HomeMy WebLinkAbout20011406.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR OPTION B,
HOME BASED INTENSIVE AND AUTHORIZE CHAIR TO SIGN - LUTHERAN FAMILY
SERVICES
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Notification of Financial Assistance
Award for Option B, Homes Based Intensive between the County of Weld, State of Colorado,
by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Social Services, and Lutheran Family Services, commencing June 1, 2001, and
ending May 31, 2002, with further terms and conditions being as stated in said award, and
WHEREAS, after review, the Board deems it advisable to approve said award, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, ex-officio Board of Social Services, that the Notification of Financial
Assistance Award for Option B, Home Based Intensive between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Social Services, and Lutheran Family Services, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 30th day of May, A.D., 2001.
BOARD OF COUNTY COMMISSIONERS
WELD CO COLORADO
ATTEST: , „# 1 La 2 2
77 /&
77 sit Zilephair
Weld County Clerk to th] P1f3: ' to ai
iPt Glenn Va , o- em
BY:
Deputy Clerk to the Boat f! ' <7
Willi Jerk
2P-14 ED A ORM: e.11-V (C" /Dav d Long
ounty ttorrley on
Robert D. Masden
2001-1406
P (2 S SS0028
11 111 . 4
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
WEBSITE:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
O Child Support(970)352-6933
COLORADO
MEMORANDUM
TO: M. J. Geile, Chair Date: May 23, 2001
Board of County Commissioners
FR: Judy Griego, Director I Q
Weld County Departme t of 4ial S is s
RE: PY 2001-2002 Notification of Financial Assistance Awards (NOFAA) under Core
Services Funds-Lutheran Family Services
Enclosed for Board approval are the PY 2001-2002 Notifications of Financial Assistance
Awards (NOFAA) for Families, Youth, and Children Commission (FYC) Core Services
Funds, which are for the period of June 1, 2001,through May 31, 2002.
The Families, Youth and Children Commission (FYC) reviewed proposals under a
Request for Proposal process and are recommending approval of these bids.
Lutheran Family Services
A. Option B, Home Based Services.A maximum number of 40 families with children
0-18 years, a maximum of ten families at any given time. Rate is$107/hour.
B. Intensive Family Therapy: Family Group Decision Making: One or two clinicians
will participate in the Family Group Decision Making depending on the needs of
the family. Bicultural-bilingual services are available for a limited number of
conferences. Direct service capacity is estimated at 100 hours per week. Staff
availability is dependent on the combination of all cases in the Foster Care
Services program. Rate per Family Group Conference is$1,800.
MEMORANDUM TO M. J. GEILE,CHAIR
WELD COUNTY BOARD OF COMMISSIONERS
RE: CORE SERVICE NOFAA PY 2001-2002-Lutheran Family Services
C. Foster Parent Consultation. Foster Parent Support groups, birth child support
groups and training groups (parent and/or child). Program capacity is 40
families per year, or 160 clients, average length of service is 12 weeks. Direct
service capacity is 100 hours per week There is no maximum capacity per month.
Hourly rate is$107.00.
If you have any questions, please telephone me at extension 6510.
of
Page 2 of 2
Weld County Department of Social Services
Notification of Financial Assistance Award
for Families,Youth and Children Commission (Core) Funds
Type of Action Contract Award No
X Initial Award 01-CORE-0001
Revision (RFP-FYC-01010)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2001 and Lutheran Family Services
Ending 05/31/2002 Option B, Home Based Intensive
3800 Automation Way, Suite 200
Fort Collins,CO 80525
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Designed to promote the safety and well being Award is based upon your Request for Proposal (RFP).
of children and their family members. Services The RFP specifies the scope of services and conditions
will build on primary family connections and of award. Except where it is in conflict with this
help parents improve parenting abilities, identify NOFAA in which case the NOFAA governs, the RFP
parental strengths and support their efforts to upon which this award is based is an integral part of the
care for their children. The program will action.
expedite the return of children to their family Special conditions
and assist in creating a stable and nurturing 1) Reimbursement for the Unit of Services will be based
family environment. The program serves on an hourly rate per child or per family.
families where children are ages 0-18. The 2) The hourly rate will be paid for only direct face to face
number served is dependent on the number of contact with the child and/or family, as evidenced by
direct contact hours per family. A clinician client-signed verification form, and as specified in the
who serves a family 2 hours per week has the unit of cost computation.
ability to serve 10 families at any given time, if 3) Unit of service costs cannot exceed the hourly and
each family is served an estimated 3 months, yearly cost per child and/or family.
