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Home My WebLink About20001542 RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR CORE SERVICES FUNDS AND AUTHORIZE CHAIR TO SIGN - GREELEY DREAM TEAM 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 Core Services Funds 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 the Greeley Dream Team, commencing June 1, 2000, and ending May 31, 2001, 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 Core Services Funds 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 the Greeley Dream Team, 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 26th day of June, A.D., 2000, nunc pro tunc June 1, 2000. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: / A r i► /Owl .--, / arbara J. Kirkmeyer, Chair , Weld County Clerk to the,= .- �.�u►.,, (9J XCUSED . J. ile, Pro-Tem Deputy Clerk to the Boa . / , / x _ __ --m Geor E. Ba APPf£OV D AS TO FORM: _ �// /�� Dale K. H ttorney ! EXCUSED Glenn Vaad (d ,� 55 e-ree .lire,./1J /E"Lt'iV 2000-1542 SS0027 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 FY00-PAC-12000 Revision (RFP-PAC-00005) Contract Award Period Name and Address of Contractor Greeley Dream Team Beginning 06/01/2000 and Life Skills Program Ending_ 05/31/2001 811 15th Street Greeley, CO 80631 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (REP). Improve parental capacity to keep the children in The REP specifies the scope of services and conditions the home, to reunite the children who are placed of award. Except where it is in conflict with this in foster care, and sustain the lowest level of care. NOFAA in which case the NOFAA governs, the REP A maximum of 25 families per year for 3 hours upon which this award is based is an integral part oitthe per week, for 24 weeks. Parents would be action. required to participate in 3 programs. Supervised visitation, Parent Support Group, and Adult Special conditions Education Life Skills. I) Reimbursement for the Unit of Services will be based Cost Per Unit of Service on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct lace to lace Hourly Rate Per $ 38.69 contact with the child and/or family, as m idenced by Unit of Service Based on Approved Plan client-signed verification form, and as spec)lied in the unit of cost computation. Enclosures: 3) Unit of service costs cannot exceec. the hourly and X Signed RFP:Exhibit A yearly cost per child and/or family. Supplemental Narrative to RIP: Exhibit B 4) Payment will only be remitted on cases open with, and Recommendation(s) referrals made by the Weld County Department of Social Services. Conditions of Approval 5) Requests for payment must be an original submitted to the Weld County Department of Social Services by the end of the 25th calendar day following the end Cl the month of service. The provider must submit requests for payment on forms approved by Weld County Department of Social Services. Approvals:p Program Official: BY 4ireLt Board of Weld County Commissioners eounty epartment of Social Services Date: Cxe-,26-Rory) Date: Co Pi/ &.) 2000-1542 SIGNED RFP EXHIBIT A INVITATION TO BID RFP-FYC 00005 DATE:February 28, 2000 BID NO: RFP-FYC-00005 • RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC-00005) for:Family Preservation Program--Life Skills Program Family Issues Cash Fund or Family Preservation Program Fund; Deadline: March 23, 2000, Tuesday, 10:00 a.m. The Families, Youth and Children Commission, an advisory commission to the Weld County Department of Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S. 26-5.5- 101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement (C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to run from June 1, 2000, through May 31, 2001, at specific rates for different types of service, the county will authorize approved vendors and rates for services only. The Life Skills Program must provide services that focus on teaching life skills which are designed to improve household management competency, parental competency, family conflict management and effectively accessing community resources. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and. Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK CHARLOTTE V. JIMENEZ TYPED OR PRINTED SIGNATURE VENDOR THE GREELEY DREAM TEAM, INC. j"- L ' (Name) Handwritten Signature By, , thorized .T Officer or Agent of Vender ADDRESS 811 15th STREET TITLE EXECUTIVE DIRECTOR GREELEY, CO 80631 DATE 3/23/00 PHONE it ( 970 ) 351 -6410 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 33 RFP-FYC-00005 Attached A LIFE SKILLS PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING FAMILY PRESERVATION PROGRAM 2000/2001 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2000-2001 BID #RFP-FYC-00005 NAME OF AGENCY: THE GREELEY DREAM TEAM, INC. _ADDRESS: 811 15th STREET, GREELEY, CO 80631 PHONE: 9701351 -6410 CONTACT PERSON: CHARLOTTE V. JTMF.NEZ _ TITLE: EXECUTIVE DIRECTOR_ DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Life Skills Program Category mug:: provide services that focus on teachinu life skills designed to facilitate implementation of the case plan by imprre.n household management competency,parental competency. family conflict management and effectively ac_essinn; community resources I2-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1. 2000 Start End May 31, 2001 End TITLE OF PROJECT: DREAM TEAM LIFE SKILLS PROJECT AMOUNT REQUESTED: 38. 69 _ 4 ' zit-t2' ;': -;1 i .J r Name and Signatjyee of Pers6n Preparing Document Date -1 . 3 :(< ,. • Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS Fur 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 1999-2000 to Program Fund year 2000-2001. Indicate No Change from FY 1999-2000 C4 Project Description am-- Target/Eligibility Populations Types of services Provided 1,, Measurable Outcomes ' Service Objectives 4/1 Workload Standards Staff Qualifications ct Unit of Service Rate Computation L4Program Capacity per Month Certificate of Insurance Page 26 of 33 RFP-FYC-00005 Attached A Date of Meeting(s) with Social Services Division Supervisor: ^_) A L1/c ', Comments by SSD Supervisor: • 1_t t \_( j k-( 'I"'1 ,) ,,._()--1-73, c� .0 .. /+ _ n. � r-,/1�c' yr; / -/ l (,,'1 ( �� 1 �� 1 e .__C .'�L: p I A,. - i , t,. 7 `-F - C,,, ,,/ 7 �" /r _Signature of SSD Supervisor Date Page 27 of 33 RFP-FYC-00005 Attached A Program Category Life Skills Program Bid Category Project Title DREAM TEAM LIFE SKILLS PROJECT Vendor GREELEY DREAM TEAM, INC. PROJECT DESCRIPTION Provide a one page brief description of the project. II. TARGET/ELIGIBILITY POPULATIONS Provide a brief one-page description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients to be served. 13. Total individual clients and the children's ages. C. Total family units. I). Sub-total of individuals who will receive bicultural/bilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. The monthly maximum program capacity. (3. The monthly average capacity. H. Average stay in the program (weeks). L Average hours per week in the program. III. TYPE OF SERVICES TO BE PROVIDED Provide a two-page description of the types of services to be provided. Address if your project will provide the service minimums as follows: A. Teaching, modeling, demonstrating, and coaching as an interactive process with the clients. 