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Home My WebLink About20051420.tiff RESOLUTION RE: APPROVE 2005 ANNUAL PLAN AND BUDGET,TITLE III AND VII,FOR AREA AGENCY ON AGING PROGRAMS 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 a 2005 Annual Plan and Budget, Title III and VII, for Area Agency on Aging 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 Human Services, Area Agency on Aging, and the Colorado Department of Health and Human Services, commencing January 1, 2005, and ending December 31, 2005, with further terms and conditions being as stated in said application, and WHEREAS, after review,the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the 2005 Annual Plan and Budget, Title III and VII, for Area Agency on Aging 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 Human Services, Area Agency on Aging, and the Colorado Department of Health and Human Services be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded,adopted by the following vote on the 9th day of May, A.D., 2005, nunc pro tunc January 1, 2005. `\% WELD OF COUNTY COUNTY, COMMISSIONERS COUNTY, COLORADO I At I . '11:74%2� u"��( William H. •'rke, Chair it !V '-Id .,.i,• y Clerk to the Board S4,( 1 A �i r // M. J. i , F¢r m ` Deputy Clerk to the Board Da i. Eonq, \\j eii OV AS ll`C\'lS Robert D. Masden ounty Attorney �,P�u4 Utte Glenn Vaad"c Date of signature: P'--1--- 2005-1420 ('O '. ''S-r016 i-r HR0076 f � GS /_5? -C' � MEMORANDUM ‘Iiit:i DATE: May 4, 2005 ' TO: William Jerke, Chairperson Weld County Board of W� I C• Commissioners COLORADO FROM:Walter Speckman, Executive Director, Division of Human\ Services SUBJECT: Weld County Area Agency on Aging Federal FY 2005 Annual Plan and Budget Enclosed for Board approval is the Area Agency on Aging Final FY 2005 Federal Annual Plan and Budget in the amount of$614,951. This budget supports the following programs for older adults: the congregate meal program, legal program, the long term care ombudsman, Hispanic outreach, peer counseling, homemaker and personal care, meals on wheels, health promotion, and adult day care. If you have additional questions please contact Eva Jewell,Director of the Area Agency on Aging at 353-3800 extension 3331. 2005-1420 Title III an. VII Annual Grant Application Application and Planning Form • . REGION 2B Weld County Area Agency On Aging Northern Region Linking People to cdhs . ,I• I • .. . Colorado Department of Human Services :'. people who help people Independent Living Services Calendar Year: 2005 These forms constitute a request for Title III and Title VII Aging Services Grant Funds. I agree that I have reviewed the information in each of the attached worksheets (including attachments 'A'through 'F'), and verify that the grant application reflects an accurate projection of services provided through the Older Americans Act SIGNAT' ''E: SIGNATURE: Cgdindiar AAA =EC_Ts'- - DAT CHAIRP RSON DATE: ' /� AREA AGENCY ON AGIN Chairman,`oar � CountL. Co"'�missione��` ADVISORY COUNCIL ATTEST: WELD COUNTY CLERK 0 THE BOARD , 1861 tdai BY: // :, ��!!