HomeMy WebLinkAbout20031058.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR LIFESKILLS
AND AUTHORIZE CHAIR TO SIGN -WELD COUNTY YOUTH ALTERNATIVES, DBA
PARTNERS
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Notification of Financial Assistance
Award for Lifeskills 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
Weld County Youth Alternatives, dba Partners, commencing June 1, 2003, and ending May 31,
2004, 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 Weld County Youth Alternatives, dba Partners, be, and
hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 30th day of April, A.D., 2003.
BOARD OF COUNTY COMMISSIONERS
WEL UNT , COLORADO
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Weld County Clerk to he1Boardr \,,
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Robert D. asden, ro-Tem
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Date of signature: 56
2003-1058
SS0030
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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 FY03-CORE-0004
Revision (RFP-FYC-03005)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2003 and Weld County Youth Alternatives, Partners
Ending 05/31/2004 Lifeskills
1212 8 Street
Greeley, CO 80631
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Award is based upon your Request for Proposal(RFP).
Short-term intervention with youth and families, The RFP specifies the scope of services and conditions
helping them to negotiate a crisis or transitional of award. Except where it is in conflict with this
period of time through provision of a "respite" or NOFAA in which case the NOFAA governs, the RFP
"release valve"while also helping them to develop upon which this award is based is an integral part of the
life skills to avert crisis in the future. Maximum action.
family units to be served is 14,children aged 8-17,
monthly average capacity is 8 families, average Special conditions
hours per week in program is 4, average stay in
program 12-16 weeks. 1) Reimbursement for the Unit of Services will be based on
an hourly rate per child or per family.
Cost Per Unit of Service 2) The hourly rate will be paid for only direct face to face
contact with the child and/or family, as evidenced by
Hourly Rate Per $ 17.00 client-signed verification form, and as specified in the
Unit of Service Based on Approved Plan unit of cost computation.
3) Unit of service costs cannot exceed the hourly and yearly
Enclosures: cost per child and/or family.
X Signed RFP: Exhibit A 4) Payment will only be remitted on cases open with, and
X Supplemental Narrative to RFP: Exhibit B referrals made by the Weld County Department of Social
Recommendation(s) Services.
X Conditions of Approval 5) Requests for payment must be an original submitted to
the Weld County Department of Social Services by the
end of the 25th calendar day following the end of the
month of service.The provider must submit requests for
payment on forms approved by Weld County
Department of Social Services.
Approval . Program Official:
By E By
David E. Long, Chair Ju . art , Direct
Board of Weld County Commi Toners W County epartme t of Social Services
Date: " 3 Date: I4/2 /as
`03--1 02003-W5'd
EXHIBIT "A"
WELD COUNTY
partnerslb
NIL NTORINO YOUTH
March 10, 2003
Pat Persichino
Director of General Services
915 10th Street
P.O. Box 758
Greeley, CO 80632
Bid Number: RFP-FYC-03010
Dear Proposal Review Committee:
I have enclosed one original and 5 copies of Partners' Family Preservation Program Life Skills
proposal. The Partners' Mentor-Advocate program has been modified this year to meet the more
limited hours available through CORE SERVICES. We are confident that the modified hours will
still meet the needs of the Social Service clients we have worked with in the past. We look
forward to continuing to work with the Social Services case workers to provide needed advocate
services to participating youth and their families.
In speaking with Social Service staff; we have agreed upon a time frame or three to four months
at four hours a week. The total hourly rate will be $17.00. We also will continue to recruit
mentor-advocates who can be screened and trained in preparation to being matched when a
referral is made.
Please let me know if there is any additional information that you may need to evaluate this
application.
Thank you again for your past support of Partners' Mentor-Advocate program.
Sincerely,
Michael Muskin
Executive Director
Volunteers Helping Youth Help Themselves
1212 8th St. Greeley, CO 80631 (970) 351-0700 Fax (970) 351-0562 partners@weldpartners.org www.weldpartn ers.or
INVITATION TO BID
OFF-SYSTEM BID 02-03 RFP-FYC 03005
DATE:February 19, 2003 BID NO: RFP-FYC-03005
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-03005) for:Colorado Family Preservation Act--Life Skills Program
Emergency Assistance Program
Deadline: March 14, 2003, 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, 2003, through May 31, 2004, 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
(After receipt of order) BID MUST BE SIGNED IN INK
TYPED OR PRINTED SIGNATURE
VENDOR Weld County Partners "r:frct
(Name) Handwritten Signature By Authorized
Officer or Agent of Vender
ADDRESS 1212 8th St. , Greeley 80631 TITLE Executive Director
DATE March 1 n, 7003
PHONE# 970-351 -0700
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
•
•
RFP-FYC-03005 Attached A
LIFE SKILLS PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2002/2003 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2003-2004
OFF-SYSTEM BID 02-03 RFP-FYC-03005
NAME OF AGENCY:
ADDRESS: Weld County Youth Alternatives dba/Weld County Partners
PHONE: 97091?_856St. , Greeley, CO 80631
CONTACT PERSON: Michael Muskin TITLEExecutive Director
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: x 12-month contract with actual time lines of:
Start June 1, 2003 Start June 1 , 2003
End May 31, 2004 End May 31 , 2004
TITLE OF PROJECT: Mentor Advocate Project (MAP)
AMOUNT REQUESTED: $1 7. 0 0 an hour
MichaelMichael Muskin �� 3/10/03
Name and Signature of Person Preparing Documen Date
Judy A. Griego, Director
Name and Signature Chief Administrative Officer Applicant Agency Date
MANDATORY PROPOSAL REQUIREMENTS
For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Proposal
for Bid. For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2002-
2003 to Program Fund year 2003-2004.
Indicate No Change from FY 2002-2003 to 2003-2004
✓ Project Description c s du- . kfi.,
✓ Target/Eligibility Populations /
/ Types of services Provided ,vc - /e s s h c µr s
V Measurable Outcomes e j e c,..c c /n CC-1/ ha-IC / el !J/3 c, ,' c '
✓ Service Objectives $; ,/n/ L.7 /., eel;d w c I� Y , V/cam ✓.Lc O/.
/ Workload Standards less how ,r cQ b 'e'i•'r g
Staff Qualifications yG — cz n c >k, r, c/ C,CC4 A/e n c <
V Unit of Service Rate Computation /c c s 6s<.—es w Sv r .;,/c cc 6 sc
/ Program Capacity per Month /cis /> s f Cam-e:!. 0 .1
/ Certificate of Insurance
./ Assurance Statement
Page 26 of 32
RFP-FYC-8e049 0 30o.5 Attached A
Comments by SSD Supervisor: /
•
3/3/ 3
Name and Signature of SSD Supervisor Date
Page 27 of 32
•
RFP-FYC-03005 Attached A
Program Category Life Skills Program Bid Category
Project Title Mentor Advocate Program
Vendor Weld County Partners
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.
