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Home My WebLink About20010734.tiff RESOLUTION RE: APPROVE 2001 COLORADO WORKS PROGRAM PLAN 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 the 2001 Colorado Works Program Plan from 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, to the Colorado Department of Human Services, with terms and conditions being as stated in said plan, and WHEREAS, after review, the Board deems it advisable to approve said plan, 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 2001 Colorado Works Program Plan from 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, to the Colorado Department of Human Services be, and hereby is, approved. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 19th day of March, A.D., 2001. BOARD OF COUNTY COMMISSIONERS WELD CO TY, COLORADO 7-2 ATTEST: � " M. J. Geile, Chair Weld County Clerk to the ar 1861 t:gapTA toy lenn Vaad, r.- BY: Deputy Clerk to the Bo% eif EXCUSED WI(La H. Jerke/c, A O ED AS TO ORM: C , l o vi E. Lo 2 >„- 'ounty Actor ey Robert D. Mas en 2001-0734 pc 1 55 SS0028 Colorado Works Program Plan, 2001 for County Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 NAVIGATION/SUMMARY OF REQUIREMENTS COUNTY: DATE OF AMENDMENT (if applicable) 1. Circle an answer to each one of the following questions. a. Will you provide optional types of payment methods as described in State rules to be used for payment of basic cash assistance grants? (Yes) No If yes,complete Attachment B b. Will you provide County Optional Other Assistance to recipients of basic cash assistance grants? (Yes ) No If yes,complete Attachment C c. Will you provide Optional State Diversion Grants(Statewide Diversion)? (Yes ) No If yes,complete Attachment D d. Will you provide a County Optional Diversion Program? (Yes) No If yes,complete Attachment E e. Does your county contract for services to be provided for Colorado Works participants? (Yes) No If yes,please list the service(s)provided and the contractor(s). See Colorado Works in Weld County Plan Section 6.012 Employment Services of Weld County Instructions • Complete this attachment for the initial plan and for any amendments to a plan. ATTACHMENT A (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 BASIC CASH ASSISTANCE COUNTY: DATE OF AMENDMENT(if applicable) • Basic Cash Assistance Grant is the amount of grant paid to eligible families in accordance with statewide - eligibility criteria in effect on July 16, 1996,as modified,and that is provided on a monthly basis or as vouchers,protective payments,or as a lump sum payment. Lump sum payments are cash assistance payments paid in multiples of two to six monthly cash assistance amounts paid in a single payment. Complete to indicate if you will use optional payment methods for the basic cash assistance grant as authorized in 26-2-709(1)(c)of SB 120. 1. Are you implementing optional payment methods? (Yes) No If yes, describe the type of payment methods to be used for the basic cash assistance grant,as described in State rules. Include conditions for authorizing lump sum payments,vendor payments at the request of participants and vendor payments for protective services. See Colorado Works in Weld County Plan Section 6.002.3 2. Will you close cases for refusal to cooperate with program requirements? (Yes) No See Colorado Works in Weld County Plan Section 6.011 Instructions • Complete this attachment if the county will use optional payment methods for basic cash assistance grants. ATTACHMENT B (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 OTHER ASSISTANCE COUNTY: DATE OF AMENDMENT(if applicable) 1. Are you implementing this option? (Yes) No If yes, a. Type of services or benefits to be provided: Cash (Yes) No Services (Yes) No b. List the services you will be providing. They should be different from those you listed in attachment C. See Colorado Works in Weld County Plan Section 6.010, 6.027 c. Describe the criteria used to determine.what and when assistance is to be provided: See Colorado Works in Weld County Plan Section 6.010, 6:027 Instructions • Complete this attachment if the county will provide any assistance through the Works Program in addition to basic cash assistance to eligible participants. ATTACHMENT C (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—O OPTIONAL STATE DIVERSION GRANTS(STATEWIDE DIVERSION) COUNTY: DATE OF AMENDMENT(if applicable) 1. Are you implementing this option? (Yes ) No If yes, a. Describe the criteria to determine the need for diversion: See Colorado Works in Weld County Plan Section 6.007 b. Will you use vendor payments? (Yes ) No c. Describe the circumstances under which;and the services you will provide as in-kind services in lieu of cash: See Colorado Works in Weld County Plan Section 6.007.3 d. Describe the criteria for determining the length of time the participant will not apply for basic cash assistance or diversion: See Colorado Works in Weld County Plan Section 6.007.5 e. List the type of services that you will be providing. If none,indicate so: See Colorado Works in Weld County Plan Section 6.007.2 Instructions • Complete this attachment if the county will provide optional state diversion grants (statewide diversion).through the Works Program in addition to basic cash assistance to eligible participants. ATTACHMENT D (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 COUNTY OPTIONAL DIVERSION PROGRAM COUNTY: DATE OF AMENDMENT(if applicable) 1. Are you implementing this option? (Yes ) No If yes, See Colorado Works in Weld County Plan Section 6.008 a) Type of services or benefits to be provided: Cash (Yes ) No Services (Yes ) No b) List the services you will be providing: See Colorado Works in Weld County Plan Section 6.008 c) Describe the payment conditions that will be imposed,such as family size,dollar limits, time limits,restrictions etc: See Colorado Works in Weld County Plan Section 6.008.3 d) Eligibility criteria for participants which must include the maximum allowable income: See Colorado Works in Weld County Plan Section 6.008. 1C Instructions • Complete this attachment if the county will have a separate county optional diversion program in addition to basic cash assistance to eligible participants. ATTACHMENT E (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 JOB READINESS COUNTY: DATE OF AMENDMENT (if applicable) Colorado Works applicants and recipients are required to be engaged in a work activity once they have • been determined job ready or once the parent or caretaker relative has received assistance under the Program for 24 months. For purposes of meeting this requirement,the applicant or recipient may participate in the work activities listed in SB 120 and state rules or any other work activities designed to lead to self sufficiency as determined by the county and outlined in the participant's IRC. 1. Please describe your county definition of job ready: See Colorado Works in Weld County Plan Section 6.006. 12 2. Will your county automatically exempt participants from work activities based on the age of their youngest child? (Yes ) No If yes,please circle the maximum age of the child(in months)that will result in exemption of the participant: 1 2 3 4 5 6 7 8 9 10 11 Other-Please describe: 12 weeks 3. Your county definition of able to participate in work activity using fair and objective criteria: See Colorado Works in Weld County Plan Section 6.005 and 6.006 • 4. Your county dispute resolution policy for clients to contest county decision: See Colorado Works in Weld County Plan Section 6.011.4 5. Your assessment process. Attach all forms that are utilized. See Colorado Works in Weld County Plan Section 6.003 6. Your IRC development process. Attach all forms that are utilized. See Colorado Works in Weld County Plan Section 6.004 Instructions • Complete this attachment for the initial plan and for any amendments to a plan that affect job readiness. ATTACHMENT F (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 OTHER WORK ACTIVITIES COUNTY: DATE OF AMENDMENT(if applicable) SB 120 and state rules list work activities. County may designate additional work activities that they will - allow clients to utilize in meeting the 24 month requirement. 1. Please indicate with an"X"the work activities in SB 120 and state rules your county will utilize in order for individuals to meet the 24 month requirement. x Unsubsidized Employment x Subsidized private sector employment x Subsidized public sector employment y Work Experience y On-the-Job Training — Job Search/Job Readiness Community Service Programs Vocational Educational Training Provision of Child Care for a Participant in a Community Service Program X Job skills Training Directly Related to Employment X Education Directly Related to Employment X Satisfactory attendance at Secondary School or GED 2. The work activities in addition to those in SB 120 and state rules your county will utilize in order for individuals to meet the 24 month requirement: See Colorado Works in Weld County Plan Section 6.006.33 3. If Community Service is indicated in Item la above,define the activities which will be included in your county's community service programs in addition to those listed in Volume III at 3.625.2(G). N/A Instructions • Complete this attachment for the initial plan and for any amendments to a plan that will affect work activities. • (County Option) Please attach copies of county client assessment and individual responsibility contract forms. ATTACHMENT G (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—O SANCTIONS AGAINST CASH ASSISTANCE COUNTY: DATE OF AMENDMENT(if applicable) Please answer the following questions: a. List and describe the reasons for sanctions against Cash Assistance in your county: See Colorado Works in Weld County Plan Section 6.011 b. Minimum number of months sanctions shall be imposed in your county for cash assistance (sanction must be imposed for a minimum of one month for the first and second and three months for the third). The county may choose other minimum sanction periods as shown below, circle your answers: First sanction: ( 1) 2 3 months Second sanction: ( 1 ) 2 3 months Third sanction: (3) 4 5 6 months c. List and describe the good cause provisions for not imposing sanctions: See Colorado Works in Weld County Plan Section 6.005 d. Describe the process for establishing good cause: • See Colorado Works in Weld County Plan Section 6.005 Instructions- • Complete this attachment for the initial plan and for any amendments to a plan that affect sanctions against cash assistance. ATTACHMENT H (Colorado Works Program) • Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 OUT-OF-WEDLOCK BIRTH RATIO COUNTY: DATE OF AMENDMENT(if applicable) The federal welfare reform law requires each state to have a plan to reduce out-of-wedlock pregnancies with special emphasis on teenage pregnancies for calendar years through the year 2005. Senate Bill 97-120 requires the State Department to establish and monitor statewide goals for the reduction in the incidence of out-of-wedlock pregnancies. This program is not required to be implemented by any county. To meet these requirements,the State requests the following information from each county to be provided at the option of the county. States that are successful in reducing out-of-wedlock births may qualify for up to$25 million in incentive payments. Counties may be a recipient of these funds which may in part be allocated to counties based on their performance in this area. 1. Do you currently have a plan in place or will you be implementing a plan to accomplish these goals? Yes (No) a. If yes,please describe your plan briefly,including but not limited to: Availability of resources to accomplish the goals; ii The specific methods and strategies designed to reach your targeted goal;and iii Specific populations that will be targeted or reached by your program; 2. Please describe any of the programs,services or activities in your county that may contribute to a reduction in out-of-wedlock births: Exhibit A is taken from the Colorado Vital Statistics 1999 report and is attached here to assist you in determining your out-of-wedlock ratio and target reduction percentage if applicable. 3. Computation of out-of-wedlock birth ratio: a) Total number of out-of-wedlock births to county resident population during calendar year 1999: b) Total number of births to county resident population during calendar year 1999: c) Out-of-wedlock birth ratio=(Total number of out of wedlock births+total number of births) d) Target percentage amount of reduction for calendar year 2001: e) Number of induced pregnancy terminations to county resident population during calendar year 1999: f) Rate of induced pregnancy terminations in calendar year 1999=(Number of induced pregnancy terminations+total number of births)_ g) Expected rate of induced pregnancy terminations in the county resident population during calendar year 2001 = Instructions • Completion of this attachment is optional for each county as described above. ATTACHMENT I (Colorado Works Program) • Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 • STATUTORY RAPE EDUCATION COUNTY: DATE OF AMENDMENT(if applicable) Federal welfare reform legislation requires each state to conduct a program that provides education and training on the problem of statutory rape designed to reach State and local law enforcement officials,the education system,and relevant counseling services. This program is not required to be implemented by any county. To meet these requirements,the State requests the following information from each county to be provided at the option of the county: 1. Do you currently have a plan in place or will you be implementing a plan to accomplish these goals? Yes (No) If yes,please describe your plan briefly including: a) Availability of resources to accomplish the goals: b) The specific methods and strategies designed to reach your targeted goal: c) Specific populations that will be targeted or reached by your program: d) Number of individuals and agencies to be contacted during 1/1/01 to 12/31/01: 2. Please describe any other activities in your county that provide education in this area: Instructions • Completion of this attachment is optional for each county as described above. ATTACHMENT J (Colorado Works Program) Colorado Child Care Assistance Program Plan, 2001 for WELD County Colorado Works Program and Colorado Child Care Assistance Program Attachments A— ELIGIBILITY INCOME LEVELS COUNTY: DATE OF AMENDMENT(if applicable) 1. Maximum Federal Poverty Income level selected by the county is 185 %(fill in the percentage). 2. Complete the Maximum Monthly Income amounts below to indicate your county's maximum income eligibility: Family Stze '. Maximum Monthly tncope 2 1,734 3 2,180 4 2,628 5 3,076 6 3,521 7 3,969 8 4,417 9 4,863 ATTACHMENT K (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 APPLICATION PROCESS Page 1 of 2 COUNTY: DATE OF AMENDMENT(if applicable) • Describe the process involved for Colorado Works and Low-Income families to apply for child care. The - description must include: 1. How parents are informed of the availability of child care and of available child care options: a. Colorado Works families: Applicants are informed at the time of inquiry for Colorado Works and again at the time of initial application for Colorado Works. Necessary paperwork is explained and assistance provided to determine appropriate options. - b. Low-Income families: Applications for any type of public assistance are informed of all available and appropriate programs including Low Income Child Care. Outreach efforts concerning the Low Income Program are coordinated with schools, community agencies and other staff/programs within the Department of Social Services. The department's phone system is also equipped with information on the Low Income Child Care Program and how to apply. 2. Where and how are applications made? a. Colorado Works families: Individuals apply directly with the Colorado Works staff at time of intial application or any time, thereafter, as the need arises. b. Low-Income families: Individuals may call for individual appointment with assigned technicians. We also see individuals who come into the office without a scheduled appointment. ATTACHMENT L (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 APPLICATION PROCESS Page 2 of 2 COUNTY: DATE OF AMENDMENT(if applicable) 3. Indicate the length of time a Low-Income applicant must wait to: a. Get an appointment for eligibility determination: Individaul may be seen immediately, depending on circumstances, but no longer than 3 days . b. Receive notice that s/he is eligible for child care assistance after the Low-Income application is completed:An individual is informed at the time of the interview if they are eligible for Child Care Assistance and the amount of parental fee they musty. The only exception to this would be if the individual has not supplied staff with adequate information to determine eligibility. If request is by mail, applicant is notified within 2-7 days. c. Receive a certificate after the application is completed and a provider has been selected: 2-7 days . 4. Who completes child care eligibility determinations? a. Colorado Works families: Colorado Works technicians b. Low-Income families: CCCAP technicians ATTACHMENT L (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 PARENTAL EDUCATION COUNTY: DATE OF AMENDMENT(if applicable) Parental education is defined as consumer information that promotes informed child care choices. a. Describe the parental education component in your county. Identify the specific types of parental education materials and methods used,such as pamphlets,workshops,referral to resource and referral agencies,etc.For Colorado Works and Low-Income families: For both Colorado Works and Low Income families, the application packet supplies basic information regarding eligibility. It also explains the difference between exempt and non-exempt providers and informs individuals how to apply for assistance. At the time of the initial interview, individuals are given the brochure "Parent Information and Resource Packet". This brochure explains client responsibilities, how to apply for child support, information on the Earned Income Credit program, how to select a child care provider, and information on other community resources. All clients are referred to our Resource and Referral Agency if they need assistance in locating a child care provider. Low Income brochures are available at our reception desk. CCCAP supervistor attends meetings in schools, migrant facilities to discuss programs and how to apply. b. Describe how and when families receive information on child care choices for Colorado Works and Low-Income families: For Colorado Works and Low Income families, the application packet for Child Care Assistance contains an explanation of the options they may choose from for Child Care. It is also reviewed at the intake interview for both programs. Clients who need assistance finding a child care provider are referred to our Resource and Referral Agency. c. What procedures are in place to ensure all families receive parental education: • At time of application, family is given a pamphlet "Parent Information and Resource Packet", and are encouraged to read it thoroughly. The "Client Responsibility Form" is reviewed at this time with the client that explains their responsibility to pay parental fees, work with the provider on any disputes and to report all changes to technician. ATTACHMENT M (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A--0 PROVIDER RATES COUNTY: DATE OF AMENDMENT(if applicable) 1. Complete the following information on county rate limits for each type of care and age of - children: Centers _ Ini3icate•with L' I�ICCttSed Indtcsteywtth � � Ztld'1C8'te Wtlh (datiyyrates) anXtfitates Homes an`JCl�r3tes Exempt, an`X ifrates' are dif'ta ent:: (daily tam), ate different (dat'lyrates) are=Ifferent fronrtstate : - ` ,, from a�. fra�m i H defined°rates f I{O defined aSI� s • f �,I . .Y t. {•II f��t+ f.� fki zn defined Under2yrsold $27.25 NA $18.25 NA $11.00 NA Over 2 yrs old 22.25 NA 16.75 NA 9.75 NA Alternate Care* Under 2 yrs old NA NA NA NA NA NA Alternate Care* Over 2 yrs old • NA NA NA NA NA NA Before&After School Age (part time only) 13.00 NA 9.25 NA 5.50 NA *Alternate Care: child care during non-traditional hours such as weekends and evenings. 2. Provide justification that ensures county negotiated rates provide CCCAP families with the same access to child care that private pay families have: Each child care provider contracting with the department to serve Low Income Child Care Program recipients must sign a fiscal agreement. Each provider, by signing the fiscal agreement, ensures that they understand that the Low Income Program recipient/parent cannot be charged rates in excess of the rates indicated on the fiscal agreement. The fiscal agreement also ensures that no provider can charge Low Income Program parents/recipients rates greater than the provider charges private pay individuals. ATTACHMENT N (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—O CHILDCARE AVAILABILITY COUNTY: DATE OF AMENDMENT(if applicable) Federal regulations require single parents with a child under six for whom childcare is unavailable be exempted from the work participation requirements in the Colorado Works Program if they meet one of the criteria listed below. The county uses the following criteria to determine when childcare is unavailable. 1. The county defines appropriate and affordable formal child care arrangements unavailable when the following conditions exist: a. The cost of available child care exceeds the maximum amount Weld County Department of Social Services deems as appropriate and considers a participant could pay. b. There is no facility or home available when a child's health and safety would not reasonably be assured. 2. The county defines informal child care by a relative or under other arrangements as unavailable or unsuitable when the following conditions exist: a. When a Colorado Works recipient cannot make arrangements for child care with a relative or acquaintance and assure that the child's health and safety would not be in jeopardy. • 3. The county defines appropriate child care within a reasonable distance from the individuals home or work site is unavailable when the following conditions exist: a. When child care is not available within a reasonable distance from work or home to allow the recipient to effectively participate in the Colorado Works in Weld County Program. It must also be demonstrated that a reasonable commuting time and/or alternative transportation is also not available. Instructions • All counties must complete this attachment ATTACHMENT 0 (COLORADO WORKS PROGRAM) Colorado Works Program Plan, 2001 for County Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 NAVIGATION/SUMMARY OF REQUIREMENTS COUNTY: DATE OF AMENDMENT (if applicable) 1. Circle an answer to each one of the following questions. a. Will you provide optional types of payment methods as described in State rules to be used for payment of basic cash assistance grants? (Yes) No If yes,complete Attachment B b. Will you provide County Optional Other Assistance to recipients of basic cash assistance grants? (Yes ) No If yes,complete Attachment C c. Will you provide Optional State Diversion Grants(Statewide Diversion)? (Yes ) No If yes,complete Attachment D d. Will you provide a County Optional Diversion Program? (Yes) No If yes,complete Attachment E e. Does your county contract for services to be provided for Colorado Works participants? (Yes) No If yes,please list the service(s)provided and the contractor(s). See Colorado Works in Weld County Plan Section 6.012 Employment Services of Weld County Instructions • Complete this attachment for the initial plan and for any amendments to a plan. ATTACHMENT A (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—O BASIC CASH ASSISTANCE COUNTY: DATE OF AMENDMENT (if applicable) • Basic Cash Assistance Grant is the amount of grant paid to eligible families in accordance with statewide - eligibility criteria in effect on July 16, 1996,as modified,and that is provided on a monthly basis or as vouchers,protective payments,or as a lump sum payment. Lump sum payments are cash assistance payments paid in multiples of two to six monthly cash assistance amounts paid in a single payment. Complete to indicate if you will use optional payment methods for the basic cash assistance grant as authorized in 26-2-709(O(c)of SB 120. 1. Are you implementing optional payment methods? (Yes) No If yes,describe the type of payment methods to be used for the basic cash assistance grant,as described in State rules. Include conditions for authorizing lump sum payments,vendor payments at the request of participants and vendor payments for protective services. See Colorado Works in Weld County Plan Section 6.002.3 2. Will you close cases for refusal to cooperate with program requirements? (Yes) No See Colorado Works in Weld County Plan Section 6.011 Instructions - • Complete this attachment if the county will use optional payment methods for basic cash assistance grants. ATTACHMENT B (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 OTHER ASSISTANCE COUNTY: DATE OF AMENDMENT(if applicable) 1. Are you implementing this option? (Yes) No If yes, a. Type of services or benefits to be provided: Cash (Yes) No Services (Yes) No b. List the services you will be providing. They should be different from those you listed in attachment C. See Colorado Works in Weld County Plan Section 6.010, 6.027 c. Describe the criteria used to determine what and when assistance is to be provided: See Colorado Works in Weld County Plan Section 6.010, 6:027 Instructions • Complete this attachment if the county will provide any assistance through the Works Program in addition to basic cash assistance to eligible participants. ATTACHMENT C (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—O OPTIONAL STATE DIVERSION GRANTS(STATEWIDE DIVERSION) COUNTY: DATE OF AMENDMENT(if applicable) 1. Are you implementing this option? (Yes ) No If yes, a. Describe the criteria to determine the need for diversion: See Colorado Works in Weld County Plan Section 6.007 b. Will you use vendor payments? (Yes ) No c. Describe the circumstances under which;and the services you will provide as in-kind services in lieu of cash: See Colorado Works in Weld County Plan Section 6.007.3 d. Describe the criteria for determining the length of time the participant will not apply for basic cash assistance or diversion: See Colorado Works in Weld County Plan Section 6.007.5 e. List the type of services that you will be providing. If none,indicate so: See Colorado Works in Weld County Plan Section 6.007.2 Instructions • Complete this attachment if the county will provide optional state diversion grants (statewide diversion).through the Works Program in addition to basic cash assistance to eligible participants. ATTACHMENT D (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A— COUNTY OPTIONAL DIVERSION PROGRAM COUNTY: DATE OF AMENDMENT(if applicable) • Are you implementing this option? (Yes ) No Ifyes, See Colorado Works in Weld County Plan Section 6.008 a) Type of services or benefits to be provided: Cash (Yes ) No Services (Yes ) No b) List the services you will be providing: See Colorado Works in Weld County Plan Section 6.008 c) Describe the payment conditions that will be imposed,such as family size,dollar limits, time limits,restrictions etc: See Colorado Works in Weld County Plan Section 6.008.3 d) Eligibility criteria for participants which must include the maximum allowable income: See Colorado Works in Weld County Plan Section 6.008. 10 Instructions • Complete this attachment if the county will have a separate county optional diversion program in addition to basic cash assistance to eligible participants. ATTACHMENT E (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 JOB READINESS COUNTY: DATE OF AMENDMENT (if applicable) Colorado Works applicants and recipients are required to be engaged in a work activity once they have been determined job ready or once the parent or caretaker relative has received assistance under the Program for 24 months. For purposes of meeting this requirement,the applicant or recipient may participate in the work activities listed in SB 120 and state rules or any other work activities designed to lead to self sufficiency as determined by the county and outlined in the participant's IRC. 1. Please describe your county definition of job ready: See Colorado Works in. Weld County Plan Section 6.006. 12 2. Will your county automatically exempt participants from work activities based on the age of their youngest child? (Yes ) No If yes,please circle the maximum age of the child(in months)that will result in exemption of the participant: 1 2 3 4 5 6 7 8 9 10 11 Other-Please describe: 12 weeks 3. Your county definition of able to participate in work activity using fair and objective criteria: See Colorado Works in Weld County Plan Section 6.005 and 6.006 • 4. Your county dispute resolution policy for clients to contest county decision: See Colorado Works in Weld County Plan Section 6.011.4 5. Your assessment process. Attach all forms that are utilized. See Colorado Works in Weld County Plan Section 6.003 6. Your IRC development process. Attach all forms that are utilized. See Colorado Works in Weld County Plan Section 6.004 Instructions • Complete this attachment for the initial plan and for any amendments to a plan that affect job readiness. ATTACHMENTF (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 OTHER WORK ACTIVITIES COUNTY: DATE OF AMENDMENT(if applicable) SB 120 and state rules list work activities. County may designate additional work activities that they will - allow clients to utilize in meeting the 24 month requirement. 1. Please indicate with an"X"the work activities in SB 120 and state rules your county will utilize in order for individuals to meet the 24 month requirement. X Unsubsidized Employment X Subsidized private sector employment lc Subsidized public sector employment y Work Experience y On-the-Job Training _ Job Search/Job Readiness Community Service Programs Vocational Educational Training Provision of Child Care for a Participant in a Community Service Program X Job skills Training Directly Related to Employment X Education Directly Related to Employment X Satisfactory attendance at Secondary School or GED 2. The work activities in addition to those in SB 120 and state rules your county will utilize in order for individuals to meet the 24 month requirement: - See Colorado Works in Weld County Plan Section 6.006.33 3. If Community Service is indicated in Item la above,define the activities which will be included in your county's community service programs in addition to those listed in Volume III at 3.625.2(G). N/A Instructions • Complete this attachment for the initial plan and for any amendments to a plan that will affect work activities. • (County Option) Please attach copies of county client assessment and individual responsibility contract forms. ATTACHMENT G (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A— SANCTIONS AGAINST CASH ASSISTANCE COUNTY: DATE OF AMENDMENT(if applicable) 1. Please answer the following questions: a. List and describe the reasons for sanctions against Cash Assistance in your county: See Colorado Works in Weld County Plan Section 6.011 b. Minimum number of months sanctions shall be imposed in your county for cash assistance (sanction must be imposed for a minimum of one month for the first and second and three months for the third). The county may choose other minimum sanction periods as shown below,circle your answers: First sanction: ( 1) 2 3 months Second sanction: ( 1 ) 2 3 months Third sanction: (3) 4 5 6 months c. List and describe the good cause provisions for not imposing sanctions: See Colorado Works in Weld County Plan Section 6.005 d. Describe the process for establishing good cause: See Colorado Works in Weld County Plan Section 6.005 Instructions- • Complete this attachment for the initial plan and for any amendments to a plan that affect sanctions against cash assistance. ATTACHMENT H (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 OUT-OF-WEDLOCK BIRTH RATIO COUNTY: DATE OF AMENDMENT (if applicable) The federal welfare reform law requires each state to have a plan to reduce out-of-wedlock pregnancies with special emphasis on teenage pregnancies for calendar years through the year 2005. Senate Bill 97-120 requires the State Department to establish and monitor statewide goals for the reduction in the incidence of out-of-wedlock pregnancies. This program is not required to be implemented by any county. To meet these requirements,the State requests the following information from each county to be provided at the option of the county. States that are successful in reducing out-of-wedlock births may qualify for up to$25 million in incentive payments. Counties may be a recipient of these funds which may in part be allocated to counties based on their performance in this area. 1. Do you currently have a plan in place or will you be implementing a plan to accomplish these goals? Yes (No) a. If yes,please describe your plan briefly,including but not limited to: Availability of resources to accomplish the goals; ii The specific methods and strategies designed to reach your targeted goal;and iu Specific populations that will be targeted or reached by your program; 2. Please describe any of the programs,services or activities in your county that may contribute to a reduction in out-of-wedlock births: Exhibit A is taken from the Colorado Vital Statistics 1999 report and is attached here to assist you in determining your out-of-wedlock ratio and target reduction percentage if applicable. 