HomeMy WebLinkAbout20001240.tiff RESOLUTION
RE: APPROVE COLORADO WORKS IN WELD COUNTY PUBLIC SECTOR WORK
ACTIVITY AGREEMENT AND AUTHORIZE CHAIR TO SIGN
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 Colorado Works in Weld County
Public Sector Work Activity Agreement between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Weld County
Department of Public Health and Environment, and the Department of Human Services,
Employment Services Division, with further terms and conditions being as stated in said
agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, 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, that the Colorado Works in Weld County Public Sector Work Activity
Agreement between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Weld County Department of Public
Health and Environment, and the Department of Human Services, Employment Services
Division, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 22nd day of May, A.D., 2000.
BOARD OF COUNTY COMMISSIONERS
WE D COUNTY, COLORA O
ATTEST: I ,! /O
���lll Barbara J irkmeyer, Chair
W t Clerk to the Board j 4
4 - l�j
/ M. J ei e, ro-Te
•
Ies+ o the Board - —_ - /./r C- RReab
GeorgeE. Baxter
TO FO
Dale K. Hall
County Attor y 'ZtieW‘/iyetcr'
Glenn Vaad
2000-1240
HL0027
,ee t
it&
�°►.
COLORADO MEMORANDUM
TO: Barbara J. Kirkmeyer, Chair, Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH, Department of Public Health and
Environment A4k6butklU DOnut
SUBJECT: Non-financial Agreement with Employment Services of Weld
County
DATE: May 19, 2000
Enclosed for Board review and approval is a non-financial agreement between Weld County
Department of Public Health and Environment and Employment Services of Weld County to
provide work activities for participants in the Colorado Works in Weld County (CW WCi
program.
This agreement outlines each agency's responsibilities regarding the placement of participants in
the CWWC Program at the Health Department site. WCDPHE is agreeing to provide work
activities that will enable the participants to develop basic work habits, learn vocational skills,
and gain work experience. The participants will be striving to increase their general office skills
in areas such as filing, data entry, and keyboarding and to increase their Spanish translation
skills. Employment Services is agreeing to provide participants who they believe can perform
work activities requested by the Health Department for a period of six months or less. They also
are agreeing to provide performance and attendance evaluation report forms which will be
completed jointly by both agencies and to assure Worker's Compensation coverage for the
participant is provided.
The effective date of this agreement is May 22, 2000, and it may be terminated anytime by either
party by giving written notice.
Enc.
20(,0-124(
Exhibit D
COLORADO WORKS IN WELD COUNTY
PUBLIC SECTOR WORK ACTIVITY AGREEMENT
WITH A SPONSOR
This Agreement,made and entered into the date written below,by and between the Employment
Services of Weld-County, hereinafter referred to as"Employment Services" and Weld County Department
of R,ht;c gear th and iroameat a public sector ernoloyer,hereinafter referred to as the
"Sponsor."
PURPOSE OF THE AGREEMENT
A. It is the purpose of this Agreement to outline a cooperative and non-financial Agreement
between Employment Services and the Sponsor in the assignment of Colorado Works in Weld
County(CWWC) participant to specific CWWC activities at the Sponsor's work site.
B. The Sponsor will provide specific activities for the CWWC participant that lead to the
development of basic work habits, enhancement of employment skills through reinforcement :Df
work place skills,and the obtainment of a current work history for the participant.
C. As an option,the Sponsor will provide specific training activities that will enhance the
participant's job specific skills.
COOPERATIVE AND NONFINANCIAL AGREEMENT
A. EMPLOYMENT SERVICES AGREES AS FOLLOWS:
I, To refer participants who they believe can perform work activities within.the Sponsor's
work assignment.
2. To provide a participant for six(6)months or less.
3. To assure that necessary and reasonable transportation and related work expenses are
provided to the participant.
4. To provide timely notification to the participant and the Sponsor of the required number
of hours of weekly participation.
5. To furnish attendance and performance evaluation report forms which the Sponsor and
participant will jointly complete.
6. To maintain communication with the Sponsor concerning participant progress.
7. To assure that Worker's Compensation coverage for the participant is provided by Weld
County Government.
B. ELIE SPONSOR AGREES AS FOLLOWS:
1. To provide work activities that will enable the participant to learn vocational skills and
gain work experience and, at the option of the Sponsor,job specific training activities.
2. Not to displace regular full-time or part-time employees to fill vacancies with the
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September 10, 1997 1
Exhibit D
CWWC participants.
3. To not create assignments in situations resulting from a labor dispute, nor which, in any
way interfere with union rules.
4. To furnish equipment and materials reasonably necessary to ensure the accomplishment
of the project task.