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 28 of 32
RFP-FYC-03005 Attached A
Provide your quantitative measures as they directly relate to each service. At a minimum, include the
number to be served in each service component. Describe your internal process to assure that FYC
resources will not supplant existing available services in the community; e.g. mental health capitation
services, ADAD and professional services otherwise funded.
IV. MEASURABLE OUTCOMES
Provide a two-page description of your expected measurable outcomes of the project. Address the
following measurable outcomes:
A. Improvement of household management competency as measured by pre and post assessment
instruments and/or documented observations.
B. Improvement of parental competency as measured by pre and post assessment instruments
and/or documented observations.
C. Parents can independently work with other sources in the community and within the local,
state, and federal governments.
D. Families receiving Life Skills services will remain intact six months after discharge of the
services.
E. Families/participants who complete the Life Skills Services will have improved competency
level or reduced risk on the standardized assessment, such as the risk assessment tool.
Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate,
and monitor each quantitative measure.
V. SERVICE OBJECTIVES
Provide a one-page description of your expected service objectives and quantitative measures.
Mentoring:
A. Improve Household Management Competency-capacity of parents to provide a safe household
environment for their children through competent household cleaning and maintenance,
budgeting,purchasing, and leisure activities;
B. Improve Parental Competency-capacity of parents to use adaptive strategies, maintain sound
relationships with their children and provide care,nutrition, hygiene, discipline,protection,
instruction, and supervision;
C. Improve Ability to Access Community Connections and Resources-services shall assist
parents to work with other sources in the community and the local, state, and federal
governments;
D. Improve goal setting and pro-social values.
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
Page 29 of 32
RFP-FYC-03005 Attached A
of the treatment plan;
B. Improve goal setting and pro-social values.
Describe the methods you will use to measure, evaluate, and monitor each service objective.
VI. WORKLOAD STANDARDS
Provide a one-page description of the project's workload standards and quantitative measures.
Address, at a minimum, the following areas.
A. Number of hours per day,week, or month.
B. Number of individuals providing the services.
C. Maximum caseload per worker.
D. Modality of treatment.
E. Total number of hours per day/week/month.
F. Total number of individuals providing these services.
G. The maximum caseload per supervisor.
H. Insurance.
VII. STAFF QUALIFICATIONS
Provide a one-page description of staff qualifications and address, at a minimum, the following:
A. Will your staff who are providing direct services have the minimum qualifications in
education and experience?Describe.
B. Total number of staff available for the project.
VIII. Unit of Service Rate Computation
The budget form is to be used to provide detailed explanation of the hourly or daily rate your
organization will charge the Core Services Program for the services offered in this Request for
Proposal. This rate may only be used to bill the Weld County Department of Social Services for
direct, face-to-face services provided to clients referred by the Department. Requests for payment
based on units of service such as telephone calls, no shows, travel time, mileage reimbursement,
preparation, documentation, and other costs not involving direct face-to-face services will not be
honored. Likewise,bills must be for hours or days of direct services to the client, regardless of the
number of staff involved in providing those services. Therefore, it is imperative that this rate be
sufficient to cover all costs associated with this client, regardless of the number of staff involved in
providing these services.
There are two different ways to fill out the budget form. The budget can either be done manually or
by computer. Regarding the manual budget, all areas that are required to be filled in are highlighted.
The computerized budget is less work due to predefined calculations,but does require Microsoft
Excel for Weld County's predefined budget. There are highlighted areas on the computerized budget
that are required to be filled in as well. There are disks available that have this predefined budget on
it. Firms can also design its own budget form on a spreadsheet,but at minimum, it must have all of
Page 30 of 32
RFP-FYC-03005 Attached A
the columns that are on the manual or computerized budget. Explanations on how to fill out the
budget form are provided below and on the following pages.
(A) This is an estimate of the total hours or days of direct, face-to-face services each client will
receive from the time he or she enters the program until completing the program. On the
manual budget, the only place to put this number is on the Program Budget worksheet. The
computerized budget requires this number to be entered on the Direct Service Cost
worksheet only. Once filled in there, this number is populated throughout the entire budget.
(B) This is an estimate of the number of clients who will be served during the period from June
1, 2003, through May 31, 2004. On the manual budget, the only place to put this number is
on the Program Budget worksheet. The computerized budget requires this number to be
entered on the Direct Service Cost worksheet only. Once filled in there, this number is
populated throughout the entire budget.
(C) This is the total number of hours or days per client multiplied by the total number of clients
to be served for(B). On the manual budget, this will have to be calculated manually on the
Program Budget worksheet. The computerized budget will automatically calculate this then
populated throughout the entire budget.
(D) This is calculated by taking the total direct service costs (E) and dividing it by the total
number of hours in ( C ). On the manual budget, this will have to be calculated manually.
The computerized budget will automatically do this calculation for you.
(E)This number represents the salary and benefits that your organization pays its direct service
providers plus any costs which are directly attributable to the face-to-face session with the
client. On the manual budget, all areas that are highlighted on the Direct Service Costs
worksheet must be filled out according the descriptions. The Grand Total Direct Service
Costs must be then carried over to the Program Budget worksheet. The computerized budget,
once all of the highlighted areas are filled in, it will automatically carry the total over to the
Program Budget worksheet.
(F) This represents the salary and benefits of direct service, supervisory, and clerical personnel
which are not incurred in providing direct, face-to-face service to the client, but can be
allocated to this program for time spent on the program for activities such as travel,phone
conversations, no-shows, discussions with involved parties, meeting preparation, and report
completion. On the manual budget, all areas that are highlighted on the Admin Costs Non-
Face-to-Face worksheet must be filled out according to the descriptions. The Grand Total
Direct Service Costs Not-Face-To-Face must be carried over to the Program Budget
worksheet. The computerized budget, once all of the highlighted areas are filled in on the
Admin Costs Non-Face-to Face worksheet, it will automatically carry the total over to the
Program Budget worksheet.
(G)This represents the agency overhead costs, such as rent, utilities, supplies, postage, travel
reimbursement, telephone charges, equipment, depreciation, data processing, interest, and
taxes which are not incurred in providing direct, face-to-face service to the client,but can be
allocated to this program for time spent on the program for activities such as travel, phone
Page 31 of 32
RFP-FYC-03005 Attached A
conversations, no-shows, discussions with involved parties, meeting preparation, and report
completion. On the manual budget, all highlighted areas on the Overhead Costs and Profits
worksheet must be completed according to the descriptions. The Total Overhead Costs must
be carried over to the Program Budget worksheet. The computerized budget, once all of the
highlighted areas are filled, will automatically carry over to the Program Budget worksheet.
(H) This represents the total of all direct face-to-face costs, admin direct non face-to-face costs,
and overhead costs. On the manual budget, this will have to be manually calculated by adding
these three total costs together. The computerized budget does it automatically.
