HomeMy WebLinkAbout910397.tiff mEMORAnDUil
WilkGordan E. Lacy, Chairman
Board ard of County Commissioners Date February 19, 1990
COLORADO From Walter J. Speckman, Executive Director, Human Resources 10O
O
sublectSummer Youth Employment and Training Program
Enclosed for Board approval is the Weld County Job 'raining Partnership
Act Summer Youth Employment and Training Program Grant for Program Year
1991.
The grant proposal request $448,519.44, which includes Program Year 1991
funding and Program Year 1990 carry-in funding. The grant is directed
toward serving 275 economically disadvantaged youth between the ages of
14 and 21. The youth will be provided with approximately 9 weeks of
work experience in public and private non-profit agencies. Youth will
be paid the minimum wage of $4.25 per hour. Youth will also participate
in either basic skills remediation classes or employability classes.
The youth will be eligible to receive a bonus for participation in
classroom activity.
If you have any questions, please telephone me at 353-3816.
;bag�
910397
Weld County
Summer Youth Employment and Training Program (SYETP) Plan
PY '90
Submitted by: Judy A. Griego
Service Delivery Area Director
Weld County Service Delivery Area
Weld County Division of Human Resources
P. 0. Box 1805
Greeley, Colorado 80632
(303) 353-3815
Weld County Summer Youth Employment and Training Plan Page 1
A. Executive Summary
1. Grant Recipient
The Board Weld County of Commissioners will be the grant recipient of
the funds from the State.
2. Entity to Administer the Summer Youth Employment and Training Program
(SYETP)
The Weld County Service Delivery Area (SDA) will administer the
Summer Youth Employment and Training Program.
3. Services/Program Activities to be Provided:
a. SYETP Services and Program Activities
1) Work Experience
Work experience activities will be provided to approximately
275 youth, ages 14-21. The youth will be exposed to various
occupations , learn basic work skills, receive encouragement
to continue their education, earn money, and develop career
goals and objectives. Work experience activities will occur
in public or private non-profit agencies. The type of work
experience offered to the youth will include custodian,
grounds maintenance, teacher aide, clerical , reception,
maintenance, library aide, etc.
The majority of the participants enrolled in work experience
will work for approximately 24 hours a week at $4.25 per hour
for approximately nine weeks. The youth will earn $102.00
per week or $918.00 over the course of the 9 weeks.
There will be some youth who will work between 24 and 40
hours a week at $4.25 per hour. Youth will participate
between six to sixteen weeks and will earn between $612.00
and S1,700.00.
2) Pre-employment Classes
A variety of classroom lectures, workshops , seminars, etc.
will be offered to those youth who do not attend remediation
or other basic skills classes. Youth will be encourage to
attend these employment oriented classroom activities are a
part of the youth's employment
The pre-employment classes will be in the areas of career and
vocation exploration , job search assistance, job
seeking/holding skills training, safety, work attitude and
behavior, decision making skills , life skills training, and
labor market information.
Weld County Summer Youth Employment and Training Plan Page 2
It is anticipated that approximately 158 youth will
participate in pre-employment classes and the average bonus
will be $60.00 at the end of the program.
3) Remediation
The remediation component is addressed in detail in Section
C on page 4. At this time approximately 117 youth will
participate in remediation activities for basic skill
development. The majority of remediation activities will be
8 weeks in length, 3 hours per week. The average bonus per
participant will be $150.00 at the end of the program.
4) Services and Supportive Services
Participants enrolled in the program will receive assistance
from this activity if it is necessary to receive these
services to successfully participate in the summer program.