5. To accept only the number of CWWC participants whom the Sponsor can effectively
supervise and use productively.
6. To assure competent supervision, including adequate training when the work assignment
requires the use of equipment and/or procedures unfamiliar to the participant.
7. To prepare with each CWWC participant monthly attendance sheets certifying the clays
and number of actual hours spent at the work site. Those reports will be forwarded to
Employment Services no later than(3)days after the report period has ended.
8. To grant to the participant the necessary time to report for employment interviews
authorized by Employment Services.
9. To provide work assignments in which the participant shall not to exceed eight hours per
day.
10. To treat all CWWC participants in the same manner and under the same rules as
employees of the Sponsor concerning such issues as hours of work, safety, and job
performance.
11. To inform each CWWC participant of the rules at the time of initial placement.
12. To contact Employment Services immediately in the event the CWWC participant faiis
to participate under the terms of the Assignment Agreement.
13. To complete a performance report that focuses on work place skills with each CWWC
participant per arrangement with Employment Services. Such reports shall be prepared
at a minimum of every two months and at the end of the participant's assignment at the
work site. The form for the performance report is set forth in Attachment A.
14. To assure that the participant will not be subject to racial, ethnic, sexual, or religious
discrimination.
15. To release immediately and return to Employment Services a participant whose conduct
becomes excessively disruptive, or who consistently violates the rules and regulations.
The Sponsor will provide Employment Services an explanation of the participant's
release.
16. To respect the participant's rights to confidentially on being a CWWC participant.
17. To follow the procedures as provided by Employment Services for any worker's
compensation coverage. The worker's compensation coverage procedure is Attachment
PARTICIPANT AND WORK ASSIGNMENT INFORMATION
A. Number of participants that the Sponsor can properly use: 3 •
B. If a CWWC participant demonstrates ability and desire, is there a possibility of employment with
the Sponsor? U }�o 1, chi•ujs u.ee rt
C. Work Activity Tide: C,4.0.4,-x-4- r 0-r./tc u.s 6+s'Ly
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September 10, 1997 2
•
Exhibit D
Work Activity Skill Development Description: I nc r ea-se Semis L +r,w)s +1�-�~��c,i fs f"---f".=--
e., a-pI APYR incre&,e ekter -a el .jCclls ie /1, aJr.. �.� vti „� �,lb or
CVO) wr-frr.t !-n "ya: lirt'e gift4 -. .•D. Work Activity Title: e iesa-1 Cleo ca-f'�C/rK�c assrsFu..J
Work Activity Skill Development Description: mcre.44-. 5/0'"'`.S'` """' 1Q'` L' y-----
FN P / r 42-4c /Z+7 brio-) el;C � 'U
JOB SPECIFIC TRAINING COMPONENT (OPTIONAL)
A. Job Specific Training Title:
B. Employment Services will reimburse the Sponsor a maximum training allowance of$.500 for
the participant as described as follows:
C. The Sponsor will outline the method by which the Sponsor will provide the training and how the
participant will satisfactorily attain the job specific training. The Sponsor may provide the
training directly or through a training provider(s). A training provider must be authorized by
Empoyment Services and may include, but not limited to, a community college,proprietary
school, post secondary school, private non profit organization, private for profit organization,
public or charter school. Employment Services will provide a list of authorized training
providers for the Sponsor.
DATE OF AGREEMENT,TERMINATION PROVISION,AND SIGNATURES
The effective date of this agreement is May 22. 2000
The Sponsor or Employment Services may terminate this Agreement by giving written notice anytime.