(I) This represents the total amount of profit your firms expects to realize as a result of operating
this program. Any difference between lines (H) and (J)must be substantiated by an amount
indicated on this line. The manual budget, this amount will be entered on the Overhead Costs
and Profit worksheet and then have to be carried over to the Program Budget worksheet. The
computerized budget, once it is filled in on the Overhead Costs worksheet, it will then
automatically be carried over to the Program Budget worksheet.
(J) This represents the total costs and profits added together. This is(H) and (I). On the manual
budget, it will have to be calculated manually on the Program Budget worksheet. The
computerized budget will automatically calculate it on the Program Budget worksheet.
(K)This represents the total hours or days of direct service for the year. This is (C ) above, On
the manual budget, you will have to carry this number down from(C ). On the computerized
budget, it is automatically carried down.
(L) This is the actual direct, face-to-face hourly or daily rate at which you will be requesting
payment for the services provided under the conditions of this Request for Proposal. This
amount cannot be more then what is charged to the general public or collected from insurance
providers. On the manual budget, this amount must be calculated by taking the total costs and
profits (J) and dividing it by the total hours or days of direct service for the year(C or K). The
computerized budget automatically calculates this total.
All providers who receive a NOFAA must also submit a certified computation of the organization's
actual expenditures for the approved Core Service program by January 31, 2004, for a seven-month
period from June 1, 2003 to December 31, 2003. The actual expenditures must be submitted in the
same format as the budget was prepared. The certification language must be the same as on the
Computerized Actual Expenditures worksheet. The document must be signed by the Chief Executive
Officer or the authorized officer of the bidder in order for it to be considered certified.
The use of the actual program expenditures is to insure that the direct, face-to-face hours/daily rate is
comparable to the budget computation. The actual numbers will be taken into consideration for the
2004-2005 Request for Proposal for that specific program.
Page 32 of 32
Program Category: Life Skills Program Bid Category - RFP-FYC 03010
Project Title: Mentor-Advocate Project(MAP)
Vendor: Weld County Youth Alternatives dba/Weld County Partners
I. PROJECT DESCRIPTION
The Mentor-Advocate Project(MAP) is a community-based alternative for children or youth
at imminent risk of out-of-home placement, which will:
a] Provide short-term, intensive intervention with youth and parents, based on a
relational advocate model, which combines the effects of mentoring with the intent of crisis
management, advocacy, tracking and negotiation;
b] Provide a paid mentor-advocate to work one-on-one with a child or youth;
c] Conduct intake within 72 hours of referral, based on the availability of the youth
and family, and provide match within 5 days of referral, OR notify program area supervisor
of inability to match if mentor-advocate is not available at the time a referral is received;
d] Provide direct, face-to-face skill building work, specific to the Social Service
Family Service Plan.
e] Provide direct problem-solving and communication development by mentor-
advocate with youth and parent or guardian, as part of 4 hours per week;
f] Encourage change in youth focus and improvement in parent/child communication
and problem/solving skills;
g] Provide crisis Counseling and/or Family Mediation by staff as needed;
i] Provide services for a 3 month period with the possibility of a forth month.
The mentor-advocate relationship differs from a regular mentoring relationship as provided
by Partners in both intent and effect. The intent of MAP is to initiate relatively short-term
intervention with youth and families, helping them negotiate a crisis or transitional period of
time through helping the youth and family implement the social service family service plan
and also helping them develop lifeskills to avert crisis in the future. This intervention will be
completed through the mentor advocate working with the youth 4 hours a week for the first
three months and a possible 4 hours a week in the forth month. This project utilizes the
encouragement, concern and caring associated with mentoring, in conjunction with
advocacy's focus on meeting immediate needs and providing regular, short-term skills
practice, in conjunction with the implementation of the family service plan.
Partners will:
1] recruit and screen the mentor-advocates;
2] train the mentor-advocates in lifeskills development, along with training in
mentoring, advocacy, communication skills and problem solving facilitation.
3] provide staff assistance as necessary, in Counseling or Family Mediation.
. 4] provide specific orientation as to the requirements of working in conjunction with
the social service family service plan.
II. TARGET/ELIGIBILITY POPULATIONS
The Mentor-Advocate Project (MAP) is designed to meet the needs of individual youth
between the ages of 8 and 17 who are beyond the control of their parents or otherwise in a
conflictual state with parents/guardians or are in need of transitional services pending and
during family reunification.
MAP will address the "criteria for out-of-home placement"primarily by:
Criteria #1 - Responding in those cases when the child/youth is:
1
1] beyond the control of parents; 2] adjudicated delinquent; 3] child/youth
returning home from out-of-home placement or moving to a less restrictive LOC.
Criteria #2 - Responding primarily when:
1] it is necessary to assist the parent/relative/caretaker and/or child/youth in
accessing and utilizing identified services to address the presenting conditions.
Criteria #3 - Responding when:
1] placement out-of-home or in FPP is the best choice of available
options/alternatives while continuing reasonable efforts to resolve the problems that led to
imminent risk.
MAP meets the definitions pertaining to the Family Preservation Program by:
1] directing its work toward families and family strengths, providing both respite/reprieve and
skill building for youth and parents/guardians; 2] protecting children/youth and preventing
placement through those same strategies, providing "away time" and active problem-solving
"together" time; 3] being time limited, with an initial contract of 3 months of service,
depending on the case circumstances and need; 4] using a "family friendly" model which
encourages receptivity of services; 5] intervening at critical points, when out of home
placement is imminent due to crisis, or when transitional support is needed by families
pending reunification.
MAP client capacity includes the following:
A. Total number of clients to be served: 28
B. Total individual clients and children's ages: 24 (based on 14 parents/14 youth)
Children/Youth ages: 8 - 17
C. Total family units: 14
D. Total of individuals who will receive bicultural/bilingual services: 50%
E. Total of individuals who will receive services in South Weld County: 2
F. Monthly maximum program capacity: 8 families
H. Monthly average capacity: 4
I. Average stay in the program (weeks): 12-16
J. Average hours week in the program: 4
III. TYPE OF SERVICES TO BE PROVIDED
Youth and parents/guardians will be provided support during critical junctures, with the
understanding that the relationship is a means to help the family for the period of service
provision, unless it is agreed to extend the youth's length of stay in the project. All youth in
MAP are eligible for subsequent referral to Partners for the regular services of the agency's
mentoring program.
A. Teaching/modeling/demonstrating/coaching - interactive process with client
1: Mentor-advocate role. Combining the relational aspect of mentoring with
advocacy, the mentor-advocate will be able to establish the trust of a friendship-based
relationship with a child/youth, while at the same time purposefully working with that
child/youth and the parent/guardian to teach new skills for communication and problem-
solving.
Mentor: As with Partners' other programming, MAP places the greatest emphasis on
the child/youth. The mentoring concept recognizes that: 1) young people respond the most
positively and effectively to significant caring adults who help them develop an internal locus
2
of control; 2) youths' responses to external behavioral pressures without a caring
relationship with an adult in place are most likely to be in favor of negative and risk-taking
behaviors or against authority. First developing the relationship with the child or youth will
make he or she more susceptible to the skill building process with the mentor-advocate. A
similar response will hold true for the parent/guardian, though the relationship between the
mentor-advocate and parent/guardian will be less intense.