_ /ii iii �. izir �q iE'UT CLERK 0 THE _! •.' �, I(+"�� N D>/ aoos-i7ao 2005 TITLE III AWARD REQUEST Region 2B Grant Award# 02B-88 Revision# 0 Date 3/28/2005 Grant Application Period: from January 1, 2005 to December 31, 2005 NOGA Award Transfer Request Request Potential Award q ADMINISTRATION ADMIN CARRYOVER $ - $ ADMIN NEW ALLOC (FFY05) $ 55,754 $ 55,754 TOTAL ADMIN $ 55,7$4:; '$ , .$5,754:: SERVICES CARRYOVER & REALLOCATED $ 1,618 $ 1,618 PART B NEW ALLOC (FFY05) $ 177,650 $ 52,382 $ 230,032 x+*Kw+ l `I' t�7hn�fir I: ':, F'#i l fntt,,'1 t k . , : Y. :k'` �' 7 TOTAL"PART16�,��,. .rl�l':� °��wHtPiF, i'. . x:� �i r79,a 68 � �r,� ,�; �' �3�1. O.6 CARRYOVER & REALLOCATED $ 3,780 $ 3,780 PART C1 NEW ALLOC (FFY05) $ 181,600 $ 16,499 $ 198,099 a x ne�@ c 8 it;:; r r t ('4 4 Q TO�T/ PR!RxT�? �a � � '`,��#{ , � "�s'��,. ,ap.nWv� ' . _, ,6�� N{ ., 3tir' rxN`!�'�`�S��i. CARRYOVER & REALLOCATED $ 637 $ 637 PART C2 NEW ALLOC (FFY05) $ 96,040 $ 68,881 $ 27,159 TO„TAI lgitliC21,,. Ai I t .hi, , ;6,', 77 ,';"4 r`;kn i,i ' , r, r`,M7269"6 CARRYOVER& REALLOCATED $ 2,053 $ 2,053 PART D NEW ALLOC (FFY05) $ 12,960� $ 12,960 TOTAL1Pr�T`d`0 � x ,, : r x'�.^F 5'4 'r<'. sub ill� *:• sr ,4..a.. 10) CARRYOVER& REALLOCATED $ 11,063 $ 11,063 PART E NEW ALLOC (FFY05) $ 71,796 $ 71,796 1 TOTAl. �R7d E. . E ',AI ';'14:30 7 TOTAL SVC CARRYOVER Ir.'ixl ,n hi`x,19,151„ t$°r' u, biz"'19 ,1151; "'�a', TOTAL SVC. NEW ALLOC $ ' ' $40,04$1 t, �$ �, A540�'046.' TOTAL SERVICES �$ " . 559,197 x „lisV ,rem ' $° _; . 559,197 Title VII Award Request Total Programmatic Programmatic Award Transfer Total EAP CARRYOVER $ - $ - $ EAP NEW ALLOC (FFY05) $ 1,866 $ $ 1,866 uxv w, wu7),1 ,1. K p �' s .. . '' k. ,.;:, TO�TA��.� wA1NARD, !,@as'N. ,'�'' Yi'� `=i: ��$� ,�. . � .�4�66� �� , � � , , � ,�e..6 LTC OMB CARRYOVER $ - $ - $ LTC OMB NEW ALLO (FFY05) $ 4,905 $ — $ 4,905 TOT„ ` BWA ARD , & ' $e , 7 4,x9"05, ' ! 'mot, ;"X' ' w2 ' ftac ,,94 �,A r«Mw TOTAL TITLE VII r ' ' $ =.6,771 VP'',7-''Z;t1,;/''",;01'"tr. $ ;''_ ' r 6,771 Annual Grant Application (MS 200) Region 2B Fiscal Year 2005 Revision # 0 Date 3/28/2005 AREA AGENCY ADMINISTRATION BUDGET yq... i=xr n ' Q K� tP� i, tjE ,,,�t`,<<< dG S! x"V. , t*dh;r �' t .. �,.,. , ��Line Item'Budget" iw FederaiiBodg`et ' Local CashVBudgets ,A +r ln-KmdfiBudget.h:4 w Totah,Budget ' Personnel $ 46,132 $ - $ - $ 46,132 Travel $ 3,000 $ - $ - $ 3,000 Equipment $ - $ - $ - $ Other Direct $ 6,622 $ 12,351 $ 6,234 $ 25,207 Indirect $ - $ - $ - $ Total $ 55,754 $ 12,351 $ 6,234 $ 74,339 , , BIu .1iN r „ :,, ; 'J gtM` ,i ,:4,1 ,, '" ! > yn„ Total Admin from AAS 200 * Match must be 25%of total budget: (Match = Local Cash Budget + In-Kind budget) Federal Funds = $ 55,754.00 / 3 = $ 18,585.00 This is the minimum match required. Actual Match = $ 18,585.00 Over/(Under) Match rt Annual Grant Application (AAS 220) Annual Title III and VII Grant Application Calendar Year: 2005 Weld County Area Agency On Aging Northern Region Region: 2B Registered Client Demographics Total Undup. Undup. Undup.Low- Undup. : PSA%Low PSA% ,4,tv.,Etiovos - ee x ≥F %Diff.Low %Diff. Clients Low-Income Income Minority Rural ,z Inc. Minority Rural .; xv Jp in u U :Z.. 1 ..,74 Inc. Minority Rural Previous Year(2004) 8623 1065 238 7180 at:044, 2.00% 30.00% .