13. Training in household management, including budgeting, cleaning, maintenance, purchasing, menu planning, food preparation, etc. C. Teaching child rearing and discipline; parenting. I). Teaching how to establish community linkages/advocacy and making use of services. E. Demonstrating nurturing/esteem role-modeling. Provide your quantitative measures as they directly relate to each service. At a minimum, include the number to be served in each service component. Describe your internal process to assure that FYC resources will not supplant existing and available services in the community; e.g. mental health capitation services, ADAD and professional services otherwise funded. Page 28 of 33 RFP-FYC-00005 Attached A IV. MEASURABLE OUTCOMES Provide a two-page description of your expected measurable outcomes of the project. Address the following measurable outcomes: A. Improvement of household management competency as measured by pre and post assessment instruments. B. Improvement of parental competency as measured by pre and post assessment instruments. C. Parents can independently work with other sources in the community and within the local, state, and federal governments. D. Families receiving life skills services will remain intact six months after discharge of the services. E. Families/participants who complete the Life Skills Services will have improved competency level or reduced risk on standardized assessment, such as the risk assessment tool. Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate, and monitor each quantitative measure. V. SERVICE OBJECTIVES Provide a one page description of your expected service objectives and quantitative measures. Address, at a minimum, the following ways the project will: A. Improve Household Management Competency - capacity of parents to provide safe household environment for their children through competent household cleaning and maintenance, budgeting and purchasing. B. Improve Parental Competency - capacity of parents to maintain sound relationships with their children and provide care, nutrition, hygiene, discipline, protection, instructions, and supervision. C. Improve Ability to Access Resources - services shall assist parents to work with other sources in the community and ahead the local, state, and federal governments. Describe the methods you will use to measure, evaluate, and monitor each service objective. VI. WORKLOAD STANDARDS Provide a one-page description of the project's work load standards and quantitative measures. Address, at a minimum, the following areas: A. Number of hours per day, week or month. B. Number of individuals providing the services. C. Maximum caseload per worker. D. Modality of treatment E. Total number of hours per day/week/month. F. Total number of individuals providing these services. Page 29 of 33 RFP-FYC-00005 Attached A G. The maximum caseload per supervisor. H. Insurance. VII. STAFF QUALIFICATIONS Provide a one-page description of staff qualifications and address. at a minimum, the following: A. Will your staff who are providing direct services have the minimum qualifications in education and experience? Describe. B. Total number of staff available for the project. Page 30 of 33 I. PROJECT DESCRIPTION The mission of The Greeley Dream Team Life Skills Program is to provide a multi-faceted approach to working with parents and their children for the purpose of reuniting the family. '[he Project would be available to parents referred by the Weld County Department of Social Services who have had their child / children removed from the home and are in the process of working toward reunification of their family. Services would be provided to families that have at least one child who has been scheduled for supervised visits. In the past our Project served families living in the Greeley-Evans community who could transport themselves to visits. However, last year we were again advised of the need for supervised visits in south Weld County. Providing these services in the south Weld County area fits our mission and purpose and needed to be pursued. Thcrefoie, after careful consideration we find that The Greeley Dream Team Life Skills Program will be able to expand this service to south Weld County for this project year. The Project would contract to serve up to 25 families from the Greeley-Evans community and south Weld County with an average length of stay in the program of six months. A total of five Family Facilitators will provide the Project services. Three Facilitators will service the Greeley-Evans community and two will service south Weld County. Evening and weekend visits will be available and special arrangements can be made for a Sunday visit. Visitation in the Greeley-Evans community would be held in our established sites—United Methodist Church, 10`h Avenue and 10th street and First United Presbyterian Church, 1321 9th Avenue. Visitation sites for south Weld County are being studied. Since both of the Family Facilitators serving south Weld County live in Fort Lupton visits would be scheduled in that town. However, visits within a five to ten mile radius in south Weld County will be considered on a case-by-case basis. Transportation requests will be dealt with on a case-by-case basis with the Social Services Caseworker and the Program Supervisor or with the Family Facilitator directly. Bilingual services will be provided in both service areas. All participants will be required to sign a contract with The Greeley Dream Team, outlining the requirements for participation. 1.) Supervised Visitation Within 24 hours of the contact between the Social Services Caseworker and the Greeley Dream Team Director, a Family Facilitator will be assigned to the case. The Family Facilitator will be responsible for contacting one or both parents and/or foster parents. Although telephone contact with the family may occur within a day or two of the referral, we do not initiate service until we have received all paperwork in our office. Since our goal is to arrange the time and location of the supervised visitation sessions and provide the initial visit within 5 days of the referral, it is important that we receive complete and accurate paperwork. Accurate paperwork will include all pertinent information, including the information required for billing purposes. If we paperwork is incomplete, or the Family Facilitator experiences difficulty in contacting any of the participants, we will immediately notify the Social Services Caseworker of the reason for not commencing the visit within the five day period. 