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Home My WebLink About930719.tiff RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR CHILD ADVOCACY RESOURCE AND EDUCATION AND AUTHORIZE CHAIRMAN 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 Notification of Financial Assistance Award for Placement Alternatives Commission Funds between Child Advocacy Resource and Education and the Weld County Department of Social Services, commencing June 1, 1993, and ending May 31, 1994, with the further terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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 Placement Alternatives Commission Funds between Child Advocacy Resource and Education and the Weld County Department of Social Services be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following, vote on the 2nd day of August, A.D. , 1993, nunc pro tunc June 1, 1993. //I� / BOARD OF COUNTY COMMISSIONERS ATTEST: Li/ I(li'ucith WELD COUNTY, COLORADO Weld County nppGtOOOyYYYYGGGGy Clerk to the Board Constance L. arbert, Chairman BY: Deputy C r o the Boar W. H. bster, Pro-Te APPROVED AS TO FORM: e' f i �" eorg\ Baker i O E/� ztlia.4 County Attorney - -Dale K. Hall /1-4 L-kf d h Z/7ce arbara J. Kirkm yer 930719 1 Welt ounty Department of Social Ser. .es Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action Contract Award No. X Initial Award _ Revision of Earlier Action FY92-PAC-200 Issued on (RFP-PAC-9200) Contract Award Period Name and Address of Contractor Beginning 06/01/93 and Child Advocacy Resource and Education Ending 05/31/94 814 9th Street Greeley, CO 80631 Computation of Awards Monthly Program Capacity 6 Monthly Average Capacity 6 Unit of Service Description A match of one advocate or volunteer with a family for 40 hours per The issuance of the Notification of month for up to 12 months Financial Assistance Award is based (10 hours per week) upon your Request for Proposal (RFP) . The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NFAA in Cost Per Unit of Service which case the NFAA governs, the RFP upon which this award is based is an Hourly Rate Per $ 12.61 integral part of the action. Unit of Service Based on Average Special conditions Capacity 1) Reimbursement for the Unit of Monthly Rate Per $ 504.40 Service will be based on an hourly Unit of Service rate per child or per family. Based on Average Capacity 2) The hourly rate will be paid for only direct face to face contact Total Yearly $36,318.12 with the child and/or family or as Services Budget specified in the unit of cost (Subject to the Availability of computation. Federal and State Funds) 3) Unit of service costs cannot exceed Enclosures: the hourly, monthly, and yearly cost per child and/or family. Signed RFP 4) Rates will only be paid on approved and open cases with the Department of Social Services. Approvals: Program Official By �/.� rA� �L �%ls�c By A Constance Harbert, airman pg/p� � Judy Glp Di ctor m Board of Wel Copy Commissione s Wel oun Depar nt o Soc 1 Services Date: (J � �� ']-��- /Date: // ?0719 INVITATION TO BID DATE: December 23 , 1992 RETURN BID TO: Pat Persichino SID NO: RFP-PAC-93003 Director of General Services 915 10th Street P.O. Box 758 Greeley, CO 80632 DIRECT INQUIRIES T0: Pat Persichino, Director of General Services SUMMARY Request for Proposal (REP-PAC-93003) for: Alternatives to Placement out of the Home Programs Deadline: March 2, 1993, Tuesday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services , announces that competing applications will be accepted for new grants pursuant to the Board of Weld County Commissioners authority under the Alternatives to Out- of Home-Placement Act of 1979. The Placement Alternatives Commission wishes to approve a twelve month program targeted to run from June 1, 1993 through May 31, 1994, at targeted funding levels of increments up to $482,431.00. This program announcement consists of five parts, as follows: PART A. . .Administrative Information PART B. . .Background, Overview and Goals PART C. . .Statement of Work PART D. . .Bidder Response Format PART E. . .Evaluation Process Delivery Date / 9(//�� (After receipt of order) (/1'ST l r D IN BID- MUST BP! SIGNED IN INK Ann Garrison TYPED OR PRINTED SIGNATURE VENDOR , Prin�a t;on Handwritten Signature By Authorized Officer or Agent of Vender .ADDRESS_Rlq qth Gtce TITLE Board President DATE March i 199? (B.ealav Cn ZIP 80632 PHONE If 356-675L The above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 ! 30719 RFP-PAC-93003 COVER PAGE Attachment A ALTERNATIVES TO OUT OF PLACEMENT PROGRAMS PLACEMENT ALTERNATIVES COMMISSION PROGRAM YEAR 1993 BClient Group(s) to be Served: All �r chiC-93003 1dr families living in Weld County at high risk of bein Name of Applicant Agency:Child Advocac Re o heir g removed from the. Address: 814 9th street home . City: Greeley Colorado 80631 Phone: (303) 356-6751 Contact Person: Toni Wickersham Title: Director of Advocates and S ecial P o Approximate Project Dates: Start June 1, 1993 End Mav 31, 1994 Title of Project: Family Advocate Amount Requested $37,755.00 S' at s: r' n \,...,&) AA ,Ucket C.11L-c-„, 2 — / — tame and Signature of Person Preparing Proposal � Date *_ /a 1 524/we(//1i — / — q3 Name and Signature of Chief Administrative Officer of Applicant Agency Date X Continuing Project under Weld County PAC New Project How many years? 6—77 Proposed Program will eliminate the need — for out of home placement — Proposed Program will lower the cost of out of home placement Other: The Proposed Program will MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this proposal : n, (71,3 Statement of Need � Population to be Served Program Implementation Program Components — Provision of Services & Administrative Capability Past Performance Letters of Support (New Programs Only) �A Budget Program Evaluation and Continuation 20 930719 TABLE OF CONTENTS Statement of Need 1 Population to be Served 1 Program Implementation 1 Program Components 2 Provision of Services and Administrative Capability 2 Past Performance 3 Evaluation Results 3 Budget 3 Program Evaluation and Continuation 3 Attachments A-Q 93 O'" 719 J..)Statament of-------- ChildTi.. -Y Resource and IYlmxatcn's (c.a.r.e.) developed h purposeAdvo of sea }t3 a rl FAy Advocate Program oas in f thereby preventing out-of �re planar 'rt cf e l tin3 ret�families uhile o heting the hi (re)ai ovin the the Governor's Strategic Plan for home of the children currently ma=t, faa presecvaticn Eire is currently a )x t}'. This is living of c.The program to be fun is a very intensive 1ter ej intent s program the tinily ed eirrj ee oath arc9 �cial utilizing atrained Fr a of a� . (With the possibilityoffar a services family to 40 stances boric suggest eta-sick) valid extending to length stay in the sr cna 6 fora Fif cd th 7 fannies, with be kereficial.) Far year c.an an i the prcgra will have faun the 93 94 final, car c.a.r.e. mouths if circtr cre s, with family _i�3 a macimm of 40 ids a nrnth F�ni lies i t`s tzinarly the 48 ssirn H r Parent Pm 1y Dr cf birth and 12 .Srs. en'nJ. [xasic$i in the once utilizing 'i ata m'a4esive ng concepts as rolexJ1 t�mrq self ester for parents and te °lek; erall In 1990 tyre were Y anf Children, ��Qskills, pcsitiv Y a testa arretel 437 irned reperts of child abuse and neglect in Veld It is repre- sent an absence of learnin7YYMete nurturing parenting and skills are learned behaviors a bthat ehaviors; p mat ur- cTbe and fogs of the Fvrnil ��1 and child pc 1orr3 3 offerer to families in y ' This n is the al b tavinten all oft are the f its offers the ffered are cttrr_r teen intensive n of for such a a�ensQjj specifically dLratic for the primary focus �m �e available; 51/2 years o am as the Family geed to in [moldy parents that ate and neglectpan it skills and issueeutili- zing in their rlatial, egal and Fait pars:tire]. have County can he supported by the fact that far the Z increasing cats n arty em�Alans, an irdicaticn