--47;i0:00%14 T6 3 0.76% 53.27% Projected Targets(2005) 5000 2000 120 1200 t:,..:014.,.... 2.00% 30.00% --„000% 312$0.. ?ff324.00- s aa'?, 0.40% -6.00% Service Delivery and Projected Cost Total Clients/Units Cost Projection By Funding Source Budget Computations Total Aggregate Fed/State Other/ Program Local Total Average Average C niter One -t,....- -= "�--nt Total Units Undup. Clients Persons Part B Part C-1 Part C-2 Part D Federal Income Cash In-kind NSIP(USDA) Cost Unit Cost Per Client Personal Care 350 10 10,587 " `� 0 0 0 3,000 13,587 38.82 1358.7 Homemaker 900 30 10,588 i _ 0 0 0 3,000 13,588 15.09777778 452.9333333 I Chore 0 0 1 0 0 0 0 , 0 0 0 Home Delivered Meals 16,500 115. i 27,796 I 0 35,000 0 4,360 12,600 67,156 4.070060606 583.9652174 Adult Day Care 7,000 45. 25,0001 0 60.000 95,000 34,000 214,000 30.57142857 4755.555556 Case Management 0 0 0: , 1 0 0I 01 0 „� 01 0 I 0 4Ctuster=Two ,--.,.. .l... - .TJ-1T 'm,'5. ��`" > _ 4.64, :. " `II`"_ - ,--,-,-.4,,,t. .. - �. - . 7 - - Congregate Meals 65,000 1,700 11 194,927.. -:1 0 188.850 0 0 48,346 383,777 5.904261538 225.7511765 Nutntion Counseling 30 30: i _._ __ _ 4,635 0 0 0 0 0 0 4,635 154.5 154.5 Assisted Transportation 0 0 0 "'• 0 0 0 0 t..__w __w 0 0 0 Cluster )ree z?^in .. ._I .rx H T"=..; _ -s—A4`m:"'n+s""`- I . : .,e:vr." AI' 'a . .= '.,. __:1 '' . .-'II x -'-P + .. . . -. ,',.4-,--'4-e-':-.- Transportation 0 0 0 0 0 0 0 0 1 0 0 0 Legal Assistance 900 i I 300 40,076 0 0 500 12,000 I' - 52,576 58.41777778 175.2533333 Nutrition Education 46 0 2,317 0 0 0 0 0 0 2,317 50.36956522 0.9268 Information&Assistance 0 0 0 0 0 0 0 0 0 0 0 0 Outreach 400 60 150 22,500 0j 0 0 0 0 17,000 0 39,500 98.75 188.0952381 Other Set aes ':c?`y«o1 .. 1tI —'rv'` r;+r.,�"''e NI-�. a ::. . >: K:. . ..e.;. ,3..S=. ':1. ' " . :w "` - _'€ rim "'' . ^_s"' .;c Counseling 2,500 0 130 33,000 0, 0 0 0 0 80,000 17,000 130,000 52 1000 Education 0 0 0 0 0 0 0 0 0 0 o; 0 0 0 ,plrth Promotion 25 0 500 0 0 0 15,013 0 0 0 0 15,013 600.52 30.026 Institutiono..." 0 0 0 0 0 0 0 0 0 0 0. 0 0 0 Ombudsman Activities 1,600' 3,600 69,899 0 0 0 0 0 0 01 - 69,899 43.686875 19.41638889 Screening 0 .0, 0 0 0 0 0 0 0 0 Ot 0 0 0 Material Aid 0 0 0 0 0 0 0 0 0 0 0 k. 0 0 0 Reassurance 0 0 0 0 0 0 0 0 0 0 0 t _ 0 0 0 Total 9M251IIIII 7,180 211,650 201,879 27,796 15,013 0 283,850 192,500 73,360 60,946 1,006048, National Family Caregiver Services(Part E) Total Caregiver Clients/Units Cost Projections by Funding Source Budget Computations _ i., . Fed/State Program Local Other Other Total Percent Percent Unit Total Service Category Total Units ,=-c- Part E Income Cash In-kind Match Federal Funding Grandparent Funding Cost Match information to Caregivers _ 60 0 600 6,742 0 0 0 0 0 6,742 . 10.00% 6.103% 112.37 0 Assistance to Caregivers 175 0 175 41,258 0 0 0 0 0 41,258 r':.0.00% 37.345% 235.76 0 Individual Counseling 0 0, 0 0 0 0 0 0 0 ` '0.00% 0.000% 0.00 0 Resptt' rrU _ 7:i v'e. ,"^S 3,000 50I. 34,859 0 21,164 0 6,456 0 62,479 r ,=4_0.00% 56.553% 20.83 27,620 supplemental Semce'r, "..- . - 0 01 _ ... 0 0 0 0 0 0 0 t...', ......-.4.-.0.00%� 0.000% 0.00. 