2.) Parent Education The Dream Team refers client to Child Advocacy Resource and Education (c.a.r.e.) for their parenting classes. At c.a.r.e. parents are provided with a range of classes and schedules giving them more choices to fit their needs. Also the Family Facilitators do dedicate a minimum of 30 minutes -per week to discuss parenting and child development issues with the parents following one of their visitation sessions. Modeling and mentoring appropriate interactions with children is also incorporated during the visitation sessions. Our First and Foremost Video Series is also made available to parents to view at their home or during the 30 minute period and then discussed. We have developed and adopted a new LIFE SKILLS INVENTORY ASSESSMENT - LSIA (copy in Attachments) to determine areas of strength and deficit, allowing facilitators additional material such as budgets, menu planning, personal hygiene and housing with which to work on strengthening responsible parenting. II. TARGET/ELIGIBILITY POPULATIONS A. Total number of clients to be served in the 12-month program — Our project can provide service for up to 25 family units as screened and referred by Department of Social Services. These families will consist of one or two parents and one or more children,. B. Total individual clients and the children's ages—At least 25 adults and 25 children under the age of 15. C. Total family units — The project will serve up to 25 family units as screened and referred by Department of Social Services. D. Sub-total of individuals who will receive biculturaUbilingual services — Our Project can accommodate at least 10 families with bicultural and bilingual services. At least one Family Facilitator in each of our service areas is bicultural and bilingual. E. Sub-total of individuals who will receive services in South Weld County — Our Project can accommodate at least eight families in south Weld County and four can receive bilingual services. F. The monthly maximum program capacity — 12 to 15 families, depending on the number of visits required per week. G. The monthly average program capacity— 12 families. H. The average stay in the program (weeks) —24 weeks. I. Average hours per week in the program—3 hours. III. TYPE OF SERVICES TO BE PROVIDED A. Teaching, modeling, demonstrating, and coaching as an interactive process with the clients. Each of the project components offers opportunities for teaching and modeling with the parents. The weekly-supervised visitation sessions will be designed to incorporate modeling with the parent regarding developmentally appropriate activities and interactions with their child. The Family Facilitator may model the use of different toys or materials that the parent may use with the child during the visitation session. These demonstrations help build the parent's repertoire of things they can do with their child that are fun and help build positive bonds between the parent and the child. When appropriate, parents are provided with developmental charts explaining the physical, emotional and social expectations for each of their children. Teaching and modeling opportunities are also a main focus of the parent education time that is spent with the Family Facilitator each week. The facilitators provide and discuss information regarding child development and appropriate parenting techniques. They also provide information on life skills issues such as cleanliness, health and nutrition. B. Training in household management, including budgeting, cleaning, maintenance, purchasing, menu planning, and food preparation. Training in household information will be facilitated with all parents through conversation during the 30-minute parent time that will be incorporated in the supervised visitation schedule. The Family Facilitator will be able to assess through our LIFE SKILLS INVENTORY ASSESSMENT the parent's abilities as the supervision is initiated. This ASSESSMENT will he reviewed every 3 months with the families who are in our program. As skills are acquired, families will be offered information on additional areas of concern. Facilitators will share information regarding household management and assign tasks such as developing a budget or panning a nutritious meal to the parent and then review it with them the next week. The Family Facilitator spends a number of hours with each family, optimizing the observing of management behaviors such as nutritious snacks provided during visits or the appropriateness of gifts within the parent's budget. The Family Facilitator may also schedule a separate meeting with a parent, as approved by the caseworker and outlined in the treatment plan, to discuss a particular household management issue that a has come to her attention. She may additionally refer the parent to another community agency that deals exclusively with these issues. C. Teaching child rearing and discipline parenting. The parent education time and the debriefing time with the parents following visitations is used to discuss child rearing and discipline techniques. The Family Facilitators document appropriate and in appropriate interactions between the parent and child and discuss these issues with the parents following the visitation. They also model and mentor appropriate discipline techniques with the parents during their visitation sessions. Using physical force or threats of force as a form of discipline are not tolerated during visitation sessions. The Family Facilitators intervene immediately if the parent engages in this type of activity and suggest or demonstrate alternative forms of discipline. Where this behavior continues, the visit is terminated and the Caseworker is contacted immediately. D. Teaching how to establish community linkages/advocacy and making use of services. The Family Facilitators will serve as the primary person responsible for assisting the participants with establishing community linkages and utilizing community services. The Facilitator will make appropriate referrals and follow up with the participants regarding their visits. All of the participating families will be assigned a Family Facilitator to work wit for the duration of the program. E. Demonstrating nurturing/esteem role modeling. Each of the Family Facilitators is very nurturing individuals that exhibit high self-esteem within them. Their positive self-concepts are modeled in each interaction with families, in an effort to boost the self-esteem and confidence of the parents and children. IV. MEASURABLE OUTCOMES A. Improvement of household management competency as measured by pre and post assessment instruments. Our source to evaluate household management competency is through the initial interview, observations of the Family Facilitator and our LIFE SKILLS INVENTORY ASSESSMENT (LSIA) tool. The LSIA is designed through self-reporting, to assess daily living skills at intake, again at an established mid-point and finally at the exit. Upon completion of facilitation with each family, each Facilitator will provide a summary of concerns, work accomplished and recommendations for future interventions when appropriate. A simple rating scale will be utilized by the Family Facilitator to document the progress the parent has made in all areas. The Family Facilitator will be making weekly observations and document concerns and accomplishments to be kept on file to utilize in monthly progress reports. The LSIA will be available to the Caseworker for treatment planning and monitoring. B. Improvement of parental competency as measured by pre and post assessment instruments. The Life Skills Project will continue to use the Adult-Adolescent Parenting Inventory/AAPI by Stephen J. Bavolek as a pre and post instrument for parental competency. The inventory is designed to assess the parenting and childrearing attitudes of adults. The pre-test would be administered to parents when they begin the group and the post-test at the end of their six month period or whenever the parent exits the program. The Family Facilitator will also use her observations during the visitation sessions to monitor the progress parents are making in assimilating what they are learning during the visitations and designated parent education time. Observations and other pertinent information will be documented in the family me. C.. Parents can independently work with other sources in the community and within the local, state, and federal