that theprogramed a family's l with tie ate EBB it e ever asi dial that lute e s, � with the dose in avail is seen able rice and these ch y� U. S.it e ving the children from heir hate rts are made to provide nn is es d in for e family ne)css kis/1 Y F3 r m Child 3 i ro3rars v [SnSSe e September ty the (I maltreatment of childre1 use and Neglect as the single rccst irlartifi� cf �y lard awed meant } to deal Oath the corn 2.) laticn to te sec-vat: The target pcpulatiaz for this are all _ (4 )12 years, regardless ci wh have } identified living in e i)e CartyCtun between birth and is }lit; or ehis/hergh risk of being R in at-cf b due to i hys axmty ant sofe oe age of is le intervention. acnti p in the home is t, to physical, Social theirs so identified will have y tOD moult in cr erotical or sexual abuse. month, family,g the 93 94 fil l year c.a.r.e. net #e n26 ,; �;; for cut-cf-lcrte 1 c 4 if ttece a i�Duri 6 fora period of 12 r e. is (D[$ itith nto provide 7 trainto wmik rte• nrn if ces and c.a.r.e. hs.cetera-irepossibility Familyt mates ti fa 40 hags �r advocate scan hs if p that a m still extending � hive for an advocate for f �n beneficial to the exists and semen a involvement advacates imp match der f families to less thandlclra� and heir family.) Under ver�t oath the rap family that is also callyommit toai less t for 40 hcurs a month, allowing the chart-stances it may he case- workers in acre than 7 families per nth. The � � the �exral source far involvement. It is feasible that the upervisor cf �rilY�oaate Program s pro:jran, with refeaals Pratecticn Division.child(ren) have worker] b the Child cr risk of After rrt e c crime has made an as rE t as taunt eras; not she Q i teller rcr eferral onm visor for areal FamilyI Advocatea referral (Atta -feat H) will ke f T to Uc•ent ea orken_al f vita for c•,ill a is approved it is than sett to eted and submittedthe rof to the directhould the family he Family Assesact7rt (At a:te rot I) within �� of s 'Rates at fe r j s super- visor family within fa it as a 'iete for the FAY 7'domate working after the referral is h�Ys. The a �t an catch w t Program an Fate Drill bet-retched 3.) twir�� accessible. take place in a timely acted with the __ �tatirn: Y fashion as ]axl as the family The Family Advocate Pruyan has dro from milt' se lint a� l; to strengthen and . neglect, tr > �j cut-of hAte ve families irg t protecting placement and/or the the dam_ -1- (A T ns to l„ ply refer to At t pages 1-7. ific objectivesam a tcgk plan that includes t icn hhile there numerous component. ptwidre secondary its to the Family it is generally ttr�tcn cnte n appropriate rrrrat usi Advocate � parent and is ithe prim ssues. having SinceparenI -and l rearing ed that the � and `neglect represent absence of learning aryl o issues may s their t hildren placed in ny advocate prograt dam; �ques. In the safetyhe lY A3aate am, parents at.parenting and helps build parental re- ceive 'n lures t este n Along des indiyidial to an ` parents, acts as a e ty to attend grAP bye are tin that these .families an inc. the advocate pc:granare e requiredfbr to attend and least cneipa entClaines la s off r pt slatted t�=nc e1Z3t,rn its err] Children by S ssfully ete at ututilized at c a.r.e class offered at crier or. rent Attendance at aS an thick has been found to be more eff Bawls* in tni l long tern is a family off Day CUt (free c)ai allay a family he use tchildren's the Secondary amponents Y aL� m of abusive the of of am include ut that is RiskingMatrix fen Director ( using A₹ilesssment tcals uch a the F ily ate mited to; a Family Study faun (Attachmentgrant � tby �'�xrett J) aria the re- des that offer nd t l� that dole%ad aParenting �Y ( I), the b , A Woman's Place, es t [tld n l beneficial to a particularit K): making as t ante the iso- lation e Right no d, at c.a.r.e.; help health, Partrers, etr;. Y su✓t the informaticn i Auttra- B and to establish the.primary support system; and drents e a 24 involved community't se s.ing families intact and etscealre ' cut�f foster. placement. gsand seccrdary =parents cf the grcgram are r necessaryprogram � effective in AdYcoate from their hre. NRact the a /r lect e R3 the intade avoiding ensive e � that the Family ✓isim of Services the removal `f t1� ozi ark �nistrati e li . c.a.r.e. has �cfi t t y a3tri n;G naa the FlY Advocate Proms in the standards t the six es s su td sfu (S19-1-116 CPSred and the r oath lay s. The Director of �dkxates arylln County Plao3 tit A1teticesssim for the The have a Priv:raMaster Special Purrs administers and pest and childten inin rcgran. The Directorabusive and in dal itrk cr a related field th to or a related situations. nth It i✓erfetr that mily ates have families p l � � F�rtil[Con cr a rely aryl/cr o,cs}¢rx with e, cps of child abase and neglect. All a Bed-piers in Social>� advocate receives 12-16 ht� of irtitnalin ��s such as day carte or preschools.� will � �'ierx the directcr and other advacates. They have tot neare each provided vdth ecapt &with s 48 m � s 'omeicased i meeting vath that `The ,t,y,ccates s available access at to th e. resources as; hooks, audio videos, lets,tatt ]?rod Ts f_The Director is i.hle for the hir 7training and Ear4Ye Din and AdblOtt appropriate arrest into the n by ca turg a family an 3 of the ssessi mates. nett sce to VaLES the nt a �g art (y and the Riskrng P4aK ccmpi responsibility of ector th administers Director the t nt L), the Colorado olor do Alternative State �rtrrett of l Services m ut eted by e azaticn far ntra t"atthla e Sere t Z tt(Att t- AuditP t err Fira7 ti� Core htnthl_y Request fm rx„r,;ur Fbun , and t e road Nair a are filing of the Program's co e. ,h Director Eton (At t v) Annual (At re-r rspons ility Ef coll ' all red f ng i gaup the originalsL cf al rnaticna tall ed i 123VE.,Mania" and north the°oncomnn3 the family. Darter t tiro core by the individual advocates and drum in the referral a7tg one. menage thebudget and d alvttatr a yl any otter accordaentnce infor- 1� advocate will �hutim of PAC monies in a�rrQ `� h adv cat wil lea appointments Lath and del cp all direct service as specific rvice far the a lforfamily, tawldc's Family Performance rt (Attachment-' rrxt vice ekly r- f -Y cAk cdeh. )They , and a tart ative rt (:fit L) Pinch is sub ratted 0), a L le ovide. The advocate client will tom- piste t that is also srttttittad tteho the appropriate r ( nett P), r �� m the faaaly� � �'� �°S 2- 0717 Tte F the niftily & is the ally lag teun intavice in ±ss �-a six wars para-rtirg n offered in Wald Canty Fbr and tie pat i Sa x ande eis net n has teen g_oQidirg fa-ai its t ith assistarre co rg g u of pa ntin mivio gadded by de the �svices of any other a racy. CIta in ticatirn into the dplicat e Family educate Piegian by another FTC provider is suggested.) Rr to the fact that fanili referred to this pn ran ace r„erly dysfunctional otter any involve-rent is likely ail collaboration is e t:rarely inpartant. Attadnent Q cntl.ires tie collaborative abort; e effats of the advocate tgcgran ail the role of each any is s<plaine3. 6.) Past Per-falter-De: c.a.r.e. has are nistecel tie Family lactate Prggan over tie past six years. During this ti-re the bran has seen sere very significant changes and inprr vererts in the over all quality of adtccate , dear de �"lc t re�� llcmpirgfcr accountability, eyaluatien, are awry r�crkirg. 7]-e advc atPs �� of aas n in mgt, t reseurceatrrent owing the families are children tie wok with; particularly at tints Ialannirg and cart deci si n . 