HomeMy WebLinkAbout20053283.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR LIFESKILLS
HOME-BASED PARENT COACH PROGRAM AND AUTHORIZE CHAIR TO SIGN -
LUTHERAN FAMILY SERVICES
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 Notification of Financial Assistance Award
for Lifeskills Home-Based Parent Coach Program 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 Lutheran Family Services, commencing August 1, 2005, and ending
May 31, 2006, with further terms and conditions being as stated in said award, and
WHEREAS,after review, the Board deems it advisable to approve said award, 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,ex-officio Board of Social Services,that the Notification of Financial Assistance
Award for Lifeskills Home-Based Parent Coach Program 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 Lutheran Family Services be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said award.
The above and foregoing Resolution was,on motion duly made and seconded,adopted by
the following vote on the 7th day of November, A.D., 2005, nunc pro tunc August 1, 2005.
BOARD OF COUNTY COMMISSIONERS
iZta t� ELD COUNTY, COLORADO
y 0.4.
ATTEST: iitaki USED
%. iam H. J e, Chair
►
Weld County Clerk to the B " � 4
�� xp vG�f1 6, ,/0111;-,..? eile, Pro-Te
BY: Gouty CI Ark toP the tBdard
David E. Long
APPRO D AS T - M: EXCUSED
Robe . Masden
o ty Attorney
Glenn Vaad
Date of signature: 2-16 1°6
2005-3283
CC S' SS0032
•
cfeDEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
Weblike:www.co.weld.co.us
' Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
C.
COLORADO
MEMORANDUM
TO: William H. Jerke,Chair Date: November 3, 2005
Board of County Commissioners
y �
FR: Judy A. Griego, Director, Social Services ,'�
RE: Notification of Financial Assistance Award With Lutheran Family Services.
Enclosed for Board approval is a Notification of Financial Assistance Award(NOFAA)with
Lutheran Family Services. This NOFAA was reviewed at the Board's Work Session of
November 2, 2005.
The Department and the Families,Youth, and Children(FYC)Commission are recommending
approval of a Core Service Program with Lutheran Family Services to provide a Home Based
Parent Coach Program.
1. The period for the program will begin August 1,2005 through May 31, 2006.
2. The Department will agree to reimburse Lutheran Family Services at a rate of$65.27 for
the treatment package for the Parent Coach Program. Court testimony will be at an
hourly rate of$60.00.
3. The Parent Coach Program under Lutheran Family Services will be funded with Core
Services resources.
4. The Parent Coach Program provides families in the child welfare system with home-
based services that will teach and model parenting techniques,household management
and prevent, reduce, or eliminate at-risk behaviors for the child and family.
If you have any questions,please contact me.
2005-3283
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 05-CORE-0001
Revision (RFP-FYC-05010)
Contract Award Period Name and Address of Contractor
Beginning 08/01/2005 and Lutheran Family Services
Ending 05/31/2006 Option B,Home Based Parent Coach
3800 Automation Way, Suite 200
Fort Collins, CO 80525
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial
Designed to strengthen and preserve families by Assistance Award is based upon your Request for
providing a home-based service for a limited Proposal (RFP). The RFP specifies the scope of
length of time using flexible, individualized services and conditions of award. Except where it is
service modalities based on families' strengths in conflict with this NOFAA in which case the
and needs. Skills taught and modeled in the NOFAA governs, the RFP upon which this award is
home by coaches are designed to create a safe, based is an integral part of the action.
stable,and nurturing family environment,
promote safety and well-being of families, assist Special conditions
parents in parenting techniques,maintain family
connections and improve individual& family 1) Reimbursement for the Unit of Services will be based
functioning,household management, &prevent, on an hourly rate per child or per family.
reduce, or eliminate at-risk behaviors for the 2) The hourly rate will be paid for only direct face to
child and family. Capacity to serve 19 families face contact with the child and/or family, as
per year, monthly average capacity 4, duration evidenced by client-signed verification form, and as
of service to 12 weeks, 1-3 hours per week. specified in the unit of cost computation.
Bilingual and South County Services. 3) Unit of service costs cannot exceed the hourly and
yearly cost per child and/or family.
Cost per Unit of Service 4) Payment will only be remitted on cases open with, and
Hourly Rate Per referrals made by the Weld County Department of
Social Services.
Treatment Package $65.27 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 of the
Hourly Rate Per Court Testimony $60.00 month of service. The provider must submit requests
for payment on forms approved by Weld County
Enclosures: Department of Social Services.
X Signed RFP: Exhibit A 6) The Contractor will notify the Department of any
Supplemental Narrative to RFP: Exhibit B changes in staff at the time of the change.