governments. Family Facilitators will use an agency developed pre and post survey to evaluate knowledge that families have gained concerning access and utilization of resources. The survey is a simple listing of agencies and organizations that parents may utilize. The parent checks the organizations that they are familiar with as well as if they have utilized the service. The survey is administered when a parent is admitted to the program and when they exit the program. The post-test survey will be administered when a family exits the program to determine the knowledge gained regarding local resources. In addition to the survey, the Family Facilitator documents referrals made to the parents as well as the follow-through one the part of the parent. The goal would be to introduce parents to a minimum of two new community resources that they could utilize. D. Families receiving life skill services will remain intact six months after discharge of the services. Our goal is that a minimum of 80% of the families remain intact six months after discharge. The Family Facilitators have provided transition services to families for up to 60 days after the family has been reunited. This has consisted of weekly visits to the home to monitor the progress of the family. This service has been implemented upon the request of the Caseworker. The outcome is also dependent on the Caseworker's treatment plan and families compliance with visitation guidelines. E. Families/participants who complete the Life Skills Services will have improved competency level or reduced risk on standardized assessment such as the risk assessment tool. We implement a mod-point evaluation with the parents and the Family Facilitator to assess if the services provided are meeting the needs of the parents. A final written (oral if the parent is unable to write) assessment to highlight the skills that the parent has mastered over the course of the Project will be completed at the exit interview. V. SERVICE OBJECTIVES A. Improve Household Management competency — capacity of parents to provide safe household environment for their children through competent household cleaning and maintenance, budgeting and purchasing. We administer the LIFE SKILLS INVENTORY ASSESSMENT (LSIA) at the initial intake, at a predetermined mid-point, and again at the exit interview. Facilitators provide assessment and training of these services through a multifaceted approach that includes supervised visitation sessions and individual parent time. Each of these components will teach and foster new household management techniques in the areas of emergency and safety skills, money management and consumer awareness, personal appearance and hygiene, health issues, housekeeping and maintenance, food management, housing concerns, transportation. Progress will be monitored through the pre and post assessments as well as through monthly progress reports that will he sent to the Caseworker. All participants will be involved in this service B. Improve Parental Competency — capacity of parents to maintain sound relationships with their children and provide care, nutrition, hygiene, discipline, protection, instructions and supervision. The individual parent time as well as visitation sessions with the Family Facilitalor will be utilized to enhance parenting skills and foster positive parent/child interactions. Progress will be monitored through the pre and post-test data on the LSIA as well as during weekly visitation sessions when the Family Facilitator will observe and document the extent that the parent is utilizing the parenting information they learn in sessions. All project participants will be required to participate in parenting activities that will improve their parental competency. C. Improve Ability to Access Resources — service shall assist parents to work with other sources in the community and the local, state and federal governments. The Family Facilitators will assist the families in gaining knowledge concerning community resources and how to access the resources. Information about community resources will be conveyed to the participants in the individual parent time as well as in visitation sessions with the Family Facilitator. The Family Facilitator utilizing the pre and post assessment will monitor again on the LSIA and progress and the weekly visits with the parents concerning the awareness and usage of community resources. VI. WORKLOAD STANDARDS A. Number of hours per day, week or month. The five Family Facilitators will be employed on a contract basis which pays them on an hourly basis without benefits. They each average approximately 8 hours per week on this project. B. Number of individuals providing the services. We will have a total of six staff. Presently we have two contracted Family Facilitators serving the Greeley-Evans community that are directly responsible to develop, implement and monitor the case plan for each family referral. The third individual who will serve the Greeley- Evans community will possibly be the person working part-time in our Rise and Shine Project (Truancy). Two Family Facilitators will be directly responsible to develop, implement and monitor the case plan for each family referral in south Weld County. C. Maximum caseload per worker. Each of the Family Facilitators will maintain a maximum caseload of five Project families. 11 Modality of treatment Supervision of visitation between parent child and education and training of parents in project. E. Total number of hours per day/week/month. Forty hours/week with a full caseload of 15 families and dependent on the number of visits required per week. F. Total number of individuals providing these services. Four staff members. G. The maximum caseload per supervisor. Charlotte V. Jimenez, Executive Director of the Greeley Dream Team will serve as the supervisor for the five Family Facilitators. Ms. Jimenez will meet bimonthly with the staff to discuss the various components of the project as well as the progress of the families. Ms. Jimenez will not carry a caseload or work directly with the families. F. Total number of individuals providing these services— 5 staff members. VII. STAFF QUALIFICATIONS There will be 4 Dream Team staff directly assigned to the Project. Each of the Family Facilitators meet or exceed the minimum qualifications stated in the PAC guidelines for service in the Life Skills area. Charlotte Jimenez, Project Director and staff supervisor will be an indirect staff person assigned to the Project. The staff persons, including the alternate and their qualifications are as follows: Isabel Rodriguez—Family Facilitator Isabel brings a vast amount of experience to this Project, having been a Migrant Recruiter - Parent Education Coordinator for District6 6 for 20 years prior to joining the staff of the Dream Team. Isabel has also worked for the BOCES Migrant Summer School Program and the Parent Child Learning Center. She worked for the Dream Team for 4 years as a Family Outreach Facilitator with the Even Start Family Literacy Program. Isabel received her GED from Aims Community College in 1975 and has attended numerous conferences and workshops on family issues. Isabel is fluent. in both English and Spanish. Jill Ipsen — Family Facilitator Jill is very qualified to work as a Family Facilitator for several reasons. She graduated from the University of Northern Colorado in May 1999 with a BA in Sociology and