20/05 cT-uP�NED SINGLE LtAiT $1,000,000 (Ca accg*) r X .APtY.u'o - T- ALL OWNED AUTOS OODILY N1uPY I ' I(Par pavan' SCHEDU'.ED Au-OS -- — X HIREDAUT03. ECOILYmitrRr S (Par accrdau) X NON-OWNED 1HED AJJTOS , X C,pn1 30O Ded f PROPER'"DAMAGE 1 tiler aca4r8 XI Col(i1000 Dad -_ �"� wAUT'0 ONLY-EA AC^JIDENT $ GARAGE LIAeiLNY EA ACC,; OTHER TWIN AN AUTO AUTO ONLY' AGO'S -r EACH OCCURRENCE S IDAESS.UMORELtA UAWLITT NC AGt+RE(iATE S T OCCUR CLANS MADE a t J L I RaTENT1ON S N' STA1 `7 C wDR,(CRs cON►SNOATION see 4085090 09120/04 10/01/05 E-L EACH wEN� V s100 ODO EYPLO'YERS'LIAWUTY , ---r'�_L ANY PROPRIETORIPAHTNER'ExECUTMe E_ DI6EA3E EA EMPLOYEE;100,000 orVICERAIEMUER EXCtUDEO' tf es OeacnDF +ar E.L.OISEA.9E•PC iCY LIMIT $500,000 s�`'�IAL PROMO °l 09120104 09120/05 $1,000,000 Per Incident �A CI)" Professional PGL748208 13,000,000 Aggregate Liability Claims Made __ oESCREmoa OF O'eRA'1oNs t LOCargms i VEHICLES I EXCLUEION5 ADDED■Y ENDOESEMENT r'FECAL FROVIeONS Certificate Holder Is Included as an Additional Insured under the General Liability with respect to the liability created by the negligent acts,errors or omissions of the named Insured herein.Ali policy terms,conditions and exclusions apply. (See Attached Descriptions) cERTIFICAT HOL 1! CANCELLATION f SHOULD ANY OF THE ADOVE CEEGA=EO POLICES Et CANCELED BEFORE THE EXPIRATION Weld County,Dept of Social 'DATE THEREOF,THE ISEL;ING'N3URER WILL ENOiAvOR TO MAIL _.,!20, RAYS WRITTEN NOTICE TO THE CERTIREAT€HOLDER NAACP TD THE LEFT,BUT FAILVRE 10 DO SO SHALL Services P.O.Sax A,315 No 11th Avenue ;IMPOSE NDOSUGAT1ON OR LLA5IJ1 OF ANY KING UPON THE IHSURRR•!T9 AG$AT$OR Greeley,CO 80632 }RitaFSENTATIvss. �wUT REPREaONTA V l ' ACORD 25(2001108) 1 of 3 *4243212/M225178 LGB o ACORO CORPORATION 1118E MAP,-10-2005 THU 09:20 A!11 FAX NO. 3036980277 P. 02 IM PORTANT If the certificate holder is en ADDITIONAL INSURED,the polcy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy.certain policies may require an endorsement. A statement or this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does rot constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 2&S(2021/08) 2 of 3 N2432121M225178 MAP,-10-2:05 T,,?U 09;2.0 AM FAH M0, 3036980277 P. 03 DESCRIPTIONS (Continued from Page 1) •The following cancellation conditions always apply: -10 days for non-payment of premium -if policy shown, 10 days for Workers' Compensation for fraud; material misrepresentation; non-payment of premium;other reasons approved by the Commissloner of Insurance AMS 253(2001/08) 3 of 3 #62432121M225178 REFLECTIONS FOR YOUTH, INC. P.O.BOX 1860 BERTHOUD, CO 80513 970-532-5990 (p) 970-472-1736 (f) MEDICAID PROVIDER # 38679311 FEDERAL TAX ID # 20-1514288 FACILITIES: 1 . GRISMORE TREATMENT CENTER LICENSE#1530130 204 WEST COUNTY ROAD 10-E BERTHOUD, CO 80513 NICK SMOSNA - SPECIAL EDUCATION TEACHER JANE WILLIAMS, LCSW - THERAPIST 970-532-7247 (p) 970-532-7248 (f) Capacity - 12 students (8 RTC and 4 DTx) 2. PRAIRIE VIEW TREATMENT CENTER LICENSE#1530128 8233 EAST COUNTRY ROAD 18 LOVELAND, CO 80537 NICK SEAMAN -SPECIAL EDUCATION TEACHER JOHN KINNAIRD, LCSW - THERAPIST 970-663-5283 (p) 970-663-2941 (f) Capacity — 12 students (8 RTC and 4 DTx) 3. WILDERNESS TREATMENT CENTER LICENSE#1530131 1435 SOUTH COUNTY ROAD 17 BERTHOUD, CO 80513 ELISABETH FREYS - SPECIAL EDUCATION TEACHER JEFF JOHNSON, LPC - THERAPIST 970-532-5231 (p) 970-532-5194 (f) Capacity— 12 students (8 RTC and 4 DTx) SUPPLEMENTAL NARRATIVE TO RFP: EXHIBIT B RECOMMENDATIONS r FAX TRANSMISSION REFLECTIONS FOR YOUTH, Inc. •Dlscovnlnp the Power of Positive Choice* P.O.Box 1860 Berthoud, CO 80513 (970) 532-5990 (p) (970) 472-1736 (f) DATE: )S' TO: 6k060 car utc9 ) .3% ,mit? FROM: , ilifp.i►.;c(t3 RE: rjy) hikvAL IBC ctil c .x(\kN 6J COMMENTS: Q ;6tc,r*CiThrv> TCr\ < 6 Total Pages CONFIDENTIAL This facsimile is intended only for the use of the individual or entity to which It is addressed and may contain information that is privileged.confidential,and exempt from disclosure under applicable law. If the reader of this facsimile is not the intended recipient nor the employee or agent responsible for delivering the facsYnle to the intended recipient.you are hereby notified that any dissemination.distribution,or copying of this communication is shicily prohibited. If you have received this communication in error,please notify us immediately by telephone and return the original message to us at the above address via the US.Postal Service. Thank you. i0 39td NOSN-lOf 9ELTZL40L6 bh:ZZ S00Z/9Z/V0 Reflections for Youth, Inc. "Dlscovering the Power of Positive Choice" Gloria Romansik Weld County Department of Social Services P.O. BOX A Greeley, CO 80632 Re: Bids #05010 and #05006 April 26, 2005 Dear Gloria, We accept the recommendation of approval by the FYC Commission of our Bid #05010 as written. We accept the recommendation of approval by the FYC Commission of our Bid #05006 and have included the following pages as clarification. Pages 8-10 clarify our outcome measurements and page 2 clarifies our ability to offer Bilingual services. Sincerely, Jeff ry J. Johnson, MA, LPC Executive Director P.O.Box 1860,Serfhood, CO 80513 (970)532-5990(p)/(970)472-1736(f) 30 3hdd N0SNH0P 9ELIZLPOL6 DV:ZZ S00Z/9Z/b0 w for a date that least upsets the transition back to public school. Students can lose valuable clock hours/credits if expected to return to public school in the middle of a semester or academic quarter. 