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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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920360.tiff
RESOLUTION RE: APPROVE PLACEMENT ALTERNATIVES COMMISSION PLAN FOR 1992-93 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 Placement Alternatives Commission Plan for 1992-93 between the Colorado Department of Social Services and Weld County Department of Social Services, commencing July 1, 1992 and ending June 30, 1993, with the further terms and conditions being as stated in said plan, and WHEREAS, after review, the Board deems it advisable to approve said plan, 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 Placement Alternatives Commission Plan for 1992-93 between the Colorado Department of Social Services and 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 plan. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of April, A.D. , 1992. BOARD OF COUNTY COMMISSIONERS ATTEST: 6� "I' ;1 WELD COUNTY, COLORADO 'Lt/c�t'ctvc Weld County Clerk to the Board Ge e Kent dy, Chairman / BY: \( +s�-`.. .��f/5�f..�ii�1 �' �./.G-GGY Deputy Clerli'jto the Board Constance L. Harbert, Pro-Tem APPROVED AS 0 FORM: 741 --4 / C. W. Kirb County Attorney Gord W. H. Webster 920360 3SCYD/5 G G • S•Si re cit4 DEPAR t Iv1ENT OF SOCIAL SERVICES P.O. SOX 2 OREELEs COLORADO 80632 Administration and Public Assistance((303)352-1551 Child Support(303)3528933 Child Protection and Day Care(303)352-1923 "DC. Food Stamps(303)356-3850 COLORADO TO: George Kennedy, Chairman Board of County Commissioners /1 FROM: Judy A. Griego, Director ' 1 l/� (�1 " Social Services . RE: RFP-PAC-9200 - Bid Recomne ati s The Weld County Department of Social Services and the Placement Alternative Commission (PAC) recommends that all bids be accepted according to the following conditions: 1. Unit of Service Funding Methodology The PAC approve and recommend to the Board of County Commissioners: a. using an hourly rate per child or family based on average capacity and according to the unit of service definitions; (See Attachment A) b. monitoring the programs adherence by the PAC on a monthly rate per child or family based on average capacity; c. capping reimbursement to the yearly funding level as established by the PAC and as approved by the Board of County Commissioners and the State Department of Social Services. 2. 1992 - 1993 Funding Levels a. The PAC approve and recommend to the Board of County Commissioners that the 1992 - 1993 funding levels requested by all agencies of $475,905 be submitted to the State Department of Social Services for approval. (See Attachment B) b. If the funding level for PAC programs is adjusted to the 1991 - 1992 funding level of $462,210, the Weld County Department of Social Services will: 1) absorb the funding cut of $13,695 between the Day Treatment Program and the Therapeutic Foster Care Program; 2) be provided any excess funds, during 1992 - 1993 program year from the State to replenish the $13,695; 920360 S S co/6 3) reevaluation will be done in six months to consider additional funding, through an addendum to its PAC plan, if other Weld County PAC Programs are under expending their funding level during the 1992 - 1993 program year to replenish the $13,695. 4) If funding level for PAC Programs is in excess of $13,695 the deficit will be equally distributed to all programs. C. If the funding level for PAC programs is adjusted lower than the 1991 - 1992 funding level of $462,210, the PAC will reconsider the funding levels for all programs. If all bids are accepted by the Board according to the conditions defined above, the PAC and the WCDSS recommends for approval the following documents to ensure funding compliance with the Colorado Department of Social Services and for contracting purpose. 1. The Placement Alternatives Commission Plan The Plan encompasses all the bids approved by the Board for submittal to the State Department of Social Services for approval. 2. The Notification of Financial Assistance Award (NOFAA) Format Once approval is obtained from the State on Weld County's Plan, the NOFAA will be provided to the Bid Contractors to reflect the approved funding levels by the State. The NOFAA and the bid will constitute the contract between the contractor and the County. If you have any questions, please telephone me at extension 6200. O tDR rp n �J� ♦ .,~� — Attachment A SERVICE CLASSIFICATION AGENCY/PROGRAM SERVICE DEFINITION UNIT I. Child Advocacy Resources and Education (CARE) A. Parent Advocate Families A match of one advocate or Served volunteer with a family for (Prevention) 40 hours per month for up to 12 months (10 hrs. per week) II. Weld County Social Services A. Day Treatment Individuals Child in treatment for up (Children) Served to 7 hours per day, 5 days (Prevention) a week or 148 hours per month (35 hrs. per week) B. Therapeutic Individuals Child in 8 hour care for 7 Foster Care Served days per week (56 hours per (Deterrent) week. III. Weld County Partners, Inc. A. Partners Plus Individuals A match of one advocate or Served volunteer with child for 40 (Prevention) hours per month for up to 12 months (10 hours per week) IV. 19th Judicial District Attorney A. Juvenile Diversion Individuals Client served 10 hours per Served month with 24 hours Crisis (Prevention) Intervention (21 hours per week) V. Weld Mental Health Center A. Intensive Services Families A match of two families per Team Served worker to provide intensive (Prevention) services as long as required to stabilize the situation with families with 24 hour Crisis Intervention. (20 hours per week) Month = 4.3 weeks Prevention Programs are those programs which seek to avoid foster care placement by diverting children or adolescents from out-of-home placement or which seek to place children or adolescents in the least restrictive setting in the community. Deterrent Programs are those programs which seek to forestall foster care children or adolescents who are in the least restrictive setting in the community from more costly out-of-home placement. • 0 2O 57 n i't z §( 4 H 2 » , a a = k ] E _ 0Lii ) ; = q E - ) §§ §< o - 2 ) t - - - - - , _ § O \ {( §z § §/<§ ` - cr)a ^ zL) $\ a - a ® ® § c0- = < k P P% uj 0 D \ _ » g ] ( 8 © - n 8 @ & ) ® /\$ \ c0 Co cv_ } - 7 } I k 0 ( cc0 E + K / 2 o_ [ E A § is' \) ) * s »k _ a oo _ § n ) 7 { i ) \ k ® \) � § § COn ke 0 2[ k § ) \t ) « O < _ a a m - n ; @ k 7 o 2§ / \\cc _ ■ ) �• U e 8 8 8 8 8 « 9 ° ` )f E k / R N. f git - H a ■ 8 Cl- _ _ _ _ _ _ a \ �\) 3) . " = 5 E co Ill 5 \ o I 0 < ka \ _ k - U ) k 2 7 / ) \ k co ) f0 t - o EEE + / w § 000 ) A ` a t _ § 2 - - 0 I2 ] k ] ) ) o 2 ) ® 2 < I § < * e /j )a z ) ± / U j 2 q WELD COUNTY FY 1992-93 ALTERNATIVE PLACEMENT PLAN The Weld County Plan has been developed by the Weld County Placement Alternatives Commission which includes the following members: Name ORGANIZATIONAL AFFILIATION Dan Dailey Mental Health Charlie Dalpra Human Resources Jon Eastin School District 6 Randy Gordon Physician Judy Griego Social Services Bill Kirby Weld County Commissioner W. Troy Hause Attorney (Chairman) Karena Malcom Foster Parent Leona Martens Citizen Helen A Moore Citizen Norton Nelson Citizen Linda Tallman Probation Dennis Warnemunde Lay Community Patricia Whitcomb Centennial Developmental Services The period to be covered by this Plan is June 1, 1992 to May 31, 1993. The signatures below affirm that this Plan has been developed by the Placement Alternatives Commission and approved by the Director of Social Services and by the Board of County Commissioners. a ( LI JAlcy G ego - Directir of Weld County Department of Social Services Z),-----7,-----> 1-M 521 W. Troy Hause ry Chair 2-erson of Weld County Placement Alternatives Commission g - Chai erson of(" oard of County Commissioners ('��O9I'/9m ATTEST: /��2'UG�Z (/ WELD OUNTY CL.