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HomeMy WebLinkAbout20041737.tiff RESOLUTION RE: APPROVE TWENTY AGREEMENTS TO PURCHASE CHILD PLACEMENT AGENCY SERVICES 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 twenty Agreement to Purchase Child Placement Agency Services 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 the following providers,commencing July 1,2004,and ending June 30,2005,with further terms and conditions being as stated in said agreements, and 1. ABBA Family Services 11. Jacob Family Services 2. Adoption Alliance 12. Kids Resources Network, Inc. 3. Children's Network 13. Kidz Ark, Inc. 4. Colorado Family Services, Inc. 14. Lost and Found, Inc. 5. Commonworks D.B.A. Synthesis 15. Loving Homes, Inc. 6. Creative Beginnings 16. Lutheran Social Services of Colorado 7. Eagle Homes 17. PATH 8. Emily Griffith Center- Chins Up 18. Trinity Foster Care 9. Foster Care Connection 19. Youth Ventures, LLC 10. Hope and Homes 20. Hope Family Services WHEREAS,after review,the Board deems it advisable to approve said agreements,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 twenty Agreements to Purchase Child Placement Agency Services 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 the above listed providers be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreements. / \ 2004-1737 ee : SS 0.°0'z`� J SS0031 7-/5-ax'9 AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES - VARIOUS PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded,adopted by the following vote on the 28th day of June, A.D., 2004. BOARD OF COUNTY COMMISSIONERS E�f``� WELD COUNTY, COLORADO not MME Robert D. Masden, Chair d !, Clerk to the Board ,{ William rke, Pro-Tem Deputy Cler t• the Board M. eile O D AS TO C� David E. Long ttorn y Glenn Vaad Date of signature: %i9/y 2004-1737 SS0031 a re 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 11111,1 O • COLORADO MEMORANDUM TO: Robert D. Masden, Chair Date: June 16, 2004 Board of County Commissioners FR: Judy A. Griego, Director, Social Services J 0 Purchase Child Placement F: enc (CPA) RE: Agreements to g y( ) Services Between Weld County Department of Social Services and Various Vendors Enclosed for Board approval are Agreements to purchase Child Placement Agency (CPA) Services between the Weld County Department of Social Services and various vendors. These yearly Agreements are in accordance with Board approved policies of Sections 2.320 and 2.902.22 of the Weld County Department of Social Services Operations Manual. The Agreements were reviewed at the Board's Work Session of June 14, 2004. The major provisions of the Agreement are as follows: 1. The term begins July 1, 2004, and ends June 30, 2005. 2. The Department agrees to reimburse the vendors at a rate based on the Needs Based Care Assessment levels that include room, board, and treatment services. The vendors are as follows: A.ABBA Family Services K.Jacob Family Services B.Adoption Alliance L Kids Resources Network,Inc. C. Children's Network M.Kidz Ark,Inc. D. Colorado Family Services,Inc. N.Lost and Found,Inc. E. Commonworks D.B.A. Synthesis 0.Loving Homes,Inc. F.Creative Beginnings P.Lutheran Social Services of Colorado G.Eagle Homes Q.PATH H. Emily Griffith Center—Chins Up R.Trinity Foster Care I.Foster Care Connection S.Youth Ventures LLC J.Hope and Homes T.Hope Family Services If you have any questions, please telephone me at extension 6510. • 2004-1737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES a THIS AGREEMENT made this day of 2004 between the Board of Weld County Commissioners,sifting as the Board of Soc. Services, on behalf of the Weld County Department of Social Services,hereinafter called "County" and ABBA Family Services, 10995 Independence Circle East,Parker, CO 80134,hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services, hereinafter called"State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#6567. These services will be for children who have been deemed eligible for social services under the statutes,rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing,to terminate this Agreement,whichever event occurs first. 4. This Agreement maybe renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail,return receipt requested. If notice is so given,this contract shall terminate on the expiration of the thirty(30)days or until the eligible child can be placed elsewhere, whichever occurs Agreement to Purchase 1 A7,004—1737 Contract No: PY 04/O5-SS-23A-CPA earlier,and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance (food, shelter, clothing, educational supplies and allowance),Administrative Overhead, Case Management,Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological,Medication and follow-up,Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy,Polygraph, Plethysmograph,Parent Training for Teens,Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care,Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1.(F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility,the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 6567 ABBA Family Services 10995 Independence Circle East Parker, CO 80134 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/OS-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies(2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131),the contractor may obtain: 1)Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication,not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s)and the County,the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7)days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning,the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further,the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30)day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death,to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute,ordinance,or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered,using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan @EP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which maybe amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual,Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever,unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04!05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor, within five(5)calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term"litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase CPA Foster Care Services 8 Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) O Placed through a Vohmlary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed though a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the fact ity/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative O Cty CC Foster Care O Shelter Care O Substance Abuse Treatment ❑ CORE Services O Receiving Home O CPA O RTC O Cty regular Foster Care ❑ Day Treatment O Kinship Care O Group Home O Ind.Living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: • Therapeutic(Behavior Modification) O Secure ❑Other(Explain) Appropriate Counseling: ❑ Individual O Family O Group Appropriate Treatment: ❑ Sex Offender O Aggressive/Violent O Substance Abuse O Truancy O Victim Behavior O 0.y„ssion ❑ Self-destructive O Delinquency O Special Medical Needs O Behavior Modification O Anger Management ❑ Other (Explain) Appropriate Educational Services: ❑ Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring ❑ Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes arc not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansk,Administrator Signature of Person Authorized to Sign Agiccnm,t Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME 'STATE ID# SEX ITrails Case ID DOB ex WORKER COMPLETING ASSESSMENT Hll# DATE OF ASSESSMENT AGENCY NAME FPROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? O0)one a month ❑1)twice a month O2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑0)less than a'/hour per day ❑1)'h hour a day O2)more than%hour per day,up to 2 hours per day ❑3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention 01) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least 1 face to face contact per week and/or ongoing crisis intervention r 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑o)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month ❑3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation E 0 P 2 Therapy/Counseling ❑ P 3 Educational Intervention O P 4 Behavior Management ❑ 0 P 5 Personal Care 0 L A I Case Management 0 0 T 1 Therapeutic Services ❑ 0 lgreement to Purchase 10 WA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment Eke-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. ._. i _. I Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ' ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ O Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. EVEL OF PROVIDER SERVICES NEEDED(Average of P1 through P5) ERIOD 1:LEVEL# omments: EVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) EVEL # omments: EVEL OF THERAPY SERVICES NEEDED 01) EVEL # omments: PECIAL MEDICAL NEEDS: (Medically Fragile Children Only) • EVEL # omments: SCHEDULED RATE REVIEW: 'Initial Date: maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) • 0 Age 0.10...$11.47 Level 0...$4.56 Level 0 $4.93 Level 0 $0 Level 0 $0 0 Age 11-14...$12.89 (Minimal CPA involvement,no ;s. (Therapy not needed or provided (None) crisis intervention. Only doing t by another source,i.e.mental 0 Age 15-21...$13.91 what is necessary to maintain -s health.) monthly responsibility.) +3.66 Respite Care Level 1 $8.22 :: Level 1 $4.93 1 a Levell $2.99 $19.07 +j.66 Respite Care Level 1...$4.56 (Low level of case management,' (Regularly scheduled therapy, ($19.73) minimal crisis intervention,2-3 ! 4 hours/month.) contacts/month,minimal crisis =,qi intervention, 2-3 contacts/month.) s Level2 $11.51 � r Level2 $9.86 y 2 $25.64 (Moderate level of case (Weekly scheduled therapy, Level 2 $4.47 +3,66 Respite Care ) Level 2...$4.56 Management including 4-8 hours a month with 4 hours of ($26.30) Weekly support services, Group therapy.) Occasional crisis intervention, Face to face contact 1 time Per month.) Level3 $14.79 > Level3 $1479 3 $32.22e 32 22 (High level of case management (Regularly scheduled weekly +j,66 Respite Care ' Level 3...$4.56 - and CPA involvement with child multiple sessions,can include Level 3 $6.02 ($32.88) mre 1 person,i.e.fam crandisisprovider interventionincluding and faceongoing to theraapy,than for 8-12 hourslnanthlyily.) face contactt-2 time per week minimum.) ,' Level4 $18.08 Level4 $14.79 $39.45 RTC (High level of case management (Regularly scheduled weekly '.. Level 4 Neg. +$66 Respite Care ; Level 4...j4.56 and CPA involvement with child , multiple sessions,can include . Drop ($40 11) and provider,including on-going ; more than 1 person,i.e.family Down crisis intervention and face to + therapy,for 8-12 hours/monthly.) - face contact 2-3 times per week minimum) Assess. Assessment j '. 1 r Period Period $2630 ' period Tetra -Assessment Period $11.51 Assessment Period................ $0 (Includes Respite) Period $4.56 . Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 aoCV--/737 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: f �' /4 u ses, Weld County Clerk to the Board . , 'r4z ` WELD COUNTY BOARD OF SOCIAL SERVICES,ON BEHALF OF THE ''' _ , WELD COUNTY DEPARTMENT OF r AR SOCIAL SERVICES B}` Zet rm r z. /�ai By. 1,uty Clerk to the Board Robert> . asden,Chair JUN 2 8 2004 APPROVED AS TO FORM: CONTRACTOR County tto ey ABBA Family Services 10995 Independence Circle East Parker, CO 80134 BY01 ,i4C, _ WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: a i Direr or • • Agreement to Purchase 14 CPA Foster Care Services aoay—JYS7 Contract No: 1W 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES n Cie THIS AGREEMENT made thisa8 day of 2004 between the Board of Weld County Commissioners, sifting as the Board of Soci Services, on behalf of the Weld County Department of Social Services, hereinafter called"County" and Adoption Alliance, 2121 S. Oneda St, Suite 420,Denver, CO 80224,hereinafter called "Contractor". WHEREAS,the Colorado State Department of Social Services,hereinafter called"State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#71259. These services will be for children who have been deemed eligible for social services under the statutes,rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004, until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing,to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail,return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30)days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase 1 CPA Foster Care Services 0700 y-/737 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation, which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up,Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization, will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility,the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 71259 Adoption Alliance 2121 S. Oneda St, Suite 420 Denver, CO 80224 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective, non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County,the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven (7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status, which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning,the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further,the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30)day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least$25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death,to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance,or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered,using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two(2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation maybe by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever,unless embodied herein in writing. No subsequent notation,renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor, within five (5)calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term "litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placcuand Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. - O Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ in home services O Placement with Relative O Cty CC Foster Care O Shelter Care tment ❑ CORE Services O Receiving Home O CPA OORTC regular egul Abuse Care ❑ Day Treatment O Kinship Care 0 Group Home 0 Ind.Living 0 Cty r(Specify) ') Care O Other(Speeify) S. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: 0 Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: O Individual O Family O Group Appropriate Treatment: 0 Sex Offender ❑ Aggressive/Violent O Substance Abuse O Truancy O Victim Behavior 0 Depression ❑ Self-destructive O Delinquency cY 0 Special Medical Needs 0 Behavior Modification 0 Anger Management ❑ Other (Explain) Appropriate Educational Services: 0 Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Inde pendent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child Is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) • if the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip ;Worker Name) Date 31oria Romansk,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase PA Foster Care Services 9 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID IDOB Sex WORKER COMPLETING ASSESSMENT HI{# (DATE OF ASSESSMENT AGENCY NAME (PROVIDER NAME (PROVIDER CWEST II) ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? DO)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month ❑1)twice a month O2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ian? DO)less than a/2 hour per day 01)'/2 hour a day O2)more than'/:hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? O0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming, hysical,and/or occupational therapy? U0)less than 5 hours per week 01)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) I face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least I face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? O0)not needed or Provided by another source(i.e.Medicaid) 01)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 P 2 Therapy/Counseling 0 0 — ❑ P 3 Educational Intervention ❑ ❑ P 4 Behavior Management 0 c 0 P 5 Personal Care ❑ 0 A 1 Case Management an 0 T 1 Therapeutic Services 0 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. � .; I i. ) Ij' f eater ti .., .,_.w'',_.,e...,._. *zat Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (TI) LEVEL # Comments: SPECIAL MEDICAL NEEDS (Medically Fragile Children Only) LEVEL it Comments: NEXT SCHEDULED RATE REVIEW: itial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES ' NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) , �ni�Y , 4 +. [' O Age 0-10...$11.47 i Level 0...$4.56 .; Level 0 $4.93 Level $0 Level 0 $0 H. ri O Age 11-14...$12.89 ' ' (Minimal CPA involvement,no (Therapy not needed or provided (None) `:. crisis intervention. Only doing . by another source,i.e.mental Ls 0 Age 15-21...$13.91 what is necessary to maintain health.) till monthly responsibility.) . +$.66 Respite Care ; Di Level 1 $8.22 Level 1 $4.93 1 Level 1 $2.99 $19.07 +5.66 Respite Care Level 1...54.56 r (Low level of case management, (Regularly scheduled therapy, fiA ($19.73) minimal crisis intervention,2-3 ii,z, 4 hours/month.) contacts/month,minimal crisis intervention, 2-3 contacts/month.) . p Level2 $11.51 Level2 $9.86 2 $25.64 (Moderate level of case (Weekly scheduled therapy, ` 4.66 Respite Care Level 2...$4.56 r Management including 4-8 hours a month with 4 hours of Level 2 $4.47 ($26.30) ia. Weekly support services, Group therapy.) i • Occasional crisis intervention, ;„' §a Face to face contact 1 time ° . Per month.) 1 ifrii r. Level 3 $14.79 Level 3 $14.79 w "{ $3222 (High level of case management we(Regularly scheduledweekly 3 and CPA involvement with child multiple sessions,can include . Level 3 $6.02 +5.66 Respite Care Level 3...54.56 ($32• .88) �.d and provider including ongoing s ± more than 1 person,i.e.family prii '• crisis Intervention and face to therapy,for 8-12 hours/monthly.) P. face contactl-2 time per week minimum.) p rrs -3 " °{.Level4 $18.08 Level 4 $14.79 t; y w4;(High level of case management (Regularly scheduled weekly pin!` Level 4 Neg. $39.45 RTC ". and CPA Involvement with child multiple sessions,can include .. +$.66 Respite Care ! Level 4..44.56 Drop ($40 11 and provider,including on-going more than 1 person,i.e.family Down ) a`#E crisis intervention and face to -! therapy,for 8-12 hours/monthly.) le,, r face contact 2-3 times per week minimum.) 7 Assess. Assessment Period "'' Period $26.30 . period $4t50 ..Assessment Period........$11.51 r"Assessment Period $0 g (Includes Respite) a;'. Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day, month, and year first above written. , --"c%Id County Clerk to the Board if ,.: �` WELD COUNTY BOARD OF SOCIAL ( ��, SERVICES,ON BEHALF OF THE WELD COUNTY DEPARTMENT OF `r it? � SOCIAL SERVICES • 2� u� C By: \\) S\' ,", - eputy Clerk to the Board Robert D.I�fasden,Chair APPROVED AS TO FORM: JUN 2 8 2004 CONTRACTOR Co ty homey Adoption Alliance 2121 S. Oneda St, Suite 420 Denver, CO 80224 By:` . lc&a,y of. WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: au ,( Directo J Agreement to Purchase 14 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES THIS AGREEMENT made thisoco p lay of 2004 between the Board of Weld County Commissioners, sitting as the Board of Soc. Services, on behalf of the Weld County Department of Social Services, hereinafter called "County" and Children's Network, 7651 W 41st Ave, Suite 96, Wheat Ridge, CO 80033,hereinafter called "Contractor". WHEREAS,the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#77512. These services will be for children who have been deemed eligible for social services under the statutes,rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing,to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30)days notice by registered mail,return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase CPA Foster Care Services 1 cipo0di—/73] Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease, but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance),Administrative Overhead, Case Management,Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological,Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However, provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 77512 Children's Network 7651 W 41st Ave, Suite 96 Wheat Ridge, CO 80033 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71,2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays,the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor,including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7)days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further,the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services,the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held, participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate '. information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement,the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein, when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual,Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at rime of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds, whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation,renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care, which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor,within five (5) calendar days after being served with a summons,complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term"litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase CPA Foster Care Services 8 Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative ❑ Cty CC Foster Care O Shelter Care O Substance Abuse Treatment ❑ CORE Services O Receiving Home O CPA O RTC O Cty regular Foster Care ❑ Day Treatment O Kinship Care O Group Home O lad.Living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: ❑ Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual O Family O Group Appropriate Treatment: O Sex Offender ❑ Aggressive/Violent O Substance Abuse O Truancy O Victim Behavior O Depression ❑ Self-destructive O Delinquency O Special Medical Needs O Behavior Modification O Anger Management ❑ Other (Explain) Appropriate Educational Services: O Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goab are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) • If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX rails Case ID DOB Sex ,WORKER COMPLETING ASSESSMENT IIFI# 'DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? DO)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month ❑1)twice a month O2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? DO)less than a%:hour per day ❑1)'//hour a day ❑2)more than 1/2 hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily ❑3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? DO)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? DO) 1 face to face contact per month and/or no crisis intervention DI) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O 2) 2 face to face contacts per month and/or occasional crisis intervention ❑3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? DO)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 P 2 Therapy/Counseling 0 0 ❑ P 3 Educational Intervention [ ❑ 0 P 4 Behavior Management 0 0 0 P 5 Personal Care ❑ 0 0 A 1 Case Management [ ❑ 0 0 T 1 Therapeutic Services 0 ❑ ❑ 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. ! s i v d Yirvl : vii, ._......... ... ..... ..z......a......;......:..ei'.n�}a ,fia. I... a .,.,,..,..,......_.. _ _ Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ El Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ El Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 1113 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. .LEVEL OF PROVIDER SERVICES NEEDED(Average of Pl through P5) PERIOD 1:LEVEL# •Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED(11) LEVEL # Comments: SPECIAL MEDICAL NEEDS (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Ilnitial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) ._. .. ... l 0 Age 0-10...$11.47 Level 0...$4.56 Level 0 $4,93 Level 0 $0 w Level 0 $0 0 Age 11-14...$12.89 (Minimal CPA involvement,no j (Therapy not needed or provided (None) crisis intervention. Only doing by another source,i.e.mental 0 Age 15-21...$13.91 what Is necessary to maintain health.) ( monthly responsibility.) +$.66 Respite Care , t . 1 �u.. ? . Level 1 $8.22 Level 1 $4.93=-=. € Level 1......$2.99 $19.07 level of case management, (Regularly scheduled a +$.66 Respite Care ' Level 1...$4.56 (Low o therapy, ($19.73) ;+ minimal crisis Intervention,2-3 4 hours/month.) contacts/month,minimal crisis intervention, ) }.: 2-3 contacts/month.) Level 2 $11.51 Level 2 $9.86 2 EGz $25.64 r (Moderate level of case ` ' (Weekly scheduled therapy, , 4.66 Respite Care ,.: Level 2.......$4.47 Level 2...$4 56 Management including 4-8 hours a month with 4 hours of ($26.30) Weekly support services, Group therapy.) _ Occasional crisis intervention, ), ' Face to face contact 1 time )' Per month.) fi= Level3 $14.79 Level 3 $14.79 i , $32.22 (High level of case management (Regularly scheduled weekly 3 +$.66 Respite Care Level 3...$4 56 and CPA involvement with child ' multiple sessions,can include .: Level 3 $6.02 r ($32.88) er and provider including ongoing more than 1 person,i.e.family '3 crisis Intervention and face to : therapy,for 8-12 hours/monthly.) ;:. face contactt-2 time per week i 3 minimum.) #- t ' Level 4 $18.08 ';Level 4 $14.79, 4 t 3 „(High level of case management (Regularly scheduled weekly Level 4 Neg. $39.45 RTC +$.66 Respite Care Level 4...54 56 ` and CPA involvement with child multiple sessions,can include Drop 'r-,t and provider,including on-going more than 1 person,i.e.family • Down ($40.11) ;. r a. crisis intervention and face to therapy,for 8-12 hours/monthly.) face contactcontactI 2-3 times per ,) , week minimum.) ` i Assess. g. Assessment Assessment ° A :` Period Period $26.30 Period $4 56 'Assessment Period $11.51 Assessment Period $0 (Includes Respite) E wu a Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: P'(04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. T: 12,144144/1“4 Weld County Clerk to the Board -o: mil . % WELD COUNTY BOARD OF SOCIAL Jul ,se=, = ' SERVICES,ON BEHALF OF THE ''%ii�` WELD COUNTY DEPARTMENT OF � � SOCIAL SERVICES •• 11 By\ Zr L / By: I eputy Clerk to the Board Robert D.Masden,Chair JUN 2 8 2004 APPROVED AS TO FO • CONTRACTOR C ty omey Children's Network 7651 W 41st Ave, Suite 96 Whe 'dge, CO 80033 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: a rector ���JJJ • Agreement to Purchase 14 CPA Foster Care Services aooy—/737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES pa THIS AGREEMENT made this,X0 day ofC �/itt 2004 between the Board of Weld • County Commissioners, sitting as the Board of Soc. 1 Services, on behalf of the Weld County Department of Social Services, hereinafter called "County" and Colorado Family Services Inc., 1200 S Wadsworth#300, Lakewood, CO 80232-5434, hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services, hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#26885. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004, until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere, whichever occurs Agreement to Purchase CPA Foster Care Services 1 cuet1-/7S7 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease, but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management,Direct therapy and evaluation, which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up,Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility, with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However, provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 26885 Colorado Family Services Inc. 1200 S Wadsworth#300 Lakewood, CO 80232-5434 Agreement to Purchase CPA Foster Care Services 2 Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours,the Contractor will make every effort to notify the assigned caseworker, supervisor,or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays,the Contractor will contact the Emergency Duty Worker at the pager number (970)350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening,Diagnosis and Treatment Program. Agreement to Purchase CPA Foster Care Services 3 Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State, provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure, where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral)or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30)day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services,the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least$25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held, participation may be by teleconference. Agreement to Purchase CPA Foster Care Services 5 Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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 (B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions (federal, state, and local) terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein, when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04!05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual,Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation,renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care, which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover.from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor,within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Social Services' Director. The term"litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase S CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative O Cty CC Foster Care O Shelter Care ❑ CORE Services O Receiving Home O CPA O RTC O Substance Abuse TreatmentCare ❑ Day Treatment O Kinship Care O Group Home ❑ Cty regular Foster Care O Ind.Living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: ❑ Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual O Family O Group Appropriate Treatment: • O Sex Offender O Aggressive/Violent O Substance Abuse O Truancy ID Self-destructiveO Delinquency O Victim Behavior O Depression q h' O Special Medical Needs O Behavior Modification O Anger Management O Other (Explain) Appropriate Educational Services: ❑ Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) ) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature (Worker Name) Date City,State,Zip Gloria Romansik,Administrator Signature of Person Authorized to Sign Agrcu,,,ent Date Date Agreement to Purchase CPA Foster Care Services 9 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE BO SEX [Trails Case ID IDOB • Sex WORKER COMPLETING ASSESSMENT IHH# DATE OF ASSESSMENT AGENCY NAME (PROVIDER NAME (PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES I DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less Ell)2-3 trips a week ❑2)4-5 trips a week O3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? O0)one a month DI)twice a month O2)once a week O3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ian? O0)less than a'/ hour per day 01)%,hour a day O2)more than'/,hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? O0)less than 5 hours per week O1)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? O0)less than 5 hours per week Ell)5 to 10 hours per week ❑2) 11 to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention 01) 2-3 contacts per month(must include I face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) 01)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 0 P 2 Therapy/Counseling 0 0 0 0 P 3 Educational Intervention C 0 0 0 P 4 Behavior Management C 0 0 0 P 5 Personal Care 0 0 0 0 A 1 Case Management 0 0 0 0 T 1 Therapeutic Services 0 0 0 0 Agreement to Purchase CPA Foster Care Services 10 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) -RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. n f iii ' 1. 1 az F; • • gj Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ I ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/O5-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of PI through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(A1) LEVEL it Comments: LEVEL OF THERAPY SERVICES NEEDED(Ti) LEVEL # Comments: SPECIAL MEDICAL NEEDS (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: ihal Date: (maximum of 6 month intervals) Agreement to Purchase CPA Foster Care Services 12 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) g Age 0-10_41147 Level 0...$456 Level 0 $4.93 Level 0 $0 Level 0 $0 0 Age 11-14...512.89 " (Minimal CPA involvement,no (Therapy not needed or provided (None) crisis intervention. Only doing by another source,i.e.mental 0 s Age 15-21...$13 91 , ,` what is necessary to maintain health.) r! monthly responsibility.) v.t +5.66 Respite Care se€ §a; f 1 ,. Level 1 $8.22 �,Level 1 $4.93 $19.07 " Level 1 52.99 +$.66 Respite Care -) Level 1...54 56 (Low level of case management, (Regularly scheduled therapy, ($19.73) ' : minimal crisis intervention,2-3 4 hours/month.) contacts/month,minimal crisis 3 intervention, t a) 2-3 contacts/month.) t r s Level 2 $11.51 j Level 2 $9.86 2 $25.64 a, (Moderate level of case (Weekly scheduled therapy, 4.66 Respite Care Level 2...5456 ih Management including 4-8 hours a month with 4 hours of Level 2 $4.47 ($26.30) . Weekly support services, ! Group therapy.) Occasional crisis intervention r.a 1 Face to face contact 1 time ); €'y : Per month.) r '. Level 3 $14.79 Level 3 $14.79 t e(High level of case management } (Regularly scheduled t $32.22 '.. 9 weekly 3 +5.66 Respite Care •�? Leve13...S4.56 . and CPA involvement with child a multiple sessions,can include Level 3 $6.02 (332.88) ? and provider including ongoing more than 1 person,i.e.family e-4 crisis intervention and face to (:t therapy,for 8-12 hours/monthly.) -' : face contactt-2 time per week minimum.) i� Level 4 $18.08 Level 4 x ( t . $14.79 4 $39.45 (High level of case management (Regularly scheduled weekly Level 4 Neg. RTC I +5.66 Respite Care s Level 4...54.56 and CPA involvement with child 's multiple sessions,can include Drop ` ($40 11) and provider,including on-going more than 1 person,i.e.family Down - ' crisis intervention and face to k therapy,for 8-12 hours/monthly.) ....„. ci,: face contact 2-3 times per ;. 3 week minimum.) e `, Assess. Assessment . A; Period _ Period $26.30 fr Assessment : Assessment Period $11.51 Assessment Period $0 (Includes Respite) Period $4 56 a _tip 4. , L.+ Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. Weld County Clerk to the Board 1861 WELD COUNTY BOARD OF SOCIAL SERVICES,ON BEHALF OF THE WELD COUNTY DEPARTMENT OF Cu P a�. - v SOCIAL SERVICES By " Zit 2� , By: 0 t La__ Deputy Clerk to the Board Robert D.Masden,Chair APPROVED AS TO FO • JUN 2 8 2004 CONTRACTOR oun A omey Colorado Family Services Inc. 1200 S Wadsworth#300 • Lakewood, O 80232-5434 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: \ j" 3Direct " 1° or Agreement to Purchase CPA Foster Care Services 14 aooy-/7$7 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES • THIS AGREEMENT made this day of 2004 between the Board of Weld County Commissioners, sitting as the Board of Soc. Services, on behalf of the Weld County Department of Social Services, hereinafter called "County" and Commonworks D.B.A. Synthesis,PO Box 12528, Denver, CO 80212-0528, hereinafter called "Contractor". WHEREAS,the Colorado State Department of Social Services, hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#104085. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30)days or until the eligible child can be placed elsewhere, whichever occurs Agreement to Purchase CPA Foster Care Services 1 QV°9—/732 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance (food, shelter,clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up,Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization, will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility, with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider 1D#: 104085 Commonworks D.B.A. Synthesis PO Box 12528 Denver, CO 80212-0528 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71,2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication,not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure, where possible, permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status, which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological(mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning,the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further,the Contractor agrees to sequence reports to be received by the County fifteen (15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least$25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered,using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which maybe amended from time to time. 5. Monitor child's progress in accordance with the treatmenticase plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds, whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. . 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor, within five (5)calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term"litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy,reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contact signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Conmients: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative O Cty CC Foster Care O Shelter Care O Substance Abuse Treatment ❑ CORE Services O Receiving Home O CPA O RTC O Cty regular Foster Care ❑ Day Treatment O Kinship Care O Group Home O hid.living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: ❑ Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual O Family O Group Appropriate Treatment: . ❑ Sex Offender O AggressiveNiolent O Substance Abuse O Truancy O Victim Behavior O Depression ❑ Self-destructive O Delinquency O Special Medical Needs O Behavior Modification O Anger Management O Other (Explain) Appropriate Educational Services: O Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) • If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agr=meld Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) • IDENTIFYING INFORMATION CHILD'S NAME STATE ID# (SEX Trails Case ID DOB (Sex WORKER COMPLETING ASSESSMENT IHH# DATE OF ASSESSMENT AGENCY NAME (PROVIDER NAME (PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑l)2-3 trips a week ❑2)4-5 trips a week O3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month DI)twice a month O2)once a week O3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑0)less than a'A hour per day ❑1)%hour a day O2)more than'A hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? DO)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 0 P 2 Therapy/Counseling 0 0 O 0 P 3 Educational Intervention 0 0 0 0 P 4 Behavior Management [ 0 0 0 P 5 Personal Care C 0 0 0 A 1 Case Management 0 0 0 O T 1 Therapeutic Services 0 0 0 0 Agreement to Purchase CPA Foster Care Services 10 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. G i IE Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ • Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-S5-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of PI through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) • Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) I 1 .."-'".2r.t.' u F 4 t::' vet;&' "F#A-,d+I ,"' • g Age 0-10...511.47 Level 0...