0 Total 3,235 --I 82,859 0 21,164 0 6,456 0 110,479 Annual Grant Application (AAS 230) Other Operations Activities Budget National Family Caregiver,Part E (Other Operation Activities) Cost Projection By Funding Source Budget Computations `"_tel' r r ,� , Fed/State Program Local Other Total Percent Total Operation Category `1;•; �` '" 7*-- gAi Part E Income Cash In-kind Match Funding Funding Match Program Development(Survey and Needs Analysis) 0 0 0 0 0 0 0.000% 0 _.�. x v k e.'* 'fit ..+.1,t # et. +4s `ii "x "" vim" '"°d. .. ,.. .`n'x- ^„�,'� <._ �' sY;� '.. r - �, -..r„`, `'- "'"-* _, ,"=. ,,'tx ,.p.w. .r'7.�+-' . yS'A' s_ ..-_ Capital Expenditures and Equipment 0 0 0 0 0 0 0.000% 0 To Be Determined 0 0 0 0 0 0 0.000% 0 Total Operation Activities --- 0 0 0 0 0 0 ;41:--Wit; 0 Total Part E Expenditures 82,859 0 21,164 0 6,456 110,479 M - ,. 27,620 Title Ill(B, C-1, C-2, D) Other Operation Activities Cost Projection By Funding Source Budget Computations Program Local . Total Total Part B PartIn-kind "-C-1 Part C-2 Part D NA Part E Income Cash In-kin . „""'..-= Cost Match Program Development _.. ! 0. `;-k-w¢ ,r-'s- _ 0 0 0 -;; 0 Senior Cit.Operations 0 - '.'re 0 0 0 ,_ £' 0 0 . E.A.Prevention/Provider Training 0, vae, 0 0 0 4 a*ff:6 0 0 Coordination/Advocacy 20,000 K 0 0 0 N 20,000 0 Task Force Participation 0 ",`eti" ;.: 0 0 0 ',. , 0 0 Capital Expenditures 0 % 0 0 0 ,Y.4.-1...".,4::,„,5, 0 0 To Be Determined 0 0 0 0 r„ 0 0 0 1 a^nleSc 0 0 I Total Operation Activities k:` 20,000 0 0 0 0 , -4...z.0 0 0 � Tt 20,000 0[ _'„ Budget Summary(Title III Parts B, C-1, C-2, and D) Cost Projection For Service Categories Total Service Targeting Areas Other Program Local Grant Total Total twµ Ines Part B Part C-1 Part C-2 Part D Federal Part E Income Cash In-kind USDA Expenditures Expenditures Access 22,500 0 0 0 " .� ; 22,500 '- +, In-Home Services 21,175 0 0 0 {tt ., """ 21,175 x•_ a Legal Services 40,076 ",� - - _ ''S ' ` 40 076 v Nutrition Services 201,879 27,796 0taia-t�� ,'',.g, t wry x€ 229,675 H - Other Services/Operations 147,899 0 0 11,892 _ ,-;@ P.P 159,791 x Medication Management _.. i•"fi„ . __:_l__:.:_-,`,',.. .43,121, �*W4,, 45,-", '` , r,.�. fi, - _ 3121 -XS.X � ', TOTAL 231,650 201,879 27,796 15,013 0: 283,8501 192,5001 73,360 60,946 476,338 1,086,994 SERVICE TARGETING(VOLUME 10&OLDER AMERICANS ACT) Access 25.00% Demonstration Services/Projects In-Home Services 15.00% Federal/State Program Local Total Legal Services 3.00% Description: Part B Part D Income Cash In-Kind Budget Medication Management $ 3,121 0 0 0 0 0 0 0 Percentage Minimum 0 0 0 0 0 0 0 Focus of PartB Amount 0 0 0 0 0 0 0 Access 9.71%. 0 0 0 0 0 0 0 In-Home Services 9.14% 0 0 0 0 0 0 0 Legal Services 17.30%. 0 0 0 0 0 0 0 Medication Management L. :`L _ 3,121 • TOTAL .- 0 0 _ 0 0 --- 0 - -- 0 Annual Grant Application(AAS 230) Annual Title III and VII Grant Application Calendar Year: 2005 Weld County Area Agency On Aging Northern Region Region: 2B National Family Caregiver Services(Part E) Total Caregiver Clients Units Cost Projections by Funding Source Budget Computations Total Aggregate Fed/State Program Local Other Other Total Percent Unit Total Service Category Total Units Undup.Clients Persons Part E Income Cash In-kind Match Federal Funding Funding Cost Match NFCSP -Information Services .."