- •c T HE BOARD 1 271103,50 DEPUTY CLERK 0 THE BOA WELD COUNTY FY 1992-93 ALTERNATIVE PLACEMENT PLAN TABLE OF CONTENTS PAGE PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #1 - THERAPEUTIC FOSTER CARE 1 1. PROVIDED SERVICES BUDGET WORK SHEET 3 2. COUNTY PROVIDED SERVICES BUDGET WORK SHEET 4 3. DIRECT SERVICES BUDGET PAGE 5 4. COST SAVINGS ANALYSIS 6 5. PROGRAM PERFORMANCE 7 PROGRAM #2 - PARTNERS PLUS 8 1. PROVIDED SERVICES BUDGET WORK SHEET 10 2. COUNTY PROVIDED SERVICES BUDGET WORK SHEET 11 3. DIRECT SERVICES BUDGET PAGE 12 4. COST SAVINGS ANALYSIS 13 5. PROGRAM PERFORMANCE 14 PROGRAM #3 - JUVENILE DIVERSION 15 1. PROVIDED SERVICES BUDGET WORK SHEET 17 2. COUNTY PROVIDED SERVICES BUDGET WORK SHEET 18 3. DIRECT SERVICES BUDGET PAGE 19 4. COST SAVINGS ANALYSIS 20 5. PROGRAM PERFORMANCE 21 PROGRAM #4 - PARENT ADVOCATE 22 1. PROVIDED SERVICES BUDGET WORK SHEET 24 2. COUNTY PROVIDED SERVICES BUDGET WORK SHEET 25 3. DIRECT SERVICES BUDGET PAGE 26 4. COST SAVINGS ANALYSIS 27 5. PROGRAM PERFORMANCE 28 PROGRAM #5 - DAY TREATMENT 29 1. PROVIDED SERVICES BUDGET WORK SHEET 31 2. COUNTY PROVIDED SERVICES BUDGET WORK SHEET 32 3. DIRECT SERVICES BUDGET PAGE 33 4. COST SAVINGS ANALYSIS 34 5. PROGRAM PERFORMANCE 35 PROGRAM #6 - INTENSIVE SERVICES 36 1. PROVIDED SERVICES BUDGET WORK SHEET 38 2. COUNTY PROVIDED SERVICES BUDGET WORK SHEET 39 3. DIRECT SERVICES BUDGET PAGE 40 4. COST SAVINGS ANALYSIS 41 5. PROGRAM PERFORMANCE 42 WELD COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE 43 2 2P;03 PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #1 THERAPEUTIC FOSTER CARE 1. Describe services to be provided. Children accepted into the Therapeutic Foster Care (T.F.C) Program will be served by a team of professionals including the caseworker, therapist, therapeutic foster parent, mental health coordinator and school personnel. The T.F.C. foster parents receive special training conducted by the caseworkers and the mental health coordinator. This training consists of initial didactic teaching and the reading of literature on attachment and bonding. They are also shown how to chart behaviors and given parenting handbooks and notebooks. There is ongoing training consisting of meeting two times per month for two hours. Each foster parent is required to attend these meetings. Each child has one of two therapeutic foster care caseworkers as his/her caseworker. The caseworker has case management responsibilities. The caseworker works with the child, foster parents and the family of origin. The therapist meets with the child on a weekly or as needed basis. Caseworker, therapist and therapeutic foster parents meet with school personnel and the mental health coordinator on a quarterly basis to review treatment goals, progress and plans for the following quarter. In so far as is possible, this process provides for a uniform approach for working with the child and limit disagreements of the professionals. 2. List specific, measurable objectives for this program that are related to client outcome. The family of origin, for children who have families, will participate in the treatment and attend seven out of ten of the prescribed treatment items. They will demonstrate improved parenting skills during the supervised visits 70% of the time. The parents will not physically or emotionally abuse their child during visitation 90% of the time. The child will demonstrate an increased ability to be more appropriate in school (50% based on a baseline determined by teacher, worker and therapist) . An increase will be expected during each quarterly staffing. The child will demonstrate a decrease in defined behaviors during the course of treatment 70% of the time. Each child will have individual goals. In 50% of the placements, the child will be discharged to a less restrictive setting. 3. Circle which PAC criteria the children in your program will primarily meet. Circle only one. (3) require Residential Child Care Facility (RCCF) intensity of care but may be maintained at a less restrictive level of care with PAC services. 4. Describe other characteristics of children being served such as age, conditions that require services, family situations, etc. 1 () PROGRAM 1/1 THERAPEUTIC FOSTER CARE (continued) Therapeutic Foster Care serves emotionally disturbed children between the ages of two and twelve. These children come from very dysfunctional families. Some of the behaviors they exhibit include sexual acting out, self-mutilation, encopresis, enuresis, feces smearing and a wide range of attachment problems. Their behaviors are too severe to be maintained in a traditional foster home. Twenty-two children can be served each month. The average stay in T.F.C. is 24 months. 5. Maximum number of children to be served per month 22 6. Average number of families to be served each month 18 7. Average number of children to be served each month 18 8. Average duration of service in months 18 9. Fees assessed Yes X No _ If yes, describe fee schedule: Regular foster care fee is assessed. 2 0d (.11,1' Y }9 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME Provider Name Foster Parent Provider Name Contract Staff Personal Services Staff Provider CWEST Number Provider CWEST Number 1. rate from date 06-01-92 1. rate from date 06/01/92 2. rate to date 05-31-93 2. rate to date 05/31/93 3. *unit of service day 3. *unit of service hourly 4. unit rate of payment 10.16 4. unit rate of payment 3.45 5. reserve units 5. reserve units 6. maximum payment 305 6. maximum payment 15089 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 305 1. Unit rate 2. units per month 22 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 3 V,`.7;a°� t, COUNTY PROVIDED SERVICES BUDGET WORK SHEET PROGRAM NAME 1735 ACCT CODE 25 PRGM CODE 1735 1. Personal Services A. DSS Staff (direct services) Salary Fringe (monthly) 1. Elisabeth Braun CW IV $2655 504 2. Jacque Box CW IV 2584 491 3. Rosi Anson CPS Sup. III 873 167 4. 5. 6. 7. 8. TOTAL, DIRECT SERVICES DSS STAFF PER MONTH $ 7279 B. Contract Unit Cost Units per Month Psychological Services and Training 55 22 Foster Parent Incentive 300 22 TOTAL CONTRACT STAFF PER MONTH $ 7810 II. Direct Services Operating Travel: miles per month x $.20/mile x workers * Rent (if allowed) : $/worker/month x workers Supplies: $/worker/month x _ workers = Telephone: $/worker/month x workers = * Utilities (if allowed) : $/worker/month x workers = TOTAL, DIRECT SERVICES OPERATING, PER MONTH $ III. Distributed services operating A. Other Operating Costs - describe $ /worker/year x _ workers = B. Staff Development $/year/month x workers = C. Capital outlay: list items to be purchased Total, capital outlay = $ TOTAL, DISTRIBUTED SERVICES OPERATING, PER YEAR $ NOTES: Items in capital letters are transferred to Program Budget Page. All Alternatives funded positions not providing direct services are to be listed in Administrative/Supportive Services. * permitted only on facilities detached form the county department and which are for the appropriate and necessary use by an Alternatives program. bdgtwrk 4 DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME Therapeutic Foster Care CWEST ACCT CODE: PAC FOSTER OTHER PRGM CODE: 1735 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ 7279 per month x 12 months = $87,348 B. Contract Staff $ 7810 per month x 12 months = $93,720 II. Direct Services Operating $ per month x months = III. Purchased Program Services $ per month x months = IV. Basic Foster Care $ 6710 per month x 12 months = $80,520 V. Other Source Funds $ per month x months = TOTAL DIRECT SERVICES * $181,068 $80,520 VI. TOTAL DISTRIBUTED OPERATING ** * These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORK SHEET 1. DSS staff, cost per month $ 7279 2. Contract staff, cost per month $ 7810 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 15,089 6. Total, Alternatives costs per month $ 7. Program capacity, number of children meeting target group definition to be served each month 22 8. Average number of children meeting target group served each month 18 9. Cost per month per child (#6/07) 686 10. Vacancy factor (#7/08) 1.22 11. Computed Unit Rate per child (09x010) 838 prgmbgt 5 COST SAVINGS ANALYSIS Cost savings are computed using the number of children meeting target group criteria. PROGRAM NAME Therapeutic Foster Care Level of Placement Prevented RCCF CPA GROUP FOSTER OTHER 1. AVG. NUMBER OF CHILDREN SERVED PER MONTH 16 2 2. AVG. COST PER MONTH OF PREVENTED PLACEMENT 2,249 1,560 3. AVG. LENGTH OF STAY, IN MONTHS, OF PREVENTED PLACEMENT 18 24 4. AVG. TOTAL COST OF PREVENTED PLACEMENT (#2 X #3) 40,482 37,440 5. AVG. COST PER CHILD OF ALTERNATIVE 838 838 6. AVG. COST PER MONTH OF FOSTER CARE IF PART OF ALTERNATIVE 305 305 7. PRORATED ADMINISTRATIVE COST PER CHILD PER MONTH 8. TOTAL ALTERNATIVE COST PER CHILD PER MONTH (115+116+117) 1144 1144 9. AVG. LENGTH OF STAY, IN MONTHS, IN ALTERNATIVE 24 24 10. AVG. TOTAL COST OF CARE IN ALTERNATIVE (#8x#9) 27,456 27,456 11. AVG. SAVINGS PER CHILD OF ALTERNATIVE (#4-1110) 13,029 9,984 12. PROGRAM SAVINGS (#1x#11) 208,464 18,336 PROJECTED TOTAL SAVING = $228,432 cst say 6 O c n, "r- _a")'` PROGRAM PERFORMANCE PROGRAM NAME Therapeutic Foster Care DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 06/01/91 TO 06/01/91 TO 06/01/90 TO 06/01/92 TO 05/31/92 11/30/91 05/31/91 05/31/93 1. AVG. NUMBER OF CHILDREN SERVED PER MONTH 22 21 19.3 18 2. AVG. NUMBER OF MONTHS IN PROGRAM FOR CHILDREN DISCHARGED 18 23.5 21.8 24 3. AVG. COST PER MONTH PER CHILD 912 919.5 849.85 1,144 4. Z OF CHILDREN AT HOME OR LESS RESTRICTIVE SETTING AT DISCHARGE 50 40 58 50 5. % OF CHILDREN AT HOME OR LESS RESTRICTIVE 50 NOT 38 NOT SETTING 6 MONTHS AFTER REQUIRED REQUIRED DISCHARGE 6. AVG. SAVING PER CHILD OF ALTERNATIVE VS. PROJECTED PLACEMENT 24,026 21,945 22,091 12,691 prgmprfm 7 C'^a.. �g't n,.,.9 v''�Ki PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #2 PARTNERS PLUS 1. Describe services to be provided. Partners Plus serves Weld County youth, who are experiencing significant problems of adjustment in their parental homes. Youth who are determined by Social Services to meet the criteria for Placement Alternative Programs are referred to Partners Plus. The youth are assessed by the caseworker and Partner's staff as needing more than the standard Partners program of three hours per week of one-to-one contact, but still may be served without being moved into a more restrictive placement. The Senior Partner receives a stipend of $300 per month for spending 10 hours per week with the Junior partner. Partnerships stay in bi- weekly contact with the Partners Plus counselor, and take part in many of the recreational, educational, and therapeutic activities offered by Partners. Partnerships spend a great deal of their time sharing their lives on a one-on-one basis. The emphasis is on quality role-modeling, friendship, and advocacy for the Junior Partner. The Partners program provides the Partnership with ongoing life-skill trainings, crisis counseling intervention, self-esteem building courses, and social activities that promote positive alternatives. In addition, Partners offers the services of a volunteer Health Corps, a team of physicians and other medical personnel from the community, to provide low cost/no cost medical assistance to the Junior Partner. 2. List specific, measurable objectives for this program that are related to client outcome. The overall goal of the project is to prevent foster care placements (or allow for less restrictive placements) by carefully matching committed adults with the youth. Specific objectives for youth involved in the project include: 1) 60% of all children served will be placed in less restrictive placements; 2) 70% of all Senior Partners will advocate for the youth in the school system; 3) 70% of all children involved will not be charged with a delinquent offense while in the Partners Plus program; 4) 70% of all children served will maintain a relationship with their Senior Partner after financial compensation has ended. Each Partnership also develops specifically tailored goals and objectives in order to assist with the child's development and coping skills, and to help avoid placement. 8 PROGRAM #2 PARTNERS PLUS (continued) 3. Circle which PAC criteria the children in your program will primarily meet. Circle only one. The children (1) are in their own homes and meet the out-of- home placement criteria. 4. Describe other characteristics of children being served such as age, conditions that require services, family situations, etc. Youth ages 10-18 who are experiencing significant problems of adjustment in their parental home are referred to Partners Plus. The majority are experiencing school related problems and many have had contact with the legal system. Most of the youth do not trust the adult population and do not have positive adult role models. (Their families are very dysfunctional and are extremely limited in providing for the emotional needs of an acting out youth) These youth are in danger of being placed outside their home. 5. Maximum number of children to be served per month 25 6. Average number of families to be served each month 20 7. Average number of children to be served each month 20 8. Average duration of service in months 12 9. Fees assessed Yes _ No X If yes, describe fee schedule 9 Oen rt an int — ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME: Partners Plus Provider Name Weld County Partners Provider Name Provider CWEST Number 62078 Provider CWEST Number 1. rate from date 06-01-92 1. rate from date 2. rate to date 05-31-93 2. rate to date 3. *unit of service hour 3. *unit of service 4. unit rate of payment 10.11 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 8504.17 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate N/A 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 10 COUNTY PROVIDED SERVICES BUDGET WORK SHEET PROGRAM NAME Partners Plus ACCT CODE 29 PRGM CODE 356 1. Personal Services A. DSS Staff (direct services) Salary Fringe (monthly) 1. Youth Services Supervisor 219 41 2. 3. 4. 5. 6. 7. 