$4.56 Level 0 $4.93 Level 0 $0 Level 0 $0 o Age 11-14...$12.89 (Minimal CPA involvement,no (Therapy not needed or provided (None) ` crisis intervention. Only doing by another source,i.e.mental 0 : Age 15-21...$13.91 what is necessary to maintain health.) monthly responsibility.) .,, ` 34 +5.66 Respite Care ll Level 1 $8.22 Level 1 $4.93 1 $19.07 Levell $2.99 +$.66 Respite Care =,. Level 1...$4.56 (Low level of case management, (Regularly scheduled therapy, ($19.73) minimal crisis intervention,2-3 .y 4 hours/month.) zu ll ;74 contacts/month,minimal crisis ni'; intervention, Pi ii.4 2-3 contacts/month.) Level 2 $11.51 '`_. Level 2 $9.86 2 bi lin $25.64 r.ii (Moderate level of case (Weekly scheduled therapy, Level 2 $4.47 +5.66 Respite Care ° Level 2...$4.56 1 Management Including >, 4-8 hours a month with 4 hours of ($26.30) Weekly support services, Group therapy.) l; Occasional crisis intervention, Face to face contact 1 time I Per month. -� 1 r3' ry Level 3 $14.79 Level 3 $14.79 LA $32.22 (High level of case management 4 (Regularly scheduled weekly 3 +5.66 Respite Care Level 3...54.56 and CPA involvement with child :? multiple sessions,can Include Level 3 $6.02 ($32.88) _ and provider including ongoing more than 1 person,i.e.family crisis Intervention and face to therapy,for 8-12 hours/monthlY) • face contactl-2 time per week minimum.) I : $' Level 4 $18.08 Level 4 $14.79 (High level of case management (Regularly scheduled weekly Level 4 Neg. RTC $39.45 . and CPA involvement with child multiple sessions,can include +$.66 Respite Care Level 4...54.56 Drop and provider,including on-going more than 1 person,i.e.family Down V. (E40.t 1) ¢ crisis intervention and face to therapy,for 8-12 hours/monthly.) face contact 2-3 times per , week minimum.) Assess. Assessment Period Period $26.30 _ Assessment • x Assessment Period $11.51 Assessment Period $0 (Includes Respite) st Period $4.56 Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: 1W 04/05-SS-23A-CPA IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day, month, and year first above written. AllEST: lite/a/1a • , 1a . , Weld County Clerk to the Board `�• �` WELD COUNTY BOARD OF SOCIAL M I (( c: 1♦1 SERVICES,ON BEHALF OF THE WELD COUNTY DEPARTMENT OF `/ ►� SOCIAL SERVICES ^� (� ®� ice•, "VV y: — l By: Deputy Clerk to the Board Robert D.Masden,Chair APPROVED AS TO FORM: JUN 2 8 2004 �(� —� CONTRACTOR CounljtAttc�iney ezVeCommonworks D.B.A. Synthesis PO Box 12528 • Denver, CO 80212-0528 By@b-n......) isbj5atra. WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: `/ irector Agreement to Purchase 14 CPA Foster Care Services moo s1—'737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES g THIS AGREEMENT made this,c A day of Q,�004 between the Board of Weld County Commissioners, sitting as the Board of Soc. Services, on behalf of the Weld County Department of Social Services,hereinafter called "County" and Creative Beginnings, 7100 N. Broadway Unit 6-0,Denver, CO 80221,hereinafter called "Contractor". WHEREAS,the Colorado State Department of Social Services, hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#39342. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees,in writing, to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30)days notice by registered mail,return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30)days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase CPA Foster Care Services 1 owe V---47.37 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance),Administrative Overhead, Case Management,Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up,Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. My transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan,and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 39342 Creative Beginnings 7100 N. Broadway Unit 6-0 Denver, CO 80221 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION IL MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies(2.710.70, 2.710.71, 2.710.72,2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131),the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication,not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970)350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County,the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7)days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports, which address the child's physical condition, psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen(15)days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services,the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least$25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered,using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement,the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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 (B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions (federal, state, and local) terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual,Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor,within five(5)calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term"litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy,reorganizations and/or foreclosure. Agreement to Purchase CPA Foster Care Services tl Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected fee visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ hi home services O Placement with Relative O Cty CC Foster Care O Shelter Care O Substance Abuse Treatment ❑ CORE Services O Receiving Home O CPA O RTC O Cty regular Foster Care O Day Treatment O Kinship Care O Group Home O bid.Living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: O Thu.peutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: 0 Individual O Family O Group Appropriate Treatment: O Sex Offender O Aggressive/Violent O Substance Abuse O Truancy O Victim Behavior O Depression ❑ Self-destructive O Delinquency ❑ Special Medical Needs O Behavior Modification O Anger Management O Other (Explain) Appropriate Educational Services: ❑ Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan Is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) ' IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID DOB WORKER COMPLETING ASSESSMENT IIH# eX l 1ATE OF ASSESSMENT AGENCY NAME ROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES I DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week O3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month 01)twice a month O2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ilan? O0)less than a Y2 hour per day ❑1)Y2 hour a day O2)more than%hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to I0 hours per week O 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming, hysical,and/or occupational therapy? IVI)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) I face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least I face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) 01)less than 4 hours per month O2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation O O O O P 2 Therapy/Counseling O O O P 3 Educational Intervention O D O O P 4 Behavior Management O O O O P 5 Personal Care O O O O A 1 Case Management O O O O T 1 Therapeutic Services O O O O Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITTONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of PI through P5) PERIOD I:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (TI) LEVEL # Comments: SPECIAL MEDICAL NEEDS (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) • Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) - .. —... y gg ,3 �7 7.1 0 Age 0.10...$11.47 Level O...$4 56 Level $4.93 Level 0 $0 Level0 30 o . Age 11-14...$12.89 (Minimal CPA involvement,no (Therapy not needed or provided (None) .ry 3 crisis intervention. Only doing by another source,i.e.mental 0 a) Age 15-21...313.91 aj, what is necessary to maintain health.) (,' monthly responsibility.) 3 +$.66 Respite Care 5, Level 1 $8.22 ?Level 1 $4.93 1 519.07 c Levell $2.99 +5.66 Respite Care Level 1...54 56 's (Low level of case management (Regularly scheduled therapy, 11'S ($19.73) y minimal crisis intervention,2-3 4 hours/month.) Ni contacts/month,minimal crisis n Intervention, � ``1 2-3 contacts/month.) `. l,. Level 2 $11.51 Level 2 $9.86 2 ej $25.64 (Moderate level of case ?i (Weekly scheduled therapy, +$.66 Respite Care Level 2...54 56 r Management including I.# 4-8 hours a month with 4 hours of Level 2 $4.47 5 ($26.30) Weekly support services, Group therapy.) c Occasional crisis intervention, -j Face to face contact 1 time t Per month.) r a ; Level3 314.79 Level $14.79 (High level of case management I V • (Regularly scheduled weekly 3 F.1 $32.22 ' and CPA involvement with child multiple sessions,can include Level 3 $6.02 !,1, cl +S .66 Respite Care Level 3...$4.56 ; , (332.88) ,.i and provider including ongoing - more than 1 person,i.e.family crisis intervention and face to therapy,for 8-12 hours/monthly.) l face contactl-2 time per week. . 0 minimum.)? +It d t Level 4 $18.08 :Level 4 $14.79 I A111 x 4i $39.45 (High level of case management - (Regularly scheduled weekly Level 4 Neg. RTC .c and CPA involvement with child = multiple sessions,can include+$.66 Respite Care r+. Level 4...34.56 a Drop 4 (S40.11) f; ,and provider,including on-going more than 1 person,i.e.family Down ' crisis intervention and face to therapy for 8-12 hours/monthly.) ' 3 face contact 2-3 times per week minimum.) ' 44 Assess. ssess Assessment >;r Assessment Period Period $2630 Assessment Period $11.51 Assessment Period $0 d(Includes Respite) �` Period $466 i ax1 Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATT T: 4ts/411/4/1 lc, � `Weld County Clerk to the Board •► /4) 1 04: �` WELD COUNTY BOARD OF SOCIAL 11861 ( =' S SERVICES,ON BEHALF OF THE '%;A.1. ` WELD COUNTY DEPARTMENT OF N.-- �•e SOCIAL SERVICES r 4�.. tr SZL 6�Gi7 /&2, Byt•eputy Clerk to the Rob D.Masden,Chair APPROVED AS TO FO • JUN 2 8 2004 CONTRACTOR County ltorney Creative Beginnings 7100 N. Broadway Unit 6-0 Denver, CO 80221 By: gad WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: cjitetko a Directo Agreement to Purchase 14 CPA Foster Care Services aeo4/-/737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES a THIS AGREEMENT made this, W day ofQimu, 2004 between the Board of Weld County Commissioners, sitting as the Board of Soul Services, on behalf of the Weld County Department of Social Services,hereinafter called "County" and Eagle Homes, 1225 Redwood St, Fort Collins, CO 80524-2052, hereinafter called "Contractor". WHEREAS,the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS,County is authorized to purchase certain services for eligible children under State Department rules,and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS,Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#31058. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. • 3. This Agreement shall be in force from July 1,2004,until the end of the Colorado fiscal year,June 30,2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees,in writing, to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase CPA Foster Care Services 1 aoas/—/737 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter,clothing,educational supplies and allowance), Administrative Overhead, Case Management,Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological,Medication and follow-up,Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy,Polygraph, Plethysmograph,Parent Training for Teens,Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility,including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 31058 Eagle Homes 1225 Redwood St Fort Collins, CO 80524-2052 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies(2.710.70, 2.710.71, 2.710.72, 2.710.73,2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131),the contractor may obtain: 1)Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication,not through phone mail messages. 3. During regular work hours,the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970)350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical,surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s)should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County,the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening,Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State, provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven (7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further,the Contractor agrees to sequence reports to be received by the County fifteen (15)days prior to judicial or administrative hearings or reviews when provided with thirty(30)day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury,including death,to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance,or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered,using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services ti. ' Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions(federal,state, and local)terminated for cause or default. • SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual,Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them,contemplated by this Agreement is that of employer-independent contractor. No agent, employee,or servant of Contractor shall be deemed to be an employee, agent,or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part,is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission,error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PI'04/O5-SS-23A-CPA of Colorado,Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments' under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor,within five(5) calendar days after being served with a summons,complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term "litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: Legal Status of Child. (Mark appropriate box) ❑ Placed through a Vohmtary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child am: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? ❑ Yes ❑No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ hi home services O Placement with Relative O Cty CC Foster Care 0 Shelter Care ❑ Substance Abuse Treatment ❑ CORE Services ❑ Receiving Home ❑ CPA ❑ RTC O Cty regular Foster Care ❑ Day Treatment ❑ Kinship Care 0 Group Home O hid.living ❑ Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: 0 Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: Individual O Family 0 Group 'Appropriate Treatment: 0 Sex Offender O Aggressive/Violent 0 Substance Abuse ❑ Truancy ❑ Victim Behavior ❑ Depression ❑ Self-destructive O Delinquency ❑ Special Medical Needs ❑ Behavior Modification ❑ Anger Management ❑ Other (Explain) Appropriate Educational Services: 0 Special Ed. ❑ Public School 0 Day Treatment ❑ On-grounds School ❑ Additional Tutoring 0 Independent living Training 0 Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) 0 it has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date g>Dt_ D6e.of clear/4 Gloria Romansik,Administrator Signature of Person Auth ed ign A®c..un.nt ✓f"/�/pfr Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: FY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID DOB Sex WORKER COMPLETING ASSESSMENT HH# DATE OF ASSESSMENT AGENCY NAME IPROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? O0)one a month ❑1)twice a month O2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ian? 00)less than e%hour per day 01)'A hour a day O2)more than'A hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? O0)less than 5 hours per week ❑1)5 to 10 hours per week O 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming, hysical,and/or occupational therapy? 00)less than 5 hours per week ❑1)5 to 10 hours per week ❑2)11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention ❑3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month O2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 2 Transportation P 2 ThenpY/Connsding P 3 Educational Intervention P 4 Behavior Management ❑ O O A 5 Personal Care [] [� A 1 Case Management ❑ ❑ T 1 Therapeutic Services O O Agrcvnn..nt to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS • NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: [Initial Assessment ORe-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ 0 ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ 0 0 0 Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ 0 0 ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ 0 ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: D ❑ 1 0 0 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT • (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of PI through P5) PERIOD I:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED(TI) LEVEL # Comments: SPECIAL MEDICAL NEEDS (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services • Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) 0 Age 0-10...$11.47 Level 0...$4.56 Level 0 $4.93 Level 0 $0 Level 0 SO Age 11-14...$12.89 (Minimal CPA involvement,no p (Therapy not needed or provided (None) crisis intervention. Only doing by another source,i.e.mental 0 Age 15.21._$13.91 ? what is necessary to maintain , 1 health.) monthly responsibility.) I: +$.66 Respite Care i.-; � . ; Level 1 $8.22 HI Level 1 $4.93 1 $19.07 I Level 1 $2.99 4.66 Respite Care Level 1...$4.56 (Low level of case management ' (Regularly scheduled therapy, ($19.73) _ - minimal crisis intervention,2-3 4 hourshnonth.) i contacts/month,minimal crisis intervention, 2-3 contacts/month.) } Level 2 $11.51 .'i Level 2 $9.86 • 2 $25.64 (Moderate level of case ('M (Weekly scheduled therapy, Level $4.47 4.66 Respite Care ' Level 2...$4.56 Management including „( 4-8 hours a month with 4 hours of ; ($26.30) Weekly support services, Group therapy.) Occasional crisis intervention, rr Face to face contact 1 time Per month.) Level3 $14.79 Level 3 $14.79 $32 22 (High level of case management - (Regularly scheduled weekly 3 +j,66 Respite Care Level 3...$4.56 and CPA involvement with child multiple sessions,can include Level 3 $6.02 ($32.88) , and provider including ongoing more than 1 person,i.e.family crisis intervention and face to `' therapy,for 8-12 hours/monthly.) face contactl-2 time per week minimum.) 3 ti Level 4 $18.08 {Level 4 $14/9 4 539.45 :(High level of case management (Regularly scheduled weekly Level 4 Neg. RTC +$.66 Respite Care Level 4...$4.56 and CPA involvement with child , multiple sessions,can include Drop ($40.11) and provider,including on-going more than 1 person,i.e.family Down crisis intervention and face to therapy,for 8-12 hours/monthly.) face contact 2-3 times per week minimum.) 7 Assess. Assessment Period Period......