HomeMy WebLinkAbout20011408.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR FOSTER
PARENT CONSULTATION AND AUTHORIZE CHAIR TO SIGN - LUTHERAN FAMILY
SERVICES
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Notification of Financial Assistance
Award for Foster Parent Consultation between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Department of
Social Services, and Lutheran Family Services, commencing June 1, 2001, and ending May 31,
2002, 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 Foster Parent Consultation between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Social Services, and Lutheran Family Services, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 30th day of May, A.D., 2001.
BOARD OF COUNTY COMMISSIONERS
/,` WELD CO TY, COLORADO
ATTEST: j
L S Lfi/�i
M��J ,Geile, Cher
w f sit
Weld County Clerk to t �.- ' `' %%/{,�JHg
RIS 4, Glenn Vaa , - m
Deputy Clerk to the Boarw.�. � , f/w'
William Jer� �
AP OV AS TO F M: F Q /
David E. ong \\\\,0
ey G
�unty ttorr5
Robert . Masden
2001-1408
fC ,'<55 SS0028
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
WEBSITE:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933.
COLORADO
MEMORANDUM
TO: M. J. Geile, Chair Date: May 23, 2001
Board of County Commissioners
FR: Judy Griego, Director 1 a
Weld County Departme t of 4ial S is s
RE: PY 2001-2002 Notification of Financial Assistance Awards (NOFAA) under Core
Services Funds-Lutheran Family Services
Enclosed for Board approval are the PY 2001-2002 Notifications of Financial Assistance
Awards (NOFAA) for Families, Youth, and Children Commission (FYC) Core Services
Funds, which are for the period of June 1, 2001,through May 31, 2002.
The Families, Youth and Children Commission(FYC) reviewed proposals under a
Request for Proposal process and are recommending approval of these bids.
Lutheran Family Services
A. Option B, Home Based Services.A maximum number of 40 families with children
0-18 years, a maximum of ten families at any given time. Rate is$107/hour.
B. Intensive Family Therapy: Family Group Decision Making: One or two clinicians
will participate in the Family Group Decision Making depending on the needs of
the family. Bicultural-bilingual services are available for a limited number of
conferences. Direct service capacity is estimated at 100 hours per week. Staff
availability is dependent on the combination of all cases in the Foster Care
Services program. Rate per Family Group Conference is$1,800.
MEMORANDUM TO M. J. GEILE,CHAIR
WELD COUNTY BOARD OF COMMISSIONERS
RE: CORE SERVICE NOFAA PY 2001-2002-Lutheran Family Services
C. Foster Parent Consultation. Foster Parent Support groups, birth child support
groups and training groups (parent and/or child). Program capacity is 40
families per year, or 160 clients, average length of service is 12 weeks. Direct
service capacity is 100 hours per week. There is no maximum capacity per month.
Hourly rate is$107.00.
If you have any questions, please telephone me at extension 6510.
of
Page 2 of 2
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 FY01-CORE-0008
Revision (RFP-FYC-016-00)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2001 and Lutheran Family Services
Ending 05/31/2002 Foster Parent Consultation
3800 Automation Way, Suite 200
Fort Collins,CO 80525
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Program is designed to prevent placement Award is based upon your Request for Proposal (RFP).
disruptions and foster care drift for children The RFP specifies the scope of services and conditions
placed in WCDSS foster homes. Services will of award. Except where it is in conflict with this
build on family strengths and designed to help NOFAA in which case the NOFAA governs, the RFP
parents improve foster parenting abilities, upon which this award is based is an integral part of the
identify parental strengths, and support the action.
foster parents in attending to-specific needs of
birth children while providing foster care Special conditions
services.Foster parent support groups,birth
child support groups and training groups are 1) Reimbursement for the Unit of Services will be based
available if there are an adequate number of on an hourly rate per child or per family.
participants. Program capacity is 40 families per 2) The hourly rate will be paid for only direct face to face
year, or 160 clients, average length of service is contact with the child and/or family,as specified in the
12 weeks. Direct service capacity is 100 hours unit of cost computation.
per week. There is no maximum capacity per 3) Unit of service costs cannot exceed the monthly and
month. yearly cost per child and/or family.