Generally, supportive services will provide the
transportation, equipment, materials , uniforms , safety shoes ,
safety glasses, textbooks , etc. , that is needed for the youth
to participate in the Summer Youth Employment and Training
Program activities identified in this section. The
supportive services monies may also be used to provide the
youth with the equipment, materials , and/or tools needed to
secure and maintain a full -time permanent position. Child
care will be provided to teen parents who need child care to
participate in the program but who are not eligible for child
care through Social Services. It is anticipated that
approximately $400.00 in supportive services dollars will be
used for work-related equipment or materials while partici-
pating in the program; $200.00 will be used by youth who need
equipment, etc. , to secure and maintain full-time permanent
positions; and $650.00 will be available for child care. The
total cost for supportive services will be approximately
$1,250.00.
b. Procurement Process for Subcontracting
The Weld County SDA does not subcontract services for the summer
program.
B. PY '90 Summer Youth Employment and Training Proaram Goals and Objectives
1 . Focus and Impact of the Program
The focus of the program and its anticipated impact are to provide
incentives for each youth participant to remain in school or return
to school . It is estimated that 80% of the youth will fall into this
category.
Weld County Summer Youth Employment and Training Plan Page 3
2. SYETP Goals and Objectives
The goals and objectives for the SYETP are:
a. to have 85% of the total number of in-school youth return to
school in the Fall of 1990 as measured by a JTPA follow-up
survey.
b. to have 90% of the youth participating in the work experience
component enhance their level of employability skills as measured
by a Youth Participation Questionnaire and a Work Site
Questionnaire.
c. to have 90% of the youth participating in the remediation
component as measured by attainment of school credit, completion
of grade level in the learning lab, or successfull completion of
other classes.
d. to have 75% of the youth participating in the employability
skills classroom activities increase their knowledge base as
measured by an evaluation of the instructor.
e. to enhance the level of coordination with local education
agencies, law enforcement agencies, and other community services
organizations by receiving positive feedback from 75% of the
participating organizations as measured through a Site
Coordination survey.
f. To have 85% of the youth who choose not to return to school make
the transition from the subsidized Summer Youth Employment
Training Program to unsubsidized employment, as measured by the
JTPA Termination Report.
3. Assessment
Assessment of reading and math skills will be completed by one of the
following methods:
. Job Corp Reading Test
. Adult Basic Literacy Assessment
. Results of the Comprehensive Testing Basic Skills.
. Final report card -- If this method is used, schools will be asked
if the youth's skills are comparable to the grade level of the
youth
. A statement from the school identifying the youth' s grade level
and the school ' s assessment of benefits from remediation
activities
. District Objective Test
. Other tests or methods the schools use to determine the grade
level of youth in math and reading
. Aims Community College testing for GED in English, reading, and
Weld County Summer Youth Employment and Training Plan Page 4
math for high school dropouts
. For those youth who have graduated from high school , the final
report card will be requested. If they have obtained reading and
math credit, further assessment will not be needed
C. Program Design
1 . Basic Education
a. Assessment and Plan of Action to Improve Skills in Deficiency
Areas
Each youth will be assessed through one of the means discussed in
section B. 3. The assessment results will become part of the
permanent record. It is anticipated that 42% or 117 youth will
participate in a remediation activity.
The remediation activities have been designed to be flexible and
individualized. The assisted instruction through the computer
lab and general instruction provide for pre- and post-testing
to determine the level of skills the youth needs to master
remedial activities.
The instructors will be responsible for pre-testing to determine
the specific remediation deficiency areas that need to be
address with the youth during remediation. These deficiency
areas will then be addressed through either computer-assisted
instruction or teacher directed instruction, or both.
The youth who attend summer school , or are pursuing a GED, will
be attending classes to up-grade in their deficiency areas.
b. School Credit
School credit will be provided through School District 6 for
those youth who attend summer school or the Youth Opportunity
Unlimited Project (Y.O.U. ) . The School District determines the
number of hours necessary to grant school credit. Summer school
is usually 8 weeks in length, 16 hours per week. The Y.O.U.