LFS would serve 40 families each year. Group 4) Payment will only be remitted on cases open with,and
Services: A minimum of two families and a referrals made by the Weld County Department of
maximum of 10 participants per group that is Social Services.
presented in 6 weekly 2 hour sessions. Requests for payment must be an original submitted to the Weld
Cost Per Unit of Service County Department of Social Services by the end of the 25th
Hourly Rate Per $ 107.00 calendar day following the end of the month of service. The
Group rate per family per direct contact hour$ 51.50 provider must submit requests for payment on forms approved
Unit of Service Based on Approved Plan by Weld County Department of Social Services.
Enclosures:
X Signed RFP:Exhibit A
_X_Supplemental Narrative to RFP: Exhibit B
Recommendation(s)
Conditions of Approval
App • Program Official:
By By
. . eile,Chair Judy .Grie ,Direc r
Board of Weld County Commissioners Weld unn)y Department of Social Services
Date: O5/.3O/aOO� - Date: 7/13/01
/ 2001-1406
Signed RFP: Exhibit A
Lutheran Family Services
RFP: 01010-Option B-Home Based Services
Ma,4-09--01 02 : 56x' "vut eran ' am y
INVITATION TO BID
DA-CE:April 18, 2001 BID NO: RFP-FYC-01010
RETURN BID TO: Pat Persichrno, Director of General Services
915 10th Street, P.O. Box 758, Greeley,CO 80632
SUMMARY
Request for Proposal (RFP-FYC-01010) for:family Preservation Program--Home Base Intensivegamily
Intervention Program Family Isje's Cash Fund of
F Preservation Program Funds
Deadline: May 11, 2001,Friday, 10:00 a.m.
The Families, Youth and Children Commission, an advisory commission to the Weld County Department of
Social Services, announces that competing applications will be accepted for approved vendors pursuant to the
Board of Weld County Commissioners' authority under the Statewide Family Preservation Program(C.R.S.
26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home
Placement(C.R.S. 20-5.3-101). The Families, Youth and Children Commission wishes to approve services
targeted to run from June 1, 2001, through May 31, 2002,at specific rates for different types of service. The
County will authorize approved vendors and rates for services only. The Home Based Intensive Family
intervention Program is a family strength focused home-based services to families in crisis which are time
limited,phased in intensity, and produce positive change which protects children,prevents or ends placement,
and preserves families. This program announcement consists of five parts, as follows:
PART A...Administrative Information PART D...Bidder Response Format
PART B...Background, Overview and Goals PART E...Bid Evaluation Process
PART C...Statement of Work
•
Delivery Date —_ _- ,- ,/)MLtiati .761- 71a5.
(After receipt of order) BID MUST BE SIGNED IN INK
Sharon K. Thomas, LCSW
TYPED OR PRINTED SIGNATURE 7
VENDOR James U. Barclay
(Name) • dwritten Signature A orized
Officer or Agent of Vender
ADDRESS 363 S. Harlan #200 TITLE President/CEO
Denver, CO 80226 DAB
PHONE# (303)922-3433
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-01010 Attached A
HOME BASED INTENSIVE FAMILY INTERVENTION PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2001-2002 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2001-2002
BID #RFP-FYC-01010
NAME OF AGENCY: Lutheran Family Services of Colorado
ADDRESS: 3800 Automation Way, #200, Fort Collins, CO 80525
PHONE: ( 970) 266-1788
CONTACT PERSON: Sharon K. Thomas TITLE: Program Director
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Home Based Intensive Family
Intervention Program is a family strength focused home-based services to families in crisis which are time limited,phased
intensity, and produce positive change which protects children. prevents or ends_placement.and preserves families
12-Month approximate Project Dates: _ 12-month contract with actual time lines of:
Start June 1. 2001 Start
End May 31.2002 End
TITLE OF PROJECT: Home Based Option B
4
Name and e of Person f'reparin ocument Date
J //
an Signature of Admini ative Officer Applicant Agency at
MANDATORY PROPOSAL REQUIREMENTS
For both new bids and renewal bids,please initial to indicate that the following required sections are included in this
Proposal for Bid. For renewal bids,please indicate which of the required sections have not changed from Program Fund
Year 2000-2001 to Program Fund year 2001-2002.