�� s tat---: ..,. .�.. a Fes. .: ., � c ��o�_ ,�z , � �' d--, ;,N v ,, ittiwit,sef NFCSP-Public Information 60 600 6,742 0 0 0 0 0 6,742 6.103% 112.37 0 NFCSP-Outreach 0 0 0 0 0 0 0 0 0 0 0.000% #DIV/0! 0 NFCSP-A ccess AS"Sistante 1 4 '" '47,11:',W; ?- r ;- 4 v t > , x k- r i r^ 4 F Y„ ,A - .a. .Mn �, ''y- �� `2 a.._ r a,..a°z,.:,. .x ^c.5-�,. .. .. a. �stS'i .?-'l *e�, .�'.. a d+�h'__ ≥-�-;-. t•A vi NFCSP-Information&Assistance 175 0 175 41,258 0 0 0 0 0 41,258 37.345% 235.76 0 NFCSP-Screening/Evaluation 0 0 0 0 0 0 0 0 0 0 0.000% #DIV/0! 0 NFCSP-Transportation 0 0 0 0 0 0 0 0 0 0 0.000% #DIV/0l 0 NFCSP -. > w tEw 'Sr4 - .':v`s =.tt s c - W .+ 4- 4- -,.. .- ` ,.S._:: -'iSP i_ s Via*„..`„ _r�'.�"..�.�,' Counseling' NFCSP-Support Groups 0 0 _ 0 0 0 0 0 0 0 0.000% #DIV/0! 0 NFCSP-Individual Counseling 0 0 0 0 0 0 0 0 0 0.000% #DIV/0! 0 NFCSP-Care fiver Training 0 0 0 0 0 0 0 0 0 0.000% #DIV/01 0 .... -Si r+x . ,.e„ *,e._., 3 - ,.rs' - ;., r, x e'a - ., * r xP 4 rM ,,,* * - --t'" Y'a s_ S i NFCSP(Respite)-Personal Care 0 0 0 0 0 0 0 0 0 0.000% #DIV/0! 0 NFCSP(Respite)-Homemaker 0 0 0 0 0 0 0 0 0 0.000% #DIV/0! 0 NFCSP(Respite)-Institutional Respite 0 0 34,859 0 0 0 34,859 31.553% #DIV/0! 0 NFCSP(Repite)-Monitoring 3,000 50,. 0 0 21,164 0 6,456 0 27,620 25.000% 9.21 27,620 NFCSP(Respite)-Adult Day Care/Health 0 0 ! 0 0 0 0 0 0 0 0.000% #DIV/0! 0 NFCSP(Res•ite -Home Health Aide 0 0 0 0-55 0 0 0 0 0 0.000% #DIV/0! 0 Nl .s '._emettttttttta Services' $',7 : ° `${ ' x I lain . r S .. C ?Fir 'kc NFCSP-Over the Counter Medication 0 0 0 0 0 0 0 0 0 0.000% #DIV/o! 0 NFCSP-Material Aid 0 0 0 0 0 0 0 0 0 0.000% #DIV/01 0 NPCSP-Adaptive Equipment 0 0 0 0 0 0 0 0 0 0.000% #DIV/0! 0 NFCSP•Supplies 0 0 __._,.. 0 0 0 0 0 0 0 0.000% #DIV/0! 0 Total 3,235 50 0 82,859 0 21,164 0 6,456 0 110,479 Annual Grant Application(AAS 230 E) Budget Summary (NOGA 2003) Region: 2B Fiscal Year 2005 Revision# 0 TITLE III TOTAL SERVICES BUDGET;. ( . Section 6: TITLE III PROGRAM INCOME LOCAL CASH LOCAL IN-KIND OTHER MATCH TOTAL BUDGET PART B $ 231,650 $. , ,w, rt ...,..e,.�-s95,000 -$w`=. ..- .1-192,500.. $.a. ` 69,000 4.$ , .,.use.;}-,._. $ 588,150 PART C-1 $ 201,879 $. . a .: a' '� �- �:-�a. ��i$8;850 t_�' :��'�� ,`v"" 1��p '��.- �s�� ...:x,.�r � k.. .r-,... _ .. Tr's7 $ 390,729 PART C-2 $ 27,796 $ -` `.w s ?: ,s_kr_' $ ` * Y s"' ` liiMe x R 4,360 .1.,. `_`'.^_`.M' . _ r._:S " $ 32,156 PARTD $ 15,013 $.:_-:... .4 a -,.i".n z ft-AS . , ; ,$'' a '.. 4t5:1»:3 U,. ,2,1 .. ) $ 15,013 Other Federal $ - F:.''' E r a fir`"`' 'S a �.- - a-.7 rS .., se s$ `7 `. ' $ - PART E $ 82,859 $ - $ 21,164 $ - $ 6,456 $ 110,479 TOTAL SERVICES: $ 559,197 $ 283,850 $ 213,664 $ 73,360 $ 6,456 $ 1,136,527 TOTAL ADMINISTRATIVE BUDGET: TITLE III PROGRAM INCOME LOCAL CASH LOCAL IN-KIND NA TOTAL BUDGET ADMINISTRATION $ 55,754 F _ $ 12351 $ 6,234 $ 74,339 ` . , . ,, TITLE VII t LOCAL CASH LOCAL IN-KIND NA TOTAL BUDGET ELDER ABUSE PREY. $ 1,866 V -a650t $ -, cote `" sa, -, r� " $ 2,516 OMBUDSMAN $ 4,905 iT ••<' i `*, , v.ee,6 $ tz s .. -.w.—.r.....n �` �60 .. S;y a ..