Advocate: The advocate role is much more focused on making change happen
quickly and meeting immediate need. It is in this role that the mentor-advocate will be able
to gain family confidence and participation in identifying problems. The goal will be to
teach children/youth and their parents/guardians the skills necessary to repeatedly walk
through the problem-solving and decision-making processes, and to gain awareness of the
effects of various communication styles and learn new ones. The parent/guardian will be
supported in learning to maintain the adult role, and the child/youth will be supported in
getting his or her needs met. The mentor-advocate may also identify additional family
needs and/or be of assistance in facilitating compliance with the case treatment plan.
2: Skill building. During some of the together time, in their home if distractions
are minimal, at the Partners house if not, the mentor-advocate will provide skills to problem-
solve step-by-step, to practice new communication techniques and to learn to engage in
dispute without emotional eruption. Skills to be addressed will be based on goals pertaining
to the "Family Service Plan".
3: Counseling/family mediation. If crisis points emerge for which the mentor-
advocate feels his or her skills are inadequate, professional staff with Partners will assist in
resolution of issues. In such cases, either staff or the mentor-advocate will confer with the
DDS caseworker regarding the next best course of action. Reports on outcomes of such
sessions will be made to the caseworker.
B. Training in household management
1: This service is not provided by MAP.
C. Teaching child rearing and discipline
1: Communication and problem-solving skill building. As stated in A.2., the
mentor-advocate will meet with the child/youth and parent/guardian together to review the
treatment plan. The parenting skills addressed through this service will include those
needed to implement problem-solving and communication techniques, to avoid escalation of
anger and to produce working agreements between parent/guardian and child/youth (e.g.,
household rules, consequences for negative behavior). Again, these skills will be based on
goals pertaining to the "Family Service Plan".
D. Teaching development of community linkages/advocacy and use of services
1: Advocacy. While the mentor-advocate's role is primarily to focus on assisting
youth and families in building communication and problem-solving skills, families will be
assisted in meeting needs by accessing community resources (e.g., food, clothing, furniture,
health care), especially where lack of such resources is a contributing factor in family
conflict.
2: Skill modeling. Specific development of parent/guardian skills to access and
use community resources is not generally a primary focus of MAP. To the extent that
advocacy involves assisting with gaining access to resources, these specific skills will be
modeled and demonstrated for the parent/guardian.
E. Demonstrating nurturing/esteem role-modeling
3
•
•
1: Mentorinq. The practice of mentoring includes providing support and
encouragement through challenges and difficulties, as well as communicating positive
feedback as those being mentored utilize new skills. In the case of mentoring of youth, the
process contributes to the development of their self-confidence and sense of self-worth. As
the parent/guardian watches the mentor-advocate relationship develop with the child or
youth, this process and its effects will be role-modeled for them.
2: Communication skill modeling. As the mentor-advocate meets with the
parent/guardian and child/youth in weekly sessions, the mentor-advocate's interaction with
both also will include role-modeling for the parent/guardian the communication of caring,
pride, concern, love, etc. The process of communicating positive feedback to youth as a
technique for demonstrating caring and concern, as well as for developing increased self-
esteem in the youth, will be modeled by the Mentor-advocate for the parent/guardian. These
skills will be in conjunction with the goals based on the "Family Service Plan".
F. Number to be served by above service types
1: Interactive process. At the maximum capacity of the project, 14
parents/guardians and 14 youth will be served through the interactive process described in
A. above.
2: Advocacy for access to resources. All family members will learn the process
as resources are located to meet family needs. The maximum capacity is as above.
3: Parenting skills. The communication, problem-solving and esteem building
skills that will be worked on with both parents/guardians will be in conjunction with the Family
Service Plan for the maximum capacity of 14 parents/guardians.
G. Measures/Duplication. See Section IV for quantitative measures for service
outcomes. No other community entity or program within Partners is providing the mentor-
advocate service model for FPP eligible families.
IV. MEASURABLE OUTCOMES
Youth and parents/guardians will be provided support during critical junctures, and through
this support, skill building, and advocacy the youth and their families will have additional
tools to be able to better deal with the conflict related to this referral. Senior Partners will
also work with the client's case worker to develop specific attainable goals based on the
existing "Family Service Plan". All youth in FPP would be eligible for subsequent referral to
Partners for the regular services of the mentoring program.
FPP evaluation will be conducted in two phases, process evaluation and outcome
evaluation. Process evaluation will mark the progress of the project in terms of numbers
associated with project-specific processes. For MAP this will include tracking of the:
1) # of available screened and trained mentor-advocates
•
1) # of referrals and # of accepted clients;
2) total # of hours of service provided per client per week;
3) types of services provided per week per client by hours of service;
4) average weekly and monthly project caseload;
5) stipends paid to mentor-advocates.
The Three outcomes on which MAP focuses are: 1) Prevention of imminent placement of
children/youth, in those cases where the family can be effected by mentoring for youth, and
building of communication and problem-solving skills; 2) reunification of children who are in
4
•
out-of-home placement to residence with their parents/guardians, in those cases as
described in #1; 3) completion of goals in conjunction with the "Family Service Plan".
The outcome objectives to be measured to assess the effectiveness of the program in
achieving these outcomes are:
Outcome Objective #1: Family Service Plan goals/objectives in conjunction with the
Mentor-Advocate will be successfully completed.
Outcome Objective #2: Families will be successful in remaining unified at the time
of termination of services, either because the child/youth is no longer at imminent risk of
placement or because the child/youth is reunified and is not at imminent risk of placement.
Outcome evaluation marks progress in terms of behavioral and attitudinal change in a
program's participants. For MAP this will require two dimensions of evaluation of the
project's effectiveness:
Finding #1: The % of all families in which the "Family Service Plan" goals are
successfully completed.
Finding #2: The % of all families in which the child/youth is successfully remaining
in the home, either after being at imminent risk of placement, or after having been reunified
with his/her family, as measured by mentor-advocates and confirmed by DSS caseworkers.
Specific measureable outcomes:
A. Improvement of household management competency - Not provided by this
project.
B. Improvement of parental competency -Addressed in Outcome Objective #2
and Finding #2, to be measured evaluation instruments as described above.
C. Parents working independently with other community sources - While the
mentor-advocate's role is primarily to focus on assisting youth and families in building
communication and problem-solving skills, families will be assisted in meeting needs by
accessing community resources (e.g., food, clothing, furniture, health care), especially where
lack of such resources is a contributing factor in family conflict. Though specific
development of parent/guardian skills to access and use community resources is not a
primary focus of MAP, evaluation of work in this regard with be measured through review of
mentor-advocate log notes and the program's case files.
D. Families remaining in tact three months after termination of services - Evaluation
of successes in this regard will require review of DSS case files.
E. Families/participants with improved competencies — addressed in successful
completion of Family Service Case Plan.