Recommendation(s)
Conditions of Approval
Approvals: :' /A Program Official:
I
aYJ
By r fF By . 1'.-� 6. ,
M. J. Geile, Chair Prb Te bK�: t Judy A. Gri- , Directs
Board of Weld County Commis§ion ~-X Weld .unty Depat�ment of Social Services
Date: 11/07/2005 'ATTFST . '`�'Y ' , ate: ( ( 2 S
WELD COUNTY CL RK TO THE BOARD
BY: � (A _ids gE V C '
DE(it
C RK O TH OARD jccs- 3 (5)3
IAN V J. I'111V1`1 1V 1J1L1
BID 002-05 (05005--05011 and 006-00)
DATE: February 16, 2005 BID NO: RFP-FYC-05010
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-05010) for:Colorado Family Preservation Act--Home Based Intensive
Family Intervention
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 competing 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 Home Based Intensive Family Intervention
Program is a family strength focused home-based services to families in crisis which are time limited,phased
in intensity, and produce positive change which protects children,prevents or ends placement, and preserves
families. This program announcement consists of five parts, as follows:
PART A. Administrative Information PART D...Bidder Response Format
PART B...Background, Overview and Goals PART E...Bid Evaluation Process
PART C...Statement of Work
Delivery Date
(After receipt of order) BID MUST BE SIGNED IN INK
TYPED O ED SIGNATURE
VENDOR Lutheran Family Services of CO
(Name) andwri en Signat e y Au rized
Officer or Vender
•
ADDRESS 3800 Automation Way, Ste 200 TiILE
Fort Coll ins, CO 80525 DATE q-4
PHONE# (970) 266-1788
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
' HOME.BASED INTENSIVE FAMILY INTERVENTION 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 (05010)
NAME OF AGENCY: Lutheran Family Services of Colorado
ADDRESS: 3800 Automation Way, Suite 200 Fort Collins, CO 80525
PHONE(970) 766-1788
CONTACT PERSON: Betsy Baler 11TLE: Program Director '
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Home Based Intensive Family Intervention
Program is a family strength focused home-based services to families in crisis which are time limited,phased intensity, and
produce positive change which protects children,prevents or ends placement,and preserves families.
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: Home-Based Parent Coach Program
Julie E. Swanson ri dig tnal 3/10/05
Name and Signature of Person Pr g Document Date
Name 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 Proposal
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 to 2005-2006
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
Certificate of Insurance
Page 26 of 32
•
Core Services Proposal - Life Skills Program
FY 05-06
Lutheran Family Services of Colorado
Home-Based Parenting Coach Program
I. PROJECT DESCRIPTION
Lutheran Family Services of Colorado(LFS)is a community-based agency with an experienced staff that offers a
wide range of services to children, families and adults. It is a nonprofit agency that has provided human services in
Colorado since 1948. Although the agency was established as an affiliate of the Lutheran Church, it is an equal
opportunity agency that provides services to all individuals without consideration of religious beliefs, race,ethnicity,
gender or economic status.
Home-Based Parenting Coach Program
Lutheran Family Services' Home-Based Parenting Coach Program is a component of a comprehensive array of
family preservation services offered by LFS,the mission of which is to maintain families as safe,stable and nurturing
units.The purpose of this program is to serve families who are either at risk of having children placed in foster care
or who have recently been reunified following the children's out-of-home placement.This program is designed to
strengthen and preserve families by providing a home-based service for a limited length of time using flexible,
individualized service modalities as appropriate based on the family's strengths and needs. Skills taught and
modeled in the home by Parenting Coaches are designed to do the following:create a safe,stable, and nurturing
family environment; promote the safety and well-being of children and families; maintain and build upon family
connections and supportive resources; reduce isolation; assist parents in developing appropriate parenting
techniques; improve individual and family functioning; improve family interactions; improve household management
skills; prevent, reduce,or eliminate behaviors that may place a child or family at risk; and prevent unnecessary out-
of-home placements. Practitioners in the program will serve as Parenting Coaches and facilitators of change,
encouraging and supporting the family in meeting jointly defined goals while working toward self-sufficiency.
The Home-Based Parenting Coach Program combines all of the elements listed below and promotes the belief that
in order for families to begin behavioral change,the coaches must strengthen those positive techniques the family
already utilizes. Many problem behaviors stem from families having never learned to consistently apply their
strengths across a broad spectrum of situations and settings such as home,work, school, etc.