Indicate No Change from FY 2000-2001 to 2001-2002
Project Description X
Target/Eligibility Populations X
Types of services Provided X
Measurable Outcomes X
Service Objectives X
Workload Standards X
Staff Qualifications X
X Unit of Service Rate Computation
Program Capacity per Month X
X Certificate of Insurance
Page 26 of 32
May 9, 2001
Core Services Proposal
Home Based Intensive Family Intervention
Lutheran Family Services of Colorado
Home Based Option B
I. PROJECT DESCRIPTION
Lutheran Family Services of Colorado (LFS) is a community-based agency with an experienced
staff that offers a wide range of services to children, families and adults. It is a non-profit
agency, which has provided human services to Colorado since 1948. Although the agency was
established as an affiliate of the Lutheran Church, it is an equal opportunity agency that provides
services to all individuals without consideration of religious beliefs, race, ethnicity, sex or
economic status.
Lutheran Family Services' Home Based Option B is a component of the LFS Foster Care
Program. LFS's Foster Care Program has been providing foster care placement services to this
region since 1993 and specializes in establishing permanency for children experiencing
significant emotional and behavioral impairments. The Option B program is designed to promote
the safety and well being of children and their family members. Services will build upon primary
family connections and help parents improve their parenting abilities, identify parental strengths
and support their efforts to provide care for their children. The program will expedite the return
of children to their family and assist in creating a stable and nurturing family environment in
which children can grow and develop. When children are returning to their permanent home
from out of home care they will be assisted in their reintegration in the family system and the
family will be stabilized as quickly as possible. The program goal is to improve both individual
and family functioning. Crisis intervention services will be provided throughout the duration of
the families' involvement with the Option B program.
The Option B program will utilize the Family Risk Scales to assess the families out of home
placement risk areas; this will enable the program to individualize services for each family's
specific needs. Additionally, we will be using the Achenbach Child Behavior Checklists. when
appropriate, to assess problematic behaviors, if any, presented by the children in the family. We
have the ability to administer the SASSI (substance abuse screening) when warranted.
II. TARGET/ELIGIBILITY POPULATIONS:
Families considered appropriate for these services are those in which family members are facing
problems that have affected their well-being, safety, psychosocial growth and development, and
family stability. Families mandated or referred by the courts will be considered for the Option B
program contingent upon their willingness to participate in and ability to profit by participation in
such services. Primary caregivers must demonstrate a desire to maintain family relationships
and must possess the mental stability to utilize home-based services. Eligible families will be
screened by the referring DSS worker to insure that they meet the eligibility criteria for Program
Areas 4, 5 or 6 target groups. Children will be at imminent risk of out of home placement or
have been removed from the home and imminent return is expected. Clients will not be eligible
if they can be successfully treated with less intensive service programs and those services have
not yet been tried. Families appropriate for this program should be able to benefit from services
that are primarily therapeutic in nature (vs. concrete and collateral). The provision of services
will have a reasonable possibility of diminishing or ameliorating the problematic behaviors/issues
in the home. There must be a manageable level of risk of harm to the child or other family
members.
Lutheran Family Services Home Based Option B
Caseloads are determined and cases assigned on a direct/indirect formula. The current ratio is
50% direct client time to 50% indirect time. Therefore answering this question is dependent on
the number of direct contact hours needed for each family. If we assume that a full time
Clinician has an average of 2 hours of direct contact per week per family, then the following
numbers would apply. A full time LFS Clinician has the ability to serve 10 families at any given
time. If each family is served for an estimated 3 months, we would be able to serve 40 families
each year. (10 families x 4 quarters= 40). If family specific time extensions are needed and
granted, the overall number of families served would be reduced. If we assume that half the
families are two parent families and each family has 2.5 children, we would serve 160 clients.
(20 families x 2.5 children and 1 adult= 70 plus 20 families x 2.5 children and 2 adults= 90 for a
total of 160). These numbers are representative of the caseload of one Clinician. We currently
have five full time Clinicians. All of our Clinicians are cross-trained so that they can carry foster
care, intensive family therapy or foster family consultation cases. We have expanded, and
continue to be willing to expand, our capacity if the county referrals demonstrate a sustained
need for that expansion. During this past fiscal year we have not turned down referrals or placed
families on a waiting list.
