HomeMy WebLinkAbout20001545 RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR CORE
SERVICES FUNDS AND AUTHORIZE CHAIR TO SIGN - NORTH RANGE
BEHAVIORAL HEALTH, INC.
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 North Range Behavioral Health, Inc., 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 North Range Behavioral Health, Inc., 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
L
ATTEST: La /-
Li 'a, ti }/ , _ ;.(//A.
Barbara J. Kirkmeyer, Chair
A
Weld County Clerk to t 'N • O c.--
EXCUSED
M. J. G ile, Pro-Tem /
BY: f 'iG'
Deputy Clerk to the Boar t _ � ,e- 44
eorg Baxter
AF.PfTaVE O
I Da a all
ounty Attorhey -----EXCUSED
Glenn Vaad
CC, s5' /1/orM7 ,a, e Se/rg`�o ra / , 4a//A 2000 027
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-2004
Revision (RFP-FYC-00006)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2000 and North Range Behavioral Health
Ending 05/31/2001 The Littler Center-Day Treatment
1306 11'Avenue
Greeley, CO 80631
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Award is based upon your Request for Proposal (RFP).
Provide therapeutic intervention for a child or The RFP specifies the scope of services and conditions
youth in a treatment setting that is more intensive of award. Except where it is in conflict with this
than in-office or in-home intervention. The goal NOFAA in which case the NOFAA governs, the RFP
of this program is to keep the children involved in upon which this award is based is an integral part of the
their won home or in the lowest level of out-of- action.
home placement or in the least restrictive out-of-
home placement possible. A maximum of 18 Special conditions
children yearly, eight monthly average capacity,
29.5 hours weekly for 36-52 weeks. 1) Reimbursement for the Unit of Services will be based
on a monthly rate per child or per family.
Cost Per Unit of Service 2) The monthly rate will be paid for only direct face to
face contact with the child and/or family, as specified
Monthly Rate $ 1.510.00 in the unit of cost computation.
Based on Approved Plan 3) Unit of service costs cannot exceed the hourly and
yearly cost per child and/or family.
Enclosures: 4) Payment will only be remitted on cases open with, and
X Signed RFP:Exhibit A referrals made by the Weld County Department of
X Supplemental Narrative to RFP: Exhibit B Social Services.
Recommendation(s) 5) Requests for payment must be an original submitted to
X Conditions of Approval the Weld County Department of Social Services by the
end of the 25th calendar day following the end of the
month of service. The provider must submit requests
for payment on forms approved by Weld County
Department of Social Services.
Approvals: Program Official:
BY films BY c /Aul///U1
h
"tic
arbara J. Kirkmeyer, hair Judy . rieg , Directo
Board of Weld County Commissioners Weld unty Department of Social Services
Date: 1% -4,2G- yto Date:_V,2 DI00
2000-1545
Weld County Department of Social Services
SIGNED RFP
EXHIBIT A
INVITATION TO BID
DATE: February 28, 2000 BID NO: RFP-FYC-00006
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-00006) for:Family Preservation Program--Day Treatment Program Family
Issues Cash Fund or Family Preservation Program Funds
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 Day Treatment Program Category must provide a comprehensive, highly
structured program alternative to placement or more restrictive placement that provides therapy and education
for children. 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
Dale F. Peterson, M.S W M F1 A.
TYPED OR PRINTED SIGNATURE
VENDOR North Range Behavioral Health
(Name) Handwritten Signature By Authorized
Officer or Agent of Vendor
ADDRESS 1306 11th Avenue TITLE Executive Director
Greeley, CO 80631
DATE 3/17/00
PHONE ti (970) 353-3686
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-00006 Attached A
FAMILY PRESERVATION PROGRAM
2000/2001 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2000-2001
BID #RFP-FYC-00006
NAME OF AGENCY: North Range Behavioral Health
_ADDRESS: 1306 11th Ave. Greeley, CO 80631
PHONE: 1970)353-3686 or 352-2201
CONTACT PERSON: Cyndi Dodds, MS, LMFT TITLE: Program Director
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Day Treatment Program Category must
provide a comprehensive. highly structured program alternative to placement that provides therapy and education for children.
12-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: Kathleen Painter Littler Center
/1
, : A 1 ti
Cyndi Dodds, MS, LMFT � A 3i1 11 CO
Name and Signature of Person Prepa ng Document Date
Dale F.- Peterson. M.S.W. . M.H.A. 4.31-e ,-4—, ✓121 ( cc
Name and Signature Chief Administrative Officer Applicant Agency Date
MANDATORY PROPOSAL REQUIREMENTS
For both new bids and renewal bids, please initial to indicate that the following required sections are included in this Posposal
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.
itil Indicate No Change from FY 1999-2000
Project Description
Target/Eligibility Populations X
Types of services Provided g
Measurable Outcomes X
Service Objectives X
Workload Standards K
Staff Qualifications
Unit of Service Rate Computation
Program Capacity per Month
Certificate of Insurance
Page 26 of 32
•
RFP-FYC-00006 Attached A
Date of Meeting (s) with Social Services Division Supervisor: itiKteL 10 200 o
Comments by SSD Supervisor: I S b A`-e cY 1 vt YL'N-4 (t IVL
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Page 27 of 32
I. PROJECT DESCRIPTION
In August 1995, Weld County School District Six (District 6), the University of Northern Colorado (UNC), and
North Range Behavioral Health (NRBH)jointly opened the Carson Children's Center(CCC). In August 1999,
with the clinical and administrative partnership of the Namaqua Center, the CCC became the Kathleen Painter
Littler Center. Littler is a year around day treatment program for children ages five through 13 years. It has
capacity of 20 students.
Day treatment is a comprehensive, highly structured alternative to the out-of-home placement or the more
intensive placement of a child already in placement that provides mental health care and education to its student
clients. Treatment services for each client's family are an integral part of the program. The Littler Center
provides highly integrated and coordinated educational and treatment services to its students. The affective
needs of each child are responded to not only by the treatment staff, but by the educational and supportive
services staff as well. Similarly, the students' education is not solely the responsibility of the teaching staff but is
shared by all on-site personnel. Because all Littler students are staffed as special needs children, additional
services called for in each child's individualized education plans (IEP) such as occupational therapy,
speech/language services, and physical therapy are provided on-site.