'The credibility ibility of tie program irrprav,;s as the exeienac and kn wltri�. Elm gains In addition to the Eerily Adcmate Ptugan, c.a.r.e. offers fox a-iiiti nal mss. 2 P cn a an, "Qxd th,was over 10 000 Bad Rosh" teaches children h3a to identify aril fain t thareely ahrsive sitratiens. This progr children in 1992. The Parent Frhraticn PitgLan has gmvan five ae Parents Pnrny tt s gip to offering 9 pirating classes a sarester. Tre cla.r,,, randft frail an Infant Mass to a Parents of Tens Class. Last year aver 790 parents were in atterlare as wa11 as aver 570 dailchen who wet-a Prcgran thildrens that ardaasimss 'e1 f estean, p ts-n-a1 body safety ail vaunt nicatirn skills. Ts final hzugian that c.a.r.e. currently ha.r. is t₹e Community Eal atirn Progan. airier 1992 over 8,500 aliiits ail ,lefts vat provided with infourratic n clamming i sv x, of child ahem and n'a jlect. A rim ten of tie Family ldecrate Prcgran's perforate ding Pt 1992-1993 is presented in Attach-oat C. 7B.) Etraluatirn Results: Infor atial regarding project ad cost effe tivarnc e utmrr:s Lased ar evaluation critoria develq i by the Direct= of Idvecates ad apgxyd by the PPC are the Board of Weld Canty Camassicnes is addressed in Attach- neat D. 8.) ae t: 'fe total arrant of finding that is being requested is $37,755.00. This is a significant previous year for a nutter of reason. In tietogn had t bran the tls Ril�tcs of Pdvaatas past tie tine ivied oast of tie al�te pcupamn had rot bra rite salary vas rot irclu� awl Frsta3e, printing are sugalies were also net irrltd. Tie travel costs were =rioted nice realistically than in tie past. Tre Dire tor`. ctE PPdsxxates and the Fartily Pdcvrutes were given pay increases and tie total number of adcuates wart foot 6 to 7. All of these factors contributed to the increase in the total bnget. 7 families p er hair rate will he $11.24. Tie abate Tay.3ran will pro/ideate-I-al of 3,360 hairs to aiTr dnately airing the 93-94 fis-a1 year. Realistically ti-ae will he nu<e than 7 fardlies involved in the aiceate pronran as a result of sae families rot being available for 40 hours a math. service detailed nil Family Ai its Pa.p.sed 93-94 Brl.0et is Attach-cent El. For tie newly wit of rate cost of direct budget page is Attach next Galt E. Ptvatartrfom u c2 is tie ar ple Frl Attac₹n drat F and the ¢r pl.etc final Tie Director of A$v-at-s manages the Lxrklet and distributes PAC monies in monde,-ram with tie PAL contract. c.a.r.e. cp=ratRs rn a cash basis of aoarting bit maintains sierific retictsd fires. The_ inane are expenditures for the t nily Advocate Fto ran are awaited for seperately. 9.) Pruyan EValuatirn are antinratic n: Prugan evaluation is an arpirg process for the Family ate paagran, be it that the indivirinl race is bairg evaluated for prcgran effectivoc or the program as a viols. least cost is of ectra;e irrpertarre, as well as teirg Prwic ire de alt effxtive mlvirn at he Of significant iRriartarry in held a.'oaxatskil-e. t Of i Parenting assessing the effectiveness of the F wd F3.rtasirg Parent Pnytan is the ddult- ertey that is aininistered as a pcze and trot test. Tie Adult-Adolescent Panentirg Inver tray was &yelped frvn the kern parenting and child rearing practices of ahnive are n ' generated' fion tie a ninistratim of the parents. Data � Y lndlaltes � of a3rmresrl are disagLean31(. with nalaiaptive 93 0719 -3- .paarerti g b aviors. As sarh, r xis cn the inverrtoy provide and .ir.. of risk (high, median, laa) for ractid g abusive aid neglecting and child mated in of b � ,rent with rearing behaviors lain Ptuir can be nchanges g i in ds child `'e parenting t '>3<ricrts laedn3 tie index of risk fca' j behaviors. Changes in being note successful in when d de Ire and FXBt tests are administered Shnrad will hopefully yC11 17 m,L)- o`atrauwg relevant data. the Pd e Risking Matrix Parenting (Ft-tact-net J,), anew assessment tml will be inter in the 93-94 fi�l w . Like ""entin Inventory it win be administerxri to tine of de Bate As�rent and then to i the family by de Directorp of Adwocath at family. De rrat ix is r o e e t wkfi prior toe or rs advocates last a{ ire of i with de to mass the degree of risk fcr child alien or la,', ==rate arcs high risk. 2e specific 1 an participant ill be al a e inle of no risk, utilized in the assess-cent. elm as the irs�urart is 4te nest significant ctarrr in the e✓aluatial procos is de Lee of tie 3 and 6 mirth follow Directcr of Mcrnt will tip w irD survey. Ile infouraticn firm tie ken. V&ith target chart ete falrre ofs s665%3of t by rs it felt' living in their lure 3 and 6 rxmt-s after the perrdy Ai e of the children still safely is rut included in cur{aletim of the Family Adcsxate Piv�ran. A cry of the srm�y is available ii to the fact that it is still in the by are 1, 1993. stages. A okay will 1e The Fauily Adc ne Ptojran will continued to evaluate tie parents attend at c.a.r.e. ''lay atm laj fenng crrfirn r tie with a Faru_1y Advocate, tie ��g classes, rP;,Y-;�„-,� � � �,� � reglect while working with the fanny, the (erne tenanting Safely in their lure while de ate is o czkire of children returned fran atbf-tine care while working with an aicaate aid tie p=_roentae of parents that dentnstrate an increased ability to display appropriate lie rest prretive nss will be d teurth-e3 by sanely capering the de ad e pogram par, norther hild If de current tae Ct of cut-of-tune p1acanat per north r ;lld. of the xlv<xate �xrxlran �r fins ware exhausted, furling would be as lie Chlora± Children's mist Rid, Cblora±o 'Must and t through ns.appl �t h to wager grant of requesting such 71trar�l Reding Ituu as City, aunty and Ihitxl '1 y ate,e tials. 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O O T_ a W L -y - U I >v O JJ tt W U 0 C v 0 W a. v - N - H •H --I - O 0 = 0 C CO 5 cu ‘6, .J 0 ..{ 0 -- o c-. w W C •:-I -I U) -0 - ° +J .r a C W 0 >• 'C ••a rn O > o W 7 —I 0 - 'ar O W4-) H J --I N V U1 rC L.• 9 U) rd a+ 0cii 03 CU E / > U J _n L O 0 C W 3 CO ._, L — • i -C _C W — v •^ C __ .•_ JJ C 1J cL_ L :.W — v o v 470 fl - O p a >+ W C a - +- ;0 J s C 0,..{ n .. O L L C J C L -.0. J VI ..{ S.i - " ° 0.. L U •{J W JJ C ,� .a{ H CU r„ r0 0 W W 0 0 00 C W Oa U S. L{ ,j:C G H H W 7 ri W C rt .C 0 a C • > ;> I--, ;J > 0 u .0 H °al: .o z 0 ..30719 79 " v J :J I+ N 0 A LL+ J Z O a O a ..+ U Z •.-T v J C) a) o > O O .- _ r0 a) co J � 1O 1 N ro rJ $4 U) .•-I um C a) CL m w CD > ro 7 a) 7 ro 1 .C 0 a) MI U _ > O _ a 0 E > N L. a) 4 itN 0 O .O CD . '1 -v O C :J N ti a w 1J CL 7 Cr a u H 0 O O) C w 0 y . N -H C.) - ..J >v 'O JJ W N C C -P a) N > It 7 a) 7... .—' w Cn 9 O O >9 a) cn E r v .O U >a RI N O $4 ,-..I1+ Co aw 01 roar 0 _C r O > 1.4 -H row W W CD a w -H $ a) = t En v 1) O 0 v C C W O rd ..-+ 01 C) Sa 7 N 23 CT a o H .H C N •' N L r- N .4 CP > .i ti W C W = b 0 .,i •C 0 r-I C W ., O A N 7 a) C F ly Hcr) 7 a) w O t G '0 w O .I) ll (n _ aJ -H O N a O ul 7 • -) Cd Cn J! C a N u C •.i a 4 -H a CO =_ O to O Cn 7 J 0) r-1 3 S •M N N CI TS v •c v 0 r 0 ^ J E ra i+ a) U 0 W °i v 1) v 3 O 01Q L. to 0 O _ 4 .r J ri u N O N a 4J r-1 a.) a >1 1J r-I o ^� L. C O .C'v a •H r0 E u it) $a U 3 -H a1 N U -H o 1) C) C 1J _T. N ro T C) a) a) ro c 7 CO 0 .7 E _ V 'U 'O ^{ a 1) ro — J .CJ-' > 0 N sa a 0 J w v - u v .- 0, o O O r-I - U CJ u -i N w L muLo -OO 1) 1.1 ri c 0)v - a) -H ., — u a) Oct > C 0 E RS (.0 1.O rd ro • 1.4 -7 a) r0 W > 7 sa E a : 0 v a) id > - sa 'OO .O J' 0) a) 1) O L L in a) -H Z H H <C LI 3 30 930711 PAC FUNDS Attachment E Hourly Unit Rate Cost Page 1 of 2 Computation Sheet I. Program Name: FAMILY ADVOCATE PROGRAM II. Agency Name: CHILD ADVOCACY RESOURCE AND EDUCATION III. The project' s unit of service definition is : A. The project will provide what type of service to each client. Intensive Homebased Parenting B. This dervice will be provided for a 9 7 (maximum) hours per week for up to 78 (maximum stay in the program) weeks. IV. The hourly Unit Rate is based on: Check one A. An individual client who is aged through XXX B. A family unit as described as follows : A family unit consists of at least one child birth to 12 years , his/her parent/legal guardian and all siblings . V. Program Statistics Total number of clients to be served in the 12 month program is 7 families The monthly maximum program capacity is 7 The monthly average capacity is 7 Average stay in the program is 36 weeks. Average hours per week in the program is 7 VI. Description of unit of service cost between direct and indirect services. Base the computation on the hourly rate per unit of service cost based on the average capacity. A. The portion of direct services to the hourly rate per unit cost based on average capacity is 50 ≤ or $ 5 . 