The Option B program can serve children and their families where children are ages 0-18. We
currently contract with a bilingual/bicultural therapist and can provide limited bi-lingual services.
We currently service families in South Weld County. We are not planning on limiting services
due to proximity. All clients will have access to 24-hour crisis intervention services. The
expected maximum length of services is 6 months (a maximum total of 60 hours). The Option B
program is specifically designed to be short term and time limited in nature, with a length of
service of three months or less in order to focus on the priority issues which have placed the
family at risk of dissolution. DSS may purchase services for another 1-3 month period of time or
more if the need for services can be clinically justified.
III. TYPES OF SERVICES TO BE PROVIDED
Intake Assessment
The Option B program staff will be responsible for screening referrals to the program. There will
be an acknowledgment of the referral within 24 hours (one working day) with a tentative
judgment as to the appropriateness of the family for services. If the initial information from the
referring worker is adequate to make the assessment that the family is appropriate for services,
then the family will be contacted within a maximum of 48 hours to identify any immediate needs
and to set up an appointment for the Clinician to meet with the family team (which will include
the family, the Option B Clinician, significant others in the family's life, the DSS caseworker,
etc.). The intent of this initial meeting will be to tentatively evaluate risk factors (Family Risk
Scales), to inform the family of the intervention strategies which the program will implement and
to gain beginning agreement to proceed with the services offered.
Home Based Therapy
The clinical philosophy that drives our practice is that we will provide services in the families
environment whenever possible and appropriate. We believe that this treatment approach
reduces the stress on the family by reducing the need for the family to adjust to our environment.
We believe that we can provide more appropriate treatment in the family's 'natural environment',
their home, their church, their school, etc. The second primary philosophy that directs our
practice is to build on the strengths of the family and utilize a strength-based model of treatment
and intervention.
A Program Clinician will provide in-home therapy. The Program Clinician will provide an
average of 2 hours of direct service to the family per week. Weekly family therapy sessions will
be designed to provide comprehensive, diagnostic and treatment planning with the family and
other service providers. Therapeutic interventions will be flexible enough to bring in other
Weld County 2
OPTION B
RFP-FYC 01010
Lutheran Family Services Home Based Option B
service providers, if needed. The preponderance of services provided in this program will fall
into this category. Therapy will be designed to resolve conflicts and disagreements within the
family and to enhance parenting skills and overall family functioning.
Concrete Services
Concentrated effort will be made to assist the family in the development and enhancement of
parenting skills, stress reduction, problem solving, budget management, recreational activities,
etc. Parenting classes will be offered to the families involved in our CORE services programs.
Collateral Services
The Program Clinician will assist the family and their support network in accessing and utilizing
community resources to deal with particular risk areas identified (ex: access to health care,
housing, employment). The family's effective use of community resources is an imperative goal
within this program as accessing resources is generally a core issue for families who have
achieved a level of stress intensive enough to warrant a referral for family preservation services.
Crisis Intervention Services
The Option B program staff will be available to open CORE Services cases on a 24-hour basis.
All clinical staff carry pagers and can respond to a crisis (via telephone) within 1 hour.
The Clinician and their supervisor will review cases at least on a monthly basis. A regular
monthly meeting will be scheduled with the county caseworker, family and other involved parties
to review progress and assess whether or not the family's needs can be met with alternative
community services.
Group Services
LFS has the ability to provide group services (parenting education and/or issue specific groups
addressing family functioning). The groups can be used at different junctures depending on the
needs of the family. There will be a minimum of 2 families and a maximum of 10 participants
per group. The fee structure for the group is one and a half times the hourly rate per direct
contact hour. Since the rate is not figured on a per family basis, this is a particularly cost
effective option for the County. For example, if there were 7 families represented in a group the
rate would be $160.50 per direct contact hour instead of 1/2 our hourly rate per family ($51.50
per hour x 7 families = $360.50 per hour). This fee structure will enable this service to be used in
conjunction with in-home therapy and still be within budget parameters. Follow-up on group
homework and application in the home by the Clinician could increase the efficacy of the group
intervention subsequently reducing the need for services more quickly than if the family failed to
follow through with the concepts at home. The group also can be used by itself as part of the
step down process. Referrals can be made for group only services as well.
The LFS ABC Parenting Skills Group is presented in 6 weekly 2-hour sessions. Using the ABC
model, participants will learn to pinpoint problems in behaviorally specific terms and to identify
antecedent "triggers" and reinforcing consequences. They will also learn to define positive
"teaching goals"—alternatives to problem behavior—as the core of an effective "teaching"
program. Thinking and doing skills are emphasized.