4) Payment will only be remitted on cases open with, and
Cost Per Unit of Service referrals made by the Weld County Department of
Social Services.
Hourly Rate Per $ 107.00 5) Requests for payment must be an original submitted to
Unit of Service Based on Approved Plan the Weld County Department of Social Services by the
end of the 25th calendar day following the end of the
Enclosures: month of service.The provider must submit responses
X Signed RFP:Exhibit A for payment on forms approved by Weld County
_Supplemental Narrative to RFP: Exhibit B Department of Social Services.
Recommendation(s)
Conditions of Approval
Appr vals: Program fficial:
By By
M. . ile, Chair Judy A rie o,Direc r
Board of Weld County Commissioners Weld ounty Department of Social Services
Date: Q.573c]470OI Date: f/ /h 3l0!
2001-1408
Signed RFP: Exhibit A
Lutheran Family Services
RFP: 01-060-Foster Parent Consultation
INVITATION TO BID
01-060
DATE:April 18, 2001 BID NO: 01-060
RETURN BID TO: Pat Persichino, Director of General Services
915 10th Street, P.O. Box 758, Greeley, CO 80632
SUMMARY
Request for Proposal (01-060) for: Family Preservation Program—Foster Parent
Consultation
Family Issue's Cash Fund or Family Preservation
Program Funds
Deadline:May 11, 2001, 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 Statewide Family Preservation Program (C.R.S. 26-5.5-
101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement
(C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to
run from June 1, 2001, through May 31, 2002, at specific rates for different types of service, the county will
authorize approved vendors and rates for services only. The Foster Parent Consultation Program must
provide services that focus on providing psychological consultations and parenting support to foster parents
which are designed to improve foster parent 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 A-Y7
(After receipt of order) BID MUST BE SIGNED ININK
Shar n K. Thomas, LCSW
T D OR PRINTED SIG ATURE
7
VENDOR James 1J. Barclay __�
(Name) Handwritten ignat By Authorized
fficer or gent Vender
ADDRESS 363 S. Harlan #200 TITLE President/CEO
Denver, CO 80226 DATE 519/0 /
PHONE# (303)922-3433
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 30
016-00 Attached A
FOSTER PARENT CONSULTATION PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2001-2002 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2001-2002
BID #01-060
NAME OF AGENCY: Lutheran Family Services of Colorado
ADDRESS: 3800 Automation Way, 200#, Fort Collins, CO 80525
PHONE: f 970) 266-1788
CONTACT PERSON: Sharon K. Thomas TITLE: Program Director
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Foster Parent Consultation
Program Category must provide services that focus on teaching life skills designed to facilitate implementation of
the case plan by ii 1proving household management competency.,parental competency family conflict
management and effectively accessing community resources.
12-Month approximate Project Dates: _ 12-month contract with actual time lines of:
Start June 1. 2001 Start
End May 31. 2002 End
TITLE OF PROJECT: Lutheran Intensive Foster Family Empowerment (LIFFE)
AMOUNT
/ �(/
U� REQUESTED: / p
Name and Signature of PersonPreparin ument Date
Name and Si at
MAN AT OP AL RE IREMEN
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 2000-2001 to Program Fund year 2001-2002.
Indicate No Change from FY 2000-2001 to 2001-2002
Project Description x
Target/Eligibility Populations X
Types of services Provided X
Measurable Outcomes X
Service Objectives X
Workload Standards X
Staff Qualifications X
X Unit of Service Rate Computation
Program Capacity per Month X
X Certificate of Insurance
Page 24 of 30
May 9, 2001
Core Services Proposal
Foster Family Consultation
Lutheran Family Services of Colorado
Lutheran Intensive Foster Family Empowerment(LIFFE)
PROJECT DESCRIPTION
Lutheran Family Services of Colorado is a community-based agency with an experienced staff
that offers a wide range of services to children, families and adults. It is a non-profit agency that
has provided human services to Colorado since 1948. Although the agency was established as
an affiliate of the Lutheran Church, it is an equal opportunity agency that provides services to all
individuals without consideration of religious beliefs, race, ethnicity, sex or economic status.