an emphasis in Family Studies. Her minor is in Women's Studies. As a college student she took many classes that help her work with families. She has experience working with all types of children in various jobs including working with the Greeley Dream Team as an Educational Talent Search Advisor. Jill's strengths in terms of knowledge, attitudes and skills are her willingness to learn, her flexibility and her attention to detail. Janet Green —Family Facilitator (Please see attached letter and resume) Debbie Sanchez—Family Facilitator (Please see attached letter and resume) Charlotte Jimenez—Project Director/ Supervisor Charlotte has a B.A. in Human Services from the University of Northern Colorado. She has completed all course work for her M.A. in Clinical Sociology, also at the University of Northern Colorado. Charlotte is fluent in English and Spanish. She has worked in the non-profit sector for 10 years and her experience is in educational counseling, program development, grant facilitation, and community services. As Project Director / Supervisor, Charlotte will be responsible for fiscal management and reporting, project evaluation and reports, facilitation of staff meetings and supervision for the 4 Family Facilitator. MMHR-2 -00 THU 09 : fl UM p_ q , 7849 Henry St. Fort Lupton, Co. 80621 March 23,2000 Dream Team Charlene Jimenez Far (970)353-8042 Dear Ms. Jimenez: It was with great interest that I heard about the supervised visit position for The Dream Team South Weld County. I believe I have the skills that you and your organization are looking for in an employee for this position. J I My qualifications are many fold. I have counseling skills,and r have wvc used them extensively in all the positions I have held in the past ten years. I have excellent public relations skills, which I know are important for this position. I have the ability to work well under pressure and get the job done, and I have the initiative and abilities to see projects to completion. i have good people skills,and I have the ability to collaborate with other people and agencies on projects. I am involved in the Weld County Community by serving on several boards that I feel address the needs of the family. I am recognized in Weld County Family Courts ass Life Skill Expert Witness, which Tin sure will be of value in the position that is open for The Dream Team in south weld. My office management skills include record keeping,client reporting and excellent computer skills. I am familiar with the wonderful work that The Dream Team does in the Greeley community; and I would welcome the opportunity to be part of your south weld staff. Thank you for your time and consideration, and I am looking forward to hearing from you in the near future. Cordially, Janet S. Green MAR-2 -00 THU 08 :06 AM rsr® Janet S. Green 7849 Henry Street Ft. Lupton, CO 80621 303-857-6656/303-507-9087 Career Objective: To work in an environment that will make a difference in the lives of children. Work Experience: A Woman's Place, Inc. Domestic Violence Agency Ft. Lupton, CO 80621 Outreach Coordinator/Counselor: Crisis counseling, Organize and facilitate support groups. Coordinate community education and fund raising. "The Link" at Aims South Campus. Ft. Lupton, CO Program Coordinator: Organize and facilitate workshops, support groups and seminars. Help support and find nontraditional and traditional jobs for single parents and displaced homemakers. Child Advocacy Resource and Education. Greeley. CO Advocate/Mediator: Crisis intervention, one-on-one counseling with children. Family counseling. Mediate for clients with judicial, public and governmental agencies. Parent Education. Island Grove Treatment Center. Ft. Lupton, CO Counselor/Paid Internship: Completed internship leading to CACI certification I. Co-facilitated group sessions. Conducted intake interviews. Office Duties MAR-23-00 TMU 08 : 17 AM b- to,C hartette Jimenez Fax:(970)333-E042 My name is Debbie Sanchez. I am the Bilingual-Bicultural Migrant Coordinator/Counselor for A Woman's Place, Inc in Ft. Lupton. I am able to build rapport with difficult clients.As Migrant Coordinator roost clients are Spanish speaking Networking with other agencies in the area has been most helpful in reaching our goals for this programs. Experience gained through working fur Family Education Network of Weld County has prepared me to work with families. Assessment of families and facilitating with Community resources has been on of my strengths. MAR-2?-00 THU 00 : 1T AM Debbie G.Sanchez 5lkahil PL N 1 (303)525-6032(Cell) Ft. Lupton,CO 80621 (303)857-2642 (POR) Objective- To obtain employment in the counseling field with opportunity for personal growth and career advancement Education: New Mexico Highland University General Equivalency Diploma acquired April 10, 1987 Luna Vocational Technical Institute Basic College Level Courses completed with some specialized courses in Computer Technology. Skala and Abilities: •Excellent communication skills both verbal and written. 'Bilingual. •Knowledge of Community Agencies and Resources. •Ability to build comfortable rapport with cheats in offices or home setting. Experience; Family Education Network of We1Q County: Cretin.CO. Community Service Worker/Recruiter April 1997-(resent •Enrollment of children_ •Assessment of family needs. •Working with low-income families. •Facllltate families in need with community resources. Department of Social Service(LEAP) Greeley.CO. Clerk II October 1996—April 1097 •Screening applications. *Assistance to Spanish speaking clients. •Data entry. *General office duties. New Directions 1?roaratnpprticipapt. Greeley,CO May 1996-October 1996 *Assisted Spanish speaking Clients. •Screening applications. •Mail duty_ •General office duties Reference Available upon request. Unit of Service Rate Computation Budget RFP-FYC-00005 Attached A VIII . COMPUTATION OF DIRECT SERVICE RATE This form is to be used to provide detailed explanation of the hourly rate y_'ur organization will charge the Core Services Program for the services offered in this Request for Proposal . This rate may only be used to bill the Weld Count; Department of Social Services for direct, face-to-face services provided to clients referred for these services by the Department. Requests for payment oasea on units of service such. as telephone calls, no shows, travel time, mileage reimbursement, preparation, documentation, and other costs not involving dir -t face-to-face services will not be honored. Likewise, billings must be for hours of direct service to the client, regardless of the number of staff involved in providing those services . Therefore, it is imperative that this rate be sufficient to cover all costs associated with this client, regardless of the number of staff involved in providing these services. (Explanations for these Lines are Provided on the Following Page) Total Hours of Direct Service per Client _ 144 Hours [A] Total Clients to be Served 18 Clients [B] Total Hours of Direct Service for Year _ 2. 592. 00 Hours [C] (Line [Al Multiplied by Line [B] Cost per Hour of Direct Services $ 20. 04 Per Hour [DI Total Direct Service Costs $ 51 , 950. 59 [El (Line (C] Multiplied by Line [D] ) Administration Costs Allocable to Program S. 38, 584 . 85 [FI Overhead Costs Allocable to Program $. 9, 755. 72 [Cl Total Cost, Direct and Allocated, of Program$ 100, 291 . 