Step Down Services
Program goals include diminishing direct service hours as soon as possible as treatment
progresses. There will typically be 3 phases of treatment. The initial phase of treatment will be
the most intensive. Activities will include addressing safety concerns and immediate needs,
Weld County 3
OPTION B
RFP-FYC 01010
Lutheran Family Services Home Based Option B
completion of assessment instruments and gaining agreement on specific goals for development
of a treatment plan. The treatment plan will be provided to WCDSS within 30 days of the date
the referral is accepted. Four hours of direct service hours needed each week during this phase.
The middle phase of treatment will be more of the practice stage of treatment. Ideally families
will begin to obtain insight into their dynamics, gain better control of their maladaptive behaviors
and begin to practice new skills in this time frame. Parents may be referred to the Lutheran
Family Services ABC Parenting Skills Group or other resources during this stage. The number of
weekly direct service hours needed in this phase of treatment will be two (not including
involvement in groups or parent education). The ending or transition phase of treatment will be a
time of moving the family in the direction of after care services as appropriate (e.g. ABC
Parenting Skills Group, support groups, therapy with the Mental Health Center, grant funded
services, etc). The One direct service hour will be needed each week in this phase of treatment.
The number of weekly direct service hours in each phase will be as follows: Initial Phase—4
hours, Middle Phase—2 hours, and Ending Phase— 1 hour. The total direct service hours will
not exceed 60 hours in 6 months. If an extension is needed beyond the end date of services
identified by the County, LFS will submit a justification for extension of services at least 60 days
prior to the end date.
Every effort will be made to stay within the above parameters. Should a family present with
extremely high needs at any given phase of treatment that require services above the stated
amount of time per week to maintain the safety of the family members, the caseworker will be
contacted and additional time negotiated.
IV MEASURABLE OUTCOMES
The Option B program will utilize the Family Risk Scales and the Achenbach Child Behavior
Checklist in measuring the efficacy of the program. The Achenbach Child Behavior Checklist
measures the caregiver's, teacher's and child's assessment of the child's problematic behaviors.
The Family Risk Scales were designed as a standardized measure of a child's risk of entering
foster care. The risk variables measured by the scales are those believed to contribute to or
precipitate the need for out of home placement. Changes in a family's risk status may be
determined by rating the scales two or more times (pre and post tests). Changes in the child's
functioning may be determined by using the Achenbach two or more times (pre and post tests).
The overall outcome objective of the program is to reduce the risk of the need for out of home
placement. The measurement of the achievement of this objective will be obtained through
completion of the Family Risk Scales. There are 26 risk factors included in the Family Risk
Scales, the scales are:
1. Habitability of Family Residence
2. Suitability of Living Conditions
3. Financial Problems
4. Adult Relationships in Household
5. Family's Social Support
6. Parent's Physical Health
7. Parent's Mental Health
8. Knowledge of Child Care and Development
9. Parent's Substance Abuse
10. Parent's Motivation for Problem Solving
11. Parent's Attitude to Preventing Placement
12. Client's Cooperation with Agency
13. Preparation for Parenthood
14. Supervision of Child Under Age 10
15. Parenting of Child Age 10 and Over
16. Physical Punishment of Child
17. Verbal Discipline of Child
18. Emotional Care and Stimulation of Infant (Under 2 Years)
Weld County 4
OPTION B
RFP-FYC 01010
Lutheran Family Services Home Based Option B
19. Emotional Care and Stimulation of child Age 2 and Older
20. Physical Needs of Child
21. Sexual Abuse of Child
22. Child's Physical Health and Disabilities
23. Child's Mental Health
24. Child's School Adjustment
25. Child's Delinquent Behavior
26. Child's Home-Related Behavior.
The Family Risk Scales and the Achenbach Checklists will be used with the family at the onset
of treatment to pinpoint the family's specific intervention needs. The tools may be used
throughout the course of treatment to measure the family's movement toward amelioration of the
highest risk concerns. The Family Risk Scales and the Achenbach Checklists will be completed
immediately prior to program completion in order to measure the expected improvement in the
family and child's functioning.