3. Computation of out-of-wedlock birth ratio: a) Total number of out-of-wedlock births to county resident population during calendar year 1999: b) Total number of births to county resident population during calendar year 1999: c) Out-of-wedlock birth ratio=(Total number of out of wedlock births+total number of births) d) Target percentage amount of reduction for calendar year 2001: e) Number of induced pregnancy terminations to county resident population during calendar year 1999: f) Rate of induced pregnancy terminations in calendar year 1999=(Number of induced pregnancy terminations+total number of births)_ g) Expected rate of induced pregnancy terminations in the county resident population during calendar year 2001 = Instructions • Completion of this attachment is optional for each county as described above. ATTACHMENT I (Colorado Works Program) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 STATUTORY RAPE EDUCATION COUNTY: DATE OF AMENDMENT(if applicable) Federal welfare reform legislation requires each state to conduct a program that provides education and training on the problem of statutory rape designed to reach State and local law enforcement officials,the education system,and relevant counseling services. This program is not required to be implemented by any county. To meet these requirements,the State requests the following information from each county to be provided at the option of the county: 1. Do you currently have a plan in place or will you be implementing a plan to accomplish these goals? Yes (No) If yes,please describe your plan briefly including: a) Availability of resources to accomplish the goals: b) The specific methods and strategies designed to reach your targeted goal: c) Specific populations that will be targeted or reached by your program: d) Number of individuals and agencies to be contacted during I/1/01 to 12/31/01: 2. Please describe any other activities in your county that provide education in this area: Instructions • Completion of this attachment is optional for each county as described above. ATTACHMENT J (Colorado Works Program) Colorado Child Care Assistance Program Plan, 2001 for WELD County Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 ELIGIBILITY INCOME LEVELS • COUNTY: DATE OF AMENDMENT(if applicable) 1. Maximum Federal Poverty Income level selected by the county is 185 %(fill in the percentage). 2. Complete the Maximum Monthly Income amounts below to indicate your county's maximum income eligibility: :Tam t1 Stu x r§iF ° MaX2tIIIIm,MAIItIt�y,�riCOII]C 2 1,734 3 2,180 4 2,628 5 3,076 6 3,521 7 3,969 8 4,417 9 4,863 ATTACHMENT K (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 APPLICATION PROCESS Page 1 of 2 COUNTY: DATE OF AMENDMENT(if applicable) • Describe the process involved for Colorado Works and Low-Income families to apply for child care. The description must include: 1. How parents are informed of the availability of child care and of available child care options: a. Colorado Works families: Applicants are informed at the time of inquiry for Colorado Works and again at the time of initial application for Colorado Works. Necessary paperwork is explained and assistance provided to determine appropriate options. b. Low-Income families: Applications for any type of public assistance are informed of all available and appropriate programs including Low Income Child Care. Outreach efforts concerning the Low Income Program are coordinated with schools, community agencies and other staff/programs within the Department of Social Services. The department's phone system is also equipped with information on the Low Income Child Care Program and how to apply. 2. Where and how are applications made? a. Colorado Works families: Individuals apply directly with the Colorado Works staff at time of intial application or any time, thereafter, as the need arises. b. Low-Income families: Individuals may call for individual appointment with assigned technicians. We also see individuals who come into the office without a scheduled appointment. ATTACHMENT L (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 APPLICATION PROCESS Page 2 of 2 COUNTY: DATE OF AMENDMENT(if applicable) 3. Indicate the length of time a Low-Income applicant must wait to: a. Get an appointment for eligibility determination: Individaul may be seen immediately, depending on circumstances, but no longer than 3 days b. Receive notice that s/he is eligible for child care assistance after the Low-Income application is completed:An individual is informed at the time of the interview if they are eligible for Child Care Assistance and the amount of parental fee they must pay_ The only exception to this would be if the individual has not supplied staff with adequate information to determine eligibility. If request is by mail, applicant is notified within 2-7 days. c. Receive a certificate after the application is completed and a provider has been selected: 2-7 days . 4. Who completes child care eligibility determinations? a. Colorado Works families: Colorado Works technicians b. Low-Income families: - CCCAP technicians ATTACHMENT L (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 PARENTAL EDUCATION COUNTY: DATE OF AMENDMENT(if applicable) Parental education is defined as consumer information that promotes informed child care choices. - a. Describe the parental education component in your county. Identify the specific types of parental education materials and methods used,such as pamphlets,workshops,referral to resource and referral agencies, etc.For Colorado Works and Low-Income families: For both Colorado Works and Low Income families, the application packet supplies basic information regarding eligibility. It also explains the difference between exempt and non-exempt providers and informs individuals how to apply for assistance. At the time thf the initial interview, individuals are given the brochure "Parent Information and Resource Packet". This brochure explains client responsibilities, how to apply for child support, information on the Earned Income Credit program, how to select a child care provider, and information on other community resources. All clients are referred to our Resource and Referral Agency if they need assistance in locating a child care provider. Low Income brochures are available at our reception desk. CCCAP supervistor attends meetings in schools, migrant facilities to discuss programs and how to apply. b. Describe how and when families receive information on child care choices for Colorado Works and Low-Income families: For Colorado Works and Low Income families, the application packet for Child Care Assistance contains an explanation of the options they may choose from for Child Care. It is also reviewed at the intake interview for both programs. Clients who need assistance finding a child care provider are referred to our Resource and Referral Agency. c. What procedures are in place to ensure all families receive parental education: At time of application, family is given a pamphlet "Parent Information and Resource Packet", and are encouraged to read it thoroughly. The "Client Responsibility Form" is reviewed at this time with the client that explains their responsibility to pay parental fees, work with the provider on any disputes and to report all changes to technician. ATTACHMENT M (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—0 PROVIDER RATES COUNTY: DATE OF AMENDMENT(if applicable) 1. Complete the following information on county rate limits for each type of care and age of - children: x Centers 'indicate witfi ; -..Licensed• ".lndtcaxewttte Lepaliv indidatewith; ' x (daittytrates) "-"airX i $rates'"' -homes an:xXifratesi r ''I3xeinpt an Xi'itates�`,.. aredi eientr (dailyrates); are. erentr ('dailyrates) ar&dtfferent 'tvmastate': "1 ,state A , f m'cuucnt:- define ``z s = d tined;i Ces county _ -: -' defnedrates?; Under 2 yrs old $27.25 NA $18.25 NA $11.00 NA Over 2 yrs old 22.25 NA 16.75 NA 9.75 NA Alternate Care* Under 2 yrs old NA NA NA NA NA NA Alternate Care* Over 2 yrs old NA NA NA NA NA NA Before&After School Age (part time only) 13.00 NA 9.25 NA 5.50 NA *Alternate Care:- child care during non-traditional hours such as weekends and evenings. 2. Provide justification that ensures county negotiated rates provide CCCAP families with the same access to child care that private pay families have: Each child care provider contracting with the department to serve Low Income Child Care Program recipients must sign a fiscal agreement. Each provider, by signing the fiscal agreement, ensures that they understand that the Low Income Program recipient/parent cannot be charged rates in excess of the rates indicated on the fiscal agreement. The fiscal agreement also ensures that no provider can charge Low Income Program parents/recipients rates greater than the provider charges private pay individuals. ATTACHMENT N (COLORADO CHILD CARE ASSISTANCE PROGRAM) Colorado Works Program and Colorado Child Care Assistance Program Attachments A—O • CHILDCARE AVAILABILITY COUNTY: DATE OF AMENDMENT(if applicable) Federal regulations require single parents with a child under six for whom childcare is unavailable be exempted from the work participation requirements in the Colorado Works Program if they meet one of the criteria listed below. The county uses the following criteria to determine when childcare is unavailable. 1. The county defines appropriate and affordable formal child care arrangements unavailable when the following-conditions exist: a. The cost of available child care exceeds the maximum amount Weld County Department of Social Services deems as appropriate and considers a participant could pay. b. There is no facility or home available when a child's health and safety would not reasonably be assured. 2. The county defines informal child care by a relative or under other arrangements as unavailable or unsuitable when the following conditions exist: a. When a Colorado Works recipient cannot make arrangements for child care with-a relative or acquaintance and assure that the child's health and safety would not be in jeopardy. • 3. The county defines appropriate child care within a reasonable distance from the individual's home or work site is unavailable when the following conditions exist: a. When child care is not available within a reasonable distance from work or home to allow the recipient to effectively participate in the Colorado Works in Weld County Program. It must also be demonstrated that a reasonable commuting time and/or alternative transportation is also not available. Instructions • All counties must complete this attachment ATTACHMENT O (COLORADO WORKS PROGRAM) Section 6000 COLORADO WORKS IN WELD COUNTY AND CHILD CARE POLICIES AND PROCEDURES Colorado Works in Weld County and Child Care Policies and Procedures Table of Contents SECTION: TITLE: 6.000 Colorado Works in Weld County and Child Care Policies and Procedures 6.001 Definition and Legal Basis 6.002 Eligibility and Basic Grant Assistance 6.002.1 Eligibility 6.002.2 Domestic Violence Screening 6.002.21 Substance Abuse Training 6.002.3 Basic Cash Assistance 6.003 Client Assessment 6.003.1 Applicants 6.003.11 Department Responsibilities 6.003.12 Employment Services Responsibilities 6.003.2 Recipients 6.003.21 Department Responsibilities 6.003.22 Employment Services Responsibilities 6.003.3 Participant Assessment 6.004 Individual Responsibility Contract 6.004.1 Department Responsibilities with the IRC 6.004.2 Employment Services Responsibilities with the IRC 6.005 Temporary Good Cause Exemptions from Work Participation 6.005.1 Reasons for Temporary Good Cause Exemption from Work Participation 6.005.2 Redetermination of Temporary Good Cause Exemptions 6.005.3 Participant Appeal of Non-Exempt Status Under Temporary Good Cause Exemptions 6.006 Work Participation Requirements and Work Activities 6.006.1 Work Participation Requirements 6.006.12 Job Ready 6.006.2 Work Activities 6.006.21 Work Supplementation Program 6.006.211 Work Participation Standard with an Employer 6.006.212 Work Supplementation Responsibilities of an Employer 6.006.213 Work Supplementation Responsibilities of the Department 6.006.214 General Participant Screening Criteria 6.006.215 General Requirements for Training 6.006.22 Work Supplementation Program with Temporary Employment Agencies 6.006.221 Work Participation Standard with Temporary Employment Agencies 6.006.222 Work Supplementation Responsibilities with Temporary Employment Agencies n Colorado Works in Weld County and Child Care Policies and Procedures 6.006.223 Work Supplementation Responsibilities of the Department 6.006.224 General Participant Screening Criteria 6.006.225 General Requirements for Training 6.006.23 Public Sector Work Activity 6.006.231 Public Sector Work Activity Agreement 6.006.232 Optional Training Under the Public Sector Work Activity Agreement 6.006.24 Private Sector Work Activity 6.006.241 Private Sector Work Activity Agreement 6.006.242 Optional Training Under the Private Sector Work Activity Agreement 6.006.25 On-the-Job Training Program 6.006.26 IRC Skill Development Seminar 6.006.27 Community Service Program 6.006.28 Vocational Education Training(not to exceed 12 months with respect to any participant) 6.006.29 Job Skills Training 6.006.30 Education Directly Related to Employment(for a participant who has not received a high school diploma or a certificate of high school equivalency) 6.006.31 Secondary School or Equivalent Education 6.006.32 County Designed Occupational Skills Training Program(not to exceed twelve months with respect to any participant) 6.006.33 Other Work Activities as Approved and Authorized 6.007 Weld County Grant Diversion Program(State Grant Diversion Program) 6.007.1 Client Assessment 6.007.2 Payment Limit and Types of Payment 6.007.3 Pre-Authorization Information 6.007.4 Authorization of Payment under the Individual Responsibility Contract and Limitations 6.007.5 Eligibility Waiver Period for Colorado Works in Weld County Assistance 6.007.6 Authorized Payee 6.007.7 Submission of Payment 6.007.8 Vendor Accepts Voucher Payment 6.007.9 Vendor Does Not Accept Voucher Payment 6.007.10 Responsibility of Department's Eligibility Technician 6.007.11 Responsibility of Department's Business Office 6.008 Job Retention and Skills Training Program(County Diversion Program) 6.008.1 Eligible Participants 6.008.2 General Requirements for Training 6.008.3 General Requirements for Supportive Services Needed for Job Retention 6.009 Participant Sanctions or Other Assistance and Separate County Division 6.010 Supportive Services (non-Child Care) 6.010.1 Transportation 6.010.2 Participation Related Services ii Colorado Works in Weld County and Child Care Policies and Procedures 6.010.3 Method of Payment 6.010.4 Supportive Services Expenditure Limit 6.010.5 Participant Criteria to Receive Supportive Services 6.011 Participant Sanctions and Appeals 6.011.1 Participant Sanctions 6.011.11 Definition of Sanctions 6.011.12 Notice of Proposed Applicant or Recipient Sanction 6.011.2 Absences or Late Occurrences of Participants in Work Supplementation Programs, On-the-Job Training Program, and the Job Retention and Skills Training Program 6.011.3 Absences from or Late Occurrences to Other Work Activities or Scheduled Appointments 6.011.31 Late Occurrences to Work Activities and Scheduled Appointments 6.011.32 Absences from Work Activities and Scheduled Appointments 6.011.33 Definition of Immediate Family for Purposes of Section 6.009.12 6.011.4 Participant Appeals 6.012 Organization,Flow Chart,and Budget Plan 6.012.1 General Organization 6.012.2 Joint Functions of the Department and the Employment Services 6.012.3 Functions of the Department 6.012.4 Functions of Employment Services 6.012.5 Participant Flow Chart 6.012.6 Budget Transfer from the Department to Employment Services 6.013 Performance Outcomes 6.013.1 Federal and State Participation Rates and Required Hours of Participation 6.013.2 Weld County Outcomes 6.014 Child Care 6.014.1 Client Eligibility 6.014.2 Child Care Provider Rates 6.014.3 Registration, Activity, and Transportation 6.014.31 Absences 6.014.32 Registration,Activity, and Transportation Fee 6.014.33 20%Rule 6.015 Food Stamp Interface 6.016 Medicaid Interface 6.017 Social Services Division Interface 6.017.1 Procedures 6.018 Child Support Interface iii Colorado Works in Weld County and Child Care Policies and Procedures 6.018.1 Individual Responsibility Contract 6.018.2 Child Support Payments 6.018.3 Child Support Assessment 6.008.4 Summer Activities for Youth-Calendar Year 2000 6.008.41 Eligible Participants 6.008.42 Authorized Programs 6.008.43 Authorized Summer Budget Expenditures for Calendar Year 2000 6.019 Weld County Housing Authority Interface 6.019.1 Client Preferences for the Weld County Housing Authority Section 8 Program 6.019.2 Participation and Notification 6.019.3 Family Self-Sufficiency Program(FSS) 6.0,)9.4 Sanctions and Appeals 6.020 Community Agency Interface 6.021 Reporting Requirements 6.022 Out of Wedlock Births Plan 6.023 Statutory Rape Plan 6.024 Contracts or Other Agreements to Purchase Services 6.025 Earned Income Tax Credit 6.026 Individual Development Accounts 6.027 County Optional Other Assistance 6.027.1 Supportive Service Payments Made to Caretaker Relatives on Behalf of Children in their Care (Not an Adoptive or Natural Parent) 6.027.2 Eligibility Criteria 6.027.3 Supportive Service Payment Limit 6.028 County Optional Diversion Grants 6.029 Any Other Services Exhibit A-1: Weld County Individual Responsibility Contract(IRC) (For Non-Diversion Program) Exhibit A-2: Weld County Individual Responsibility Contract(IRC) (For Diversion Program) Exhibit B: Work Supplementation Agreement Exhibit C: Work Supplementation Agreement with Temporary Employment Agencies Exhibit D: Public Sector Work Activity Agreement Exhibit E: Private Sector Work Activity Agreement Exhibit F: Participant Flow Chart iv Colorado Works in Weld County and Child Care Policies and Procedures Exhibit G: Client Baseline Information for Colorado Works in Weld County Exhibit H: Notice of Proposed Action Exhibit I: Dispute Resolution Process Exhibit J: Weld County Child Care Exemption Exhibit K: Screening for Determining Alcohol and Drug Abuse V Colorado Works in Weld County and Child Care Policies and Procedures 6.000 Colorado Works in Weld County and Child Care Policies and Procedures Effective 9/10/97 6.001 Definition and Legal Basis The Governor and the State Legislature created the Colorado Works Program on July 1, 1997, in response to Federal welfare reform legislation that replaced the Aid to Families with Dependent Children under Part A of Title IV of the Social Security Act. The Colorado Works Program also incorporated the Colorado Child Care Assistance Program. Under the Colorado Works Program,the Board of County Commissioners,as the Board of Social Services, is provided certain policy responsibilities under the law and state regulations. The Board of Social Services outlines policies and procedures under the Weld County Department of Social Services Operations Manual, through resolution. The Board of Social Services may amend the Department's Operations Manual,through resolution and as appropriate. The legal basis of the Colorado Works in Weld County Program is as follows: A. "Personal Responsibility and Work Opportunity Reconciliation Act of 1996", Public Law 104-193. B. "Colorado Works Program Act",Article 2 of title 26, Colorado Revised Statutes, Part 7, Section 26-2-701 through Section 26-2-722, and other associated statute revisions. C. "Colorado Child Care Assistance Program Act", Article 2 of title 26,Colorado Revised Statutes, Part 8, Section 26-2-801 through Section 26-2-806. D. Colorado State Rules Section 3.600,Volume III,Income Maintenance Programs. E. Colorado State Plan for Temporary Assistance to Needy Families, as adopted and revised by the Colorado Board of Human Services,the Governor of Colorado, and the Federal Department of Human Services. F. "The Weld County Department of Social Services Operations Manual",as adopted and revised by the Board of Weld County Commissioners, as the Board of Social Services, through resolution. Colorado Works in Weld County and Child Care Policies and Procedures 6.002 Eligibility and Basic Grant Assistance Effective 9/10/97 6.002.1 Eligibility The Department will follow those general eligibility guidelines for Colorado Works in Weld County as established by the Colorado Department of Human Services. The State Department outlines these guidelines in Section 3.600,Volume III, Income Maintenance Programs, and the Colorado State Plan for Temporary Assistance to Needy Families. Eligible recipients for Colorado Works in Weld County benefits are subject to the availability of funds. If funding is available,the family will be eligible for a cash grant, services, or vouchers if: A. The family's gross income is under the standards in effect on July 16, 1996, and; B. Resources do not exceed$2000. Countable resources are the same as included in Colorado's State Plan in effect on July 16, 1997, for AFDC except that one car is exempt from countable resources. C. Additional incentives may be available to employed individuals as outlined in the county plan. D. The family may be eligible for family preservation services as determined under the standards effective as of September 30, 1995. E. Minor parents under age eighteen: Revised 3/98 1. who are not married must reside or intend to return to their parent's or guardian's home unless there are indications that this may be an abusive or neglectful environment. Those situations where there is suspected abuse of neglect will be referred to Child Welfare Service for Evaluation; 2. who have not completed high school or its equivalent,must also attend high school, work on a GED,or be in an alternative education or training program approved by the State to be eligible for assistance. F. Teen parents will be approved if they attend an educational program. If they have dropped out, they will need to meet the provisions of eligibility for minors. G. The following persons will be ineligible for Colorado Works in Weld County: 1. Fugitive felons and parole probation violators. 2. Persons convicted of drug-related felonies after July 1, 1997,unless such person is determined to have taken action toward rehabilitation. H. Qualified legal aliens entering the country after August 22, 1996, except federally Colorado Works in Weld County and Child Care Policies and Procedures authorized exceptions. 6.002.2 Domestic Violence Screening Colorado Works in Weld County will follow the State rules concerning domestic violence screening. All Colorado Works in Weld County applicants and recipients will be given the opportunity voluntarily and confidentially to identify themselves as victims of domestic violence. The Department will inform staff of support services for domestic violence victims and make appropriate referrals to those services. Training will be provided to Department staff on domestic violence issues and how to identify domestic violence victims and circumstances. Colorado Works in Weld County applicants and recipients who are domestic violence victims will have the opportunity to apply for the county's temporary good cause exemption from work participation. 6.002.21 Substance Abuse Screening Added 4/00 In accordance with State Department of Human Service regulations,Volume III, Section 3.620.4, all TANF applicants/recipients participating in the Colorado Works in Weld County Program will be required to complete a substance abuse screening form to assist them and the Department of Social Services in identifying problems or potential problems of alcohol and drug abuse. The alcohol and drug screening form will be completed at the time of initial application and at each redetermination of eligibility. The screening form will be reviewed and evaluated by a Certified Alcohol and Drug Counselor. If the screening form indicates a problem or potential problem with alcohol or drugs, the counselor may require a more thorough assessment of alcohol and/or drug abuse. The counselor, after review of the assessment,may suggest an alcohol and/or drug treatment plan. The Department may require the applicant/recipient to participate in an alcohol or drug abuse treatment program as specified in Section 6.004 and Section 6.011 of the Colorado Works in Weld County Policies and Procedures Manual as part of the applicant's/recipient's Individual Responsibility Contract. The screening form is included as Exhibit K. Department staff may also make a direct referral to the Certified Alcohol and Drug Counselor for an assessment at any time and as outlined in Section 6.004 of the Colorado Works in Weld County Policies and Procedures Manual. 6.002.3 Basic Cash Assistance Basic cash assistance grants will be provided to eligible Colorado Works in Weld County recipients in accordance with statewide benefit levels and other Colorado State Department of Human Service regulations identified in Volume III, section 3.600. Colorado Works in Weld County and Child Care Policies and Procedures 6.003 Client Assessment Added 4/00 It is the intent of the Colorado Works in Weld County Program that the Department will attempt to identify, as soon as practicable, any serious bathers to employment that a TANF applicant/recipient may have. The Department will also assist the TANF applicant/recipient in obtaining services that will help the TANF applicant/recipient alleviate those bathers. Factors that may be bathers to employment are: limited work experience, low basic skills,physical and mental health problems, substance abuse, child health or behavioral problems, family violence,housing instability, and any other serious family problem. Assessment of Colorado Works in Weld County applicants and recipients may be done in stages. Initial assessments to identify emergency needs will be accomplished at the time of application by the Department of Social Services. Further evaluation and assessment of educational levels,learning disabilities, self-esteem,etc.,will be provided by Employment Services. Individuals requiring further assessments and/or treatment for the presence of or potential of barriers to obtaining and maintaining employment may be referred to other agencies or professionals. Staff will be provided training in how to work with people facing certain bathers. Specially trained staff may be hired or contracted with to work with TANF recipients to conduct more in-depth diagnostic assessments and vocational evaluations. As much as possible transitional support will be provided to individuals after obtaining employment to assure job retention. 6.003.1 Applicants 6.003.11 Department Responsibilities A. At initial application,Department staff will assess the individual's eligibility for public assistance. The Department's screeners will refer applicants to the child support enforcement unit immediately after they have expressed their intent to apply for Colorado Works in Weld County services. An appointment will be scheduled for the applicant to meet with the eligibility technician. The applicant will provide a completed application and supporting documents to the technician at this meeting. B. The Department Eligibility Technician will complete an initial eligibility assessment for all applicants. This assessment will identify those applicants who may be temporarily exempt for good cause from work participation. C. Department staff will initiate an Individual Responsibility Contract(IRC)with the applicant. Department staff will explain verbally and in writing the Colorado Works in Weld County program provisions,participant responsibilities, and participant rights as outlined in the first section of the IRC. Department staff will obtain the necessary applicant and Department staff signatures. D. Department staff will schedule an appointment and send the applicant to Colorado Works in Weld County and Child Care Policies and Procedures Employment Services of Weld County(Employment Services),which is a subdivision of the Weld County Division of Human Services. The Department's referral constitutes a referral of the applicant to employment. 6.003.12 Employment Services Responsibilities A. At Employment Services, the applicant will complete an employment assessment for individuals who are not temporarily exempt from participation in work activities. B. An employment assessment will be completed on all scheduled applicants. This assessment will identify the work history, education,employment interests, skill levels and employment goals of the applicant. The employment assessment will also assess the applicant's need for supportive services and identify their barriers to employment. Employment Services' staff will give applicants information on the local labor market and current employment opportunities at the time of this assessment. C. The employment assessment will be the basis for completing the work activity assignment under the IRC. Employment Services' staff will schedule applicants, unless exempted after the employment assessment,to attend an IRC Skill Development Seminar. D. Upon the completion of the IRC Skill Development Seminar,Employment Services' staff will reassess applicants who have not obtained employment and have become recipients. Employment Services' staff will determine any additional work activities and/or supportive services the applicant may need to obtain or retain unsubsidized employment. This assessment may include additional testing,including basic skills, academic,vocational assessments, or employment and career exploration. E. The Employment Services' staff,along with the applicant,will complete the Second Section of the IRC as a result of this screening and assessment process. 