62 per hour. (only face-to-face contact with the client for services) B. The portion of indirect services to the hourly rate per unit cost based on average capacity is 50 7. or $ 5 . 62 per hour. C. Total hourly rate per unit of service based on average cost (A+B+C) . $ 11 . 24 D. Total proposed yearly budget for services $ 37 , 755 . 00 A "�l ?.3071.:0 RFP-PAC-93003 Attachment E VII. Unit of service rate computation Page 2 of 2 1. Travel to & from client' s home totals an average of 4 . 58 hrs/week 2. Paper work required by Weld County Department of Social Services totals a average of 1 . 14 hrs/week 3. Supervisor meetings totals 4 an average of 58 hrs/week 4. Case management services of: a. making referrals to other services needed by clients; b. providing linkage to ensure clients obtain and benefit from the services to which they have been referred: c. monitoring the client through contacts with individuals and agencies; d. advocacy to ensure that the best interests of the client are served; and e. planning of services to best serve the client. Totals an average of 2 28 hrs/week 5. Court testimony required by Social Services totals an average of 1 14 hrs/week 6. Administrative costs totals an 13 RR hrs/week average of Please describe below: 7. Other costs totals an average of 4 76 hrs/week Please describe below: 8. Sub-total indirect costs 32 30 hrs/week 9 . Direct services to clients (Face to face contact) totals hrs/week an average of 32 3( Total average hours of service to be provide per week 14 . 60 Weekly direct services to clients total an average of: 5363 37 50 Weekly indirect services to clients total an average of: S363 37 2x0719 32 Attachment E-1 Ft _LY ADVOCATE PROPOSED 93-94 sax I. Anticipated Revenue $37,755.00 A. Placement Alternatives Commission $37,755.00 B. Total Income $37,755.00 II. Anticipated Expenditures Line Item Total Cost 1. ) Personnel $34,992.00 A. Director of Family Advocates 8,112.00 $13.00 X 12 hours X 52 weeks $26,880.00 B. Family Advocates 7-family advocates X $8.00 X 40 hours per month 2. ) Supplies/Materials $191.00 A. Two Nurturing Parent Homebased Activities Manuals $50.00 X 2 B. Seven Nurturing Parent Handbooks $13.00 x 7 3. ) Travel $2,400.00 A. Eight Personnel members averaging 100 miles a month at 25 a mile 8 X 100 X 25 X 12 months 4. ) Postage $75.00 A. Five stamps per week at 29 5 X 29C X 52 weeks 5. ) Printing $117.00 Includes training materials for advocates, handouts for parents, information sent to referral sources, and reports sent to social services 75 copies per week at 3C a copy 75X3CX52 93071.9 r r. N of - .J Asa y -4 C Ch in •Ic d * s a) c. y _ c, U * fa tat •IG M .. + ' 3 '; f: m O O F. al 0 E --trl C) rno O tlp co 4 C I t L 0 Lf) C • C ul r▪. ^V 1 � :. C --I O N M N (N N Ca Li '� O •--1 Z �_ � M N r-I C ✓ — >' J S+4 C% aJ r: C c y c0 00 C CJ C.. t• 4 E- C C tr 00 _ L ° n0 O A., L grw o aJ a E o u -- G 6, Q r-1 = .. 1.i M M O t`- a3 Z y ...1 1i 0 r-- c> O N is Ps t^ y lD Ca C. N —I 00 C• r I r-1 1[ 1 1:::1 C+1 1 ''', :id V C‘ C91 m el E ' .•. O C CO N 6,0 o x w6. 4.1 rl o z z y Or N r--t O E R a) r.. 00 C 1,4 1 0 tr. C I.4 a sa S. Iv r0 y 3 y ..t •.a a) U C 00 y w U L a1 M. y aJ y +) 00 a) 00 t.. ^ t0 w z 4-1 $ i.1 6a M- fC > is v 0 O y o Cs CIS O +1 y E :O y rel ,.t = IA a0 +a A w .^. to 4 L , ,u SC E 6 .n. O a0 c co Q u � E � ca O +� y +a y `n 3 U y ..ate E A > CZ > •_ w • --5 3 C rs � C C C J n • y y U a) y v 1r n L y J L L �. t. 4.-i 00 L •4-4 CJ :-0 J 4.: v L — T 'fl to I.+ 'b 1-+ i3 -- > — rt. 4 5 °* S aJ eu O - N — m 3 CS — OJ ° L — = _ L C L+ O .. �.. C cis .= O U W UI U r 71 - I.\• a) u v :I •� 3 •N 1 '� p. - - /n 9. • > • CO J �•/�^ w CO 't cs+ m .' • CJ u • w CJ u ri4 W C > 00•-. ° VI O a1 r .10 f^. CJS -, 00 LI g 33 v it s a) y ` r a) 0, w t• -n I U) c ▪ an ^ d) Sa yp o Si .H n• P. n o W RS U) • N d G "J Ni ` M $a a) 0 O � rl O 'D •-1 _ M a 4-) w y - t? c u) a0 C J O w --i N O .G w O +J O, co 0) 4) 0., r d1 O N crs 3 a) +) us G I HO a) - I M G U1 L U) U) a) ca., d) 4 N ICS V > .0 N 0 ro > o ' ^ G - A G .G 1I4-1 ^= 0 •CJ c 0 U) d) v e) N >4 S-1 U) d) v C) O 00 ft a WCD .--Il ' EI m U) arorl 0. ro 0 • 04-H 9 " - C .A .G Sa o50 'O I. 5 3 a) o ro ;.1 .o o +) it N 0 -C C > C S.4 G ro b CJ' 3 V 03Sa L) .G it N 0 0.C w b 0' +) x +' H O 4) x .. i.al 0 -H G U) t 1., c > � ra 3 C)r co 0 ra C. = 4) d) 3- w `n V 0 3 :13 • w ^ G C ¢ ro C -n C14 rl > Z u v .0 ro 0 •-i •0 C) N >' 3 o G +) 0 ' CO 7 O a c., _, U 4) 0P d) -H cO c r E N G c >,'n us 0 T3 d) "-i Sr . +) r C ^ >. C 7 fd U) C.) 0 0 la G 0, a) n-i a.) IS: u o: a) w ti w -0 L.. ... 00 ..o •c 0' y 3 -->i N 0 3 O 0 a C. a1 CPro o o ld a✓ ,.) 00 a 0 x 0, 0 l+ •- L 1-, -. U) a) U) b 01 al :) 3 +) $a r a) J-) v c C •, a 0 4..) .a >r rd O O — o a) 7 w +) G .G • _ 0 > O W 1) N c) n >• =� c m w E 0 � 0 0 a E a) " L .^, S-I -O (i) -i N _ a) .: v u.. m w rd r, U U) 1) j) O V urn - 92T 4. a '� `m t 4 '00 o C a) d) 0 a W 0 0 o ' 0 a) Sa > d) rd G 6- E E 0 C .G 04--I Sd •-i ,.a E 1) •-i G or a) 0 0 r0E 4 .,.n .:-2 a) is ,G x +) -H 7 -H ^ 2- :0 0 -s O 4J .G 0 U) U lK E U) E 0 H , 34 930919 Attachment G COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE FY 1993 - 1994 (1) (2) (3) (4) (5) PROGRAM PAC FOSTER OTHER TOTAL NAME FUNDS CARE FUNDS PROGRAM REQUESTED REQUESTED PROVIDED Family Advocate FOR PROJECT FOR PROJECT $37,755.00 TOTALS §5371755.00 How will PAC money be accounted for separately from other agency money? The Director of Advocates manages the budget and distributes PAC monies in accordance with the PAC contract. c.a.r.e. operates on a cash basis of accounting but maintains specific restricted funds. The income and expenditures for the Family Advocate Program are accounted for seperately. ,e 'Lf O'19 Attachment H _ _ i re source advocacy resource ono education, Inc. 1001 9th Avenue — O. Box 945 — Greeleu, Colorado 80632 - (303) 356-6751 FAMILY ADVOCATE PROGRAM INTAKE/REFERRAL DATE NAME CASEWORKER ADDRESS PHONE COURT ACTION: yes no ADJUDICATED: yes no TREATMENT PLAN: yes no GUARDIAN AD LITEM: FAMILY COMPOSITION (NAMES AND DATE OF BIRTH) BRIEFLY EXPLAIN ANY INCIDENTS OF ABUSE/NEGLECT THAT HAS OCCURRED IN THE FAMILY DURING THE PAST SIX MONTHS: HAVE THE CHILDREN EVER BEEN IN OUT-OF-HOME CARE? yes no IF YES WHAT ARE THE DATES DO THE PARENTS EXPRESS A DESIRE TO IMPROVE AS A PARENT? yes no DO YOU FEEL THE PARENTS HAVE THE POTENTIAL OR CAN IMPROVE? yes no WHAT DISCIPLINARY MEASURES DO THE PARENTS USE SPANKING YELLING TIME-OUT GROUNDING LOGICAL CONSEQUENCES OTHER A UNITED WAY AGENCY t, t St • .+ Attachment I ✓x:;�i, , ,r-,, Child advocacy resource and education, Inc. 1001 9th Avenue — P.O. Box 945 — Greeley, Colorado 80632 - (303) 356-6751 HOME VISIT-FAMILY ASSESSMENT FAMILY CASEWORKER DATE PREPARED BY GUARDIAN AD LITEM FAMILY HISTORY: NAME BIRTHDATE POSITION IN FAMILY MARITAL STATUS HIGHEST GRADE COMPLETED EMPLOYER - MEDICAL HISTORY COUNSELING HISTORY FAMILY BACKGROUND HOW WERE THEY PARENTED HOW WERE THEY DISCIPLINED DOES THE PARENT IDENTIFY SELF AS HAVING BEEN ABUSED (VERBALLY, PHYSICALLY, EMOTIONALLY OR SEXUALLY) IF YES, HOW AND BY WHO . A UNITED WAY AGENCY IISME P30719 NAME BIRm9DATE - POSITION IN FAMILY MARITAL STATUS HIGHEST GRADE COMPLETED EMPLOYER. MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES FAMILY BACKGROUND HOW WERE THEY PARENTED HOW WERE THEY DISCIPLINED DOES THE PARENT IDENTIFY SELF AS HAVING BEEN ABUSED (VERBALLY ,PHYSICALLY, EMOTIONALLY OR SEXUALLY) IF YES , HOW AND BY WHO CHILDREN: NAME, BIRTHDATE CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES ADDITIONAL INFORMATION: R.