The child's living arrangements will be documented at the time the case is closed. (Is the child
still in the home?). An aftercare plan for each family will be developed which includes referral to
a less intensive family counseling program and/or the use of informal and community resources,
such as family self help groups or support network. A system of follow-up contacts at 2 weeks
and 5 weeks after case closing will be pursued. This system will check that recommended
supports and services are in place. The program staff will follow up regarding the status of the
family/child at 6 months and 12 months with WCDSS county caseworker. The program staff will
complete a follow up contact sheet, which will include the objectives listed by the department,
i.e. is the child still in the home? Has there been substantiated abuse/neglect in this family?
V. SERVICE OBJECTIVES
Family Conflict Management skills will be enhanced through individual, family and group therapy
as well as the Family Group Decision Making process as needed. Improving Parental
Competency will be achieved through individualized consultation regarding child specific
behavior management and support issues. Additionally, the ABC Parenting Group will be
available and can address most of these issues. Improved ability to access resources will be
achieved through information and referral services. These services will be provided through
individualized instruction.
The three minimum service objectives that the department would like to have assessed are
inherent in the Family Risk Scales. The Family Risk Scales provide more detailed assessment
of the family's risk areas and will satisfy these criteria. The risk factors are listed in the section
immediately prior to this one. Also the Child Behavior Checklist will be used to assess the
children's level of functioning as it applies to these objectives. The assessments will be done pre
and post service provision, as well as during the course of treatment when deemed necessary by
the Clinician. Monthly Progress Reports and ongoing updating of the Treatment Plan will
monitor the objectives.
VI. WORKLOAD STANDARDS
Please see the previous section "Target/Eligibility Populations" for a detailed explanation of our
workload standards. Our supervision standard is one FTE supervisor for every seven full time
professional staff members. The requested minimum standards for insurance have been met
and documentation provided.
VII. STAFF QUALIFICATIONS
Direct service providers assigned to this program are qualified by one of the following:
Weld County 5
OPTION B
RFP-FYC 01010
Lutheran Family Services Home Based Option B
• a master's degree in social work or a master's degree in another human service field and at
least two years of pre- or post-master's experience in family and children's services; and/or
• a bachelor's degree in social work or a bachelor's degree in another human service field and
at least six years' post-degree experience in family and children's services.
All staff has expertise in family therapy as demonstrated by specialized training and/or
experience. All staff in this program will be required to secure a minimum of eight hours per
year of continuing education training. All staff will receive weekly supervision from a supervisor
experienced in Intensive Family Therapy. The clinical supervisor will be required to secure a
minimum of ten hours per year of continuing education training.
We currently have the following staff available to provide direct services in this program:
Joe Madrid, LCSW
Amy Hatcher, MSW
Julie Box, MSW
Shawna Boatman, MA
Craig McFadden, LPC
VIII. COMPUTATION OF DIRECT SERVICE RATE
Total Hours of Direct Service Per Client 26 Hours (A)
Total Clients to be Served 40 Clients (B)
Total Hours of Direct Service for Year 1040 Hours (C)
(Line [A] Multiplied by Line [B])
Cost Per hour of Direct Services $24 Per Hour(D)
(salary, benefits, travel)
Total Direct Service Costs $24,877 (E)
(Line [C] Multiplied by Line [D])
Administrative Cost Allocable to Program $49,532 (F)
Overhead Costs Allocable to Program $37,354 (G)
Total Cost, Direct and Allocated, of Program $111,763 (H)
Line [E] plus Line [F] plus Line [G]
Anticipated Profits Contributed by this Program $0 (I)
Total Costs and profits to be covered by this Program $111,763 (J)
Line [H] plus Line [I]
Total Hours of Direct Service for Year 1040 (K)
Rate Per Hour of Direct, face-to-face Service to be Charged $107 (L)
to Weld County Department of Social Services
Weld County
OPTION B 6
RFP-FYC 01010
Lutheran Family Services Home Based Option B
IX. PROGRAM CAPACITY BY MONTH
This program is a component of the Foster Care Program, which includes foster care, and family
preservation services. As outlined in this proposal, our capacity is based on the number of staff
we have and a direct/indirect service ratio. We currently have five FTE's and a direct service
capacity of 100 hours per week. These FTE's are trained to provide services in any of the
program components, so there is not a minimum client capacity necessary to support this
program. Staff availability will be dependant on a combination of all cases in the foster care
program.
Additional staff can be hired if the county presents a sustained need for expansion of our
program capacity.