Project is 8 weeks in length and approximately 10 hours per week
are on remediation.
c. Incentives to Motivate Youth to Participate in Remediation
Youth who are identified by a school district to attend summer
school for credit or remediation will be required to attend
school or participate in remediation as a prerequisite for summer
employment. Youth who attend remediation activities and achieve
expected outcomes will receive a bonus. Youth will receive $4.00
per hour for each hour of lab participation, and an additional
$25.00 for each grade level mastered. Youth will receive a bonus
Weld County Sumner Youth Employment and Training Plan Page 5
of $100.00 for successful program completion in School District
Sumner School or successful completion in Y.O.U, or other
designated programs.
d. Youth in Remediation Who Test Two Grade Levels Below
Youth that test two or more grade levels below their actual
school level will be required to attend remedial classes in
conjunction with their summer work except those youth who live in
the rural areas where transportation is not available. It is not
anticipated that many rural youth will need remediation as their
academic achievement is normally standard. Exceptions will be
documented in the youth' s file.
e. Participants and Locations
The Weld County SDA will have various approaches to deliver
remediation. These approaches are as follows:
1) School District 6 operates a summer school program. Those
youth who will participate in the Summer Youth Employment and
Training Program and are selected by School District 6 as in
need of summer school will be required to attend summer
school . The youth will receive academic credit for
successful completion. Approximately 15 youth will attend
summer school at $60.00 tuition for each youth.
2) Classroom activity will occur in two areas:
a) One class will be offered at Fort Lupton High School , 301
Reynolds Street, Fort Lupton. Approximately 15 youth will
participate in the Fort Lupton class.
These classes will be eight weeks in length and will be
held one day per week for three hours. Youth will receive
remediation in either math, reading or both. General
instruction as well as individualized-instruction methods
will be used. Classroom pre- and post-testing will be
initiated by the instructor to determine how well the
youth mastered the specific topic.
b) Remediation classes will occur at Employment Services of
Weld County, 1551 North 17th Avenue, Greeley. The Jostins
Learning System computerized-instruction will be used to
supplement teacher-directed instruction in math and
English. Approximately 80 youth will participate at the
lab.
The lab will be available from June 1 , 1991 through August
30, 1991 , for youth to participate in remediation lab
activities. Youth will be encouraged to participate for a
minimum of 20 hours during the summer. The amount of the
Weld County Summer Youth Employment and Training Plan Page 6
bonus a youth can earn is based on the number of hours of
lab time by $4.00 per hour.
c) Youth who do not have a GED or high school diploma will be
encouraged to attend a GED program at Aims Community
College. Approximately 4 youth will work toward a GED.
Additional remediation activities may occur depending upon
need.
d) There will be 3 youth receiving remediation through the
Youth Opportunity Unlimited Program. There are no additional
remediation costs.
The SDA will be using Summer Youth Employment and Training
training funds to purchase services from instructors, pay
tuition, provide supplies, etc. The cost for the remediation
activities is estimated at $20,500 for approximately 117
participants for an average of $279.00 cost per participant. The
cost for the 5 youth receiving remediation through the Youth
Opportunity Unlimited Program is included in Special Projects
(Section D) .
f. Student/Teacher Ratio
It is anticipated that the student/teacher ratio will not exceed
15 to 1 for most remediation activities. However, School District
6 determines the student/teacher ratio for their summer school .
Each instructor determines the delivery of their instruction,
coordination with similar programs in the community, and use of
volunteers in the classroom.
2. Work Experience
a. Work Experience Operations
Youth who participate in work experience will be exposed to
various occupations, learn basic work skills, receive
encouragement to continue their education, earn money, and
develop career goals and objectives . Work experience activities
will occur in public or private non-profit agencies. The type of
work experience offered to the youth will include custodian,
grounds maintenance, teacher aide, clerical , reception,
maintenance, library aide, etc.
The Weld County SDA requires that the youth's participation in
the program realistically reflect how a youth would be expected
to behave in unsubsidized employment. Therefore, there are
strict requirements about reporting to work on time, attendance,
behavior at work, etc. If youth do not participate according to
the requirements , they are terminated from the program.