The Littler day begins with a welcoming group to greet the children and to help them make the transition from
life at home to a day in school and in treatment. Information from each student's parents, guardians, or foster
parents is obtained directly or via notebooks sent home with and brought back each day by the students to keep
the staff and parents/guardians up-to-date and to encourage open communication. Each child's goals and
progress toward them are updated daily before the children move to other aspects of the day. Educational and
affective curricula are simultaneously in place as much as is feasible in the various daily activities. The students
progress through a series of treatment and educational offerings each day. While some children are in the
classroom for group or individual instruction, others are seen in individual therapy while others are in a
treatment group. There are ongoing, scheduled therapeutic groups that address new themes as well as themes
from earlier sessions. The daily schedule is similar from day to day promoting the consistent milieu essential to
the children's success. Recess, lunch, and other activities are similarly integrated. The day ends back in the
room where welcomes occurred. Now, the focus is to review the day with the children and prepare them for the
transition back to their homes. Goals and successes of the day are the foci of this activity. Children may remain
for a family therapy session. Family therapy typically is planned for the end of the day to allow for parents'
work schedules. The schedule is sufficiently flexible to allow for such sessions during the school day as well.
Individual and family therapy continues to occur during school breaks.
Psychiatric services are integrated in the program. Each child receives a psychiatric evaluated including a
determination of need for psychotropic medications. Follow-up psychiatric services are provided throughout
each student's stay and, when appropriate, in the care that follows treatment at Littler.
Students with special treatment needs have available to them the full array of services of NRBH in addition to
those available at Littler. Students can be seen in groups designed to help them deal with sexual abuse and
other trauma they have endured, to learn new ways to manage their anger, and to develop and refine their social
skills.
II. TARGET/ELIGIBILITY POPULATIONS
It is intended that the Littler Center serve up to 20 children ages five through 12 years and their
families at any given time in the 6 to 18 month day treatment program. Of these, it is anticipated
that up to ten could have the financial aspect of their care covered under the services proposed
herein. Up to 18 children and their families will be served annually of whom 12 will possibly be
eligible for FYC-funded services. It is anticipated that approximately 25% of all the students and/or
their families will receive some level of bilingual bicultural services on-site. Based on current
utilization rates, it is estimated that up to 25% of the Littler students will be from southern Weld
County. For the purposes of this grant, the monthly maximum program capacity is defined as 10
children with a monthly average program capacity of eight. The average length of stay in the
program is estimated to be in the range of 36 to 52 weeks. Students spend a minimum of 29.5 hours
weekly in the total program. In order for a child to be considered as a potential student of the Littler
Center, she or he must be staffed into special education services in her or his home school district
and must have demonstrated the capacity to return to her or his home school upon successful
completion of the Littler program.
Children referred to the project will have met, or be at high risk to meet, the out-of-home placement
criteria detailed in the request for proposal. As mentioned above, each will also have met or be
believed to qualify for special education services.
III. TYPE OF SERVICES TO BE PROVIDED .
Site-based services to the students of the Littler Center and their families will be held each day
District 6 schools are regularly in session plus through the summer. An academic year will consist
of 46 total weeks with an average of not less than 29.5 hours of programming weekly, 5.9 average
daily hours.
The planning and implementation of the Littler Center has been a collaborative and cooperative
effort from its inception. The Weld County Department of Social Services (WCDSS), involved early
on in the planning process, agreed to utilize the services of this day treatment program for those of
its clients demonstrating the need for it and for whom they believe they have financial responsibility.
The Littler Center's admission director works to ensure that FYC resources do not supplant other
community resources and WCDSS caseworkers are involved prior to the screening process for all
WCDSS children. The collaborative role of Weld County School District 6 has been exemplary from
the planning stage forward as it furnished the past site, recruited and hired professional and
paraprofessional staff, and provided administrative guidance. Similarly, NRBH, with the strong
support of its Board of Directors and management team, offered administrative assistance in
planning and implementing the treatment program. The U.N.C. has provided initial and ongoing
technical assistance through Teresa Bunsen, PhD from its Special Education Department. The
U.N.C. has also provides doctoral level students as part time staff for the program, assisting
primarily in the final and transitional phase of the program when children are reintegrated into their
home schools. The Namaqua Center is the newest partner in this program. They add over 23 years
of clinical and administrative experience in providing day treatment serves to children and their
families.
Extensive effort has been invested into planning the milieu and overall program of the Littler Center
so that educational, therapeutic, behavioral, and recreational components are closely integrated. By
design, each of these four components contains aspects of the other three. Concerted efforts helped
to achieve and now serve to maintain this high level of integration. The educational component is
primarily the responsibility of the District 6 teaching staff plus other instructional staff as may be
required. The therapeutic component is primarily the responsibility of the NRBH on-site staff. The
behavioral component of the Littler Center is present across all activities of the program and is the
responsibility of all on-site personnel. Each student has an individualized education plan and a
mental health services plan that spell out educational, behavioral, and emotional concerns and detail
how those concerns will be addressed in the daily activities of the student. Similarly, the recreational
component of the Littler Center includes educational, therapeutic, and behavioral programming to
meet each student's needs. All components of the program are typically carried out on-site.
Exceptions to this occur primarily during times when a student is in a transitional stage in returning
to her or his home school and when off-site services, such as involvement in a particular therapy
group not offered on-site, are indicated.
Beginning at intake and throughout the program, parents, guardians, and other caretakers are actively
encouraged to engage in their children's education and treatment. Family therapy sessions are held at
least weekly for each student. In most instances, parental or guardian involvement is mandatory.
This stems from a core belief that not just the child, but also his or her family must actively involve
themselves in the treatment/education process for it to be effective and for the positive results to be
longstanding. The mental health services plan dictates the specific nature of the family work that is
required for each child.
The teachers at the Littler Center are certified special education teacher for significantly identifiable
emotionally disturbed children. They are assisted by three full-time, specially trained para-
professionals in carrying out each student's individualized educational plan. Due to age of the Littler
students, there has been no need for vocational or independent living assessment or training to date.