SPONSOR: •
SEMPLOYMENT SERVICES:
Sponsor: Employment Services of Weld County
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September 10, 1997
Exhibit D
Address: G�Cpi'rnf P.O. Box 1805; 1551 North 17th Avenue
/ysS A/. /7 kt.A v-e Greeley, Colorado 80632
By: ( L/ j Co gCb 3! By:
Contact Person: tSr's Contact Person: _
Telephone: ,.-30 y- G yLc /- 2.311- _ Telephone:
Attachment A: Participant Performance Report(Basic Work Skills Development Report)
Attachment B: Worker's Compensation Coverage Procedures
Distribution: Original:Employment Services of Weld County Yellow: CWW0 Sponsor
•
hairinan Board of Count Commis ' ers
Ba- Kirkme er ( /22/2000)
14 ARD
T Y TO THE BOARD
ktIN
M:\wpfiles\adm\tanfp.jag
September 10, 1997
COLORADO WORKS IN WELD COUNTY
BASIC WORK SKILLS DEVELOPlYI IT REPORT
NAME: ._
WORKSLL_lt:
DATE REPORT PERIOD:
PERFORMANCE STANDARDS NOT is NHS COMMENTS
MLkSURED• STANDARD t3QROVfltENT
L Honesty and Integrity
-Caoascs an edzicu course of aeon
-Follows du-ouzh on canzmimteats
•
-Shows regard for pas«stuns of
othcs
-Dcaanstratt high rust level
-Atilt=to truth despite
causetu=
2. Independent Worker
adepeadeat1y=pi=tasks with
minimum suoervisieniassi ce
•
-Danansaares self-starting behavior
-$ecogaiz=and rcnands to
•
sizaranons appropriately
-tdenrif=and salves problems
3. SelfManagement
-Dan=re=tina to wont
-Dcemasaatess initiative
-D eons rate anacity farlttelong. •
pro cow*
-.tee self accsately
-Sets pesanal goals and moui=rs
progress
-rshtbia self=oil
4. Responsible Jab Behavior
&Positive Work Ethic
-Ex=a high level of effort and
par==ward goal attain:teen:
Woth hard to achieve=elle
by y� l.rdhir<hing high Sandards
-Dead arreaed
-Displays high
p■+r'n^l+ty smadartis
-WWmg to approach.and complee
tad=
—
-Exemses good judgment and ink=
responsibility far actions
- ,Secs goals within allotted time
ftra
-Distinguish=e ectively between
ERFORM NCE STANDARDS NOT frEU7S 'mss coru►1Irrrs
Mr-ASTIR= ( STANDARD OVEM3Mrr — 7
f i
. Completes Work
-Campiet tasks=lei),
and within given time name
-Works to in=standards set by
employer
Team Player •
-Cana:but=to group can:through
c000csnon and cons u
-Dentansuants value of trot
asembas sad ceou arcs dmit IIIptt
-promote team=sphere
-Accepts re--Iponsfniiiry canfcred by
team
-l:Demonst=:c an undcss3nding of
others taroug i courtesy,adaptability
and canam
-foc..-^nve to change
Communicates Effectively
-Displays ability to raccivc and relay
information clearly and effearveiy
-Uril effective verbal and
nanves oat aces
ideas and-commuaicanrs
oral m g's appropriate to Listens
and sin:scions
Selects appropriate medium far
conveying a message
-Understands and=ponds to
iusnuction - -• Effective'Listener
-Appropriately=ponds to vebal
most go:
-Follows verbal instruc>daa
-Acknowledges verbal menages
-Asia for clarificarian if
rtterstge is unclear
-Conveys mforraa:ian ao=aaefy
• Effective Speaker
-Marty and effectively orpnizes
and Fres=ides:orally
in discassinas and
convanuians
-Arci=lanes effectively _-.._..
iRFORMANCE STANDARDS NOT Mgrs _ =onus
MEASURED STANDARD t 1 OVDrf T
10. Demonstrates Basic Math
Skills
-Adds,subtracs-multiplies and
divider using waoie numbers
-Adds and s ib .:=using negative
and positive numbers
-(laugh=a number uum one.farm to ,
anoi ,using whole ncmabes,
framfaas,tie•-rrr-tc orper entriz s
-Approach=pra cal problems by
choosing appropriate inathemarical
techniques
IL Demonstrates Basic Reading
SIdlls
-Lo cm=,r,under=nds,anti intm pr=
written aaform=on in prose and ha
dau==b such as manuals,gtpas •
and charts
-l;e+aoga;mss proper plaeeaemt of a
step in a sequ==of events
-ltecogniz===e-effect
tefadoasivas •
-ltttagniz=the application of •
coaoplex iastrccdnuz involving
several steps to de bathe situation
• -Based an canto;ideate=entrees
nc ni for words
L. Demonstrates Basic Writing •
Stalls •
orgrmizes and effectively ivvely •
pr=cros ides in writing
-Writ=so that others diadems.
13. Demonstrates Ability to •
Perform Basic in Various
Work A.mbieacrs
-Accepts diffcadICA2S sad works wea
with individuals liana divaQe _ •
backgrounds andfor divergesat ideal
or piosop
•
:OMM N n;
EMPLOYMENT SERVICES OF WELD COUNTY
Colorado Works in Weld County
Worker's Compensation
The following are the policies and procedures for Worker's Compensation:
I. Trainees in a public or private sector work activity program under the Colorado Works in
Weld County Program are covered by the Worker's Compensation Act which is provided
under the Weld County Government. The coverage under Worker's Compensation provides
that a CWWC participant receiving a job related disease or injury will be eligible for
disability income and medical care.