Elements included:
• Short Term(approximately 12 weeks of service duration)
• Intensive(a range of 1 to 3 hours of direct service weekly)
• Home-Based (service is provided in the family's natural environment)
• Individualized intervention focuses on the family's specific strengths and needs
• Skill-Based(comprehensive skills are taught and modeled in a step-by-step method)
• Competency-Based (length of intervention determined by the family's achieved level of competency in
utilizing and generalizing the skills taught and modeled)
• Strength-Oriented(intervention builds on behavioral strengths of family members)
• Family and Coach as partners(emphasizes relationship between family and Coach; intervention based on
family's expertise)
• Asset Building(increasing the positive building blocks that young people need to grow up to be healthy,
principled,caring adults)
II. TARGET/ELIGIBILITY POPULATION
Because referrals come to LFS from Weld County Department of Social Services(DSS)caseworkers,the decision
that a child is at imminent risk of out-of-home placement has been made prior to the referral of the family to LFS for
Parenting Coach services. However, if during the process of working with a family unit an LFS staff member feels
that a child is in imminent danger,we will immediately contact Weld County DSS to discuss the conditions that exist
in the family to determine whether they meet the criteria as defined in C.R.S. 26-5.3-103(2). LFS is strongly
committed to upholding the Core Services Program primary goals of preventing imminent placement of children and
reunifying children in placement with their families.
The Home-Based Parenting Coach Program is intended to serve families who are either currently at risk of having
children placed within the custody of DSS or who have recently been reunified. LFS considers that the families who
are the appropriate target population for this program are those in which family members are facing problems that
have affected their well being, safety, psychosocial growth and development, and family stability. These are families
that may benefit from basic life-skills training,asset building, and parent coaching. Families mandated or referred
by the courts will be considered for inclusion in the program contingent upon their willingness to participate in and
ability to profit from participation in such services. The primary caregivers must demonstrate a desire to maintain
family relationships and must possess the mental stability to utilize home-based services. Clients will not be eligible
for this program if they can be successfully treated with less intensive service programs. This program is intended to
build assets, basic life-skills,and parenting skills in the family in order to maintain family stability and/or to increase
the success of reunification, and is not intended to treat marital problemsfinstability or chronic mental health issues.
A. Total number of clients served: 76 individuals in 19 families
Based on last year's statistics,we estimate that there will be an average of four family members per family served,
and that we will serve 19 families.
B. Total individual clients and the children's ages: 76
We estimate we will serve 76 individual clients. Children's ages may range from birth to 18.
C. Total family units: 19
This size caseload requires a hall-time professional staff person. Additional staff is available to provide these
services if we receive an increased number of referrals from DSS. We estimate that the average family unit will use
an average of 1-3 hours per week of direct services and stay in the program for up to 12 weeks if needed.
D. Sub-total of individuals who will receive bicultural/bilingual services: 12(3 families)
We have one bilingual master's level clinician on staff,and we have not experienced a significant increase or
decrease in referrals of families who are monolingual and speak Spanish. However, in anticipation of this need
within Weld County,we have budgeted approximately one quarter of our clients to receive bicultural/bilingual
services. The development of treatment plans takes into consideration culturally appropriate issues,family values
and family strengths, and the family is actively involved as part of the team in developing treatment goals and
objectives. Spanish classes and materials are also available.
E. Sub-total of individuals who will receive services in South Weld County: 16 (4 families)
This number reflects an estimated one-quarter of the referrals being from South Weld County.
F. The monthly maximum program capacity: 5 families or based on referrals received
This number is based on the estimated number of family units per year(19). We will provide an average of 1 —3
hours of direct service per week for eight to twelve weeks to the families in the program.
G. The monthly average capacity: 4 families
H. Average stay in the program(weeks): 12 weeks
I. Average hours per week in the program: 1-3 hours of direct service
III. TYPES OF SERVICES TO BE PROVIDED
The specific services provided to families participating in the Home-Based Parenting Coach Program are based on
the results of assessments of the families' risk and strengths and parenting values. Assessments will also be
conducted to determine the asset base of those children participating in Asset Building.
Assessment of Parenting Values: The Adult-Adolescent Parenting Inventory(AAPI)is used to assess high-risk
parenting attitudes and behaviors in all families both upon intake and at case closure. Responses to the AAPI
provide an index of risk for practicing behaviors positively correlated with child abuse and neglect(i.e., inappropriate
expectations of children, parental lack of empathy toward children's needs, belief in corporal punishment, reversal of
2
parent-child role responsibilities,and oppression of children's power and independence). Low scores indicate
agreement in the aforementioned parenting behaviors and a high risk for abuse and neglect.
Assessment of Assets(children ages 12-18): When it is appropriate and needed within the context of the family,
the Asset Checklist will be given to youth ages 12-18 upon both intake and case closure to measure the positive
building blocks(developmental assets)that a youth currently has in his/her life. This checklist consists of 40
developmental assets clustered into eight categories:support, empowerment, boundaries and expectations,
constructive use of time,commitment to learning, positive values, social competencies, and positive identity.