Each student receives an initial mental health assessment. The treatment leader, parents/guardians,
caseworker, if appropriate, and psychiatrist work to establish a behaviorally specific service plan that
details individual therapy, family therapy, psychiatric needs, and case management needs. The
service plan identifies the specific outcomes necessary for the child to be successful at a lower level
of care. It is the tool by which progress is measured. Typically, each student weekly receives up to
two sessions of individual therapy, five sessions of therapeutic group activities, and one session of
family therapy. This can very based on the needs of the specific child and their family. More
frequent services may be provided during the initial stages of treatment or during a time of crisis.
Fewer services maybe provided during the latter stages of treatment when a child is transitioning
back to their home school. Those students with psychotropic medication needs are the responsibility
of the Littler staff psychiatrist, Wallace LaBaw, MD. There is simultaneous development or updating
of the individualized education plan when a child is staffed into the Littler Center.
The physical health needs of Littler students including, but not limited to nutrition, medical, and
dental, are primarily the responsibility of District 6 nursing staff. These are shared as appropriate by
the staff of the Littler Center.
Proactive planning for reintegrating a student into her or his home school begins during the initial
screening of the child for consideration of admission to Littler. The capacity to return to one's home
school, i.e., the school referring the child or the school the child will depend upon promotion to her
or his next higher grade, must be established before a child will be accepted into the Littler program
as must be the referring school's willingness to have the student return there.
Similarly, the graduation requirements for students admitted to the Littler Center are formulated in a
preliminary manner during the screening and planning sessions held with each child and her or his
family, the staff of the referring school, and social services caseworkers when appropriate. The
requirements are largely expressed in terms of outcomes the child will achieve. The program is
constructed to emphasize the positive outcomes and gains each student will make. Whenever
possible, the strengths of the child will be used as the primary tools for progress.
Follow-up mental health care for students graduating from the Littler will be arranged by the Littler
Center's mental health staff with NRBH, other mental health centers, or a private practitioner of the
graduate's family's or guardian's choosing. The transition plan that guides the student's return to her
or his own school also provides for a stepped, systematic introduction to the new therapist or
reintroduction to a previous therapist to ensure continuity from day treatment to more traditional
outpatient services.
IV. MEASURABLE OUTCOMES
At the time of admission to the Littler Center, each student will be evaluated using, in part, the
Colorado Clinical Assessment Report (CCAR) developed by the Colorado Office of Mental Health
Services. Every six months thereafter and at discharge from the Littler Center the CCAR will again
be administered. The three-page form covers a wide range of variables and assessments. The Littler
Center Admission and Termination Evaluation Forms are to be used as evaluation tools as well.
These look specifically at the effects of the littler program. Copies of these forms are attached at the
end of this proposal.
It is anticipated that 90% of the children successfully completing the Littler program will reside in
their own homes, or remain in placement at a similar level of care as they were at the time of their
referral, for the first six months after their discharge. The criteria for success will be that each child
returns to or remains in her or his home or foster home and is able to safely and constructively do so
for at least the first six months they are no longer attending the Littler Center. This information will
be gathered by three and six month follow-ups with the child's family and their WCDSS caseworker,
if appropriate.
Additionally, all successful graduates will enter, remain in, and make satisfactory progress in public
school after their discharge from the Littler Center. More specifically, each graduate of Littler will
maintain or enhance the progress she or he made academically, socially, behaviorally, and
emotionally during her or his time in the program. This will be monitored by three and six month
follow ups with the child's family, their WCDSS caseworker, if appropriate, and by the
school/community facilitator(or the equivalent) from her or his home school. The criteria for
success will be maintenance of or improvement upon her or his levels of functioning in the four
areas mentioned above as stated in their individualized educational plan and their mental health
services plan.
The families of 90% of the children successfully completing the Littler program will report a more
relaxed, nurturing, and competent relationship with their children than existed prior to enrollment.
Families will be surveyed at discharge, three months and at six months after discharge.
Ninety percent of the children completing the Littler program will report and demonstrate an
improved sense of self worth, self-confidence, and decreased high-risk behaviors. Appropriate
improvements will be revealed when pre-C.C.C. CCAR ratings are compared with similar ratings
done at the time of completed transition back to the home school.
V. SERVICE OBJECTIVES
The primary goal of the Littler Center is to successfully intervene in the lives of its students and their
families to minimize the future need for similar intensive services, to enhance each child's ability to
be educated and to benefit from that education in her or his home school, to enhance each child's
ability and capacity to respond appropriately and healthfully to her or his family, and to improve
each child's family's abilities to adequately and appropriately respond to and provide for the child's
needs in a competent, safe, nurturing, and growth enhancing manner.
In working with families to achieve the goal of improving their abilities to manage family conflict in
a safe, constructive manner, the Litter Center staff works toward the objective of resolving conflicts
between parents and children so that no maltreatment of the children occurs, no domestic violence
occurs, no children run away from home, and no children commit status or legal offenses. Success is
measured by family, caseworker, and therapist reports that the objective was met. Each family will
also be asked to report on its subjective improvements in this area.
To meet the Littler Center goal of improving overall parental competency, an objective of increasing
the parents' abilities to develop and maintain sound, caring, effective relationships with each other
and with their children is established. An additional objective is to enhance the abilities of the
parents to provide, with as much proficiency as possible, for their family's care, nutrition, hygiene,
discipline, protection, education, and supervision. All parents are encouraged to develop appropriate
support systems designed to last beyond their child's involvement with the Littler Center. Again,
the parents and children will be polled concerning their subjective opinions about the improvements
they have made, as will the therapist and caseworker.
The Littler Center works with each client family to achieve the goal of improving its household
management competency. The objective is to enhance the capacity of the parents to provide a safe
household environment for the children through competently managing the home to include
cleaning, repairing, and maintaining the home, as well as via effective budgeting and purchasing.
The family, therapist, and caseworker will document the improvements made in this area.
The Littler Center works to improve each family's ability to find and use appropriate resources.
Treatment and case management services assist each family to learn more effective means to obtain
needed help from other sources in the community and from local, state, and federal governments.
