HomeMy WebLinkAbout20041639.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR HOUSE
VISITATION AND AUTHORIZE CHAIR TO SIGN-CHILD ADVOCACY RESOURCE AND
EDUCATION (C.A.R.E.)
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS,the Board has been presented with a Notification of Financial Assistance Award
for House Visitation between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County,on behalf of the Department of Social Services, and Child
Advocacy Resource and Education (C.A.R.E.) commencing June 1, 2004, and ending May 31,
2005, with further terms and conditions being as stated in said award, and
WHEREAS, after review, the Board deems it advisable to approve said award, a copy of
which is attached hereto and incorporated herein by reference.
NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado,ex-officio Board of Social Services,that the Notification of Financial Assistance
Award for the above listed program between the County of Weld,State of Colorado,by and through
the Board of County Commissioners of Weld County, on behalf of the Department of Social
Services, and Child Advocacy Resource and Education (C.A.R.E.) be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said award.
The above and foregoing Resolution was,on motion duly made and seconded, adopted by
le following vote on the 16th day of June, A.D., 2004, nunc pro tunc June 1, 2004.
,e\\ I / /j`� BOARD OF COUNTY COMMISSIONERS
I WELD COUNTY, COLORADO f&A, 4s) A
W•
�{ � Robert D. Masden, Chair
,r f'^";Iv Clerk to the Board
William H rke, Pro-Tem
eputy Clerk to the Board 2�/ G
M. eile
AP OV AST •
David . Long
ounty Attorne
Glenn Vaad
Date of signature: /o - 1—f
2004-1639
SS0031
rl ,/ SS(�0--t%cc) 06
Q
6 DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY,CO. 80632
' Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
O
•
COLORADO
MEMORANDUM
TO: Robert D. Masden,Chair Date: June 14, 2004
Board of County Commissioners /�
FR: Judy A. Griego, Director, Social Services U.
RE: Notification of Financial Assistance Awards for Life Skills Programs
with Various Providers
Enclosed for Board approval are Notification of Financial Assistance Awards (NOFAAs) for Life
Skills Programs between the Weld County Department of Social Services and various providers.
The NOFAAs are based upon the provider's Request for Proposal,which has been reviewed and
approved by the Families, Youth and Children(FYC)Commission. The NOFAAs were reviewed
at the Board's Work Session of June 14,2004.
The major provisions of the NOFAA are as follows:
1. The term period is from June 1, 2004 through May 31, 2005.
2. The Department agrees to reimburse providers under Core Services funding according to
the NOFAA and their respective bid proposal for Life Skills Programs. These services
are for children,youth, and families receiving child welfare services. Generally these
Life Skills services are for families primarily in the home that teach household
management, effectively accessing community resources,parenting techniques, and
family conflict management.
3. Providers will be reimbursed according to various rates as provided below:
Vendor Name Rate
A. Youth Emancipation&Services,Inc. $81.29 per hour
B. Ackerman and Associates P.C. $80.00 per hour
C. Lori Kochevar LLC $85.00 per hour
D. Child Advocacy Resource&Education(c.a.r.e)— $69.49 per hour
Family Advocate Program
2004-1639
EJ 'Id Advocacy Resource&Education(c.a.r.e)— $41.08 per hour(supervised visit)
House-Visitation $71.58 per hour(interactional visit)
F. Lutheran Family Services—Home Based $65.15 per hour
Parent Coach Program
G. Lutheran Family Services—Visitation $69.79 per hour(monitored visit)
$94.91 per hour(therapeutic visit)
$94.72 per hour(in-home transition)
$59.85 per hour(case consultation)
$46.31 per hour(transportation)
H. Transitions Psychology Group, LLC $85.68 per hour
If you have any questions,please contact me at extension 6510.
Weld County Department of Social Services
Notification of Financial Assistance Award
for Families,Youth and Children Commission (Core)Funds
Type of Action Contract Award No.
X Initial Award FY04-PAC-006
Revision (RFP-FYC-04005)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2004 and Child Advocacy Resource&Education
Ending 05/31/2005 C.A.R.E. House-Visitation
3700 Golden Street
Evans, CO 80620
Computation of Awards Description
The issuance of the Notification of Financial
Unit of Service Assistance Award is based upon your Request for
The program offers supervised visits or Proposal (RFP). The RFP specifies the scope of
exchanges,interactional supervised visits, and services and conditions of award. Except where it is
mentoring, as noted on the caseworker referral. in conflict with this NOFAA in which case the
Each family would be provided 2 hours per NOFAA governs, the RFP upon which this award is
week supervised visitation, 8 hours per week based is an integral part of the action.
interactional visitation, and 2 hours per week
transportation Special conditions
, subject to caseworker request. Each of the 1) Reimbursement for the Unit of Services will be based
above program areas has the ability to expand as on an hourly rate per child or per family.
referrals fluctuate.Bicultural-bilingual services 2) The hourly rate will be paid for only direct face to
and South County services are available. face contact with the child and/or family or as
specified in the unit of cost computation.
Cost Per Unit of Service 3) Unit of service costs cannot exceed the hourly and
yearly cost per child and/or family.