Families will work as partners with the Parenting Coach in developing goals and objectives for their treatment plans.
During the assessment phase,families will be asked for feedback on what they feel to be the areas of highest stress
or greatest risk. The treatment plan will begin with skill building in the areas that are of greatest risk to the family and
children. Furthermore,youth ages 12-18 may be involved in Asset building. Utilizing the Asset Checklist, youth will
self-assess the Assets(positive building blocks)that they feel they possess in their lives(both upon intake and case
closure). Youth will actively participate in developing goals and objectives that relate to specific Assets they desire
to build into their lives.
1. Teach, model,and coach adaptive strategies
The areas of focus will be determined by results of the AAPI in conjunction with the agenda of the family and the
agenda of the DSS Caseworker. Variables that are deemed as areas of high risk will be viewed as priority,and skills
will be taught accordingly. When we begin work with a family,we focus on skills where family strengths already exist
in order to encourage family cooperation and motivation.
2. Model and influence parenting practices
Through the use of home-based education, parents are introduced to appropriate, healthy,creative, and effective
parenting techniques and values. The Parenting Coach will provide families with training in child development,limit
setting,discipline,esteem-building, providing structure, nurturing, attachment, etc. We will assist families in
implementing and integrating the information we teach through modeling,demonstrating and coaching. For
example, if the assessment shows that the family resorts to corporal punishment when a child misbehaves,goals
would be set to help them develop alternative disciplinary actions such as time out or loss of privileges,or we would
teach other options through step-by-step skill building. At times parents may benefit from skills taught through
specific curricula,which may include:the Nurturing Parenting Program, Parenting with Love and Logic, and the
Terrific Infant Program. These curricula focus on reducing inappropriate parental response to children's behavior
while increasing age-appropriate parental expectations of children.
3. Teach relational skills
The skills taught will be determined by results of the AAPI in conjunction with the agenda of the family and the
agenda of the DSS Caseworker. Variables that are deemed as areas of high risk will be viewed as priority,and skills
will be taught accordingly. When we begin work with a family,we focus on skills where family strengths already exist
in order to encourage family cooperation and motivation.
4. Teach household management, including prioritizing,finances, cleaning and leisure activities
Individuals and families directly served will develop beneficial life-skills,thereby reducing factors associated with
abuse, neglect,domestic violence, substance abuse, unemployment,poverty,etc. We will teach the family basic
life-skills including: budgeting, bill paying,dealing with rental agreements, debt management, cleaning, household
maintenance, personal hygiene,shopping, menu planning, meal preparation, utilizing formal and informal support
systems, etc. If the family is struggling with financial difficulties,the family and Parenting Coach together would
delineate the steps necessary to build strengths in this area. For example, if the family has not been able to pay
bills on time,goals and objectives will be written for this area of concern and during each meeting between the family
and coach,the progress toward those goals and objectives will be reviewed and monitored.
3
5. Actively help to establish community connections and resources
The Parenting Coach will assist the family in accessing and utilizing community resources to deal with particular risk
areas such as access to health care, housing,employment,extracurricular activities,support groups,etc. The
family's effective use of community resources is an imperative goal within this program, as the inability to access
resources is generally a core issue for families who have achieved a level of stress that would indicate a need for
family preservation services. Furthermore,access to community resources reduces isolation and increases support
for the family.
IV MEASURABLE OUTCOMES
Outcomes of treatment are documented in a family's case record. Additionally,the Home-Based Parenting Coach
uses the Adult-Adolescent Parenting Inventory to assess the family's/child's pre-and post-service functiohing.
Interpretation of the scores for each of the five AAPI sub-scales provides useful information regarding the relative
parenting strengths and weaknesses of each parent who takes the profile. A completed Parenting Profile portrays
parenting patterns that serve as the basis for specific parenting intervention, particularly in the following five areas:
1. Parents'expectations of appropriate developmental capabilities.
2. Parents'level of empathy.
3. Parents'beliefs surrounding corporal punishment.
4. Parents'perceptions of appropriate family roles.
5. Parents'expectations regarding child(ren)'s independence.
A. Improvement of household management competency:We estimate that 85%of families will improve in this
area,as evidenced by the parent coach's pm-intervention and post-intervention and case documentation.
B. Improvement of parental competency: measured by case documentation, and improvement on the Adult-
Adolescent Parenting Inventory. The AAPI is used to assess high risk parenting attitudes and behaviors both upon
intake and case closure. Responses to the inventory provide an index of risk for practicing behaviors positively
correlated to child abuse and neglect(i.e., inappropriate expectations of children, parental lack of empathy toward
children's needs, belief in corporal punishment, reversal of parent-child role responsibilities, and oppression of
children's power and independence). Low scores indicate agreement in the aforementioned parenting behaviors
and a high risk for abuse and neglect, and higher scores on the post-test indicate improvement. We estimate that
80%of families will improve in this area, i.e.,will evidence higher scores from pre-to post-test on the AAPI.