$26.30 ,- ASSBSSrrl$4 ?.Assessment Period $11 51 r Assessment Period $0 (Includes Respite) ., Period $4.56 4 Effective 10/01/01 Agreement to Purchase 13 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day, month, and year first above written. a ATTEST: r '-_` Weld County Clerk to the Board Art I WELD COUNTY BOARD OF SOCIAL �,�.1 I` SERVICES,ON BEHALF OF THE 1861 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES V- Pit`Cse O otri-- \h\kb ,4aU' r -Zl«� By: k -- eputy Clerk to the Board o .Masden,Chair JUN 2 8 2004 APPROVED AS TO FO • CONTRACTOR County Att rney Eagle Homes 1225 Redwood St • Fort Collins, CO 80524-2052 By: .e-- Dmeant or oMC4T1os6 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: , / Q DirtAit Agreement to Purchase 14 CPA Foster Care Services a oo l- /7S7 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES not THIS AGREEMENT made this(ges day of jg 2004 between the Board of Weld County Commissioners, sitting as the Board of So Services, on behalf of the Weld County Department of Social Services,hereinafter called "County" and Emily Griffith Center- Chins Up, 14142 Denver West Pkwy, Suite 225,Lakewood, CO 80401,hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#1510565. These services will be for children who have been deemed eligible for social services under the statutes,rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year, June 30,2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30)days notice by registered mail,return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase 1 CPA Foster Care Services ceoov_/73; Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance),Administrative Overhead, Case Management,Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up,Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph, Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. My transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However, provisions for payment of other transportation may be provided for in the treatment/ease plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 1510565 Emily Griffith Center- Chins Up 14142 Denver West Pkwy, Suite 225 Lakewood, CO 80401 Agreement to Purchase 2 CPA Foster Care Services • Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2) Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication,not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays,the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective, non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven (7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible, permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and • behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen (15)days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase CPA Foster Care Services 5 Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions(federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein, when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee,or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever,unless embodied herein in writing. No subsequent notation,renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: • A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor,within five (5)calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term"litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy,reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: I. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative Involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative O Cty CC Foster Care O Shelter Care O Substance Abuse Treatment ❑ CORE Services O Receiving Home O CPA O RTC O Cry regular Foster Care ❑ Day Treatment O Kinship Care O Group Home O Ind.Living ❑ Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: ❑ Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual O Family O Group Appropriate Treatment: ❑ Sex Offender O Aggressive/Violent O Substance Abuse ❑ Truancy O Victim Behavior O Depression ❑ Self-destructive ❑ Delinquency O Special Medical Needs O Behavior Modification ❑ Anger Management ❑ Other (Explain) A propriate Educational Services: 0 Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# EX trails Case ID IDOB I Sex WORKER COMPLETING ASSESSMENT rI# 1DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑I)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? DO)one a month ❑l)twice a month O2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ian? O0)less than a'''hour per day 01)'A hour a day O2)more than%,hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? ❑0)less than 5 hours per week O1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) I face to face contact per month and/or no crisis intervention O 1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention ❑3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) 01)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 0 P 2 Therapy/Counseling 0 ❑ 0 ❑ P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management 0 0 0 0 P 5 Personal Care 0 0 0 0 A 1 Case Management [ 0 0 T 1 Therapeutic Services [ ❑ 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. F� � = t 1 Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 0 ❑ Delinquent Behavior ❑ ❑ ❑ ❑ . Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 Di ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED(Tl) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: 'Initial Date: (maximum of 6 month intervals) agreement to Purchase TA Foster Care Services 12 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) L.1 Ws11 0 i., Age 0-10...$11.47 Level 0...$4.56 r. Level 0 $4.93 C Level 0 $0 Level o $0 o .• Age 11-14...$12.89 � (Minimal CPA involvement,no i (Therapy not needed or provided , (None) I t crisis intervention. Only doing by another source,i.e.mental Age 15-21...$13.91 - what is necessary to maintain , health.) o monthly responsibility.) t +$.66 Respite Care , 's i Level 1 $8.22 ALevel 1 $4.93 1 $19.07 `� 'III rt Levell $2.99 +$,66 Respite Care Level 1...$4.56 ;.(Low level of case management, (Regularly scheduled therapy, - minimal crisis Intervention,2-3 4 hours/month.) it ($19.73 .. contacts/month,minimal crisis �1 r^ Intervention 2-3 contacts/month.) l Ni ?Level2 $11.51 &Level2 $9.86 r ri 2 ,.F $25.64 d (Moderate level of case (Weekly scheduled therapy, Level 2 $4.47 +$.66 Respite Care Level 2...$4.56 �! Management including RI 4-8 hours a month with 4 hours of kl ($26.30) Weekly support services, ' Group therapy.) Occasional crisis intervention, u.k Face to face contact 1 time •4 • Per month.) w Level 3 $14.79 Level 3 $14.79 I ' I '(High level of case management ; (Regularly scheduled weekly LI 3 i $32.22 e.4 . and CPA involvement with child .( multiple sessions,can include b Level 3 $6.02 , +$,66 Respite Care . Level 3...$4.56 and provider including ongoing more than 1 person,i.e.family 3 ($32.88) '? crisis intervention and face to therapy,for 8-12 hours/monthly.) ;,.. '� `. face contactl-2 time per week .a 1: I ,, minimum.) °{9{ ;'a ii I 3 ( Level 4 $18.08 ,_, Level 4 $14.79 i 4 ,(High level of case management (Regularly scheduled weekly '7,.ii Level 4 Neg. RTC $39.45 £ 'r and CPA involvement with child '1 multiple sessions,can include '? +$.66 Respite Care Level 4...$4.56 ' Drop ($40 11) and provider,including on-going:,I more than 1 person,I.e.family 's Down crisis intervention and face to .4 therapy,for 8-12 hours/monthly.) 4 face contact 2-3 times per I ' I ,4,, - week minimum) 1 Assess. A Assessment Assessment pp Period Period $26.30 Assessment Period $11.51 Assessment Period $0 F F1 (Includes Respite) Period $456 _,,, 3 Effective 10/01/01 Agreement to Purchase 13 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Midetth Weld County Clerk to the Board WELD COUNTY BOARD OF SOCIAL SERVICES,ON BEHALF OF THE 1e61 ( = _ =' WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: l ?,,,,S) e6 ‘Wel).\).---- eputy Clerk to the Board Robert D.Masden,Chair JUN 2 8 2004 APPROVED AS TO FORM- CONTRACTOR County Atto Bey Emily Griffith Center- Chins Up 14142 enver West Pkwy, Suite 225 woo , • : 4 tj'Itl(�I WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By:, Ad) Direct - Agreement to Purchase CPA Foster Care Services 14 aoa y—/737 Contract No: PY 04/05-SS-23A-CPA • AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES THIS AGREEMENT made thistday o 2004 between the Board of Weld County Commissioners, sitting as the Board of So I Services, on behalf of the Weld County Department of Social Services, hereinafter called "County" and Foster Care Connection, 4860 Robb St., Suite 203, Wheatridge, CO 80033, hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#45079. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004, until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement, whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere, whichever occurs Agreement to Purchase 1 CPA Foster Care Services 0760'i-7737 Contract No: PY 04/05-SS-23A-CPA _ earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility, with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider]D#: 45079 Foster Care Connection 4860 Robb St., Suite 203 Wheatridge, CO 80033 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA • 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2) Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours,the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s) must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure, where possible, permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status, which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports, which address the child's physical condition,psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further,the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2) weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein, when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term"litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). O Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative ❑ Cty CC Foster Care O Shelter Care O Substance Abuse Treatment O RTC O CORE Services O Receiving Home O CPA O Cty regular Foster Care ❑ Day Treatment O Kinship Care O Group Home O Ind.Living (Spe cify) O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: O Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual O Family O Group Appropriate Treatment: ❑ Sex Offender O AggressiveNiolent O Substance Abuse O Truancy O Victim Behavior O Depression ❑ Self-destructive O Delinquency O Special Medical Needs O Behavior Modification O Anger Management ❑ Other (Explain) Appropriate Educational Services: ❑ Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID rOB ISex WORKER COMPLETING ASSESSMENT HH# IDATE OF ASSESSMENT AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week O3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? DO)one a month ❑1)twice a month O2)once a week O3)2 or more times a week P 3. How much time is the provider required to Intervene at home and/or at school with the child In conjunction with a regular or special education plan? ❑0)less than a'/:hour per day ❑1)%:hour a day O2)more than'/hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month O2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 0 P 2 Therapy/Counseling 0 0 0 0 P 3 Educational Intervention 0 0 0 0 P 4 Behavior Management ❑ 0 O 0 P 5 Personal Care 0 0 0 0 A 1 Case Management 0 0 0 0 T 1 Therapeutic Services 0 0 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination - Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. 4141i Wikiiiiirtratigi ;:with itiovv4; Trtmaypitir, --r-.9.40.imimu,•,lama", gx,„,,,-„,„„w, „cm , , , '3. , P'1-cili ?,;,-!.,.. 'law t 0 .groped i irtio ri Air s -1 ; it.44 t;Iteraprorcronnti;tit 1 ! i 14i ! I ' ,4,,dip dr,', 1,pki, qi d:€-'i; Iffelettilati t i 71-14'4i i i}ill so WeaMMISTORWlatill, rir+144 41;"}142!1:nagleali:L.itis!i. 1; " 4 g.1111.- ' 47 , Ala L iFirm t lot ol ' - J6 a9 1lffil 1 diYii 1 ti ' Aggression/Cruelty to Animals El El ❑ ❑ Verbal or Physical Threatening El El ❑ El Destructive of Property/Fire Setting ❑ El El El Stealing El El El El Self-injurious Behavior ❑ El El El Substance Abuse El El ❑ ❑ Presence of Psychiatric El El El El Enuresis/Encopresis El El El El Runaway El El El El Inappropriate Sexual Behavior El El El El Disruptive Behavior El El El El Delinquent Behavior El ❑ ❑ ❑ Depressive-like Behavior El El El ❑ Medical Needs ❑ El El El Emancipation El El El ❑ Education El El El El Involvement with Child's Family El El El El CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 El ❑ 2 ❑ 3 (check level of need) Agreement to Purchase CPA Foster Care Services 11 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: itial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates ' (Attachment C) 6 0 6 0 1. t1111. 1:111 1 O.' 711 .. I. e o t r t w Y s , �qa ' il;;i4:1:1, ..:111.il.;;;;;,,:gia. II; `t t�, � v31i 9� I. ,d i I - 111i t •i•It� ° t ,° t I33t e3�old tt S" It° ° 'I 3 3 M� 3�" it . . . - ° 3�34I tl.`k 31st} a � i9it 1411 0 Age 0-10...$11.47 Level 0...$4,56 Level 0 OE $4.93 Level 0 $0 Level 0 $0 aill Age 11-14...$12.89 (Minimal CPA involvement,no ) o fri crisis intervention. Only doing (Therapy not needed or provided (None) n by another source,i.e.mental ,11 0 Age 15-21...$13.91 : what is necessary to maintain health.) monthly responsibility.) +$.66 Respite Care it PE Mi. tad thi ira It§ Level 1 $8.22 Level 1 $4.93 1 $19.07pp Level $2.99 +$.66 Respite Care Level 1...$4.56 (Low level of case management, (Regularly scheduled therapy, ($19.73) minimal crisis intervention,2-3 VI 4 hours/month.) contacts/month,minimal crisis 101 r intervention, qii, 2-3 contacts/month.) Levell $11.51 Level $9.86 2 igo $25.64 (Moderate level of case (Weekly scheduled therapy, Ito 4,1 +$.66 Respite Care Level 2...$4.56 Management including 4-8 hours a month with 4 hours of Level 2 $4.47 ll i!il ($26.30) Weekly support services, Group therapy.) gli rt IN Occasional crisis intervention, RIF rtg Face to face contact 1 time ll Per month.) Level 3 $14.79 Level 3 $14.79 1,1 3 $32.2211: (High level of case management (Regularly scheduled weekly +$.66 Respite Care Level 3...$4.56 go and CPA involvement with child multiple sessions,can include Level 3 $6.02 ($32.88) and provider including ongoing more than 1 person,i.e.family pa crisis intervention and face to therapy,for 8-12 hours/monthly.) 31, face contactl-2 time per week DO IP ir minimum.) Fri 4. s is Et Level4 $18.08 L Level4 $14.79'.In mi 4 .3 1 (High level of case management (Re ularl scheduled weekly Level 4 Neg.$39.45 9 Y +$.66 Respite Care Level 4...$4.56 and CPA involvement with child multiple sessions,can include IN Drop ($40.11) and provider,including on-going more than 1 person,i.e.family TA Down crisis intervention and face to igi therapy,for 8-12 hours/monthly.) IN I. face contact 2-3 times per iti week minimum.) Illa PI Assess. Assessment IL Assessment1141 Period Period $26.30 Period $4 56 Assessment Period $11.51 Assessment Period $0 (Includes Respite) Pi aid lit thit Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTE T: "'lidf I ,ass`eld County Clerk to the Board e �‘ I �':�•�f� ` WELD COUNTY BOARD OF SOCIAL I t.J �,� SERVICES,ON BEHALF OF THE `r Ff `� SOCIAL SERVICES D COUNTY DEPARTMENT OF J / :— '4i _ C / By: Deputy Clerk to the Board Robert D.Masden,Chair APPROVED AS TO FORM: JUN 2 8 2004 CONTRACTOR County Atto ey Foster Care Connection 4860 Robb St., Suite 203 Wheatrid e, CO 800 J„—By: kJ WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: , jat , irector r U v Agreement to Purchase CPA Foster Care Services 14 d o0 1—/7'37 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES tt THIS AGREEMENT made this xi lay of 2004 between the Board of Weld County Commissioners, sitting as the Board of Soci Services, on behalf of the Weld County Department of Social Services,hereinafter called "County" and Hope and Homes, 620 Southpointe Ct., Colorado Springs, CO 80906,hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#29867. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004, until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase CPA Foster Care Services 1 c-Veo Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include, but are not limited to: Basic 24-hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation, which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph, Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility, with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 29867 Hope and Homes 620 Southpointe Ct. Colorado Springs, CO 80906 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2) Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective, non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening,Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven (7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status, which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports, which address the child's physical condition, psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least$25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received, payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held, participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which maybe amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor,within five(5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Social Services' Director. The term "litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy,reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? 0 Yes 0 No Number of times per week expected far visits? 0 Will transportation for visits be provided by the facility/provider listed below? 0 Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services 0 Placement with Relative 0 Cty CC Foster Care 0 Shelter Care 0 Substance Abuse Treatment ❑ CORE Services 0 Receiving Home 0 CPA 0 RTC 0 Cty regular Foster Care ❑ Day Treatment 0 Kinship Care 0 Group Home 0 Ind.Living 0 Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: ❑ Therapeutic(Behavior Modification) 0 Secure 0 Other(Explain) Appropriate Counseling: ❑ Individual 0 Family ❑ Group Appropriate Treatment: ❑ Sex Offender 0 Aggressive/Violent 0 Substance Abuse 0 Truancy 0 Victim Behavior ❑ Depression ❑ Self-destructive 0 Delinquency 0 Special Medical Needs 0 Behavior Modification ❑ Anger Management ❑ Other (Explain) Appropriate Educational Services: ❑ Special Ed. 0 Public School 0 Day Treatment ❑ On-grounds School 0 Additional Tutoring 0 Independent Living Training 0 Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) 0 It has been determined that this child Is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) 0 Yes 0 No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID 1DOB Sex WORKER COMPLETING ASSESSMENT HH# 1ATE OF ASSESSMENT AGENCY NAME PROVIDER NAME rROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? DO)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week 03)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? DO)one a month DI)twice a month 02)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑0)less than a 1/2 hour per day 01)'A hour a day 02)more than'/2 hour per day,up to 2 hours per day 03)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑l)5 to 10 hours per week 0 2)at least daily 03)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming„pphysical,and/or occupational therapy? ION)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week 03)21 or more hours per week A 1. How often is CPA case management required? 00) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention 02) 2 face to face contacts per month and/or occasional crisis intervention ❑3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month 03)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 0 P 2 Therapy/Counseling 0 0 0 0 P 3 Educational Intervention 0 0 0 0 P 4 Behavior Management 0 0 0 0 P 5 Personal Care 0 0 0 0 A 1 Case Management 0 0 0 0 T 1 Therapeutic Services 0 ❑ 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination - Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. if 4 f: 1 I - ) t h, 11 N° 9 -� {"' i s alb• :11,'•••ltIPI ,,;I ;ay l i r " ell ;rt ''' : ��: 1 1 i y : • '. 'I IL,' y�� `iiC ih eel ° wwtt ' 1',"4 .� +Maes:� .,.a: :a �.i a w ,ad.'+. i , d.s vua� i ��_e,, ,,,,,,trs l"5:#v. J A S,: klir> R, a § r i .v,11 _ Celia. e ' ;I ' AV `.4 "5111 a 1/4i .AI n x, b i rI 41 a ri q R iii o- ,. . i •i it Y C 1 k..w , ,r:414.!t,f,fill'wqrstolegoill 4A; u.— d�,iway....,�1 !�: do i. 9..,.R w 2;13. .1 .3 t r Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 El ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Tl) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: ritial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE • Calculated as Dally Rates (Attachment C) v^, n h .;n u ' }°-• �F Ilia" - �}, i I p h�. it i , v 3"so- ,ry '9 ht; ill!!!� 1 j•,i y .� 1* q r t ,,,s,*,t i4 i , J €.il J1 tLL11 ;ill} , � �.r, , t� „�0. 