Weld County Summer Youth Employment and Training Plan Page 7
b. Competencies
The Weld County SDA will not be implementing a competencu
program during the Summer Youth Employment and Training Program.
Competencies are not being used for the following reasons:
1 ) The Weld County SDA designed the competency component under
Title II-A for activities directed toward in-school youth.
The competency component has not been designed for work
experience activities.
2) The remediation activities provided under Title II-B are not
sufficient in length or depth to provide the youth with a PIC
certified competency at the end of remediation activities.
3) The major objective of the Weld County SDA for the Summer
Youth Employment and Training Program is to encourage youth
to remain in school or return to school . Youth who
successfully complete the work experience activities and
return to school are terminated from the program as
"returned to school ." Other youth are terminated in
appropriate categories.
4) In certifying competency achievement of a youth for summer
activities , this will restrict activities that can be
provided to the youth during the Title II-A In-School
activities.
c. Pre and Post-Test
Pre and post-tests are given in the Title II-A Competency Program
and are located in the youth's files.
d. Bonus Payments
The Weld County SDA will not be providing bonus payments to
youth through a competency designed system. As outlined
previously, youth will receive a bonus based on program
completion and participation.
3. Employability Development Plan
Employability Development Plans will be completed for those youth have
have no plans to return to school and whose goal for the program is
employment. If a youth is either transferred or co-enrolled in Title
II-A, the EDP will be maintained in their Title II-A file.
4. Coordination
a. Coordination with other Appropriate Education Systems
The Jostens Learning System located at Employment Services of
Weld County will be used for remediation activities.
Weld County Summer Youth Employment and Training Plan Page 8
b. Coordination with Agencies
1) Local Educational Agencies
The local educational agencies will assist in determining
which youth should participate in the remediation activity.
It is anticipated that the priority will be youth who need
the academic credit for graduation requirements or who are
at least a grade level behind in math or reading. If the
Weld County SDA selects youth for remediation, priority will
be given to those youth whose assessments indicate that they
would benefit from some remediation activity. The assessment
factors include low grades, low test scores , etc. Youth who
do not have a GED will be encouraged to enter a GED program
at Aims Community College.
2) Youth Serving Agencies
The Weld County SDA implements extensive coordination between
the Summer Youth Program and Youth Serving Agencies during
the summer. The Juvenile Court System provides outreach and
referrals to the program and the eligible youth are
encouraged to participate in the programs by the Juvenile
Courts System staff. Other Youth Serving Agencies may
participate as a work site and also as an outreach tool .
4. Other
a. Supportive Services
The supportive services to be provided were discussed in Section
A,3,4 on page 2.
b. Planned Participation and Termination Summary
The Planned Participation and Termination Summary is located as
Attachment 1 .
D. Special Projects
The Weld County SDA plans to enroll approximately 3 youth in the Youth
Opportunity Unlimited Program. The cost per participant for program
support will be $1 ,930.00. These youth will also receive remediation
activities as discussed in Section C,1,a.
E. Special Populations
By priority, the target eligible population groups are:
1 . youth who are receiving welfare
2. youth who are members of a household receiving welfare
3. youth who are in school and are returning to school
4. youth who are dropouts
Weld County Summer Youth Employment and Training Plan Page 9
F. Coordination with Summer Job Hunt
The Weld County SDA also performs the functions of the Job Service of
Colorado for Weld County. The Summer Job Hunt is an activity that is
administered by the Weld County SDA as a Job Service office. Due to its
single delivery system, it is able to extensively coordinate and plan
between the Summer Youth Employment and Training Program and Summer
Job Hunt programs.
As in the past, all youth who are not eligible for the Summer Youth
Employment and Training Program will be referred to the Summer Job Hunt
activities.