Lutheran Family Services' Intensive Foster Family Empowerment (LIFFE) program is a program
component of the LFS Foster Care Program. LFS's Foster Care Program has been providing
foster care placement services in Northern Colorado since 1993 and specializes is establishing
permanency for children experiencing significant emotional and behavioral impairments.
The LIFFE program is designed to prevent disruptions and foster care drift for children placed in
Weld County DSS foster homes. Additionally, the services are intended to improve the
competency of and promote retention of foster families licensed by Weld County DSS. Services
will build upon primary family strengths and are designed to help parents improve their foster
parenting abilities, identify parental strengths, enhance county caseworker and foster parent
collaboration and support the foster parents in attending to the specific needs of their birth
children while providing foster care services. The program will diminish the disruptions of
children placed into Weld County foster homes and assist in creating a stable and nurturing
family environment in which children can grow and develop in order to prepare them to move on
to a permanent placement. Crisis intervention services will be provided throughout the duration
of the families' involvement in this program.
It is our understanding that families can access our services in one of three ways: self-referral;
corrective action referral; or, as a critical care parent. We will maintain the confidentiality of the
self-referral families. Family specific (individualized) interventions will be provided and
enhanced, when appropriate, with group support. The program is structured to provide more
intensive intervention and assessment services during the beginning phase of involvement.
Individualized, family-specific meetings may be held during the first 2-3 weeks of consultation.
The intent of these family-specific meetings will be to assess the family's strengths and identify,
with the family, their specific areas of concern. When appropriate, families will be referred to
one of our group consultation activities. For families who are dealing with critical care cases,
ongoing family-specific(individual) contact may be maintained due to the difficulty of the
children in care.
Foster parent support groups, birth child support groups and training groups (parent and/or child)
can be provided if an adequate number of participants express an interest. The intent of utilizing
group consultation modalities is to maximize the cost efficiency for the county while recouping
our direct costs. Group interventions will be offered at 1.5 times our hourly rate per clinician for
each hour of group activity (not per family). As we develop each group, we will set a maximum
number of participants and can open the group up to any Weld County foster parent, whether or
not they had previously been referred (self-referral or county referral)to our program.
Lutheran Family Services Intensive Foster Family Empowerment
II. TARGET/ELIGIBILITY POPULATIONS:
Foster families considered appropriate for these services are those in which family functioning,
severe child behavior, lack of access to community resources or poor collaboration with the
county caseworker may impede a foster family's ability to successfully foster the child (ren) in
their home. It is our understanding that any Weld County foster parent can self refer to this
service for support. We intend to work with the county licensing worker to outline our services to
the Weld County foster homes so that the self-referrals are appropriate. County referrals will be
assessed for appropriateness by the county worker prior to referral.
Caseloads are determined on a direct/indirect ratio formula. The current ratio is 50% direct client
time to 50% indirect time. So, answering this question is entirely dependent on the number of
direct contact hours needed for each family that is receiving family specific (individual)
consultation. If we assume that a Clinician has 2 hours of direct contact per week per family
then the following numbers would apply. A full time LFS Clinician has the ability to serve 10
families at any given time. If each family were served for an estimated 3 months, we would be
able to serve 40 families each year. (10 families x 4 quarters = 40). If family specific time
extensions are needed and granted, the overall number of families served would be reduced. If
we assume that half the families are two parent families and each family has 2.5 children, we
would serve 160 clients. (20 families x 2.5 children and 1 adult = 70 plus 20 families x 2.5
children and 2 adults= 90 for a total of 160). These numbers are representative of the
caseload of one full time Clinician. We currently have six full time Clinicians working in the foster
care services program. All of our Clinicians are cross-trained so that they can carry foster care,
intensive family therapy or foster family consultation cases. The agency is willing to expand
capacity if the county referrals demonstrate a sustained need for that expansion. The LIFFE
program can serve children and their families for children from birth to 18 years of age.