6.003.2 Recipients 6.003.21 Department Responsibilities A. Department staff will provide an initial eligibility and employability assessment for the current case load as of July 1, 1997,through a mailed assessment form. These recipients will complete mailed assessment forms between July 1, 1997, through October 1, 1997. B. Department staff will initiate an Individual Responsibility Contract(IRC)with the recipient. Department staff will explain verbally and in writing the Colorado Works in Weld County program provisions,participant responsibilities, and participant rights as outlined in the first section of the IRC. Department staff will obtain the necessary recipient and Department staff signatures. Colorado Works in Weld County and Child Care Policies and Procedures C. Department staff will schedule an appointment and send the recipient to Employment Services. The Department's referral constitutes a referral of the recipient to employment. D. Department staff will reassess recipients who are temporarily exempted from work participation within three months of the last IRC to determine their readiness to participate in an employment assessment. 6.003.22 Employment Services Responsibilities A. At Employment Services,the recipient will complete an employment assessment for individuals who are not temporarily exempt from participation in work activities. B. An employment assessment will be completed on all scheduled recipients. This assessment will identify the work history, education, employment interests, skill levels and employment goals of the recipient. The employment assessment will also assess the recipient's need for supportive services and identify their barriers to employment. Employment Services' staff will give recipients information on the local labor market and current employment opportunities at the time of this assessment. C. The employment assessment will be the basis for completing the work activity assignment under the IRC. Employment Services' staff will schedule recipients, unless exempted after the employment assessment,to attend an IRC Skill Development Seminar. D. Upon the completion of the IRC Skill Development Seminar,Employment Services' staff will reassess recipients who have not obtained employment and have become recipients. Employment Services' staff will determine any additional work activities and/or supportive services the recipient may need to obtain or retain unsubsidized employment. This assessment may include additional testing, including basic skills, academic,vocational assessments, or employment and career exploration. E. The Employment Services' staff, along with the recipient,will complete the Second Section of the IRC as a result of this screening and assessment process. 6.003.3 Participant Assessment An applicant or recipient entering employment or those placed in work activities will undergo a participant assessment at the one month,three month, and six month intervals of their participation. A. Department staff,Employment Services' staff, or contractor staff will provide this follow-up assessment to offer participants mentoring services,if appropriate. These mentoring activities are designed to help the person retain employment and may include,but not limited to,counseling in work ethics and job retention. Colorado Works in Weld County and Child Care Policies and Procedures B. Department staff or Employment Services' staff will assess participants to identify and provide,if appropriate, any additional supportive service needs the participant may require to maintain their employment or work activity participation. Colorado Works in Weld County and Child Care Policies and Procedures 6.004 Individual Responsibility Contracts Effective 9/10/97 Revised 12/98 A. IRC for Non-Diversion Program The Department will develop with a client and monitor the Individual Responsibility Contact(IRC). The Individual Responsibility Contract(IRC)is attached to this section and is set forth in Exhibit A. The provisions and responsibilities of the IRC clearly define the expectations and responsibilities of the Colorado Works in Weld County applicant and recipient for assistance under the Colorado Works in Weld County Program. If an applicant refuses to sign an IRC,the applicant shall not receive assistance and processing of his or her application will cease. B. - IRC for Diversion Programs Only A client who will be participating the Weld County Grant Division(State Diversion Program)under Section 6.007 of the Job Retention and Skills Training Program(County Division Program)under section 6.008 will complete an IRC as set forth in Exhibit A-2. 6.004.1 Department Responsibilities with the IRC A. Department staff will explain verbally and in writing the First Section of the IRC. The Department staff will describe program provisions,participant responsibilities, and participant rights under the IRC. Department staff will obtain the necessary signatures of the applicant or recipient and Department staff on the First Section of the IRC. B. Department staff will use the Second Section of the IRC to identify steps the applicants or recipients may need to take which will enhance the recipient's or applicant's employability. These steps may include addressing mental health, physical health, drug, and alcohol, or other issues that would limit the recipient or applicant from participating on work participation activities. The Department staff will obtain the necessary signatures of the applicant or recipient and Department staff on the Second Section of the IRC. C. Department staff will schedule an appointment and send the recipient to Employment Services. The Department's referral to Employment Services constitutes a referral of the recipient to employment. D. Department staff will review all temporarily exempted recipients who are not engaged in an authorized work activity between a one and three month period for continued exemption from work participation. E. Department staff will reassess recipients who are temporarily exempted from work participation within three months of the last IRC to determine their readiness to Colorado Works in Weld County and Child Care Policies and Procedures participate in an employment assessment. 6.004.2 Employment Services Responsibilities with the IRC A. Employment Services' staff will complete an employment assessment that will be used as the basis of completing the work activity assignment section under the second section of the IRC. Employment Services' staff will schedule applicants, unless exempted after the employment assessment,to attend an IRC Skill Development Seminar. B. Upon the completion of the IRC Skill Development Seminar,Employment Services' staff will reassess applicants who have not obtained employment and have become recipients. Employment Services' staff will determine any additional work activities and/or supportive services the applicant may need to obtain or retain unsubsidized employment. This assessment may include - additional testing,including basic skills,academic,vocational assessments, or employment and career exploration. C. The Employment Services' staff,along with the applicant or recipient,will complete the Second Section of the IRC as a result of this screening and assessment process. Employment Services' staff will obtain the necessary signatures of the applicant or recipient and Employment Services' staff on the Second Section of the IRC. D. The Employment Services' staff will update the Second Section of the IRC, as appropriate,with the applicant or recipient. E. If Employment Services' staff identify employment barriers of an applicant or recipient,the Employment Services' staff,through the IRC,will direct the applicant or recipient to the Department for the needed additional supportive services. Colorado Works in Weld County and Child Care Policies and Procedures 6.005 Temporary Good Cause Exemptions from Work Participation Effective 9/10/97 The Department will exempt individuals receiving or applying for benefits from participation in work or training activities based on individual or family situations. These exempted people will still qualify under Weld County's work participation rate 6.005.1 Reasons for Temporary Good Cause Exemption from Work Participation Temporary good cause reasons for exemption from work participation will include but not be limited to those listed below: A. Child Care-If child care is not available,the caretaker relative is exempt from work activities. B. Transportation -An applicant or a recipient residing at a location too remote for - effective participation in work activities is exempt from participation. The person must demonstrate that he or she is unable to get to and from the site of a work activity within a reasonable commuting time or does not have alternative transportation. C. Temporary Incapacity-An applicant or a recipient who has an illness or injury (may include domestic violence)which prevents entry into employment or training for a temporary period not to exceed three months. D. Incapacitated Household Member-An applicant or a recipient needed in the home to care for an incapacitated member of the household. E. Jobs or Work Sites-If the Department's program does not have available jobs and work sites,the applicant or recipient is exempted from participation. F. Relative Care -A non-parent participant who has children living with him or her for whom out-of-home placement would be necessary if the Department discontinued the assistance. 6.005.2 Redetermination of Temporary Good Cause Exemptions The Department will redetermine the recipient's exempt status not to exceed three months, and possibly sooner, depending on the individual or family situation. 6.005.3 Participant Appeal of Non-Exempt Status Under Temporary Good Cause Exemptions The Department will send a notice of adverse action to all applicants and recipients, who in the opinion of the Department, do not meet the exempt status of temporary good cause. The Department's process is outlined in Section 6.011.12 of the Department's Operations Manual. The participant may appeal his or her nonexempt status under Temporary Good Cause Colorado Works in Weld County and Child Care Policies and Procedures Exemption(Sections 6.0051 and 6.0053)by following the procedures outlined in Section 6.011.12 of the Department's Operations Manual. Colorado Works in Weld County and Child Care Policies and Procedures 6.006 Work Participation Requirements and Work Activities Effective 9/10/97 6.006.1 Work Participation Requirements All caretaker relatives with the exception of those caretaker relatives having a temporary good cause exemption from work participation will be mandatory participants in work activities. 6.006.12 Job Ready Job Ready is defined as any Colorado Works in Weld County applicant or recipient who does not have temporary good cause reasons, as established in the Department's Operations Manual,that would prevent the applicant or recipient from participating in work,training,or educational activities. Participants will be determined to be job ready by assessments being completed during various stages of the application process as previously described in Section 6.003. 6.006.2 Work Activities A. Applicants and recipients will be referred to full-time or part-time work for wages that the employer has paid in total. Employment may occur with any public, profit,nonprofit, or a private employer. Revised 3/98 B. An applicant or recipient refusing to accept a referral or an actual job offer will be sanctioned 100%of the family grant for a minimum of one month. C. All part-time employed participants will be required to seek full-time employment. D. Other mandatory participants will be assessed for participation in other work activities as described in Section 6.006.2. 6.006.21 Work Supplementation Program Revised 12/98 An employer may participate in a Work Supplementation Program for clients of the Colorado Works in Weld County. The Work Supplementation Program is a private/public sector employment program specifically designed for recipients of the Colorado Works in Weld County Program as an Employer and as an instructional training facility. 6.006.211 Work Participation Standard with an Employer The employer must provide a minimum of three months of unsubsidized, continuous, full time employment. The employer will provide participants with wages and benefits that are comparable to other employees doing comparable work and provide liability and worker's compensation. The employer may provide an additional three months of Colorado Works in Weld County and Child Care Policies and Procedures continuous, full time employment,to those participants who need additional training to continue employment with the employer or preparation for employment with another employer. 6.006.212 Work Supplementation Responsibilities of an Employer A. Provide participant screening criteria to the Department of Colorado Works in Weld County participants for initial placement with the employer. B. Provide a forty-hour work week for the participant that provides for a combination of work and education. C. Provide training to the participant in job specifics and mentoring of recipients in work ethics and employment retention skills for either continued employment with the employer or for employment with another employer. D. Reinforce employer basic skills competencies with the participant through the Department's prescribed performance evaluations and/or counseling forms. E. Determine if the training will be provided directly by the employer or through subcontracts with training provider(s). F. Furnish all equipment and materials for the participant. G. Inform the Department within 24 hours when the employer terminates the Colorado Works in Weld County client and documents its reason(s) for its action. H. Adhere to certain program assurances provided by the Department. 6.006.213 Work Supplementation Responsibilities of the Department A. Provide the employer with an orientation session outlining the specific procedures and policies that the Department requires of the employer. B. Encourage participants to apply for available positions with the employer and assess participants to determine their job readiness for positions with the employer. C. Arrange for space for the employer to interview applicants referred to the employer. D. Refer, if available,the agreed upon number of participants to the employer for employment. E. Reimburse the employer a monthly work supplementation fee of 50% of the participant's gross salary for the month. F. Reimburse the employer a training allowance bonus on behalf of the participant as follows: Colorado Works in Weld County and Child Care Policies and Procedures 1. A training allowance bonus of$300 for a participant who is placed in a three-month Work Supplementation Program. The employer will be reimbursed the total training allowance bonus at the end of the three- month period not to exceed$300. 2. A training allowance bonus of$300 for a participant who requires an additional three months of participation in the Work Supplementation Program. The employer will be reimbursed the total training allowance bonus at the end of the three-month period not to exceed$300. 3. A training allowance bonus of$500 for a participant whom the employer has hired after a successful completion of a three month or six month work supplementation program and retained in full time employment for three months. G. . Assist the employer,upon the employer's request, in resolving any possible disputes with the participant. H. If the employer terminates a participant,the Department will determine the eligibility and sanction status of the participant. I. Complete a Work Supplementation Agreement with the employer. The Work Supplementation Agreement between an employer and the Department is attached and is set forth in Exhibit B. J. Complete a Work Supplementation Participation Agreement with the participant. The Work Supplementation Participation Agreement between the participant and the Department is attached and is set forth in Exhibit B. K. Provide the participant with the appropriate supportive services and work related expenses. 6.006.214 General Participant Screening Criteria A. The Department will not refer those participants whom the Department may directly refer to employment. B. The Department will refer those participants whom the Department has identified as having the motivation and aptitude for the Work Supplementation Program position, as meeting the screening criteria of the employer, and as having certain barriers as follows: 1. limited or no work experience 2. irrelevant work history, skills, or training, i.e.,truck driving training with DUI issues. 6.006.215 General Requirements for Training Colorado Works in Weld County and Child Care Policies and Procedures Under the Work Supplementation Agreement,the employer will provide job specific and mentoring training necessary for the participant to retain employment. A. The Department will authorize with the employer the training plan for the participant including training criteria,methods by which the training outcomes will be measured,and associated costs. B. The employer may choose to provide this training directly or to provide this training,through subcontracts,with training providers. Training providers are defined,but not limited to,as public schools,private non profits,private for profit,post secondary,community colleges, and proprietary schools. C. The Department will authorize training providers in the training areas of: - 1. Job Specifics 2. Mentoring of Recipients in Work Ethics and Job Retention Skills D. To ensure that the job specific and mentoring training meets the local demand of employers,local private sector employers,through the Weld County Private Industry Council, will recommend to the Department the authorization of training plans and training providers. 6.006.22 Work Supplementation Program with Temporary Employment Agencies A temporary employment agency, as the employer,may participate in a specially designed Work Supplementation Program for clients of the Colorado Works in Weld County Program. The Work Supplementation Program is a private sector employment program specifically designed for Colorado Works in Weld County participants as an employer and as an instructional training facility. 6.006.221 Work Participation Standard with Temporary Employment Agencies The temporary employment agency, as an employer,must provide a minimum of three months of unsubsidized, continuous, full time employment. The temporary employment agency will provide participants with wages and benefits that are comparable to other employees doing comparable work and provide liability and worker's compensation. The temporary employment agency may provide an additional three months of continuous, full time employment, to those participants who need additional training to continue employment with the temporary employment agency or preparation for employment with another employer. 6.006.222 Work Supplementation Responsibilities with Temporary Employment Agencies A. Provide participant screening criteria to the Department of Colorado Works in Weld County participants for initial placement with the temporary employment agency. Colorado Works in Weld County and Child Care Policies and Procedures B. Provide a forty-hour work week for the participant that provides for a combination of work and education. C. Provide training to the participant in job specifics and mentoring of recipients in work ethics and employment retention skills for either continued employment with the Employer. D. Reinforce employer basic skills competencies with the participant through the Department's prescribed performance evaluations and/or counseling forms. E. Furnish all equipment and materials for the participant. F. Inform the Department within 24 hours when the temporary employment agency terminates the Colorado Works in Weld County client and documents its reason(s) - for its action. G. Adhere to certain program assurances provided by the Department. 6.006.223 Work Supplementation Responsibilities of the Department A. Provide the temporary employment agency with an orientation session outlining the specific procedures and policies that the Department requires of the temporary employment agency. B. Encourage participants to apply for available positions with the temporary employment agency and assess participants to determine their job readiness for positions with the temporary employment agency. C. Arrange for space for the temporary employment agency to interview applicants referred to the temporary employment agency. D. Refer, if available,the agreed upon number of participants to the temporary employment agency for employment. E. Reimburse the temporary employment agency a monthly work supplementation fee of 25%of the participant's gross salary for the month, or$300 per month, whichever is less. F. Reimburse the temporary employment agency a training allowance bonus on behalf of the participant as follows: 1) A training allowance bonus of$300 for a participant who is placed in a three-month Work Supplementation Program. The temporary employment agency will be reimbursed the total training allowance bonus at the end of the three-month period not to exceed$300. 2) A training allowance bonus of$300 for a participant who requires an additional three months of participation in the Work Supplementation Colorado Works in Weld County and Child Care Policies and Procedures Program. The temporary employment agency will be reimbursed the total training allowance bonus at the end of the three-month period not to exceed$300. G. Assist the temporary employment agency,upon its request, in resolving any possible disputes with the participant. H. If the temporary employment agency terminates a participant, the Department will determine the eligibility and sanction status of the participant. I. Complete a Work Supplementation Agreement with the temporary employment agency. The Work Supplementation Agreement between a temporary employment agency and the Department is attached and is set forth in Exhibit C. J. Complete a Work Supplementation Participant Agreement with the participant. - The Work Supplementation Participant Agreement between the participant and the Department is attached and is set forth in Exhibit C. K. Provide the participant with the appropriate supportive services and work related expenses. 6.006.224 General Participant Screening Criteria A. The Department will not refer those participants whom the Department may directly refer to employment. B. The Department will refer those participants whom the Department has identified as having the motivation and aptitude for the Work Supplementation Program position, as meeting the screening criteria of the temporary employment agency, and as having certain barriers as follows: 1. limited or no work experience 2. irrelevant work history, skills, or training, i.e., truck driving training with DUI issues. 6.006.225 General Requirements for Training Under the Work Supplementation Agreement,the temporary employment agency will provide job specific and mentoring training necessary for the participant to retain employment. A. The Department will authorize with the temporary employment agency the training plan for the participant including training criteria, methods by which the training outcomes will be measured, and associated costs. B. The temporary employment agency will provide this training directly to the participant,through subcontracts,with training providers. Colorado Works in Weld County and Child Care Policies and Procedures C. The Department will authorize the training plan in the areas of: 1. Job Specifics 2. Mentoring of Recipients in Work Ethics and Job Retention Skills D. To ensure that the job specific and mentoring training meets the local demand of employers, local private sector employers, through the Weld County Private Industry Council, will recommend to the Department the authorization of training plans and training providers. 6.006.23 Public Sector Work Activity Public Sector Work Activity is designed to help the near job ready to enter the world of work, develop occupational skills and good work habits, and help the participant in obtaining permanent unsubsidized employment. Work sites will be in the public sector. The Department will enter into agreements with the public work site sponsor and the participant. These agreements will outline the work activity, expectation from a work site sponsor and participants and the length of the agreement. 6.006.231 Public Sector Work Activity Agreements The hours outlined in Public Sector Work Activity Agreements must conform to the Fair Labor Standards Act. The total dollar amount of the cash assistance will be composed of basic cash assistance from the Colorado Works in Weld County Program, Food Stamp assistance and other cash assistance(work incentives, training allowances). The total dollar amount of cash assistance will be divided by the comparable per hour wage amount of the client's work activity position to determine the required hours of participation. Food Stamp recipients will be co-enrolled in the Food Stamp Work Fare Program. Work Activity Agreements will be established for no more than three months per agreement. Public Service Work Activity Agreement is Exhibit D. 6.006.232 Optional Training Under the Public Sector Work Activity Agreement Under the Public Sector Work Activity Agreement, the public sector sponsor may provide job specific training necessary for the participant to retain or obtain employment. A. The Department will authorize with the public sector sponsor the training plan for the participant including training criteria, methods by which the training outcomes will be measured, duration of the training, and associated costs. B. The public sector sponsor will provide this training directly or provide this training,through subcontracts,with training providers. C. The Department may authorize the job specific training plan and associated costs not to exceed$1,500. D. To ensure that the job specific training meets the local demand of employers, local private sector employers,through the Weld County Private Industry Council,will Colorado Works in Weld County and Child Care Policies and Procedures recommend to the Department the authorization of training plans and training providers. 6.006.24 Private Sector Work Activity Private Sector Work Activity is designed to help the near job ready to enter the world of work, develop occupational skills and good work habits, and help the participant in obtaining permanent unsubsidized employment. Work sites will be in the private sector. The Department will enter into agreements with the private sector work site sponsor and the participant. These agreements will outline the work activity, expectation from a work site sponsor and participants and the length of the agreement. 6.006.241 Private Sector Work Activity Agreements The hours outlined in the Private Sector Work Activity Agreements must conform to the Fair Labor Standards Act. The total dollar amount of the cash assistance will be divided by the comparable wage amount of the client's work activity position. The total dollar amount of the cash assistance will be composed of Colorado Works in Weld County assistance and food stamp assistance. The Private Sector Work Activity Agreement is Exhibit E. 6.006.242 Optional Training Under the Private Sector Work Activity Agreement Under the Private Sector Work Activity Agreement, the private sector sponsor may provide job specific training necessary for the participant to retain or obtain employment. A. The Department will authorize with the private sector sponsor the training plan for the participant including training criteria,methods by which the training outcomes will be measured, duration of the training, and associated costs. B. The private sector sponsor will provide this training directly or provide this training, through subcontracts,with training providers. C. The Department may authorize the job specific training plan and associated costs not to exceed$1,500. D. To ensure that the job specific training meets the local demand of employers,local private sector employers,through the Weld County Private Industry Council,will recommend to the Department the authorization of training plans and training providers. 6.006.25 On-the-Job Training Program The On-the-Job Training(OJT)Program is designed to teach and/or improve skills of the participant on the job. A. Employers must adhere to the hire first philosophy, and train the participant during the contract period. Colorado Works in Weld County and Child Care Policies and Procedures B. If an individual needs additional classroom training,beyond the employer training,the costs of tuition and books will be included as reimbursable costs to the employer from the Colorado Works in Weld County Program or other federal or state resources. C. The Department will reimburse the employer for the training costs. The costs and duration of the OH'are calculated by determining the Dictionary of Occupational Titles(DOT)code for the job description and the hourly wage. 6.006.26 IRC Skill Development Seminar(Job Search and Job Readiness Assistance) Job search and job readiness assistance will be provided through the IRC Skill Development Seminar. The IRC Skill Development Seminar is an activity that: A. Screens and assesses an applicant's or recipient's job readiness. B. Provides for an intensive job search activity during the participant's application/eligibility process for the Colorado Works in Weld County Program. C. Results in the completion of the IRC with the participant and assignment to other authorized work activities. D. Is up to four weeks. E. If an applicant is successful in obtaining employment through the activity,the applicant may not be eligible for cash assistance,or the length of time they required public assistance may be reduced. F. If an applicant or recipient is unsuccessful in finding unsubsidized employment, he or she will be assigned to other authorized work activities and may return to the IRC Skill Development Seminar later. 6.006.27 Community Service Program The Department will not implement the Community Service Program at this time. 6.006.28 Vocational Education Training(not to exceed 12 months with respect to any participant) The Department will not implement Vocational Education Training at this time. 6.006.29 Job Skills Training The job skills training gives participants specific job skills training necessary to do a specific job or a group of jobs. A. Participant selection for this work activity will be based on assessment, availability of employment in the skill area,the probability of receiving a self- sufficient wage when employed, and the participant's interest in completing Colorado Works in Weld County and Child Care Policies and Procedures training. B. Guidelines in developing or approving specific job skills training are as follows: 1. Tailored toward employer needs. 2. In line with the skills,aptitudes and interests of the participant. 3. Geared toward entry level employment, if appropriate. 4. Not exceed twelve months with respect to any participant. 5. Use labor market projects, such as the Supply/Demand Report,in determining training areas. C. To ensure that the job skills training areas are in demand,local employers will help in the determination of specific training. Employers are involved initially to ensure that training efforts result in actual jobs, and these jobs are available in the Weld County labor market or in an area where the participant is willing to - relocate. 6.006.30 Education Directly Related to Employment(for a participant who has not received a high school diploma or a certificate of high school equivalency) Education will be provided for those participants who have not received a high school diploma or a certificate of high school equivalency. A. The participant must maintain satisfactory attendance, as defined by the Department, at the Employment Services computer laboratory, Aims Community College, or other accredited schools to achieve a GED or high school diploma. B. The work activity must meet the work participation requirement. 6.00631 Secondary School or Equivalent Education Secondary school or equivalent education will be available to those participants who are the head of household and have not attained twenty years of age. A. The participant must maintain satisfactory attendance, as defined by the Department,at a secondary school or its equivalent. B. This work activity must meet the work participation requirement. 