��'r . . .._ $ 6,513 TOTAL TITLE VII $ 6,771 . $ 2,258 $ - $ 9,029 Per Volume 10 the required match for Title VII funds in 25%of total cost.(Federal$'s/3) Title III Match Requirement Title VII Match Requirement Part B,C and D Match Required $ 52,926 Match Required $ 2,257 Actual Match $ 265,860 Actual Match $ 2,258 Over/Under Match $212,934 Over/Under Match $1 Part E Match Required $ 27,620 Actual Match $ 27,620 Over/Under Match $0 Annual Grant Application (AAS 240) Attachment A TRANSFER (B, Cl AND C2) REQUEST Weld County Area Agency On Aging Northern Region Region 2B THIS WAVIER IS NOT REQUIRED! Per amendments to the OAA of 2000, a statement of intent and justification for transfers budgeted between Parts B, C-1, and C-2 (which exceed the allowable percentage of transfers) is required. Note: Please indicate with brackets()those percentages which SERVICE 30.00% Transfer are decreased. PartBtoC I NA I TOTAL FUNDS TRANSFERRED: From: NA To: NA JUSTIFICATION FOR WAIVER COMPLETE: PartCtoB I NA I TOTAL FUNDS TRANSFERRED: From: NA To: NA JUSTIFICATION FOR WAIVER: Part Cl to C2 I NA I TOTAL FUNDS TRANSFERRED: From: NA To: NA JUSTIFICATION FOR WAIVER: Part C2 to C1 I NA I TOTAL FUNDS TRANSFERRED: From: NA To: NA JUSTIFICATION FOR WAIVER: - - ATTACHMENT B Request for Use of Part B Funds for Advocacy, Coordination, and/or Program Development Weld County Area Agency On Aging Northern Region Region 2B Per amendments to the OAA of 2000, a statement of intent and justification for use of Part B funds for Advocacy, Coordination, and/or Program Development is required. Service Usage Note: Please indicate with brackets( ) those percentages Percentage which are decreased. Part B 8.63% Advocacy/Coordination 8.63% Program Development 0.00% JUSTIFICATION FOR USE OF PART B FUNDS FOR ADVOCACY,COORDINATION,AND/OR PROGRAM DEVELOPMENT: ATTACHMENT C ADVISORY COUNCIL REVIEW Weld County Area Agency On Aging Northern Region Region 2B The Area Agency on Aging Advisory Council has had the opportunity to review and comment on the following items in the annual plan. (Comments are attached). 1. Statement of intent and justification for transfers budgeted between Parts B, C-1, and C-2, which exceed the allowable percentage of transfers. 2. Statement of intent and justification for use of Part B funds for Advocacy, Coordination, and/or Program Development, which exceed the allowable percentage of transfers. 3. Request for waiver for the Area Agency on Aging to provide direct services. 4. Request for waiver to required support services percentages, which vary from the allowable percentages. (Access Services, 25%, In-Home Services, 15% and Legal Services, 3%). 5. Use of Federal and State funds to increase Program Services to the elderly. ATTACHMENT D DIRECT SERVICE WAIVER REQUEST Weld County Area Agency On Aging Northern Region Region 28 Per, Direct Provision of Services, in accordance with Volume 10, Section 10.235 A through 10.240 C. 2. We hereby request approval of a Waiver to provide the direct services listed below. 1. Legal Program 2. Caregiver Program 3. Health Promotion (Part D) 4. 5. 