This is modeled in each of the families' relationships with the Littler staff. The families will report,
and their caseworker and therapist will confirm, all gains made in this area.
VI. WORKLOAD STANDARDS
The Littler Center will provide day treatment services to 20 children aged five through 13 years, up
to 12 of who will meet the FYC funding criteria. A year round academic/treatment schedule is in
place. It is anticipated that up to 18 children will be enrolled in the course of a year. The average
length of stay in the program will range from 36 to 52 school weeks. Littler students will attend an
average of at least 5.9 hours of programming daily on all days the school is in session. The total
staff of the Littler Center numbers more than 17 individuals, comprising slightly more than the
equivalent of 13 full-time employees. This staffing level exceeds all Colorado licensing rules. Said
rules specify a student to total staff ratio of not more than eight to one which is far less than the three
to one ratio employed at Littler. If there is a time when only one staff member is present, a second
staff member is on call and immediately available to be summoned to an emergency. NRBH
certificate of insurance coverage is attached.
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ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE IM M/DO/1Y)
01/05/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. BOX 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4687 W. 18th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley, CO 80632 INSURERS AFFORDING COVERAGE
INSURED - -- -" -
North Range Behavioral Health INSURERAIRWIN SIEGEL AGENCY INC.
1306 11th Avenue INSURER B:Insurance Brokers Service, Inc.
Greeley, CO 80631 INSURERc.
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COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE RPrN 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 WY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE P0UOES DESCPoBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
INSR POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPEOF INSURANCE POLICY NUMBER
PATE IM M/C D/YYI DATEIM M/pOM'J LIMITS
A GENERAL LIABILITY 5182327225 01/01/00 01/01/01 EACH OCCURRENCE $1,000,000
X COMMERGALGFIJ ERAL LIABILITY FIRE DAMAGE(Any one lire) $200,000 _
CLAIMS MADE X OCCUR MED EXP(Any one person) 515,000
PERSONALAADYINJURY 51, 000,000
-- --- -- -- G EN ERA AGGREGATE S3 000000_
GENT AGGRET3ATEP LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3, 000 000
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A AUTOMOBILE LIABILITY 5182327225 01/01/00 01/01/01
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X HIRED AUTOS
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: The Littler Center
CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
SHOULDANYOFTHEABOVE DESCRIBEDPOLICI ES BECANCELLED BEFORE TH E EXPIRATION
Weld County Social Services DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYSWRITTEN
315 N. 11th Avenue NOTICETOTHE CERTIFICATE HOLDERNAM ED TO THE I EFT,BUTFAILURE TO COSOSHALL
Greeley, CO 80631 IMPOSE NOOB LIGATION OR LIABILITY OFANYKIND UPON THE INSURER,ITS AGENTS OR
R EPR ES EN TATIV ES.
AUTHORIZED REPRESENTATIVE
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IMPORTANT
•
If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
Acoaozs-S(7/97)2 of 2 #S148693/M144473
VII. STAFF QUALIFICATIONS
Licensing requirements mandate that day treatment programs have a treatment leader who is
responsible for the overall mental health services to each child. This person must hold a master's
degree in the behavioral sciences and have not less than three years of clinical experience.
Counselors in day treatment programs are mandated by the State of Colorado to have completed a
bachelor's degree in the behavioral sciences or to have at least four years of experience with
appropriate aged children, and must be at least 21 years of age. All of the staff meet or exceed these
requirements. The Littler Center treatment leaders are Chris Maslin-Cole PhD (12 years), Jenni
Etcheverry, MA, (3 years), Michael Eade, MS, (9 years), and Sheryl Gonzalez, MS (3 years). Ms.
Gonzalez is bilingual English-Spanish. The Littler Center counseling staff is comprised of Eric
Sagel, BA, Pam Huff, BA, Joshua Welp, BA, and Jackie Neale, BA.
Barry Lindstrom, Ph.D. and Kay Dechairo, MS, LPC are the clinical supervisors for the treatment
staff. They attend screenings and staffings on children referred into the Littler program. Once a child
is accepted into the Littler Center, Dr. Lindstrom and Ms. Dechairo assists the primary therapist in
the development of the day treatment services plan for him or her and for the child's family.
Cyndi Dodds, MS, LMFT is the Littler Center program director and is the administrative supervisor
of the Littler Center's mental health component. She has over 7 years clinical experience and 5 years
administrative experience.
Wallace LaBaw, MD, staff psychiatrist for the Littler Center, is a board certified psychiatrist. He is
able to follow-up with children after they graduate from the Littler Center and enter more traditional
outpatient care through NRBH.
Mike Hoover, Ed.D is the administrative supervisor of the Littler Center's educational component.
Since 1992, he has been a Special Education Coordinator for District 6. Currently certified as a
School Psychologist and Special Education Administrator, he has worked in the field for more than
20 years.
The Littler Center's teachers are Gayle Schneider, MA, And Ginger Meyette, LCSW. Ms. Schneider
is a certified special education teacher for significantly identifiable emotionally disturbed children
and is also certified in the area of learning disabilities. Ms. Meyette a special education teacher and a
Licensed Clinical Social Worker who brings her expertise in teaching and in mental health work to
the Littler Center. She is bilingual English-Spanish. They are assisted by three full-time para-
professionals, Chris Basley, Justina Arnet, and Cindy Jones in carrying out each student's
individualized educational plan.
Ann Teague, RN and Nurse Practitioner, is the school nurse and health consultant to the C.C.C. She
regularly checks in with the staff and students of the C.C.C. and is also available as needed.
Providing additional services to Littler Center students are various U.N.C. Special Education
Department doctoral students. They are supervised by Teresa Bunsen, PhD who also serves as a
consultant to the Littler Center.