Hourly Rate Per 4) Payment will only be remitted on cases open with,
Supervised Visit $41.08 and referrals made by the County Department of
Interactional Visitation $71.58 Social Services.
Transportation $33.61 5) Requests for payment must be an original form and
Unit of Service Based on Approved Plan submitted to the Weld County Department of Social
Services by the end of the 25th calendar day following
Enclosures: the end of the month of service. The provider must
X Signed RFP:Exhibit A submit requests for payment on forms approved by
X Supplemental Narrative to RFP: Exhibit B Weld County Department of Social Services.
Recommendation(s) 6) The Contractor will notify the Department of any
X Conditions of Approval changes in staff at the time of the change.
Approvals: C Program Official:
���By V' it"— By
Robert E.Masden, Chair Ju . ri go, Dir or
Board of Weld County Commissioners W Co Department of Social Services
Date: JUN 1 6 ZULU Date: C 0 A
&cYy-iG.$�
SIGNED RFP-EXHIBIT A
INVITATION TO BID A
OFF-SYSTEM BID B001-04 (04005 -04011 and 006-00)
DATE: February 11, 2004 BID NO: RFP-FYC-04005
RETURN BID TO: Pat Persichino, Director of General Services
915 10th Street,P.O. Box 758, Greeley, CO 80632
SUMMARY
Request for Proposal (RFP-FYC-04005) for:Colorado Family Preservation Act--Life Skills Program -
Emergency Assistance Program
Deadline: March 5, 2004, Friday, 10:00 a.m.
The Families,Youth and Children Commission, an advisory commission to the Weld County Department of
Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of
Weld County Commissioners' authority under the Colorado Family Preservation Program Act(C.R.S. 26-5.5-
101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement Act
(C.R.S. 26-5.3-101). The Families,Youth and Children Commission wishes to approve services targeted to'
run from June 1, 2004,through May 31, 2005, at specific rates for different types of service, the county will
authorize approved vendors and rates for services only. The Life Skills Program must provide services that
focus on teaching life skills, which are designed to improve household management competency,parental
competency, family conflict management and effectively accessing community resources. This program
announcement consists of five parts, as follows:
PART A...Administrative Information PART D...Bidder Response Format
PART B...Background, Overview and Goals PART E...Bid Evaluation Process
PART C...Statement of Work
Delivery Date w]
(After receipt of order) BID ST BE SIGNED IN INK
Gwen M. Schooley
TYPED OR PRINTED SIGNATURE
Child Advocacy Resource and
VENDOR Education, Inc. (c.a.r.e.)
(Name) andwritten Signa e By Authorized
Officer or Agent of Vender
ADDRESS 3700 Golden Street, Evans, CO TITLE Board President
80620
DATE March 4, 2004
PHONE# (970) 356-6751 ext. 17
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 33
Off-System Bid B001-04 (RFP-FYC-04005) Attached A
LIFE SKILLS PROGRAM BID PROPOSAL AND .
REQUEST FOR CONTINUATION OF AWARD UNDER CORE SERVICES FUNDING
EMERGENCY ASSISTANCE PROGRAM
2004/2005 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2004-2005
OFF-SYSTEM BID B001-04 (04005)
NAME OF AGENCY: Child Advocacy Resource and Education, Inc. (c.a.r.e.)
)
ADDRESS: 3700 Golden Street Evans, Colorado 80620
PHONE: (970) 356-6751 ext. 21
CONTACT PERSON: Tammy Davis TITLE: careIiouse CORE Servirac Coordinator
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Life Skills Program Category must provide
services that focus on teaching life skills designed to facilitate implementation of the case plan by improving household
management competency,parental competency,family conflict management,effectively accessing community resources,and
encouraging goal setting and pro-social values.
12-Month approximate Project Dates: — 12-month contract with actual time lines of:
Start June 1,2004 Start loot 1, 2003
End May 31, 2005 End May 31, 2004
TITLE OF PROJECT: Life Skills Supervised Visit and EvrhAnge Program
AMOUNT REQUESTED: Tanspor1af.a0) U33.S/ 5upet✓ised. Visit $4/.08 �nkrsdrina/di7LS 4
.>fl 71.58 rName .d Signature of Person Preparing Document Date
Judy A. Griego,Director "teen{41• Galen in.Shoddy 4 -t`---0,4
Name and Signature Chief Administrative Officer Ap�Agency Date
MANDATORY PROPOSAL REQUIREMENTS
For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Proposal
for Bid. For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2003-
2004 to Program Fund year 2004-2005.
Indicate No Change from FY 2003-2004 to 2004-2005
Project Description
Target/Eligibility Populations S ma 11 c ka n,ts n
Types of services Provided Ws�din,j a .�d numbers
Measurable Outcomes y.yt(AO 5 na.3+.
Service Objectives
Workload Standards
Staff Qualifications
Unit of Service Rate Computation
Program Capacity per Month
Certificate of Insurance
Assurance Statement
Page 27 of 33
Off-System Bid B001-04 (RFP-FYC-04005) Attached A
------- --------------------------------- - --f--Lr�-------------------
Date of Meeting(s)with Social Services Division Supervisor: R C
Comments by SS Supervisor
r - 4 -
Q l J U 1-
.kk_t y_
C/DC ;; 0. Rornck S; K
,2actSU /o
Name and Signature of SSD Supervisor Date
Page 28 of 33
Off-System Bid B001-04 (RFP-FYC-04005) Attached A
Program Category Life Skills Program Bid Category
Project Title Life Skills Supervised Visit and Exchange Program
Vendor Child Advocacy Resource and Education, Inc. (c.a.r.e.)