Weld County 7
OPTION B
RFP-FYC 01010
Apr-20-01 09 : 28A Lutheran Family Services 9702661799 P . 03
REP-INC-01010 Attached A
Date of Meeting(s) with Social Services Division Supervisor: 3 -GI
Comme 4s by SSD Supervisor:,,,____
lilt ,CL
,LL4 ePte , use a-5 -01...
Name and Signature of SSD Supervisor Date
Page 27 of 32
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SAN FRANCISCO, CA 94105 �_ COMPANIES AFFORDING COVERAGE
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e 2 EBN UTUAL INSURANCE COMPANY
INSURED
COMPANY - - - -- _-'
LUTHERAN FAMILY SERVICES OF COLORADO 'L .® _
363 SOUTH HARLAN COMPANY ------------- ----'
DENVER, CO 80226 C
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COMPANY
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
-r-._
CO TYPE OF INSURANCE ' POLICY EFFECTIVE POLICY EXPIRATION
LTRPOLICY NUMBER DATE(MM/DDNY) DATE(MM/DDIYY) LIMITS
GENERAL LIABILITY G NERAL AGGREGATE I 9618-911 7/1/00 7/1/01 3,000,000
A X (COMMERCIAL GENERAL LIABILITY
CLAIMS MADE pci OCCUR I PRODUCTS-COMP/OP AGG $ 3,000,000
'PERSONALS ADV INJURY $ 1,000,000
OWNER'S B CONTRACTOR'S PROT
_
X PROFESSIONAL EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any one fife) $ 1,000,000
AUTOMOBILE LIABILITY AUMED EXP (Anyone person) $ 5,000
A X AUTOMOBILE
O 1714-122-ARC 4/22/00 4/22/01
COMBINED SINGLE LIMIT I$ 1,000,000
ANYALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY $
X HIRED AUTOS (Per parson)
X NON-OWNED AUTOS I BOrDlaLY
oo IINeJUIRY $
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO AUTO ONLY-EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
EXCESS LIABILITY AGGREGATE $
UMBRELLA FORM EACH OCCURRENCE $
AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND I TORYuwis I 0T
EMPLOYERS'LIABIUTY
THE PROPRIETow r EL EACH ACCIDENT $
PaarNERSEXEwTNE INCL EL DISEASE-POLICY LIMIT $
OFFICERS ARE: EXCL _
OTHER EL DISEASE-EA EMPLOYEE $
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
WELD COUNTY, COLORADO, BY AND THROUGH THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, ITS EMPLOYEES
AND AGENTS,ARE NAMED ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY ONLY.
RE: FAMILY PRESERVATION CONTRACT.
i. t fix, 'k. ' iy,7- p.F:'-_
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WELD COUNTY SOCIAL SERVICES EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN:JUDY A GRIECO, DIRECTOR 30 DAYS WRITTEN NOTICE TO
THEP.O. BOX A ' THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGAGON OR UABIUTY
GREELEY, CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATWES.
AU D REP ENTAGVE
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MR7�- _2-- '- w F,iCf^, LO E=F-N r n r y =c 'J ._CUC -C - -_'lb]
INTER:SRL REVENUE SERVICE DEPHRTi9ENT OF THE TREASURY
Ciotrtot Cirectcr Ilea Commerce St. ,
Ca.claa, TX 75Z42
Person to Contact:
EF/EO Correspondence Examiner
T
Lutheran Social Service of Telephone Number:
C_I4)767-1E81
Colorado •
3$3 S. Harlan Refer Reply to:
Denver, CO. 8eZ:&-3_=H2 EP/E' :MC:ASO) CAL
Date:
April 21 , 1593
EIN:
S4-077SSE;
Gear Sir or Madam:
Our records show that Lutheran_ Social aery ce of Colorado
is exempt from Federal. Income Tax under section SOI (c)(3) of the Internal
Revenue Code. This exemption was granted February 1'9 .1 and
remains In full force and effect. Contributions to your organization'are
deductible in the manner and to the extent provided by section 170 of the
Code.
We have classified your organization as one that is not a private founda-
tion within the meaning of section SOS(a) of the Internal Revenue Code
because you are an organization described in section t70(b)( 1 )(A)( i)
If we may 'be of further assistance, please contact the person whose name and
telephane'number are shown above;
Sincerely Yours ,
Mary A. Smith
EP/EC Correspondence Examiner
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