2. If an injury occurs during training/work hours, as the work site supervisor, you are directed to
immediately report that injury on the day that it occurs to Employment Services of Weld
County at 353-3800. If the injury is after hours or on a weekend, please notify Employment
Services the next available working day.
3. All work site supervisors must know and be able to provide to the trainee the procedures to
follow when an injury occurs.
4. All work related injuries are to be treated by our designated provider, Dr. McLaughlin of
Northern Colorado Works Occupational Medicine Clinic, located at 2525 16th Street, Suite C.
The telephone number is 392-1745. If the injury occurs before 8:00 am or after 5:00 pm,
individuals are to report to QuickCare located at 2928 10th Street or call QuickCare at 351-
8181. If no one answers, page the clinic at 304-2582. The claim may be denied if the trainee
goes to a private physician. The only exception will be if the injury is severe enough to
require the use of an ambulance in which case the injured party will be taken to the nearest
medical facility. Payment will not be made for any Chiropractic service.
5. Before the injured trainee is allowed to return to work, a written release is required from the
physician stating the trainee can return to work.
The trainee's agreement with Employment Services of Weld County will be immediately
terminated if it is determined by the Weld County Personnel staff that the trainee has
fraudulently claimed an injury or illness under Worker's Compensation. The Weld County
Personnel Office will determine if further legal action will be pursued.
Participant Signature Date
Employer Signature Date
White Copy: File Yellow Copy:Trainee Pink Copy: Employment Site Rev 3/99
LATE OCCURRENCES POLICY
YOUR RESPONSIBILITIES:
1. You MUST telephone me if you expect to be late.
2. You MUST telephone me AT LEAST l s minutes before start time. •
If you are more than one hour late and have not telephoned, it will be considered an unexcused
absence.
Within the first six months of participation, you are only allowed 3 late occurrences. If there is
an additional late occurrence, a sanction notice will be sent to Social Services.
After the first six months of participation, you are only allowed 1 late occurrence. If there is an.
additional late occurrence, a sanction notice will be sent to Social Services.
ABSENCES POLICY •
If there are any unexcused absences, a sanction notice will be sent to Social Services.
Within the first six months of participation, you are allowed a maximum of 3 excused absences.
If there is an additional excused absence a sanction notice will be sent to Social Services.
After the first six months of participation, only 2 excused absences are allowed. If there is an
additional excused absence, a sanction notice will be sent to Social Services.
EXCUSED ABSENCES MUST HAVE WRITTEN DOCUMENTATION TURNED IN BY
THE FOLLOWING WEEKDAY OR A SANCTION NOTICE WILL BE SENT TO
SOCIAL SERVICES.
Excused absences are as follows:
Jury Duty
Child School Registration
Inclement Weather
(if the city bus in not running or county is closed),
Appointments for Food Stamp Redetermination
(48 hours advance notice required)
Sick Days
Doctor's appointments
Serious Illness
Court Dates •
Emergency Day
Eviction from housing
Funeral of Immediate Family Member
I have read and understand the policies regarding late occurrences and absences. I understand
that failure to comply will effect my TANF cash benefits.
Client !liunature Date
Jionit y Go•iitact She r} ��
Ned County Colorado Wor1ts rAllF Progral�� ry ��1 fVf !> .►1
Naive: . _-_ Paltictpant's Telephone; —.-
Address. _ _______ - Case Manager Natiie: N L _ _
__ -____ — State I.D. Nu:
io:
Attendance Record
. _._.-_._.__._...�._ .___.. _ 1 ,___.-_- _.,.--........_1_7, ...--7-.,- -------- __,
\GTlvm! l 2 3 '1 5 6 7 6 9 tO 11 12 1'3 1d 15 16 I7 16 19 70 21 22 23 24 25 26 27 26 29 3u 31 tort,
_, _ _ _ -_ ____._ -,. ..._--_ _ a.._.____. ....-�__ - - . _ . ..-.r. --- _�
.- ..._ ___-—.___5 r _ _ _
------—----—_._ -.__- —______._- — -- —------- — —.,-. ------/---_—I--,_-___
_ ._- —_�...------_.__. _._.,_�. -_-..._____ __
_ �,
. Weie you absent froin any activity this mont.h.'? Yes O No O If you have been absent from an activity this month, please fist date, time, and reason fart
absence:
1
6rietty describe your progress in your assigned activity. Pi ogress has been: Oulstannding 0 Satisfactory U Unsatisfactory 1_1 __
Explain' - .. . _ _
Are you needing any assistance? Yes CI No 0 if yes, please describe assistance needed: •
Are you employed? Yes No 0it yes,L7 Employer Name' Address:__
Pet No._
Sirpenrisnr_ _ Start Dale' - • - Wage: hlouis per Week:
i iieuq , I.,,li r,j tr,gf ii,a IIn111C IHI:urY.rerJ ale flue' drill COI;V.fl i rpr'tflr o J
PAR I iA;if'r' NI SIGNATURE:
IE>>upervisOI'COiiU%1eills' _______... .__. ___.,__ ______
SigIigtr.lre: _Date!