8. TOTAL, DIRECT SERVICES DSS STAFF PER MONTH $ 260 B. Contract Unit Cost Units per Month TOTAL CONTRACT STAFF PER MONTH $ II. Direct Services Operating Travel: miles per month x $.20/mile x workers * Rent (if allowed) : $/worker/month x workers Supplies: $/worker/month x _ workers = Telephone: $/worker/month x _ workers = * Utilities (if allowed) : $/worker/month x workers = TOTAL, DIRECT SERVICES OPERATING, PER MONTH $ III. Distributed services operating A. Other Operating Costs - describe $ /worker/year x _ workers = B. Staff Development $/year/month x _ workers = C. Capital outlay: list items to be purchased Total, capital outlay = $ TOTAL, DISTRIBUTED SERVICES OPERATING, PER YEAR $ NOTES: Items in capital letters are transferred to Program Budget Page. All Alternatives funded positions not providing direct services are to be listed in Administrative/Supportive Services. * permitted only on facilities detached form the county department and which are for the appropriate and necessary use by an Alternatives program. bdgtwrk 11 CI,,.../'{, DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME Partners Plus CWEST ACCT CODE: 62078 PAC FOSTER OTHER PRGM CODE: 29 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ 260 per month x 12 months = 3,120 B. Contract Staff $ per month x months = II. Direct Services Operating $ per month x months = III. Purchased Program Services $8504.17 per month x 12 months = 102,050 IV. Basic Foster Care $ per month x months = V. Other Source Funds $ per month x months = TOTAL DIRECT SERVICES * 105,170 VI. TOTAL DISTRIBUTED OPERATING ** * These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORK SHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives costs per month $ 7. Program capacity, number of children meeting target group definition to be served each month 8. Average number of children meeting target group served each month 9. Cost per month per child (116/117) 10. Vacancy factor (#7/#8) 11. Computed Unit Rate per child (#9x#10) prgmbgt 12 22,0'247,1 COST SAVINGS ANALYSIS Cost savings are computed using the number of children meeting target group criteria. ROGRAM NAME Partners Plus Level of Placement Prevented RCCF CPA GROUP FOSTER OTHER 1. AVG. NUMBER OF CHILDREN 2 2 4 6 6 SERVED PER MONTH 2. AVG. COST PER MONTH OF 2,249 1,560 900 329 PREVENTED PLACEMENT 3. AVG. LENGTH OF STAY, IN MONTHS, OR PREVENTED 18 18 12 9 PLACEMENT 4. AVG. TOTAL COST OF 40,482 28,080 10,800 2,961 0 PREVENTED PLACEMENT 5. AVG. COST PER CHILD OF 438.20 438.20 438.20 438.20 438.20 ALTERNATIVE 6. AVG. COST PER MONTH OF FOSTER CARE IF PART OF 0 0 0 0 0 ALTERNATIVE 7. PRORATED ADMINISTRATIVE COST PER CHILD PER 0 0 0 0 0 MONTH 8. TOTAL ALTERNATIVE COST PER CHILD PER MONTH 438.20 438.20 438.20 438.20 438.20 (#5+#6+#7) 9. AVG. LENGTH OF STAY, IN MONTHS, IN 12 12 12 12 12 ALTERNATIVE 10. AVG. TOTAL COST OF CARE IN ALTERNATIVE 5258.40 5258.40 5258.40 5258.40 5258.40 (#8X#9) 11. AVG. SAVINGS PER CHILD OF ALTERNATIVE 35223.60 22821.60 5541.60 (2297.40) (5258.40) (#4-#10) 12. PROGRAM SAVINGS (#1X#11) 70447.00 45643.20 22166.40 (13784.40) (31550.40) PROJECTED TOTAL SAVING = $92921.80 cat aav 13 a 4 360 prgmprfm 14 PROGRAM PERFORMANCE PROGRAM NAME Partners Plus DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 06/01/91 TO 06/01/91 TO 06/01/90 TO 06/01/92 TO 05/31/92 11/30/91 05/31/91 05/31/93 1. AVG. NUMBER OF CHILDREN SERVED PER MONTH 25 12.6 21.9 20 2. AVG. NUMBER OF MONTHS IN PROGRAM FOR CHILDREN DISCHARGED 12 9.4 9.5 12 3. AVG. COST PER MONTH PER CHILD 289.90 512.18 410.61 438.20 4. % OF CHILDREN AT HOME OR LESS RESTRICTIVE SETTING AT DISCHARGE 92 92 80 5. % OF CHILDREN AT HOME OR LESS RESTRICTIVE NOT NOT SETTING 6 MONTHS AFTER 60 REQUIRED 89.4 REQUIRED DISCHARGE 6. AVG. SAVING PER CHILD OF ALTERNATIVE VS. PROJECTED PLACEMENT 3391.00 3207.00 3697.00 4646.00 prpprim 14 0;-..443 4 `^ PROPOSED CLIENT SERVICES PROGRAMS PROGRAM 03 JUVENILE DIVERSION 1. Describe services to be provided. PAC Diversion serves youth who have committed delinquent offenses; are dealing with a multitude of personal and family problems; and, are determined to be at high risk for foster home or group home placement. The primary goal of this program is to provide intense, family oriented treatment with the objective of preventing out-of- home placement while diverting the youth from further involvement with the juvenile justice system. Participation in this program is initiated through referrals received through the discretionary powers of the Deputy District Attorney's Office, Juvenile Division. The Deputy District Attorney may determine, based on evidence and other legal criteria, whether to immediately prosecute or refer the juvenile to Juvenile Diversion, at which time the juvenile and his or her family may accept the option of participating in the Diversion Program. If the case is referred to the Juvenile diversion Program and the juvenile and the family choose to participate in the Diversion Program, it is at this time that the juvenile and the family is assessed by the Juvenile Program administrator to be a targeted PAC Diversion case (meets Senate Bill 26 criteria for out-of-home placement and is approved for participating by the appointed Social Services Representative. ) The focus of the treatment is with the juvenile and the family to include numerous home visits, school contacts, and twenty-four hour emergency response availability by a PAC Diversion Counselor. In addition, the counselor participates in arranging collateral contacts and referrals for the youth and the family in an effort to further reduce the risk factors which may lead to out-of-home placement. 2. List specific, measurable objectives for this program that are related to client outcome. 1) 75% of the youth served will avoid out-of-home placements. 2) 75% of the youth served will remain in a school setting. 3) 75% of older youth will receive emancipation and vocational skills for transition into the work force upon completion of school. 4) 85% of the youth served will attend 8 out of 10 counselling sessions. 5) 90% of the youth served will be have a family-oriented treatment plan prepared by a team of professionals from community agencies within 14 days of the initial intake. 3. Circle which PAC criteria the children in your program will primarily meet. Circle only one. The children (1) are in their own homes and meet the out-of- home placement criteria. 4. Describe other characteristics of children being served such as age, conditions that require services, family situations, etc. 15 <� )0 V PROGRAM #3 JUVENILE DIVERSION (continued) Youth ages 10-17 who are served by this program have committed delinquent offenses. They are dealing with a multitude of personal and family problems. The problems these youth have encountered include, but are not limited to the following: the juvenile has experienced sexual abuse by a person living in the home (familial or non-familial) ; domestic violence within the home; substance abuse problems within the family; hostile relationship between the parent/s and the juvenile, the juvenile has a runaway history; neglectful home situation; school truancy; the juvenile is not under the control of parents; multiple criminal offenses; or any situation that may place the juvenile at risk of being placed outside of the home as determined by Social Services. 5. Maximum number of children to be served per month 25 6. Average number of families to be served each month 20 7. Average number of children to be served each month 20 8. Average duration of service in months 10 9. Fees assessed Yes _ No X If yes, describe fee schedule 16 4., `4,i"n' ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME: Juvenile Diversion Provider Name D.A. Diversion Provider Name Provider CWEST Number 62544 Provider CWEST Number 1. rate from date 06-01-92 1. rate from date 2. rate to date 05-31-93 2. rate to date 3. *unit of service hour 3. *unit of service 4. unit rate of payment 26.53 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 5747.83 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 17 COUNTY PROVIDED SERVICES BUDGET WORK SHEET PROGRAM NAME Juvenile Diversion ACCT CODE 28 MGM GTE 1728 1. Personal Services A. DSS Staff (direct services) Salary Fringe (monthly) 1. 