V. SERVICE OBJECTIVES
A. Improve Household Management Competencies
1: Not addressed by this project.
B. Improve Parental Competency
1: Mentor-advocates. Partners will maintain a pool of screened and trained
mentor-advocates to serve an average caseload of 4 families. These individuals will be
recruited, screened, trained and placed as stipend volunteers with the program, and will be
allowed to work with a maximum of two families simultaneously. The screening process will
include the application, Central Registry check, Motor Vehicle records, CCIC-NCIC screen, 4
references, and an intensive interview. The assignment of a client to a mentor-advocate will
be on the basis of availability, with secondary emphasis on compatibility, strengths and
5
needs and meeting with the DSS caseworker.
2: Direct service. Partners will provide an average of 4 hours of direct service per
week to each client family, to include 4 hours of one-to-one contact between the
mentor/advocate and child/youth, and 1-2 hours of skill building contact between the
mentor/advocate and both the child/youth and the parent/guardian together. During the
one-on-one time the two will discuss concerns of the youth, role play problem solving and
communication strategies including discussion of coping skills, and participate in
recreational activities, on their own or as provided by Partners. All activities will be in
conjunction with the Family Service Plan.
The mentor-advocate will meet at pre-scheduled times with the child/youth and his or
her parent/guardian. During these sessions, the mentor-advocate will facilitate discussion
of the status of the child/youth - parent/guardian relationship, including such things as
conflictual incidents in the preceding week, encouraging, for example, description of the
chain of events and participants' behavior, identification of different possible actions and
outcomes, and role playing of the scenario with different behavior, communication styles,
etc. Again, these sessions will be in conjunction with the Family Service Plan.
MAP participants will have available to them all of the regular recreational, education,
community service and mentor support services which are provided for Partnerships in the
core programs. These supports include the assigning of a Partners Counselor to the MAP
case, access to community recreational discounts, Partners group activities and regularly
scheduled Lifeskills Workshops and SP resource training.
Staff support will include weekly contact by the Counselor with the mentor-advocate,
and an expected average of 2 hours per month assisting the mentor-advocate with direct
client services (e.g., counseling, family mediation).
3: Respite effect. The time that the mentor-advocate spends with the youth in 3-5
hours/week of one-to-one activity not only will provide the youth with new experiences, a
change in focus, positive and successful behaviors and the "significant adult" relationship,
but also will provide time apart for the child/youth and parent/guardian which will provide the
opportunity for family members to "step back" and re-evaluate any problematic situations
which must be negotiated.
C. Improve ability to access resources
1: Advocacy. As described in Ill. D, while the mentor-advocate's role is primarily to
focus on assisting youth and families in building communication and problem-solving skills,
families will be assisted in meeting needs by accessing community resources (e.g., food,
clothing, furniture, health care), especially where lack of such resources is a contributing
factor in family conflict. To the extent that advocacy involves assisting with gaining access
to resources, these specific skills will be modeled and demonstrated for the parent/guardian.
VI. WORKLOAD STANDARDS
Workload standards for MAP include the following:
A. The number of hours of service per week will be: an average of 4 hours for three
months with the possibility of a forth month .
B. The number of individuals providing the services will be:
1 mentor-advocate
6
•
•
1 staff Counselor
C. The maximum caseload per worker will be:
4 for mentor-advocate
8 for staff Counselor
D. The modalities of treatment will be: Mentorinq
Advocacy
Skill building
Counseling
Family Mediation
E. The total hours per week will be: Average of 4 per family
Avg. of 32 for full caseload
F. Total number of individuals providing services: 4 - 6 mentors at a time, 1 staff
G. The maximum caseload per supervisor: 8
H. Insurance: Commercial general liability - Carolina Casualty Insurance Company
Go Hahn & Associates, Inc.
10601 S. Baneberry ST.
Highlands Ranch, CO 80129
(certificate attached)
Mentor-advocates are asked to commit to a minimum of 4 hours/week with each youth they
are matched with (can carry up to 4 cases at a time).
VII. STAFF QUALIFICATIONS
The project will administered by the Executive Director Michael Muskin, M.A. of the applicant
agency, which previously provided services for the PAC for nearly 18 years. Mr. Muskin has
been with the Partners program for four years and has previously worked closely with Social
Services through his position with the District Attorney's Juvenile Diversion program and as
Director of the Greeley Transitional House.
The project will be supervised by Nomie Ketterling, MA, Lead Counselor, with 20 years
experience in mentor screening, training and support. She is a trained Agency Counselor
and Mediator.
Clerical and admin. support will be provided by Dave Helmer, Office Manager, with 14 years
financial and office management experience with the agency.
It is the goal of the agency to maintain a pool of mentor-advocates, who will be supervised
by the Lead Counselor. These individuals will have a minimum of a BA in a human service-
related field, or applicable related experience, and will have completed the screening and
training processes described earlier.
7
VIII. UNIT OF SERVICE RATE COMPUTATION
See next page, "Computation of Service Rate", Attached A.
IX. PROGRAM CAPACITY BY MONTH
The MAP program can support a monthly case load of 8 cases, dependent on the availability
of mentors to work in the project. The case load has fluctuated between 2 and 6 on a
monthly basis over the past year based on the number of referrals.
8
Q./ a9. 4..)Q., 11. LJ ILCIJ4-tILL` MAr-IN & Aw�t.IA1E� HA* It,
ACGRD., CERTIFICATE OF LIABILITY INSURANCE I DATE:`%
PPwvcEn 02'1 1/.1033
HAHN Q ASSOCIATES,INC. Serial 1100115 THI CcRTIFICATE IS ISSUED AS A MAZER OF INFORMATION ONLY ANC CONFERS NO P.IGHTS UPON THE CERTIFICATE
PO BOX 262209 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
HIGHLANDS RANCH,CO 80163.2209 ALTF.R THE COVERAGE A-l•ORDED BY THE POLICIES DELOVV
NsGa<D INSURERS AFFORDING COVERAGE NAICA
WELD COUNTY YOUTH ALTERNATIVES, INC. INSURER A: CAROLINA CASUALTY'INSURANCE
OBA WELD COUNTY PARTNERS INsuRER D'
1212 8TH STREET IHIURER c'.GREELEY,CO E0631 INSJFER 0;
L
COVERAGES NSJRER E.