Weld County Department of Public Health & Environment
1555 N. 17th Avenue
Greeley, CO 80631
(970) 304-6420
Public Health Education & Nursing
Job Description
Entry Level Medical/Clerical Position
Duties Include:
Spanish/English verbal translation for clients and staff
for phone, office & home visits
Customer Service
Clinic maintenance IE: clean and set up rooms between appointments,
clean equipment, transport labs
Directing/Escorting clients to and from medical examination rooms
Help schedule medical appointments through data entry and telephone
General filing of medical charts and immunization records
Intensive data entry (as skills evolve)
Other duties as indicated
Participants must abide by Weld County employees rules and regulations
and of the T.A.N.F. program
POLICY
SUBJECT: Confidentiality
PURPOSE: To document that each staff member has been oriented to and agrees to abide by the
strictest rules of confidentiality. To that end, all CHN staff will read the following
policy.
POLICY STATEMENT:
Custody of Records
The director at Weld County Department of Public Health and Environment is considered
to be the designated legal custodian of all patient records. Questionable disclosures to
persons other than the patient and/or his or her legal guardian must be approved by the
Director prior to release. Furthermore, the public health agency is responsible for the
provision of a safe place for storage of patient records to prevent disclosure to unauthorized
persons. Patient records will be kept in a locked room when not in use and must not he left
where other than authorized persons have access to them.
DISCLOSURE OF CONFIDENTIAL INFORMATION - CONDITIONS AND LIMITATIONS
1. The law states that the custodian of records (defined as any authorized person having
personal custody and control of the public records in question, e.g., the public health nurse)
shall deny the right of inspection of the patient records except to the "person in interest."
The person in interest means and includes the person who is the subject of record or any
representative designated by said person. A parent or duly appointed legal representative
will be the person in interest if the subject of the record is under legal disability.
The law further states that either the custodian or person of interest may request a
professionally qualified person to be present to interpret records. If it is the opinion of the
custodian of a public record that disclosure of the contents of said record could produce
substantial injury to the public interest, he may apply to the district court of the district in
which the record is located for an order permitting him to restrict such disclosure.
The foregoing provision applies to the inspection of records, as contrasted with the release
or contrasted with the release of transmittal records. The law, however, provides that in all
cases in which a person has the right to inspect a public record, he may request that he be
furnished copies of such record. The custodian can charge a reasonable fee for this
duplication. The custodian may make such rules and regulations with reference to the
inspection and duplication of records as shall be reasonably necessary for the protection of
such records and the prevention of necessary interference with the regular discharge of the
duties of the custodian or his office.
2. Release of information will only occur with the original signature of"person of interest" on
a Release of Information form. Copies of an R.O.I. therefore, will not be accepted.
Page 2 (Confidentiality)
3. The exceptions to disclosure of confidential material is when abuse or neglect RS suspected.
Then information will be turned over to proper legal authorities. No information will be
released to a court, and no staff member may attend a hearing unless he/she receives a
subpoena. This subpoena must be submitted to the County Lawyer for review.
OTHER CONSIDERATIONS IN MAINTAINING CONFIDENTIALITY
4. All persons employed in the public health agency should be oriented to the importance of
safeguarding the confidential nature of the record and any other patient information by
interview or any other means is essential. Office and clinic facilities should be such that
patient information is not inadvertently revealed to persons in the waiting room or any place
in his home or on the street while neighbors, relatives, or other persons are present.
Only those staff of the public health agency with a"need to know" should have access to the
client's record. "Need to know" is defined as that information necessary to carry out the plan
of care for the client and such related activities as billing procedures for reimbursement.
Upon employment all staff of the public health agency shall be oriented to the policy of
confidentiality with documentation in the staff personnel file of such orientation.
5. Each staff member will be required to sign a statement that he/she has read and agrees to
abide by the confidentiality policy as stated. A copy will be kept in each individual's
employee file.
6. Any failure to comply with this confidentiality policy by any employee of the Weld County
Health Department will be grounds for disciplinary action; up to and including termination
of employment.
7. I have read and I understand all of the above provisions of this Confidentiality Policy.
Employee Signature Date
Witness Date
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