2. 3. 4. 5. 6. 7. 8. TOTAL, DIRECT SERVICES DSS STAFF PER MONTH $ B. Contract Unit Cost Units per Month TOTAL CONTRACT STAFF PER MONTH $ II. Direct Services Operating Travel: miles per month x $.20/mile x workers * Rent (if allowed) : $/worker/month x workers Supplies: $/worker/month x _ workers = Telephone: $/worker/month x _ workers = * Utilities (if allowed) : $/worker/month x workers = TOTAL, DIRECT SERVICES OPERATING, PER MONTH $ III. Distributed services operating A. Other Operating Costs - describe $ /worker/year x _ workers = B. Staff Development $/year/month x _ workers = C. Capital outlay: list items to be purchased Total, capital outlay = $ TOTAL, DISTRIBUTED SERVICES OPERATING, PER YEAR $ NOTES: - Items in capital letters are transferred to Program Budget Page. - All Alternatives funded positions not providing direct services are to be listed in Administrative/Supportive Services. * permitted only on facilities detached form the county department and which are for the appropriate and necessary use by an Alternatives program. bdgtwrk 18 Orr,Abp.—,. DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME Juvenile Diversion CWEST ACCT CODE: 62544 PAC FOSTER OTHER PRGM CODE: 28 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ per month x ____ months = B. Contract Staff $ per month x months = II. Direct Services Operating $ per month x months = III. Purchased Program Services $5747.83 per month x 12 months = 68,974 IV. Basic Foster Care $ per month x months = V. Other Source Funds $ per month x months = TOTAL DIRECT SERVICES * VI. TOTAL DISTRIBUTED OPERATING 68,974 ** * These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORK SHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives costs per month $ 7. Program capacity, number of children meeting target group definition to be served each month 8. Average number of children meeting target group served each month 9. Cost per month per child (#6/#7) 10. Vacancy factor (#7/#8) 11. Computed Unit Rate per child (#9x#10) prgmbgt 19 .W ,ii,j 4'2'1 COST SAVINGS ANALYSIS Cost savings are computed using the number of children meeting target group criteria. ROGRAM NAME Juvenile Diversion Level of Placement Prevented RCCF CPA GROUP FOSTER OTHER 1. AVG. NUMBER OF CHILDREN 1 1 4 7 7 SERVED PER MONTH 2. AVG. COST PER MONTH OF 2249 2249 900 329 0 PREVENTED PLACEMENT 3. AVG. LENGTH OF STAY, IN MONTHS, OR PREVENTED 18 18 12 9 0 PLACEMENT 4. AVG. TOTAL COST OF 40482 28080 10800 2961 0 PREVENTED PLACEMENT 5. AVG. COST PER CHILD OF 287.39 287.39 287.39 287.39 287.39 ALTERNATIVE 6. AVG. COST PER MONTH OF FOSTER CARE IF PART OF 0 0 0 0 0 ALTERNATIVE 7. PRORATED ADMINISTRATIVE COST PER CHILD PER 0 0 0 0 0 MONTH 8. TOTAL ALTERNATIVE COST PER CHILD PER MONTH 287.39 287.39 287.39 287.39 287.39 (#5+#6+#7) 9. AVG. LENGTH OF STAY, IN MONTHS, IN 10 10 10 10 10 ALTERNATIVE 10. AVG. TOTAL COST OF CARE IN ALTERNATIVE 2873.90 2873.90 2873.90 2873.90 2873.90 (#8X#9) 11. AVG. SAVINGS PER CHILD OF ALTERNATIVE 37608.10 25206.10 7926.10 87.10 2873.90 (#4-#10) 12. PROGRAM SAVINGS (#1X#11) 37608.10 25206.10 31704.4 609.10 (20117.30) PROJECTED TOTAL SAVING = $75,010.40 cat say 20 O fr.- PROGRAM NAME Juvenile Diversion DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 06/01/91 TO 06/01/91 TO 06/01/90 TO 06/01/92 TO 05/31/92 11/30/91 05/31/91 05/31/93 1. AVG. NUMBER OF CHILDREN SERVED PER MONTH 26 16 30 20 2. AVG. NUMBER OF MONTHS IN PROGRAM FOR CHILDREN 12 10 11 10 DISCHARGED 3. AVG. COST PER MONTH PER CHILD 224 286.64 194 287.39 4. 7. OF CHILDREN AT HOME OR LESS RESTRICTIVE SETTING AT DISCHARGE 75 88 87 75 5. % OF CHILDREN AT HOME OR LESS RESTRICTIVE NOT NOT SETTING 6 MONTHS AFTER 66 REQUIRED 89 REQUIRED DISCHARGE 6. AVG. SAVING PER CHILD OF ALTERNATIVE VS. PROJECTED PLACEMENT 3391 1292 3697 3750.52 prgmprfm 21 1:' vk,+X3 PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #4 PARENT ADVOCATE 1. Describe services to be provided. The Parent Advocate Program matches a family Advocate with a family referred by the Department of Social Services Child Protection Unit. The Advocate works with her family for a total of 40 hours per month. This home based intervention program offers intensity, frequency and duration with the primary focus being parenting skills and issues. The Advocate is a trained paid employee of Child Abuse Resource and Education. The Advocate uses the Nurturing Parent Program by Dr. Stephen Bavoleh as the spring board for the family/advocate interaction. The Advocate spends time with the parent alone, the children alone and the parent and children together. The program places a heavy emphasis on the positive growth of self and the strengthening of the family relationships. The advocate works closely with the Department of Social Services child protection caseworker to ensure that everyone is working toward the goals of the treatment plan. 2. List specific, measurable objectives for this program that are related to client outcome. 1) 75% of the parents served will demonstrate an increased ability to display appropriate parent-child interaction. 2) 75% of the families will have no reincidence of abuse or neglect while in the program. 3) 90% of the parents will improve on the AAP1 test scores by 2-3 points in 2 of the 4 areas. 4) 70% of the time, the family will keep their appointments with the Advocate. 5) 75% of the children will not be placed in out-of-home placements. 6) 25% of the children in placement, will be returned to the home during the first 6 months of the program. 3. Circle which PAC criteria the children in your program will primarily meet. Circle only one. The children (1) are in their own homes and meet the out-of-home placement criteria. 4. Describe other characteristics of children being served such as age, conditions that require services, family situations, etc. 22 PROGRAM #4 PARENT ADVOCATE (continued) The Parent Advocate Program serves families with from 1-5 children and who are ages birth to 12. The target population for this program are those children who have been identified by the Weld County Department of Social Services as having an open child protective case and as being at risk for out-of-home placement because of physical, emotional or sexual abuse or neglect; or his or her continued presence in the home is likely to result in physical or emotional injury if there is no intervention. It also includes those children already in placement where intervention would reduce the duration of out-of-home placement. These dysfunctional families were originally referred to Department of Social Services because of severe abuse or neglect or sexual abuse issues. The parents have few parenting skills, low self esteem and few support systems. The parents are unable to meet their own needs and the needs of their children. The children evidence behavioral problems common to abused and neglected children. 