60, r 'd- ' �) 1 igi 1449 ra6ix_.. I ull r r 1 a pi l :" . O i3; k � I,, I,f t: ,y�,�,t t !,: , ° . 'u 4 J " ' li E d illigi ' °5' tL1 il ' '" . eiiirasrJprsaamllaLI , f,�;x ,a t q Pa 0 Age 0-10...$11.47 Level 0...$4.56 Level 0 $4.93 1,4 Level 0 $0 J:ti Level 0 $0 r Age 11-14...$12 89 f' y (Minimal CPA involvement,no 1.4 ) 0 bi$ a" (Therapy not needed or provided (None) ri! k crisis intervention. Only doing by another source,i.e.mental "a,: 0 Age 15-21...$13.91 .R what is necessary to maintain ii; health.) : Ill 1 monthly responsibility.) (� ra. i, +$.66 Respite Care { I°I r:p s., iq lli i - Level t $8.22 J*.:Level l $4.93 i 1 `r ien• $19.07 ( i it a Level 1 $2.99 +5.66 Respite Care Level 1...$4.56 ,i'(Low level of case management,tiq (Regularly scheduled therapy, l ti lit' ($19 73) :;S minimal crisis intervention,2-3 J 4 hours/month.) I contacts/month,minimal crisis N 9Ill 1 }Pi intervention, na ;. 2-3 contacts/month.) r1 } i r" 'i y.:Level 2 $11.51 •-.Level 2 $9.86.,, p 2 • $25.64 1 (Moderate level of case (Weekly scheduled therapy, )p r Level 2 $4.47 +5.66 Respite Care it Level 2...$4.56 r Management including a 4-8 hours a month with 4 hours of r ($26.30) y Weekly support services, 4 Group therapy.) nl Occasional crisis intervention, ;h Iti 1. ' ,I;. Face to face contact 1 time ri i J.,, P. Per month.) f Eii o¢ Yi v as Level 3 $14.79 '! Level 3 $14.79 f G •1 t r, f ; 03 1: $32.22 ;(High level of case management l c, (Regularly scheduled weekly ik 3 +$.66 Respite Care Level 3...$4.56 iii and CPA involvement with child tit multiple sessions,can include y„ Level 3 $6.02 ($32.88)iff t and provider including ongoing ir,i } more than 1 person,i.e.family Of crisis intervention and face to i, therapy,for 8-12 hours/monthly.) t pa } face contactl-2 time per week , ". t, minimum.) a`+ i t It l' CPI 1.1 a Level4 $18.08 i; Level4 $14.79 .I p, 1)3 4 $3945 d (High level of case management;II (Regularly scheduled weekly Level 4 Neg. RTC .J 1 and CPA involvement with child i multiple sessions,can include it +5.66 Respite Care 0 Level 4...54.56 :.I Drop wie.. ($40 11) �I ` • and provider,including ongoing more than 1 person,i.e.family 44 Down I crisis intervention and face to :} therapy,for 8-12 hours/monthly.) la fp c face contact 2-3 times per141 week minimum.) y qt9 it r til Assess. Assessment ' Assessment Period a Period (Includes Respite) I0 , Period rt4 56 ,t Assessment Period $11.51 Assessment Period $0 Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEs• 40� Si,eld County Clerk to the Board may, •O, ' ' WELD COUNTY BOARD OF SOCIAL I SERVICES,ON BEHALF OF THE WELD COUNTY DEPARTMENT OF Pr"' S SOCIAL SERVICES ( 1-:17,711 By: \!\k„,,D.__ Deputy Clerk to the Board Robert D.Masden,Chair JUN 2 8 2004 APPROVED AS TO FORM: CONTRACTOR County Attomey Hope and Homes 620 Southpointe Ct. Colorado Springs, CO 80906 By: WELD COUNTY DEPARTMENT fit"-a_ OF SOCIAL SERVICES By: irector� C VVVVVV VV Agreement to Purchase CPA Foster Care Services 14 Goo 51—/737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES THIS AGREEMENT made thisaK day o 2004 between the Board of Weld County Commissioners, sitting as the Board of Soc. 1 Services, on behalf of the Weld County Department of Social Services, hereinafter called "County" and Jacob Family Services, 1819 Birch Ave, PO Box 160, Greeley, CO 80632,hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services, hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#71260. These services will be for children who have been deemed eligible for social services under the statutes,rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004, until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given,this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase 1 CPA Foster Care Services O2005/-1737 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management,Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological,Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility, with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 71260 Jacob Family Services 1819 Birch Ave,PO Box 160 Greeley, CO 80632 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies(2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2) Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective, non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status, which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition, psychological and social functioning,the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen (15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2) weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held, participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term"litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? ❑ Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative ❑ Cty CC Foster Care O Shelter Care O Substance Abuse Treatment O CORE Services O Receiving Home O CPA O RTC O Cty regular Foster Care ❑ Day Treatment O Kinship Care O Group Home O Ind.Living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: ❑ Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual O Family ❑ Group Appropriate Treatment: ❑ Sex Offender O AggressiveNiolent O Substance Abuse O Truancy O Victim Behavior O Depression ❑ Self-destructive O Delinquency O Special Medical Needs O Behavior Modification O Anger Management ❑ Other (Explain) Appropriate Educational Services: O Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan Is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID 1DOB Sex WORKER COMPLETING ASSESSMENT HH# 1DATE OF ASSESSMENT AGENCY NAME ROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑l)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month ❑1)twice a month O2)once a week O3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑0)less than a'A hour per day ❑l)'A hour a day O2)more than%,hour per day,up to 2 hours per day ❑3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑l)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming, hysical,and/or occupational therapy? O0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention ❑2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑l)less than 4 hours per month ❑2)4-8 hours per month ❑3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation ❑ 0 ❑ ❑ P 2 Therapy/Counseling ❑ ❑ ❑ ❑ P 3 Educational Intervention ❑ 0 0 0 P 4 Behavior Management ❑ 0 0 ❑ P 5 Personal Care 0 ❑ 0 ❑ A 1 Case Management ❑ 0 ❑ ❑ T 1 Therapeutic Services ❑ 0 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY SS DSS NEEDS BASED CARE ASSEMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period:• ❑Initial Assessment ❑Re Determination - Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. -fly WIPP,fs. 134,1,T i iti "lbw IRV''tali"'VAIN WM kat,j1.in,:'eadlitC.I."Pr L'eS:4; i It''41 th A ArliWilD 4,09g MD v 441letithillitAlailt •Ri'lliii.;:,hit.;404:;I?th c ti:till" L.,171 1,I:cl lir,il let 11::::::::::!:€7 Illi3m I 'E 'll Is t. 4!r i ' ll ill ITO liltP 41,141 itil if filliANIPtrit ir,'hill it!" t, IV i F; a aw pliktatioasina IN Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ID El ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing El LI El III Self-injurious Behavior ❑ Ell ❑ ❑ Substance Abuse El LI ❑ ❑ Presence of Psychiatric ❑ El ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway El ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior III ❑ ❑ ❑ Medical Needs III LI ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: El 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of PI through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Ti) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daly Rates (Attachment C) i .•. 2i it viii{. � � i mtt - a _ o , i i o ti:oL `'eEr 9 p ri. p # qr �qsa it ( ; ' .(n V r , � v'f e� y.,i�.$4.409,04414040 ill `qK C. didi(� '4 I;�i i . qii i �if i F.4; ° • B1Rr iXi d i'�A )7 p� rip,_!? a r �t i ! .'� i� r i ' o i 4 t :.if a {i �i i 8t��,a'. °: il..i� _! .I' l l6. 4 Ti.' !,I,l k .., _ :i.a, :I:-"prn.clipatPiropttrogiiirpfpitkipt).4.... .p.s.„ Isaf.,:in, ?i.ii, . :,,i, f141.„3":7 Qi; .:Aviki..i 1. Fir. .. i 717 illi el%it lin Plc!.liiiirlaitiSr 9 5Age 0-10...$11.47 P.,i0 Level 0...$4.56 Level 0 $4.93 Level 0 $0 Level 0 $0 9 pi Age 11-14...$12.89 nr il (Minimal CPA involvement,no la (Therapy not needed or provided III (None) it crisis intervention. Only doing by another source,i.e.mental IL 0 Age 15-21...$13.91 what is necessary to maintain health.) 1,0 dia monthly responsibility.) +$.66 Respite Care gg, 111 OggLevel 1 $8.22 Level 1 $4.93 $19.07 Level t $2.99 pl +$.66 Respite Care Level 1...$4.56 (Low level of case management, (Regularly scheduled therapy, pi ($19.73) lilPit gig minimal crisis intervention,2-3 4 hours/month.) contacts/month,minimal crisis 51 intervention, 11 Ill lill el 2-3 contacts/month.) iiri N4 tin 4;01 N. NJP 114 Level2 $11.51 Level2 $9.86 2 I $25.64iiii (Moderate level of case (Weekly scheduled therapy, Level 2 $4.47 4.66 Respite Care Level 2...$4.56 Management including 4-8 hours a month with 4 hours of ($26.30) Weekly support services, Group therapy.) Or g WI Occasional crisis intervention, 15 Face to face contact 1 time fpf tt fill Per month.) In 110 ur Level3 $14.79 5 Level 3 $14.79 $32 22 (High level of case management ' (Regularly scheduled weekly 3 V. and CPA involvement with child multiple sessions,can include Level 3 $6.02 +$.66 Respite Care Level 3...$4.56 and provider including ongoing more than 1 person,i.e.family it ($32.88) crisis intervention and face toIII therapy,for 8-12 hours/nwnthly.) face contactl-2 lime per week P gill ill 11 ..i., i;;i ...Iiiiii'l:i ill 4t3 WI gin minimum.) Level4 $18.08 pi Level $14.79 Nil rr 4 (High level of case management (Regularly scheduled weekly Level 4 Neg. RTC $39.45 and CPA involvement with child multiple sessions,can include Drop +$.66 Respite Care Level 4...$4.56 and provider,including on-going more than 1 person,i.e.family ($40.11) Dowii n crisis intervention and face to iiii therapy,for 8-12 hours/monthly.) gp face contact 2-3 times per week minimum.) gig k II la ag Assess. A Assessment 5nit Assessment • Period Period $26.30 Period $4.56 Assessment Period $11.51 1 Assessment Periodpi. $0 14 (Includes Respite) Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Ati4114/114, iirsar3/4„,, Weld County Clerk to the Board 'e f jilWELD COUNTY BOARD OF SOCIAL r1661 �p SERVICES,ON BEHALF OF THE WELD COUNTY DEPARTMENT OF r ;y. ,! SOCIAL SERVICES UC--13t / By: 4(,N--- - Deputy Clerk to the Board Robbrt D.Masden,Chair JUN 2 S 2004 APPROVED AS TO FORM: CONTRACTOR County Attomg Jacob Family Services 1819 Birch PO Box 160 Greeley, 80 32 By: L r. WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Direct Agreement to Purchase 14 CPA Foster Care Services &OO5/—/7S7 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES • THIS AGREEMENT made thisijg day of 2004 between the Board of Weld County Commissioners, sitting as the Board of Soc. Services, on behalf of the Weld County Department of Social Services, hereinafter called "County" and Kids Resources Network Inc, 898 Racquet Ln, Boulder, CO 80303-2935, hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services, hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#45183. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004, until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement, whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere, whichever occurs Agreement to Purchase CPA Foster Care Services 1 0706 9—/737 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation, which may include but are not limited to: Psychological and/or Neurological,Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility, with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However, provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 45183 Kids Resources Network Inc 898 Racquet Ln Boulder, CO 80303-2935 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE I. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s) must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure, where possible, permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition, psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen (15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held, participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement,the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement, 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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds, whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the teens and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care, which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy,reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative O Cty CC Foster Care O Shelter Care O Substance Abuse Treatment ❑ CORE Services ❑ Receiving Home O CPA O RTC O Cty regular Foster Care ❑ Day Treatment O Kinship Care O Group Home ❑ Ind.Living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: ❑ Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: O Individual O Family O Group Appropriate Treatment: d Sex Offender O Aggressive/Violent O Substance Abuse O Truancy O Victim Behavior O Depression O Self-destructive O Delinquency O Special Medical Needs O Behavior Modification O Anger Management ❑ Other (Explain) Appropriate Educational Services: ❑ Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID IDOB Sex WORKER COMPLETING ASSESSMENT HH# DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month ❑1)twice a month ❑2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ian? 00)less than a'/:hour per day ❑1)'/:hour a day ❑2)more than'4 hour per day,up to 2 hours per day 03)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2)at least daily ❑3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming, hysical,and/or occupational therapy? 00)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention ❑2) 2 face to face contacts per month and/or occasional crisis intervention ❑3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month 03)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation ❑ ❑ ❑ ❑ P 2 Therapy/Counseling ❑ ❑ ❑ ❑ P 3 Educational Intervention 0 0 0 ❑ P 4 Behavior Management 0 0 0 ❑ P 5 Personal Care 0 0 0 ❑ A 1 Case Management 0 0 0 ❑ T 1 Therapeutic Services 0 ❑ 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. i fa•{ b l i tr:It O4014:O i E 3 O i 8 i w' ' 1 anitNE•r fit. ,'s '1 4 lN,Terwa liFir.r.„,,,„.0„,r, „,1 a.al beilsaftl:'4 Filii4fill q � I s VW 1 Ate hE Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Tl) LEVEL # Comments: SPECIAL MEDICAL NEEDS (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) • tat+ iil9 Y3'•€ ;r pG! {a s a.,. . o r inialttilarill w,, d,f- g, e o - e , - 3 i'L� 6, -e , qen ' ! X .,...111;11:1:11,i,::,. .1)1611111011101111 L l5(h' ' � Y G�i i fly roi -. . . a .®. - . ; ^. tai stf" G'=a 'aa". 3i 6. *,. _ - -- ti,4" o fk Age 0-10...$11.47 Level 0...$4.56IN Level 0 $4.93 Level 0ill $0 Level 0 $0 0 0. Age 11-14...$12.89 (Minimal CPA involvement,no (Therapy not needed or provided (None) ill crisis intervention. Only doing by another source,i.e.mental la iti iii fa o Age 15-21...$13.91 what is necessary to maintain health.) monthly responsibility.) +ma $.66 Respite Care is pli Level 1 $8.22 IMW Level 1 $4.93 If* IN t ill ill 1 $19.07 Level 1 $2.99 +$.66 Respite Care Level 1...$4.56 (Low level of case management, (Regularly scheduled therapy„.n, p. ($19 73) minimailt l crisis intervention,2-3 4 hours/month.) contacts/month,minimal crisisIX at intervention, air lila 2-3 contacts/month.) lite 1 EN fly Level ii IS ill $11.51 Level 2 $9.86iii 2 $25.64 Pi (Moderate level of case (Weekly scheduled therapy,lid agil fool olo lik II to Level 2 $4.47 +$.66 Respite Care Level 2...$4.56 Management including 4-8 hours a month with 4 hours of Ikti ~` ($26.30) it tiaiWeekly support services, 41 Group therapy.) Oil Occasional crisis intervention, 10 pi Pi P Face to face contact 1 time Per month.) Illi ilit IL It ill tp,i, iis iii to p Level3 $14.79 Level 3 Lai $14.79 ag (High level of case management (Regularly scheduled weekly 3 $32.22 and CPA involvement with child multiple sessions,can include Level 3 $6.02 +$.66 Respite Care Level 3...54.56 gr and provider including ongoing more than 1 person,i.e.family '' ($32.88) la crisis intervention and face to therapy,for 8-12 hours/monthly.) it Da: face contactt-2 time per week 'a minimum.) I Ed l; RE Level4 $18.08 Level $14.79 iiii 11 q ;�.;; (High level of case management (Regularly scheduled weekly4% III Level 4 Neg. RTC ;°v. + $39.P5 and CPA involvement with child0. multiple sessions,can include Dro $.66 Respite Care Level 4...$4.56 and provider,including on-going more than I person,i.e.family Down !),Ii 00.11) crisis intervention and face to therapy,for 8-12 hours/monthly.) face contact 2-3 times perid 6! Elli wee minimum.) It a IC it nem fill Assess. 66 Assessment Assessment lig ES Period Period......$26.30 period $4.56 Assessment Period $11.51 Assessment Period $0 w (includes Respite) Pli Effective 10/01/01 Agreement to Purchase 13 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: 4.41,"/L4 Weld County Clerk to the Board E �1 ® WELD COUNTY BOARD OF SOCIAL SERVICES,ON BEHALF OF THE It61 tt$S WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: 0..k4. Deputy Clerk to the Board Robert D.Masden,Chair JUN 2 8 2004 APPROVED AS TO FORM: CONTRACTOR Co my Attorn y Kids Resources Network Inc 898 Racquet Ln Boulder CO 80303-2935 By: WELD COUNTY DEPARTMENT Sl z4al• OF SOCIAL SERVICES By: Direc o Agreement to Purchase 14 CPA Foster Care Services 4aoy-/737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES THIS AGREEMENT made this tday of 2004 between the Board of Weld County Commissioners, sitting as the Board of Soc Services, on behalf of the Weld County Department of Social Services,hereinafter called "County" and ICidz Ark, Inc, PO Box 1725, Sterling, CO 80751,hereinafter called "Contractor". WHEREAS,the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#40900. These services will be for children who have been deemed eligible for social services under the statutes,rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing,to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30)days notice by registered mail,return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere, whichever occurs Agreement to Purchase 1 CPA Foster Care Services 670.01—/7,97 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph, Parent Training for Teens,Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However, provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 40900 Kidz Ark, Inc PO Box 1725 Sterling, CO 80751 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131),the contractor may obtain: 1)Ordinary medical care, and 2) Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication,not through phone mail messages. 3. During regular work hours,the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective, non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s)and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor,including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible, permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral)or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning,the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30)day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered,using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2) weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held, participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04!05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual,Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement,if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation,it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever,unless embodied herein in writing. No subsequent notation,renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. • The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor,within five(5)calendar days after being served with a summons,complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Social Services' Director. The term"litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? 