-yn0711 Br NAME BT"THDATX Attachment I CURRENT GRADE IN SC__JOL SCHOOL ATTENL _LG SCHOOL SITUATION MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES ADDITIONAL INFORMATION NAME BIRTHDATE CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES ADDITIONAL INFORMATION _ NAME BIRTHDATE CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION MEDICAL HISTORY INVOVLEMENT WITH OTNPR AGENCIES Attacnmen= -.-ADDITIONAL INFORMATION NAME BIRTHDATE CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES ADDITIONAL INFORMATION CURRENT FAMILY INFORMATION: WHAT KIND OF A PARENT ARE YOU HOW DO YOU FEEL ABOUT BEING A PARENT DISCIPLINE (WHEN, WHY, HOW) DO YOU FEEL ANY OF YOUR CHILDREN HAVE BEEN ABUSED IF YES , WHO WAS RBUSED, HOW WAS THE CHILD ABUSED AND WHO ABUSED THEM { P30719 WHAT KINDS OF THINGS DO YOU AND YOUR CHILDREN DO TOGETHER WHAT DO YOU FEEL ARE THE BIGGEST PROBLEMS IN YOUR LIFE RIGHT NOW WHAT WOULD YOU LIKE TO CHANGE ABOUT YOUR FAMILY WHAT AREAS OF PARENTING DO YOU FEEL YOU NEED TO IMPROVE UPON HOW COULD AN ADVOCATE HELP YOUR FAMILY ADDITIONAL INFORMATION ADVOCATE SUPERVISOR ' S COMMENTS, IS THIS FAMILY APPROPRIATE FOR THE FAMILY ADVOCATE PROGRAM R30719 INITIAL CASE GOALS 9:0"1. 1.') Attachment .J tl II II NO RISK(0) LOW(1) MODERATE(2) HIGH(3) ^ (-J1 q. Mental,Pt yuca! No physical.mental or A ph sical,mental or I(—`[—JI J > eA physical,mental or Due to impair. mental ,.}I w emotional impairment emotional impairment lJ ernot.onal impairment or emotional impan- Emotional interferes with the mildly interferes with interferes significantly ment.capacity to parent I Ii--- Impairment capacity to parent the capacity tq parent with the capacity to Is severely inadequate equate parent r. Substance Abuse No past or present History of substance Reduced effectiveness Substantial incapacity substance abuse abuse but no current due to substance abuse due to substance abuse Elnl-i problem or addiction or addiction 1 I`_ s. History of No assaultive behavior Isolated incident of Sporadic incidents of Rep eated incidents of Assaultive 1 assaultive behavior not assaulbve behavior assaultive behavior or Behavior resulting injury El in which results or could single incident which E result in minor injury results or could result in majorinlury It- History of Abuse or Was not abused or Isolated incidents of History of intermittent -.History of chronic and/or Neglect as a ChM neglected as a child abuse or neglect asa abuse or neglect as a severe abuser or neglect I I I�I child child as a child u. Parenting Skins No noteworthy Some unrealistic Significant gaps in Gross deficits in -. and Knowledge limitations in parenting expectations of child knowledge or skills that parenting kno wledge Q skills andand knowledge and/or gaps parenting interfere with effective and skills m di appro- skillc parenting pnate demands and v. Rurturance expectations of child _ Openly accepting and Inconsistent provision Some deprivations but Severe refection and/or affectionate towards and expression of not openly rejecting or deprivation of affection,provides stimulation,acceptance hostile attention and adequate stimulation and affection stimulation w. Recognition of Open acknowledge- Recognition of Superficial understand- No understanding or Problem ment of problem and problem's existence and ing ofproblem but complete denial of its severity and willing- wilingness to take some failure to accept problem and refusal to ness to accept responsibility responsibility for their accept any responsibility responsibility • own behavior x. Protection of Child Caretaker willing and Caretaker willing but Caretaker vacillates or is Caretaker refuses or is able to protect child occasionally unable to inconsistent about unable to protect child and using good protect child protecting child judgement . y. Cooperation with Caretaker actively Caretaker does not take Caretaker minimally' Caretaker actively resists Case Planning and involved in case initiative in obtaining involved in services, any agency contact or Service planning and services needed services passive-resistant or fads involvement to follow through V. PARENT/CHILD RELATIONSHIP Pre-test = Post-test = a. Response to Caretaker does not Caretaker occasionally Caretaker responds ponds to Caretaker consistently Child's Beha riot or overreact to child's responds inappropriate- child's behavior with re sponds o to Misconduct behavior and child ly to child's behavior frustration u on or helple - responds to limit child's behavior responds mess,and child escalates setting misbehavior aa. Attachment and Secure parent/child Mold discrepancies or Child evidences an Complete lack of Bonding attachment• inconsistencies are anxious or disturbed bonding between child evident in the attachment to the and parent parent/child relationship parent bb. Child's Role in Roles and Child is given inappro- Child's role in family has Child's role in family Family responsibilities in lariats role with no detrimental effects on severely limas or family are assigned immediately apparent normal development prevents normal appropriately detrimental effects development VI. ENVIRONMENTAL FACTORS Pre-test = Post-test cc. Stress on No significant life Caretaker experiencing Caretaker experiencing Caretaker experiencing Stresses currently mild stresses moderate stresses multiple and/or severe ri impinging on caretaker stresses dd. Employment Employed at a level Currently underem ploy- Unemployed but with Unemployed with no 1'1—7 Status of consistent with train- ed or unemployed with marketable skills and ' prospects for I Providers ing and personal immediate prospects for potential for employment J expectations or employment employment unemployed by choice - ,. .e ee. Social Support for crequent supportive Occasional contact with Sporadic supportive Caretaker gnall aphid. CareUker contact with I:lends or supportive persons; contact;undcrusp of ly et'emotionally Ifolat- relatives and some use of available resources ed and community ❑ appropriate use of community resources resources not available community resources or not used VII. PERPETRATOR ACCESS Pre-test = Post-test = ff. Perpetrator Access Perpetrator has no Supervised access or Limited unsupervised Immediate,unlimited to(Abuse)/ access or responsible shared responsibility for access or primary access or full 1 Responsibility for caretaker is available care of child responsibility for care of responsibility for care of Care of Child child in non-supportive child (Neglect) environment E1 OVERALL RISK AFTER INITIAL ASSESSMENT OVERALL RISK AT CLOSURE 0- No Risk 0=No risk -0- No Risk -1- Low Risk 1-32=Low • -1- Low Risk -2- Moderate Risk 33-64=Moderate (allyyl,r) -2- Moderate Risk '1- I-lints Pict- - _ - • r.:.+ ill:,,t, n:.-I. - Ity lew: _ Intake Attachment J 3 Ma Program: 6 Mo . Parent-Aide 9 Mo. Child-Aide - Closure RISK FACTOR MATRIX Group services Name of Child ' IAT Case Number Worker Female Caretaker Relationship Male Caretaker • Relationship Please rate the extent to which inch of the elements below contributes to risk for the child in question. Put a rating from 0 to 3(for No Risk to High)in the box by the element. If insufficient information is available.put a 'g•in the box. if the element is not applicable,put an "NA" in the box. On the section assessing Caretaker Characteristics,two boxes are provided so that more than one caretaker can be rated. The female caretaker should be rated in the column marked "9",and should be identified by name and relationship above. The male caretaker should be rated in the column marked "Cr should be identified by name and relationship above. The initial assessment should be recorded in the boxes on the left. The follow up assessment should be recorded in the boxes on the right. NO RISK(0) I LOW(1) 1 MODERATE(2) 1 HIGH(3) I. CHILD CHARACTERISTICS Pre-test = Post-test = • a. Age 18• 12• 17 6 11 0 S b. ettysicablutental/ No physical,mental. Mild physical,mental, Moderate physical, Profound physical.Social social disability or social disability or mental,social