PROJECT DESCRIPTION
Provide a brief one-page description of the project.
II. TARGET/ELIGIBILITY POPULATIONS
Provide a brief one-page description of the proposed target/eligibility populations. At a minimum
your description must address:
A. Total number of clients served.
B. Total individual clients and the children's ages.
C. Total family units.
D. Sub-total of individuals who will receive bicultural/bilingual services.
E. Sub-total of individuals who will receive services in South Weld County.
F. The monthly maximum program capacity.
G. The monthly average capacity.
H. Average stay in the program (weeks).
I. Average hours per week in the program.
III. TYPE OF SERVICES TO BE PROVIDED
Provide a two-page description of the types of services to be provided. Address if your project will
provide the service minimums as follows:
A. Mentoring:
Address, at a minimum, the following ways the project will:
1. Teach,model, and coach adaptive strategies;
2. Model and influence parenting practices;
3. Teach relational skills;
4. Teach household management, including prioritizing, finances,cleaning, and leisure
activities;
5. Actively help to establish community connections and resources;
6. Encourage goal setting and pro-social values.
B. Visitation:
Address, at a minimum,the following ways the project will:
1. ' Monitor parent/child interactions for physical and emotional safety;
2. Document clinical observations;
3. Strategize for teaching and modeling parenting skills;
4. Teach relational skills;
5. Encourage goal setting and pro-social values;
6. Plan structured activities in visitation to help achieve the objectives of the treatment
plan.
Page 29 of 33
Child Advocacy Resource and Education, Inc.
3700 Golden Street Evans,CO 80620
Supervised Visitation Programs
I. Project Description
The Supervised Visitation and Exchange Program through c.a.r.e. was developed with
the primary purpose of protecting children from (re) abuse and neglect while allowing
children to preserve relationships with people who are important to them. Supervised
visits reassure children that they have not been abandoned by a parent who for many
reasons might not be able to have unsupervised contact with their child(ren). The visit
occurs on-site at the careHouse facility. Services are designed to assist children and
families in maintaining a relationship during this time of crisis.
Depending on the needs of the family and the original referral from the caseworker,
two levels of visitation are offered:
1. Supervised Visits or exchanges, (formally Low Intensity) under the guidance of a
Visit Supervisor are designed to supervise a visit, both verbally and physically, for
appropriate interactions, with only limited intervention as necessary for the safety and
supervision of children. Supervised exchanges insure safe transport of a child between
parents where there is the propensity for conflict and/or family violence. The supervised
time is limited to the actual transfer between parties with the remainder of the
parent/child contact occurring unsupervised. In both cases, the visit supervisor will
supervise the interactions between family members and provide written documentation.
2. Interactional Supervised Visits (formally High Intensity) involves a more directive
and interactive approach facilitated by a Parent Educator. The educator provides coaching
and skills training to parents with the goal of giving them the opportunity to practice new
skills, improving positive relationships between parents and children. The Parent
Educator will interact with the family during the actual visit as well as have time with
family before and after the visit as deemed necessary to work on the related parenting and
life skills issues.
Transportation is available at a separate cost for either program.
II. Target/Eligibility Population
The figures below are based on 2003-2004 referrals. This program has the
ability to increase the services provided as referrals fluctuate.
2
A. Total number of clients to be served:
Supervised Visit: 2 families
Interactional Visitation: 27 families
Transportation: 3 families
B. Total individual clients and the children's ages:
Supervised Visits: 10 (parents, and children aged birth to 16)
Interactional Visitation: 40 (parents,and children aged birth to 16)
Transportation: 6(children aged 2-10)
*Families eligible for this program vary in age from pregnant/parenting teens to
grandparents or other specific caregivers.
C. Total Family units:
Supervised Visits: 2
Interactional Visitation: 27
Transportation: 3
D. Sub-total of individuals who will receive bicultural/bilingual services:
Supervised Visitation: 2
Interactional Visitation: 5
Transportation: 1
*There are bilingual/bicultural program staff available as need arises. The c.a.r.e.
agency has successfully offered parenting classes and other services in Spanish
for the past 6 years. We currently offer a Spanish Parent's Anonymous Group.
E. Sub-total of individuals who will receive services in South Weld County:
Supervised Visitation: 0
Interactional: 0
Transportation: 2
*Families who need this service at locations other than our facility in Evans are
referred to the Home-Based Parent Education Program at c.a.r.e. for
supervised visitation at a client's home or other location. With the addition of
transportation, children in the South County area can be transported to the Evans
facility.