16 [HI Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ _ (II Total Costs and Profits to be Covered by this Program(Line [H] Plus Line [I] ) $ 100, 291 . 16 [3] Total Hours of Direct Service for Year 2, 592. 00 [R.] Page 31 of 33 RFP-FYC-00005 Attached A (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 38. 69 [L I Day Treatment Programs Only: Direct Service House Per Client Per]Month [D:_ Monthly Direct Service Rate $ [tY [A] This is an estimate of the total hours of direct, face-to-face service each client will receive from the time he or she enters the program until coupler :ng the program. [B] This is an estimate of the number of clients who will be served during the period from June 1, 2000, through May 31, 2001. [DI This represents the average hourly salary and benefits that your organization pays its direct service providers plus any costs which are directly attributable to the face-to-face session with the client. [F] This represents the salary and benefits of direct service, supervisory, and clerical personnel which are not incurred in providing direct, face-to-face service to the client, but can be allocated to this program for time spent the program for activities such as travel, phone conversations, "no-shows, - discussions with involved parties, meeting preparation, and report compteti''t: . [G] This represents the Agency Overhead costs, such as Rent, Utilities, Supplie:u. Postage, Travel Reimbursement, Telephone Charges, Equipment, and Data Processing which are not incurred in providing direct, face-to-face service to the client, but can be allocated to this program for time spent on the program for activities such as travel, phone conversations, "no-shows, " discussions with involved parties, meeting preparation, and report completion. [H] This represents the Grand Total Costs directly attributable or allocable to this program. It should be a reasonable assumption that if you decided to discontinue this program, your agency would realize a reduction in costs approximately equal to this amount . [I] This represents the total amount of profit your firm expects to realize as a result of operating this program. Any difference between Lines [H] and [J] must be substantiated by an amount indicated on this line. [L] This is the actual direct, face-to-face hourly service rate at which you wit! be: requesting payment for the services provided under the conditions of this Request. Page 32 of 33 RIP-PVC-00005 Attached A for Proposal . [M] To be completed by prospective providers of the Day Treatment Program only, this line represents the estimated number of hours per month your organizaticn wi'. 1 provide direct, face-to-face services per client. [N] To be completed by prospective providers of the Day Treatment Program services only, this line represents the actual direct, face-to-face monthly service late at which you will be requesting payment for the services provided under the conditions of this Request for Proposal. Calculated by multiplying Line [L] ; Line [M] . Page 33 of 33 Attachment A Bidder's Certificate of Insurance POLICY INFORMATION TheSIBIUI THIS IS NOT A BILL. YOUR POLICY IS DIRECTLY BILLED. IF THIS IS A POLICY CHANGE, THE ADDITIONAL OR RETURN PREMIUM WILL BE SHOWN ON FUTURE INSTALLMENT BILLINGS. IF ALL INSTALLMENTS HAVE BEEN BILLED, THE PREMIUM CHANGE WILL BE BILLED OR CREDITED PROMPTLY. A BILL WILL BE SENT TO: THE INSURED Company: ST. PAUL FIRE & MARINE INSURANCE COMPANY I Policy Inception/Effective Date: 01/01/00 N Policy Number CK07501251 Agency Number 0560630 U THE GREELEY DREAM TEAM, INC. R 811 15TH STREET Transaction Type: E GREELEY CO 80631 RENEWAL OF POLICY D Transaction number: 001 Processing Date: 12/14/99 08:53 A LINDEN/BARTELS & NOE INC G P.O. BOX B E GREELEY CO 80634 N T Policy Description Amount Surtax/ Number Surcharge CK07501251 SERIES 1000 POLICY $949.00 THE PREMIUM SHOWN DOES NOT INCLUDE A PREMIUM PAYMENT PLAN SERVICE CHARGE. IF YOU SELECTED A PREMIUM PAYMENT PLAN YOUR PAYMENT SCHEDULE/BILL WILL SHOW THIS CHARGE. THIS POLICY IS ON A FOUR PAY PAYMENT PLAN. A PAYMENT SCHEDULE/BILL WILL FOLLOW SHORTLY. 40775 Ed.12-90 Printed in U.S.A. Page 1 INSURED COPY INTRODUCTION TheStRiul This policy protects against a variety of losses. There are also some restrictions. We've Policy Number: CK07501251 written this policy in plain, easy-to-understand English. We encourage you to read it carefully DENVER - BROADWAY to determine what is and what is not covered, SUITE 2300 as well as the rights and duties of those 1670 BROADWAY protected. DENVER CO 80202-4823 In return for your premium, we'll provide the Your policy is composed of General Rules, an protection stated in this policy. explanation of What To Do If You Have A Loss, one or more Coverage Summaries, and one or We, us, our and ours mean St. Paul Fire and Marine more Insuring Agreements explaining your Insurance Company. We're a capital stock coverage. It may also include one or more company located in St. Paul, Minnesota. endorsements. Endorsements are documents that change your policy. The Policy Forms List The words you, your and yours mean the shows all the forms included when this policy insured named here, which is a begins. CORPORATION THE GREELEY DREAM TEAM, INC. One of our authorized representatives will also 811 15TH STREET countersign the policy. GREELEY CO 80631 This policy will begin on 01/01/00 and will continue until 01/01/01 Your former policy number is automatically replaced: UB07122452 Your premium for the policy period shown is: $949.00 However, please refer to the Premiums section of the General Rules to see how final premiums are determined. Our authorized representative is:05LI NDEN/BARTELS n & NOE INC (S/l/K�y P.O. BOX B President GREELEY CO 80634 Authorized Representative Date Secretary Processing Date 12/14/99 08:53 001 40800 Ed.5-87 Printed in U.S.A. Introduction ©St.Paul Fire and Marine Insurance Co.1984 All Rights Reserved Page 1 "eSfRitil PROPERTY PROTECTION COVERAGE SUMMARY Description and location of covered property Item 001 FIRE RESISTIVE OFFICE FOR SCHOOL DROP OUT ASSISTANCE 811 15TH STREET GREELEY, CO 80631 Limit Of Valuation Theft Coverage Coverage Building Business Personal $6,200 RC Yes Property Coinsurance 807. Business Income Blanket Earnings And Expenses Your Property Protection deductible per event is $250 unless another amount is shown here: BUSINESS PERSONAL PROPERTY - OPTIONS Percent of Automatic Increase In Insurance - 4.007.. Name of Insured Policy Number O(07501251 Effective Date 01/01/00 THE GREELEY DREAM TEAM, INC. Processing Date 12/14/99 08:53 001 42563 Rev.7-96 Printed in U.S.A. Coverage Summary ©St.Paul Fire and Marine Insurance Co.1996 Page of 2 THE ST. PAUL PROPERTY PROTECTION ADDITIONAL BENEFITS TheStFBuI COVERAGE SUMMARY This Coverage Summary shows the limits that apply to the Additional Benefits section of your agreement. Refer to the Insuring Agreement for an explanation of coverage. Additional Benefit Additional Benefit Lim..t Accounts Receivable $25,000 Building Ordinances or Laws $100,000 Computer $25,000 Extra Expense $25,000 Fine Arts $25,000 Fire Department Service Charge $25,000 Inventory and Appraisals $10,000 Money and Securities Inside Limit $10,000 Outside Limit $5,000 Newly Acquired Property Building Limit $1,000,000 Business Personal Property Limit $500,000 Outdoor Property $25,000 Other People' s Property $25,000 Pairs and Sets $25,000 Personal Belongings $25,000 Pollution Clean Up and Removal $25,000 Property in Transit $25,000 Temporary Location $25,000 Valuable Records Research $25,000 Water Damage $25,000 Name of Insured Policy Number CK07501251 Effective Date 01/01/00 THE GREELEY DREAM TEAM, INC. Processing Date 12/14/99 08:53 001 F0029 Ed. 7-96 Printed in U.S.A. Coverage Summary ©©St.Paul Fire and Marine Insurance Co.1996 All Rights Reserved Page 1 of 1 Attachment B Copy of Life Skills Inventory Assessment (LSIA) Life Skills Inventory Assessment Your Name: Name(s) of Child(ren): Current Ages: Initial Date: Mid Date: Exit Date: Please answer each of these questions with the number 1, 2 or 3. = I don't know or have never done this 2 = I think I can do this 3 = I know how to do this or have this done A. MONEP MANAGEMENT AND CONSUMER AWARENESS: INITIAL MID EXIT 1. I know the value of money and coins and have made change. • 1 know how to open a checking or savings account at a bank. 3_ I can budget my allowance to last until the next payment comes. 