The number of individuals who will receive services in South County cannot be predicted, as we
do not know the historical referral statistics. We do not plan to limit services due to proximity. All
clients will have access to 24-hour crisis intervention services. Our current program capacity is
100 hours of direct service for all of our foster care programs (foster care, IFT and foster family
consultation). (5 FTE Clinicians x 20 hours direct service each = 100 hours). The budgeted
length of services is 12 weeks. It is expected that self-referrals and corrective action referrals
may have a considerably shorter length of service. As mentioned earlier, we can continue to
provide consultation to critical care parents for as long as the county worker deems necessary.
The LIFFE program is specifically designed to be short term and time limited in nature, with a
length of service of three months or less in order to focus on the priority issues which have
created the need for services to the foster family.
Ill• TYPES OF SERVICES TO BE PROVIDED
Self-Referral Family-Specific Consultation
Self-referrals will be accepted from families who are experiencing a crisis. Perhaps they have
just had a difficult time with a foster child, or their birth child is reacting negatively to fostering or
there is conflict with the county worker. Families can call to self-refer at their discretion. An
initial phone assessment will be made to determine the urgency of the families' need. If
necessary, a face-to-face meeting with the family can be established with in hours. The clinical
philosophy that drives our practice is that services will be provided in the families environment
whenever possible and appropriate. We believe that this intervention approach reduces the
stress on the family by reducing the need for the family to adjust to our environment. We
believe that we can provide more appropriate intervention in the family's 'natural environment',
their home, their church, their school, etc. The second primary philosophy that directs our
practice is that we will build on the strengths of the family and will utilize a strength-based model
of consultation and intervention.
Weld County
Lutheran Intensive Foster Family Empowerment 2
RFP-FYC 01-060
Lutheran Family Services Intensive Foster Family Empowerment
The intent is to carefully manage the number of family-specific sessions in order to maximize the
county's available revenue for this project. Whenever appropriate, families will become involved
in our group consultation activities and family-specific consultation will be provided to enhance
the efficacy of the group consultation/training.
The same LFS Clinician who is providing therapeutic services to the foster children in the home
will not provide foster parent consultation services provided under this contract.
These consultation services can be provided to identified critical care foster parents, if requested
by the county.
Training
Foster parent training will be offered to all foster parents involved in this program. All activities
that occur in a group setting (support group or group training) will be offered at 1.5 times our
contracted direct service hourly rate (not per family). We currently own three curriculums that
can be offered, depending on the specific needs of the families involved. The curriculums we
own are: ABC Parent Training, Parents as Tender Healers (PATH) and Foster Pride/Adopt
Pride. Both the ABC Parent Training and the Foster Pride/Adopt Pride are curriculums that
provide more basic parent education training. The PATH training deals with more clinical issues
faced by foster families; fost/adopt families and kinship care families. When training is
scheduled, we will need to have only 2 families participate in order for the county to realize a
financial benefit over family-specific (individual) consultation. If we have eight families then the
cost to the county is only 19% of the cost of the same number of family-specific (individual)
intervention (a savings of 81%). We will keep in contact with the county regarding the number of
families who are signed up to attend any scheduled group activity. The county can refer any
additional families to the groups, at not additional cost other than training materials. For
instance, if we do a PATH training and have only 6 families, the county may wish to send 2 or 3
kinship care families who need pre-service training as there is no additional cost to the county,
other than material fees.
Additionally, we will work collaboratively with other service providers to explore the creation a
Weld County Foster Care Training Consortium. We have developed a consortium like this in
Larimer County and the Denver Metro area. There is no charge to foster families or to the
county department of social services for the consortium service. The intent of this consortium is
to expand the ongoing training opportunities for all foster families who are certified through
participating agencies.
Support Groups
Support groups can be offered on an ongoing basis. In order for the groups to be most effective,
time limited closed groups will be offered. That is, we may run a foster parent support group that
is scheduled for 8 Tuesday nights. Our expectation is that the participants sign up for the
duration of the group and make a commitment to attend all eight sessions. We will have topic
specific sessions; the topics will be set by the group participants at the first meeting. For
instance, we may have an 'agenda'that includes: collaboration with the county; de-escalation
techniques; supporting birth children; the challenges of helping children express anger
appropriately; supporting birth families; transitioning children to permanency; and, sharing
community resources. These groups,just like the trainings, will offer the same financial benefits
to the counties as outlined above. Additionally, if these groups are not filled, the county can
notify all licensed families that they are occurring.