0 Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative O Cty CC Foster Care O Shelter Care O Substance Abuse Treatment ❑ CORE Services O Receiving Home O CPA ❑ RTC O Cty regular Foster Care ❑ Day Treatment O Kinship Care O Group Home O hid.Living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: 0 Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual 0 Family 0 Group Appropriate Treatment: ❑ Sex Offender O AggressiveNiolent O Substance Abuse O Truancy O Victim Behavior 0 Depression ❑ Self-destructive 0 Delinquency O Special Medical Needs O Behavior Modification 0 Anger Management ❑ Other (Explain) Appropriate Educational Services: 0 Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring 0 Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) 0 It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) 0 Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agccnient Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT • (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID DOB Sex WORKER COMPLETING ASSESSMENT DATE OF ASSESSMENT AGENCY NAME (PROVIDER NAME (PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS JII WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑I)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month ❑1)twice a month 02)once a week 03)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education lan? 00)less than a'/,hour per day DI)'4 hour a day 02)more than'A hour per day,up to 2 hours per day 03)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2)at least daily ❑3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? UI0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? 00) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention 02) 2 face to face contacts per month and/or occasional crisis intervention ❑3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month 03)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P I Transportation 0 ❑ 0 0 P 2 Therapy/Counseling 0 L�rJil 0 P 3 Educational Intervention P 4 Behavior Management C 0 0 P 5 Personal Care 0 0 0 0 A 1 Case Management 0 0 0 T 1 Therapeutic Services 0 0 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE • SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. • Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. ,,4yii, .gig g i i($,g,.r4 l.33 um' .` 9 x- s� � Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of Pi through PS) PERIOD 1:LEVEL# • Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (TI) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) ad . _. _ ... .z..!:".'.,;,.., ( ' 517" ' ) 1 1 0. I I ti-.;-1,K,1'. b {�,. �X 7 .:".7;A:(" t .•:-477' F a�i..d '‘'...777E.: �b.,s..�. ..?1�LC' sW�7w..: ... ,�. �.,..... . 0 Age 0-10...$11.47 i. Level 0...54 56 p Level 0 $4.93 Level 0 $0 Level 0 $0 0 Age 11-14..,$12.89 r,. (Minimal CPA involvement,no ,, (Therapy not needed or provided (None) I,• crisis intervention. Only doing •� by another source,i.e.mental 0 •4 Age 15-21...513.91 tIII , what is necessary to maintain - health.) monthly responsibility.) +5.66 Respite Care a y'(Iy .. i 4 -ej ri! c."4 it 1 $8.22 Level l $4.93 1 'II Level l$2.99 $19O7 (Low level of case management, I (Regularly scheduled therapy, +5.66 Respite Care Level 1...$4.56 minimal crisis intervention,2-3 - 4 hours/month.) ;,` ($19.73) ' contacts/month,minimal crisis =-# �' intervention, •=₹ 2-3 contacts/month.) 4 Irk G"1 Level 2 $11.51 I Level 2 $9.86 , tix14e': 2 ,)it $25.64 (Moderate level of case (Weekly scheduled therapy, Level 2 $4.47 1 +8.66 Respite Care Level 2...5456 ri Management including 4-8 hours a month with 4 hours of ($26.30) Weekly support services, Group therapy.) l. i =F Occasional crisis intervention, Face to face contact 1 time Per month.) !':•P P 71 Level 3 $14.79 Level 3 514.79 1 83222 a(High level of case management • (Regularly scheduled weekly and CPA involvement with child multiple sessions,can Include Level 3 $6.02 :,) +8.66 Respite Care Level 3...54 56 • and provider including ongoing ,, more than 1 person,i.e.family -: ($32.88) crisis intervention and face to I.. therapy.for 8-12 hours/monthly.) '.; face contactl-2 time per week t*� minimum.) ?tit t- Level 4 $18.08 +',Level 4 $14.79 it q . ii, f(High level of case management• j (Regularly scheduled weekly Level 4 Neg. RTC $3905 i and CPA involvement with child multiple sessions,can include Drop ��' *5.66 Respite Care . Level 4...84 56 ..„and provider,including on-going -, more than 1 person,i.e.family ) Down p,q (540.11 •; crisis intervention and face to therapy,for 8-12 hourslmonthly.) face contact 2-3 times per ) *, d week minimum.) • ; Assess. 2, Assessment I" k Assessment Period s Period 526.30 :: Period $4 56 Assessment Period $11.51 1 Assessment Period $0 (Includes Respite) ` 1. Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month,and year first above written. Al lEST: Avia �, ► l ! �,� WELD COUNTY BOARD OF SOCIAL SERVICES,ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES 1 1 l�1nu1 l / 1' ``®� r� / By: Rot .Masden,Chair Deputy Clerk to e Board JUN 2 8 2004 APPROVED AS TO FORM: CONTRACTOR Coun tto y ICidz Ark,Inc PO Box 1725 Sterling, C 80751 1 By: __ �f J WELD COUNTY DEPARTMENT 5/�',/ OF SOCIAL SERVICES YJ By:s l�'� CCAT Direct° C Agreement to Purchase 14 CPA Foster Care Services aoo4-/737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES THIS AGREEMENT made this,02 day of anti 2004 between the Board of Weld County Commissioners, sitting as the Board of Soc. Services, on behalf of the Weld County Department of Social Services,hereinafter called "County" and Lost and Found Inc., 6700 44th Ave, Wheatridge,CO 80033,hereinafter called "Contractor". WHEREAS,the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follow& 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels dett,unined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#57351. These services will be for children who have been deemed eligible for social services under the statutes,rules and regulations of the State of Colorado. • 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail,return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30)days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase CPA Foster Care Services 1 4OO.V-/737 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph, Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility,the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility, with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However, provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 57351 Lost and Found Inc. 6700 44th Ave Wheatridge, CO 80033 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/O5-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131),the contractor may obtain: 1)Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours,the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective, non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County,the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven (7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least$25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death,to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute,ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein, when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual,Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement,if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever,unless embodied herein in writing. No subsequent notation,renewal, addition, deletion,or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports,on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor, within five(5) calendar days after being served with a summons, complaint,or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Social Services' Director. The term "litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: • I. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? 0 Yes 0 No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? ❑ Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services 0 Placement with Relative 0 Cty CC Foster Care 0 Shelter Care 0 Substance Abuse Treatment ❑ CORE Services 0 Receiving Home ❑ CPA 0 RTC 0 Cty regular Foster Care ❑ Day Treatment 0 Kinship Care 0 Group Home ❑ Ind.Living 0 Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: • Therapeutic(Behavior Modification) ❑ Secure 0 Other(Explain) Appropriate Counseling: ❑ Individual 0 Family 0 Group Appropriate Treatment: ❑ Sex Offender 0 Aggressive/Violent ❑ Substance Abuse 0 Truancy 0 Victim Behavior 0 Depression ❑ Self-destructive 0 Delinquency 0 Special Medical Needs 0 Behavior Modification ❑ Anger Management ❑ Other (Explain) Appropriate Educational Services: ❑ Special Ed. ❑ Public School 0 Day Treatment ❑ On-grounds School 0 Additional Tutoring 0 Independent Living Training 0 Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) 0 It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) 0 Yes ❑ No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PD Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID DOB Sex WORKER COMPLETING ASSESSMENT IHH# DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME 1PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month ❑1)twice a month O2)once a week O3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ian? 50)less than a 1/2 hour per day 01)%f hour a day O2)more than%1 hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? DO)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention ❑3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? DO)not needed or Provided by another source(i.e.Medicaid) 01)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation P 2 Therapy/Counseling 0 P 3 Educational Intervention 0 0 P 4 Behavior Management 0 0 0 0 P 5 Personal Care [ 0 ❑ 0 A I Case Management C 0 0 T 1 Therapeutic Services 0 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination - Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. r w fir- i i `TT* v r ". ..+� ` �3. it,'11, °, t i r,f ( , $' S xa d k. 3 . .`.' Ti a 4 2$' _.aI .E i �.., t 1 K Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of PI through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED(T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE • Calculated as Daily Rates (Attachment C) Age 0-10...$11.47 Level 0...$4 56 'o Level 0 $4.g3 Level 0 $0 Level 0 $0 0 Age 11-14...$12.89 (Minimal CPA involvement,no ", (Therapy not needed or provided _ (None) crisis intervention. Only doing by another source,i.e.mental 74 Age 15-21...$13.91 , what is necessary to maintain -' health.) monthly responsibility.) r +$.66 Respite Care rh, Level l $8.22 „Level l $4.93 1 ' $19.07 r Level l $2.99 +$.66 Respite Care Level 1...$4 56 s(Low level of case management, (Regularly scheduled therapy, ($19.73) minimal crisis intervention,2-3 4 hours/month.) contacts/month,minimal crisis intervention, , S d 2-3 contacts/month.) # Level 2 $11 51 :Level 2 $9.86 2 `t $25.64 t (Moderate level of case (Weekly scheduled therapy, Management including 4-8 hours a month with 4 hours of Level 2 $4.47 +$.66 Respite Care Level 2...$4.56 9 r, ($26.30) a'` Weekly support services, i: Group therapy.) Occasional crisis intervention, a Face to face contact 1 time Per month.) ., F ,, II I m Level 3 $14.79 Level 3 $14.79 (High level of case management (Regularly scheduled weekly 3 � $32.22 •e and CPA involvement with child � ! multiple sessions,can include ! Level 3 $6.02 +$.66 Respite Care Level 3...$4.56 and provider including ongoing more than 1 person,i.e.family ($32.68) . crisis intervention and face to i therapy,for 8-12 hours/monthly.) Ol face contactl-2 time per week al . minimum.) .01 Level 4 $18.08 Level 4 $14.79 q 4 $39.45 g(High level of case management (Regularly scheduled weekly Level 4 Neg. RTC +$.66 Respite Care Level 4...$4.56 # . and CPA involvement with child . multiple sessions,can include Drop $. ($40.11) and provider,including on-going'ii more than 1 person,i.e.family Down crisis intervention and face to , 3 therapy,for 8-12 hours/monthly.) r? face contact 2-3 times peritidoit week minimum.) ( -. j Assess. Assessment Assessment Period Period $26.30 s Assessment Period $11.51 Assessment Period $0 • (Includes Respite) Period $4 56 l� Effective 10/01/01 Agreement to Purchase 13 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: -"eg��"�.'/ Weld County Clerk to the Board ® WELD COUNTY BOARD OF SOCIAL ISM = •'� j SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES \in n i eputy Clerk to e Board Robert D. asden,Chair JUN 2 8 2004 APPROVED AS TO FO • CONTRACTOR County A omey Lost and Found Inc. 6700 44th Ave Wheatridge, CO 80033 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ,dueLt0a Direct Agreement to Purchase CPA Foster Care Services 14 X0651-1737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES • THIS AGREEMENT made this*day o C 2004 between the Board of Weld County Commissioners, sifting as the Board of So 'al Services, on behalf of the Weld County Department of Social Services,hereinafter called "County" and Loving Homes Inc., 212 W 13th St,Pueblo, CO 81003,hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services, hereinafter called"State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#72767. These services will be for children who have been deemed eligible for social services under the statutes,rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement, whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given,this contract shall terminate on the expiration of the thirty(30)days or until the eligible child can be placed elsewhere, whichever occurs Agreement to Purchase CPA Foster Care Services 1 doe 41-/737 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological,Medication and follow-up,Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization,will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 72767 Loving Homes Inc. 212 W 13th St Pueblo, CO 81003 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any • sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies(2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication,not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective, non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening,Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State, provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission maybe in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral)or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition, psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment . Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen (15) days prior to judicial or administrative hearings or reviews when provided with thirty(30)day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered,using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received, payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held, participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement,the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever,unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. lb. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor,within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Social Services' Director. The term "litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appi up,late box) ❑ In home services O Placement with Relative O Cty CC Foster Care O Shelter Care ❑ CORE Services O Receiving Home ❑ CPA O RTC O Substance r Abuse Care Treatment ❑ Day Treatment O Kinship Care O Group Home0 Cty regular Foster Caro O Ind.living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: 0 Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual O Family O Group Appropriate Treatment: ❑ Sex Offender O AggressiveNiolent O Substance Abuse O Truant urnY O Victim Behavior O Depression ❑ Self-destructive O Delinq uency cY O Special Medical Needs O Behavior Modification O Anger Management ❑ Other (Explain) Appropriate Educational Services: ❑ Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan Is: ARRANGEMENT (If other,please explain) Ifthe outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Soda!Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,r (Worker Name) Date Gloria Romansik,Administrator ature offerson Auth ized to Si greement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID (DOB Sex I I _ WORKER COMPLETING ASSESSMENT IHH# DATE OF ASSESSMENT AGENCY NAME (PROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month 01)twice a month 02)once a week 03)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ian? 00)less than a%hour per day ❑I)'4 hour a day 02)more than'A hour per day,up to 2 hours per day 03)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily 03)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming, hysical,and/or occupational therapy? Ull 0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week 03)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include I face to face)and/or minimal crisis intervention 02) 2 face to face contacts per month and/or occasional crisis intervention 03) at least I face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month 02)4-8 hours per month 03)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 [] 0 P 2 Therapy/Counseling 0 ❑ 0 P 3 Educational Intervention 0 J 0 0 P 4 Behavior Management 0 0 0 0 P 5 Personal Care 0 0 0 0 A 1 Case Management 0 0 0 0 T 1 Therapeutic Services 0 0 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. d : Aggression/Cruelty to Animals ❑ ❑ ❑ 0 Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ 0 ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED(Ti) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: itial Date: (maximum of 6 month intervals) Agreement to Purchase CPA Foster Care Services 12 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) • . , k w'': r'1' 2 T 1 p yn 1 I !”m, p Age 0.10...$11.47 Level 0...$4.56 it Level 0 34,93 Level 0 $0 Level 0 $0 5r x 0 Age 11-14...$12.89 - (Minimal CPA involvement,no (Therapy not needed or provided (None) { 3 crisis intervention. Only doing i z.; by another source,i.e.mental 0 . Age 15-21...$13.91 `1 ',; what is necessary to maintain Hi + "- health.) monthly responsibility.) t +$.66 Respite Care - k, Wil rr' Level 1 $8.22 Level 1 1 5 :y. ,a $4,93 : 519.07 ,) ; Level 1......$2.99 +$.66 Respite Care i.; Level 1...$4.56 ,i„ (Low level of case management (Regularly scheduled therapy, (`; ($19.73) minimal crisis Intervention,2-3 4 hours/month.) .,,, contacts/month,minimal crisis 11 intervention, )::- r. 2-3 contacts/month.) hi ' ,Level2 $11.51 Level 2 :Y j pi E9.86�.., Sa TA 2 + $25.64 ',n (Moderate a level of case (Weekly scheduled therapy, i Level 2 $4.47 5.66 Respite Care Level 2...54.56 Bement Including - 4-8 hours a month with 4 hours of .a ($26.30) a Weekly support services, Group therapy.) ahs 1.4 Occasional crisis intervention, 5;:3 Face to face contact 1 time b2 . .. Per month.) „ :: S r l r A Level3' $14.79;.1 Level 3 $14.79 ; i 3 d $32.22 ' M(High level of case management (Regularly scheduled weekly ,r :: _: +$.66 Respite Care i^' Level 3.,,34,56 and CPA involvement with child t multiple sessions,can include -_; Level 3 $6.02 ($32.88) p and provider including ongoing P more than 1 person,I.e.family r a s `':', crisis intervention and face to therapy,for 8-12 hours/monthly.) t, t ; face contactl-2 time per week t 5 minimum,) P,4 L. 'i Level 4 $18,08 `d Level 4 $14.79 4 j (High level of case management RTC R $39,45 (Regularly scheduled weekly Level 4 Neg. +Sss Respite Care Level 4...