5. Maximum number of children to be served per month 18 6. Average number of families to be served each month 6 7. Average number of children to be served each month 14 8. Average duration of service in months 12 9. Fees assessed Yes No X If yes, describe fee schedule 23 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME PARENT ADVOCATE Provider Name Parent Advocate Provider Name Provider CWEST Number 62085 Provider CWEST Number 1. rate from date 06-01-92 1. rate from date 2. rate to date 06-31-93 2. rate to date 3. *unit of service Hourly 3. *unit of service 4. unit rate of payment 3.96 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 2400 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 24 2210 9 COUNTY PROVIDED SERVICES BUDGET WORK SHEET PROGRAM NAME Parent Advocate ACCT CODE 68 H11 CODE 1768 1. Personal Services A. DSS Staff (direct services) Salary Fringe (monthly) 1. 2. 3. 4. 5. 6. 7. 8. TOTAL, DIRECT SERVICES DSS STAFF PER MONTH $ B. Contract Unit Cost Units per Month TOTAL CONTRACT STAFF PER MONTH $ II. Direct Services Operating Travel: miles per month x $.20/mile x workers * Rent (if allowed) : $/worker/month x workers Supplies: $/worker/month x workers = Telephone: $/worker/month x workers = * Utilities (if allowed) : $/worker/month x workers = TOTAL, DIRECT SERVICES OPERATING, PER MONTH $ III. Distributed services operating A. Other Operating Costs - describe $ /worker/year x workers = B. Staff Development $/year/month x _ workers = C. Capital outlay: list items to be purchased Total, capital outlay = $ TOTAL, DISTRIBUTED SERVICES OPERATING, PER YEAR $ NOTES: - Items in capital letters are transferred to Program Budget Page. - All Alternatives funded positions not providing direct services are to be listed in Administrative/Supportive Services. * permitted only on facilities detached form the county department and which are for the appropriate and necessary use by an Alternatives program. bdgtwrk 25 vr 2'q{MCI.V) DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME Parent Advocate CWEST ACCT CODE: 68 PAC FOSTER OTHER PRGM CODE: 1768 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ per month x months = B. Contract Staff $ per month x months = II. Direct Services Operating $ per month x months = III. Purchased Program Services $2400 per month x 12 months = 28,800 IV. Basic Foster Care $ per month x months = V. Other Source Funds $ per month x months = TOTAL DIRECT SERVICES * VI. TOTAL DISTRIBUTED OPERATING 28,800 ** * These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORK SHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives costs per month $ 7. Program capacity, number of children meeting target group definition to be served each month 8. Average number of children meeting target group served each month 9. Cost per month per child (#6/#7) 10. Vacancy factor (#7/#8) 11. Computed Unit Rate per child (#9x#10) prgmbgt 26 0 nnfi 4r, COST SAVINGS ANALYSIS Cost savings are computed using the number of children meeting target group criteria. ROGRAM NAME Parent Advocate Level of Placement Prevented RCCF CPA GROUP FOSTER OTHER 1. AVG. NUMBER OF CHILDREN 14 4 SERVED PER MONTH 2. AVG. COST PER MONTH OF 305 PREVENTED PLACEMENT 3. AVG. LENGTH OF STAY, IN MONTHS, OR PREVENTED 10 PLACEMENT 4. AVG. TOTAL COST OF 3050 PREVENTED PLACEMENT 5. AVG. COST PER CHILD OF 133.33 133.33 ALTERNATIVE 6. AVG. COST PER MONTH OF FOSTER CARE IF PART OF ALTERNATIVE 7. PRORATED ADMINISTRATIVE COST PER CHILD PER MONTH 8. TOTAL ALTERNATIVE COST PER CHILD PER MONTH 133.33 133.33 (#5+#6+#7) 9. AVG. LENGTH OF STAY, IN MONTHS, IN 12 12 ALTERNATIVE 10. AVG. TOTAL COST OF CARE IN ALTERNATIVE 1600.00 1600.00 (#8X#9) 11. AVG. SAVINGS PER CHILD OF ALTERNATIVE 1450 (1600.00) (#4-1110) 12. PROGRAM SAVINGS (#1X#11) 20,300 (6400) PROJECTED TOTAL SAVING = $13,900 cat say 27 CC- .- C 76:5 I PROGRAM PERFORMANCE PROGRAM NAME Parent Advocate DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 06/01/91 TO 06/01/91 TO 06/01/90 TO 06/01/92 TO 05/31/92 11/30/91 05/31/91 05/31/93 1. AVG. NUMBER OF CHILDREN SERVED PER MONTH 20 29 30 14 2. AVG. NUMBER OF MONTHS IN PROGRAM FOR CHILDREN DISCHARGED 8 10 12.6 3. AVG. COST PER MONTH PER CHILD 144 74.61 65.21 133 4. % OF CHILDREN AT HOME OR LESS RESTRICTIVE SETTING AT DISCHARGE 75 53 65 75 5. % OF CHILDREN AT HOME OR LESS RESTRICTIVE 75 NOT 58 NOT SETTING 6 MONTHS AFTER REQUIRED REQUIRED DISCHARGE 6. AVG. SAVING PER CHILD OF ALTERNATIVE VS. PROJECTED PLACEMENT 632 989 132.00 722.00 prnprfm 28 f.;%:(1'7-13(1) PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #5 DAY TREATMENT 1. Describe services to be provided. Day Treatment was designed to meet the needs of children who are too disturbed to be educated in the public school system. A few of those children are so disturbed that even with the assistance of a full complement of special education service, they can not be educated in the public schools. Although these children usually come from highly dysfunctional families, it is believed that some of these families, can be helped to enable the child to remain in their home. Those who cannot remain at home are placed in a residential child care facility (RCCF) with an on-ground school. The Day Treatment Program provides a highly structured program designed to integrate the child's experiences at home, school and in the community. Upon entry to the program, the child's behavior patterns in all environments is assessed. A team effort involving therapist, family and school personnel develops and implements an individualized treatment and education program for the child. Individual and group therapies provided by the counseling staff are utilized as an integral part of the regular school program. Family therapy and parenting instructions provided by the psychologist, counselors, and consulting staff, are scheduled on a regular basis. The families must be actively involved in the treatment of the child. Therapy is provided on an ongoing basis for the child during the school day. The family meets with the therapeutic staff at least once a week. In order for the program to be beneficial, the parents, child and treatment facility must work as a team to remediate the child's behavior and emotional problems. 2. List specific, measurable objectives for this program that are related to client outcome. 1) 75% of the children served by Day Treatment will not have more restrictive placements initiated while being served by the program. 2) 75% of the children discharged well return to regular classrooms at their own schools. 3) The families will attend 75% of the family sessions. 3. Circle which PAC criteria the children in your program will primarily meet. Circle only one. The children (1) are in their own homes and meet the out-of-home placement criteria. 4. Describe other characteristics of children being served such as age, conditions that require services, family situations, etc. 29 * ,/y 07, PROGRAM #5 DAY TREATMENT (continued) Admission to Day Treatment is based upon the child whose behavior indicates that an RCCF placement is likely. Children with severe emotional problems and disturbed family relationships are appropriate candidates for admission. Also children who have been physically or sexually abused or neglected to the extent that they cannot function in a conventional school setting are candidates for Day Treatment. School age children 5-18 years of age who are also in need of specialized educational settings are considered for admission. 