6.006.32 County Designed Occupational Skills Training Program (not to exceed twelve months with respect to any participant) Pursuant to Section 3.625.4 of the proposed rules of the Colorado Department of Human Services,Weld County has chosen to develop another work activity that will lead the participant to self sufficiency. The Individual Responsibility Contract will detail activity designed to comply with the requirements of the program. Program requirements are as follows: A. The County Designed Occupational Skills Training Program is a short-term Colorado Works in Weld County and Child Care Policies and Procedures educational activity intended to prepare an individual for employment. The Program will not exceed twelve(12)months of continuous participation with respect to any individual. Providers of this training include,but are not limited to, community colleges,proprietary schools and nonprofit organizations. B. Post secondary education will not be an allowable work activity for all new applicants to the Colorado Works in Weld County Program effective July 1, 1997. C. Post secondary education will be an allowable work activity for a recipient who is already enrolled in or attending a post secondary or self-initiated education or training at the time she or he would otherwise commence participation in the Colorado Works in Weld County Program and meets the criteria of a recipient who: - 1. is receiving Aid to Families of Dependent Children or Aid to Families of Unemployed Heads of Households as of June 30, 1997; and 2. is undergoing an assessment under the Colorado Works in Weld County Program in Weld County before October 31, 1997, and 3. has a cumulative GPA of 2.5 or above as demonstrated by transcripts; and 4. has physically attended,within the previous twelve month period,at least two semesters out of the last three semesters of a university schedule or three quarters out of the last four quarters of a community college schedule as demonstrated by transcripts; and 5. is enrolled in full-time training as defined as follows: a. Secondary school attendance(includes cooperative training programs)of twenty-five clock hours per week or as defined by the school; or b. Vocational or technical school attendance of twenty-five clock hours per week,thirty (30)in a program involving shop practice; 6. is enrolled in education that is in a demand occupational area leading to employment upon completion of the degree as determined by the Employment Services of Weld County; and 7. will finish a degree within a one year period from the date established in the Individual Responsibility Contract; and 8. is not in a master or doctorate degree program. D. Recipients enrolled in the County Designed Occupational Skills Program must maintain an acceptable level of performance, which shall be detailed in the Individual Responsibility Contract. To achieve an acceptable level of performance,as measured by semester or quarter,the recipient must: Colorado Works in Weld County and Child Care Policies and Procedures • 1. maintain a GPA of 2.5 or above as demonstrated by transcripts; and 2. physically attend post secondary education by continuous attendance at school with no semester or quarter interruptions in a year period; and 3. maintain full-time enrollment. - 6.006.33 Other Work Activities as Approved and Authorized Added 12/98 Individuals who are not capable,as determined by the case manager,of participating in work activities as defined in Sections 6.006.1 through 6.006.32 of the Colorado Works in Weld County Child Care Policies and Procedures may also be considered as engaged in work activities and meeting the 24-month federal work requirement if they are actively participating in one of the activities listed below which are designed to lead to self- sufficiency. The work activity must be stated in the current IRC and be approved by the case manager and his/her supervisor. The individual must participate in the work activity for the number of hours identified in the IRC and demonstrate achievement in accordance with the objectives stated in the IRC. The case manager(with authorization from the supervisor)will not allow participants to continue in these activities longer than three months without a re-assessment of their capabilities. A. Receive counseling for mental health, substance abuse or domestic violence by an approved counselor and as approved the case manager and specified in the IRC. B. Fully participate in a medical treatment plan for a verified illness of participant or family member and as approved by the case manager and specified in the IRC. C. Fully participate in activities to resolve court related child welfare issues as approved by the case manager and specified in the IRC. D. Fully participate in activities designed to resolve family crisis as approved by the case manager and specified in the IRC. These activities may include family counseling mediation, etc. E. Fully participate in self-improvement classes; i.e., self-esteem, life skills, etc.,as approved by the case manager and specified in the IRC. F. Providing home schooling,as certified by the local school district,to a disabled child. The Colorado Works in Weld County participant must be the caretaker relative for the disabled child and the activity must be approved by the case manager. G. Other activities designed to prepare the individuals for self-sufficiency,as approved by the case manager and that are specified in the IRC. Colorado Works in Weld County and Child Care Policies and Procedures 6.007 Weld County Grant Diversion Program(State Grant Diversion Program) Effective 9/10/97 Revised 12/98 The purpose of the Weld County Grant Diversion Program is to offer an alternative to participants who are eligible for Colorado Works in Weld County Program,but could avoid the need of such cash assistance if the Department granted the recipient assistance in another form, in either a monthly payment or a "lump sum"payment. The Department will comply with the general guidelines established by the Colorado Department of Human Services and outlined in Section 3.602,Volume lII,Income Maintenance Programs. 6.007.1 Client Assessment The Department will assess a client who requests a Grant Diversion Payment as follows: A. Determine the client's eligibility for the Colorado Works in Weld County Program. B. Identify the level of monthly benefits the client is eligible to receive. C. Identify any special conditions attached to the eligibility determination of the client. 6.007.2 Payment Limit and Types of Payments Revised 12/98 The client may be eligible for payments,not to exceed$3,300 for a family unit per year, as follows: A. Vision correction necessary for employment-related activity. B. Tools necessary for employment-related activity. C Cost of repair of a vehicle to enable transportation to employment-related activity. D. Clothing/Grooming necessary for employment-related activity. E. One-way transportation and/or moving expense assistance to relocate to site of new employment. 6.0073 Pre-Authorization Information For each client,preauthorization information shall be considered by the authorizing Department supervisor, in determining if a payment should be provided and the amount of payment to the client. This preauthorization information must justify such cash assistance to secure or maintain employment.The authorizing Department supervisor shall consider the client's information as follows: A. A potential employer must verify an employment opportunity in writing. B. A client must demonstrate that he or she has the opportunity,willingness and ability to participate in work-related activity. Colorado Works in Weld County and Child Care Policies and Procedures C. A client must demonstrate qualifications or minimum screening criteria for the employment-related activity. D. A client does not have major supportive service issues or barriers that would prohibit his or her success in securing or maintaining employment and result in long-term dependency on Colorado Works in Weld County cash assistance. 6.007.4 Authorization of Payment under the Individual Responsibility Contract and Limitations The client may receive a cash assistance payment if the Department provides it under the Individual Responsibility Contract. A payment cannot exceed$1,650 for a family unit per year. The authorizing Department supervisor will use the Department's schedule in calculating or authorizing payment;however,the authorizing Department supervisor may request an exception by the Director. The Director may authorize such exception in writing. A. Vision Assistance- $175.00 per Client B Tools-$200.00 per Client C. Repair of a vehicle-$300.00 per Participant. D. Clothing/Grooming-$150.00 per Participant. E. Transportation/moving assistance-$800 per Participant. 6.007.5 Eligibility Waiver Period for Colorado Works in Weld County Assistance Clients receiving Grant Diversion Assistance shall agree to waive eligibility for Colorado Works in Weld County assistance payments for a period specified in the Individual Responsibility Contract. The duration of the waiver is negotiable between the client's assigned Department staff member,the authorizing Department supervisor, and the client. The duration of the waiver should generally be calculated by dividing the grant diversion payment by the client's monthly grant assistance amount. 6.007.6 Authorized Payee Grant diversion payments will be made payable to the vendor providing the product or service,not the client. The Department Director must authorize any exception to this provision in writing. Exceptions should be considered extremely rare and will only be authorized upon full demonstration that all other available options have been explored and determined to be unfeasible. 6.007.7 Submission of Payment The Department's Business Office will generate payment for the grant diversion payment once each of the following procedural steps is completed: Colorado Works in Weld County and Child Care Policies and Procedures A. The Department's Eligibility Technician submits the Individual Responsibility Contract to the authorizing Department supervisor for signature of authorization. B. The authorizing Department supervisor reviews the Individual Responsibility Contract for thoroughness, accuracy and reasonableness. If a contract meets standards, the Supervisor signs contract authorizing purchase of product or service. C. The Business Office returns the Individual Responsibility Contract to the Eligibility Technician who coordinates with a provider or providers to purchase the product or service. 6.007.8 Vendor Accepts Voucher Payments If a vendor accepts vouchers from the Department,the Eligibility Technician issues a voucher to the client specifying: A. The vendor from whom product or service is to be purchased, B. The maximum dollar amount authorized for payment, and C. The expiration date of the voucher. This date shall be a period of from one day to one month, depending on the type of assistance being provided and the circumstances of the case. 6.007.9 Vendor Does Not Accept Voucher Payments If a vendor does not accept vouchers from the Department,the Eligibility Technician requests that the vendor issue an invoice to the Department. This invoice must include the following information: A. The name of the client being served. B. The specific products and/or services being provided. C. Detailed breakdown of the price of each product and/or service being provided. D. Total amount of payment requested. E. Acknowledgment of the vendor that the Department is exempted from Colorado State Sales Tax requirements. 6.007.10 Responsibility of the Department's Eligibility Technician The Eligibility Technician submits copy of an authorized Individual Responsibility Contract and either the Invoice from Vendor, authorized for payment,or copy of Voucher to the Business Office for payment. 6.007.11 Responsibility of the Department's Business Office Colorado Works in Weld County and Child Care Policies and Procedures The Business Office will pay for grant diversion payments according to a predefined payment time schedule,which they shall make available to the authorizing Department supervisor. Any request for payment in advance of a payment time schedule must be authorized in writing by the Department's Director. Exceptions should be considered extremely rare and will only be authorized upon full demonstration that they have explored and determined all other available options to be unfeasible. 6.008 Job Retention and Skills Training Program (County Diversion Program) Effective 9/10/97 The Department will conduct or implement a County Diversion Program through the Job Retention and Skills Training Program. 6.008.1 Eligible Participants Revised 7/1/98 Eligible participants of the Job Retention and Skills Training Program will be those individuals who: A. were hired by an employer in unsubsidized, continuous, and full-time employment prior to final eligibility determination of the Colorado Works in Weld County Program. Application for Colorado Works must have been made within the past twelve months; or B. were recipients who terminated their participation from the Colorado Works in Weld County Program within the past twelve months; and C. have a present income of below 185% of the poverty level for their household size; and D. request job retention supportive services within one year of termination of financial assistance in the Colorado Works in Weld County Program and whose termination from the Colorado Works in Weld County Program is a result of employment. 6.008.2 General Requirements for Training A. Under the Job Retention and Skills Development Agreement, the employer may participate in the program as follows: 1. For an initial three month period, the employer may train his or her employee in, but not limited to, mentoring services for purposes of job retention,job specific training,basic skills development, English as a Second Language,necessary for the participant to retain or obtain employment. 2. An additional three month period may be authorized by the Department, if the employee requires additional training in,but not limited to, mentoring services for purposes of job retention,job specific skills, basic skills development, English as Second Language,necessary for the employee to retain or obtain employment. 3. If at the end of the initial three month period or at the end of the additional three month period, the employer is eligible for an additional six month training period for the employee who the employer promotes and gives a salary increase. B. The Department will authorize with the employer the training plan for the participant including training criteria, methods by which the training outcomes will be measured, and associated costs. C. The employer may choose to provide this training directly or to provide this training,through subcontracts,with training providers. Training providers are defined, but not limited to, as public schools,private non profits, private for profit,post secondary, community colleges, and proprietary schools. D. The Department will authorize training providers in the training areas identified by the employer. E. To ensure that the job specific and mentoring training meets the local demand of employers, local private sector employers, through the Weld County Private Industry Council, will recommend to the Department the authorization of training plans and training providers. F. The Department may authorize the job specific training plan and associated costs not to exceed$1,800 as follows: 1. A training allowance bonus of$300 to be reimbursed at the end of the initial three month period. 2. A training allowance bonus of$300 to be reimbursed at the end of the additional three month period. 3. A training allowance bonus of$500 for the employee whom the employer promoted and successfully completed the initial three month period and, if applicable, an additional three month period of training. This training allowance bonus will be reimbursed at the end of a three month period. 4. An additional training allowance bonus of$500 for the employee whom the employer promoted and continues his or her training. This training allowance bonus will be reimbursed at the end of a three month period. 6.008.3 General Requirements for Supportive Services Needed for Job Retention Added 7/1/98 The Department will assess a client who requests Job Retention Support Services as follows: A. Determine the client's financial eligibility for Job Retention Supportive Services. Revised 12/98 B. Identify the level of benefit the individual is in need of and eligible for. The benefit level cannot exceed$1,650 per family assistance unit the first six months for Job Retention Support Services and an additional $1,650 in the second six months of eligibility. C. Clients receiving Job Retention Supportive Services shall agree to waive eligibility for Colorado Works in Weld County assistance payments for a period specified in the Individual Responsibility Contract. The duration of the waiver is nogotiable between the client's assigned Department staff member, the authorizing supervisor,and the client. The duration of the waiver should generally be calculated by dividing the grant diversion payment by the client's monthly grant assistance amount. 6.008.4 Summer Activities for Youth-Calendar Year 2001 Added 8/00 Revised 3/01 The Department will fund appropriate and available summer activities as a diversion program. The activities will be offered for the period May 2001 through September 2001 to low-income youth and foster care/adopt children. The purposes of these activities are to: • prevent youth from entering the child welfare system • support County Certified Foster Care Parents and Adoptive Parents with summer activities for foster and adoptive children • promote a continuum of educational and community experiences through established recreation or education programs in the summer • promote work ethics by re-establishing a work experience program for youth age fourteen to fifteen who can no longer participate in the Summer Youth Employment and Training Program through the Weld County Department of Human Services. The goals for the work experience program will be to: 1. Enhance their academic performance, including their reading and mathematics comprehension, as measured by attainment of school credit, completion of grade level in the learning lab, or successful completion of other classes, as determined by pre- and post-testing and reports from remediation/enrichment component instructors. 2. Enhance their occupational skills a measured by attainment of workplace competencies. The workplace competencies incorporate the SCANS competencies and were developed by the Weld County School to Career and adopted by the Weld County Workforce Development Board. 3. Enhance their skills by using relevant learning experiences,life skills training, as well as by using the Weld County Workforce Board's approved competencies which meet or exceed the SCANS Foundation Skills and which evaluate attendance,work attitudes, completion of assigned tasks, etc. 6.008.41 Eligible Participants A. Children ages five through seventeen years of age; and B. Children who are in families receiving TANF,Medicaid, and Food Stamps and have incomes below 185% of poverty level; or C. Children who are foster care/adopt children and are IV-E eligible under TANF and are placed in the County Certified Foster Care Homes and Group Homes. 6.008.42 Authorized Programs A. Recreational and Educational for Children ages five through seventeen years of age. Authorized programs will include recreational or educational activities sponsored by the City of Greeley,City of Evans,City of Windsor, City of Ft. Lupton,Aims Community College,the University of Northern Colorado, and other governmental or educational entities. Maximum registration or activity fees per child is $75.00 per summer. B. Work Experience Programs for children ages fourteen to fifteen years of age. The Weld County Division of Human Services will provide work experience and academic enrichment components to youth who can no longer participate in the Summer Youth Employment and Training Program. Youth can earn the Federal minimum wage per hour for 24 to 32 hours per week for approximately eight weeks. The youth will have workers' compensation and provided supportive services as,necessary. 6.008.43 Authorized Summer Budget Expenditures for Calendar Year 2001 The Department is authorized to expend a maximum of$142,975 for the period beginning May 1, 2001,through September 30,2001. 6..008.44 Reimbursement Transfer Authority from the Department to Employment Services Added 3/01 The Department will remit to Employment Services an amount not to exceed$88,000 of maximum allowable expenditures authorized under Section 6.008.43. This remittance will be for costs associated with services provided as described in Section 6.008.42(B) and will include staff and overhead. The billing is based on cost per youth schedule as follows: A. Youth who work under 100 hours =$1,000.00 B. Youth who work between 100 hours and 200 hours =$1,500.00 C. Youth who work more than 200 hours =$2,200.00 Colorado Works in Weld County and Child Care Policies and Procedures 6.009 Participant Sanctions or other Assistance and Separate County Diversion Effective 9/10/97 The Department will not implement this section at this time. Colorado Works in Weld County and Child Care Policies and Procedures 6.010 Supportive Services(non-Child Care) Effective 9/10/97 The Department's case managers will arrange supportive services for the participant, as appropriate. Participation related expenses and supportive services are those expenses and services determined necessary by the case manager for an individual to participate in any Colorado Works in Weld County work component and/or activity. Supportive services will be provided for the participant engaged in an activity that is part of his or her Individual Responsibility Contract. 6.010.1 Transportation Those transportation costs necessary and directly related to Colorado Works in Weld County work and/or training component participation shall be made according to the individual's situations: A. Calculated at.20 cents per mile; or B. A flat daily rate of$2.00 may be provided. 6.010.2 Participation Related Services Other participation related expenses and supportive services may include but are not limited to, clothing, uniforms, eyeglasses, dental work,tools, auto repairs, dues and fees, and also licensing exams, such as RN, LPN, electrician, and self improvement classes. 6.010.3 Start to Work Support Services Start to work support is specific expenses determined necessary by the case manager for a Colorado Works in Weld County participant to accept or maintain employment. Start to work support may include but not be limited to clothing, uniforms, eyeglasses, medical and dental needs,tools, auto repairs,relocation costs, dues and fees. The total expenditure for start to work expenses may not exceed$300.00 per work activity or employment. Each individual may access start to work support services once each twelve month period, unless authorizied in writing by the Director. 6.010.4 Supportive Services Expenditure Limit Added 7/1/98 The total expenditures for participation related expenses and supportive services may not exceed$1,000.00 per participant in a 12-month period. The 12-month period begins with the month in which the first payment is made for the Colorado Works in Weld County participant. Transportation allowances paid to individuals in Public or Private Work Experience assignments do not count against this $1,000.00. 6.010.5 Participant Criteria to Receive Supportive Services A Colorado Works in Weld County recipient or applicant must be maintaining an acceptable level of performance as outlined in the IRC. Acceptable level of performance is demonstrated progress with the employment or educational facility requirements. Colorado Works in Weld County and Child Care Policies and Procedures 6011 Participant Sanctions and Appeals Effective 9/10/97 6.011.1 Participant Sanctions 6.011.11 Definition of Sanctions Sanctions against assistance participants shall include the following. A. Failure to cooperate with child support enforcement,to comply with IRC requirements,or to secure proper immunizations for children shall result in a loss of 25%of the family's cash benefit for the first sanction, a 50%loss for the second sanction,and a loss of the entire cash benefit for the third sanction. Each sanction shall follow immediately after the previous. The first and second sanctions shall extend for a period of 30 days each. The third sanction shall extend for a minimum of 90 days and until the reasons for the sanction are cured. B. Conviction of fraud as determined by a court or through administrative hearing shall result in the caretaker being removed from assistance for a 12-month period for the first offense,twenty-four months for the second offense, and lifetime for the third offense. C. Assistance shall be denied for ten years to any individual who has been convicted by a court for misrepresenting his or her residence in order to obtain assistance in two states at the same time. Revised 3/98 D. Refusal to participate in training, education, or work as evidenced by an affirmative statement by the participant or demonstrable evidence, may result in denial or termination of the basic cash assistance grant in its entirety for a minimum or one month. The Department's referral of an applicant or recipient to Employment Services is a referral to employment. 6.01132 Notice of Proposed Applicant or Recipient Sanction A notice of proposed sanction shall be sent to any applicant or participant for whom there is a reasonable suspicion that his or her actions or inactions come within at least one of the categories described in Section 6.011.11 of the Department's Operations Manual. This notice shall: Revised 8/4/98 A. Contain all of the elements necessary for due process as outlined in the State Department of Human Services Volume III regulations,3.830.2. B. Advise the applicant/participant of the opportunity for a local level dispute resolution conference where he or she may present his or her side of the story. C. Advise the applicant/participant that failure to respond to the notice may result in a reduction or termination of the family's cash benefits or continued processing of his or her application. Revised 8/4/98 The Department's notice of proposed sanction consists of the Colorado Department of Human Services Notice of Proposed Sanction. The Notice of Proposed Sanction is included in Exhibit H. The Notice of Proposed Sanction shall be issued prior to a Colorado Works in Weld County and Child Care Policies and Procedures loss of 25% of the family's cash benefit for the first sanction, a 50% loss for the second sanction,and a loss of the entire cash benefit for the third sanction. Each sanction shall follow immediatately after the previous. The first and second sanctions shall extend for a period of 30 days each. The third sanction shall extend for a minimum of 90 days and until the reasons for the sanction are cured. 6.011.2 Absences or Late Occurrences of Participants in Work Supplementation Programs, On-the-Job Training Program, and the Job Retention and Skills Training Program Colorado Works in Weld County Program participants who are participants of Work Supplementation Programs,On-the-Job Training Program, and the Job Retention and Skills Training Program, are expected to adhere to the employer's policies and procedures concerning absences and late occurrences to work. Participants who do not observe absence and late occurrence policies of the employer will be failing to participate in work activities. 6.011.3 Absences From or Late Occurrences to Other Work Activities or Scheduled Appointments Colorado Works in Weld County participants of the other work activities are expected actively to participate in all assigned work activities and to attend all scheduled appointments. These other work activities include: public sector work activity,private sector work activity,IRC Skill Development Seminar,Job Skills Training,Education Directly Related to Employment, Secondary School or Equivalent Education,or County Designed Occupational Skills Training. Clients who do not observe absence and late occurrence policies of Section 6.011.3 of the Department's Operations Manual will be failing to participate in work activities. The client's failure to observe absence and late occurrence policies is considered an unexcused absence that will result in a sanction. 6.011.31 Late Occurrences to Work Activities and Scheduled Appointments A. Colorado Works in Weld County participant responsibilities are as follows: I. Telephone the appropriate Colorado Works in Weld County staff or contractor staff if the client expects to be late. 2. Telephone at least fifteen minutes before the start time of the client's assigned work activity. B. Clients who are more than one hour late and do not telephone the appropriate Colorado Works in Weld County staff or contractor staff will be considered as absent. C. During the first six months of work activity participation,the Department may allow the client a maximum of three late occurrences during any work activity participation. D. After the first six months of work activity participation,the Department may allow the client one late occurrence in work activity participation. Colorado Works in Weld County and Child Care Policies and Procedures 6.01132 Absences from Work Activities and Scheduled Appointments A. During the first six months of work activity participation,the Department may allow the client a maximum of three excused absences during any work activity participation. B. After the first six months of work activity participation, the Department may allow the client two excused absences during any work activity participation. C. Excused absences are defined as follows: 1. Jury Duty: Jury duty will be an excused absence if the client presents verification to the appropriate Colorado Works in Weld County staff member before the time jury duty will start. The Department will require that the client provide verification from the court that he or she was present for jury selection. Jury duty time will not count against the total excused absences. 2. Child(ren) School Registration: A child(ren) school registration will be considered an excused absence if the client arranges the absence with the appropriate Colorado Works in Weld County staff member before being absent from a work activity or work activity appointment. 3. Inclement Weather: If the Department determines that the client is unable to attend a work activity due to inclement weather,the Department will excuse the absence. Generally, if city buses are transporting individuals or Weld County is open for business,the Department will not consider that day to be an inclement weather day. 4. Appointments for Food Stamp Redetermination: The client's appointments for food stamp redetermination will be considered an excused absence if the client notifies the appropriate Colorado Works in Weld County staff member 48 hours in advance and provides proof of attendance. 