4. 1 can make out a monthly budget for living independently (including food, rent_ apartment) 5. _ I understand and have filled out a federal and state tax form and know how to gather the necessary information to do this. 6. I understand what buying on credit means and have worked with loans, interest rates and late payment penalties. 7. I understand the importance of saving money and I am working on this become independent. B. FOOD MANAGEMENT: INITIAL MID EXIT I. _ I have gone grocery shopping with a list for a family for groceries totaling ow r $50.00. 2, I have used cooking utensils such as knives, can opener, potato peeler, hand mixer, etc. to prepare meals. 3. I have recognized food spoilage and taken appropriate steps. I have planned a menu of nutritious meals for a week or more. 5. I can prepare all meals on this menu. 6. I have followed a cookbook recipe to cook something new. 7. I have done unit pricing when grocery shopping to comparison shop for the best bargain. 8. _ I have clipped and used coupons to save money (include pizza or fast food coupon.I C. PERSONAL APPEARANCE AND HYGIENE: INITIAL MID EXIT 1. I have tried different brands of soap, shampoo, and deodorant to see which brand works best (or me 2. _ I can read clothing labels to see which clothes are to be dry cleaned, hand washed or can be machine washed. 3. I have decided not to make a clothing purchase because an item needed to be dry leaned only, instead of washed by machine. 4. I can sort and machine wash clothing at a laundromat using the right soap and temperature. 5. I have ironed my own shirts/blouses without help. 6. I have sewn on buttons and fixed small rips in clothes by myself. D. HEALTH ISSUES: INITIAL MID EXIT 1. I can explain how a pregnancy occurs. 2. _ I understand parts of the male and female body and sexual functioning. 3. I know how to get emergency health care for a cut requiring stitches. 4. _ I understand when I may be at risk of a pregnancy or a sexually transmitted disease and how • to protect myself. 5. I have correctly bought and used myself "over-the-counter" drugs for pain, upset stomach, diarrhea, fever, cold symptoms. 6. I know what should be included in my personal first aid kit and how to use it. 7. _ I have a copy of my immunization (shot) record and my medical history. 8. I have a regular doctor and dentist. 9. I know what a Medicaid Green Card is for. E. HOUSEKEEPING: INITIAL MID EXIT 1. I have: swept or vacuumed floors, washed a tile floor, washed windows, polished furniture, cleaned toilets, bathtubs and sinks. 2. __. I know how to prevent sinks and toilets from clogging or running. 3. _. I have defrosted a refrigerator freezer section. 4. I know what repairs a landlord is responsible fon 5. I have done minor household repairs using a hammer or screwdriver. 6. I know how or have changed a fuse of circuit breaker. 7. _ I have dealt with roach, ant or mouse problem effectively. F. HOUSING INITIAL, MID EXIT 1. I can explain the terms of renting such as: lease, sub-let, utilities, efficiency apartment, security deposit, reference. 2. I can figure "start-up" costs for renting a room or apartment. (Utility deposit, connection fees, security deposit, first month's rent, household items needed...) 3. I know how to inspect an apartment with a checklist to make sure the landlord is being truthful. 4. ___ 1 understand my rights as a renter and the rights of other renters and the conditions of the security deposit. I would know who to call if I had a problem with my landlord. G. TRANSPORTATION: INITIAL MID EXIT . _ _ I know what is required to get a driver's license. 2. _ I have used public transportation with a transfer. I have arranged my own way to work or school in an emergency. 4. _ I have a driver's license or permit. I have done some car maintenance (changing oil, a tire). 6. _ _ I can estimate the cost of owning a car for a year. (Gas, insurance, payments, etc.) H. EDUCATIONAL PLANNING: LITTAL MID EXIT I. _ I know how many credits I need to get my high school diploma and how many credits I have so far. I have done career planning with a school counselor. 3. I know what a semester at a community college would cost. 4. I know about other training after high school other than college. 5. _ I would know where to go to apply for financial aid for more schooling. 1. jilt SEEKING SKILLS: INITIAL MID EXIT I know how much "minimum wage" is. _ I have filled out a job application form. 3. _ I have been on a real job interview. 4. _ _ I know how to register with an employment agency and what I need to take with me I have written or typed my resume. 6. 1 understand discrimination for age, sex and race, and would know where to get help if this happened to me. J. MB KEEPING SKILLS: INITIAL MID EXIT I. I could explain the deductions on my paycheck. ?. . I know how to ask for a raise. 3. _ I know what actions would get me fired immediately. 4. I know how to file a grievance at work. 5. _ I could explain what job benefits are. K. EMERGENCY AND SAFETY SKILLS: INITIAL MID EXIT . _ _ I know where to look for emergency numbers for police, ambulance and fire department. I know where smoke alarms should go and how to check the batteries. 3. _ I would recognize the smell of a gas leak and know who to call to have it checked. 4. I would know how to operate a fire extinguisher. I would know when a medical emergency happened that would require an ambulance/paramedic's help. L. COMMUNITY RESOURCES KNOWLEDGE: INITIAL MID EXIT 1. I have gone to the Post office to buy stamps or mail a package. 2. I have called directory assistance for a phone number. 3. _ I have "let my finger do the walking" by using the yellow pages. I know how to register for selective service. 5. _ I would know how to get a copy of my birth certificate or social security card. 6. I know where the Mayor's office is. 7. I have a public library card. M. INTERPERSONAL SKILLS: INITIAL MID EXIT 1. _ I can properly introduce one adult to another. 2 _ _ I have compared my table manners to others to make sure I am doing the right thing. 3. I have said "no" to a friend who wanted me to do something wrong and he/she is still me friend. 4. I have looked at the "best" and "worst" outcome of a problem where I had to decide what to do. 5. I have talked my out out of a physical fight with someone who threatened me. 6. I know the steps of problem solving. 7. I have "talked out" my feelings when I was angry instead of "acting out". 