A support group for birth children can be provided if there are enough potential participants in a
similar age range.
Weld County
Lutheran Intensive Foster Family Empowerment 3
RFP-FYC 01-060
Lutheran Family Services Intensive Foster Family Empowerment
Crisis Intervention Services
The LIFFE program staff will be available on a 24-hour basis to all open cases. All clinical staff
carries pagers and can respond to a crisis within 1 hour. Due to the nature of the services
offered in this program, crisis intervention services are expected to be minimal.
As per Colorado Revised Statutes and the program Practice Standards, any suspicion of child
abuse will be reported to the County Department of Social Services.
IV MEASURABLE OUTCOMES
The LIFFE program can utilize the Family Risk Scales and the Achenbach Child Behavioral
Checklists in measuring the efficacy of the program. The Achenbach Child Behavioral
Checklists measures the caregiver's, teacher and child's assessment of the child's problematic
behaviors. The Family Risk Scales were designed as a standardized measure of a family's
particular areas of strength and weaknesses. The risk variables measured by the scales are
those believed to contribute to or precipitate the need for out of home placement. We believe
that these same precipitating factors can measure the risk of disruption of a child from a foster
home. Rating the scales two or more times (pre and post tests) will indicate changes in a
family's risk status. Changes in the child's functioning may be determined by using the
Achenbach two or more times (pre and post tests) The number of training hours accumulated by
a participating family can be easily tracked. The overall outcome objective of the program is to
reduce the rate of disruptions of children in foster care by improving foster parent skill and
competency levels (as foster parents). The measurement of the achievement of this objective
will be obtained through completion of the Family Risk Scales. There are 26 risk factors
included in the Family Risk Scales, the scales are:
1. Habitability of Family Residence
2. Suitability of Living Conditions
3. Financial Problems
4. Adult Relationships in Household
5. Family's Social Support
6. Parent's Physical Health
7. Parent's Mental Health
8. Knowledge of Child Care and Development
9. Parent's Substance Abuse
10. Parent's Motivation for Problem Solving
11. Parent's Attitude to Preventing Placement
12. Client's Cooperation with Agency
13. Preparation for Parenthood
14. Supervision of Child Under Age 10
15. Parenting of Child Age 10 and Over
16. Physical Punishment of Child
17. Verbal Discipline of Child
18. Emotional Care and Stimulation of Infant (Under 2 Years)
19. Emotional Care and Stimulation of child Age 2 and Older
20. Physical Needs of Child
21. Sexual Abuse of Child
22. Child's Physical Health and Disabilities
23. Child's Mental Health
24. Child's School Adjustment
25. Child's Delinquent Behavior
26. Child's Home-Related Behavior.
Weld County
Lutheran Intensive Foster Family Empowerment 4
RFP-FYC 01-060
Lutheran Family Services Intensive Foster Family Empowerment
The Family Risk Assessment Scales and the Achenbach Checklists can be used with family's
who are referred due to the need for corrective action. Additionally, we will have the referring
county worker complete a Foster Parent Effectiveness Scale at the start of intervention and at
the termination of intervention. The tools may be used throughout the course of treatment to
measure the family's movement toward amelioration of the identified concerns. Several
parenting inventories are being reviewed and one of them can be used if parenting issues is the
presenting area of concern. A family's individual involvement with us may be quite brief and
individual assessment may not be appropriate.
Client will be encouraged to complete an evaluation form for each support group and training
group.
IV. SERVICE OBJECTIVES
Improved household management competency will be achieved through individualized
consultation with the foster family.
Improved parental competency will be achieved through the provision of individualized
consultation regarding child specific behavior management and support issues. Additionally,
various training programs can be offered, based on the presenting needs of the participating
foster families. Group training opportunities will be a key component of our program.
Additionally, foster parent support groups will provide assistance to families in improving their
competencies in this area.
Improved ability to access resources will be achieved through information and referral services.
These services can be provided in both an individualized and group setting depending on the
level of specificity of the needs of the family.