5. Sick Day Absence: During any eight(8)week period,the Department will allow the client a total of two(2) sick day absences for him or her and for a member of his or her immediate family. A sick day absence may be used for: a. A scheduled doctor's appointment. The client must notify the appropriate Colorado Works in Weld County staff member 48 hours ahead of the start day of work activity. b. An emergency sick day. The client must notify the appropriate Colorado Works in Weld County staff member no later than 8:30 a.m. on the day the absence will occur. c. Serious illness. The Department will allow the client one additional sick day if the client or a member of the client's immediate family has a serious illness. The client must notify the appropriate Colorado Works in Weld County staff member no later than 8:30 a.m. on the day the absence will occur. If the client or his or her immediate family member is sick for three(3) Colorado Works in Weld County and Child Care Policies and Procedures consecutive days,a physician's excuse for the days missed is required. The client must notify the appropriate Colorado Works in Weld County staff member no later than 8:30 a.m. on each day the absence will occur. d. Court Absence: During any two-month period,the Department will allow the client a total of one(1)court day. The client must notify the appropriate Colorado Works in Weld County staff member at least one week before the date of absence. e. Emergency Absence: During any two-month period,the Department will allow the client one(1)emergency day. The Department may allow the client, subject to the approval of the appropriate Colorado Works in Weld County staff member,an emergency absence for the purposes of: 1) transportation problems if the client lives outside the Greeley Bus System 2) child care problems if the client is not a member of a two parent family who has a non-working spouse. 3) eviction from housing problems if the client is not a member of a two parent family who has a non-working spouse. 4) funeral of a member of the client's immediate family. 6.01133 Definition of Immediate Family for Purposes of Section 6.00113 A client's immediate family means a client's husband or wife, son,daughter, stepson, stepdaughter, father,mother, stepfather, stepmother,brother, sister,father-in-law,mother- in-law, grandmother, grandfather, grandchild, foster child(ren), or foster parent. 6.011.4 Participant Appeals Revised 8/4/98 A. The Department will adhere to the general policies of participant appeals as outlined in Colorado State Rules,Volume III, Section 3.600, Income Maintenance Programs. B. The Department will send a notice of adverse action to all applicants and recipients,who in the opinion of the Department,have failed to comply with the terms outlined in their individual responsibility contact. The notice will advise the applicant or participant of the opportunity to present evidence that good cause reasons existed for their noncompliance with the IRC. The notice will also advise the applicant or recipient that failure to respond to the notice of adverse action and present good cause evidence will constitute willful and demonstrable evidence of refusal to cooperate or participate in training, education, work,child support enforcement,and/or immunization of children, and result in discontinuation or denial of the entire cash assistance grant. C. If the applicant or recipient refuses,either by demonstrated evidence or by an affirmative statement,the Department may deny or terminate the basic cash assistance grant in its entirety as determined by the county. D. If the applicant or recipient responds to the notice of adverse action and presents evidence that, in the opinion of the Department, does not constitute good cause for Colorado Works in Weld County and Child Care Policies and Procedures failure to participate, a 25%sanction will be initiated for the first month, 50%the second month, and the entire cash assistance grant for the third month and will continue until they resolve the sanction. Colorado Works in Weld County and Child Care Policies and Procedures 6.012 Organization,Flow Chart, and Budget Effective 9/10/97 6.012.1 General Organization The organization of Colorado Works in Weld County involves two major county departments and an advisory committee as follows: A. The Weld County Department of Social Services (Department) B. The Weld County Division of Human Services (Human Services) on behalf of Employment Services of Weld County(Employment Services) C. The Weld County Private Industry Council, an advisory committee to the Board of Weld County Commissioners, as the Board of Social Services, and Human Services. 6.012.2 Joint Functions of the Department and the Employment Services A. Develop,plan, and amend the Department's Operations Manual as it relates to the Colorado Works in Weld County Program. B: Develop,plan, and amend procedures, guidelines,principles, and policies for program operations to be approved by the Board of Social Services. C. Provide case management services for Colorado Works in Weld County participants as described in the Department's Operations Manual procedures, as amended. D. Prepare and provide client tracking and the monitoring of participant,program, goals, and program outcomes to assure that the Department meets the intent of the law and the Department is using resources for the maximum benefit of the client. E. Participate in the dispute resolution conferences with participants. F. Meet the monthly average participation rates as described in the Department's Operations Manual, as amended. G. Provide a public record of the resources devoted, activities undertaken,and performance achieved for the benefit of the Board of Weld County Commissioners, funding sources, the Weld County Private Industry Council,local citizenry, and taxpayers. 6.012.3 Functions of the Department A. Provide overall program administration of the Colorado Works in Weld County Program, as outlined in Public Law 100-485 and 9CCR 2503-1, Section 3.630. B. Implement actions involving Colorado Works in Weld County recipients, including: 1. Determination of Colorado Works in Weld County eligibility Colorado Works in Weld County and Child Care Policies and Procedures 2. Determination of exemption status 3. Determination and application of sanctions 4. Providing notices of action affecting eligibility and payment 5. Providing dispute resolution conferences and fmal agency action C. Initially assess through Social Services case managers,supportive service needs and provide child care for those Colorado Works in Weld County participants who need such services to participate in the Colorado Works in Weld County Program. Coordinate with Employment Services to provide supportive services as needed in order to remain in Colorado Works in Weld County Program and remain in compliance with State regulations. D. Refer Colorado Works in Weld County applicants and recipients to Employment Services for employability assessment; assignments of works activity participation; and ongoing Colorado Works in Weld County component participation. E. Participate in joint planning,program development,monitoring and implementation of Colorado Works in Weld County,Employment First, and other related employment and training programs for Colorado Works in Weld County applicants and recipients with Employment Services. F. Provide training to Employment Services in the operation of Colorado Works in Weld County and related activities through the Colorado Department of Human Services and other appropriate training sources, as applicable. G. The Department shall establish billing procedures and reimburse Employment Services for actual,reasonable, and necessary expenses incurred in providing services pursuant to Section 6.012.6. H. Provide the initial information and orientation materials for Colorado Works in Weld County participants as prescribed through 9CCR 2503-1, Section 3.634.13. 6.012.4 Functions of Employment Services A. Prepare employability assessment of Colorado Works in Weld County applicants and recipients including participation bathers for purposes of the individual responsibility contract and assignment to Colorado Works in Weld County work activities. • B. Develop, monitor, and direct mandatory and optional work activities as described in 9CCR 2503-1, Sections 3.600,and the Weld County Department of Social Services Operations Manual. C. Complete all necessary client,employer,or work site agreements and related paperwork for Colorado Works in Weld County work activities. D. Determine the time and dates for scheduling employability assessment so the Department may refer Colorado Works in Weld County applicants and recipients to Employment Services. E. Assess and recommend additional supportive services for Colorado Works in • Colorado Works in Weld County and Child Care Policies and Procedures • Weld County participants to continue in Colorado Works in Weld County activities or employment. Notify Department case managers of supportive service referrals. F. Approve work activities based on the aptitude, skills, and background of the client, and labor market demand. Amend the Individual Responsibility Contract with the client. G. Determine if the Colorado Works in Weld County participant is satisfactorily progressing in work activities through progress described in the Basic Work Skills Development Report, adherence to time and attendance policies, and other policies and procedures of the Colorado Works in Weld County Program. H. Provide an itemized statement of expenditure and request for payment of any services provided to a Colorado Works in Weld County participant. This itemized statement would include,but not limited to, any expense incurred for the Employment Services learning laboratory, Mini-Bus transportation, and testing. This itemized statement must be submitted by the 15th of the following month that the service was provided to the Department. The client information on the itemized statement must include cost, COIN State ID, and COIN household number. I. Provide proper invoices and verification of services performed by Employment Services for costs incurred in the performance of Employment Services as described in Section 6.012.6. 6.012.5 Participant Flow Chart The participant flow chart is described in Exhibit F. 6.012.6 Reimbursement Transfer Authority from the Department to Employment Services Revised 7/1/98 Revised 9/99 The Department will remit to Employment Services an amount not to exceed$299,568.00 Revised 10/00 for services provided from July 1, 2000 through June 30, 2001. Employment Services will bill the Department for services provided as described in Section 6.012.4 of the Department's Operations Manual and will not seek additional reimbursement for these • same services directly from the Colorado Department of Human Services. The $299,568.00 is calculated as follows: Budget Item Budget Amount A. Staff: Salary Fringe 1. .1 ),1h Director of DHS $ 10,055.00 $ 2,816.00 2. .2 FTE Director of Employment Services 9,738.00 2,727.00 3. .5 FTE Program Coordinator 19,503.00 5,461.00 4. 1.5 Registration 41,113.00 11,512.00 5. 1.75 FTE IRC Shill Development and Assessment Interpretation 54,733.00 15,325.00 6. 1. 1,1h Employer Relations 35,488.00 9,937.00 7. .5 Fiscal(tracking,reporting,and accounting functions) 24,344.00 6,816.00 Colorado Works in Weld County and Child Care Policies andtProcedures Subtotal $ 194,974.00 $54,594.00 Combined Subtotal $249,568.00 B. Overhead: (Includes operating,travel, overhead, and all costs assocciated with staff administration) $ 50,000.00 C. Total $ 299,568.00 Colorado Works in Weld County and Child Care Policies and Procedures 6.013 Performance Outcomes Effective 9/10/97 6.013.1 Federal and State Participation Rates and Required Hours of Participation The Department will adhere to the participation rates and the minimum number of hours of participation as outlined in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996,under Title I, §407. Participation rates will be based upon those individuals involved in the authorized work activities outlined in Section 6.006 of the Department's Operations Manual. The participation rates and the required hours of participation are subject to change,and are as follows: Minimum Participation Rates by Fiscal Year for Single Parent Families Fiscal Year Participation Rate Minimum Hours Per Week 1997 25% 20 1998 30% 20 1999 35% 25 2000 40% 30 2001 45% 30 2002+ 50% 30 Minimum Participation Rates by Fiscal Year for Two Parent Families Fiscal Year Participation Rate Minimum Hours Per week 1997 75% 35 1998 75% 35 1999+ 90% 35 6.013.2 Weld County Outcomes The Department will use evaluation methods of program performance as outlined for work activities in the Department's Operations Manual, as amended, and as follows: A. Retention rates of individuals placed in unsubsidized employment because of participation in the program as measured by 3 month, 6 month, and 1 year follow- up of participants B. Recidivism rates of recipients returning to Colorado Works in Weld County are: 1. returning from unsubsidized placement, and 2. returning after participating in work activities C. Percentage of recipients who enter employment after participating in allowed work activities. D. Number of recipients sanctioned. E. Cost of activities compared with outcomes. Colorado Works in Weld County and Child Care Policies and Procedures The Department established client baseline data and is attached and is set forth in Exhibit G. Colorado Works in Weld County and Child Care Policies and Procedures 6.014 Child Care Effective 9/10/97 6.014.1 Client Eligibility Revised 9/99 Effective October 4, 1999, families whose income does not exceed 185%of poverty level will be eligible for child care under the Colorado Works in Weld County Program. 6.014.2 Child Care Provider Rates Revised 9/99 Effective January 1, 2000, child care provider rates will be as follows: Children under Children over the age of two the age of two Full-Time Part-Time Full-Time Part-Time Licensed Centers $27.25 $15.00 $22.25 $13.00 Licensed Homes 18.25 10.00 16.75 9.25 Exempt/Unlicensed care: 10.00 5.50 8.75 5.00 6.014.3 Registration,Activity and Transportation Added 3/98 The Department pays registration, activity, and transportation fees only to licensed child care facilities. Providers must also charge private-pay families these same fees if they are going to charge the Department of Social Services. 6.014.31 Absences Added 3/98 Absences are paid to licensed providers only. Payment will be made for three days absence to hold a child's slot when the child is not in care. More than three absences may be approved and paid for verifiable medical reasons provided by the client. Holidays are paid to licensed providers only. The following holidays will be paid as billed by the provider: New Year's Day,Memorial Day,Independence Day,Labor Day, Thanksgiving Day, and Christmas Day. Payment will be made for a maximum of 30 days to hold a child's slot when a parent is between eligible activities. This does not include payment when adult students are on summer break. Providers must have prior approval from the child care worker before agreeing to hold a slot. 6.014.32 Registration,Activity, and Transportation Fee Added 3/98 Revised 9/99 The registration, activity, and transportation fees are combined into one daily rate with the child care fee. Registration, activity, and transportation fees are pro-rated daily and combined with the daily provider Child Care rate. An activity fee may not exceed$1.00 per day. A transportation fee may not exceed $2.00 per day. Effective January 1, 2000. The fees will be as follows Prorate daily registration fee: $ .25 Prorate daily activity fee: $ 1.00 Colorado Works in Weld County and Child Care Policies and Procedures Prorate daily transportation fee: $ 2.00 Total daily rate: $ 3.25 6.01433 20% Rule Added 3/98 Working families enrolled in the Low-Income component of CCAP are not required to earn at least 20%more than what the county pays in child care costs when their first six- - month redertmination of eligibility is calculated. Effective February 1, 1998. 6.01434 Immunizations Added 6/99 Families will be required to provide current immunization records within 30 days of the date of application for the Low-Income program and annually with redeterminations. Failure to provide these records would result in denial or termination of benefits. Colorado Works in Weld County and Child Care Policies and Procedures 6.015 Food Stamp Interface Effective 9/10/97 (Reserved) Colorado Works in Weld County and Child Care Policies and Procedures 6.016 Medicaid Interface Effective 9/10/97 (Reserved) Colorado Works in Weld County and Child Care Policies and Procedures 6.017 Social Services Division Interface Effective 9/10/97 6.017.1 Procedures A. Cases currently open on AFDC will be checked on the CATS system and the caseworker will be contacted. A meeting between the Colorado Works in Weld County case manager,the caseworker and the participant will occur when possible. If the Department cannot arrange this, the case manager and the caseworker will share information regarding the case to help in the development of the participant's Individual Responsibility Contract(WC). B. For new applicants for Colorado Works in Weld County, the Colorado Works in Weld County screener will fill out an internal 810 form. Master file staff will use the form to: 1. determine the status of the case in CATS. - 2. if the case is an open protection case,the Master file staff will write this on the form for the case manager. C. The case manager will then contact the caseworker. Together they can begin discussing the participant's needs and arrange to meet with the participant to develop the IRC. C. When the Department receives a referral regarding a protection issue, the protection screener will contact the Master File unit to see if there is a Colorado Works in Weld County case manager on the case: If there is an active Colorado Works in Weld County case, the caseworker will contact the case manager to discuss the participant's IRC and to share information regarding the participant's needs. D. When a caseworker is considering offering special economic assistance services to a participant,the caseworker will contact the Colorado Works in Weld County case manager first to discuss whether the participant is already receiving Colorado Works in Weld County money for the same purpose. The Colorado Works in Weld County case manager will prepare a voucher to purchase special economic assistance services through the Department's voucher process. E If the Colorado Works in Weld County case manager encounters a situation of a noncompliance with a participant who is also open with a caseworker, the case manager will contact the caseworker before sending the notice of a sanction. They can discuss any extenuating circumstances that could lead to the IRC being redone rather than the sanction being imposed. F. Changes in the participant's circumstances, i.e., financial situation, family situations, etc. will be shared between the case managers and the caseworkers to facilitate appropriate planning for the family. G. The caseworker will determine if the participant requires services under the Family Preservation Program core services, Special Circumstance Day Care Colorado Works in Weld County and Child Care Policies and Procedures - services, or Case Services. If the caseworker determines with the Colorado Works in Weld County case manager that the participant requires these services,the Colorado Works in Weld County case manager will prepare a voucher to purchase such services through the Department's voucher process. Colorado Works in Weld County and Child Care Policies and Procedures 6.018 Child Support Interface Effective 9/10/97 6.018.1 Individual Responsibility Contract For those households that involve an absent parent,the Department will require clients to cooperate with the Child Support Unit as follows: A. Provide complete and accurate information B. Provide the full name of the non-custodial parent C. Appear upon request to sign legal documents D. Appear at court hearings E. Provide copies of birth and legal documents F. Update any new information about the non-custodial parent G. Submit to genetic testing H. Assign the family's rights to all child support,including past due and current support, to the State of Colorado. This provision became effective July 1, 1997, and applies to those Colorado Works in Weld County applicants and recipients receiving child support payments. 6.018.2 Child Support Payments On or about October 1, 1997, a Colorado Works in Weld County applicant or recipient may choose not to receive child support payments if current child support payments received are more than Colorado Works in Weld County benefits paid to the applicant or recipient. The applicant or recipient can only receive the child support payment if the client is no longer receiving Colorado Works in Weld County benefits. Effective July 1, 1997,the Colorado Works in Weld County applicant or recipient are not imposed a$50 disregard payment by the Department. 6.018.3 Child Support Assessment The child support enforcement worker will obtain appropriate information from the applicant and will provide documentation of cooperation to the Colorado Works in Weld County Unit. Included in the document will be an assessment regarding the probability of collecting support,prioritization of the case, approximate time frames to collect support, and case assignment to be used as a tool for the Colorado Works in Weld County case manager. Colorado Works in Weld County and Child Care Policies and Procedures 6.019 Weld County Housing Authority Interface Effective 9/10/97 6.019.1 Client Preferences for the Weld County Housing Authority Section 8 Program Applicants who can demonstrate that they are employed at least 20 hours per week during nine out of the last 12 months shall receive preference for admission through Weld County Housing Authority's Section 8 Rental Assistance Payments Program. _ 6.019.2 Participation and Notification The Weld County Housing Authority Community Services Specialist will notify the Colorado Works in Weld County case manager whenever an applicant receiving Colorado Works in Weld County benefits is approved for the Section 8 Program. When the Community Services Manager becomes aware that a Section 8 participant receiving Colorado Works in Weld County benefits is terminated from employment,the Community Services Manager shall notify the Colorado Works in Weld County case manager. 6.019.3 Family Self-Sufficiency Program(FSS) Section 8 participants who are participating in FSS shall sign a Family Self-Sufficiency Contract. The Family Self-sufficiency Contract shall specify goals agreed to by the Section 8 participant to achieve self-sufficiency within a five year period. Case management services for any Section 8 participant who is also participating in Colorado Works in Weld County shall be provided by the Colorado Works in Weld County case manager,not the Community Services Manager. 6.019.4 Sanctions and Appeals The Department shall terminate participants of the Colorado Works in Weld County Program,who: A. are enrolled in the Section 8 Family Self-sufficiency Program, and B. fail to cooperate with Colorado Works in Weld County requirements and the Section 8 Housing Assistance Program. Each participant the Department terminates,based on failure to comply with FSS and Colorado Works in Weld County requirements, shall have the right to a hearing based on the Section 8 Administrative Plan. Colorado Works in Weld County and Child Care Policies and Procedures 6.020 Community Agency Interface Effective 9/10/97 (Reserved) Colorado Works in Weld County and Child Care Policies and Procedures 6.021 Reporting Requirements Effective 9/10/97 (Reserved) Colorado Works in Weld County and Child Care Policies and Procedures 6.022 Out of Wedlock Births Plan Effective 9/10/97 The responsibility of developing an Out of Wedlock Plan for the State of Colorado rests with the Colorado Department of Human Services. The Colorado Department of Human Services has a statewide goal of reducing out of wedlock births by 1%. This goal has been established for the state fiscal year of 1997 - 1998. Colorado Works in Weld County and Child Care Policies and Procedures 6.023 Statutory Rape Plan Effective 9/10/97 The responsibility of developing a Statutory Rape Plan for the State of Colorado rests with the Colorado Department of Human Services. Colorado Works in Weld County and Child Care Policies and Procedures 6.024 Contracts and Other Agreements to Purchase Services Effective 9/10/97 (Reserved) Colorado Works in Weld County and Child Care Policies and Procedures 6.025 Earned Income Tax Credit Effective 9/10/97 Documents providing the required information concerning the Earned Income Tax Credit will be distributed to all Colorado Works in Weld County participants. This information will also be posted in common areas throughout the Department and mailed to all Colorado Works in Weld County participants at least once per year. Colorado Works in Weld County and Child Care Policies and Procedures 6.026 Individual Development Accounts Effective 9/10/97 Individual Development Accounts will be allowed for participants who wish to establish savings for one or more of the allowable goals/objectives:post secondary education; purchase of a home; and business capitalization. The Department will not contribute financially to these accounts. Colorado Works in Weld County and Child Care Policies and Procedures 6.027 County Optional Other Assistance Effective 9/10/97 The Department may choose to operate this program by amending its Department's Operations Manual. Colorado Works in Weld County and Child Care Policies and Procedures 6.028 County Optional Diversion Grants Effective 9/10/97 The Department may include an optional diversion grants program by amending its Department's Operations Manual. 6.029 Any Other Services Effective 9/10/97 The Department may include other services by amending its Department's Operations Manual. Exhibit A-1 (Page 1 of 2) Effective 9/10/97 COLORADO WORKS IN WELD COUNTY Applicant O INDIVIDUAL RESPONSIBILITY CONTRACT(IRC) Recipient❑ FIRST SECTION Name Household# Social Security Number Telephone Number State ID# PROVISIONS 1. This document is an Individual Responsibility Contract(IRC)between you,the applicant/recipient,and the Weld County Department of Social Services(the"Department"). It governs the terms and conditions of your receipt of assistance or application for assistance under the Colorado Works in Weld County(CWWC)Program. 2. You are not entitled to receive any form of assistance under the CWWC Program,either through Colorado statutes,rules or regulations,or through the provisions of this IRC. The only remedy available to you for an alleged breach of this IRC is limited to the grievance or complaint process detailed below. Such remedy does not include the collection of damages from the Department. 3. Your failure to comply with the terms and conditions of this IRC may result in a reduction or termination of cash assistance or a discontinuation of the processing of your application for assistance. 4. This IRC will end if: 1)cash assistance to you is terminated for any reason,2)the processing of your application for assistance is discontinued for any reason,or 3)if you move to another county. RESPONSIBILITIES As a CWWC applicant/recipient,you are required to: • Keep all appointments designated on Page 2 of this IRC; • Respond to any request from the Department regarding your employment status; • Participate in assessments to determine your level of job readiness; • Report for and participate in any employment or training activity listed on Page 2 of this IRC; • Provide immediate documentation to your case manager of any situations which may prevent you from participating in your scheduled activities; • Notify your case manager of any change in your employment status;and • Accept and maintain appropriate employment. • Comply with all requirements of the Department's Child Support Enforcement Unit,but not limited to,the requirement that I assign all of my rights to child support,including past due and current support,to the State of Colorado. RIGHTS You have the right to participate in the development of this IRC with your case manager. You have the right to file a grievance or complaint with the Department if: 1)you believe that you have been discriminated against on the basis of your age,race,color,creed,sex,or national origin;2)you disagree with your case manager's assignment or decision; or 3)you are not satisfied with actions affecting your assistance or CWWC participation. Your case manager may assist you in filing a grievance or complaint. I have read or have had read to me Pages 1 and 2 of this IRC. My rights and responsibilities for participation in the CWWC Program as detailed above have been explained. As consideration for my application for assistance and for any cash assistance I may receive,I agree to participate in the activities and for the number of hours per week designated on Page 2 of this IRC. I also understand that if I move to another county,this IRC will no longer be in effect and cash assistance to me will end or my application for assistance will not be processed. Applicant/Recipient Signature Date tie Applicant/Recipient's case manager,I have carefully explained the terms and conditions of this IRC to the Applicant/Recipient. A s.c. d copy of this IRC has been provided to the Applicant/Recipient. Case Manager Signature Date White Copy:Social Services Yellow Copy:Employment Services of Weld County Pink Copy:Applicant/Recipient Exhibit A(Page 2 of 2) Revised 3/98 COLORADO WORKS IN WELD COUNTY Original 0 INDIVIDUAL RESPONSIBILITY CONTRACT(IRC) Revision 0 FAMILY PLAN Case Name: Household# Two Parent Household Technician ti: Yes ❑ No ❑ Technician Ext.: Client Name: State ID# Social Security# Telephone Number Work Activity: Begin/estimated End Dates: To Plan: Client Will: Scheduled Hours/Week: Agency Will: Revision of Dates: Comments: Initials/Date: Completion Date: Case Manager's Signature: Client's Signature: Cure Sanction/Resumed Cooperation Work Experience Hours DATE I have received a Diversion Grant and agree not to apply for any further assistance in Weld County,or any other county for a period of Client Signature Date 09/19/97 White Copy:Social Services Yellow Copy:Employment Services of Weld County Pink Copy:Applicant/Recipient COLORADO WORKS IN WELD COUNTY DIVERSION Exhibit A-2 INDIVIDUAL RESPONSIBILITY CONTRACT(IRC) ^-^e Name: Household# Two Parent Household Technician#: Yes O No O Technician Ext.: Client Name: State ID# Social Security# Telephone Number 1. This document is an Individual Responsibility Contract(IRC)between you,the TANF participant and the Weld County Department of Social Services(the Department),It governs the terms and conditions of your receipt of assistance or application for assistance under the Colorado Works in Weld County(CWWC)Program. 2. You are not legally entitled to receive any form of assistance under the CWWC Program. 3. Your failure to comply with the terms and conditions of this IRC may result in reduction or termination of your cash assistance. kt..,°�„v�ymwmgsk,°e ' ° tfip" .y°o`u<pS 'r»^°53°l amen`" c'�3<&Rtt>a8 c�'o` NgRe R$ ^L9v><r ou�8yo wd§'` 'n>.'.'e4>g@ "§�s,5iws�,{.,s�4om,;""c° a`A 9,eta , .. N≥Yo:.40< »42 bo.:e:. $ �in'N 4:. o�'69.5,oo1yW R9 Cobb.:Y'.:°�.W` y?:N e V,.j �� .3> E k Q :V A Q,4 t ,.r....:.o:.ox.'a. :.0>3'' �'+.::.... 4V:ea*s>:m .$'4?:.'•'°oos: .c.°$.,�°4 ...v,..n.,��,L^.,..:,.>:.;� :...o..::�:..F,::,:.