THE PO_ICIES OF INSURANCE_ISTED BELOW HAVE BEEN ISSUEC TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IND CATER.NOT\U'MSTANCIN0, '-
ANY REQUIREMENT.TERM ORCONDITION 0:ANY CONTRACT OR OTHER DCCUMEN-WIT' RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR
MAY PERTAIN,THE INSURANCE AF:ORD ED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCI!ISIrNc ANO cON01-IONE OF DCDII
POLICIES An(RECPTE LIMITS SHOWN MAY I IAVE BEEN REDUCED BT rN:u,;L ,R1G.
tTR 484 TYPE OF INSURANCE I
PUL'CY NUNBER IPOA EiUF 9WE PGLICV EXPIP,Af E1R'
GENERAL LIABILITY o0 rr yApltp0Yv1 1 OAif'Mur00/YYI L1611T5
A �CDMMEkO'AL GE.vEaa'_LAC LT,' I SAM-,Dcet,P.NeHtE a 1,000,000
CLAIMS MACE nOCCUR 01!262003 01/2E/20049afvi� a�e =�_.RI = 50.000
.IeZ.ESP IAry CA:a-Pr. s 5,000
PERSONAL A AC'/INJ.YY - I,176707-Or�00,J
^°E�nt AGGREGATE L'M;TAPPues PER GENERAL AGGREGATE 1 1,000 DOO
:11 POLIO- f I ;j9° r FPCOLCTs-Co4P:CP<Gi 1.00'O.GOO
AUTOMOBILE LIABILITY N P07643 79
A AMY A,TD 01l26Y20C3 01/26/2004 •^MaINEDSINGtELIn:-
'Ea xeiRnn f 1.000.000
A.I.[WINED AUTOS A___
X SCNECULED AUTOS dOCty Ir.JLR-,
X PPPihCPf y ND COVERAGE
H.RFf A:TOP
X NON-OWNED AO-05 SDDILY:NAM
!Per teeccc s NO COVERAGE
lF^:fwa^.ti`w of 3 NO COV E.=tP.Ot
GARAGE'LIABILITY
ML
ANY AUTO
-O ONLY•EA ACCICfr.t s NO COVERAGE
'
„ HtR'HAN —.wo, s NO COVCRAGE
sU^p`"L„ AGO E NO COVERAGE I
E�XCES VLM 3RELLA LLAIILJTY
B n J xcVa D C.MR MAfl EACH OCC'JRRENTE NO COVERAGE
_ ASGREr.A•; $f NO COVERAGE
DEDJC'IaLE s NO COVERAGE
j� acumIN a 10,000 s NO COVERAGE
WORKERSCOMPENSATION AND 1 NC COVERAGE
EMPLOY'eRE'LIABILITY I Tj `�-�Mlmh I cR
AN'IFR00P,yET0RIPARTNPR,eye,:I mye E_U.p IACOIDCrIL y NO OOVER,4C_
O CER,MSMdfiR EXCtUDfD9
'1 AS APKnG CrICE'
EQECIAL-RO'JIS.DNB IR'Pn I EL DISE,.SE�EA EMPLOYEE'$ NO COVERAGE
A 9ECIAL' IOMAL LIABILITY c E..DISEASE-POL'ol UMIr S NO COVERAGE
NP07639.a 01/26/2003 0120/2004
SEXUAL MISCONDUCT NP0763464 01/252003 01,2d/2004 57,000,000
EMPLOYEE CISHONESTY NPOT43964 $1,050,000
01/28/2003 01125/2004200< S 50003
OE9ORIPrInu OF OPEPAPIGNSA.00ATIONCEYBIECLC3/EXCLUSIONS ADDED BY ENwHSEMENT5PEClAI PROVISO 4,5 —'
CERTIFICATE HOLDER CANCELLATION
COULD A !Y Or,.IC Aic.t OECCRI3Eo r0.i::Ir3 BE GmNcr__tJ$G`JFE THE EXPIRAT{r,
UNITED WAY OF WELD COUNTY D.rr_THEE EDr ME !ZU.r:G INSURER 'Nu Eno EAJOR to rrA:L ?0 DAYC w91T e.
814 9TH ST. NOTICE TO TFE CE9'iFIO E HO'_Z 9 NAMED TDTHS LE-7,ELI'FA.WPE TO CO 50 SHALL
GREELEY, CU 80631 IMPC$E MC OSLIGAT GM OR LIA9'.ITY OF ANA'AN)JPDN T-IE 4,SURER.I%AGENTS OR
ALT; fiDR+PRcNF
I (`J �/�"a-f/
ACGRD 29(2001?OB) iF�-(A/YF//t/Sd�'
O ACGRD CORPORATION 198E
PROGRAM BUDGETS
COMPUTERIZED BUDGET
.' PROGRAM Mentor-Advocate
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 64
B TOTAL CLIENTS TO BE SERVED 14
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 896
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $11.00
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $9,856
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $4,205
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $1,168
H TOTAL DIRECT,ADMINISTRATION&OVERHEAD COSTS(E+F+G) $15,229
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $15,229
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 896
L RATE PER HOURS OR DAYS OF DIRECT, FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $17.00
ADMIN COST NON-FACE-TO-FACE
COMPUTERIZED BUDGET
Minimum Budget Average Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY
Degree eIX SalerylO.ne Seladeal 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
•
DESCRIPTION or CM FTEa 1.0 FTE Benaflb/Othx ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COST; PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Mentor-Advocate
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 64
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 14
C TOTAL HOURS 00.DAYS PER PROGRAM FOR YEAR 896.00 0.00 0.00 0.00 0.00 0.00
DIRECT LABOR NOT FACE TO FACE
lead COtwlOeNr `f. 1.00 (/0,280 $
40.260.00 NO 7B09i 53180 Sd <- 5000 5000 50.00 50.00 7 $000
$0.00 NO $0.00
Office Meneper 100 $31,160 534,160.00 NO 3.00%: $102480 $000 $000 $0.00 $0.00 $0.00
.�:f $0.00 NO $000 $000 $000 $0.00 $0.00 • - $0.00
'._ " '� a 'p $0.00 NO $000 $000 $000 $0.00 $0.00 $0.00
$0.00 NO $000 $000 $000 $0.00 $0.00 ',.:,2 $0.00
$0.00 NO $000 $000 $000 $0.00 $0.00 a $0.00
$0.00 NO `- $000 $000 $000 $0.00 $000 $0.00
$0.00 NO $000 "' $000 $000 $0.00 $0.00 $0.00
"l $0.00 NO $000 $000 $000 $0.00 $0.00 $0.00
$0.00 NO $000 $000 $000 $0.00 $000 $0.00
$0.00 NO $000 $000 $000 $0.00 $0.00 $0.00
$0.00 NO $000 $000 $000 $0.00 $0.00 $0.00
., . . ._ .., ...._. _.. .. . $0.00 $0.00 . _ _, $0.00
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $74,420.00 $4.69 $4,205.34 $0.00 $0.00 $0.00 $0.00 $0.00
OTHER DIRECT COSTS PER PROGRAM NOT FACE-TO-FACE
,,,' ' j. NO $000 $000 $0.00 $0.00 $0.00
I.MOBtyrs�+anoe "r 'r . ...., :$16,00000 NO . ..' ?..30.4'.. $116800 - $000 - $000 $0.00 $0.00 $000
-� ,L ' x,=-� ,..L, NO $000 $000 $000 $0.00 $0.00
x y: r't` �';,. NO $000 $000 $000 $0.00 $000 $0.00
k"' _ ,; .-' _ ` $000 $0.00 $0.00 $0.00 $0.00
--
$6 NO $000 $000 $000 ,:r.,:., $0.00 50.00
TOTALOTHER DIRECT COSTS NOT FACE-TO-FACE pPER PROGRAM $1600000 $1.30 $116800 $000 $000 $0.00 $0.00 $0.00
F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $90,420.00 .00 $5,313.34 $0.00 $0.00 $0.00 $0.00 $0.00
OVERHEAD COSTS AND PROFITS