5. Maximum number of children to be served per month 5 6. Average number of families to be served each month 5 7. Average number of children to be served each month 5 8. Average duration os service in months 24 9. Fees assessed Yes No X If yes, describe fee schedule 30 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME Day Treatment Provider Name Center for Therapeutic Provider Name Boulder Day Treatment Learning Annex Provider CWEST Number 45142 Provider CWEST Number 45007 1. rate from date 05-01-92 1. rate from date 06-01-92 2. rate to date 05-31-92 2. rate to date 05-31-93 3. *unit of service Month 3. *unit of service Month 4. unit rate of payment 1,100 4. unit rate of payment 850 5. reserve units 5. reserve units 6. maximum payment 3,300 6. maximum payment 1,700 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 31 @ ^P/y� ? Y�e) i COUNTY PROVIDED SERVICES BUDGET WORK SHEET PROGRAM NAME Day Treatment ACCT CODE 22 PRGN O] 1722 1. Personal Services A. DSS Staff (direct services) Salary Fringe (monthly) 1. 2. 3. 4. 5. 6. 7. 8. TOTAL, DIRECT SERVICES DSS STAFF PER MONTH $ B. Contract Unit Cost Units per Month TOTAL CONTRACT STAFF PER MONTH $ II. Direct Services Operating Travel: miles per month x $.20/mile x workers * Rent (if allowed) : $/worker/month x workers Supplies: $/worker/month x _ workers = Telephone: $/worker/month x workers = * Utilities (if allowed) : $/worker/month x workers = TOTAL, DIRECT SERVICES OPERATING, PER MONTH $ III. Distributed services operating A. Other Operating Costs - describe $ /worker/year x workers = B. Staff Development $/year/month x workers = C. Capital outlay: list items to be purchased Total, capital outlay = $ TOTAL, DISTRIBUTED SERVICES OPERATING, PER YEAR $ NOTES, Items in capital letters are transferred to Program Budget Page. All Alternatives funded positions not providing direct services are to be listed in Administrative/Supportive Services. permitted only on facilities detached form the county department and which are for the appropriate and necessary use by an Alternatives program. bdgtwrk 32 CT c 7 r. DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME Day Treatment CWEST ACCT CODE: PAC FOSTER OTHER PRGM CODE: 1722 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ per month x ____ months = B. Contract Staff $ per month x months = II. Direct Services Operating $ per month x months = III. Purchased Program Services $ 5000 per month x 12 months = 60,000 IV. Basic Foster Care $ per month x months = V. Other Source Funds $ per month x months = TOTAL DIRECT SERVICES * 60,000 VI. TOTAL DISTRIBUTED OPERATING ** * These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORK SHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives costs per month $ 7. Program capacity, number of children meeting target group definition to be served each month 8. Average number of children meeting target group served each month 9. Cost per month per child (#6/07) 10. Vacancy factor (#7/08) 11. Computed Unit Rate per child (#9x#10) prgmbgt 33 SC-',0 COST SAVINGS ANALYSIS Cost savings are computed using the number of children meeting target group criteria. ROGRAM NAME Day Treatment Level of Placement Prevented RCCF CPA GROUP THERAPEUTIC OTHER FOSTER 1. AVG. NUMBER OF CHILDREN 4 1 SERVED PER MONTH 2. AVG. COST PER MONTH OF 2249 991 PREVENTED PLACEMENT 3. AVG. LENGTH OF STAY, IN MONTHS, OR PREVENTED 18 24 PLACEMENT 4. AVG. TOTAL COST OF 40482 23784 PREVENTED PLACEMENT 5. AVG. COST PER CHILD OF 1000 1000 ALTERNATIVE 6. AVG. COST PER MONTH OF FOSTER CARE IF PART OF ALTERNATIVE 7. PRORATED ADMINISTRATIVE COST PER CHILD PER MONTH 8. TOTAL ALTERNATIVE COST PER CHILD PER MONTH 1000 1000 (115+416+117) 9. AVG. LENGTH OF STAY, IN MONTHS, IN 24 24 ALTERNATIVE 10. AVG. TOTAL COST OF CARE IN ALTERNATIVE 24000 24000 (#8X#9) 11. AVG. SAVINGS PER CHILD OF ALTERNATIVE 16482 (216) (114-1110) 12. PROGRAM SAVINGS (#1X#11) 65928 (216) PROJECTED TOTAL SAVING = $65,712 cat say 34 PROGRAM PERFORMANCE PROGRAM NAME Day Treatment DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 06/01/91 TO 06/01/91 TO 06/01/90 TO 06/01/92 TO 05/31/92 11/30/91 05/31/91 05/31/93 1. AVG. NUMBER OF CHILDREN SERVED PER MONTH 4.61 0 3.3 5 2. AVG. NUMBER OF MONTHS IN PROGRAM FOR CHILDREN DISCHARGED 24 22 4.5 24 3. AVG. COST PER MONTH PER CHILD 1000 900 922.75 1000 4. % OF CHILDREN AT HOME OR LESS RESTRICTIVE SETTING AT DISCHARGE 50 50 50 75 5. % OF CHILDREN AT HOME OR LESS RESTRICTIVE 50 NOT 50 NOT SETTING 6 MONTHS AFTER REQUIRED REQUIRED DISCHARGE 6. AVG. SAVING PER CHILD OF ALTERNATIVE VS. PROJECTED PLACEMENT 4449 7512 3573 13142.40 prgmprfm PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #6 INTENSIVE SERVICE 1. Describe services to be provided. Following the Homebuilders model, the Intensive Services Team will employ two full-time staff of the Children and Family Services Program of the Weld Mental Health Center to provide in-home treatment, case management, educational, and related services to Weld County families who are in imminent risk of having a child removed to an out-of-home placement and to families who have already had a child placed out of the family home. These families are in need of mental health services to achieve sufficient stability to permit the child to be returned when such a return is in the child's best interests. The risk of placement will arise from a crisis in the family which severely threatens the family's ability to remain intact. Through immediate, brief, and intensive services focussing on problem identification, problem solving, and goal setting involving as many members of the family as possible, and through linking the client families with appropriate community resources, families will learn new and effective coping strategies to enable the establishment of new levels of stability, security and safety. In addition to remaining intact, families completing the project will report and demonstrate improved communication patterns and skills, marked reductions in the use of aggression and violence within and outside the family, and increased levels of reliance upon the family itself as a positive source of nurturance and support. Two mental health therapists will be assigned to the program. They will work with no more than two families per therapist at a time. Crisis services will be available 24 hours per day, seven days per week to provide screening, evaluation and assessment, intervention, and follow-up planning to clients between the ages of birth to 18 years and their families. Crisis services will be offered on a short-term basis, focussing on those issues and problems precipitating the crisis and on using the crisis to mobilize the youth and his or her family to develop new ways to cope and prevent further crisis. It is expected that the average period of involvement will be four to six weeks. Services will be delivered in clients' homes, at the Weld County Shelter Home, at the Weld County juvenile Detention Center, at the North Colorado Medical Center (to include it's psychiatric inpatient unit, PsychCare) , in foster and group homes, in the schools, or wherever necessary to optimize results. These aspects of the proposed program-rapid response to referrals, accessibility of therapists at home during evenings and weekends, the time available for client families, the location of the services, the staffing pattern, the low caseloads and the brief duration of the services-produce a much more powerful intervention than one which offers only one or two of the components. 2. List specific, measurable objectives for this program that are related to client outcome. 1) 85% of the families will remain in tact at the completion of services. 