<n.::$n?..:>: The participant has applied and been approved for a Diversionary Grant. The participant indicates that only short-term assistance is needed in order for the family to become secure. THE PARTICIPANT WILL RECEIVE A LUMP SUM PAYMENT OF:$ ,PAID DIRECTLY TO THE FOLLOWING VENDORS. The participant has provided proof that the sum is needed for the following expenses: AMOUNT:$ EXPENSE AMOUNT:$ EXPENSE AMOUNT:$ EXPENSE AMOUNT:$ EXPENSE nivIOUNT:$ EXPENSE AMOUNT:$ EXPENSE AMOUNT:$ EXPENSE The participant and all members of the household will be unable to receive financial assistance under the Colorado Works Program in Weld County or in any other Colorado County for month and until after You have the right to file a grievance or complaint if you believe that you have been discriminated against on the basis of your age,race,color,creed,sex, or previous national origin;or if you disagree with your case manager's assignments or decisions. Your case manager will assist you in filing a grievance or complaint. You have the right to a dispute resolution conference at the county department if you are not satisfied with actions affecting your assistance or program participation. You have the right to appeal to the state department if the dispute is not resolved. Your case manager will assist you in filing a request for a dispute resolution conference or state appeal. My rights and responsibilities have been explained to me and I understand that my eligibility may depend on verification of expenses, employment,and other criteria as deemed necessary by my case manager. I also understand that if I move to another county this IRC may affect my eligibility for Colorado Works Assistance. TANF Participant Signature Date TANF Co-Participant Signature As a representative of this agency,I have carefully explained the participant's rights and responsibilities and acknowledges the responsibilities r` '`e agency. A signed copy of this IRC has been provided to the participant. TANF Case Manager Signature Date 08/28/98 IRC-Page 2 of 2 Pages White Copy: Social Services Pink Copy:Applicant/Recipient Colorado Works in Weld County and Child Care Policies and Procedures Exhibit B Effective 9/10/97 COLORADO WORKS IN WELD COUNTY EMPLOYMENT AND TRAINING PROGRAM WORK SUPPLEMENTATION AGREEMENT This Agreement is made this day of , 199 by and between the Weld County Division of Human Services,on behalf Employment Services of Weld County, hereinafter referred to as"Employment Services,"and hereinafter referred to as"Employer." WITNESSETH WHEREAS,Employment Services conducts the employment and training program for eligible recipients of the Colorado Works in Weld County Program; and WHEREAS,Employment Services' goal is to assist eligible applicants and recipients under the Colorado Works in Weld County Program obtain and retain unsubsidized employment; and WHEREAS,the Employer desires to participate with Employment Services in a subsidized private sector employment program specifically designed for recipients of Colorado Works in Weld County as an employer and as an instructional training facility for the recipients of the Temporary Assistance for Needy Families participants under the Colorado Works in Weld County Program; and WHEREAS,the Employer and Employment Services desire to work together for the express purpose of providing employment and instructional training for participants under this program. NOW THEREFORE, in consideration of the implementation of these goals,the parties hereby agree to the following: A. Program Definitions Work Supplementation is an employer incentive-based program designed to introduce the participant into the workforce. The employer provides a wage to a participant as an alternative to a Temporary Assistance to Needy Families grant. Colorado Works in Weld County provides training reimbursements of 50%of the gross monthly salary. The participant is a recipient of aid under the Colorado Works in Weld County programs for which the training reimbursement will apply. Mentoring is a service the employer agrees to provide to assist the participant under the terms of this agreement,resolve related issues and problems and assist the participant's entrance into the work force Colorado Works in Weld County and Child Care Policies and Procedures Exhibit B The work site is the location in which the participant will be out stationed by the Employer. The Employer is eligible to receive a training allowance bonus of$500 if the Employer hires a participant at the conclusion of the Work Supplementation Program and retains the participant in full time employment at the end of a three month period. B. Employer Responsibilities 1. Provide for a minimum of three months of unsubsidized,continuous, full time employment for a participant to achieve a complete diversion from a public assistance grant. The Employer will provide participants with wages that are comparable to other employees doing comparable work. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. a. Commit to a forty-hour work week that provides for a combination of work and education. b. Provide training in job specifics, and mentoring of recipients in work ethics and employment retention skills for either continued employment with the Employer or preparation for employment with another employer. Reinforce employer basic skills competency through performance evaluations and/or counseling forms. 1) Training may be provided directly by the employer or through subcontracts with another training provider. 2) Employer Basic Skills Competencies, approved by the Weld County Private Industry Council, is attached to and made a part of this Agreement as Attachment A. 3) The Employer is eligible to receive a $300 training allowance for the participant to receive job search skills, interviewing,job specific, and mentoring and employment retention skills at the end of the three- month period. c. Furnish all equipment and materials as deemed reasonably necessary by the Employer to ensure the continued accomplishment of program objectives. d. Provide liability and worker's compensation insurance coverage on the participant to the same extent as for other employees similarly employed. e. Agree that the Employer is given the final decision in selecting the participant under the terms of this Agreement. f. Provide the same benefits including health insurance, sick leave, holidays, Colorado Works in Weld County and Child Care Policies and Procedures Exhibit B The work site is the location in which the participant will be out stationed by the Employer. The Employer is eligible to receive a training allowance bonus of$500 if the Employer hires a participant at the conclusion of the Work Supplementation Program and retains the participant in full time employment at the end of a three month period. B. Employer Responsibilities 1. Provide for a minimum of three months of unsubsidized, continuous, full time employment for a participant to achieve a complete diversion from a public assistance grant. The Employer will provide participants with wages that are comparable to other employees doing comparable work. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. a. Commit to a forty-hour work week that provides for a combination of work and education. b. Provide training in job specifics, and mentoring of recipients in work ethics and employment retention skills for either continued employment with the Employer or preparation for employment with another employer. Reinforce employer basic skills competency through performance evaluations and/or counseling forms. 1) Training may be provided directly by the employer or through subcontracts with another training provider. 2) Employer Basic Skills Competencies, approved by the Weld County Private Industry Council, is attached to and made a part of this Agreement as Attachment A. 3) The Employer is eligible to receive a$300 training allowance for the participant to receive job search skills, interviewing,job specific, and mentoring and employment retention skills at the end of the three- month period. c. Furnish all equipment and materials as deemed reasonably necessary by the Employer to ensure the continued accomplishment of program objectives. d. Provide liability and worker's compensation insurance coverage on the participant to the same extent as for other employees similarly employed. e. Agree that the Employer is given the final decision in selecting the participant under the terms of this Agreement. f. Provide the same benefits including health insurance, sick leave, holidays, Colorado Works in Weld County and Child Care Policies and Procedures Exhibit B vacation, life insurance and other benefits to the same extent as for other employees similarly employed. g. Accept only the number of participants whom the Employer can utilize productively. h. Not to replace regular full-time or part-time employees with participants under this program. i. Provide competent supervision, including adequate training,when the job requires the use of equipment and/or procedures that are unfamiliar to the participant. j. Abide by all pertinent Department of Labor Laws(Occupational Health and Safety [OHSA], Davis Bacon Act, Child Labor Laws,etc.). The Employer agrees to contact the Special Programs Coordinator of the Employment and Training Program with any questions concerning specific tools or the Child Labor Laws. k. Report to Employment Services within 24 hours when the Employer terminates a participant and documents its reason(s) for the action. Employment Services will determine the sanction status of the participant and make appropriate referrals to the Department of Social Services for eligibility and sanction status. 1. The Employer will complete the attached Work Supplementation Invoice Form and follow the procedures outlined on the Form for reimbursement. The Form is added hereto as Attachment B and is hereby made a part of this Agreement. A separate Invoice will be completed on each participant by the 15th of the following month based on the gross wages paid for the previous month. m. Treat all participants in the same manner as other employees of the Employer, concerning such issues as safety and job performance. n. Immediately contact Employment Services regarding any difficulties the Employer may have concerning the participant's performance, absence or tardiness, etc. n. Participate in any follow-up, monitoring, and evaluation procedures conducted or endorsed by Employment Services. o. Not to do any of the following: 1) promote or deter union organizing 2) charge fees to participants under this Agreement 3) involve participants in sectarian activities Colorado Works in Weld County and Child Care Policies and Procedures • Exhibit B 4) involve participants in lobbying activities 5) accept any kickbacks 6) have any conflict of interest under this Agreement, including nepotism 2. Provide with continued subsidy, an additional three months of continuous, full time employment,to those participants who need additional training to continue employment with the Employer. a. The conditions of such employment will continue as described in Item B. 1. a through o of this agreement. b. Employer is eligible to receive a training allowance bonus of$300 in order for the participant to receive additional training at the end of the three-month period. c. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. d. The Employer and Employment Services will determine the need of additional training for the participant by,but not limited to,the performance results outlined in the Basic Work Skills Development Report, and the participant's adherence to responsibilities under the Work Participation Agreement between Employment Services and the participant. 3. Hire and retain those participants who have been successful in meeting the Employer's training needs, as full time employees, if appropriate. Employment Services agrees to provide a$500 training allowance bonus to the Employer if the Employer hires the participant at the conclusion of the Work Supplementation Program and retains the participant for an additional three month period. Employment Services will pay the training allowance bonus at the conclusion of the additional three month period. B. Employment Services Responsibilities 1. Provide the Employer with an orientation session outlining the specific procedures and policies the Employment Services requires that the Employer follow. 2. Encourage participants to apply for available positions with the Employer and assess participants to determine their job readiness for positions with the Employer. 3. Arrange for space for the Employer to interview applicants referred to the Employer. 4. Refer, if available,the agreed upon number of participants to the Employer for employment. 5. Complete a Work Supplementation Participation Agreement that outlines programs Colorado Works in Weld County and Child Care Policies and Procedures Exhibit B expectations and responsibilities with participants. The Work Supplementation Participant Agreement is attached hereto and incorporated herein as Attachment C. • 6. Provide the Employer a monthly work supplementation fee of 50% of the participant's gross salary for the month. Employment Services shall not be liable for any costs that exceed the agreed upon amount. 7. Provide the Employer a training allowance bonus on behalf of the participant as follows: a. A training allowance bonus of$300 according to the provisions of Item B. I. of this Agreement. b. A training allowance bonus of$300 according to the provisions of Item B. 2. of this Agreement, if the participant requires an additional three months of participation in the Work Supplementation Program. c. A training allowance bonus of$500 for a participant who has been hired by the employer after a successful completion of a three-month or six- month work supplementation program and retained in full time employment for three months. 8. Assist the Employer,upon the Employer's request, in resolving any possible disputes with the participant. C. Assurances The Employer agrees that it is an independent contractor and that its officers and employees do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees because of the execution of this Agreement. 2. Weld County, The Board of County Commissioners of Weld County, and its officers and employees shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Employer, or its employees,volunteers, or agents,while performing Employer duties as described in this Agreement. The Employer shall indemnify, defend, and hold harmless Weld County,and its officers and employees for any loss occasioned as a result of the performance of this Agreement by the Employer, its employees, volunteers, and agents. 3. The Employer understands that monitoring and evaluation of the performance of this Agreement shall be conducted by Employment Services and the results provided to the Weld County Private Industry Council and the Board of County Commissioners of Weld County. Colorado Works in Weld County and Child Care Policies and Procedures Exhibit B 4. The Employer assures that it will comply with Title VI of the Civil Rights Act of 1986 and that no person shall,on the grounds of race,creed,color,sex,or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under this approved Agreement. - D. Performance Performance will be monitored as follows 1. Retention rates of individuals placed in unsubsidized employment because of participation in the programs is measured by 3 month, 6 months, and 1 year follow-up of participants. 2. Recidivism rates of Colorado Works recipients returning to public assistance from unsubsidized employment with the Employer. D. Modification This Agreement may be modified at any time by a written amendment signed by both parties. E. Termination This Agreement may be terminated at any time by either party giving 48 hour written notice. IN WITNESS THEREOF,the parties hereto have duly executed this Agreement as of the day, month, and year first above written. EMPLOYMENT SERVICES OF WELD COUNTY EMPLOYER Authorized Representative Authorized Representative Colorado Works in Weld County and Child Care Policies and Procedures Attachment A Effective 9/10/97 COLORADO WORKS IN WELD COUNTY BASIC WORK SKILLS DEVELOPMENT REPORT NAME: WORKSITE: DATE REPORT PERIOD: PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS -- MEASURED STANDARD IMPROVEMENT 1.Honesty and Integrity -Chooses an ethical course of action -Follows through on commitments -Shows regard for possessions of others -Demonstrates high trust level -Adheres to truth despite consequences 2. Independent Worker -Independently completes tasks with minimum supervision/assistance -Demonstrates self-starting behavior -Recognizes and responds to situations appropriately -Identifies and solves problems 3. Self Management -Demonstrates readiness to work -Demonstrates initiative -Demonstrates capacity for lifelong, personal growth -Assesses self accurately -Sets personal goals and monitors progress -Exhibits self control 4. Responsible Job Behavior &Positive Work Ethics -Exerts a high level of effort and perseverance toward goal attainment -Works hard to achieve excellence by establishing high standards -Detail oriented -Displays high attendance/ punctuality standards -Willing to approach and complete tasks -Exercises good judgment and takes responsibility for actions -Meets goals within allotted time frame -Distinguishes effectively between competing priorities Colorado Works in Weld County and Child Care Policies and Procedures ;RFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 5. Completes Work -Completes tasks accurately and within given time frame -Works to meet standards set by employer 6. Team Player -Contributes to group effort through cooperation and consensus -Demonstrates value of team members and encourages their input -Promotes team atmosphere -Accepts responsibility conferred by team -Demonstrates an understanding of others through courtesy,adaptability and empathy -Receptive to change 7. Communicates Effectively -Displays ability to receive and relay information clearly and effectively -Utilizes effective verbal and nonverbal cues -Organizes ideas and communicates oral messages appropriate to listeners and situations -Selects appropriate medium for conveying a message -Understands and responds to instruction 8. Effective Listener -Appropriately responds to verbal messages -Follows verbal instruction -Acknowledges verbal messages -Asks for clarification if message is unclear -Conveys information accurately 9. Effective Speaker -Clearly and effectively organizes and presents ideas orally -Participates in discussions and conversations -Articulates effectively Colorado Works in Weld County and Child Care Policies and Procedures ERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 10. Demonstrates Basic Math Skills -Adds,subtracts,multiplies and divides using whole numbers -Adds and subtracts using negative and positive numbers -Changes a number from one form to another,using whole numbers, fractions,decimals or percentages -Approaches practical problems by choosing appropriate mathematical techniques 11. Demonstrates Basic Reading Skills -Locates,understands,and interprets written information in prose and in documents such as manuals,graphs and charts -Recognizes proper placement of a step in a sequence of events -Recognizes cause-effect relationships -Recognizes the application of complex instructions involving several steps to describe situation -Based on context,identifies correct meanings for words 12. Demonstrates Basic Writing Skills -Clearly organizes and effectively presents ideas in writing -Writes so that others understand 13. Demonstrates Ability to Perform Basic in Various Work Ambiences -Accepts differences and works well with individuals from diverse backgrounds and/or divergent ideas or philosophies COMMENTS TRAINEE DATE WORK SITE SUPERVISOR DATE Colorado Works in Weld County and Child Care Policies and Procedures Attachment B Effective 9/10/97 EMPLOYMENT SERVICES OF WELD COUNTY WORKERS' COMPENSATION The following are the policies and procedures for Workers' Compensation: 1. Trainees in a public or private sector work activity program under the Colorado Works in Weld County Program are covered by the Workers' Compensation Act which is provided under Weld County Government. The coverage under Workers' Compensation provides that a CWCC participant receiving a job related disease or injury will be eligible for disability income and medical care. 2. If an injury occurs during training/work hours, you as the work site supervisor are directed to immediately report and injury on the day that it occurs to Employment Services of Weld County at 353-3800. If the injury is after hours or on a weekend, please notify Employment Services the next available working day. 3. All work site supervisors must know and be able to provide to the trainees the procedures to follow when an injury occurs. 4. All work related injuries occurring during daily working hours are to be treated at the North Colorado Occupational Medicine Clinic located at North Colorado Medical Center, 1801 16th Street (if using the main entrance, the information desk can direct employees to the clinic). This clinic is open from 7:30 a.m. until 4:00 p.m., Monday through Friday. The Clinic staff will determine if immediate attention is necessary of if an appointment can be established in the near future. For hours other than 7:30 a.m. through 4:00 p.m, Monday through Friday, employees are to go the emergency room at the same address. The claim may be denied if the participant goes to a private physician. The only exception will be if the injury is severe enough to require the use of an ambulance in which case the injured party will be taken to the nearest medical facility. Payment will not be made for any chiropractic service. 5. Before the injured trainee is allowed to return to work, a written release is required from the physician stating the trainee can return to work. The trainee's agreement with Employment Services of Weld County will be immediately terminated if it is determined by the Weld County Personnel staff that the trainee has fraudulently claimed an injury or illness under Workers' Compensation. The Weld County Personnel Office will determine if further legal action will be pursued. Trainee Signature Date Employer Signature Date White Copy: File Yellow Copy: Trainee Pink Copy: Employment Site Colorado Works in Weld County and Child Care Policies and Procedures Attachment B Effective 9/10/97 WORK SUPPLEMENTATION PROGRAM INVOICE NUMBER EMPLOYEE/PARTICIPANT INFORMATION EMPLOYMENT INFORMATION Employee/Participant's Name Employer Name Social Security Number Address Job Title and Starting Wage Phone Number Agreement period Start and End Identification Number I. I request reimbursement for wages paid for the period of / / To / / 2. Gross Wage Information: $ x 50%=$ 3. Reimbursement requested: 4. Training Bonus Request: 5. CERTIFICATION BY EMPLOYER AND WSP REPRESENTATIVE I request reimbursement in the amount indicated. The Based upon my knowledge of the facts, the employer's information given on this form is correct. I understand that statements on this form are correct. Reimbursement to th receipt of the requested funds for other than the purposes employer in the amount indicatead is recommended. indicated constitutes fraud punishable under the Penal Code of the United States. Signature of Employer Date Signature of WSP Representative Date IF FINAL INVOICE,PELASE ENTER APPROPRIATE TERMINATION REASON CODE TERMINATION REASON CODE: 01 Completed Program Voluntary by Employee Involuntary Termination 02 Illness or Injury 06 Transportation Problems 10 Layoff(economic reasons) 03 No Reason Given 07 Type of Work 11 Excessive Absences 04 Other Employment 08 Excessive Overtime 12 Disruptive Behavior 05 Child Care Problems 09 Other 13 Substandard Skill Level 14 Other Distribution: Original-Employment Services of Weld County Copy-Case Manager Copy-Employer Colorado Works in Weld County and Child Care Policies and Procedures Attachment C Effective 9/10/97 WORK SUPPLEMENTATION PARTICIPATION AGREEMENT PART 1 Name Case Name(Complete if different from above) Address (Street Address) (City) State (Zip Code) Phone Number SSN PROGRAM DESCRIPTION The Work Supplementation Program(WSP)is designed to help people receiving a TANF grant to become self-supporting through employment. WSP does not guarantee employment,but WSP is an additional opportunity to gain valuable work skills as well as additional referrals to jobs. The Employer interviewed and hired in accordance with their company's personnel practices. Your TANF Monthly grant amount will be adjusted or discontinued in accordance with TANF eligibility earned income requirements. Based upon wages received from employment,your TANF monthly grant amount will be adjusted or discontinued in accordance with TANF eligibility requirements. Medicaid eligibility will be determined in accordance with current regulations. All work supplementation program employees/participants are considered TANF recipients for the purpose of child support collections and disbursements. RIGHTS AND RESPONSIBILITIES As a WSP employee/participant my salary will not be less than the Federal minimum wage,and I will receive the same benefits(ie.,sick leave, vacations,health insurance,etc.)as other employees of my employer which have the same status(ie.,permanent,temporary,etc.)as I. I will be expected to perform work at my job as other employees of my employer at the same level. I must notify my case manager of any change in employment status,address,or telephone number as soon as I know of such change. If I have a complaint,I will follow my employer's complaint procedures. I also understand that my Case Manager at Employment Services will provide me with additional information for complaints dealing with discrimination. I have read the program description and the rights and responsibilities. I have also read,signed,and understand my responsibilities as outlined in my Individual Responsibility Contract(IRC). WSP Employee/Participant Date I have witnessed the WSP employee's/participant's signature and have given him/her a copy of this form. I have verified that the above named individual is a recipient of TANF. The TANF grant amount for mo. yr. was$ Case Manager Date PART II I have accepted Employment at to begin Date Starting Salary$ per Agreement Duration through mo/day/yr mo/day/yr WSP Employee/Participant Date Colorado Works in Weld County and Child Care Policies and Procedures Exhibit C Effective 9/10/97 COLORADO WORKS IN WELD COUNTY EMPLOYMENT AND TRAINING PROGRAM WORK SUPPLEMENTATION AGREEMENT WITH TEMPORARY EMPLOYMENT AGENCIES This Agreement is made this day of , 199 by and between the Weld County Division of Human Services, on behalf Employment Services of Weld County, hereinafter referred to as"Employment Services," and, hereinafter referred to as"Employer." WITNESSETH WHEREAS,Employment Services conducts the employment and training program for eligible recipients of the Colorado Works in Weld County Program, and WHEREAS, Employment Services' goal is to assist eligible applicants and recipients under the Colorado Works in Weld County Program obtain and retain unsubsidized employment; and WHEREAS, the Employer desires to participate with Employment Services in a subsidized private sector employment program specifically designed for recipients of Colorado Works in Weld County as an employer and as an instructional training facility for the recipients of the Temporary Assistance for Needy Families participants under the Colorado Works in Weld County Program; and WHEREAS, the Employer and Employment Services desire to work together for the express purpose of providing employment and instructional training for participants under this program. NOW THEREFORE, in consideration of the implementation of these goals, the parties hereby agree to the following: A. Program Definitions Work Supplementation is an employer incentive-based program designed to introduce the participant into the workforce. The employer provides a wage to a participant as an alternative to a Temporary Assistance to Needy Families grant. Colorado Works in Weld County provides training reimbursements of 25%of the gross monthly salary or$300, whichever is less. The participant is a recipient of aid under the Colorado Works in Weld County programs for which the training reimbursement will apply. Mentoring is a service the employer agrees to provide to assist the participant under the terms of this agreement,resolve related issues and problems and assist the participant's entrance into the work force The work site is the location in which the participant will be out stationed by the Employer. Colorado Works in Weld County and Child Care Policies and Procedures Exhibit C B. Employer Responsibilities 1. Provide for a minimum of three months of unsubsidized, continuous, full time employment for a participant to achieve a complete diversion from a public assistance grant. The Employer will provide participants with wages that are comparable to other employees doing comparable work. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. a. Commit to a forty-hour work week that provides for a combination of work and education. b. Provide training in job specifics, and mentoring of recipients in work ethics and employment retention skills for either continued employment with the Employer or preparation for employment with another employer. Reinforce employer basic skills competency through performance evaluations and/or counseling forms. 1) The employer will provide training directly. 2) Employer Basic Skills Competencies, approved by the Weld County Private Industry Council, is attached and made a part of this Agreement as Attachment A. 3) The Employer is eligible to receive a$300 training allowance for the participant to receive job search skills, interviewing,job specific, and mentoring and employment retention skills at the end of the three-month period. c. Furnish all equipment and materials as deemed reasonably necessary by the Employer to ensure the continued accomplishment of program objectives. d. Provide liability and worker's compensation insurance coverage on the participant to the same extent as for other employees similarly employed. e. Agree that the Employer is given the final decision in selecting the participant under the terms of this Agreement. f. Provide the same benefits including health insurance, sick leave, holidays, vacation, life insurance and other benefits to the same extent as for other employees similarity employed. g. Accept only the number of participants whom the Employer can utilize productively. h. Not to replace regular full-time or part-time employees with participants under this program. i. Provide competent supervision, including adequate training, when the job requires the use of equipment and/or procedures that are unfamiliar to the participant. j. Abide by all pertinent Department of Labor Laws(Occupational Health and Safety [OHSA], Davis Bacon Act, Child Labor Laws, etc.). The Employer agrees Colorado Works in Weld County and Child Care Policies and Procedures Exhibit C to contact the Special Programs Coordinator of the Employment and Training Program with any questions concerning specific tools or the Child Labor Laws. k. Report to Employment Services within 24 hours when the Employer terminates a participant and documents its reason(s) for the action. Employment Services will determine the sanction status of the participants and make appropriate referrals to the Department of Social Services for eligibility and sanction status. 1. The Employer will complete the attached Work Supplementation Invoice Form and follow the procedures outlined on the Form for reimbursement. The Form is added hereto as Attachment B and is hereby made a part of this Agreement. A separate Invoice will be completed on each participant by the 15th of the following month based on the gross wages paid for the previous month. m. Treat all participants in the same manner as other employees of the Employer, concerning such issues as safety and job performance. n. Immediately contact Employment Services regarding any difficulties the Employer may have concerning the participant's performance, absence or tardiness, etc. o. Participate in any follow-up,monitoring, and evaluation procedures conducted or endorsed by Employment Services. p. Not to do any of the following: 1) promote or deter union organizing 2) charge fees to participants under this Agreement 3) involve participants in sectarian activities 4) involve participants in lobbying activities 5) accept any kickbacks 6) have any conflict of interest under this Agreement, including nepotism 2. Provide with continued subsidy, an additional three months of continuous, full time employment, to those participants who need additional training to continue employment with the Employer. a. The conditions of such employment will continue as described in Item B. 1. a through o of this agreement. b. Employer is eligible to receive a training allowance bonus of$300 in order for the participant to receive additional training at the end of the three-month period. c. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. d. The Employer and Employment Services will determine the need of additional training for the participant by, but not limited to, the performance results outlined in the Basic Work Skills Development Report, and the participant's adherence to responsibilities under the Work Participation Agreement between Employment Services and the participant. Colorado Works in Weld County and Child Care Policies and Procedures Exhibit C B. Employment Services Responsibilities 1. Provide the Employer with an orientation session outlining the specific procedures and policies the Employment Services requires that the Employer follow. 2. Encourage participants to apply for available positions with the Employer and assess participants to determine their job readiness for positions with the Employer. 3. Arrange for space for the Employer to interview applicants referred to the Employer. 4. Refer, if available, the agreed upon number of participants to the Employer for employment. 5. Complete a Work Supplementation Participation Agreement that outlines programs expectations and responsibilities with participants. The Work Supplementation Participant Agreement is attached hereto and incorporated herein as Attachment C. 6. Provide the Employer a monthly work supplementation fee of 25% of the participant's gross salary for the month. Employment Services shall not be liable for any costs that exceed the agreed upon amount. 7. Provide the Employer a training allowance bonus on behalf of the participant as follows: a. A training allowance bonus of$300 according to the provisions of Item B. 1. of this Agreement. b. A training allowance bonus of$300 according to the provisions of Item B. 2. of this Agreement, if the participant requires an additional three months of participation in the Work Supplementation Program. 8. Assist the Employer, upon the Employer's request, in resolving any possible disputes with the participant. C. Assurances 1. The Employer agrees that it is an independent contractor and that its officers and employees do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees because of the execution of this Agreement. 2. Weld County, The Board of County Commissioners of Weld County, and its officers and employees shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Employer, or its employees, volunteers, or agents,while performing Employer duties as described in this Agreement. The Employer shall indemnify, defend, and hold harmless Weld County, and its officers and employees for any loss occasioned as a result of the performance of this Agreement by the Employer, its employees,volunteers, and agents. 3. The Employer understands that monitoring and evaluation of the performance of this Agreement shall be conducted by Employment Services and the results provided to the Colorado Works in Weld County and Child Care Policies and Procedures Exhibit C Weld County Private Industry Council and the Board of County Commissioners of Weld County. 4. The Employer assures that it will comply with Title VI of the Civil Rights Act of 1986 and that no person shall, on the grounds of race, creed, color, sex, or national origin,be excluded from participation in,be denied the benefits of, or be otherwise subjected to discrimination under this approved Agreement. D. Performance Performance will be monitored as follows: 1. Retention rates of individuals placed in unsubsidized employment because of participation in the programs is measured by 3 month, 6 months, and 1 year follow-up of participants. 2. Recidivism rates of Colorado Works recipients returning to public assistance from unsubsidized employment with the Employer. D. Modification This Agreement may be modified at any time by a written amendment signed by both parties. E. Termination This Agreement may be terminated at any time by either party giving 48 hour written notice. IN WITNESS THEREOF, the parties hereto have duly executed this Agreement as of the day, month, and year first above wntten. EMPLOYMENT SERVICES OF WELD COUNTY EMPLOYER Authorized Representative Authorized Representative Exhibit E B. Employment Services will reimburse the Sponsor a maximum training allowance of$1,500 for the CWWC participant as described as follows: C. The Sponsor will outline the method by which the Sponsor will provide the training and how the CWWC participant will satisfactorily attain the job specific training. The Sponsor may provide the training directly or through a training provider(s). A training provider must be authorized by Employment Services and may include,but not limited to, a community college, proprietary school,post secondary school,private non profit organization,private for profit organization,public or charter school. Employment Services will provide a list of authorized training providers for the Sponsor. DATE OF AGREEMENT, TERMINATION PROVISION,AND SIGNATURES The effective date of this agreement is The Sponsor or Employment Services may terminate this Agreement by giving written notice anytime. SPONSOR: EMPLOYMENT SERVICES: Sponsor: Employment Services of Weld County Address: P.O. Box 1805; 1551 North 17th Avenue Greeley, Colorado 80632 By: By: Contact Person: Contact Person: Telephone: Telephone: Attachment A: CWWC participant Performance Report Attachment B: Worker's Compensation Coverage Procedures Distribution: Original:Employment Services of Weld County Yellow:CWWC Sponsor Colorado Works in Weld County and Child Care Policies and Procedures Attachment A Effective 9/10/97 COLORADO WORKS IN WELD COUNTY BASIC WORK SKILLS DEVELOPMENT REPORT NAME: WORKSITE: DATE REPORT PERIOD: PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 1. Honesty and Integrity -Chooses an ethical course of action -Follows through on commitments -Shows regard for possessions of others -Demonstrates high trust level -Adheres to truth despite consequences 2. Independent Worker -Independently completes tasks with minimum supervision/assistance -Demonstrates self-starting behavior -Recognizes and responds to situations appropriately -Identifies and solves problems 3. Self Management -Demonstrates readiness to work -Demonstrates initiative -Demonstrates capacity for lifelong, personal growth -Assesses self accurately -Sets personal goals and monitors progress -Exhibits self control 4. Responsible Job Behavior &Positive Work Ethics -Exerts a high level of effort and perseverance toward goal attainment -Works hard to achieve excellence by establishing high standards -Detail oriented -Displays high attendance/ punctuality standards -Willing to approach and complete tasks -Exercises good judgment and takes responsibility for actions -Meets goals within allotted time frame -Distinguishes effectively between competing priorities Colorado Works in Weld County and Child Care Policies and Procedures PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 5. Completes Work -Completes tasks accurately and within given time frame -Works to meet standards set by employer 6. Team Player -Contributes to group effort through cooperation and consensus -Demonstrates value of team members and encourages their input -Promotes team atmosphere -Accepts responsibility conferred by team -Demonstrates an understanding of others through courtesy,adaptability and empathy -Receptive to change 7. Communicates Effectively -Displays ability to receive and relay information clearly and effectively -Utilizes effective verbal and nonverbal cues -Organizes ideas and communicates oral messages appropriate to listeners and situations -Selects appropriate medium for conveying a message -Understands and responds to instruction 8. Effective Listener -Appropriately responds to verbal messages -Follows verbal instruction -Acknowledges verbal messages -Asks for clarification if message is unclear -Conveys information accurately 9. Effective Speaker -Clearly and effectively organizes and presents ideas orally -Participates in discussions and conversations -Articulates effectively Colorado Works in Weld County and Child Care Policies and Procedures Attachment A • Effective 9/10/97 COLORADO WORKS IN WELD COUNTY BASIC WORK SKILLS DEVELOPMENT REPORT NAME: WORKSITE: • DATE REPORT PERIOD: PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 1.Honesty and Integrity -Chooses an ethical course of action -Follows through on commitments -Shows regard for possessions of others -Demonstrates high trust level -Adheres to truth despite consequences 2. Independent Worker -Independently completes tasks with minimum supervision/assistance -Demonstrates self-starting behavior -Recognizes and responds to situations appropriately -Identifies and solves problems 3. Self Management -Demonstrates readiness to work -Demonstrates initiative -Demonstrates capacity for lifelong, personal growth -Assesses self accurately -Sets personal goals and monitors progress -Exhibits self control 4. Responsible Job Behavior &Positive Work Ethics -Exerts a high level of effort and perseverance toward goal attainment -Works hard to achieve excellence by establishing high standards -Detail oriented -Displays high attendance/ punctuality standards -Willing to approach and complete tasks -Exercises good judgment and takes responsibility for actions -Meets goals within allotted time frame -Distinguishes effectively between competing priorities Colorado Works in Weld County and Child Care Policies and Procedures PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 5. Completes Work -Completes tasks accurately and within given time frame -Works to meet standards set by employer 6. Team Player -Contributes to group effort through cooperation and consensus -Demonstrates value of team members and encourages their input -Promotes team atmosphere -Accepts responsibility conferred by team -Demonstrates an understanding of others through courtesy, adaptability and empathy -Receptive to change 7. Communicates Effectively -Displays ability to receive and relay information clearly and effectively -Utilizes effective verbal and nonverbal cues -Organizes ideas and communicates oral messages appropriate to listeners and situations -Selects appropriate medium for conveying a message -Understands and responds to instruction 8. Effective Listener -Appropriately responds to verbal messages -Follows verbal instruction -Acknowledges verbal messages -Asks for clarification if message is unclear -Conveys information accurately 9. Effective Speaker -Clearly and effectively organizes and presents ideas orally -Participates in discussions and conversations -Articulates effectively Colorado Works in Weld County and Child Care Policies and Procedures PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 10. Demonstrates Basic Math Skills -Adds,subtracts,multiplies and divides using whole numbers -Adds and subtracts using negative and positive numbers -Changes a number from one form to another,using whole numbers, fractions, decimals or percentages -Approaches practical problems by choosing appropriate mathematical techniques 11. Demonstrates Basic Reading Skills -Locates,understands,and interprets written information in prose and in documents such as manuals,graphs and charts -Recognizes proper placement of a step in a sequence of events -Recognizes cause-effect relationships -Recognizes the application of complex instructions involving several steps to describe situation -Based on context, identifies correct meanings for words 12. Demonstrates Basic Writing Skills -Clearly organizes and effectively presents ideas in writing -Writes so that others understand 13. Demonstrates Ability to Perform Basic in Various Work Ambiences -Accepts differences and works well with individuals from diverse backgrounds and/or divergent ideas or philosophies COMMENTS TA 'TNEE DATE WORK SITE SUPERVISOR DATE Colorado Works in Weld County and Child Care Policies and Procedures PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 10. Demonstrates Basic Math Skills -Adds,subtracts,multiplies and divides using whole numbers -Adds and subtracts using negative and positive numbers -Changes a number from one form to another,using whole numbers, fractions,decimals or percentages -Approaches practical problems by choosing appropriate mathematical techniques 11. Demonstrates Basic Reading Skills -Locates,understands,and interprets written information in prose and in documents such as manuals,graphs and charts -Recognizes proper placement of a step in a sequence of events -Recognizes cause-effect relationships -Recognizes the application of complex instructions involving several steps to describe situation -Based on context, identifies correct meanings for words 12. Demonstrates Basic Writing Skills -Clearly organizes and effectively presents ideas in writing -Writes so that others understand 13. Demonstrates Ability to Perform Basic in Various Work Ambiences -Accepts differences and works well with individuals from diverse backgrounds and/or divergent ideas or philosophies COMMENTS TP 4INEE DATE WORK SITE SUPERVISOR DATE Attachment B Effective 9/10/97 EMPLOYMENT SERVICES OF WELD COUNTY WORKERS' COMPENSATION The following are the policies and procedures for Workers' Compensation: 1. Trainees in a public or private sector work activity program under the Colorado Works in Weld County Program are covered by the Workers' Compensation Act which is provided under Weld County Government. The coverage under Workers' Compensation provides that a CWCC participant receiving a job related disease or injury will be eligible for disability income and medical care. 2. If an injury occurs during training/work hours,you as the work site supervisor are directed to immediately report and injury on the day that it occurs to Employment Services of Weld County at 353-3800. If the injury is after hours or on a weekend,please notify Employment Services the next available working day. 3. All work site supervisors must know and be able to provide to the trainees the procedures to follow when an injury occurs. 4. All work related injuries occurring during daily working hours are to be treated at the North Colorado Occupational Medicine Clinic located at North Colorado Medical Center, 1801 16th Street (if using the main entrance, the information desk can direct employees to the clinic). This clinic is open from 7:30 a.m. until 4:00 p.m., Monday through Friday. The Clinic staff will determine if immediate attention is necessary of if an appointment can be established in the near future. For hours other than 7:30 a.m. through 4:00 p.m,Monday through Friday, employees are to go the emergency room at the same address. The claim may be denied if the participant goes to a private physician. The only exception will be if the injury is severe enough to require the use of an ambulance in which case the injured party will be taken to the nearest medical facility. Payment will not be made for any chiropractic service. 5. Before the injured trainee is allowed to return to work, a written release is required from the physician stating the trainee can return to work. The trainee's agreement with Employment Services of Weld County will be immediately terminated if it is determined by the Weld County Personnel staff that the trainee has fraudulently claimed an injury or illness under Workers' Compensation. The Weld County Personnel Office will determine if further legal action will be pursued. Trainee Signature Date Employer Signature Date White Copy:File Yellow Copy:Trainee Pink Copy: Employment Site Attachment C Effective 9/10/97 COLORADO WORKS IN WELD COUNTY PRIVATE SECTOR WORK ACTIVITY ASSIGNMENT AGREEMENT WITH CWWC PARTICIPANT Based upon the Individual Responsibility Contract(IRC),Employment Services has determined that your _ participation in the Private Sector Work Activity Program is a step toward your employment goals. The purpose of the Private Sector Work Activity Program is to provide you the opportunity to develop basic work habits, enhance employment skills through the reinforcement of your work place skills, and obtain current work history. Your participation in these activities will help you obtain employment. Employment Services will assign you to a"Sponsor.' A Sponsor is a private sector employer. YOUR RESPONSIBILITIES AND RIGHTS ARE AS FOLLOWS: Employment Services will require that you participate in the Private Sector Work Activity Program as a condition for continued Colorado Works and food stamp eligibility, as applicable. Employment Services will expect you to: A. Observe the work site hours and rules as established by the Sponsor. B. Attend all job interviews arranged by your Employment Services case manager even if scheduled while you are on the work site. C. Talk with your Sponsor's assigned supervisor and Employment Services case manager regarding your progress or work site problems. D. Notify your Employment Services case manager immediately if you believe you have good cause for not participating in or continuing your work activity assignment. WORK ACTIVITY SPONSOR WILL PROVIDE AS FOLLOWS: A. Orientation to the work activity site rules and regulations B. Assign you to a work activity assignment that you could perform. C. Supervise you and provide the necessary equipment or supplies to enable you to do your work assignment. D. Prepare with you a record of your days and hours of attendance. E. Prepare your performance report every two months and upon completion of your work activity. F. Provide the necessary time to attend job interviews that Employment Services arranges. EMPLOYMENT SERVICES OF WELD COUNTY WILL PROVIDE OR ARRANGES AS FOLLOWS: A. Necessary and reasonable transportation expenses for you as identified on the IRC. B. Work related expenses necessary for you to participate in your assignment. C. For the number of hours per week that Employment Services will require you to participate in this work activity. Employment Services will calculate the number of hours by dividing your Colorado Works and Food Stamp grant amounts by the comparable wage of other comparable work assignments by the Sponsor. D. An adjustment to the number of hours Employment Services requires that you participate if your Colorado Works and Food Stamp grant amount changes. COLORADO WORKS IN WELD COUNTY CWWC participant ATTESTATION IS AS FOLLOWS: By signing this form,I attest that Employment Services has explained the above Private Sector Work Activity Program Agreement and a copy of this Assignment Agreement has been provided to me. I understand that this agreement may be up to six months and Employment Services will require that I continue in a work activity as assigned by my Employment Services case manager for continued Colorado Works eligibility. I understand that the maximum number of hours of participation in the private work activity will be no greater than my monthly Colorado Works and Food Stamp Grant divided by the Sponsor's comparable wage. I understand that Worker's Compensation will cover me in case of an accident at the work site and I must follow the prescribed process. This process is provided by my Employment Services case manager. I also understand that I must be Attachment C in an approved work activity for a minimum number of required hours and, if the Private Sector Work Activity Program does not meet this minimum requirement, I will also have to participate in the other Colorado Works programs or components as defined on my IRC. I understand that failure to participate without good cause will affect my Colorado Works and Food Stamp eligibility,as applicable. Witness: CWWC participant Date Employment Services CWWC participant's Social Security Number: WORK ACTIVITY ASSIGNMENT IS AS FOLLOWS: A. Title of Work Activity Assignment: B. Location of Sponsor's Work Site: C. Telephone Number of Sponsor: D. Work Activity Supervisor: E. Beginning Date of Assignment: F. Required Hours of Participation: per week. CWWC PARTICIPANT ACKNOWLEDGMENT TO PERFORM PHYSICALLY THE WORK ASSIGNMENT IS AS FOLLOWS: To the best of my knowledge,I am physically able to perform this assignment. Witness: CWWC participant Date Employment Services Distribution:Original:Employment Services Yellow: CWWC participant Pink: Sponsor WELD WORKS Exhibit E TANF Process Flow Chart Initial contact. (Phone,refeml, Direct to k-b,la-) at Social - Creel p<rsgn - • A Yes ddernane Individual to see No . Determine Direct b purpose of visit Ying 7' specific Program or interest or' for APPIMIF �ro�� program need - sef-ice Yes V ,leet ern," Services Screener - Exemptions Determination or initial eligibility. Kids ally SSI Kids Determination of TANF type $$I Adults? Provide SPA t and omelet in completing. Ae.l n Nnuaehold Number11( Freud detection individual returns SPA II and SS determines eligibility and develops para.-mine neede tire.. child care, child supPon. etc-) IRC stipulating requirement to register Initial determination of eaem Ptien with ES and participate n•ctivaies while application pending Provide SPA 11 end ..-rang. a ppol^tment for SPA II eligibility determination. child care arrangements. child support arrange manta. EPSOT. EST training, etc. (Elicibi.) R° toES b Yes (Rea aid Cane m Recipients) Register Will ES(assessment of education levels, v77' • week skint work history etc. SS menet lay "'Social Services deermines...b.% cart aM seer Complete Job Match and provide job referrals. exemption status and length oyodkn somas of exemption for the ladylike(to Indis casedual meets with se manager. aloe pa'bcnRoe ( 1 lb Etempt Arrangement for Child tale, wide IMO IRC developed outlinkp requirements what Child Support,and Primary yplio6fak—. ... application foraasis ant(s pending eligibilityCare Provide fandaq dgbadetermination.y determination. - . \ ippraal le SS develops IRC regarding Case manager arranges-basic activities applopdsta Yet ` participation requirements / for Individual. (IRC Skit Developnleo0 SS eats eta Fsaeiad Social Yervider TES SaMas blet0NS • 6qb motors through melbasa • ongoing caseload and �- and keeps lock No or emmvtinn uy VW band SS naves 111 time patio br daycare,sad I+ddpa /an/ ether - Referred le Mier reaske WIRC le kid ice supportive services Sleet extred lk lea �ed. . bailWs all aidelg4 refs tlelag\aarottad Ye W era toy indedf eeflel.l\react rater. resolved DEFINITIONS EBT-E ednic Seaell ice t • EPSDT-EatPorto&Smeedag sod Oiaprastic TesSap Information reglKdng pan;dpato% J Social Services completes ES-EDbryeld Santanew supportive service ne.da, ease doomed,sanctions, .mploatowsl klarea n.WC-Misled • airPptlrY Lai may ilia. RC-Wolin!Respotti�Contract on Soda(Services as needed. ate OJT-Oo lbe Job Raiding SPA 1 I 1•Appfafm\IIr Ass Amm • SS-Soml Section . WE•Tamara?Aafdaaee for Wadi Faster Exhibit G Effective 9/10/97 CLIENT BASELINE INFORMATION FOR COLORADO WORKS IN WELD COUNTY A. Characteristics of AFDC Participants On May 1, 1997, the Weld County Department of Social Services reviewed the demographic characteristics(estimates) of its AFDC caseload: Caseload Size May 1, 1997 - 1264 November 1, 1994 - 1810 November 1, 1992 - 1850 Adults Number of cases with Adult Payee - 1052 Female 95% Male 5% Average Household Size 1 Adult and 2 children Average AFDC Grant $303.00 Education Approximately 50% of the total number of AFDC Parents have less than a 12th grade education. Approximately 49% of the total number of AFDC Parents are deficient in reading and math skills at the 9th grade level. Age of Recipients Children(total 2447) Caretakers Age Percent Ages Percent Less than 1 10% or 245 13 through 17 2% 1 through 5 35% or 856 18 through 19 7% 6 through 10 30% or 734 20 through 29 48% 11 through 15 21% or 514 30 through 39 33% 16 through 18 4% or 98 40+ 10% Exhibit G Children Pre-school Age School Age 2631 45%or 1101 55%or 1346 Ethnic AFDC Caseload: Hispanic - 62% White - 37% Other- 1% Weld County Population: Hispanic - 21 % White - 77% Other-2% Pregnant 7%or approximately 87 AFDC Family Location 71 % -- Greeley Area (Greeley, Eaton, Evans, Garden City, La Salle) 20 % -- South Weld (Dacono, Erie, Firestone, Fort Lupton, Frederick, Gilcrest,Hudson, Johnstown, Keenesburg, Lochbuie, Mead,Milliken, Platteville.) 5.5 % -- West Weld (Windsor, Severance) 2.5 % --North Weld (Ault, Grover,Nunn, Pierce, New Raymer) 1 % --Kersey Length of Time on AFDC 13.7 months was the average time that a person had received AFDC. This is determined by calculating the number of months backwards after closure. It does not take into consideration if someone had received benefits previously. Approximately 40 percent of new applicants have received assistance previously. Significant and often identified barriers to employment for AFDC recipients: 1. Transportation 2. Child Care 3. Physical limitations - disabilities 4. Disabled Children 5. Drug and alcohol problems 6. Domestic violence 7. Family size 8. Unwed teenage moms 9. Experience and attitude 10. Skills and aptitude 11. Other health problems Exhibit G B. Child Welfare Baseline Statistics From May 1, 1997 through May 31, 1997,the number of child welfare cases that also had AFDC involvement was 91 out of approximately 980. This breaks down into 25 open ongoing child protection cases, 38 open intake child protection cases, 16 open youth in conflict cases and 12 referrals that did not result in a case being opened. C. Baseline Information for Child Care 1. Characteristics of Participants from demographic reports of April 1997 a. 14.7%of the families on the low income program remain on the program less than 6 months. b. 7%of the families on the low income program remain on the program less than 12 months. c. 24.4% of the families on the low income program continue the program more than 24 months. d. 18.1%of the families receiving child care for JOBS/New Directions remain on the child care program for less than 6 months. e. 4% of the families receiving child care for JOBS/New Directions remain on the child care program for less than 12 months. f. There are no families receiving child care benefits for more than 24 months under the JOBS/New Directions program. g. Transitional child care recipients did not remain on the program for more than 12 months and then approximately 90% of those families moved into the low-income child care program. h. Services were provided to 782 children under the low-income program, 179 children under the JOBS program, 88 children under the transitional child care program, and 86 children under the special circumstances/protective services program. The average number of children served were two-parent families, and the remaining 91%were single- parent applicants. I. For the low-income population, 9% of the families served were two-parent families, and the remaining 91%were single-parent applicants. j. Expenditures were as follows: $185,208.07 for all child care programs combines; $143,764.91 was spent on low-income; $201235.23 on JOBS; $11,403.66 on transitional child care; and $9,804.27 on Special Circumstance child care. k. The demographic break down for facility care is as follows: 1) Low Income Child Care: 62.7%use licensed center care 23.7% use licensed child care homes 13.4% use exempt/unlicensed/relative care 2) JOBS/New Directions Child Care: 61.97%use licensed center care 12.5%use licensed child care homes 25.3%use exempt/unlicensed/relative care Exhibit G 3) Transitional Child Care: 46.8% use licensed center care 28.1% use licensed child care homes 25.0%use exempt/unlicensed/relative care 4) Special Circumstance Child Care: 81.8%use licensed center care 18.25 use licensed child care homes Not applicable for exempt/unlicensed/relative care Exhibit K (Added 3/00) Case Name Household Number Screening for Determining Alcohol and Drug Abuse Alcohol and Drug abuse is one of the major barriers to employment. The questions that follow are - about alcohol and other drugs and will assist Weld County Department of Social Services in helping you and your family become self supporting. Your answers will be kept private. Mark the response that best fits you. Answer the questions in terms of your experiences in the past 6 months. During the past 6 months... 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people, and you have not gotten into any recurring trouble while drinking.) ----yes----no 2. Do friends or relatives think you are a normal drinker? ----yes no 3. Are you currently using any alcohol or drugs? ----yes no 4. Have you used alcohol or other drugs? such as Wine ----yes----no Beer ----yes----no Hard liquor ----yes----no Pot ----yes----no Coke ----yes----no Heroin ----yes----no Other opiates ----yes----no Uppers ----yes----no Downers ----yes----no Inhalants --yes----no Hallucinogens ----yes----no Over counter drugs (Vivarin, diet pills) ----yes----no 5. Have you felt that you use too much alcohol or other drugs? ----yes no 6. Have you tried to cut down or quit drinking or using alcohol or other drugs? ----yes----no 7. Have you gone to anyone for help because of your drinking or drug use? ----yes no (Such as Alcoholics Anonymous,Narcotics Anonymous, Cocaine Anonymous, counselors or a treatment program); if answered yes when where 8. Have you had any health problems?For example have you: Had blackouts or other periods of memory loss? ----yes----no Injured yourself after drinking or using drugs? ----yes----no Had convulsions, delirium tremens (Dts)? ----yes----no Had hepatitis or other liver problems? ----yes----no Felt sick, shaky, or depressed when you stopped? ----yes----no Felt"coke bugs"or crawling feeling under the skin after you stopped using drugs? ----yes----no Been injured after drinking or using? ----yes----no Used needles to shoot drugs? ----yes----no Loss of appetite? ----yes----no 9. Has drinking or other drug use caused problems at school or work? ----yes----no 10. Has your drinking or other drug use caused problems at school or work for more than 2 days in a row? ----yes----no 11. Have you been arrested or had other legal problems? (Such as bouncing bad checks, driving while intoxicated, drivers license suspended, theft, drug possession.)If yes, how many times? ----yes----no 12. Have you lost your temper or gotten into arguments or fights while drinking or using other drugs? ----yes----no 13. Are you needing to drink or use drugs more and more to get the effect you want? ----yes----no 14. Do you spend a lot of time thinking about or trying to get alcohol or other drugs? ----yes----no 15. When drinking or using drugs, are you more likely to do something you wouldn't normally do, such as miss work,be late for work or school, break the law, sell things that are important to you or have unprotected sex with someone? ----yes----no 16. Do you feel bad or guilty about your drinking or drug use? ----yes----no The next questions are about your lifetime experiences. 17. Have you ever had a drinking or drug problem? ----yes----no 18. Has your drinking ever created problems between you and your family members, other relatives, or friends in the past or present? ----yes----no 19. Have you ever used alcohol or other drugs to escape everyday pressures? ----yes----no Thank you for completing this questionnaire. Signature Date EXHIBIT IC Revised 4/00 II T F If a statement tends to be TRUE for you,fill in the square in the column headed T: that is, I 0 I SASS! — 3 If a statement tends to be FALSE for you,fill in the square in the column headed F: that is, 0 I N Not o in this way file this Q ADULT FORM • I Please try to answer all questions. T F TF 1. 0 0 Most people would lie to get what they want. 34. 0 0 Crying does not help anything. 2. 0 0 Most people make some mistakes in their life. 35. 0 0 I think there is something wrong with my memory.' 3. 0 0 I usually"go along"and do what others are doing. 36. 0 0 I have sometimes been tempted to hit people.' 4. 0 0 I have never been in trouble with the police. 37. 0 0 My most important successes are not a direct result of my effort 5. 0 0 I was always well behaved In school? 38. 0 0 I always feel sure of myself. 6. 0 0 My troubles are not all my fault.' 39. 0 0 I have never broken a major law.' 7. 0 0 I have not lived the way I should. 40. 0 0 There have been times when I have done things I couldn't remember later. 8. 0 0 I can be friendly with people who do many wrong things. 