C. Parents can work independently with other resources in the community and within the local,state and
federal governments: We estimate that 80%of families will improve in this area,as evidenced by the parent
coach's pre-intervention and post-intervention case documentation.
D. Families receiving Life Skills services will remain intact for six months after discharge: measured by Weld
County DSS family tracking.
E. Families will have improved competencies and/or reduced risk of need for placement: measured by the
Adult-Adolescent Parenting Inventory.
V. SERVICE OBJECTIVES
Objective 1. When determined as a need,no less than 85%of individual/family households will show improved
household management competencies as demonstrated by an improved financial situation, increased habitability of
residence, equitable division of household responsibilities,etc.
Objective 2. When determined as a need, no less than 80%of individual/family households will show improved
parental competencies as demonstrated by increased understanding of child development concepts, increased use
4
of positive parenting techniques, increased understanding of safety issues in caring for a child, appropriate hearth
and hygiene practices, and encouragement of each child's independence and healthy self-concept.
Objective 3. When determined as a need, no less than 80%of individual/family households will show improved
ability to access resources as demonstrated by the number of encounters with community agencies, healthcare
providers,schools,etc.
Objective 4. At least 95%of the individual/family households will participate in setting the goals and objectives for
their treatment plan that reflect positive personal and family values clarification and enhancement of the family's
strengths and lessening of risk areas.
Parents will be assessed utilizing the AAPI upon both intake and case closure. Clients involved in the above
services will demonstrate improved parental competency as evidenced by improved scores on the AAPI from pre-to
post-test. These scores will be documented in monthly reports and treatment plans.
VI. WORKLOAD STANDARDS
A. Number of hours per day,week,or month: 20 per week
Each family is budgeted to receive 1-3 hours of direct service per week for an average of 12 weeks. We are
budgeted to provide services to four families per week for a total of 20 hours of direct service per week. These
numbers are based on the budgeted number of cases. We have the capacity to provide services to more families, if
referred.
B. Number of individuals providing the services: 1
The budget submitted shows one professional staff providing services in this program. As mentioned in an earlier
section,we additionally have seven staff members who could provide services in this program if the number of
referrals increases.
C. Maximum caseload per worker: 4 families
A full-time professional staff person can provide 20 hours per week of direct service,so the caseload will be four
cases per clinician if they are providing five hours of direct service per case. If providing only three hours per family
per week,a full-time professional staff could serve six-seven families.
D. Modality of treatment:
The modality of treatment is based on the Boy's Town Family Preservation Model,which includes the following
elements:short term, intensive, home-based, individualized,skill-based,crisis-oriented, competency-based,
strength-oriented,and family and Parenting Coach as partners in the treatment process. We utilize education,
modeling, and demonstration to build on family strengths and to teach skills that will empower and stabilize families.
Our treatment modality encourages flexibility and allows program staff to provide intensive services in the first part of
implementing the treatment plan and to decrease sessions/weeks as the client achieves treatment goals and
outcomes. This flexibility will increase the possibility that the client will be able to end services in the shortest
possible time.
E. Total number of hours per day/week/month: 20 per week
Each family is budgeted to receive 5 hours of direct service per week for an average of 12 weeks. However a client
can receive increased hours during the first 2-4 weeks in order to incorporate a step-down plan as the client nears
the case closure timeframe. We are budgeted to provide services to 2 families per week for a total of 10 hours of
direct service per week. These numbers are based on the budgeted number of cases. We can provide increased
hours and services to more families, if referred and desired.
5
F. Total number of individuals providing these services: 1
We currently have part of one staff members time budgeted to this program. Our structure has been established to
allow us maximum clinical flexibility. We currently have seven additional staff that can offer services in this program,
not including the program supervisors.
G. The maximum caseload per supervisor: 1:1
H. Insurance
Our proof of insurance, naming Weld County Department of Social Services as co-insured, is attached.
VII. STAFF QUALIFICATIONS
A. Minimum qualifications in education and experience
Professional staff assigned to this program are qualified by one of the following:
• A masters degree in social work or another human service field;and/or
• A bachelors degree in social work or another human service field and at least five years post-degree
experience in family and children's services.