The funds provided by the Colorado Department of Labor and Employment
from 10% Wagner Peyser funds will be used to assist in the provision of
the following:
1 . Reception services will be available for young people coming into the
the Weld County SDA office and seeking employment under the auspices
of the Summer Job Hunt.
2. The Weld County SDA as a Job Service will accept and help
applicants in completing employment applications under the auspices
of the Summer Job Hunt.
3. Appropriate selection and referral of qualified youth applicants for
available job vacancies (subsidized and unsubsidized) will be made.
4. Follow-up for each job referral will be made and actual placement
will be verified or the lack of placement for each referral .
5. The Weld County SDA will work with other local cooperating agencies
in planning and implementing an employer relations and employer
contact program to develop jobs for participants in Summer Job Hunt.
G. Assurances
1 . All Summer Youth Employment and Training Program participants shall
be economically disadvantaged and economically disadvantaged status
shall be documented in the participant record file.
2. All work sites must adhere to the Child Labor Laws.
3. A two-page summary report of PY '90 Summer Youth Employment and
Training Program will be submitted to Governor' s Job Training Office
by November 30, 1991 which shall include:
a. A description of activities conducted during the Summer Youth
Employment and Training Program
b. Characteristics of participants; and
Weld County Summer Youth Employment and Training Plan Page 10
c. The extent to which the activities met the objectives set forth
in the Summer Youth Employment and Training Plan.
H. Financial Management Procedures
1. Allocation
See attached Budget Information Summaries located in Attachment 2.
2. Plan Versus Actual
The Weld County Service Delivery Area agrees that the Title II-B 1990
funding level included in the SYETP plan is an estimate. Upon
receipt of the actual funding allocations for this program, the two
budget documents and the program description will be adjusted
accordingly and submitted to GJTO within 30 days of receipt. This
revised information will be signed by the PIC Chair and the SDA
Director and approved by the GJTO Director.
3. Carry-out
The Weld County SDA did not carry-out more than 15% of the PY '89
allocation. Weld County does not anticipated the carry-out will
exceed 15% of the PY '90 allocations. Expenditures and levels of
services are monitored monthly.
3. Budaet Information Summaries
The budget information summary for the time period of 10/01/90
through 09/30/93 is located in Attachment 2.
4. Cost Categories
The budget is in accordance with Financial Procedure #8, JTPA Letter
85-53and instruction given in JTPA Letter #90-13.
5. Expenditure Authorization
The Expenditure Authorization (EA) cover sheet is Attachment 3.
The Title II-B Summer Youth Employment and Training Program will
become an EA to the PY '90 Master Contract. Therefore, the period of
performance will end on June 30, 1993
Attachment 1
Planned Participation and Termination Summary
Summer Youth
Youth
Total Participants I 275
New I 26U
Transfer From II—A I 15
Total Terminations I 275
4EE.4UP Enter Unsubsidized Employment 5
4UP Upgrade Placement I
4PE Job With Previous Employer
4CE Complete Basic Ed Class
4CS Complete Occupational Skills
4CO Complete OJT
4GE Attain GED 2
4TR Transfer to Other Trg Program
4YP Achieve YEC in PE/WM I
4YB Achieve Como in Basic Ed
4YJ Achieve Como in Jot) Skills
4RT Return to Full-Time School
�4RM Remain in Full-Time School
4CL Comoiete Maior Educ. Level
4CP Complete Program Objectives 283
Transfer to II—A 15 I
Planned Program Activities
Youth
Career Exoloration/Job Search (A) I 158
Classroom Training--BasidAcademic (8) 117
Classroom Training--Job Specific (C)
Job Placement (D) I
OJT—Private (E) I
OJT—Public (F)
Other Training (G)
Scheduled Hold (H)
Youth Try—Out Employment (I)
Work Expenence (J) 275
Competency—Basic Skills (Iq
Competency--Job Specific (L)
Competency—PElWM (M)
Inter-Title Hold (N)
End-Of-Program Hold (O)
Supportive Service ONLY (S)
Coordinated Soft Services (T)
Coordinated Basic Ed (U)
Coordinated Occ. Skills (V) _
Coordinated OJT (W)
Coordinated Work Experience (X)
Attachment 2
BUDGET INFORMATION SUMMARY (BIS) FOR TITLE II-B FUNDS
SOA: Weld County Service Delivery Area Title of Funds; II-B
Program/Project Name: SYETP Year of Funds: PY90
Period of
Performance: From To VAX #:
Ref. Code
COST CATEGORY TOTAL PERCENT
— — - ,
Administration $ 57,495. 15 I 15%
Code
Administrative Property $
Code
Participant Support $ 275,174. 77 I 72%
Code
Training $ 50,631.08 13%
Code
Training Property $
Code
TOTAL I $ 383,301.00 I 100%
NOTES: Cade lines and VAX # are to be completed by the Governor' s Job
Training Office' s Financial Management Unit.