COMPUTERIZED BUDGET
TOTAL ALLOCATED ALLOCATED ALLOCATED ALLOCATED I ALLOCATED I ALLOCATED
D 100% ALLOCATED OVERHEAD COST: ALLOCATED OVERHEAD COST: ALLOCATED OVERHEAD COSTS ALLOCATED TO
COSTS %ALLOCATEDOVERNEAD COSTS %ALLOCATEDpVERXEAD COSTS
DESCRIPTION COSTS D 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 Mentor-Advocate
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM $64.00
B TOTAL CLIENTS TO BE SERVED PER PROGRAM $14.00
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 5%.00 0.00 0.00 0.00 0.00 0.00
OVERHEAD
NO $000 $0.00 $000 -, $000 $0.00 ' ' $0.00
NO $000 $0.00 $000 $000 $000
NO $000 $0.00 $000 $000 $0.00 $0.00
NO7. $000 2. $0.00 $000 $000 $0.00 ,� $0.00
$000 $0.00 $000 $000 $0.00 $0.00
: NO $000 - $0.00 $000 $000 $0.00 $000
' ' NO $000 $0.00 $000 $000 $0.00 $0.00
": •_.''., % r NO w:a6:...T.,!' $000 $0.00 $000 $000 $0.00 $0.00
_ ..',:: .,, ,. NO ' y 5000 50.00 Eo 00 SO 00 50.00 $000
o- , $0.00 ,„/„„,„ $0.00
" ., +NO $000 $0.00 $000 $000 $000 $000
a $0.00 $000 $000 $000 $0.00
$0.00 $000 $000 $0.00 $0.00
NO $000 $0.00 $000 $000 $0.00 $0.00
NO $000 $0.00 $000 $000 $0.00 $0.00
NO $000 $0.00 $000 $000 $0.00 $0.00
NO $000 $0.00 .$0 00 $0 00 $0.00 $0.00
$000 $0.00
G TOTAL OVERHEAD COSTS $0.00 $000 $0.00 $0.00 $0.00 $0.00 $000
I TOTAL ANTICIPATED PROFITS [ '�NO $000 ., $0.00 ,, $000 $000 $0.00 $000
TOTAL OVERHEAD AND ANTICIPATED PROFITS $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
EXHIBIT B
RECOMMENDATION(S)
o
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
' Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
O
•
COLORADO April 9, 2003
Michael Muskin
Weld County Partners
1212 8th Street
Greeley, CO 80631
Re: RFP 03005: Lifeskills
Dear Mr. Muskin:
The purposes of this letter are to outline the results of the Core Service Bid process for
PY 2003-2004 and to request written information or confirmation from you by
Wednesday, April 16, 2003.
A. Results of the Bid Process for PY 2003-2004
The Families, Youth and Children (FYC) Commission has reviewed the bids
according to the criteria established in the bids and provides recommendation(s)
and/or condition(s) as follows:
1. RFP 03005 —Lifeskills: The FYC Commission has a condition as follows:
The provider shall submit a full budget disclosure as required in the RFP
process, and if necessary, work John Kruse, Business Office Manager,to
resolve any requirements of the budget pages.
B. Required Response by FYC Bidders Concerning FYC Commission
Recommendations and Conditions
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 16, 2003, close
of business.
FYC Commission Conditions: All conditions will be incorporated as part of
your bid and Notification of Financial Assistance Award(NOFAA.) If you do not
accept the condition(s), you will not be authorized as a vendor unless your
mitigating circumstances are accepted by the FYC Commission and the Weld
County Department of Social Services. If you do not accept the condition, you
must provide in writing reasons why. A meeting will be arranged to discuss your
Page 2
Weld County Partners/Results of Bid Process for PY 2003-2004
response. Your response to the above conditions will be incorporated in the bid
and Notification of Financial Assistance Award (NOFAA.)
If you wish to arrange a meeting to discuss the above conditions and/or
recommendations,please do so through Elaine Furister, 352.1551, extension 6295, and
one will be arranged prior to April 16, 2003.
Sincerely,
(k6 � L,
J i A.� ego recto
cc: Dick Palmisano, Chair, FYC Commissldn
Gloria Romansik, Social Services Administrator
PROGRAM BUDGETS
COMPUTERIZED BUDGET
PROGRAM Mentor-Advocate
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 64
B TOTAL CLIENTS TO BE SERVED 14
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 896
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $11.00 -- - -
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $9,856
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $4,205
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $1,168
H TOTAL DIRECT,ADMINISTRATION 8 OVERHEAD COSTS(E+F+G) $15,229
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $15,229
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 896
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $17.00
ADMIN COST NON-FACE-TO-FACE
COMPUTERIZED BUDGET
I Minimum Budget Average :arts/ _ %OF TIME SALARY %OFTIME SALARY % THE SALARY %OF TIME SALARY %OF THE SALARY %OF THE SALARY
Degree /0( SalarylBam S 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENTON AND
DESCRIPTION or Cat FTEa a 1.0 FTE BeneRta/OlNx ALLOCATED PROGRAM OTHER COST; PROGRAM OTHER COST: PROGRAM OTHER COST: PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Mentor-Advocate
TOTAL CLIENT HOURS OR DAYS PER PROGRAM 54
3 TOTAL CLIENTS TO BE SERVED PER PROGRAM 14
8000
TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR - 896.00 0.00 - 0.00 0.00 000 0.00
DIRECT LABOR NOT FACE-TO-FACE
a .� 1T-1i y K!. S • 340,260.00 NO = • • 5318054 ez.. :gam+ 5000 a..x ....18.41744.44mug
- $0.00 NO moo F r weo %Y, some ._ $003 . 3 w.ro t3WOO
$34.16000 NO $102480 5 $000 30.00 > $0.00 �-, t mm $0.00
�.�` �, �'_ $000 NO a $000 x�"- moo - 50ei).00 - 50.00 --
` 'Y r i'- t7d 30.00 NO -; w 7<' $000 'y° $0.00 -'f 5. $0.00
" ;' ^ '{ 1> 1 T ' SD.00 NO :se+r y' 5000 �, ,- ``5 ��SOM vt5 ��oo s: OW �.� x r $0.00