$4.56 } and CPA involvement with child 2+1 multiple sessions,can include Drop ($40.11) '.and provider,including on-going kj more than 1 person,i,e.family �-i Down Ki crisis intervention and face to therapy,for 8-12 hours/monthly.) face contact 2.3 times per ',Iii na r. ,, week minimum,) i" ,r_ Assess. Assessment - _„ r9 Period , Period $26.30 Assessment s.ilAssessment Period $11.51 ; Assessment Period (Includes Respite) ' Period $4 56 $0 ,;; Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: cs Weld County Clerk to the Board '��` y a WELD COUNTY BOARD OF SOCIAL Ibl ��� %. SERVICES,ON BEHALF OF THE :.5:_ ;141‘ WELD COUNTY DEPARTMENT OF r ?PT' SOCIAL SERVICES V ' By: Deputy Clerk to the :oard Robert D.Masden,Chair APPROVED AS TO FORM• JUN 2 8 2004 CONTRACTOR County A e�e Loving Homes Inc. 212 W 13th St Puebl , CO 81003 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Directo Agreement to Purchase 14 CPA Foster Care Services a70D•y-/737 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES THIS AGREEMENT made thisa8 day of 2004 between the Board of Weld County Commissioners, sitting as the Board of So al Services, on behalf of the Weld County Department of Social Services, hereinafter called "County" and PATH, 6355 Ward, Suite 305, Arvada, CO 80004, hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#1502692. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004, until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement, whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase CPA Foster Care Services 1 &'a'51-/737 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease, but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management, Direct therapy and evaluation, which may include but are not limited to: Psychological and/or Neurological,Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph, Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation, Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization, will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However, provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 1502692 PATH 6355 Ward, Suite 305 Arvada, CO 80004 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective, non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s) must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State, provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status, which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological (mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports, which address the child's physical condition,psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen (15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein, when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds, whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever,unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care, which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case, which involves services provided under the agreement. The Contractor,within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Social Services' Director. The term"litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? 0 Yes 0 No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? 0 Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services 0 Placement with Relative 0 Cty CC Foster Care 0 Shelter Care 0 Substance Abuse Treatment ❑ CORE Services 0 Receiving Home 0 CPA 0 RTC 0 Cty regular Foster Care ❑ Day Treatment 0 Kinship Care 0 Group Home 0 Ind.Living 0 Other(Specify) ( p fy) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: • Therapeutic(Behavior Modification) 0 Secure 0 Other(Explain) Appropriate Counseling: ❑ Individual 0 Family 0 Group Appropriate Treatment: ❑ Sex Offender 0 Aggressive/Violent 0 Substance Abuse 0 Truanc y 0 Victim Behavior 0 Depression ❑ Self-destructive 0 Delinquency 0 Special Medical Needs 0 Behavior Modification 0 Anger Management ❑ Other (Explain) Appropriate Educational Services: • Special Ed. 0 Public School 0 Day Treatment ❑ On-grounds School 0 Additional Tutoring 0 Independent Living Training 0 Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) 0 It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) 0 Yes 0 No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX krails Case ID IDOB Sex J WORKER COMPLETING ASSESSMENT HH# DATE OF ASSESSMENT AGENCY NAME rROVIDER NAME (PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week O3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? O0)one a month ❑1)twice a month O2)once a week O3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education Ian? O0)less than a''/S hour per day ❑1)'A hour a day O2)more than'A hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily ❑3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? O0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 0 P 2 Therapy/Counseling ❑ 0 0 0 P 3 Educational Intervention 0 0 0 0 P 4 Behavior Management ❑ 0 0 0 P 5 Personal Care 0 0 0 0 A 1 Case Management 0 0 0 0 T 1 Therapeutic Services 0 0 0 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) 'RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination - Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. 1: -,74m: rit ratvertris ralftwilt . . 7.61 441 11 tat!IL 04 r 138 11 ' Fil air Mt { i . 1 . 4 y; l!hi PI W 41 V l! 1* 'illf ;PS 3•=4iy... ' ' 141TWITRRAMTI3411 ' lc p frIPpriTtilirrI iriM, lip illieSill1/441, 1 : ..Iiiiih lfr' lariat, Y.10 glib aitatafil iiildWilthr, . l 'i. %Eta sii 1 I %Pi, .11. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase 11 CPA Foster Care Services Contract No: PY 04/05-55-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of PI through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED(Ti) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: itial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) in'ggiuggrg4414 4 Ira "'''g 'gilt PRIM; .11; M�6 3 - 4tl., A0 .., 8' f 9 [ i' I .434ll/ tlr 8 0.: .. ,.t I sC'!i{('3f�I, ,i # r t ' l'i - f ! ... - ii �llig II 6 ,tbi §.I i p4, �1 i E c:s Arri �„ �r s��I I dtl��� [ �Ioi t I s.., �Irag a� g h,3i a',.,.,°�i . , ri�i�031���,:. �'i i i I g �� 4�d M'i 43 �4 "clot, �iri b11:14411.0,' 1 E. 'I I ;'i e °� '� I '' i 4,' i�3 `1�`�)d44 t H , »t, Ftg>>pF(,4I i I In" "I ` I r' �?'., `E',.,1 i Ailirc g.. E f � v v .'hi, q I, 9 dr:I,I ,I ���,3�h i '4,NI , d';',!wt e ! �, ..xj, 'aE '.,6i1 i 3.lii�,,f,° ,. !'. �� �� III .L 'a�i.7�..�,. 6 '11040 RR7 ,E�I�_° �i �, .:.3, iq4444414434.3341. ;iP �b Ali_ .` 133�I e. � �!�+4.3044444. ' Age 0-10...$11.47 Level 0...$4.56Level 0 o Level 0 $4.93 $0 Leve10 $0 tikU I Age 11-14...$12.89 (Minimal CPA involvement,no (Therapy not needed or provided (None) crisis intervention. Ony doing by another source,i.e.mental 'A. Age 15-21...513.91 what is necessary to maintain 0 , . health) ,''+ liti "PI 14 monthly responsibility.) If +$.66 Respite Care EtiE lit il rid, i 61. Leven $8.22 Levell $4.93.l:. Level t $2.99 ir lid $espit (Low level of case mana ement, li. (Regularly scheduled theca +$.66$19 7te Care Level 1...$4.56 minimal crisis Intervention,2-3 ( g 4 hours/month.) Py, ($19.73) contacts/month,minimal crisis doil Intervention, 14 2-3 contacts/month.)NI Iill Li Levell $11.51 Level ii 4 $9.86 iii Iii 2 il $25.64 (Moderate level of case (Weekly scheduled therapy, Level 2 $4.47 +$.66 Respite Care Level 2...$4.56 Management including 4-8 hours a month with 4 hours of ($26.30) ill Weekly support services, Group therapy.) 2. Occasional crisis intervention, t ggig bIlrFace to face contact 1 time Ili Per month.) .ii.,Iiii, poll gig gE Igki lill iFt Level 3Vil $14.79- Level 3 $14.79 3II ll$32 22 (High level of case management (Regulady scheduled weekly +$.66 Respite Care Level 3...$4.56 and CPA involvement with child multiple sessions,can include Level 3 $6.02 02 ($32.88) and provider including ongoing1,1 more than 1 person,i.e.family dii Fil crisis intervention and faILA ce to3 therapy,for 8-12 hours/monthly.) IIiiiI face contactl-2 time per week Ig minimum.) 54 f 04Level4 $18.08 Level4 $14.79. 4 $39 45 ylilti rif(High level of case managementF (Regulady scheduled weekly Level 4 Neg. RTC +$.66 Respite Care Level 4...$4.56 and CPA involvement with child multiple sessions,can inGude Drop ($40.11) ol and provider,including on-going more than 1 person,i.e.family Down crisis intervention and face to lilt therapy,for 8-12 hours/monthly.) iiii ttI face contact 2-3 times per rip On ft Jo; ififweek minimum.) iiiiAssess. Assessment it Assessment iiii iiii Period Period......$26.30 Penal $4.56 Assessment Period $11.51 Assessment Period $0 (Includes Respite) ilill NI Effective 10/01/01 Agreement to Purchase CPA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: S,CJ® 44 • -�Weld Coiut[y 1 to'ffe 1�E1�d WELD COUNTY BOARD OF SOCIAL SERVICES,ON BEHALF OF THE 1861 4182 1 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES ��p j!� e at 1 W—�By: Deputy Clerk to lie Board Robert D.Masden,Chair JUN 2 8 2004 APPROVED AS TO FO • CONTRACTOR oun Attq ey PATH 6355 Ward, Suite 305 Arvada, CO 80004 By: A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Director Aler Agreement to Purchase 14 CPA Foster Care Services aoo 5/-/z'7 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES THIS AGREEMENT made this,day of 2004 between the Board of Weld County Commissioners, sifting as the Board of Soct 1 Services,on behalf of the Weld County Department of Social Services,hereinafter called "County" and Trinity Foster Care, 8120 Sheridan Blvd, Suite C-200, Westminster, CO 80003,hereinafter called "Contractor". WHEREAS, the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#104702. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004,until the end of the Colorado fiscal year,June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing,to terminate this Agreement,whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30)days notice by registered mail,return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere, whichever occurs Agreement to Purchase 1 CPA Foster Care Services �ea1—/7.37 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance(food, shelter, clothing, educational supplies and allowance),Administrative Overhead, Case Management, Direct therapy and evaluation,which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy,Polygraph, Plethysmograph,Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care,Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization, will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 104702 Trinity Foster Care 8120 Sheridan Blvd, Suite C-200 Westminster, CO 80003 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies (2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2) Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication, not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact, authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State,provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven (7)days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure,where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status, which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological(mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports,which address the child's physical condition,psychological and social functioning,the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services,the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least$25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 8. Indemnify County, the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection,review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received,payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two (2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held, participation maybe by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agee to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions(federal, state, and local) terminated for cause or default. • SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein,when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual,Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement,if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion,or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care,which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor,within five(5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term"litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA SECTION VII. ATTACHMENTS PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: 1: Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative involvement? 0 Yes 0 No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? 0 Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services 0 Placement with Relative 0 Cty CC Foster Care 0 Shelter Care 0 Substance Abuse Treatment ❑ CORE Services 0 Receiving Home 0 CPA 0 RTC 0 Cry regular Foster Care ❑ Day Treatment 0 Kinship Care 0 Group Home 0 Ind.living 0 Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) Appropriate Setting: ❑ Therapeutic(Behavior Modification) 0 Secure 0 Other(Explain) Appropriate Counseling: O Individual 0 Family 0 Group Appropriate Treatment: O Sex Offender 0 Aggressive/Violent 0 Substance Abuse 0 Truancy 0 Victim Behavior 0 Depression ❑ Self-destructive 0 Delinquency 0 Special Medical Needs 0 Behavior Modification 0 Anger Management O Other (Explain) Appropriate Educational Services: O Special Ed. 0 Public School 0 Day Treatment O On-grounds School 0 Additional Tutoring 0 Independent living Training 0 Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) 0 It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) 0 Yes 0 No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME 'STATE ID# SEX Trails Case ID DOB Sex WORKER COMPLETING ASSESSMENT HH# DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES I DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week O3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month ❑1)twice a month O2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education_plan? 00)less than a''/2 hour per day ❑1)'/2 hour a day O2)more than'/2 hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming,physical,and/or occupational therapy? 00)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? O0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 ❑ ❑ 0 P 2 Therapy/Counseling ❑ ❑ 0 0 P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management ❑ ❑ ■ ❑ P 5 Personal Care El ❑ ❑ ❑ A 1 Case Management U 0 ❑ ❑ T 1 Therapeutic Services ❑ 0 ❑ 0 Agreement to Purchase 10 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. v _3E _ Aggression/Cruelty to Animals El ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ O ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation El ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) Agreement to Purchase CPA Foster Care Services 11 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Ti) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daly Rates (Attachment C) , El. z E rq� � . ., ... ,..- ._ _ ` , .:. _. ,.x . w..w,.: ._, .e..,_. ....a..... o Age 0-10...$11.47 Level O...$4 56 Level 0 $4.93 Level 0 30' Level 0 $0 o Age 11-14...$12.89 `: (Minimal CPA involvement,no s (Therapy not needed or provided (None) crisis intervention. Only doing r; by another source,i.e.mental °; Age 15-21...$13.91 what is necessary to maintain health.) 0 monthly responsibility.) +3.66 Respite Care ,. ,41 Level 1 $8.22 ,. Level 1 34.93 1 . Level 1......$2.99 $19.07 • a +3.66 Respite Care Level 1...$4.56 (Low level of case management,s (Regularly scheduled therapy, } ($19.73) minimal crisis Intervention,2-3 r 4 hours/month.) t ! contacts/month,minimal crisis ; intervention, � 2-3 contacts/month.) t'( F- : Level 2 $11.51 Level 2 $9.86 2 $25.64 _ (Moderate level of case [ (Weekly scheduled therapy, Li +. Level 2 $4.47 +3.66 Respite Care Level 2...$4.56 Management including ;t 4-8 hours a month with 4 hours of ($26.30) Weekly support services, Group therapy.) E: u Occasional crisis intervention, Face to face contact 1 time Per month.) { Level 3 $14.79 1 Level 3 $14.79 Pi(High level of case management . (Regularly scheduled weekly 3 $32.22 and CPA involvement with child 1 multiple sessions,can include p. Level 3 36.02 +3.66 Respite Care Level 3...34 56 ($32.88) I and provider including ongoing more than 1 person,i.e.family crisis intervention and face to therapy,for 8-12 hours/monthly) face contactl-2 time per week a , minimum.) e" '' Level 4 $18.08 Level 4 $14.79 4 (High level of case management , (Regularly scheduled weekly Level 4 Neg. $39.45 3a RTC : ti and CPA involvement with child : multiple sessions,can include +$66 Respite Care Level 4...$4 56 Drop '1 ($40.11) s..and provider,including on-going ; more than 1 person,i.e.family +J1 Down ) crisis intervention and face to :: therapy,for 8-12 hours/monthly.) 4 ' face contact 2-3 times per #: week minimum.) . . 0-1 Lt I Assess. Assessment Period Period 326.30 Assessment Assessment Period $11Z1 Assessment Period 30 (Includes Respite) . Period $4.56 Effective 10/01/01 Agreement to Purchase 13 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: """"4 14d - �s • County Clerk to the Board WELD COUNTY BOARD OF SOCIAL 1861 SERVICES,ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICEScat. & ----) tkOZ B B . �:�. By: . eputy Clerk to the Board Robert D.Masden,Chair JUN 2 8 2004 APPROVED AS TO FORM. CONTRACTOR ounty A tomey Trinity Foster Care 8120 Sheridan Blvd, Suite C-200 V,_,L‘2Westminster, CO 80003 By: _.- WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector Agreement to Purchase 14 CPA Foster Care Services avo`/—/73 7 Contract No: PY 04/05-SS-23A-CPA AGREEMENT TO PURCHASE CHILD PLACEMENT AGENCY SERVICES !t THIS AGREEMENT made thisotic day of 2004 between the Board of Weld County Commissioners, sifting as the Board of Soc 1 Services, on behalf of the Weld County Department of Social Services, hereinafter called "County" and Youth Ventures LLC,4785 Granby Cir, Colorado Springs, CO 80919, hereinafter called "Contractor". WHEREAS,the Colorado State Department of Social Services,hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social Services, and WHEREAS, County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, Contractor is licensed as a Child Placement Agency. NOW THEREFORE, it is hereby agreed that in consideration of the mutual Undertakings County and Contractor agree as follows: • 1. A child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services,which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#78356. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. This Agreement shall be in force from July 1, 2004, until the end of the Colorado fiscal year, June 30, 2005; or until the child is removed by the County; or if the child's behavior would cause harm to himself or other children, and Contractor seeks approval from the County and the County agrees, in writing, to terminate this Agreement, whichever event occurs first. 4. This Agreement may be renewed only by entering into a new written Agreement, such as this Agreement, signed by the authorized representatives of the parties. In addition to the termination provisions in Paragraph 3 above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere,whichever occurs Agreement to Purchase 1 CPA Foster Care Services 07401,/—/73 Contract No: PY 04/05-SS-23A-CPA earlier, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease,but the parties shall not be released from the duty to perform their obligations up to the date of termination. 5. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION 1. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The services purchased under this Agreement are Child Placement Agency services and may include,but are not limited to: Basic 24-hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Administrative Overhead, Case Management,Direct therapy and evaluation, which may include but are not limited to: Psychological and/or Neurological, Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph, Parent Training for Teens, Independent Living Training, Mentor/Advocate, Supervised Visitation,Direct Child Care, Therapeutic Recreation, Transportation, and Special Needs (requires SS-22). 2. Payment for a child's temporary absence from the facility,including absence due to hospitalization, will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 (F). 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County will make the decision to return the child to the facility,with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However,provisions for payment of other transportation may be provided for in the treatment/case plan. 5. Any transportation costs to be incurred on behalf of this child which are to be borne by persons or agencies which are not a party to this contract shall be specified in the treatment/case plan, and those persons shall acknowledge their responsibility by signing the treatment/case plan. 6. Contractor will provide the purchased care and services at: Provider ID#: 78356 Youth Ventures LLC 4785 Granby Cir Colorado Springs, CO 80919 Agreement to Purchase 2 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 7. Contractor shall not charge any additional fees to children or families of children referred by County for services provided under this Agreement. 8. Contractor agrees not to assign the obligations under this Agreement nor enter into any sub-contracts without the express written approval of the Executive Director of the Colorado Department of Social Services or his appointed designee. SECTION II. MEDICAL CARE 1. In accordance with the Weld County Department of Social Services policies(2.710.70, 2.710.71, 2.710.72, 2.710.73, 2.710.74) and Colorado Department of Human Services Child Care Licensing Division policy(7.714.131), the contractor may obtain: 1) Ordinary medical care, and 2)Emergency medical, surgical or dental care for said child after making reasonable efforts to contact the County to obtain consent. Emergency care is defined as any medical treatment as recommended by a licensed medical authority to protect the life and health of a child and treatment cannot be delayed without placing the child at risk. 2. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in a person-to-person communication,not through phone mail messages. 3. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours,weekends and holidays,the Contractor will contact the Emergency Duty Worker at the pager number (970) 350-8389. 4. The County will be notified by the facility no later than the following working day of any administration of emergency medical, surgical or dental services provided under this authorization. 5. Prior to any elective,non-routine or non-emergency medical, surgical or dental services being provided, authorization must be obtained from the assigned caseworker or supervisor. If parental rights are intact,•authorization or attempts to obtain authorization from the parent(s) should also be documented. If the placement is made through a voluntary placement agreement between the parent(s) and the County, the parent(s)must be contacted for authorization. 6. The Contractor is required to maintain a complete record of all medical, surgical or dental services provided and the medications administered to the child. 7. The Contractor will provide an up-to-date copy of the medical record to the County at the time of submittal of each progress report, including the discharge report at the time of the child's termination from the care of the Contractor. 8. County and Contractor shall insure that the Child is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. Agreement to Purchase 3 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 9. It is agreed and permission is granted for the child to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State, provided that Contractor has written permission from County and legal custodian for any trips out of Colorado for any reason and any planned absence from the facility of over seven(7) days within a consecutive 30-day period. Such written permission may be in the treatment/case plan. Further, Contractor and County will also secure, where possible,permission from parents or guardians of the child placed with the Contractor. 10. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status,which comes to their attention. SECTION III. REASONS FOR REFERRAL AND TREATMENT PLAN 1. Attachment A will be designated as the Placement Referral form. This referral will be child specific and shall include the initial Treatment Plan that shall be goal oriented and time-limited. 2. The Treatment Plan shall include the anticipated living arrangement and the anticipated educational arrangement for the child upon completion. Also included will be the anticipated date for discharge from treatment purchased as well as provisions concerning the involvement of the child's family in treatment of the child. 3. County and Contractor agree and understand that the psychological(mental and behavioral) or physical problems which necessitate purchasing services for this child are specified in the Attachment A. 4. Modifications to the initial Treatment Plan shall be agreed upon by the County and Contractor and shall be reflected in the Attachment A. 5. At no longer than three-month intervals after placement, Contractor shall provide County with written reports, which address the child's physical condition,psychological and social functioning, the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the Treatment Plan. Further, the Contractor agrees to sequence reports to be received by the County• fifteen(15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) day advance notice of such dates by County. Contractor shall participate in all Foster Care Reviews as scheduled by the County and insure the attendance of the child. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the Colorado Department of Social Services, the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. Agreement to Purchase 4 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 2. Maintain a current license and maintain license requirements as specified under State law. 3. Not collect any fees from children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Executive Director of the Colorado Department of Human Services or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child and the child's family. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $400,000 for total injuries arising from any one accident. 7. Maintain during the term of this Agreement a liability insurance policy of at least $400,000 for property damage liability, $150,000 for injury and/or damage to any one person, and$400,000 for total injuries arising from any one accident. 8. Indemnify County,the Colorado Department of Social Services and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death,to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records,which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado Department of Social Services. 10. Bill the County for services rendered, using the required Division of Child Welfare Provider Roster. This roster is to be mailed to the County department by the last day of the month of care. If Provider Rosters are not received, payments will be held until the required paperwork is received. 11. Attend and participate in Foster Care Reviews for children in placement longer than 60 days, and any subsequent appeal process, for children in placement with the Contractor pursuant to two(2)weeks written notice by the County. If the facility is in a different part of the state from the county in which the review is held,participation may be by teleconference. Agreement to Purchase 5 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA 12. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement at CPA level. 13. Obtain physical examinations within 14 days of placement and forward all appropriate information to the County. 14. Obtain Dental examinations within 60 days of placement and forward all appropriate information to the County. 15. A full evaluation of an Individualized Educational Plan(IEP) for youth designated as a Special Education Students will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 16. Assure and certify 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 of preceding this Agreement,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(B) above. D. Have not within a three-year period preceding this Agreement,had one or more public transactions(federal, state, and local)terminated for cause or default. SECTION V. COUNTY SHALL: 1. Determine eligibility of the child under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Social Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate specified herein, when Provider Rosters are submitted as described in Section IV,Number 8. Agreement to Purchase 6 CPA Foster Care Services Contract No: PY 04/O5-SS-23A-CPA 4. Abide by all the rules and regulations of the Colorado Department of Social Services, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. Monitor child's progress in accordance with the treatment/case plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation and/or technical assistance to Contractor in relation to the services purchased under this Agreement. 6. Involve Contractor in planning for the child and give the Contractor a copy of the Discrete Case Plan at time of placement or as soon as completed and when updated or revised. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer-independent contractor. No agent, employee,or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub-contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds,whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation,it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Child, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or affect whatsoever,unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written Agreement. 5. The Contract shall permit the Colorado Department of Social Services and the County to monitor the service program, fiscal books and other records sufficiently to assure the purchase of services in this Agreement are carried out for the benefit of the aforementioned child through program reports, on-site visits where applicable and other contracts as deemed necessary. The Contractor understands that the Colorado Department of Social Services will provide consultation and technical assistance to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at their discretion of the County until final audit. Incorrect payments to the Contractor due to omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State Agreement to Purchase CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA of Colorado, Colorado Department of Social Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 7. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 8. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,nor shall any portion of this Agreement be deemed to have created a duty of care, which did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 9. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 10. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant in a case,which involves services provided under the agreement. The Contractor,within five(5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s)to the Social Services' Director. The term "litigation"includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. Agreement to Purchase 8 CPA Foster Care Services Contract No: PY 04/o5-SS-23A-CPA SECTION VII. ATTACHMENTS • PLACEMENT REFERRAL FOR CPA SERVICES (Attachment A) Child's Name: State ID No: Date of Placement: I. Legal Status of Child. (Mark appropriate box) ❑ Placed through a Voluntary Placement Contract signed by(Fill in Name). ❑ Placed through court order and legal custody/guardianship is held by Weld County DSS. ❑ Placed through a Petition for Review of Need for Placement with custody retained by(Fill in Name). ❑ Other (please explain) 2. Reasons for purchasing services for this child are: REASON (If Other,please Explain) 3. Expected parent/guardian/relative Involvement? O Yes O No Number of times per week expected for visits? 0 Will transportation for visits be provided by the facility/provider listed below? O Yes ❑No Number of times per week transportation from facility/provider is expected? 0 Comments: 4. Services already utilized prior to placement. (Mark appropriate box) ❑ In home services O Placement with Relative O Cty CC Foster Care O Shelter Care O Substance Abuse Treatment ❑ CORE Services ❑ Receiving Home O CPA O RTC O Cty regular Foster Care ❑ Day Treatment O Kinship Care O Group Home O Ind.Living O Other(Specify) 5. Services needed within the Initial Treatment Plan. (Mark appropriate box) A propriate Setting: d Therapeutic(Behavior Modification) O Secure O Other(Explain) Appropriate Counseling: ❑ Individual O Family O Group Appropriate Treatment: ❑ Sex Offender O AggressiveNiolent O Substance Abuse O Truancy O Victim Behavior O Depression ❑ Self-destructive O Delinquency O Special Medical Needs O Behavior Modification O Anger Management ❑ Other (Explain) Appropriate Educational Services: ❑ Special Ed. O Public School O Day Treatment ❑ On-grounds School O Additional Tutoring O Independent Living Training O Other (Explain) Estimated date for accomplishing treatment plan goals are June 30,2005,or before. 6. CCAR Level of Care:(for RTC Placements Only) (Level) (copy to Business Office) O It has been determined that this child is in need of rehabilitative services. (Check Box if child is placed within a RTC) Need Based Care Assessment Completed. (CPA Placements Only) O Yes O No (copy to Business Office) 7. The anticipated living arrangement of child upon completion of the Treatment Plan is: ARRANGEMENT (If other,please explain) If the outcomes are not achieved in the amount of time as planned,Contractor agrees to meet with the County to revise this plan. COUNTY FACILITY Weld County Department of Social Services Facility Name PO Box A Trails provider ID Greeley CO 80632 Address City,State,Zip Provider Info: (If applicable) Foster Care Provider Trails provider ID Provider Address Caseworker Signature City,State,Zip (Worker Name) Date Gloria Romansik,Administrator Signature of Person Authorized to Sign Agreement Date Date Agreement to Purchase 9 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION gimp's NAME STATE ID# SEX Trails Case ID DOB Sex WORKER COMPLETING ASSESSMENT IFDI# (DATE OF ASSESSMENT AGENCY NAME (PROVIDER NAME 1ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month DI)twice a month O2)once a week O3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑0)less than a'A hour per day O1)I/2 hour a day O2)more than'''A hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily O3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing, grooming, hysical,and/or occupational therapy? O0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2)11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) 1 face to face contact per month and/or no crisis intervention ❑1) 2-3 contacts per month(must include 1 face to face)and/or minimal crisis intervention O2) 2 face to face contacts per month and/or occasional crisis intervention O3) at least 1 face to face contact per week and/or ongoing crisis intervention T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or Provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month O2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation ❑ ❑ 0 ❑ P 2 Therapy/Counseling P 3 Educational Intervention 0 ❑ P 4 Behavior Management ❑ ❑ P 5 Personal Care ❑ 0 0 ❑ A 1 Case Management 0 0 0 0 T 1 Therapeutic Services 0 ❑ 0 0 Agreement to Purchase CPA Foster Care Services 10 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. 4 c � �• v . a s tie;. i� t4 .a �� ts� ' i � t s ! n 4 Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric ❑ ❑ ❑ ❑ Enuresis/Encopresis 0 ❑ 0 0 Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ • ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF AVERAGE LEVEL: NEED: ❑ 0 ❑ 1 ❑ 2 ❑ 3 (check level of need) 4greement to Purchase SPA Foster Care Services 11 Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of P1 through P5) PERIOD 1:LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) LEVEL It Comments: LEVEL OF THERAPY SERVICES NEEDED(T1) LEVEL # Comments: SPECIAL MEDICAL NEED& (Medically Fragile Children Only) • LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) Agreement to Purchase 12 CPA Foster Care Services Contract No: PY 04/05-SS-23A-CPA WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) V t t X A -, },?icei 3rtr ' n4.4 } k� 1 'c',..,7:4:411,-,I, tr 7 a J . i ev rfa'?.W,T'u a" ..a vn... -- g Age 0-10...$11.47 t z 4 Level 0...$4.56 ' Level 0 $4.93 :;,4 Level 0 $0 Level 0 $0 0 Age 11-14...$12 89 ::.; ! (Minimal CPA involvement,no k (Therapy not needed or provided (None) R; ' . crisis intervention. Only doing by another source,i.e.mental 0 Age 15-21...$13 91 ( - what is necessary to maintain e _i monthly responsibility.) health.) 6.'' +$.66 Respite Care ii ' !� ill b) )'�. R 6 1 ' Level 1 $8.22 il Level 1 - $4.93 $19.07 FLevel 1 $2.99 4.66 Respite Care ,;, Level 1...$4.56 s(Low level of case management,d. (Regularly scheduled therapy, F� I minimal crisis intervention,2-3 i. ($19.73) r.. 4hours/nwnlhJ a _ contacts/month,minimal crisis r', t 4 intervention, a'. 2-3 contacts/month.) reil ); rty f4 Pi 4. `Level 2 $11.51 'Level 2 $9.86 I 2 525.64 -'. (Moderate level of case (Weekly scheduled therapy, ". ?, +5.66 Respite Care ,; Level 2...$4.56 Management including P 4-8 hours a month with 4 hours of ,. Level 2 $4.47 ($26.30) := Weekly support services, .^: Group therapy.) Occasional crisis intervention 's k s Face to face contact 1 time �, a;i S Per month.) I.3 i,, i ! e. Level 3 $14.79 I r Level 3 $14.79 ' , i i (High level of case management a (Regularly scheduled weekly i 3 $32.22 ••; +$.66 Respite Care i+,! Level 3...$4.56 and CPA involvement with child multiple sessions,can include G"< Level 3 $6.02 ($32.88) �, and provider including ongoing 1.4 more than 1 person,i.e.family i i. . crisis intervention and face to _ therapy,for 8-12 hours/monthly.) r'' face contact)-2 time per week ',.r.' minimum.) I:t t'7 `,,z . 413, :. - a Level 4 $18.08 a Level 4 $14.791I,. 4 r f4 RTC $39.45 a(High level of case management (Regularly scheduled weekly Level 4 Neg. +5.66 Respite Care Level 4...54.56 and CPA involvement with child ;:4, multiple sessions,can include Drop ,. ($40 11) u,l and provider,including on-going`w more than 1 person,i.e.family Down :k„ crisis intervention and face to i..'.:, therapy,for 8-12 hours/monthly.) -; _, face contact 2.3 times per ca. week minimum.) "- r.,,.:LI Assess. Assessment *t ;rf Period Period $26.30 y1 Assessment t Assessment Period $11.51 Assessment Period (Includes Respite) -, Period $4.56 `'u $0 , Effective 10/01/01 kgreement to Purchase PA Foster Care Services 13 Contract No: PY 04/05-SS-23A-CPA IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. MAIM ATTEST: ��T`! •.,. ,ty Clerk to the Board J' I` WELD COUNTY BOARD OF SOCIAL SERVICES,ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES (By: .- : . By: Z? k Deputy Clerk to the Board Robert D.Masden,Chair APPROVED AS TO FO • JUN 2 8 2004 CONTRACTOR County Attorney Youth Ventures LLC 4785 Granby Cir Colorado Springs CA 80919 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Ili ector • Agreement to Purchase CPA Foster Care Services 14 awes/—/737 Hello