6. The Area Agency on Aging is responsible for insuring that all attachments covering the requirements in Volume 10, Section 10.235 A through 10.240 C. 2, are included with this Waiver Request. Additionally, please attach documents describing fully the direct service to be provided to include organizational structure and planned methods of program services delivery. Entitle these sheets as "Direct Service Program Description". PLEASE NOTE: If the Waiver Request is incomplete,this may result in a delay of the approval of the Annual Plan. Legal Services (Part B) For many years we have provided paralegal services directly out of the Weld County Area Agency on Aging and have worked with an attorney (under contract) to support the paralegal as needed. The paralegal works closely with community agencies and has regular contact with key senior centers throughout the county. The program continues to be cost effective. Health Promotion (Part D) For six years the Weld County Area Agency on Aging has been a major sponsor of the Weld County Senior Center Fair. The AAA works actively with the Health Fair Committee. The committee is comprised of many community agencies and key community volunteers. Part D funds help support this effort by providing staff time other supportive services such as bone density screening. In addition, programs such as medication management are being provided to the senior seniors and congregate meal sites with AAA staff. Family Caregiver Coordinator Position (Part E) The position continues to focus on linking family caregivers (and grandparents raising grandchildren) with existing services and providing them with a road map to senior and other community services. In addition, the coordinator provides training opportunities and maintains a respite voucher program. We believe the coordinator position will have the greatest chance to flourish and be cost effect if housed with the Area Agency on Aging. The coordinator has the benefit of working closely with our other in-house programs such as legal assistance, the long term care ombudsman, dental, nutrition and Options for Long Term Care. These programs have historically worked with seniors and their caregivers and will continue to provide key caregiver services. The Area Agency on Aging will work collaboratively with other community agencies that provide direct caregiver services and will explore providing funding to these agencies if appropriate and financially feasible. In addition, the Area Agency on Aging Advisory Board continues to strongly support the current in-house program. ATTACHMENT E NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM REPORT ON PLANNED SERVICES Weld County Area Agency On Aging Northern Region Region: 2B 1. Provide a detailed description of direct and/or indirect services offered in your region. Include details as to provision of each service listed below(indicate N/A for those not implemented): A. Information to Caregivers The Family Caregiver Coordinator and the Grandparent Raising Grandchildren Coordinator will continue to provide information to caregivers by one on one contact, service information, trainings, technical assistance, etc. B. Assistance to Caregivers The Family Caregiver Coordinator and the the Gramdparent Raising