?. v $0.00
t - aK y 50.00 NO @. 3000 5000 .x 50.00 '' f0.1M1 Y` 5000 r 'x 30.00
;y x �". i f 50.00 NO _ 5000 $000 $0.00 .a. $0.00 . $0.00 $0.00
rill
:5;7-'1 ,......-:
_ 50.00 NO r SOW t $000 '£ w..,..47,1:44,,,,2 ;000$0.00 $0.00 gg ♦ "' $0.00 " 50.00
a.. $0.00 No s f0 oo wo0 -' 50.00 $0001 56.00n moo
✓+v 5000 1 5000 50.00 F-. $0.00 50004.:t.•••44-2,:;464 $0.00
.., , t Yf ,a F $0.00 NO t zip 5000 # $000 4 %?'; $0.00 $ : 50.00 �. 50.00 n 30.00
,' s _ X '. ���¢¢,...�,,��v� 30.00 NO _r 2St �-� 5000 ' $000 J' 5000 Y-7 50.00 t $0.00 A £ $0.00
. .,.t y._,. . i . .- - - - $0.00 NO '' "f 3000 rreT.'> c`°a '; r
- �: 5000 -__.u,„ w.aD �-y a.. .., m.m saw
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO $74,420.00 34.69 $4,205.34 $0.00 $0.00 30.00 $0.00 $0.00
OTHFR DIRECTCOSTS PFR PROGRAM NOT FACE-TO-FACE
r� +�* $000 ..♦ $°.°° t :e $0.00 T 3� f0.ao 'r'+
,'fit-s-, - i - ;y K NO �5s $116800 i $000 50.00 C �v` S. $0.00 1* ..0'S' $0.00
_ €>. . •_ . ' 50.00 4 0.00 ; "c 50,00
'+$ NO 3000 'Y -may L3-,u 5000 $0.00 "4 $0.00 r ? $000
} NO '1.:42:41,4 5000 ,:,..7.:::.1:::::,,a,,, 30.00 y ': 50.00 50.00 $000
_ € NO $008 , $000 $000 $0•00 4 _ $0.00 • 1 ' ' 50.00
t'�3 $000 ,a'�':. .t# $000 3• 5000 $0.00
TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM $16,000.00 $1.30 $1,168.00 $0.00 $0.00 $0.00 $O.00 - $0.00
GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $90,420.00 $6.00 $5,373.34 $0.00 $0.00 $0.00 $0.00 50.00
OVERHEAD COSTS AND PROFITS
COMPUTERIZED BUDGET
TOTAL ALLOCATED ALLOCATED ALLOCATED ALLOCATED ALLOCATED ALLOCATED '
0 100% ALLOCATED OVERHEAD COST; ALLOCATED OVERHEAD COST: ALLOCATED OVERHEAD COST$ ALLOCATED RIERHEAD COSTS %ALLOCATEDOVERHEAD COSTS %ALLOCATEDOVERHEAD COSTS
•
DESCRIPTION COSTS D 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 Mentor-Advocate
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM $64.00
B TOTAL CLIENTS TO BE SERVED PER PROGRAM $14.00
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 896.00 000 - O. 0.00 0.00 0.00
OVERHEAD
sue' + 4 „ .a .`NO S $000 n. 30.00 -a1{'. $000 s �;. $000 'Z14. ''S'.L'z $000 - $0.00
`^�'a �` -h 'O�S 'cam No x $000 F= -- $000 ^'y 1 $0 aD '.a+'..n?'4 $Doa
f
''$^)ai' mss•'' :4 a rg+ #v ' � a NO ^ �v-q. - ir:: $000 ` $000 ax a' Y $000 Ee $0.00
ue-� :' � > -�" . +' .NO .. - $0 Saco . ._, mo0 a +.s $0 ao Saw g . $0 o0 $0.00
xs '3'# 5`-y4-g.s'ut .",x-..a _. a- NoS" W. 5000 " 50.00 „
rg Z` k _ '�"' k s z x Z NO 5� _ G $000 4 T $0.00 > $000 $0.00
.,,S�*'-- .* y� a 8 s NO $000 ,{-,a.+44; $0.00 `a ' $000 ti $0.00
k1 $ .}°t -" $000 r $0 00 $0.00
�x,1a }3% 3a xz �1 3 NO ;`�" ;: 5000 30.00 -. 5000 ,E, 3000 7 " ' 5000 .` ' 50.00
" r� a " a NO $000 $0.00 $000 $000 yet^ Sam , Saco
s$ -. :s 's NO a tp t $000 £" $0.00 ,� $000 $000 r ""�?�Y $000 $0.00
x i :- K "4�t S. .- _i.NO R' +`„% $000 $0.00 `' "', $000 --a4-4` $0.00
.,.. x,� r r - x $000 z.' moo :A: moo ' ;: $0 a0 m $0.00
$000 $0.00 $000 $000 $0.00
M - s • NO $000 -"^j $000
* 's{ ''� ' >w F"p �- .7 $000 $000 '"' 1n $000 9- $000 ;- $000 $000
a $ -cam C $000 a-st" a $00)
L-- .� - h -` - NO '9--'sa �`•° $000 $0.00 .$000 £' $000 ':A� $000 $000
.. .- ` .A.;G. s.`°" 'T`5r '' '•z ":.R.ir NO 2 sys. $O oD ` $000 =`i, $0.00
3 TOTAL OVERHEAD COSTS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL ANTICIPATED PROFITS law" ::1201.21L $0.00 T. $0.00 a _ $0.00 $0.00 t :, $0.00 ._E.�1". $0.00
TOTAL OVERHEAD AND ANTICIPATED PROFITS $0.00 $0.00 $0.00 5000 5000 $0.00 $0.00
i(*".....T‘INNH,
S DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
Website:yvww.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
O
MEMORANDUM
COLORADO
TO: Dave E. Long, Chair Date: April 28, 2003
Board of County Commissioners
FR: Judy A. Griego,Director, Social Services) 4,01,41 CI uf
RE: Notification of Financial Assistance Award (N"OFAA)under Core
Services Funds-Weld County Youth Alternatives/dba Partners
Enclosed for Board approval is a Notification of Financial Assistance Award(NOFAA) for Core
Services Funds with Weld County Youth Alternatives/dba Partners. The Families, Youth and
Children Commission(FYC)has reviewed this proposal under a Request for Proposal process
and is recommending approval of this bid.
The major provisions of the NOFAA are as follows:
1. The period of the NOFAA is June 1, 2003, through May 31, 2004.
2. The source of funding is Core Services, which is comprised of 80% Federal/State and
20% County resources and 100% State resources. The total budget for Core Services is
projected to be$929,822.
3. The Weld County Youth Alternatives/dba Partners agrees to provide services to those
children and families who are in imminent risk of placement under child welfare. The
services to be provided will be under a Lifeskills Program.
This program is a short-term intervention program with youth aged 8-17 and their
families. This service helps families negotiate a crisis or transitional period of time
through provision of a"respite"or"release valve,"while also helping them to develop
life skills to avert crisis in the future.
The maximum family units to be served through the program year are 14. The monthly
average capacity is eight families,the average hours per week in the program are four,
and the average stay in the program is 12-16 weeks. The hourly rate is $17.
If you have any questions,please telephone me at extension 6510.
2003-1058
Hello