RFP-FYC-00006 Attached A
VIII. COMPUTATION OF DIRECT SERVICE RATE
This form is to be used to provide detailed explanation of the hourly rate your
organization will charge the Core Services Program for the services offered in this
Request for Proposal. This rate may only be used to bill the Weld County Department of
Social Services for direct, face-to-face services provided to clients referred for
these services by the Department. Requests for payment based on units of service such
as telephone calls, no shows, travel time, mileage reimbursement, preparation,
documentation, and other costs not involving direct face-to-face services will not be
honored. Likewise, 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 840 Hours [A]
Total Clients to be Served 18 Clients [B]
Total Hours of Direct Service for Year 15,118 Hours [C]
(Line [A] Multiplied by Line [B]
Cost per Hour of Direct Services $ 11 .80 Per Hour [D]
Total Direct Service Costs $ 178,500 [E]
(Line [C] Multiplied by Line [D] )
Administration Costs Allocable to Program $ 5,000 [F]
Overhead Costs Allocable to Program $ 10,000 [G]
Total Cost, Direct and Allocated, of Program$ 193,500
[x]
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(Line [H] Plus Line [I] ) $ 193,500 [J]
Total Hours of Direct Service for Year 15,118 [K]
(Must Equal Line [C] )
Rate per Hour of Direct, Face-to-Face Service
to be Charged to Weld County Department of
Social Services $ 12.80 [L]
Page 31 of 32
RFP-FYC-00006 Attached A
Day Treatment Programs Only:
Direct Service House Per Client Per Month 110 [M]
Monthly Direct Service Rate $ 1,510 [NI
[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 completing the program.
[e] This is an estimate of the number of clients who will be served during the period from
June 1, 2000, through May 31, 2001.
ID] 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 on the program for
activities such as travel, phone conversations, "no-shows, " discussions with involved
parties, meeting preparation, and report completion.
[GI This represents the Agency Overhead costs, such as Rent, Utilities, Supplies, 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 will be
requesting payment for the services provided under the conditions of this Request for
Proposal .
[MI To be completed by prospective providers of the Day Treatment Program only, this line
represents the estimated number of hours per month your organization will 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 rate at which you
will be requesting payment for the services provided under the conditions of this
Request for Proposal . Calculated by multiplying Line [L] by Line [M] .
Pace 32 al?
VIII. PROGRAM CAPACITY BY MONTH
The Littler Center is designed to function with a minimum clinical staff contingent of 4.0FTE,
serving an average of 15 - 18 children and their families at any given time.
KATHLEEN P. LITTLER CENTER ADMISSION EVALUATION FORM (8/99)
Client Name Client Id#
Diagnosis: Primary Secondary
Date of Birth School Grade City
Admit Date Center Admit Littler
Medicaid Yes No(Check One) Sex Ethnicity
Who has custody of child at time of admit to Littler?
Where was child living immediately prior to admission to Littler?
Outpatient Therapist(if any)
Address/Phone
Special Behaviors or Circumstances/Reasons for referral
PAST PRESENT
Yes No Yes No
Suicidal
Violence toward others
Runaway Behavior
Self Mutilating Behavior
Social Isolation
Past Legal Charges
Current Legal Charges
On Probation
Victim Physical Abuse
Victim Sexual Abuse
Alcohol Use
Use of Inhalants
Other Drug Use
Learning Disabilities
Special Education
Others(specify)
GAF SCORE AT ADMISSION
OVERALL PROBLEM SEVERITY SCORE
LEVEL OF FUNTIONING SCORES AT ADMISSION (Rate all six areas.)
High Moder. Aver. Moder. Very
Func. High Low Low
I 2 3 4 5 6 7 8 9
Societal Functioning
Interpersonal Functioning
Daily Living Personal Care
Physical Functioning
Cognitive Intellectual
Overall Level of Functioning
KATHLEEN P. LITTLER CENTER TERMINATION EVALUATION FORM(8/99)
Client Name Client Id#
Littler Discharge Date:
Discharge Diagnosis: Primary Secondary
If psychotropic meds were used, please list below:
2.
3.
Who has custody of child at time of discharge from Littler?
Where will the child be living immediately after discharge from Littler?
Who will follow youth after discharge?
Special Behaviors or Circumstances
PRESENT
Yes No
Suicidal
Violence toward others
Runaway Behavior
Self Mutilating Behavior
Social Isolation
Legal Charges Pending
On Probation
Victim Physical Abuse
Victim Sexual Abuse
Alcohol Use
Use of Inhalants
Other Drug Use
Learning Disabilities
Special Education
Others(specify)
GAF SCORE AT DISCHARGE
OVERALL PROBLEM SEVERITY SCORE
LEVEL OF FUNTIONING SCORES AT ADMISSION (Rate all six areas.)
High Moder. Aver. Moder. Very
Func. High Low Low
1 2 3 4 5 6 7 8 9
Societal Functioning
Interpersonal Functioning
Daily Living Personal Care
Physical Functioning
Cognitive Intellectual _
Overall Level of Functioning
COLORADO CLIENT ASSESSMENT RECORD 1
NAME: IJGAF SCORE
ETHNIC/RACE 74 iM51
AGENCY 1-3 PROGRAM♦4 (1)American Indian/Alaskan Native