F. The monthly maximum program capacity:
Supervised Visits: 2
Interactional Visitation: 8
Transportation: 2
3
G. The monthly average capacity:
Supervised Visits: 2
Interactional Visitation: 5
Transportation: 1
H. Average stay (weeks) in the program:
Supervised Visits: 2
Interactional Visitation: 9
Transportation: 4
I. Average hours per week in the program:
Supervised Visits: 2
Interactional Visitation: 2
Transportation: 2
III.Type of Service to be Provided
Supervised exchanges insure safe transfer of a child between parents where there is the
propensity for conflict and/or family violence. Supervising of exchanges between parties
is limited to the exchange time,the remainder of the parent/child contact occurs
unsupervised. One parent or caregiver will drop the children off at the careHouse facility
and leave. The children will then be in the care of a staff person for 15 minutes. During
that time, the children may be occupied in various activities with the staff person, all
helping to provide the child with a neutral time to prepare for their time with the other
parent or caregiver.
Supervised Visitation
Visiting parents would attend an initial 1-hr. orientation. At this time, program staff will
review and help the parent fill out program paperwork, review program guidelines, and
address parental concerns. Children will be brought to visit by caregiver who would leave
the premises. Visiting parent would then arrive and visit with children. Upon leaving, the
caregiver would return to pick up children. The program at this level can provide family
with parenting information and resources as it pertains to their visit. Intervention will be
limited to addressing safety concerns during the visit.
Interactional Visitation
This program provides parent skills training as part of a treatment plan.
A. Visiting parents would attend an initial 1-hr. orientation. At this time,
program staff will review and help the parent fill out program paperwork,
review program guidelines, address parental concerns and share the plan
for parent education which will take place in an interactive manner and
may occur before, during, and/or after the visit. Parent education is in the
4
form of knowledge of the developmental needs of the children, nurturing
discipline during the visit, appropriate visit activities and acceptable
conversation.
B. Supervised visits would be scheduled and occur. Before, during, and/or
after the visit, the parent educator will provide parent skills instruction and
demonstrate ways of setting and enforcing limits in a direct manner.
Parents will have an opportunity to test and improve the skills they may be
learning either with the parent educator or in other settings such as
parenting classes or counseling sessions.
C. Support meetings would occur as needed with the parent to address
ongoing concerns and provide parent education as it pertains to their
interactions during the visit. When appropriate, families would be
provided community resource information. As families show increase
comfort and success during the visits, meetings may occur less frequently.
B. Visitation:
1. Monitor parent/child interactions for physical and emotional safety:
During both a Supervised Visit and an Interactional Visitation, the Visit
Supervisor and/or Parent Educator will supervise visitation between parent and
child, help parent maintain appropriate and positive interaction and conversation
all the while insuring the emotional and physical safety of the child
2. Document clinical observations:
During both a Supervised Visit and an Interactional Visitation documentation will
consist of observational documentation- appearance of child, noticeable
bruises/scratches, activities during visit, general tone of parent/child interaction,
and any further comments or concerns related to visit. For an Interactional
Visitation, documentation will also include progress toward client treatment plan
and activities employed by the parent educator to address these goals.
3. Strategize for teaching and modeling parenting skills:
Parent education in the form of coaching and modeling will occur during the
Interactional Visitation. The Parent Educator will utilize a variety of teaching
modalities to achieve the goal of a potentially healthier functioning family. This
includes education through written materials, videos, and homework, role
modeling and practicing of new skills during supervised visits. There is an
opportunity for more education before and after the supervised visit which will
address progress as well as concerns in a direct manner in order to aid the family
during future visit times. This will include parental support and guidance, along
with communication and feedback about parenting progress and goals. During
the less intense Supervised Visit, parent coaching will be limited to areas of
immediate safety.
5
4. Teach relational skills:
During an Interactional Visitation, parents will be educated on ways to:
• Increase their ability to understand and implement non-physical methods of child
discipline.
• Increase their ability to understand the stages of development of their children and
appropriate ways to manage their children's behavior at each stage.
• Increase their empathic awareness of their child's needs.
• Decrease parent/child role reversal.
• Increase their stress management and anger management skills.
• Increase their ability to implement a"problem solving"model.
• Increase the communication and conflict resolution among family
members.
• Increase their ability to access resources in the community when needed.
5. Encourage goal setting and pro-social values:
During an Interactional Visitation,the Parent Educator alongside of the parents will
establish and achieve goals for the family. The parents will be educated on handling
and responding appropriately to situations which may arise. This will happen on a
limited basis during a less intensive Supervised Visit.
6. Plan structured activities in visitation to help achieve the objectives of the
treatment:
During an Interactional Visitation, the Parent Educator will provide and educate the
parent on appropriate age level activities. Parents will be encouraged to provide and
initiate activities as part of their demonstration of parenting techniques. During a
Supervised Visit, the parents will receive limited input around Planning of the visit
time.
Quantitative Measures: Services are offered to each family enrolled in the program,
depending on need. Therefore,there is a potential for 27 families per year. These
figures are based on the previous year. The program can be expanded when needed,
depending on the number of referrals.
The Supervised Visit and Exchange Program is the only exchange program offered in
Weld County. There are limited supervised visitation services offered through the
Department of Social Services and Lutheran Family Services. c.a.r.e. services are
available off-hours and during weekends. c.a.r.e. does not provide mental health,
substance abuse or other professional services that are funded by another source.