8. I have set a goal to do something and made myself a plan to get it done. 9. I have written and sent a "thank you" note. N. LEGAL ISSUES: INITIAL MID EXIT I would know who to call if I was arrested or was a victim. 2. _ I know my rights if I was arrested. 3. _ I know the legal age for drinking and the charge if I was caught drinking now. 4. _ I know the legal age for marriage. I know where to call for legal help. 6. I understand the legal penalty for: • Buying, possessing, selling marijuana or other drugs • Trespassing • Shoplifting • Theft • Possession of stolen property • Traffic Violations 7. I know where to register to vote. 8. I can explain the differences between felony, misdemeanor and violation (Iddd) A,zoBuanuI SIuiTua,zrd 4uaOsaIopd-}Inpd 3O AdoD � ; uowqov ; ; y Adult-Adolescent Parenting Inventory AAPI Form B Stephen J.Bavolek,Ph.D. Name: Age: years Sex:(Circle one) Male Female Race:(Circle one) White Black Hispanic Asian Oriental American Indian Other: If Appropriate: School Name: Grade Level: INSTRUCTIONS:There are 32 statements in this booklet.They are statements about parenting and raising children.You decide the degree to which you agree or disagree with each statement by circling one of the responses. STRONGLY AGREE—Circle SA if you strongly support the statement,or feel the statement is true most or all the time. AGREE—Circle A if you support the statement,or feel this statement is true some of the time. STRONGLY DISAGREE—Circle SD if you feel strongly against the statement or feel the statement is not true most or all the time. DISAGREE—Circle D if you feel you cannot support the statement or that the statement is not true some of the time. UNCERTAIN—Circle U only when it is impossible to decide on one of the other choices. When you are told to turn the page,begin with Number 1 and go on until you finish all the statements.In answering I hem, please keep these four points in mind: 1. Respond to the statements truthfully.There is no advantage in giving an untrue response because you think it is the right thing to say.There really is no right or wrong answer—only your opinion. 2. Respond to the statements as quickly as you can.Give the first natural response that comes to mind. 3. Circle only one response for each statement. 4. Although some statements may seem much like others,no two statements arc exactly alike. Make sure you respond to every statement. If there is anything you don't understand,please ask your questions now.If you come across a word you don't know while responding to a statement,ask the examiner for help. When you finish,please feel free to write any comments you have on the back page. Turn the Page and Begin O1984 Family Development Resources,Inc.All rights reserved. This test or parts thereof may not be reproduced in any form without permission of the publisher. 3160 Pinebrook RD,Park City,UT 84060 AA'IN Form B Strongly Strongly Agree Agree Uncertain Disagree Disagree 1. Young children should be expected to comfort SA A U D SD their mother when she is feeling blue. 2. Parents should never use physical punishment to SA A U D SD teach their children right from wrong. 3. Children should not be the main source of comfort SA A U D SD and care for their parents. 4. Young children should be expected to hug their SA A U D SD mother when she is sad. 5. Parents will spoil their children by picking them SA A U D SD up and comforting them when they cry. 6. Children should not be expected to talk before the SA A U D SD age of one year. 7. A good child will comfort both of his/her parents SA A U D SD after the parents have argued. 8. Children seldom learn good behavior through the SA A U D SD use of physical punishment. 9. Children develop good, strong characters through SA A U D SD very strict discipline. 10. Children under three years should not be ex- SA A U D SD petted to take care of themselves. 11. Young children should he aware of ways to com- SA A U D SD fort their parents after a hard day's work. 12. Parents should never slap their child when s/he SA A U D SD has done something wrong. 13. Children should always be spanked when they SA A U D SD misbehave. 14. Young children should not be responsible for the SA A U D SD happiness of their parents. 15. Parents have a responsibility to spank their SA A U D SD children when they misbehave. Please go to next page. O1984 Family Development Resources,Inc.All Rights Reserved This test or pans thereof may not be reproduced in any form without permission of the publisher. Form B Strongly Strongly Agree Agree Uncertain Disagree Disagree 16. Parents should expec their children to feed them- SA A U I) Si) selves by twelve months. 17. Parents should expect their children to grow SA A U D SD physically at about the same rate. 18. Young children who feel secure often grow up SA A U I) 50 expecting too much. 19. Children should always "pay the price" for ntis- SA A U D sD behaving. 20. Children under three years should not be ex- SA A U D SD pected to feed, bathe, and clothe themselves. 21. Parents who are sensitive to their children's feel- SA A U D SI) ings and moods often spoil their children. 22. Children often deserve more discipline than they SA A U D SD get. 23. Children whose needs are left unattended will SA A U D Si) often grow up to be more independent. 24. Parents who encourage communication with their SA A U D SI) children only end up listening to complaints. 25. Children are more likely to learn appropriate be- SA A U I) sD havior when they are panked for misbehaving. 26. Children will quit crying faster if they are ignored. SA A U D si) 27. Children five months c f age are seldom capable of SA A U D sD sensing what their pal nts expect. 28. Children who are given too much love by their SA A U D SI) parents often grow up to be stubborn and spoiled. 29. Children should never be forced to respect paren- SA A U D Si) tal authority. 30. Young children should try to make their parent's SA A U D sD life more pleasurable. 31. Young children who are hugged and kissed usually SA A U D SD grow up to be "sissies " 32. Young children should not be expected to comfort SA A U I) st) their father when he ii upset. O1984 Family Development Resources,Inc.All rights reserved. This test or pi its thereof may not be reproduced in any form without permission of the publisher. Please feel free to write your comments on this page. li Parenting Inventory Evaluation of 4 constructs Supervised visit# __ Family Name____ Child's Name Child's Age________ _ Box 1 : Empathy Box 2: Understanding of family roles Box 3: Belief in corporal punishment Use of other consequences for behavior Box 4: Behavior expectations for child 1 4 Attachment D Copy of Community Resources Survey PAC LIFE SKILLS COMMUNITY RESOURCE SURVEY Form B- Post-test Client Name Date Please check off the agencies and services that you are familiar with or have used. AGENCY KNOW JS SED SERVICES SERVICES Child Advocacy Resource and Education (CARE) Centennial Developmental Services (CDSI) Family Connects (Childfind) - Island Grove Regional Treatment Center _ A Woman's Place - Boys and Girls Club Weld Mental Health Center _ Weld Co. Partners Sunrise Comm. Health Center - Weld Information and Referral Services (WIRS) Right to Read Aims Community College - Colorado Rural Legal Services — Greeley Housing Authority The Children's Clinic Family Ed. Network of Weld Co. /Headstart _ Weld Co. Job Services _ __ Hello