4. A key area that will be addressed throughout the course of placement but certainly during a transition meeting is student progress. For special education students this will be a discussion of the T.E.P. goals and objectives and outcomes. Teachers will be able to give the receiving school information regarding the progress students made towards achieving their I.E.P. goals and their present level of functioning. Teachers and clinicians will also report on effective behavioral and academic interventions and modifications used within the classroom and throughout the day treatment day. 5. Students who have consistently attended school,retained acceptable or above- average grades, actively participated in the therapeutic program offered,and have followed the rules and expectations of the program are considered"being successful". IV. Measurable Outcomes Students attending Reflections for Youth's day treatment program will receive clinical and educational services by licensed staff. Educational services include small structured classrooms(1:5 or 1:6 ratios)with a certified special education teacher, a full-time paraprofessional and no more than 12 students in a classroom. RFY schools provide a safe environment for youth to grow and experience functional and healthy relationships with adults and other students. Basic expectations,tracked daily and evaluated weekly, include the relationship virtues of trust, responsibility, acceptance and accountability. RFY staff members teach social skills as well as academic skills and are role models of positive and appropriate behavior for the youth served. Students arc asked to begin to take personal responsibility for passing core and elective classes with support from RFY's educational and therapeutic staff. This is measured and evaluated by each student's level of organization,responsibility for assignments and homework completion. RFY,Inc. teachers work with students to achieve I.E.P. goals if applicable or individualized learning goals if a student does not have an LE.P. Each semester teachers switch elective class offerings to give students different options to gain elective credit. RFY students earn clock hours for each class while in the day treatment program. Upon leaving the program, a comprehensive educational and therapeutic discharge summary is written including total clock hours earned. The receiving school/district will convert the earned clock hours into credits depending upon their credit system. RFY assures a continuity care for each of the youth served in its day treatment program by providing educational experiences which remediate,maintain and improve academic, intellectual and social functioning. Students receive highly individualized instruction and attention,supportive mental health/therapeutic intervention and complete, comprehensive transition and aftercare plans. All transition and aftercare plans include input from all current and future professionals involved with the youth. These students are more successful upon transition back to their homes and public school systems and it is the goal of Reflections for Youth,Inc to serve each of its youth in this manner. The 8 E0 39tld N0SN-IUP 9£LTZL40L6 1717:Z3 500Z/93/40 A success of RFY, Inc. will be monitored,measured and evaluated through compliance with the written Day Treatment Policy and Procedures and through classroom observations and educational and therapeutic staff supervision. To date,it has been our experience that all but one of our previous and current day treatment students has returned to his or her family or to a foster home if family was not available. With the one exception all were residing in their own home immediately after discharge. It is our goal that this trend continue with the goal of all youth served returning to their home as soon as possible after discharge, hopefully immediately, and in no longer than six months barring any safety(D&N)issues. The majority of students who discharge from RFY day treatment program have entered public school or an alternative,non-day treatment school managed by their home district. Decisions have been made for some students attending day treatment that earning their GED is a better option. When deemed appropriate by the professionals involved with the youth(age, credit situation,etc.)RFY staff will schedule the student for a GED locator test. Based on the results of the test,the student will continue to take classes in his/her areas of need (reading,math,etc.)and be given daily preparation time for the GED as well. In addition to preparation time the student will be evaluated by suitable community-based programs to assist in the areas of career exploration and job training/placement. If the GED is not completed while at RFY,the student,guardian and placement worker will be notified of formal GED preparation class offerings within his/her community to further prepare for taking and passing the GED. It is also our goal that unless another approved plan is put into place prior to discharge from day treatment,all youth