The achievement of these objectives will be measured in a variety of ways, depending on the
nature of the foster family referral. We can use the Family Risk Assessment Scales, the Foster
Family Effectiveness Scale, the Foster Family Self-Assessment Scale, as well as support group
and training evaluations.
V. WORKLOAD STANDARDS
The workload standards are outlined in the TARGET/ELIGIBILITY POPULATIONS section of
this proposal. To recap, we use a direct/indirect service ratio formula. Our current formula is
50% direct to 50% indirect so the maximum caseload is dependent on the number of direct hours
per case. An LFS Clinician will be assigned to each family participating in the program that is
receiving family-specific consultation. We currently have 5 FTE staff members who are qualified
to provide these services. As mentioned earlier, the LIFFE program is a program component of
the LFS foster care program so the staff may carry foster care cases as well as family
preservation cases. The supervision standard is one FTE supervisor for every six FTE
professional staff members. Our current minimum capacity (the 5 FTE Clinicians) can carry 100
hours of direct service (and 100 hours of indirect service) for a total number of available hours of
200. (5 x 40 = 200). Group activities will be assigned a 'case weight' using the same formula.
VI. STAFF QUALIFICATIONS
Clinicians assigned to this program are qualified by one of the following:
• a master's degree in social work or a master's degree in another human service field and at
least two years of pre- or post-master's experience in family and children's services; and/or
• a bachelor's degree in social work or a bachelor's degree in another human service field and
at least six years' post-degree experience in family and children's services.
Weld County 5
Lutheran Intensive Foster Family Empowerment
RFP-FYC 01-060
Lutheran Family Services Intensive Foster Family Empowerment
All staff has expertise in family therapy and foster care services as demonstrated by specialized
training and/or experience. All staff in this program will be required to secure a minimum of
eight hours per year of continuing education training. All staff will receive regular supervision
from a supervisor experienced in foster family support work. The clinical supervisor will be
required to secure a minimum of ten hours per year of continuing education training.
We currently have the following staff available to provide direct services in this program:
Joe Madrid, LCSW Shawna Boatman, MA
Amy Hatcher, MSW Craig McFadden, LPC
Julie Box, MSW
VII. COMPUTATION OF DIRECT SERVICE RATE
(Based on 1 FTE and family-specific (individual) consultation)
Total Hours of Direct Service Per Client 25 Hours (A)
Total Clients to be Served 42 Clients (B)
Total Hours of Direct Service for Year 1040 Hours (C)
(Line [A] Multiplied by Line [B])
Cost Per hour of Direct Services $24 Per Hour(D)
(salary, benefits, travel)
Total Direct Service Costs $24,877 (E)
(Line [C] Multiplied by Line [D])
Administrative Cost Allocable to Program $49,532 (F)
Overhead Costs Allocable to Program $37,354 (G)
Total Cost, Direct and Allocated, of Program $111,763 (H)
Line [E] plus Line [F] plus Line [G]
Anticipated Profits Contributed by this Program $0 (I)
Total Costs and profits to be covered by this Program $111,763 (J)
Line [H] plus Line [I]
Total Hours of Direct Service for Year 1040 (K)
Rate Per Hour of Direct, Face-to-Face Service to be Charged $107 (L)
to Weld County Department of Social Services
VIII. PROGRAM CAPACITY BY MONTH
This program is a component of the Foster Care Services Program, which includes foster care,
and Intensive Family Therapy in addition to this Foster Family Consultation program. As
outlined in this proposal, our capacity is based on the number of staff we have and a
direct/indirect service ratio. We currently have five FTE's and a direct service capacity of 100
hours per week. These FTE's are trained to provide services in any of the three program
components, so there is not a minimum client capacity necessary to support this program. Staff
Weld County 6
Lutheran Intensive Foster Family Empowerment
RFP-FYC 01-060
Lutheran Family Services Intensive Foster Family Empowerment
availability will be dependant on the combination of all cases in the Foster Care Services
Program.
We are willing to hire additional staff if we assess that the county is presenting a sustained need
for expansion of our capacity, so there is not a maximum capacity per month.