B. Total number of staff, including supervisors, available for the project.
We currently employ three Licensed Clinical Social Workers,one clinician with a Masters in Social Work,three
clinicians with Masters in Human Development and Family Studies, and two employees with a Bachelor's Degree
and over 10 years experience in Child Welfare. All nine of these staff members could be assigned cases in the
Home-Based Parent Coach program if the number of referrals increases. Our Program Director has a Master's in
Social Work. All staff has gained experience in child and family services. All staff in this program is required to
secure 16 hours per year of continuing education training. All staff will receive weekly supervision from a supervisor
experienced in child welfare work. The supervisors are also required to secure 16 hours per year of continuing
education training.
Clinical Supervisor—This position will provide additional supervision for the determination of the appropriate level of
services after the initial assessment period and will provide ongoing supervision for any cases in level B, meeting
with the visitation supervisor at least every other week,with immediate supervision available as needed. A licensed
clinical social worker with experience in human services and child welfare is employed in this position.
VIII. UNIT OF SERVICE RATE COMPUTATION
The budget spreadsheets are attached to this proposal.
6
. Bid 002-05 (RFP-FYC-05010) Attached A
Date of Meeting(s)with Social Services Division Supervisor: 4-4 5--Pr
Comments by SSD Supervisor.
a ;� Q , &isi�), / )
Name and Signature of SSD Supervisor Date
Page 27 of 32
ACORD CERTIFICATE OF LIABILITY INSURANCE 0g/24/2004
memeBT - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Marsh Advantage America ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Ica Spear 15th Floor HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P ALTER THE COVERAGE AFFORDED BY THE ROUGES SELOW.
L Francisco, CA. 94105
415-983-5145 INSURERS AFFORDING COVERAGE Rap,
mum Lutheran Family Services of Colorado WINERA GUIDEONE SPECIALTY MUTUAL INSURANCE
GUIDEONE MUTUAL INSURANCE COMPANY
ma mm
363 South Harlan, Suite 200
Denver, CO 80226 'mum D
1303-922-3433 x 109 „ARE
COVERAGES
THE POLCES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURm RASED ABOVE FOR THE POLICY PERIOD IDICMED.NOTWITHSTANDING _
ANY RE JREAENT,TERM OR CCNOMCN OF ANY CONTRACT OR OTHER DCCLL.ENT MINI RESPECT TO VMICH THIS CERTIFICATE MAY BE ESL®OR
MAY PERTAN.THE N9RI1CF AFFORDED BY TIE POISES DESCRBED HEREIN M SUBJECT TO ALL THE TERMS.EXCLUSIONS MD COHDRIO S OF SUCH
POLCES.AGGREGATE LBPTS SHOWN MAY HAVE BEEN DEDUCED BY PAD CLAIM.
pm wet Is YN®R FOIST EFFECTIVERAFYEXPEA1
m TYPE Of NITS_.
. .�% !OILY MIPSTBYT yRNRMSI UNITS
GBSALuawn EACH COMMENCE , 3,000,000 .
X CCMERS'SGENERALNEMD SPRESSEIER mimes) , 3,000,000
IOIAINf wm «CCR NEDE1oN,..,..., I 1, 000,000-
A 1213-2363 07/01/04 07/01/05 ; , 1,000,000
X COUNSELOR LIAR. 4104€14L AGGREGATE
, 1, 000,000 -
GEM ADtlIEMTE MGT AERIES PM PRODUCTS-DDNMNAGO , 5,000
POLICY n JM n LOC
�-^ MOLE
X
, 1, 000,000
ALLONNED AUTOS
NLEYNRMY
EEIFMRFDAOTOR D IPeMI
B BRDAMd 1757-711 07/01/04 7/01/05
BODILY NMI
NpIOMEOAVTOR IFInPdSEV
— J PROPERTY WM5E
B.QIFP.
GARAGE LI.VIIIY
AUTOONY.FAMEOFNf f
NIYAVIO MERMAN
S
AVTOOSLY.