served will enter public school upon completion of the day treatment program. Quantitative measurements of success include satisfactory progress on individual academic,behavioral and/or I.E.P. goals, progress and attainment of individual and family therapeutic goals and satisfactory compliance with rules and expectations of the program,including expectations for the home environment while in the program. We will measure and evaluate improvement in attendance,classroom participation, grades, behavioral interactions with teachers, clinical staff and peers,and consistency of positive family interactions and outcomes(communication,conflict resolution,limit setting and follow through) This is accomplished through monthly treatment plan and update reports including assessment and measurement of progress in the areas of social, emotional,family,recreational and educational(drug and alcohol if applicable);daily goals and percentages;reports from therapist regarding therapy progress in terms of positive decision making, conflict resolution and communication; and parental feedback and compliance and completion of treatment plan and goals related to the home environment. Students are evaluated and monitored weekly in improving their grades and consistently have access to teachers and can expect that appropriate accommodations will be made to aide in their overall success. RFY uses a wide range of assessment materials in evaluating student progress and performance. Teachers are trained in administering individual achievement tests and behavior rating scales and they are consistently used to measure and evaluate where a student is,what is needed and how to provide what is needed. When a student enters RFY he/she will be given formal assessments in the areas of reading and written language by the Title I reading specialist and informal assessments 9 PO 39Vd NOSH-OP 9ELTZLG0L6 DP:ZZ S00Z/9Z/b0 • by the classroom teacher. Each student's needs will be assessed using past school records,I.E.P. goals and objectives, discharge summaries and educational history. Goals will be set to measure and evaluate that the student's true needs are being met. Reflections for Youth holds annual and triennial reviews for special education students as indicated by the I.E.P. and teachers report on annual goals at each grading period. In addition a monthly education summary, including the measurement and evaluation of behavioral,emotional andfor academic goals(depending upon assessed need)is completed by the Special Education Teacher. V. Service Objectives Reflections for Youth,Inc. will work diligently to assure that all youth attending its day treatment program will have a successful transition upon completion of the program. It is currently our experience that nearly all of our day treatment youth are living with their families at the time of placement. The exception has been for youth in which the parental rights are terminated or a family or even appropriate family member is not available to reunify with. In those cases the youth is with a foster family at the time of placement and remains with that family after completion of the day treatment program. As previously stated, our average length of placement in day treatment has been for one semester or approximately 16 weeks(4 months). Our longest stay in day treatment has been seven (7)months and was based on some extenuating circumstances that neither RFY nor the placement worker had control of. The vast majority of students that have discharged from RFY's day treatment program have returned to public school or a non-day treatment school that the home school district manages. To date,over 90%of the day treatment youth have returned to public school. Decisions have also been made for some students attending day treatment that after completion of the program,the GED is a better and more realistic option when compared to public school settings. All youth in the day treatment program at REY participate in staffmgs,family therapy and case plan meetings in which resources and available services are discussed. Comprehensive educational and therapeutic discharge plans are written and an aftercare plan is put together prior to the referred youth completing treatment. The aftercare plan is very community resource based and discusses in detail services that are available and may be helpful. Access to those services is discussed during regular staffings and case planning meetings with the family,youth, caseworker and program present. VL Workload Standards Reflections for Youth,Inc. has the capacity to serve six(6)youth and their families in day treatment at any one time. Program capacity per month is six(6)youth and their families. This number may increase depending upon length of stay of the youth served. This number will increase once RFY incorporates a centralized school into its services and expands the number of youth it can serve in a non-residential setting. This is 10 S0 3SVd NOShkiO1 96LLZLb0L6 bh:ZZ S00Z/9Z/b0 students nearing discharge in locating appropriate community-based programs,such as the county workforce centers and Americorp,where career exploration and job training and placement are addressed, Day treatment students are required