disability mental,social disability Development developmental delay developmental dela <. Sett-can Y or developmental delay or developmental delay • Self-sufficient Cares lorself with Cares for self with much Unable to care for self minimal adult assistance adult assistance d c.:' .crtlon Actively re-snts'abuse Shows some consistent Displays little or Accepts abuse without resistance to abuse occasional resistance to resistance abuse w e. Fear of Caretaker No fear of caretaker or Evidences mild doubt or Evidences anxiety and Extremely fearful about ~ tai 1— or Home home environment concern about home discomfort 4 Envirc •.tit about home caretaker or home u8 environment environment environment IL SEVERITY OF CA )_ Pre—test = Post—test = 2 M z w w f. Dangerous Acts No acts that place child Acts which place child at Acts which place child at Acts which place child at vi at risk of pain or injury vt an risk of minor pain or risk of significant pain or riskbf impairment or vt W Q r^ injury moderate injury loss of bodily functions us g. Extent of Physical No injury,no medical Superficial injury,norl p Significant injury, Malonnryry or -a Injury or Harm treatment required medical attention 3 Q unlikely to require substantial effect on F required medical intervention development requiring OJ 2 q g J h. Extent of medical treatment _ O emotional harm or Minor distress or Behavioral problems Extensive emotional or LL No Emotional Harm behavioral disturbance impairment in role that impair social P Mated to CNN .. related to CA/N functioning related to relationships or role related to CNN CNN functioning related to . CNN I. Adequacy of Adequate routine and Failure to provide Failure to provide Failure to provide Medical Care crisis care provided routine medical,dental medical care for injury I y treatment for a critical or prenatal care or illness that usually or life-threatening should receive attention condition j. Provision for Basic Food,clothing,shelter Failure to provide for Failure to meet basic Failure to provide for • Needs and hygiene needs all basic needs places child needs weds places child at risk basic needs places child adequately met at risk of minor of cumulative harm at risk of imminent harm . . distress discomfort k. Adequacy of Supervision meets Lack of supervision P lack of supervision lack of supervision Supervision normal standards places child at risk of I paces child at risk of places child at risk of appropriate to child's minor discom- cumulative harm imminent harm age fort/distress I. Physical Hazards in No observable . Conditions in the home Conditions in the home Hazards in the home the Horne conditions in the home place the child at risk of place the child at risk of environment place the threaten the child's minor illness or .. harm that is significant., child at risk of serious well-being superficial injury , but unlikely to require harm likely to require- treatment treatment m. Sexual Contact •No sexual contact Suggestive remarks and Adult has pressured Adult has engaged child flirtation without clear child,madesexual in sexual contact . . sexual overtures or _ . . overtures,or engaged including masturbation,. contact child in non-genital 5 penetration or oral sex fondling or grooming III. CHRONOCITY OF CAM Pre—test = Post-test = n. Chronicity of CAM Child has not been . Isolated incident of Intermittent occurences Repeated or ongoing abused or neglected CAIN of GUN pattern of CNN(more than two occurences in a ., short time span) at IV, CARETAKER CHARACTERISTICS Pre-test = Post-test = I I o. Age of Parent/ Parent over age.21 Teen parent of any age Young parent(age 18. Teen parent(age 12-17) Caretaker living with parent(s)or 21)living alone or with living galore or with mature person(s) similar age partner similar age partner p. Victimization of No evidence of CNN Evidence of minor CNN Evidence of moderate Evidence of serious CNN i Other Children towards other children towards other children CNN towards other towards other children children • tai 0719 cia -f\ Child advocacy resource and education, Inc. 1001 9th Rvenue — P.O. Box 945 — Greeley, Colorado 80632 - (303) 356-6751 ADVOCATE QUARTERLY PROGRESS REPORT OUTLINE CLIENT ' S NAME: ADVOCATES NAME: DATE OF REPORT: REASON FOR REFERRAL: GENERAL GOALS FOR MR. AND MRS . GOALS ACHIEVED: GOALS NOT ACHIEVED: ASSESSMENT: RECOMMENDATION: ADVOCATES SIGNATURE =ffim+ A UNITED WAY AGENCY elinieMeL Attachment L • NUMBER OF APPOINTMENT KEPT : NUMBER OF APPOINTMENTS CANCELED: NUMBER OF APPOINTMENTS MISSED : • Child advocacy resource ana education, Inc. 1001 9th A,./enue — P.O. Sox 945 — Greeley, Colorado 80632 — (303) 356-6751 MONTHLY CONTACT FAMILY: MONTH/YEAR: ADVOCATE: DATE/TIME PERSONS PRESENT PURPOSE OF CONTACT �� UNITED 4:avr['.Fpl�; l"•. • Attachment Y, 5310.213(2/79) COLORADO STATE DEPARTMENT OF SOCIAL SERVICES AUTHORIZATION FOR CONTRACTUAL CASE SERVICES 1. Weld COUNTY DATE 2. Child Advocacy Resource and Ed.tcation, Inc. (NAME OF PROVIDER) 3. 1001 - 9th Avenue (ADDRESS) 4 Greeley, CO 80631 (CITY) (STATE) (ZIP CODE) THE DESCRIBED SERVICE IS AUTHORIZED FOR THE CLIENT INDICATED: - See attached =Teets 00 16 Pram 353 (NAME CF CLIENT) HOUSEHOLD NO. (CAT.) (CAT.GRP.) 6. SERVICE: Parent Training I (Parent-Advocate-C est =68) Object 655 (SV.CODE) (DESCRIPTION) ' 7. APPROVAL: • (CASE WORKER) (DATE) (CO.DIRECTOR OR SUPERVISOR) (DATE) 8. TO BE COMPLETED BY'PROVIDER DATE CF SERVICE CHARGES S Tax ≥< 0747704 I CERTIFY THE SERVICE AUTHORIZED A ON D TO A BONA FIDE CONTRACT BETWEEN ME AND THE COUNTY DEPARTMENT OF OC AL SERVICES PURSUANT INDICATED. (PROVIDER'S SIGNATURE) (DATE) PREPARE IN TRI►Lt CATE.ORIGINAL AND ONE COPY TO PROVIDER,ONE COPY FOR PENDING FILE. COMPLETED PROVIDER'S FORMS-ORIGINAL TO COUNTY FINANCE OFFICE- COPY TO CASE RECORD. GkAY: 1_. _. ro • cr L O C N O G E d N ..{ r-- ro w o O L Pa U G G. a) • G E i Sa >) 0 O 0 a1• U Cl)[r o 0 y E H a) Z C 1... caL L G G -J y p. to b0 E an O an ,.a rl ca C G 7 H trd P+ E o U U Sa U ....I .G 0 0 0 RI a) 0 m Z w J.) PS -7 41 C 1+ y. ° 0 "' w r u T ro N ,--I y 7 E EI i 0' 0 c a0) w u G > 0 0 S ,--1 a) .. L S. u 'r' y -r-1 6.� P. J..1 u O w 3 2o ° o u v w L L N a) r1 U G Sa CO ri m o w 0 % an H a 4 7 1:1 ° o 0 43 C a S•+ 1J 0 uu ucal y..1 a+ G u G. X ca ,—I ° al w a .C u > u ro b b G u co a) a) G a) O N• LLal 0 T 0 F+ Si aI C) G. U 1-, ,- G o a. w 0 w al y U U J.l 1.4 el G a _ U)• N < 0 en a) C O w U CO U 0 0 .,a >+ O U 0 a)co ro cal . •>° U . S. Z y s CC b rn ° ,C G C ,--I a) L a) tO m .0 ,—I 3-1 G O ,--I CO U CO U 0 i) ') .' 1 miiy Schedule and Performank hart Complete the information at the end of each session by entering the date you introduced the concept. Place a check in eitber the Needs More Work column OR Understanas.Accepts column. If more work is needed, review during the next session. When the concept is understood and accepted, place the date in the Understands/Accepts column. The concept should be understood and accepted before advancing to the next concept. Use the Notes column for any comments you wish to make. Datc Needs More Understands/ Concept Introduced Work Accepts Notes 1. Orientation 2. Nurturing Philosophy of Raising Children 3. Discipline and Punishment I I I I 4. Family Rules I 5. Personal Needs and Payoffs to Behavior 6. Spoiling Your Children 7. Personal Power 8. Praise for Being and Doing 9. Red,White,and Bruises I 10. Hurting Touch f I 11. Baby Proofing j 12. Verbal and Physical Redirection ! I 1 13. Touch and Talk I 14. Time-Out 15. Ages and Stages ! ' 16. Skill Strips I 17. Troublesome Feelings 18. Handling Stress 19. Nurturing Diapering and Dressing Routines I I { 2C. Nurturing Feeding Routine I I 21. Nutrition and Dinner Time 22. Nurturing Bath Time Routine 23. Nurturing Bedtime Routine I 24. Anger I 1 25. Managing Behavior I i 26. Ignoring I 1 27. Personal Space ' I 28. Bodies.Conception.and Pregnancy 29. Scary Touch.Love,and AIDS 30. Body Map I I 31. Criticism and Confrontation I j 32. I