12/28/90
EXPENDITURE AUTHORIZATION
Signature Page
SERVICE DELIVERY AREA
Name: Weld County
Address: P.O. Box 1805, Greeley, Colorado 80632
City/State/Zip:
PROGRAM/PROJECT
Name:Summer Youth Emolovment Trainina ProgranVAXI:
Ref. Code
Title and Amount of Funds: Title JIB, 5383, 301
Period of
Performance: From October 1, 1990 To June 30 , 1993
The foregoing Expenditure Authorization has been reviewed and approved by
the following parties and will be incorporated into the Governor' s Job
Training Office/Service Delivery Area Master Contract as an attachment.
This signature page; !when duly signed.,_authorizes the grant of funds by
GJTO for th program/'Oo jt identl fl ed -here's n:e.L
111 A ///
LEO i n' ture "°':-H/ , v - -wtc� Date
Vic,r�� ‘VELD �OUf�TY CLERi; TO THE COAnD
Gordon E. L y °y. , s v l/� //� Chairman
Name (Typed) eEi O TY CLERK O g
THE t l e
PIC Chair Signature Date
Robert Adams Chairman
Name (Typed) Title
SDA Director Signature Date
Judy A. Grim) Director
Name (Typed) Title
•
GJTO Director Signature Date
Name (Typed) Title
(*This line to be completed by GJTO. )
Form 6-AC-02A(R 5/85) - _...
_ DEPARTMENT OR AGENCY NUMBER
260000
CONTRACT] O TIjJG NUMBER
CONTRACT
THIS CONTRACT, made this First day of October 199D, by and between the State of
Colorado for the use and benefit of the Department of *t HEALTH
4210 E. 11th Avenue, Denver, Colorado 80220
hereinafter referred to as the State, and *2 Weld County Health Department
1517 16th Avenue Court, Greeley. CO 80631
hereinafter referred to as the Contractor.
WHEREAS, authority exists in the taw and Funds have been budgeted, appropriated and otherwise made
available and a sufficient unencumbered balance thereof remains available for payment in Fund Number 1001
G/L Account Number_, Contract Encumbrance Number_c; and
'77tth� ((�f. C� 2
WHEREAS, requireff pproval, clearance and coordThauon Pa's been accomplished from and with appropriate
agencies; and
WHEREAS, the State in order to carry out its lawful duties, powers and responsibilities pursuant to Article 27
of Title 25, Colorado Revised Statutes 1988, as amended, and the provision of legislative appropriations made and
provided therefore, in coordination with like powers, duties and responsibilities of the Contractor mutually have
determined that public health services are desirable in Weld County; and
WHEREAS, the Contractor and the State mutually agree that the services of approved public health staff,
under the administrative control of the Contractor, are the most efficient and effective way of providing the desired
services as herein set forth,
NOW THEREFORE, it is hereby agreed that for and in consideration of their mutual promises to each other,
hereinafter stated, the parties hereto agree as follows:
1. The Contractor shall provide, through the services of approved public health staff, services which include
revisits and/or the annual resurveys of Personal Care Boarding Homes and the investigation of all complaints
lodged against all Personal Care Boarding Homes in Weld County.