A00 $
ECCEASIUMERELLA DROU^Y EACH OCCURRENCE $ 4,000,000
X C OLB CIAwAME AGGREGATE , 4,000, 000
9618-912 07/01/04 07/01/05
B DELOGTNIE $
RETFM M S ,
I GYYLSNTS I I PR
MTOMCOMEN4TKLMO
MLOYON'Ny{DY
LLFAC$IAC®FITTomareEcumOR
f
5L MEW-FA BILORE i
FIE.Y✓eRe.HR
,FLCNLPROMSBR9YAe El MEV.-POLICY TIM i
GTER 1213-263 07/01/04 07/01/05 $792,400
A Property
Ct.CRO1gNRRFAATKNi/IOCNTONFryNKLOIETCYYR1NAgmLY BC NNRIFFNW.ITDVs
CERTIFICATE HOLDER IS ADDITIONAL INSURED (CG 2026) AS RESPECTS GENERAL
LIABILITY ONLY IN CONNECTION WITH CONTRACT SERVICES PROVIDED BY THE INSURED
REPLACES CERTIFICATE ISSUED ON 6/23/04
CERTIFICATE HOLDER CANCELLATION
SWAIM.WY OF TIE MOVE C CCRNE0 POLICES NE CANCELLED SSFORE THE WNATR11
WELD COUNTY SOCIAL SERVICES DATE THEREOF.THE EWIG INSURER VELA ENDEAVOR TONI,I 30 CLAYS „TTE
ATTN: JUDY A. GREICO, DIRECTOR NOME TOILE CBITEICnn HOLDER NAMED OT,E LEFT,BUT TO CO,DExAL
P.O. BOX A
GREELEY, CO 80632 jearos�' "�"` MIpA IRON TIE NFDREIL Df AGEMi OR
•
i I �
ACORD25(2001/08) - DACORD CORPORATION MS
PROGRAM BUDGETS
PROGRAM ) Paren 4 ® IBPC) s„ MANU
A TOTAL HOURS, DAYS, OR EPISODES OF DIRECT SERVICE PER CLIENT in:410Ft 44.12,Aitti
B TOTAL CLIENTS TO BE SERVED
C TOTAL HOURS, DAYS, OR EPISODES OF DIRECT SERVICE FOR YEAR(A X B) • ,.;' 41444!"4:44,4.!104
D COST PER HOURS, DAYS, OR EPISODES OF DIRECT SERVICES ( E/C ) Ale et 's 44 AAA;
E TOTAL DIRECT SERVICE COSTS Ha ° fr
,•
F ADMINISTRATION COSTS NON-DIRECT ALLOCABLE TO PROGRAM ( ��� � � ���� �;i.4 .+ IteLb.
G OVERHEAD COSTS ALLOCABLE TO PROGRAM t r x°
H TOTAL DIRECT, ADMINISTRATION & OVERHEAD COSTS (E + F + G) tatfaM Etiffil
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM ® # '' aS" ; :gx., °
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM (H + I) -" ��� 'Sanaarwl S� �
K TOTAL HOURS, DAYS, OR EPISODES OF DIRECT SERVICE FOR YEAR ( C ) , uerat' ,
L RATE PER HOUR, DAY, OR EPISODE OF DIRECT, FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES (J / K) c ..tabitiati
- 6 .
COURT TESTIMONY FOR ALL PROGRAMS PER HOURz;5 ,°f `2
MANUAL BUDGET
DIRECT SERVICE COSTS
MANUAL BUDGET
Minim Budget Average Total %OF SALARY %OF SALARY sl
Degres #Of Salary Salaries/ 100% ALLOCATION AND ALLOCATION AND
DESCRIPTION Cert FTEs @ 1.0 FTE Benefits ALLOCATED TO PROGRAM OTHER COSTS TO PROGRAM OTHER COST
PROGRAM 1-)BT.' Parent Coach(HBPC)
TOTAL CLIENT HOURS OR DAYS PER PROGRAM 14 20'
TOTAL CLIENTS TO BE SERVED PER PROGRAM - 19 18
TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR ''' 260! ? ' -380
DIRECT LABOR FACE-TO-FACE POSITION.TITLE OR JOB FUNCTION
Clinician#1 ` > s:;� • ''�'`' 0.30 36,003.00 10 802.08 NO 25.0096 $2,701 4500% $4.861
-. r±�i�ti I.:-R,. ,,,,:iF4Oi•`.,::•fin:.:;:.'- 'rrr. :.zc
Clinician#2 �: 0.30 35,500.00 10,651.18 NO 30.00% $3,195 '5000% "" $5,326
,,.,.=
Treatment Manager -1';:;„*,•,•,..' :';::•: 4,fg' i`'t; '0.30 28,080.00 8,425 18 NO 40.00% $3,370
..-,• .,.... , :'. •.'fi""l:•i.r-. n�:r._..ar.,..: ei.:.,:r :.itt:b:�':s:r'T�i3.:3 i;
iT'y
r :f. h.