I I I I I I I I ICLIENT ID 4-u (2)Asian/Pacific Islander
(3)Black
REFERRING AGY. (4)Hispanic
CLIENT ID 15-23 (5)While(Non-Hispanic)
(6)Multi-Racial
I I I I I I I I I (MEDICAID ID 2542 HISPANIC ORIGIN 1s WS
I ADMISSION DATE asap (1)Not of Hispanic Origin
MONTH DAY YEAR (2)Mefdwn/Maa:an-American
(3)Puerto Rican
ACTION TYPE (Manual Input Only) 41-42 (4)Cuban
(5)Other Hispanic
Ot=Admission 11=Correction to Admission MARITAL STATUS 16
02—Activate 12=Corredan to Activation
03=Update 13=Correction to Update (1)Never Married (4)Widowed
04=Inactivate 14=Correction to Inactivation (2)Married (5)Divorced
05=Discharge 15=Carred'an to Discharge (3)Married Separated(Legal or Marital Discord)
06=Evaluation Only PLACE OF RESIDENCE Tr
I MEDS ONLY CLIENT 43 (1)Correctional Facility/Jail
(1)Yes (2)No (2)Inpatient
(3)Nursing Home
IM ADMISSION STATUS 4 (4)Residential Facility-Mental Health
(5)Residential Facility-Non-Mental Health
(1)New Admission
(2)Readmission From This Fiscal Year (6)Boarding Home
(3)Readmission From Prior Fiscal Year ( Homeless- Shelter
(8))Homeless-O On the ler
Sheet
PERMANENT HANDICAPRMPAIRMENT 4S49 (9)Other Independent Living Arrangement
(Coda ELL 5 Boxes Using t Yes 2 No) CURRENT LIVING ARRANGEMENT n
(1)Mental Retardation I
(2)Deafness or Severe Hearing Loss (1)Lives With Both Parents
(2)Lives With One Parent
(3)Blindness or Severe Visual Impairment Spouse(3)Lives With Spouse and or Other Relative(s)
(4)Speech Impairment (4)Lives Alone
(5)Non-Ambulatory or Assisted Ambulation (5)Lives With Unrelated Person(s)
LEGAL STATUS CURRENT EMPLOYMENT STATUS n
(1)Employed-Full Time
(1)Voluntary
(2)Employed
(2)Court-Directed Voluntary t Oetnerwise Employed
(3)Forensic Involuntary (4)(4)Soe -Part Sheltered
Employment-Not
(4)72-Hour Evaluation and Treatment(MH-HOLD) (5)Not in or For La
(5)Shod-Term Certified (6)Unemployed For Less Than 3 Months
(6)Long-Term Certified (7)Unemployed For 3 Months or More
(7)Voluntary Hospitalization of Minors (8)Armed Forces(Active Military Duty)
(8)Children'Code C.R.S.19-1-101
(9)Emerg/lnvd.AlcoholisnVDrug Commitment ANNUAL FAMILY HOUSEHOLD INCOME 4344
lEntan REFERRAL SOURCE 5142 ' I I I
PRIMARY DIAGNOSIS SECONDARY DIAGNOSIS 7 NUMBER OF PERSONS SUPPORTED BY us
I I I 'e lapp/kaI/a1 II I THIS INCOME(Include Client)
I (1)1 (client only) (6)6
PRESENTING PROBLEM HAS EXISTED sic (2)2 (7)7
(1)1 Year or Longer (2)Less Than 1 Year (3)3 (8)8
(4)4 (g)9 or More
PREVIOUS MENTAL HEALTH SERVICES se-s2 (5)5
(Code A J Four Boxes Using 1 Yes 2 No) HIGHEST EDUCATION LEVEL-IN YEARS es-u I I
Inpatient Care (Less Than First Grade Code as 00)
Other 24-Hour Care
Partial Care DUE TO MENTAL HEALTH REASONS, es
Outpatient Care CLIENT IS CURRENTLY RECEIVING:
I I (1)SSI (3)Both
COUNTY OF RESIDENCE 4344 (2)SSDI (4)Neither
l DATE OF BIRTH
tt .,.._..I:ii:F......7 45-72 FIRST 3 LETTERS OF CLIENTS LAST NAMEw41 I I I
II :. m: .,.i: . ..■ ..._.i.Y .......:. ZIP CODE nos n-too
MONTH DAY YEAR _I I I I
ES SEX n Triage Denver Health IL Medical Center Only 101 I
(1)Male (2)Female
COLORADO CLIENT ASSESSMENT RECORD 2
1
Client I.D. Name Admit Date
HISTORY 102-toe Check ALL that Apply CURRENT P-SEV Check ALL Problems that Apply
Vit
t:Sexual Abuse Hist:Suicide Attempt _Hisl:Unstable Employm AGGRESSIVENESS 181-197
Vict:Physical Abuse Hist:Family Mont-Ill
—Vic
Neglect —Hist:Family Sub-Abuse _Piling Ott _Defiant Threatening
SPECIAL PROBLEMS/ISSUES los-lie Check ALL that Apply _Aggressive —Hostile _Intimidating
ANTISOCIAL 198-203
_Learning Disability CNS Disorder Language Issues
Loss/Grief Wetting/Soiling Cultural/Belief Issues _Disrespect _Disregards Rules Uses/Cons Others
_Eating Disorder _Fire Set/Destroy Property _Disobedient Dishonest
PR _O SE
VERITY_ EVERITY ] LEGAL 204-210
_Legal Problems Probations/Parole _Offenses:Property
RATE the CURRENT P-SEV(PROBLEM SEVERITY) _Charges Pending _Offenses:Substances _Offenses:Persons
for each area in the boxes provided,using the following scale: j VIOLENCE I DANGER TO OTHERS 211-217
None Slight Moderate Severe Extreme
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 Violent Homicidal
_
Assaulfive Homicidal Threat/Attempt
CURRENT P-SEV Check ALL Problems that Apply —Phys/Sexual Abuser _Danger to Others (ORS.:27,j)___._
EMOTIONAL WITHDRAWAL i17-in
FAMILY ISSUES 215-225
Underactive Passive Doesnl Verbalize Feelings
—Distant —Subdued —Blunted Affect No Family/No Contact Family Legal _Domestic Violence
DEPRESSION Out of Home Placement Parenting Unstable Home/Fam
24430 —
Separation/Custody
_Depressed _Lonely —Detected
Hopeless FAMILY PROBLEMS WITH
Worthless Sad 226-n1
_
ANXIETY Parent _Partner _Relative
134-t 39 _Sibling _Child
_Anxious _Nervous Panic INTERPERSONAL PROBLEMS
Tense Flashbacks Phobic 232-236
_Fearful _Nightmares/Terrors _w/Friend _Establishing Relationships
HYPER AFFECT —Social Skills Maintaining Relationships
40-146 —
_ Pressured
Overactive Speech _Elevated Mood ROLE PERFORMANCE(Work/Schoolt 237-243
Mood Swings Accelerated Speech Mania
_
Absenteeism Performance _Behavior
ATTENTION PROBLEMS 447-153 —Suspension/Probation Termination_ Limited Employability
_Agitated _Distractible Mention Span SUBSTANCE ABUSE 244-249