2. The Contractor will submit for approval by the department the qualifications of all staff and the number of
staff that will be used in conducting these inspections. The State shall conduct training of Contractor health
staff as determined by the State. The Contractor shall make staff available at time and place agreed upon by
both parties.
3. Minimal contract fulfillment for this contract period will include the following activities:
A) Revisits and/or annual resurveys of Personal Care Boarding Homes in Weld County following all
relevant rules, regulations, guidelines, forms, and procedures as detailed on Attachment 1. Which is
attached and by this reference incorporated herein.
B) Investigation of all complaints lodged against Personal Care Boarding Homes in Weld County
following the procedures established by the Health Facilities Division on Attachment 2. Which is
attached and by this reference incorporated herein.
Page 1 of 6 pages
C) An update on the following components of the Life Safety Code - Chapter 21:
a. Collection and verification of resident assessment forms.
b. Collection and verification of staffing forms.
c. Verification of building characteristics (see example attached as Attachment 3).
d. Testing smoke detectors and audible alarm (pull station).
e. Flow test sprinkler system (if applicable)
4. All correspondence, notifications, or recommendations required hereunder shall be addressed to the
individuals at the addresses set forth below:
Weld County Health Department
1517 16th Ave. Court
Greeley, Colorado 80631
Colorado Department of Health
Health Facilities Division
Dale Thorn, LCSW
Residential Program Administrator
4210 E. 11th Avenue
Denver, Colorado 80220
5. The State will, in consideration of said services and reporting by the Contractor, cause to be paid to the
Contractor an amount not to exceed five thousand three hundred and fifty dollars ($5,350.00) in accordance
with the schedule of rates set forth on Attachment 3. Which is attached and by this reference incorporated
herein. Reimbursement will be made upon receipt of signed monthly billings, submitted in duplicate,
requesting reimbursement. Billings shall include names of facilities surveyed, dates, amounts and total
requested and reimbursement shall be contingent upon affirmation by the State of full and satisfactory
compliance with the terms of this contract.
6. The State may monitor the performance of the Contractor including a review of facility files or an on-site
visit. The State will continue payment for annual resurveys only so long as the Contractor renders an
acceptable quality and quantity of services as determined by the State. The performance evaluation will
consist of information submitted on inspection reports. The Contractor agrees to cooperate in any evaluation
conducted by the State.
7. The Contractor and the State will adhere to the following enforcement procedures:
a) Unlicensed facilities: The Contractor will notify the State of facilities conducting business without
necessary license.
b) Licensed facilities: The Contractor will submit all relevant information to the State for state
licensure enforcement action, as indicated.
8. The term of this contract is from October 1, 1990 to June 30, 1991, and shall include the facilities listed on
Attachment 4. Which is attached and by this reference incorporated herein.
Page 2 of 6 pages
9. Changes in total reimbursement amounts for the above-named services in consideration of increased or
decreased levels of utilization in the original contract shall be made by a mutually signed letter of approval
which shall include the following:
a) Identification of contract by contract number and number of affected paragraph.
b) Amount of increase or decrease in funding and new contract total.
c) Effective date of the funding change.
d) Authorized signatures of the Health Department, the Contractor, and the State Controller. It is
understood that no change except funding amounts shall be made through letter of approval.
Page 3 of 6 pages
COLORADO DEPARTNLNI CF HEALTH — hereinafter, under the Genera_ Provisions referred to as
"Health".
GENERAL PROVISIONS
1. The parties of this contract intend that the relationship between them contemplated
by this contract is that of employer—independent contractor. No agent, employee or
servant of Contractor shall be or shall be deemed to be an employee, agent or servant of
Health. Contractor will be solely and entirely responsible for its acts and the acts of
its agents, employees, servants and subcontractors during the performance of this
contract.