TOTAL DIRECT LABOR PER PROGRAM $29;878 $22.16 'J$5,896 $35.68 y;r R:$13,557
OTHER DIRECT COSTS PER PROGRAM FACE-TO-FACE
Cell Phones :'' ;6»i'�1.':•,::.,.�'.'..:1r4511ik' '" i $219.00 25.00% •$55 • 75% • $164
Mileage ... '8. .._. .1 $4,291.04 50.00% $2,146 50%x. .•$2,146
r ir,t$. Fi..,,Y,.• ei• r' �s'- E�7' �:':z:;.r ,..,,N„.,„.,,, - !• ' rr x• _ i',,' r ;
. •^;r.r>�: ,..m..a. J;.f,.yPGE:h.. •y�� � ,:.5.;.`l _ I r {fit'
.' ;.• • s7-'
�� �i... ..�;. ..;G.�'tia c;;i6G:.:inr�-•r.wy,:� !:.?,:...7.101 :...,,.,. �� .w
-',!r4-,-..a'';':''.V.1:::t :. : :'...-v.......a.w::y•.:r,i;:.xa:.;i.: ,;£`L iu"t:tiK.;dc ::
.-,.. .... i:i'•:rr. •r,k :iL'yY.37w.� 'saw<,�.'� ..i::v:.,2i:-««..w:r.x:.: , ,y;:. ...- ::Y
TOTAL DIRECT COSTS PER PROGRAM $8.27 52,200 $6.08 '; `i5y" $2,310
E GRAND TOTAL DIRECT SERVICE COSTS $30.44 . $8,096x. $41.75 � $15,866
MANUAL BUDGET
ADMIN COSTS NON-DIRECT
MANUAL BUDGET
Minimum Budget Average Total %OF SALARY , OF SALARY
Degree #01 Salary Salaries! 100% ALLOCATION AND ALLOCATION AND
DESCRIPTION or Cert FTEs @ 1.0 FTE Benefits ALLOCATED TO PROGRAM OTHER COSTS TO PROGRAM OTHER COSTS
PROGRAM `HB pr.': Parent Coach(HBPC;
TOTAL CLIENT HOURS OR DAYS PER PROGRAM 14 20
TOTAL CLIENTS TO BE SERVED PER PROGRAM 19 19
TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 266 380
DIRECT LABOR NOT FACE-TO-FACE
Administrative Staff `.: 0.30 28,900.00 10,230.60 75.00% 00% 2,046.12
Program Director "; " '.; �. 0.15 38,000.00 6,726.00 18.00% 1,210.68 2000% 1,345.20
K •L_.. s •
.k
i. S
ri F;
� �i t•+ E
r_.
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $33.4C $8;x$3' $8.92 $3 1 2`
OTHER DIRECT COSTS PER PROGRAM NOT FACE-TO-FACE
$0.00 50.00% $0.00
:: - >.:. ., `.. _ . ..,;..r s°`P, " :: 0% $0.00 50.00% $0.00
y• 50 0
>a 50 0
I i=:if,:: `�_ :} "*II I; , y i �7€ nr l•:• 5Q.00% • $0.00 50.00% $0.00
-li-in-p ° $0 00 so.o $o.00
s:f';. ,n. .t4:. z•`€•:.s •::•- ,ix.a•.4..., 50.00/o $D.00 50.00/o $0.00
, zr;I is .!.:.:::: 50.00% $0.00 50.00% $Q.00
.w `"`' n 50.0Q% $0.00 50.00% $0.00
.-.. : ..:_.._ �'......._,.,..,....-i......1>r..YL'.ii�irWw•fifi.JY.�:,.:=t.:�i1t^ .,...i,..:.. - :..... "..
TOTAL DIRECT COSTS PER PROGRAM $0.01. $0.00
F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $33.40 ,' $8,883.68 S8.92 $3,391.32
MANUAL BUDGET
OVERHEAD COSTS AND PROFITS
MANUAL BUDGET
TOTAL ALLOCATED ALLOCATED ALLOCATED
OVERHEAD 100% % OVERHEAD COSTS % OVERHEAD COSTS % OVERHEAD COSTS
DESCRIPTION COSTS ALLOCATED TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM
PROGRAM t r HBT , , ;Parent Coach(HBPC)
OVERHEAD
Miscellaneous :: $518,08 YE$ $515 50% '$259 50% $259
Data Communications&Telephone Service 771.54 YES i$772 50% $388 50% $388
Occupation .6,168.06 '. YES . $6,188 50% $3,084 50% $3,084
EgutpmentYease,Maintenance,&Repair '. 2174.48 >.YES .$2,174 50% $1,087
Computer&Orfce Supplies.: 2$7,12 YES !;$287 50% $1:19 50% $119
PnnUng&Postage ` $10,28 YES :`$310 50% $155, 50% $155
Insurance(commercial/umbrella) 910,08 YES ::.$910 50% $438 50% -$455
G TOTAL OVERHEAD COSTS `$41r09Qr , ',::-,:i';`, 45-54.s 5:;.
I TOTAL ANTICIPATED PROFITS :: s h`= -- i*
TOTAL OVERHEAD AND ANTICIPATED PROFITS ,,,. ,,�,�ws,111 09f $5;545` $0,545,
MANUAL BUDGET
Hello