—Restless Impulsive Concentration
Problem w Alcohol Dependent/Addicted In Recovery
SUICIDE/DANGER TO SELF 1541ro _Problem w Drugs Interferes with Responsibilities
—Suicide Ideation Self-Injury/Mutilation MEDICALlPHYSICAL 250-256
Suicide Plan Reckless Self-Endangerment
—Suicide Attempt —Danger to Self (cRWZ7-70) Acute Illness Medical Care Needed Physical Handicap
Chronic Illness —InjuryByAbuse/Assault Permanent Disability
THOUGHT PROCESSES 161-160
SECURITY/MANAGEMENT ISSUES 257-265
Bizarre Suspicious _Repeated Thought
Delusions —Paranoid Obsessive Seclusion/Time Out Walkaway/Escape _Behavior Managemt
Hallucinations Close Supervision Security_—
Suicide Watch
Medication Compliance Inadequate Mutt Supervision
1 COGNITIVE PROBLEMS 169-175 —
Confused Lacks Associations Sett Awareness OVERALL DEGREE OF PROBLEM SEVERITY 256
—Disoriented —Disorganized _Impaired Judgement Check ONE Response
SELF-CARE/BASIC NEEDS 176-183 None Slight Moderate Severe Extreme
Hygiene _Doesn Wanage Money Doesn't Provide Food 1 2 3 4 5 6 7 8 9
Self Care Problems Doesnl Use Resources Doesn't Provide Housing
_Gravey Disabled (CitS$7.ip); —
UPDATE,ACTIVATE,INACTIVATE&DISCHARGE ONLY
CHANGE IN OVERALL PROBLEM SEVERITY 267
RESISTIVENESS 154-190 Check ONE Response
_Resistive Evasive Wary Much Much
_Uncooperative Guarded Denies Problems Better Better No Change Worse Worse
1 2 3 4 5 6 7 8 9
COLORADO CLIENT ASSESSMENT RECORD 3 I
Client I.D. Name Admit Date
STRENGTHS/RESOURCES LEVEL-OF-FUNCTIONING (LOF)
Check ALL CURRENT STRENGTHS/RESOURCES Individual has: Check ONE Response for Each LOF Area
ECONOMIC RESOURCES 268-274 SOCIETAL/ROLE FUNCTIONING 304
MedicaklM3edkare Employment Transportation Very High Moder High Average Moder Low Very Low
O- ther Medical Insur Housing Function Function Function Function Function
_ _
Other Public Assist Financial
— 1 2 3 4 5 6 7 8 9
EDUCATION!SKILL RESOURCES 2762» INTERPERSONAL FUNCTIONING 306
Language Skills Interpersonal Skills Intelligence
Education Job Skills — Very High Moder High Average Moder Low Very Low
— — Function Function Function Function Function
PERSON RESOURCES 263-287
1 2 3 4 5 6 7 8 9
Parent(s) Partner Professional Caregiver
-Sibling(s) -Child(ren) _Other Supportive Relationship DAILY LIVING/PERSONAL CARE FUNCTIONING 306
Relative(s) _Friend(s) Very High Moder High Average Moder Low Very Low
_
PERSONAL STRENGTHS 288-301 Function Function Function Function Function
Likeableness Emotional Stability Adaptability 1 2 3 4 5 6 7 8 9
_Appearance _Health _Thought Clarity PHYSICAL FUNCTIONING 307
Confidence Hopefulness Resourcefulness
_J- udgement _Responsibility Tolerance Very High Moder High Average Moder Low Very Low
Empathy Insight Function Function Function Function Function
— 1 2 3 4 5 6 7 8 9
COGNITIVE I INTELLECTUAL FUNCTIONING 308
Very High Moder High Average Moder Low Very Low
Function Function Function Function Function
1 2 3 4 5 6 7 8 9
CURRENT OVERALL STRENGTHS/RESOURCES 302 OVERALL LEVEL OF FUNCTIONING Check ONE Response x6
Check ONE Response
Very High Moder High Average Moder Low Very Low
Very High High Moderate Some Very Low Function Function Function Function Function
1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9
UPDATE,ACTIVATE.INACTIVATE&DISCHARGE ONLY UPDATE.ACTIVATE.INACTIVATE&DISCHARGE ONLY
CHANGE IN OVERALL STRENGTHS/RESOURCES 303 CHANGE IN LEVEL OF FUNCTIONING Check ONE Response 310
Check ONE Response Much Much
Much Much Better Better No Change Worse Worse
Better Better No Change Worse Worse 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9
III I I STAFF ID 311-318 STAFF SIGNATURE
I I DISCIPLINE: 1=none 2=mh worker 3=nursing 4=social work 5=psychology 6=psychiatry 7=other 320
I1 DEGREE' 1=none 2=asenriate 3=bachelors 4=masters 5=PhD/PsyD/EdD 6=MD 7=other 321
COMPLETE THIS BOX ONLY FOR COMPLETE THIS BOX ONLY AT DISCHARGE
UPDATE,ACTIVATE AND INACTIVATE STATUS I I I I
DATE FORM COMPLETED
MONTH DAY YEAR Ito 337
I I LAST CONTACT DATE
MONTH DAY YEAR 338345
I EFFECTIVE DATE 322-329 1 1 I I - DISCHARGE DATE
MONTH DAY YEAR MONTH DAY YEAR 346-353
TYPE OF TERMINATION. 354
SPECIAL STUDIES 1•Discharged/Tnansferred 5-From Inactive
24TX Completed No Referral 6+Patient/Client Died
I _ I I I 351-368 34TX Compbled/Follov-up 7-Patient/Client Terminated
14=Evaluation Only
TERMINATION REFERRAL' 355334
367-378
NOTE: Use 61 'Selr if no Referral
SUPPLEMENTAL NARRATIVE TO RFP:
EXHIBIT B
CONDITIONS OF APPROVAL
Y
Copy
ea 3
North Range
Behavioral Health
Lid. IFJi.0 I< A I'.
May 22, 2000
Frank Aaron, Social Services Administrator
Department of Social Services
P.O. Box A
Greeley, Colorado 80632
Dear Frank:
I share the following in response to a letter from Judy Griego dated May 10, 2000,
regarding, "RFP 00006, The Littler Center, Day Treatment." In the letter, two
conditions are listed and we have no problem with either. Under the statement of the first
condition, five questions are included. It appears to us those questions illustrate the
matters which will be evaluated under the first condition. If we are expected to submit
content regarding those questions prior to the end of the operating year, please clarify.