2) 90% of the families will report and demonstrate a marked reduction in the use of violence and aggression within and outside the family. 3) 75% of the families will remain intact 12 months after services are terminated. 36 ;��J PROGRAM #6 INTENSIVE SERVICE (continued) 3. Circle which PAC criteria the children in your program will primarily meet. Circle only one. The children (1) are in their own homes and meet the out-of-home placement criteria. 4. Describe other characteristics of children being served such as age, conditions that require services, family situations, etc. Families and children referred to this program will be at risk of out-of-home placements due to a family crisis. The crisis may be due to: acting out behaviors by members of the family against each other or against the community; significant psychiatric impairment of a family member; disclosure of sexual or physical abuse; suicidal ideation or attempts by the youth. The children and youth referred to the program will be from birth to 18 years of age. 5. Maximum number of children to be served per month 4 6. Average number of families to be served each month 3 7. Average number of children to be served each month 3 8. Average duration os service in months 4-6 weeks 9. Fees assessed Yes _ No X If yes, describe fee schedule 37 �f' aJfl ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME Intensive Service Provider Name Intensive Services Provider Name Provider CWEST Number 8D103 Provider CWEST Number 1. rate from date 01-01-93 1. rate from date 2. rate to date 05-31-93 2. rate to date 3. *unit of service hour 3. *unit of service 4. unit rate of payment 10.22 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 5378.68 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 38 COUNTY PROVIDED SERVICES BUDGET WORK SHEET PROGRAM NAME Intensive Service ACCT CODE 51 PRAT CODE 1750 1. Personal Services A. DSS Staff (direct services) Salary Fringe (monthly) 1. 2. 3. 4. 5. 6. 7. 8. TOTAL, DIRECT SERVICES DSS STAFF PER MONTH $ B. Contract Unit Cost Units per Month TOTAL CONTRACT STAFF PER MONTH $ II. Direct Services Operating Travel: miles per month x $.20/mile x workers * Rent (if allowed) : $/worker/month x workers Supplies: $/worker/month x _ workers = Telephone: $/worker/month x workers = * Utilities (if allowed) : $/worker/month x workers = TOTAL, DIRECT SERVICES OPERATING, PER MONTH $ III. Distributed services operating A. Other Operating Costs - describe $ /worker/year x workers = B. Staff Development $/year/month x workers = C. Capital outlay: list items to be purchased Total, capital outlay = $ TOTAL, DISTRIBUTED SERVICES OPERATING, PER YEAR $ NOTES: Items in capital letters are transferred to Program Budget Page. All Alternatives funded positions not providing direct services are to be listed in Administrative/Supportive Services. • permitted only on facilities detached form the county department and which are for the appropriate and necessary use by an Alternatives program. bdgtwrk 39 DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME Intensive Service CWEST ACCT CODE: 25 PAC FOSTER OTHER PRGM CODE: 1750 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ per month x _ months = B. Contract Staff $ per month x months = II. Direct Services Operating $ per month x months = III. Purchased Program Services $6378.68 per month x 5 months = 31,893.40 IV. Basic Foster Care $ per month x months = V. Other Source Funds $ per month x months = TOTAL DIRECT SERVICES * 31,893.40 VI. TOTAL DISTRIBUTED OPERATING ** * These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORK SHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives costs per month $ 7. Program capacity, number of children meeting target group definition to be served each month 8. Average number of children meeting target group served each month 9. Cost per month per child (116/4!7) 10. Vacancy factor (#7/118) 11. Computed Unit Rate per child (119x1110) prgmbgt 40 one'2 COST SAVINGS ANALYSIS Cost savings are computed using the number of children meeting target group criteria. ROGRAM NAME Intensive Service Level of Placement Prevented RCCF CPA GROUP FOSTER OTHER 1. AVG. NUMBER OF CHILDREN 1 2 SERVED PER MONTH 2. AVG. COST PER MONTH OF 900 310 PREVENTED PLACEMENT 3. AVG. LENGTH OF STAY, IN MONTHS, OR PREVENTED 6 6 PLACEMENT 4. AVG. TOTAL COST OF 5400 5400 PREVENTED PLACEMENT 5. AVG. COST PER CHILD OF 2126 2126 ALTERNATIVE 6. AVG. COST PER MONTH OF FOSTER CARE IF PART OF ALTERNATIVE 7. PRORATED ADMINISTRATIVE COST PER CHILD PER MONTH 8. TOTAL ALTERNATIVE COST PER CHILD PER MONTH 2126 2126 (115+116+#7) 9. AVG. LENGTH OF STAY, IN MONTHS, IN 1 1 ALTERNATIVE 10. AVG. TOTAL COST OF CARE IN ALTERNATIVE 2126 2126 (118X$9) 11. AVG. SAVINGS PER CHILD OF ALTERNATIVE 3274 (266) (#4-1110) 12. PROGRAM SAVINGS (#1X#11) 3274 (532) PROJECTED TOTAL SAVING = $2,742 an say 41 oT, .t. PROGRAM PERFORMANCE PROGRAM NAME Intensive Service DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 06/01/91 TO 06/01/91 TO 06/01/90 TO 06/01/92 TO 05/31/92 11/30/91 05/31/91 05/31/93 1. AVG. NUMBER OF CHILDREN SERVED PER MONTH 4 4 2. AVG. NUMBER OF MONTHS IN PROGRAM FOR CHILDREN DISCHARGED 1 1 3. AVG. COST PER MONTH PER CHILD 1250 2126 4. % OF CHILDREN AT HOME OR LESS RESTRICTIVE SETTING AT DISCHARGE 85 85 5. % OF CHILDREN AT HOME OR LESS RESTRICTIVE NOT NOT SETTING 6 MONTHS AFTER 75 REQUIRED REQUIRED DISCHARGE 6. AVG. SAVING PER CHILD OF ALTERNATIVE VS. PROJECTED PLACEMENT 2200 914 prgmprfm 42 (A^ ra-". WELD COUNTY PLACEMENT ALTERNATIVE PLAN FINAL BUDGET PAGE FY 1992-1993 ACCT PRGM PROGRAM NAME PAC FOSTER OTHER TOTAL CODE CODE FUNDS CARE FUNDS PROGRAM FUNDS 25 1735 Therapeutic 181,068 80,520 $261,588 Foster Care 29 1729 Partners Plus 105,170 105,170 28 1728 Juvenile 68,974 68,974 Diversion 68 1768 Parent 28,800 28,800 Advocate 22 1722 Day Treatment 60,000 45,000 105,000 51 1750 Intensive Home 31,893 31,893 Services TOTALS 475,905 80,520 45,000 601,425 DATE APPROVED DATE EFFECTIVE pacfinal 43 pc v`"acx+ab f Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action Contract Award No. Initial Award Revision of Earlier Action Issued on Contract Award Period Name and Address of Contractor Beginning and Ending Computation of Awards Monthly Program Capacity Unit of Service Monthly Average Capacity Description The issuance of the Notification of Financial Assistance Award is based Cost Per Unit of Service upon your Request for Proposal (RFP) . Hourly Rate Per $ The RFP specifies the scope of services Unit of Service and conditions of award. Except where Based on Average it is in conflict with this NFAA in Capacity which case the NFAA governs, the RFP upon which this award is based is an Monthly Rate Per $ integral part of the action. Unit of Service Based on Average Special conditions Capacity 1) Reimbursement for the Unit of Total Yearly $ Service will be based on a hourly rate Services Budget per child. (Subject to the availability of Federal and State Funds) 2) The hourly rate will be paid for only direct face to face contact with the child and/or family. Enclosures: 3) Unit of Service costs connot exceed Signed RFP the hourly, monthly, and yearly cost per child and/or family. 4) Rates will only be paid on approved and open cases with the Department of Social Services. Approvals: _ Program Official By By George Kennedy, Chairman Judy A. Griego, Director Board of Weld County Weld County Department of Commissioners Social Services Date Date Cm:fT 0- n
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