to participate in individual, group and family therapy unless contraindicated by the placement worker and/or school district referring the youth. The clinical services of the day treatment program are the overall responsibility of the Clinical Director in coordination with the Executive Director and therapist providing the services. This includes the development, implementation and coordination of the treatment program. Testing and psychiatric medication evaluations and appointments are conducted as needed. These evaluations aid in case planning and assure that the appropriate treatment is utilized for the youth's maximum growth and benefit. Reflections for Youth,Inc. therapists are all licensed and have specific training in at least one of the following: EMDR, Sand Play Therapy,Dialectic Behavioral Therapy (DBT)and/or Reactive Attachment Disorder. Reflections' treatment team evaluates each youth's treatment plan twice monthly. Monthly treatment progress reports are submitted to the appropriate agencies representing the youth and monthly(or as needed) staffmgs are scheduled to discuss the youth's progress in detail. A discharge plan and aftercare services are designed by the Clinical Director,assigned therapist, guardian and placement worker. U. Target/Eligibility Populations Reflections for Youth's day treatment program is open to any youth requiring a well- structured and secure program,consistent supervision,therapeutic/mental health services, and extra support educationally,both academic and behavioral. An I.E.P. is preferred but not required. Typically such youth will demonstrate behavioral and emotional difficulties and have a history that may involve one or more of the following: family conflict and discord,physical abuse,sexual abuse,running away and/or truancy issues,oppositional defiant behavior, self-defeating behaviors, delinquent acts and certain adjudications and leaming/emotional disorders/disabilities. RFY,Inc. employs a contracted child psychiatrist and accepts youth currently taking or in need of psychotropic medications. Each of RFY's three on-grounds schools can accept up to four day treatment youth. Ages range from 12-18 and RFY is licensed to take 18-21 year olds if necessary. Total family units would be six at any one time(based on our bid proposal)and family constellations may include one child up to an undetermined amount of children per family. Arrangements will be made to provide therapy sessions to all appropriate family members of split families if in the best interest in of the youth in day treatment and recommended by the placement worker or school district referring the youth. The needs for bicultural/bilingual services will be assessed by individual/family need and RFY will make every effort to employ a teacher and/or paraprofessional and a therapist that can speak a second language. At this time we do not currently employ any bilingual staff members in the day treatment setting. As stated,we do have an interpreter available and we a re working to employ a bilingual staff member that can assist in each of our three settings Currently RFY employs two staff that are used for the purposes of interpreting during sessions in which all family members can not speak English. All Reflections for Youth, Inc. on-grounds schools are located in southern Larimer County but within a few 2 90 39Vd NOSH-IOF 9ELLZL40L6 bG:ZZ 900Z/9Z/b0 ,...... At ii......„\\, DEPARTMENT OF SOCIAL SERVICES P.O.BOX A GREELEY,CO. 80632 Website:www.eo.weid.co.us Administration and Public Assistance(970)352-1551il • Cbiid Support(970)352-6933 COLORADO April 18, 2005 Jeffery Johnson,Executive Director Reflections for Youth P O Box 1860 204 W County Road 10.5 Berthoud,CO 80513 Re: RP'P 05006: Day Treatment REP 05010: Option B,Intensive Home Based Therapy Dear Mr. Johnson: The purpose of this letter is to outline the results of the Bid process for PY 2005-2006 and to request written information or confirmation from you by Wednesday,April 27, 2005. A. Results of the Bid Process for PY 2005-2006 • The Families,Youth and Children(FYC)Commission recommended approval of your Bid#05010,Option B-Intensive Home Based Therapy for inclusion on our vendor list. • The Families,Youth and Children(FYC)Commission recommended approval of your Bid#05006,Day Treatment, our vendor list, attaching the following recommendations: 1. You are requested to clarify outcome measurements.. 2. You are requested to clarify your ability to offer Bilingual services. B. Required Response by FYC Bidden Concerning FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: 1. accept the recommendation(s) as written by the FYC Commission; or 2. request alternatives to the FYC Commission's recommendation(s);or 3. not accept the recommendations)of the FYC Commission. Page 2 Reflections for Youth/Results of RFP Process for PY 2005-2006 Please provide in writing how you will incorporate the recommendations)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 Wednesday,April 27, 2005, close of business. If you have questions concerning the above,please call Gloria Romansik, 970.352.1551 extension 6230. Sincerely, J A. .ego ecf cc: Juan Lopez, Chair,FYC Commission Gloria Romansik,Social Services Administrator Hello