Statements and You Messages I I I 33. Problem Solving and Decision Making 34. Helping Children with Feelings ! I I 35. Improving Specific Self-Esteem ! I 36. Stimulating and Communicating 37. Toilet Training 38. Verbal Management 39. Self-Expression ' 40. People and Possessions 41. Situations and Solutions; Review of Behavior Management 42. Positive Self-Talk E ¶ I 43. Families and Chemical Use 44. Emergency Parenting and Survival Kits _ 45. Closing Program Activities 1 U (j'ij O1989 Family Development Resources.Inc. This Form is part of the Nurturing Program for Parents and Children Birth to Five Years and may be reproduced as needed. • • Attachment P • � I 1 N I I { 1 1 Cn W y E Z CrJ d GJ i O 5 .C/3 : O O V 0 0 r r . U _ CI) • C L:J U 4 �] Z 0 L] Q W z � W a 0 E CI) w I E+ E� 0 I 0 z 1, 00 � a U u) 2 CL 0 O C) >1 a U H < 1 CL 0 • V Z W CD a zU 0 W U1 W • E CD 04 9'34)' 1II FAMILY ADVOCA i, PBORA'I_1R PLAN _ .. . . .. * FAMILY ADVOCATE PROGRA, COLLABORA'. IG AGENCY Family Advocate Weld Mental Health Role- Assess needs Role- Assess family for services Make referral Provide Appropriate services Provide relevent information Provide Relevent information Participate in staffings to advocate Support services provided by Participate in staffings Weld Mental Health Support services provided by advocate FAmily Advocate Private Therapist Role- Assess Needs Role- Assess family for services Make referral Provide appropriate services Provide relevent information Provide relevent information Participate in staffings to advocate Support services provided by Participate in staffings therapist Support services provided by advocate Family Advocate School District Role- When appropriate introduce Role- Provide relevent information self to school personnel to advocate involved with family Participate in staffings Provide relevent information Support services provided by Participate in staffings advocate Support services provided by school district Family Advocate A Woman ' s Place Role- Assess needs Role- Provide appropriate services Make referral Provide relevent information Provide relevent information to advocate Support services provided by Support services provided by A Woman ' s Place advocate * These are examples and does not include every agency or individual that the Family Advocate could conceivably collaborate with . 93(819 FAMILY ADVOCATE Cbi., SCRAM ._ . FAMILY ADVOCATE PROGRA. COLLABORA. AG AGENCY * Family Advocate Social Services Role- Process Referral Role- Make Referral Provide Information Provide Information Aid in goal development for Aid in goal development family for family Initiate staffings Initiate Staffings Maintain communication with Maintain communication with caseworker advocate Document family ' s progress Make recommendations Family Advocate Cenntennial Developmental Services Role- Make Referral Role- After referral assess family Provide relevent information for services Receive information-apply it Provide relevent information to working with family to advocate Participate in staffings Participate in staffings Support services provided by Support services provided CDSI by advocate Family Advocate InterAgency Screening Role- Make Referral Role- Conduct childhood screening Provide relevent information Provide screening outcome Receive information-apply it tc report to advocate working with family Support services provided Support services provided by by advocate InterAgency Screening • Family Advocate Partners Role- Make referral Role- Screen child for services Provide Information Provide appropriate services Participate in staffings Provide relevent information Support services provided by to advocate Partners Participate in staffings Support services provided by advocate • 930119 (c-11 fATI • aa• r •e- 6, Child advocacy resource and education, Inc. 814 9th Street — P.O. Box 945 — Greeley, Colorado 80632 - (303) 356-6751 Weld County Placement Alternatives Commission 314 N. 11th Avenue Greeley, CO 80631 May 4 1993 Dear Placement Alternatives Commission , Child Advocacy Resource and Education is requesting that you allow the 1992-93 Family Advocate Propsal be amended due to information concerning the employee/contractor status of the Family Advocates and the need to pay taxes on their salaries . Information recently obtained resulted in some questioning as to whether or not the advocates were employees of c .a.r .e. or contract labor. Since the beginning of the advocate program, advocates have been paid as con- tract wokers and no taxes have been with-held from their paychecks . However , in light of the new information it is felt that in reality they are employees of c.a.r.e. and it is necessary to with-hold FICA and Medicare on the money they earn. Please find attached the IRS Publication. I have answered yes to all questions that apply to the advocate position. A "Yes" answer to any one of the questions (except #16 ) may convince an IRS Auditor that a worker is an employee. Out of the twenty questions asked fourteen were answered in the affirmative , leaving no doubt that the advocates would be considered by the IRS as employees of c.a.r.e. The c .a.r.e. Board decided it was necessary to make the Family Ad- vocates employees of c .a.r.e . effective January 1 , 1993 . I have . enclosed an outline of the month to month salaries of the Family Advocates beginning January 1 , 1993 through April 30 , 1993 and the calculated FICA and Medicare costs for each month. The total costs are ; FICA - $371. 85 and Medicare - $86 . 95 . (A combined total cost of $458 . 80 for the first four months of 1993 . ) c.a.r.e. is reques- ting that PAC allow our agency to submit a bill for reimbursement for these costs as well as permission to include the FICA and medi- care costs in our May billing statement. c .a.r.e. is also requesting an amendment to the 93-94 Family Advocate Proposal be made as a result of the FICA and Medicare costs not being included. The last attachment explains in detail the break- down in the estimated costs and the new total request from c .a.r. e. for the 1993-1994 Family Advocate Program. In doing the refiguring for the FICA and Medicare costs it became necessary to decrease the number of full time advocates by one so as not to go over the pre- -. viously allocated 1993-1994 budget. The revised b udget request is 1 for. $36 , 318 .12 • and the per hour cost would be $12 . 61. j A UNITED WAY AGENCY 0 III ca' (I�".yig E I sincerely apologize for any inconvenience these requests may cause the Placement Alternatives Commissions . It is due to the possibility of serious ramifications and the desire of c.a.r.e. to provide the Commission with a legal and responsible program that it has become necessary to propose these amendments for your consideration. Please feel free to contact me regarding any questions or concerns that you may have. I will be talking with my PAC representatives at our noon meeting on May 13th concerning these amendments . I will be in attendence at a 4 day conference in Keystone at the time of the next scheduled PAC meeting. Strong efforts will be made to assure that a c.a.r. e . representative will be present to answer any questions from the commission. Again I apologize for the inconvenience and thank you in advance for the time and consideration you have given this matter. Sincerely , Toni Wickersham MSW Director of Advocates and Special Programs 930719 CeS. ",' � 13) Are busine. And/or�aveling expenses reimbursed? k fldependent c ' tfactofs. P,St4) Does the company furnish tools •and materials used by the See IRS Publication 539,and IRC§3121 and§3508. 