6
IV. Measurable Outcomes
Supervised Visitation: Families will successfully utilize the Supervised Visitation
Program to increase their positive contact with family members. This will be
documented by program staff using observational methods. The average number of
families available for measurement of outcomes is 3.
Interactional Visitation: All families will be evaluated using the following
measures. In some instances, availability and ability of the clients might affect the
program's success in obtaining outcomes. The average number of families available
for measurement of outcomes is 27.
A. Improvement of household management competency as measured by pre and
posttest instruments.
If requested by the Caseworker, this area will be addressed with the family by the
Parent Educator to the best of our ability under the circumstances and measured
by program documentation.
B. Improvement of parental competency as measured by pre and post
assessment instruments.
90% of families will increase their parental competency scores as reflected in the
following:
- Increase their ability to understand and implement non-physical methods of child
discipline.
- Increase their ability to understand the stages of their child's development and
appropriate ways to manage their child's behavior at each stage.
- Increase their empathic awareness of their child's needs.
- Decrease parent/child role reversal
- Increase stress and anger management skills.
- Increase their ability to implement a"problem solving"model.
- Increase positive communication and conflict resolution among family members.
This will be measured by program documentation as well as pre and post test scores
on the Ongoing Planning and Assessment Form.
C. Parents can independently work with other sources in the community and
within the local,state, and federal governments.
90% of families will increase their ability to access resources in the community
when needed.
This will be measured by program documentation when applicable.
7
IL Families receiving Life Skills services will remain intact six months after
discharge of the services.
85% of families will remain intact six months after discharge of services.
Parents will sign a consent to allow c.a.r.e. to do a follow-up contact with WCDSS
six months after completion of the program.
E. Families/participants who complete the Life Skills Services will have
improved competency level or reduced risk on standardized assessment,such
as the Risk Assessment Tool.
Utilizing the Ongoing Planning and Assessment,pre and posttest, there will be
documentation of improved competency and/or reduced risk. This will also be
measured ongoing by program documentation.
V. Service Objectives
Visitation:
A. Improve parenting skills, parent/child interactions and relational skills for
physical and emotional safety through structured activities in, and
documentation of,visitations to achieve the objectives of the treatment plan;
The program will provide parent education including coaching, instructing,
problem-solving, role modeling, and supervision that will help improve the parent's
ability to provide sound relationships within the family in order to achieve their
treatment plan. The Parent Educator will monitor and document visitation between
parent/child while maintaining appropriate and positive interaction as well as
conversation. Structured activities and debriefing will be discussed between the
Parent Educator and the parent prior to the visit to insure the physical and emotional
safety of the child.
B. Improve goal setting and pro-social values.
The Parent Educator will set monthly goals according to the parent's needs, work
with the parent on achieving the goal and demonstrating it during future supervised
visits. The Parent Educator will demonstrate, educate and encourage the parent in
regards to pro-social values
VI. Workload Standards
These figures are based on 2003-2004 actual services. Each of the three program
areas has the ability to expand as referrals fluctuate.
8
A. Number of hours per day,week, or month.
Supervised Visits (Low Intensity): 2 hour per week
Interactional Visitation(High Intensity: 3 hours per week
Transportation: 2 hours per week
B. Number of individuals providing services:
Supervised Visit: One part time Program Coordinator
Hourly Visit Supervisors
Interactional Visitation: One part time Program Coordinator
Hourly Parent Educators
Transportation: One part time Program Coordinator
Hourly Case manager
There is also program and administrative support working at a limited level in
the program.
C. Maximum caseload per worker:
Supervised Visits: 2
Interactional Visitation: 4
Transportation: 2
D. Modality of Treatment:
Center-based supervision of family visits and exchanges, either Supervised
Visitation at a lower level of intensity or Interactional Visitation at a higher
level of intensity, utilizing parent skills training in the form of education,
coaching and structured education when needed.
E. Total number of hours per day/week/month:
Supervised Visits: 2 hour per week
Interactional Visitation: 8 hours per week
Transportation: 2 hours per week
F. Total number of individuals providing this service:
Supervised Visits: 2
Interactional Visitation: 6
Transportation: 2
G. The maximum caseload per supervisor:
Supervised Visits: 3
Interactional Visitation: 8
Transportation: 2
9
H. Insurance:
Child Advocacy Resource and Education, Inc. carries a commercial general
liability policy with Alliance for Non-Profits Risk Retention Group, Inc.
VII. Staff Qualifications
A. The staff that is providing direct services will have the minimum
qualifications in education and experience.
Supervised Visitation:
The Program Coordinator and Visit Supervisors meet the minimum requirements of a
Case Services Aide II. In addition,they have experience working with families and
children in environments such as a day care or school. Visit Supervisors have a High
School Degree or a Bachelor's Degree. The Program Coordinator holds a Bachelor's
degree in Psychology and Criminology. She has three years of experience in the
human service field.
Interactional Visitation:
The Program Coordinator and Parent Educators will meet the minimum requirements
of a Case Services Aide II. In addition, they will have experience working with
families and children in environments such as a day care or school. The Parent
Educators have a Bachelor's Degree in a Human Service Field,the Program
Coordinator holds a Bachelor's degrees in Psychology and Criminology. She has
three years of experience in the human service field.