The letter asks me to reply to you by May 24, 2000. I have done so and therefore assume
we have satisfied requirements due at this time. If I can provide any other assistance at
this time, let me know.
Thank you.
\(),CaLz
Dale F. Peterson, LCSW, MHA
Executive Director
cc: Cyndi Dodds, Director of the Kathleen Painter Littler Center
4
• a )144` a
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80832
Administration and Public Assistance(970)352-1551
• Child Support(970)352-8933
('��j_� D(7 May 10, 2000
�`rjd�'t" a e e erson`birector
North Range Behavioral Health, Inc.
1306 11 Avenue
Greeley, CO 80361
•
Dear Mr. Peterson:
Re: RFP 00006, The Littler Center, Day Treatment
Dear Mr. Peterson:
The purpose of this letter is to outline the results of the RFP Bid process for PY 2000-2001 and
to request written information or confirmation from you by Wednesday, May 24, 2000.
A. Results of the RFP Bid Process for PY 2000-2001
•
On April 20, 2000, the Families, Youth and Children (FYC) Commission approved the
RFP(s) listed above for inclusion on our vendor list. The FYC Commission attached the
following recommendations and/or conditions regarding your RFP bid(s).
1. RFP 00006, Day Treatment:
Conditions:
(a) The program will be subject to close monitoring by the Department of Social
Services and revised to accommodate the various needs and the safety issues of
the youth in placement. An in-house and external year-end evaluation will be
completed to measure success. The following will be addressed:
1) Is safety adequate to house the type of youth using the program?
2) Is staff adequately trained?
3) Is a consultant available to assist North Range Behavioral Health
with their program?
4) Is there collaboration and coordination within the community to
provide a work/service element for the youth in placement; i.e.,
churches, Habitat for Humanity, etc.?
5) Is there collaboration and coordination within the community to
assist the program with youth; i.e., Partners?
Page 2
North Range Behavioral Health
Results of RFP Bid Process PY 2000-2001
(b) Timely and accurate billings must be received for payment of services to be
honored.
B. Required Response by RFP Bidders Concerning FYC Commission Conditions.
The Weld County Department of Social Services is requesting your written response to
the FYC Commission's conditions. Please respond in writing to Frank Aaron, Weld
County Department of Social Services, P.O. Box A, Greeley, CO, 80632, by
Wednesday, May 24, 2000, close of business.
1. FYC Commission Conditions:
All conditions will be incorporated as part of your RFP Bid and Notification of
Financial Assistance Award (NOFAA). If you do not accept the condition(s),
you will not be authorized as a vendor unless your mitigating circumstances are
accepted by the FYC Commission and the Weld County Department of Social
Services. If you do not accept the condition, you must provide in writing reasons
why. A meeting will be arranged to discuss your response. Your response to the
above conditions will be incorporated in the RFP Bid and Notification of
Financial Assistance Award.
If you wish to arrange a meeting to discuss the above conditions and/or recommendations, please
do so through Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to
Wednesday, May 24, 2000.
Sincerely,
Ju . Gri go, Di ctor
W 1 County Department of Social Services
cc: Esteban Salazar, Chair, FYC Commission
Frank Aaron, Social Services Administrator
JG:ef
' a
DEPARTMENT OF SOCIAL SERVICES
PO BOX
GR COEELEY,CO 80632 Administration and Public Assistance(970)352-1561
• Child Support(970)352-6933
Ci •
C(1T D(7. May 10, 2000
`''ivrr a e e erson, virector
North Range Behavioral Health, Inc.
1306 11 Avenue
Greeley, CO 80361
Dear Mr. Peterson:
Re: RFP 00006, The Littler Center, Day Treatment
Dear Mr. Peterson:
The purpose of this letter is to outline the results of the RFP Bid process for PY 2000-2001 and
to request written information or confirmation from you by Wednesday, May 24, 2000.
A. Results of the RFP Bid Process for PY 2000-2001
On April 20, 2000, the Families, Youth and Children (FYC) Commission approved the
RFP(s) listed above for inclusion on our vendor list. The FYC Commission attached the
following recommendations and/or conditions regarding your RFP bid(s).
1. RFP 00006, Day Treatment:
Conditions:
(a) The program will be subject to close monitoring by the Department of Social
Services and revised to accommodate the various needs and the safety issues of
the youth in placement. An in-house and external year-end evaluation will be
completed to measure success. The following will be addressed:
1) Is safety adequate to house the type of youth using the program?
2) Is staff adequately trained?
3) Is a consultant available to assist North Range Behavioral Health
•
with their program?
4) Is there collaboration and coordination within the community to
provide a work/service element for the youth in placement; i.e.,
churches, Habitat for Humanity, etc.?
5) Is there collaboration and coordination within the community to
assist the program with youth; i.e., Partners?
r
Page 2
North Range Behavioral Health
Results of RFP Bid Process PY 2000-2001
(b) Timely and accurate billings must be received for payment of services to be
honored.
B. Required Response by RFP Bidders Concerning FYC Commission Conditions.
The Weld County Department of Social Services is requesting your written response to
the FYC Commission's conditions. Please respond in writing to Frank Aaron, Weld
County Department of Social Services, P.O. Box A, Greeley, CO, 80632, by
Wednesday, May 24, 2000, close of business.
1. FYC Commission Conditions:
All conditions will be incorporated as part of your RFP Bid and Notification of
Financial Assistance Award (NOFAA). If you do not accept the condition(s),
you will not be authorized as a vendor unless your mitigating circumstances are
accepted by the FYC Commission and the Weld County Department of Social
Services. If you do not accept the condition, you must provide in writing reasons
why. A meeting will be arranged to discuss your response. Your response to the
above conditions will be incorporated in the RFP Bid and Notification of
Financial Assistance Award.
If you wish to arrange a meeting to discuss the above conditions and/or recommendations, please
do so through Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to
Wednesday, May 24, 2000.
Sincerely,
Ju . Gri go, Di ctor
W 1 County Department of Social Services
cc: Esteban Salazar, Chair, FYC Commission
Frank Aaron, Social Services Administrator
JG:ef
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