Weld County 7
Lutheran Intensive Foster Family Empowerment
RFP-FYC 01-060
016-00 Attached A
Date of Meeting(s) with Social Services Division Supervisor:
Comments by SSD Supervisor:
•
7/2;77W
-74:4-; /� t r Z
•
ame and Signature f SSD pervisor Date W/er/7
Page 25 of 30
r= s a I k,:#rotiv �a n� ra asap. 3 r ra.�y ''.;x�F a erg" j�
ACORD 10ERTIFi ,EhO r It i A L a«s tri SU C DATE(MM/DD/YY) :
117,444444.444.444,„ 2: r 4.444.,�,. z.,..ha ,.,- + -. . as... :.. N r ,» =�It a „a; u'wx a. 03/26/2001
PRODUCER Serial# A2757 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MARSH ADVANTAGE AMERICA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
160 SPEAR STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
SAN FRANCISCO, CA 94105 - ---- - -
--COMPANY
rD -CLUDEpN&MUTUAL INSURANCE COMPANY
Zati INSURED
COMPANY
LUTHERAN FAMILY SERVICES OF COLORADO B
363 SOUTH HARLAN COMPANY
DENVER, CO 80226 C
COMPANY -- - - �_
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTPOTR TYPE OF INSURANCE POLICY NUMBER DALTE(MM/DDmD) DATE MM DNY)N
ICY EFFECTIVE POLICY
L LIMITS
GENERAL LIABILITY 9618-911 7/1/00 7/1/01 l GENERAL AGGREGATE I$ 3,000,000
A X [COMMERCIAL GENERAL yLIABILITY (PRODUCTS-COMP/OPAGG $ 3,000,000
LJ 7 CLAIMS MADE OCCUR PERSONAL BADV INJURY $ 1,000,000
OWNER'S/3 CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000
X PROFESSIONAL FIRE DAMAGE (Anyone rre) $ 1,000,000
MED EXP (Any one person) $ 5,000
AUTOMOBILE LIABILITY 1714-122_ARC 4/22/00 4/22/01 COMBINED SINGLE LIMIT $ 1,000,000
A X ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per Pereoel
X HIRED AUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Per accident
I PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKER'S COMPENSATION AND I I V.C STATUS ]°TH.
TORY LIMITS ER
EMPLOYERS'LIABILITY EL EACH ACCIDENT $
THE PROPRIETOR/ NCL EL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTNE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $
i OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLE$/SPECIAL ITEMS
WELD COUNTY, COLORADO, BY AND THROUGH THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, ITS EMPLOYEES
AND AGENTS,ARE NAMED ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY ONLY.
RE: FAMILY PRESERVATION CONTRACT.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WELD COUNTY SOCIAL SERVICES EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN:JUDY A GRIEGO, DIRECTOR 30 DAYS WRITTEN NOTICE TO ThE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. BOX A BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
GREELEY, CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AU REP t NTATIVE
MAY-=q-1-=' 12:3 =CM L_ -ER-1N FA=N _. _EF) :CSC TC _777:! 2
INTERNAL REVENUE SERVICE OEPAR711EST OF THE TREASURY
District Director 1100 Commerce St. , Dallas, TX 75242
Person to Contact:
E?/ED Correspondence Examiner
Telephone Number:
Lutheran Social Service of (214)767-tE81
Colorado
- ' 3E3 S. Harlan Refer Reply ₹o:
Denver, CO. 80Z2E-3_E Z E?/ED:MC:1S40 DAL
Date:
April 21 , 1993
EIN:
84-e77SEa;
Dear Sir or Madam:
Our records show that Lutheran Social Service of Colorado
is exempt from Federal Income Tax under section S01 (c)(3 ) of the Internal
Revenue Code. This exemption was granted February 1'901 and
remains in -full force and effect . Contributions to your organization'are
deductible in the manner and to the extent provided by section 170 of the
Code. _
We have classified your organization as one that is not a private founda-
tion within the meaning of section SOS<a) of the Internal Revenue Code
because you are an organization described in section 110(b)< 1 )<A>( i)
If we may 'be of further assistance, please contact the person whose name and
telephone'number are shown above.
Sincerely Yours ,
Lerkyorrg (11-642..)
Mary A. Smith
EP/ED Correspondence Examiner
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