Grandchildern Coordinator will contiue to privde public information to grandparents via training/conference opportunities ( Grandparent conference, Grandparent Picnic and Legal cllinic etc) throughout the year. C. Individual Counseling or Training for Caregivers N/A D. Respite Care for Caregivers The Respite Voucher Program will continue to provide services for caregivers caring for seniors E. Supplemental Services: (include types of supplemental services) (Limited to 20%) We will provide limited assistance in this area if the need arises. Currently no dollars are being allocated for this service. F. Grand Parenting Program (Limited to 10%) See avove for program comments 2. List the agencies with which you are collaborating within your PSA. Include a description as to the nature of this collaboration and a statement as to efforts to prevent duplication of services with these agencies. ATTACHMENT F USE OF FUNDS WAIVER REQUEST Weld County Area Agency On Aging Northern Region Region 2B Per, Restrictions On Use Of Funds, Volume 10, Section 10.413 B.3, we request approval of a Waiver for the following services to the indicated percentage(s): SERVICE TARGET PLANNED SHORTAGE ACCESS 25.00% 9.71% -15.29% JUSTIFICATION FOR WAIVER: We opted many years ago not to fund senior transportation but rather support the county's effort in locating other funding sources for transportation. Oru transportation program is supported by CSBG and CDOT/FTA dollars. Due to our ongoing legeal needs expressed by our senior community we have supported an inhouse paralegal and have purchased attorney services as needed. This allows us to provide information regarding many legal issues that serniors are facing and giving us the opportunity to provide actual hands on assistnace trather than just I&A. This program has been cost effective and accessible to seniors throughtout the county. In addition,we contract with Catholic Charities Northern for Hispanic senior outreach which we feel meets our goals of reaching isolated and low income minority clients. IN-HOME SERVICES 15.00% 9.14% -5.86% JUSTIFICATION FOR WAIVER: We are currently funding homemaker and personal care serivces through RVNA Home Care Services. However we are funding Eldergarden (adult day care)and North Range Behavioral Health (peer counseling program) since our surveys, focus groups and advisory board feedback have supported the need for these servcies in Weld County. (LEGAL SERVICES 3.00% 17.30% NA JUSTIFICATION FOR WAIVER: n/a Region 2B Fiscal Year 2005 Revision # 0 Date 3/28/2005 AREA AGENCY ADMINISTRATION BUDGET Line Item Budget Federal Budget Local Cash Budget In-Kind Budget ! Total Budget Personnel $ 46,132 $ - $ - $ 46,132 Travel $ 3,000 $ - $ - $ 3,000 Equipment $ - $ - $ - $ - Other Direct $ 6,622 $ 12,351 $ 6,234 $ 25,207 Indirect $ - $ - $ $ - Total $ 55,754 $ 12,351 $ 6,234 $ 74,339 Total Admin from AAS 200 * Match must be 25% of total budget: (Match = Local Cash Budget + In-Kind budget) Federal Funds = $ 55,754.00 / 3 = $ 18,585.00 This is the minimum match required. * Actual Match = $ 18,585.00 Over/(Under) Match :. kt :�, d l.r l Annual Grant Application (AAS 220) Hello