The Agency Executive Director has a Master's Degree in Agency Counseling with an
emphasis in Marriage and Family Therapy. She has seven years experience as a
Family Advocate and four years experience as a program coordinator.
Transportation:
The Program Coordinator holds a Bachelor's degrees in Psychology and
Criminology. She has three years of experience in the human service field.
The transportation aide will have a minimum of a high school degree, and meet the
requirements of a Case Aide II.
B. Total number of staff available for the project:
10
10
PROGRAM BUDGETS
PROGRAM Home Based Interactional SupennN Veil Transpo lalpn
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 15 23 3 3 •
B TOTAL CLIENTS SERVED 22 _ 27 2 3
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(AX B) 330 621 a 8
0 COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $22.30 $23.27 $10.00 $12.22
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE 57.360 514,448 580 $110
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $12.898 $24251 $150 $135
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $2,875 $5150 $37 $56
H TOTAL DIRECT.ADMINISTRATION 6 OVERHEAD COSTS(E•F•G) $22,833 $44,449 $247 $303
I PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 SO
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H •I) 522,933 $44,449 $247 $303
IS TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR I C) 330 821 B 9
L RATE PER HOURS OR DAYS OF DIRECT.FACE-TO-FACE SERVICE
WI R) $6849 $71.58 $41.08 $33.81
CE FICATION ST TEM NT
I A declare to the best of my knowledge and belief that the statements made on this document are true and complete and that the wage rates
an they factual unit costs pporting the compensation paid or t9q be paid under this contract are accurate,complete and Includes no duplicate costs and
and that I am the CEO or duly authorized agent of C.Q •r.G •
DIRECT SERVICE COSTS
•
Minimum BWPM Aunts Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY
Degree ON Salary/Ben Salaries, 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND •
DESCRIPTION or Carl FTEs IR 10 FTE Benefits/Other ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Herne Byes Interactional &grNseE Nyl TIFIIFFylaIFn
TOTAL CUENT HOURS OR DAYS PER PROGRAM II 23 3 3 •
TOTAL CLIENTS TO BE SERVED PER PROGRAM 22 27 2 3
TOTAL HOURS OR GAYS PER PROGRAM FOR YEAR 330.00 621.00 SW 9.00 0.00 000
DI RECT LABOR FAC - { I I I
Proyem Coordinator BA 1.00 $30,000 530,00000 NO 00.00% $3000.00 20.00% $6.0000 $0.00 $0.00 50.00
Permit Educator HS. $0 $0.00 NO 100.00% $4,160.00 100.00% 50048.00 $0.00 50.00 $0.00 $0.00
Trernptl100AMe H5• $0.00 NO $00 $0.00 $0.00 $90.00 $0.00 $0.00
Veil Sena. HS' $0.00 NO $000 $0.00 $60.00 $000 $0.00 50.00
00.00 NO $0.00 $0.00 30.00 $0.0 $000 $0
$000 NO 5000 50.00 $0.00 $0.00 $0.00 $0.00
$000 NO $0.00 $0.00 $0.00 $0.00 5000 $000
5000 NO $0 00.00 00.00 $0.00 50.00 50.00
S00 NO $0.00 $0.00 $0.00 $0.00 $0.00 $000
$0 NO SO 00 50.00 50.00 $0.00 50.00 000
500 NO $000 50.00 $0.00 $0.00 5000 $0.00
$0.00 NO 5000 $0.00 50.00 50.00 50.00 50.00
$000 NO $0 $0.0 $0.00 $0.00 50.00 $0.00
so 00 NO $0.00 50.00 $0.00 $0.00 $0.00 So 00
TOTAL DIRECT LABOR PER PROGRAM 53000000 $)1600 01404800 $6000 $000 $0.00 5000
OTHER DIRECT COSTS PFR PROGRAM FACE-TO.ACE
Snooty System NO $000 $000 $0.00 SO 00 5000 50.00
Sgiee NO 5200.00 $400.00 $0.00 $00 $0.00 0000
CM phone NO 50.00 $0.00 $0.00 $1000 $000 $000
Menge NO $0.00 $0.00 $0.00 $10.00 50.00 5000
NO 50.00 5000 $0.00 $0.00 $0.00 $0.00
NO 1000 0000 $0.00 $000 $0.00 $0.00
TOTAL OTHER DIRECT COSTS PER PROGRAM $000 50.61 52000 5064 340.00 50.00 5222 fN.O 300 50.0
GRAND TOTAL DIRECT SERVICE COSTS $30.00.00 $22.30 $].3600 52327 514.44800 51000 580.00 51222 $110.00 $000 $000
ADMIN COST NON-FACE-TO-FACE
•
Minimum Budget Avenge Total % TIME SALARY %OF TIME SALARY % TWE SALARY %0F11ME SALARY % TIME SALARY %OF TIME SALARY