515) Has the? Has the worker failed to invest in equipment or facilities used tc Independent Contractor Or Employee? provide the services? The IRS la very aggressive S 16) Does the arrangementraloss on person in the position of realizing in its position that most independent either a profit or a loss on the work? contractors are realty employees.A recent report shows 92%of IRS audits that question this issue result in additional tax due- 1�) Does e the worker perform services of companies the the same company rather than working for a number of companies at s When an independent contractor is reclassified as an employee,the ' time? employer is liable for all employment taxes that should have been 18) Does the worker in fact not make his services reguiarly available withheld. This includes both employer and employee FICA, up to to the general public? : 20%for federal income tax withholding,aria in some states(such as 19) Is the worker subject to dismissal for reasons other than non- California)state income taxes.Penalties and interest are also added tions? The fact that independent contractor treatment was in good faith wi 20) Can he worker terminate his/herrmance of contract a relationship without incurring not avoid the tax liability, although it can reduce the penalty. a liability for failure to complete the job? The employer may receive some credit against the liability to the The right to control the worker is the key element that ostermines extent the employer can obtain evidence that the worker had already a to Re eestatus. paid the tax,but when an audit covers three years the proof can be y ( 9 §31.3a01(c)-t and§31.3401(d)-1] hard to obtain.The employer cannot recover the assessed tax from the employee flRC§3509(d)(1)(B)and§3102(b)].The IRS routinely Occupational Groups denies the newly classified employees a refund of the taxes theyA)Statutory Employee [IRC§31 groups 3)] already paid. The code lists four occupational that are not employees under the Common Law Rules,but ARE employees under the Financial Impact To A Small Business Statutory Rules. • To save money and paperwork involved in having anernployee,some 1) Agenthdistributerse meat,or vegetables, n Drivers:Limited to beverage e small businesses treat their workers as independent contractors. who dihan mil d : orlawn yf dr, bakery, (otherthanmilk)Insurance Salesperson: services. /f the worker is considered an employee,the employer is 2) Full-Time Life Insurance Salesperson: (One Company) required to: 3) Homemakers:Work at home for one employer making cioth- • Withhold income taxes and Social Security taxes (FICA)from the ing, needlecrafts, bedspreads, buttons, quilts, gloves, etc. • employee's wages, 4) Traveling or City Salesperson: Sells for one• Pay'b of the RCA tax, principal employer. • Pay unemployment taxes(FUTA), B)Statutory NON-Employee (IRC§3508(a)) Pay other state and local taxes such as unemployment and worker's compensation, and r 1) Qualified Real Estate Agent: Must be licensed, paid on a • Provide the same fringe benefits offered to other employees such commission basis,and a contract must exist stating the agent as various insurance coverages, vacation and sick days, and will not beer employee forerproal tax outsides. pensions. y 2) DireetSeller:Sellsconsumerproductsoutsideaparmanent An independent enteantraetor. retail establishment, is paid on a commission basis, and a contract must exist stating the saiesperson will not be an • Is responsible for the payment of his/her own taxes, • Receives no fringe benefits, and employee for federal tax purposes. • Receives a Form 1099-MISC from the business. Section 530 Safe Harbor Common Law Rules [Rev. Rul. 87-41] If the business has trouble convincing me IRS that a worker is an independent contractor under the 'Common Law Rules' or the Ayes"answer to any of the following questions (except #16) may convince an IRS auditor that a worker is an employee, "Statutory Employee/Non-Empioyee Rules,'the business may try to use Section 530 of the revenue act of 1978, \:_ys 1) Is the worker required to comply with instructions about when, t.Under Section 530, a business is entitled to treat a worker as U where and how the work is done? an independent contractor for employment tax purposes if all of the I� 2) Is the worker provided training that would enable him/her to following conditions are met: U perform a job in a particular method or manner? 1) Reasonable basis for not treating the worker as an employee, l 3) Are the services provided by the worker an integral part of the 2) Business has not treated the worker or others performing business'operations? substantially similar work as employees an kiec 4) Must the services be rendered personalty? during y period after nd, 5) Does the business hire.supervise,or pay assistants to hel the 12siness, asr worker on the job? p 3) Business has reported amounts paid to the worker on a timely filed Form 1099. Llf 6) Is there a continuing relationship between the worker and the ow Section 530 has three alternative standards in determining person for whom the services are performed? 7) Does the recipient of the services set the work schedules? whether a business has a reasonable basis for NOT treating the w8) Is the worker required to devote his/her full time to the person 1) u as an employee: • he/she petomu services for? 1)Judicial precedents, published rulings, or determination letters • 9) Is the work performed at the place of business of the company, from the IRSt of tmay hebelatetothatparticconcl concluded without �r or at specific places set by the company? 2) Prior IRS audit of the business which was concluded without any j C'S 10) Does the recipient of the services direct the sequence in which assessment attributable to the business'treatment concerning I Li the work must be done? p employment tax purposes of workers similar to the worker now 111) Are regular oral or written reports to be submitted in question.The business can use their audit history even de did the workef7 by not involve an examination of the business' employment tax (� 12) Is the method of (as returns. payment hourly, weekly, or monthly q s�.�exfPage FICA-MEICARE COSTS FOR JANUARY THROUGH APRIL-1993 JANUARY TOTAL SALARIES $1454. 93 FICA 90 .21 MEDICARE 21.10 FEBRUARY TOTAL SALARIES $1301.26 FICA 80. 68 MEDICARE 18.87 MARCH TOTAL SALARIES $1624.38 FICA 100. 72 MEDICARE 23.55 APRIL TOTAL SALARIES $1615.76 FICA 100.24 MEDICARE 23 .43 TOTAL FICA COSTS $371.85 TOTAL MEDICARE COSTS $86. 95 Ru07l9 FICA-MEDICARE COSTS FOR 93-94 FAMILY ADVOCATE PROPOSAL SALARIES: A. DIRECTOR OF FAMILY ADVOCATES $13 . 00 X 12 HOURS X 52 WEEKS $8,112.00 B. FAMILY ADVOCATES 6 ADVOCATES X $8 . 00 X 40 HOURS X 12 MONTHS $23 ,040.00 TOTAL $31, 152.00 FICA; . 062 X $31,152.00 = $1931. 42 MEDICARE: .0145 X $31,152.00 = $451.70 BUDGET: SALARIES $31,152.00 FICA 1,931.42 MEDICARE 451.70 SUPPLIES 191.00 TRAVEL 2,400 .00 POSTAGE 75.00 PRINTING 117.00 TOTAL $36 ,318 .12 PER HOUR COST: 6 ADVOCATES X 40 HOURS X 12 MONTHS = 2 , 880 HOURS $36 ,318.12 DIVIDED BY 2,880 HOURS = $12 . 61 PER HOUR 930°19 a (jet DEPARTMENT OF SOCIAL SERVICES P.O. 6 GREELEY,COLORADO 80632 Administration and Public Assistance(303)352-1551 Child Support(303)352-6933 C Protective and Youth Services(303)352-1923 O Food Stamps(303)356-3850 FAX(303)353-5215 COLORADO MEMORANDUM TO: Constance Harbert, Chairman Board of County Commissioners FROM: Judy Griego, Director, Social Service G DATE: July 29, 1993 SUBJECT: Notification of Financial Assistance Award between Child Advocacy Resource and Education and the Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award between the Child Advocacy Resource and Education and the Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The Placement Alternatives Commission (PAC) reviewed proposals under a Request for Proposal process and are recommending approval of this bid. 1. Total award would be $36,318.12. 2. The period of the award is June 1, 1993 through May 31, 1994. 3. The Child Advocacy Resource and Education Program would provide a match of one advocate or volunteer with a family for 40 hours per month for up to 12 months. (10 hours per week) If you have any questions, please telephone me at extension 6200. JAG:jac 52 C7 19 CC/170d Hello