41. 0 0 I think carefully about all my actions.' 9. 0 0 I do not like to sit and daydream.' 42. 0 0 I have used alcohol or"pot"too much or too often. 10. 0 0 No one has ever criticized or punished me. 43. 0 0 Nearly everyone enjoys being picked on and made fun of. 11. 0 0 Sometimes I have a hard lime sitting still. 44. 0 0 I know who is to blame for most of my troubles. 12. 0 0 People would be better off if they took my advice. 45. 0 0 I frequently make lists of things to do. 13. 0 0 At times I feel worn out for no special reason.` 46. 0 0 I guess I know some pretty undesirable types? 14. 0 0 I think I would enjoy moving to an area I've never been before. 47. 0 0 Most people will laugh at a joke at times. 15. 0 0 It is better not to talk about personal problems. 48. 0 0 I have rarely been punished.` 16. 0 0 I have had days,weeks or months when I couldn't get much done because I just 49. 0 0 I smoke cigarettes regularly. wasn't up to it. 50. 0 0 At limes I have been so full of energy that I felt I didn't need sleep for days at a time. 17. 0 0 I am very respectful of authority. 51. 0 0 I have sometimes sat about when I should have been working.' 18. 0 0 I like to obey the law.' 52. 0 0 I am often resentful. 19. 0 0 I have been tempted to leave home." 53. 0 0 I take all my responsibilities seriously? 20. 0 0 I often feel that strangers look at me with disapproval. 54. 0 0 I have neglected obligations to family or work because of drinking or using drugs. 21. 0 0 Other people would fall apart if they had to deal with what I handle. 55. 0 0 I have had a drink first thing in the morning to steady my nerves or get rid of a hangover. 22. 0 0 I have avoided people I did not wish to speak to. 56. 0 0 While I was a teenager, I began drinking or using other drugs regularly. 23. 0 0 Some crooks are so clever that I hope they get away with what they have done. 57. 0 0 My father was/is a heavy drinker or drug user. 24. 0 0 My school teachers had some problems with me.` 58. 0 0 When I drink or use drugs I tend to get Into trouble. 25. 0 0 I have never done anything dangerous just for fun. 59. 0 0 My drinking or other drug use causes problems between me and my family. 26. 0 0 I need to have something to do so I don't get bored. 60. 0 0 I do most of my drinking or drug using away from home. 27. 0 0 I have sometimes drunk too much.' 61. 0 0 At least once a week I use some non-prescription antacid and/or diarrhea medicine. 28. 0 0 Much of my life is uninteresting' 62. 0 0 I have never felt sad over anything. 29. 0 0 Sometimes I wish I could control myself better.' 63. 0 0 I am rarely at a loss for words? 30. 0 0 I believe that people sometimes get confused. 64. 0 0 I am usually happy.' 31. 0 0 Sometimes I am no good for anything at all? 65. 0 0 1 am a restless person. 32. 0 0 I break more laws than many people.` 66. 0 0 I like doing things on the spur of the moment. 33. 0 0 If some friends and I were in trouble together, I would rather take the whole 67. 0 0 I am a binge drinker/drug user. blame than tell on them. /� Name Date • Sex Age S•` S •�I 'Ilya Reim St taken 1"m IS Psychelogleal&Wing Wwxmy. IT IS ILLEGALTO REPRODUCE THIS FORM CaPYrkille 1B08 b/fdad L try,,e Ph 0.and� geed "h/ 6Copyright,June 1997 by Glenn Miller Form SASSW 92-1497 I For each Item below, circle the number which reflects ,,ow often you have experienced the situation described during: O your entire life O the past six months O the six months before O the six months since 0 t -)3., S 4 k \2� 9m ALCOHOL (FVA) �` , �m OTHER DRUGS (FVOD) m N N . 0 ') 2 >3ss 1. Had drinks with lunch? 0 ,.1' 2 3 ! 1. Taken drugs to improve your thinking and feeling? 0 :-1` 2 : 2. Taken a drink or drinks to help you express your 0 4- 2 3 T 2. Taken drugs to help you feel better about a problem? feelings or ideas? 0 1" 2 a 3. Taken drugs to become more aware of your senses 0 1 2 3 3. Taken a drink or drinks to relieve a tired feeling tt;; (e.g,sight, hearing, touch, etc.)? or give you energy to keep going? 0 :V' 2 3 4. Taken drugs to improve your enjoyment of sex? 0 '.1 2 °.3x! 4. Had more to drink than you intended to? 0 1', 2 3, 5. Taken drugs to help forget that you feel helpless 0 tl.i 2 '3i 5. Experienced physical problems after drinking s;1; and unworthy? (e.g. nausea, seeing/hearing problems, 0 1,'_ 2 .3>L B. Taken drugs to forget school, work, or family pressures? dizziness, etc.)? 0 `1: 2 3 :. 7. Gotten into trouble with the law because of drugs? 0 .z 1 2 =.3'= 6. Gotten into trouble on the job, in school, or at 0 1, 2 3 8. Gotten really stoned or wiped out on drugs (more than ,a home because of drinking? just high)? 0 "1 2 ' 7. Become depressed after having sobered up? 0 1 2 a [ 9. Tried to talk a doctor into giving you some prescription 0 "^) 2 't 8. Argued with your family or friends because of drug (e.g.tranquilizers, pain killers, diet pills, etc.)? " '" your drinking? 0 ,1 ? 2 3 10. Spent your spare time in drug-related activities (e.g. 0 ""(: 2 3: 9. Had the effects of drinking recur after not - talking about drugs, buying, selling, taking, etc.)? drinking for a while (e.g. flashbacks, 0 "1 2 3 11. Used drugs and alcohol at the same time? hallucinations, etc.)? 0 1 r 2 .3 12. Continued to take a drug or drugs in order to avoid the 0 :1 2 . 10. Had problems in relationships because of your '' pain of withdrawal? drinking (e.g. loss of friends, separation, 0 1 2 3 '' 13. Felt your drug use has kept you from getting what you divorce, etc.)? want out of life? 0 1 2 ,3 11. Become nervous or had the shakes after having 0 ;1 2 3 { 14. Been accepted into a treatment program because of drug use? sobered up? 0 1 2 '4„ 12. Tried to commit suicide while drunk? Marital Status: Monied or equivalent Q Never Married a Divorced ] Widoµed Q Separated Q Employment Status: Full-time Q Rename ] Not employed a Student a Homemaker Q Disabled Q Retired Q Highest Grade Completed Ethnic Origin Weekly Family Take Home Income: Miscellaneous [�1 /` [�I�"�" Q Pieter not to answer Q $301-400 Q $701-800 Number of People in your Family: AD D Q t\J LF-;1.. L\J 1 a $0 Q $401-S00 Q $801-900 BB ED Q Less then$200 Q $501-600 Q Over$900 C Q F Q 0 5200.300 0 $601-700 a Not Sure Colorado Works in Weld County and Child Care Policies and Procedures Attachment A Effective 9/10/97 COLORADO WORKS IN WELD COUNTY BASIC WORK SKILLS DEVELOPMENT REPORT NAME: WORKSITE: DATE REPORT PERIOD: PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT I. Honesty and Integrity -Chooses an ethical course of action • -Follows through on commitments -Shows regard for possessions of others -Demonstrates high trust level -Adheres to truth despite consequences 2. Independent Worker -Independently completes tasks with minimum supervision/assistance -Demonstrates self-starting behavior -Recognizes and responds to situations appropriately -Identifies and solves problems 3. Self Management -Demonstrates readiness to work -Demonstrates initiative -Demonstrates capacity for lifelong, • personal growth -Assesses self accurately -Sets personal goals and monitors progress -Exhibits self control 4. Responsible Job Behavior & Positive Work Ethics -Exerts a high level of effort and 'perseverance toward goal attainment -Works hard to achieve excellence by establishing high standards -Detail oriented -Displays high attendance/ punctuality standards • -Willing to approach and complete tasks -Exercises good judgment and takes responsibility for actions -Meets goals within allotted time frame • -Distinguishes effectively between competing priorities Colorado Works in Weld County and Child Care Policies and Procedures ? PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 5. Completes Work -Completes tasks accurately and within given time frame -Works to meet standards set by employer 6. Team Player -Contributes to group effort through cooperation and consensus -Demonstrates value of team members and encourages their input -Promotes team atmosphere -Accepts responsibility conferred by team -Demonstrates an understanding of others through courtesy, adaptability and empathy -Receptive to change 7. Communicates Effectively -Displays ability to receive and relay information clearly and effectively -Utilizes effective verbal and nonverbal cues -Organizes ideas and communicates oral messages appropriate to listeners and situations -Selects appropriate medium for conveying a message -Understands and responds to instruction 8. Effective Listener -Appropriately responds to verbal messages -Follows verbal instruction -Acknowledges verbal messages -Asks for clarification if message is unclear -Conveys information accurately 9. Effective Speaker -Clearly and effectively organizes and presents ideas orally -Participates in discussions and conversations -Articulates effectively Colorado Works in Weld County and Child Care Policies and Procedures • PERFORMANCE STANDARDS NOT MEETS NEEDS COMMENTS MEASURED STANDARD IMPROVEMENT 10. Demonstrates Basic Math Skills-Adds,subtracts,multiplies and divides using whole numbers -Adds and subtracts using negative and positive numbers --Changes a number from one form to another,using whole numbers, fractions,decimals or percentages -Approaches practical problems by choosing appropriate mathematical techniques I I. Demonstrates Basic Reading Skills -Locates, understands,and interprets written information in prose and in documents such as manuals, graphs and charts -Recognizes proper placement of a step in a sequence of events -Recognizes cause-effect relationships -Recognizes the application of complex instructions involving several steps to describe situation -Based on context, identifies correct meanings for words I2. Demonstrates Basic Writing Skills -Clearly organizes and effectively presents ideas in writing -Writes so that others understand 13. Demonstrates Ability to Perform Basic in Various Work Ambiences -Accepts differences and works well with individuals from • diverse backgrounds and/or divergent ideas or philosophies COMMENTS _..IIdEE DATE WORK SITE SUPERVISOR DATE Colorado Works in Weld County and Child Care Policies and Procedures Attachment B Effective 9/10/97 WORK SUPPLEMENTATION PROGRAM INVOICE NUMBER EMPLOYEE/PARTICIPANT INFORMATION EMPLOYMENT INFORMATION Employee/Participant's Name Employer Name Social Security Number Address Job Title and Starting Wage Phone Number Agreement period Start and End Identification Number I I request reimbursement for wages paid for the period of / / To / / 2 Gross Wage Information: $ x 50%=$ 3 Reimbursement requested: a Training Bonus Request: 5 CERTIFICATION BY EMPLOYER AND WSP REPRESENTATIVE I request reimbursement in the amount indicated. The Based upon my knowledge of the facts, the employer-. information given on this form is correct. I understand statements on this form arc correct. Reimbursement to that receipt of the requested funds for other than the the employer in the amount indicatead is recommended purposes indicated constitutes fraud punishable under the Penal Code of the United States. Signature of Employer Date Signature of WSP Representative Date IF FINAL INVOICE, PELASE ENTER APPROPRIATE TERMINATION REASON CODE TERMINATION REASON CODE: 01 Completed Program Voluntary by Employee Involuntary Termination 02 Illness or Injury 06 Transportation Problems 10 Layoff(economic reasons) 03 No Reason Given 07 Type of Work II Excessive Absences 04 Other Employment 08 Excessive Overtime 12 Disruptive Behavior 05 Child Care Problems 09 Other 13 Substandard Skill Level • 14 Other Distribution: Original-Employment Services of Weld County Copy-Case Manager Colorado Works in Weld County and Child Care Policies and Procedures Attachment C Effective 9/10/97 WORK SUPPLEMENTATION PARTICIPATION AGREEMENT PART I Name Case Name(Complete if different from above) Address (Street Address) (City) State (Zip Code) Phone Number SSN PROGRAM DESCRIPTION The Work Supplementation Program (WSP)is designed to help people receiving a TANF grant to become self-supporting through employment. WSP does not guarantee employment,but WSP is an additional opportunity to gain valuable work skills as well as additional referrals to jobs. The Employer interviewed and hired in accordance with their company's personnel practices. Your TANF Monthly grant amount will be adjusted or discontinued in accordance with TANF eligibility earned income requirements. Based upon wages received from employment,your TANF monthly grant amount will be adjusted or discontinued in accordance with TANF eligibility requirements. Medicaid eligibility will be determined in accordance with current regulations. All work supplementation program employees/participants are considered TANF recipients for the purpose of child support collections and disbursements. RIGI-TS AND RESPONSIBILITIES As a WSP employee/participant my salary will not be less than the Federal minimum wage,and I will receive the same benefits(ie.,sick leave, vacations, health insurance,etc.) as other employees of my employer which have the same status(ic., permanent. temporary.etc.) as I. I will be expected to perform work at my job as other employees of my employer at the same level. I must notify my case manager of any change in employment status,address,or telephone number as soon as I know of such change. If I have a complaint, I will follow my employer's complaint procedures. I also understand that my Case Manager at Employment Services will provide me with additional information for complaints dealing with discrimination. I have read the program description and the rights and responsibilities. I have also read,signed.and understand my responsibilities as outlined in my Individual Responsibility Contract(IRC). WSP Employee/Participant Date I have witnessed the WSP employee's/participant's signature and have given him/her a copy of this form. I have verified that the above named individual is a recipient of TANF. The TANF grant amount for mo. yr. was S Case Manager Date PART II I have accepted Employment at to begin Date Starting SalaryS per Agreement Duration through mo/day/yr mo/day/yr WSP Employee/Participant Date Colorado Works in Weld County and Child Care Policies and Procedures Exhibit 1) Effective 9/10/97 COLORADO WORKS IN WELD COUNTY PUBLIC SECTOR WORK ACTIVITY AGREEMENT WITH A SPONSOR This Agreement,made and entered into the date written below,by and between the Employment Services of Weld County, hereinafter referred to as "Employment Services"and a public sector employer, hereinafter referred to as the "Sponsor." PURPOSE OF THE AGREEMENT A. It is the purpose of this Agreement to outline a cooperative and non-financial Agreement between Employment Services and the Sponsor in the assignment of Colorado Works in Weld County(CWWC)participant to specific CWWC activities at the Sponsor's work site. B. The Sponsor will provide specific activities for the CWWC participant that lead to the development of basic work habits, enhancement of employment skills through reinforcement of work place skills, and the obtainment of a current work history for the participant. C. As an option, the Sponsor will provide specific training activities that will enhance the participant's job specific skills. COOPERATIVE AND NONFINANCIAL AGREEMENT A. EMPLOYMENT SERVICES AGREES AS FOLLOWS: 1. To refer participants who they believe can perform work activities within the Sponsor's work assignment. 2. To provide a participant for six (6)months or less. 3. To assure that necessary and reasonable transportation and related work expenses are provided to the participant. 4. To provide timely notification to the participant and the Sponsor of the required number of hours of weekly participation. 5. To furnish attendance and performance evaluation report forms which the Sponsor and participant will jointly complete. 6. To maintain communication with the Sponsor concerning participant progress. 7. To assure that Worker's Compensation coverage for the participant is provided by Weld County Government. B. THE SPONSOR AGREES AS FOLLOWS: 1. To provide work activities that will enable the participant to learn vocational skills and gain work experience and, at the option of the Sponsor,job specific training activities. 2. Not to displace regular full-time or part-time employees to fill vacancies with the CWWC participants. 3. To not create assignments in situations resulting from a labor dispute, nor which, in any way interfere with union rules. 4. To furnish equipment and materials reasonably necessary to ensure the accomplishment of the project task. 5. To accept only the number of CWWC participants whom the Sponsor can effectively supervise and use productively. 6. To assure competent supervision, including adequate training when the work assignment requires the use of equipment and/or procedures unfamiliar to the participant. Colorado Works in Weld County and Child Care Policies and Procedures Exhibit D 7. To prepare with each CWWC participant monthly attendance sheets certifying the days and number of actual hours spent at the work site. Those reports will be forwarded to Employment Services no later than(3) days after the report period has ended. 8. To grant to the participant the necessary time to report for employment interviews authorized by Employment Services. 9. To provide work assignments in which the participant shall not to exceed eight hours per day. 10. To treat all CWWC participants in the same manner and under the same rules as employees of the Sponsor concerning such issues as hours of work, safety, and job performance. 11. To inform each CWWC participant of the rules at the time of initial placement. 12. To contact Employment Services immediately in the event the CWWC participant fails to participate under the terms of the Assignment Agreement. 13. To complete a performance report that focuses on work place skills with each CWWC participant per arrangement with Employment Services. Such reports shall be prepared at a minimum of every two months and at the end of the participant's assignment at the work site. The form for the performance report is set forth in Attachment A. 14. To assure that the participant will not be subject to racial, ethnic, sexual, or religious discrimination. 15. To release immediately and return to Employment Services a participant whose conduct becomes excessively disruptive, or who consistently violates the rules and regulations. The Sponsor will provide Employment Services an explanation of the participant's release. 16. To respect the participant's rights to confidentially on being a CWWC participant. 17. To follow the procedures as provided by Employment Services for any worker's compensation coverage. The worker's compensation coverage procedure is Attachment B. PARTICIPANT AND WORK ASSIGNMENT INFORMATION A. Number of participants that the Sponsor can properly use: B. If a CWWC participant demonstrates ability and desire, is there a possibility of employment with the Sponsor? C. Work Activity Title: Work Activity Skill Development Description: D. Work Activity Title: Work Activity Skill Development Description: JOB SPECIFIC TRAINING COMPONENT (OPTIONAL) A. Job Specific Training Title: B. Employment Services will reimburse the Sponsor a maximum training allowance of$1500 for the participant as described as follows: C. The Sponsor will outline the method by which the Sponsor will provide the training and how the Colorado Works in Weld County and Child Care Policies and Procedures Exhibit D participant will satisfactorily attain the job specific training. The Sponsor may provide the training directly or through a training provider(s). A training provider must be authonzed byEmploymentt Services and may include, but not limited to, a community college,proprietary school,post secondary school,private non profit organization, private for profit organization,public or charter school. Employment Services will provide a list of authorized training providers for the Sponsor. DATE OF AGREEMENT,TERMINATION PROVISION, AND SIGNATURES The effective date of this agreement is The Sponsor or Employment Services may terminate this Agreement by giving written notice anytime. SPONSOR: EMPLOYMENT SERVICES: Sponsor: Employment Services of Weld County Address: P.O. Box 1805; 1551 North 17th Avenue Greeley, Colorado 80632 By: By: Contact Person: Contact Person: Telephone: Telephone: Attachment A: Participant Performance Report (Basic Work Skills Development Report) Attachment B: Worker's Compensation Coverage Procedures Distribution: Original: Employment Services of Weld County Yellow: CWWC Sponsor Colorado Works in Weld County and Child Care Policies and Procedures Attachment C Effective 9/10/97 COLORADO WORKS IN WELD COUNTY PUBLIC SECTOR WORK ACTIVITY AGREEMENT WITH PARTICIPANT Based upon the Individual Responsibility Contract (IRC), Employment Services has determined that your participation in the Public Sector Work Activity Program is a step toward your employment goals. The purpose of the Public Sector Work Activity Program is to provide you the opportunity to develop basic work habits, enhance employment skills through the reinforcement of your work place skills, and obtain current work history. Your Participation in these activities will help you obtain employment. Employment Services will assign you to a"Sponsor." A Sponsor is a public sector employer. YOUR RESPONSIBILITIES AND RIGHTS ARE AS FOLLOWS: Employment Services will require that you participate in the Public Sector Work Activity Program as condition for continued Colorado Works and food stamp eligibility, as applicable. Employment Services will expect you to: A. Observe the work site hours and rules as established by the Sponsor. B. Attend all job interviews arranged by your Employment Services case manager even if scheduled while you are on the work site. C. Talk with your Sponsor's assigned supervisor and Employment Services case manager regarding your progress or work site problems. D. Notify your Employment Services case manager immediately if you believe you have good cause for not participating in or continuing your work activity assignment. WORK ACTIVITY SPONSOR WILL PROVIDE AS FOLLOWS: A. Orientation to the work activity site rules and regulations. B. Assign you to a work activity assignment that you could perform. C. Supervise you and provide the necessary equipment or supplies to enable you to do your work assignment. D. Prepare with you a record of your days and hours of attendance. E. Prepare your performance report every two months and upon completion of your work activity. F. Provide the necessary time to attend job interviews that Employment Services arranges. EMPLOYMENT SERVICES OF WELD COUNTY WILL PROVIDE AS FOLLOWS: A. Necessary and reasonable transportation expenses for you as identified on the IRC. B. Work related expenses necessary for you to participate in your assignment. C. The number of hours per week that Employment Services will require you to participate in this work activity. Employment Services will calculate the number of hours by dividing your Colorado Works and Food Stamp grant amounts by the comparable wage of other comparable work assignments by the Sponsor. D. An adjustment to the number of hours Employment Services requires that you participate if your Colorado Works and Food Stamp grant amount changes. E. An opportunity for you to volunteer to add to your weekly hours at the work activity. Attachment C COLORADO WORKS IN WELD COUNTY PARTICIPANT ATTESTATION IS AS FOLLOWS: By signing this form,I attest that Employment Services has explained the above Public Sector Work Activity Program Agreement and a copy of this Assignment Agreement has been provided to me. I understand that this agreement may be up to six months and Employment Services will require that I continue in a work activity as assigned by my Employment Services case manager for continued Colorado Works eligibility. I understand that the maximum number of hours of participation in the public work activity will be no greater than my monthly Colorado Works and Food Stamp Grant divided by the Sponsor's comparable wage. I understand that I may volunteer to participate in the work activity for additional hours during the week;however, I am not required to participate in more hours. I understand that Worker's Compensation will cover me in case of an accident at the work site and I must follow the prescribed process. This process is provided by my Employment Services case manager. I also understand that I must be in an approved work activity for a minimum number of required hours and, if the Public Sector Work Activity Program does not meet this minimum requirement, I will also have to participate in the other Colorado Works programs or components as defined on my IRC. I understand that failure to participate without good cause will affect my Colorado Works and Food Stamp eligibility, as applicable. Witness: CWWC Participant Date Employment Services Participant's Social Security Number: WORK ACTIVITY ASSIGNMENT IS AS FOLLOWS: A. Title of Work Activity Assignment: B. Location of Sponsor's Work Site: C. Telephone Number of Sponsor: D. Work Activity Supervisor: E. Beginning Date of Assignment: F. Required Hours of Participation: per week. G. Volunteer Hours of Participation: per week. Attachment C PARTICIPANT ACKNOWLEDGMENT TO PERFORM PHYSICALLY THE WORK ASSIGNMENT IS AS FOLLOWS: To the best of my knowledge, I am physically able to perform this assignment. Witness: CWWC Participant Date Employment Services Distribution:Original: Employment Services Yellow: Colorado Works Participant Pink: Sponsor Exhibit E Effective 9/10/97 COLORADO WORKS IN WELD COUNTY PRIVATE SECTOR WORK ACTIVITY AGREEMENT WITH A SPONSOR This Agreement,made and entered into the date written below,by and between the Employment - Services of Weld County, hereinafter referred to as "Employment Services"and a private sector employer, hereinafter referred to as the "Sponsor." PURPOSE OF THE AGREEMENT A. It is the purpose of this Agreement to outline a cooperative and non-financial Agreement between Employment Services and the Sponsor in the assignment of Colorado Works in Weld County(CWWC) participants to specific activities at the Sponsor's work site. B. The Sponsor will provide specific activities for the CWWC participant that leads to the development of basic work habits, enhancement of employment skills through reinforcement of work place skills, and the obtainment of a current work history for the CWWC participant. C. As an option, the Sponsor will provide specific training activities that will enhance the CWWC participant's job specific skills. COOPERATIVE AND NONFINANCIAL AGREEMENT A. EMPLOYMENT SERVICES AGREES AS FOLLOWS: 1. To refer CWWC participants who they believe can perform work activities within the Sponsor's work assignment. 2. To provide a CWWC participant for six (6)months or less. 3. To assure that necessary and reasonable transportation and related work expenses are provided to the CWWC participant. 4. To provide timely notification to the CWWC participant and the Sponsor of the required number of hours of weekly participation. 5. To furnish attendance and performance evaluation report forms which the Sponsor and CWWC participant will jointly complete. 6. To maintain communication with the Sponsor concerning CWWC participant progress. 7. To assure that Worker's Compensation coverage for the CWWC participant is provided by Weld County Government. B. THE SPONSOR AGREES AS FOLLOWS: 1. To provide work activities that will enable the CWWC participant to learn vocational skills and gain work experience and, at the option of the Sponsor,job specific training activities. 2. To not displace regular full-time or part-time employees to fill vacancies with the CWWC participants. 3. To not create assignments in situations resulting from a labor dispute, nor which, in any way interfere with union rules. 4. To furnish equipment and materials reasonably necessary to ensure the accomplishment of the project task. 5. To accept only the number of CWWC participants whom the Sponsor can effectively supervise and utilize productively. Exhibit E 6. To assure competent supervision, including adequate training when the work assignment requires the use of equipment and/or procedures unfamiliar to the CWWC participant. 7. To prepare with each CWWC participant monthly attendance sheets certifying the days and number of actual hours spent at the worksite. Those reports will be forwarded to Employment Services no later than(3) days after the report period has ended. 8. To grant to the CWWC participant the necessary time to report for employment interviews authorized by Employment Services. 9. To provide work assignments in which the CWWC participant shall not exceed eight hours per day. 10. To treat all CWWC participants in the same manner and under the same rules as employees of the Sponsor concerning such issues as hours of work, safety, and job performance. 11. To inform each CWWC participant of the rules at the time of initial placement. 12. To contact Employment Services immediately in the event the CWWC participant fails to participate under the terms of the Assignment Agreement. 13. To complete a performance report that focuses on work place skills with each CWWC participant per arrangement with Employment Services. Such reports shall be prepared at a minimum of every two months and at the end of the CWWC participant's assignment at the worksite. The form for the performance report is set forth in Attachment A. 14. To assure that the CWWC participant will not be subject to racial, ethnic, sexual, or religious discrimination. 15. To release immediately and return to Employment Services a CWWC participant whose conduct becomes excessively disruptive, or who consistently violates the rules and regulations. The Sponsor will provide Employment Services an explanation of the CWWC participant's release. 16. To respect the CWWC participant's rights to confidentially on being a CWWC participant. 17. To follow the procedures as provided by Employment Services for any worker's compensation coverage. The worker's compensation coverage procedure is Attachment B. CWWC PARTICIPANT AND WORK ASSIGNMENT INFORMATION A. Number of CWWC participants that the Sponsor can properly utilize: B. If a CWWC participant demonstrates ability and desire, is there a possibility of employment with the Sponsor? C. Work Activity Title: Work Activity Skill Development Description: D. Work Activity Title: Work Activity Skill Development Description: JOB SPECIFIC TRAINING COMPONENT (OPTIONAL) A. Job Specific Training Title: 110 °Dallill44 DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO80632 1WEBSITE:www.co.weld.co.us on and Public Assistance(970)352-1551. C. Child Support(970)352-6933 VI COLORADO MEMORANDUM TO: M.J. Geile, Chair Date: March 14, 2001 Board of County Commissioners / J FR: Judy A. Griego, Director, Social Service�� a+It RE: Colorado Works Program Memorandum of Understanding and the Colorado Works Program Plan for Calendar Year 2001 Enclosed for Board approval are the Colorado Works Program Memorandum of Understanding and the Colorado Works Program Plan for Calendar Year 2001 (January 1, 2001 through December 31, 2001). 1. Colorado Works Program Memorandum of Understanding (MOU). The MOU outlines the duties of each party, meets the performance contract requirement provision required in statute, and outlines the sanction, remediation and dispute resolution processes. The MOU is similar to last year's MOU except for one provision. Weld County requested this provision. Weld County agrees to achieve Federal work participation rates minus the appropriate caseload reduction factor for all families and two parent families. 2. Colorado Works Program Plan, 2001. To meet the State Department's requirement for a Colorado Works Program Plan, the Department requests Board approval to submit and reference Section 6.000, Colorado Works in Weld County and Child Care Policies and Procedures, Weld County Department of Social Services Operations Manual. The Board approves these policies and procedures. If you have any questions, please telephone me at extension 6510. 2001-0734 Hello