Degree IM Salaryllene Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON MID SPENT ON AND SPENT ON AND
IO DESCRIPTN Or Cerl FTEb ®1.0 FTE Benefits/00%r ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COS PROGRAM OHER COST PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Home Based Interactional Supervised Veit Transportation
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 15 23 3 3 •
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 22 27 2 3
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 33000 621.00 6.00 900 0.00 0.00
DIRECT LABOR NOT FACE-TO-FACE
Program Coordinator BA 1.00 130.000 $30.000.00 NO 1500% $4500.00 30.00% $0000.00 $90.00 $90.00 $0.00 50.00
Parent Educator BA $0.00 NO 100.00% $6,338.00 100.00% $11,928.00 1000 50.00 $0.00 $0.00
TnnpORISon AMa HS $0.00 NO $0.00 $0.00 $0.00 545.00 50.00 $0.00
Vise Supervisor HS 50.00 NO $0.00 $0.00 $80.00 50.00 $0.00 $000
Support Staff HS 1.00 523.587 $23,587.00 NO 2.50% 558988 5.00% $1.179.35 $0.00 $0.00 $0.00 $0.00
Administrative Staff MA 1.00 42.880 $42,880.00 NO 2.50% $1072.00 5.00% $2.14.00 $0.00 $0.00 $0.00 SO 00
$0.00 NO 50.00 50.00 50.00 50.00 $0.00 $0.00
$0.00 NO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 NO $0.00 $0.00 SO 00 $0.00 $0.00 $0.00
$0.00 NO $0.00 50.00 50.00 50.00 50.00 $0.00
$000 NO 50.00 50.00 $0.00 50.00 $0.00 $0.00
$0.00 NO $0.00 $0.00 $0.00 50.00 50.00 $0.00
$000 NO $0.00 $0.00 $0.00 $0.00 $0.00 SO DO
SO00 NO $0.00 50.00 50.00 50.00 10.00 $0.00
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $99.18700 512.497.88 $24,251 35 $150.00 5135.00 50.00 50.00
QTHER DIRECT COSTS PER PROGRAM NOT FACF-TO-FACF
Travel RNm0umement NO $200.00 $0.00 $0.00 $0.00 50.00 $0.00
NO $0.00 $0.00 $0.00 $0.00 $000 50.00
NO $0.00 $0.00 $0.00 50.00 10.00 50.00
NO $0.00 $000 $0.00 $000 $000 $000
NO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
NO $0.00 $0.00 $000 $0.00 $0.00 $0.00
TOTAL OTHER DIRECT COSTS NOT FACE-
TOFACE PER PROGRAM $0.00 SO $200.00 $0.00 $0.00 $0.00 $0.00 $0.00
F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $96.487.00 $38.48 $12897.68 $3505 $20251.35 $25.00 $150.00 $1500 $135.00 $0.00 50.00
OVERHEAD COSTS AND PROFITS
TOTAL ALLOCATED ALLOCATED ALLOCATED ALLOCATED ALLOCATED 1 ALLOCATED '
OVERHEAD 100% ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS %ALLOCATED DVERMEAD COSTS %ALLOCATED OVERHEAD COSTS
DESCRIPTION COSTS ALLOCATED TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM
PROGRAM Horne Bases Inlereclanel Supervised Vol Transportation
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM $1500 52300 $300 $300 e
B TOTAL CLIENTS TO BE SERVED PER PROGRAM $22 00 $27 00 0200 $300
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 33000 82100 0 DO 000 000 000
OVERHEAD
Operating CwYRVNNIWas 521,000.00 NO 5.00% 01050.00 10.00% 52.100.00 0000 010% 02100 sago soap
Apenry Insurance *500 CO NO 5.00% $425.00 10.00% 005000 0.10% $8.50 0 10% 3550 $0.00 $0.00
Ganef&Overhead-A060IMAng,Tctinolegp.Pose.Training,Equipment.Etc. $20,000.00 NO 5.00% 01 400 00 OS 00% 52.00000 0.10% 120.00 010% $2800 3000 $0.00
Trey NO $000 S000 0000 50.00 $0.00 SO00
NO 3000 5000 $000 $0.00 $0.00 $0.00
NO 5000 5000 00.03 5000 30.00 0000
NO 3000 $000 3000 $0.00 $000 $000
NO $000 3000 $0.00 SO 00 $000 10.00
NO $000 1000 50.00 50.03 SO00 SO 00
NO 5000 $0.00 10.00 $000 SO00 50.00
NO 3000 $0.00 $0DO $000 SO DO 50.00
NO $000 5000 30.00 SO 00 $000 5000
NO $000 $000 $0.00 5000 $000 $0.00
NO 0000 $0.00 30.00 00.00 SO 00 5000
NO $000 10.00 5000 $000 50.00 0000
NO 0000 SO 00 Sam $0.DD 3000 0000
NO $000 0000 3000 $000 3000 $000
NO $000 5000 0000 3000 $0.00 $0.00
3 TOTAL OVERHEAD COSTS 057.500 00 52.015 00 55.)50 00 SM 50 55).50 50 00 Sp 00
TOTAL ANTICIPATED PROFITS 30.00 INO 0000 00.00 1000 5000 5000
TOTAL OVERHEAD AND ANTICIPATED PROFITS $5700000 07 875 00 S5.75000 53550 55150 SON 10.00
Alliance ALLIANCE OF NONPROFITS FOR INSURANCE
C
Nonprofits RISK RETENTION GROUP
‘..."
P.O. Box 8546, Santa Cruz, CA 95061
°'Insurance P: (800) 359-6422
Risk Retention Group
F: (831)459-0853 •
COMMERCIAL LINES COMMON POLICY DECLARATIONS ll
PRODUCER: POLICY NUMBER: 2003-11741
CANPO ASI
225 E. 16th Ave.,#1060 RENEWAL OF NUMBER: 2002-11741
Denver, CO 80203
NAME OF INSURED AND MAILING ADDRESS:
Child Advocacy Resource And Education
3700 Golden Street
Evans, CO 80620
POLICY PERIOD: FROM 07/23/2003 TO 07/23/2004
AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE
BUSINESS DESCRIPTION: Child Advocacy Services
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS
POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY.
THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED.THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT.
PREMIUM
COMMERCIAL GENERAL LIABILITY COVERAGE PART- OCCURRENCE $4,472
COMMERCIAL AUTO LIABILITY COVERAGE PART $500
IMPROPER SEXUAL CONDUCT COVERAGE PART $1,342
COMMERCIAL LIQUOR LIABILITY COVERAGE PART INCLUDED
TERRORISM COVERAGE (Certified Acts) $47
TOTAL: $6,361
FORM(S)AND ENDORSEMENT(S)MADE A PART OF THIS POLICY AT TIME OF ISSUE:*
ANI-RRG-GL, ANI-RRG-LL, ANI-RRG-SC, ANI-RRG-AL, SCHEDULE G, SCHEDULE 1, SCHEDULE BA,
CG0001/11-68, ANI-RRG-X1/0802, ANI-RRG-E3/1-99, ANI-RRG-E5/3-91, ANI-RRG-E7/0603. ANI-RRG-E1177-92, ANI-RRG-E1215-92,
ANI-RRG-E15/3-94, ANI-RRG-E22/8-95, ANI-RRG-E28/1-99, ANI-RRG-E29/1.99, ANI-RRG-E30/4-00. ANI-RRG-E32/9-01, ANI-RRG-E33/1-02,
CG0033/11-08, CG2011-NPO/11-85, CO2012/11-85, CG2018/11-85. CG2020/11-85. CG2026/11-85, CG2034/3-97,
CG2101/11-85, CG2171/1202, CG2240/11-65, CG2407/11-85. CG2504/11-85, CG7794/4-93, CG7794/O4 93,
IL0017/11-85, IL0228/9-00, IL 0985/01 03,
'Omits applicable forms and endorsement if shown In specific coverage part/coverage form declarations.
These declarations and the common policy declarations,If applicable,together with the common policy conditions,coverage form(s)and forms and
endorsements,if any,issued to form a part thereof,complete the above numbered policy.
"NOTICE
This policy is issued by your risk retention group.Your risk � Q e
4 .retention group may not be subject to all of the insurance laws . BY Q
and regulations of your State. State insurance insolvency
guaranty funds are not available for your risk retention group." (AUTHORIZED REPRESENTATIVE)
07/22/2003
ANI- RRG-CO 02258-DB)
a.
SUPPLEMENTAL NARRATIVE TO RFP: EXHIBIT B
RECOMMENDATIONS
X CONDITIONS
DEPARTMENT OF SOCIAL SERVICES
P.O.BOX A
GREELEY,CO. 80632
Website:www.co.weld.co.us
11111,pAdministration and Public Assistance(970)352-1551
Child Support(970)352.6933
O
•
COLORADO April 6,2004
Gwen Schooley,Director
C.A.R.E.
3700 Golden
Evans,CO 80620
Re: REP 04005:Lifeskills,Parent Advocate
RFP 04005: Lifeskills,Visitation
Dear Ms. Schooley:
i
The purpose of this letter is to outline the results of the bid process for PY 2004-2005 and to request written confirmation from
you by Wednesday,April 14,2004.
A. Results of the Bid Process for PY 2004-2005
The Families,Youth and Children(FYC)Commission recommended approval of the bids listed below for inclusion
on our vendor list with no recommendations.
1. RFP 04005:Lifeskills,Parent Advocate
2. RFP 04005:Lifeskills,Visitation
B. The Families,Youth,and Children Commission recommended the following condition be applied to all 2004-
2005 contracts.
The condition is:the provider will notify the Department of any change in staff at the time of the change.
All conditions will be incorporated as part of your Bid and Notification of Financial Assistance Award(NOFAA).If
you do not accept the condition(s),you will not be authorized as a vendor unless the FYC Commission and the Weld
County Department of Social Services accept your mitigating circumstances.If you do not accept the condition,you
must provide in writing reasons why.A meeting will be arranged to discuss your response. Your response to the above
conditions will be incorporated in the Bid and Notification of Financial Assistance Award.
The Weld County Department of Social Services is requesting your written response to the FYC Commission's
recommendations and/or conditions.Please respond in writing to Gloria Romansik,Weld County Department of Social
Services,P.O.Box A,Greeley,CO,80632,by Wednesday,April 14,2004,close of business.
If you have questions concerning the above,please call Gloria Romansik,970.352.1551 extension 6230.
Sincerely, A
J A. 'ego,D ctor
cc: Juan Lopez,Chair,FYC Commission
Gloria Romansik,Administrator
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