2. At all times during the performance of this contract, the Contractor shall strictly
adhere to all applicable federal and state laws that have been or may hereafter be
established.
3. Contractor authorizes Health to perform audits and to make inspections for the
purpose o£ evaluating performance under this contract.
4. Either party shall have the right to terminate this agreement by giving the other
party thirty days notice by registered mail, return receipt requested. If notice is so
given, this agreement shall terminate on the expiration of the thirty days, and the
liability of the parties hereunder for the further performance of the terms of this
agreement shall thereupon cease, but the parties shall not be relieved of the duty to
perform their obligations up to the date of termination.
3. "t. s abreeu:nc is intended as the complete integration of al: uneerstandings
between the parties. No prior or contemporaneous addition, deletion, or other amendment
hereto shall have any force or effect whatsoever, unless embodied herein in writing. `'o
subsequent novation, renewal, addition, deletion, or other amendment hereto shall have
any force, or effect unless embodied in a written contract executed and approved pursuant
to the State Fiscal Rules.
6. If this contract involves the expenditure of federal funds, this contract is
contingent upon continued availability o£ federal funds for payment pursuant to the
terms of this agreement. Contractor also agrees to fulfill the requirements of Office
of rianagement and Budget Circulars A-87 and A-102 or A-110, whichever 4n ap714-"1
7. To be cpnsidered for payment, billings for reimbursement pursuant to this contract
must be received within 60 days after the period for which reimbursement is being
requested and final billings on the contract must be received by the State Health
Department within 60 days after the end of the contract term.
8. If applicable, Local Match is to be submitted on the monthly reimbursement
statements, in the column provided, as required by the funding source.
9. If Contractor receives $25,000.00 or more per year in Federal funds in the
aggregate from Health, Contractor agrees to have an annual audit, by an independent
certified public accountant, which meets the requirements of Office of Management and
Budget Circular A-128. If Contractor is required to submit an annual indirect cost
proposal to Health for review and approval, Contractor' s auditor will audit the proposal
in accordance with the requirements of OMB Circular A-87. Contractor agrees to furnish
one copy of the audit reports to the Health Department Accounting Office within 30 day=
of their issuance, but not later than nine months after the end of Contractor' s fisca'_
year. Contractor agrees to. take appropriate corrective action within s'_a months of the
report's issuance in instances of noncompliance with Federal laws and regulations.
Contractor agrees to permit Health or its agents to have access to its records amd
financial statements as necessary, and further agrees to retain such records am.
financial statements for a period of three years after the date of issuance of the aud`_t
report. This contract does not contain Federal funas as of the aat=_ it is signer.
This requirement is in addition to any other audit requirements contained in other
paragraphs within this contract.
10. If applicable, Contractor agrees to not use Federal funds to satisfy Federal cost
sharing and matching requirements unless approved in writing by the appropriate Federal
Agency.
Page 4 of 6 Pages
Rev. 06/06/88
Form 6-AC-02B
SPECIAL PROVISIONS
CONTROLLER'S APPROVAL
L This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate.This
provision is applicable to any contract involving the payment of money by the State.
FUND AVAILABILITY
2. Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted and otherwise
made available.
BOND REQUIREMENT
3. If this contract involves the payment of more than fifty thousand dollars for the construction,erection,repair,maintenance,or improvement of any building,
road,bridge,viaduct,tunnel,excavation or other public works for this State,the convector shall,before entering the performance of any such work included in this
contract,duly execute and deliver to and file with the official whose signature appears below for the State,a good and sufficient bond or other acceptable surety to be
approved by said official in a penal sum not less than one-half of the total amount payable by the terms of this contract.Such bond shall be duly executed by a
qualified corporate surety.conditioned for the due and faithful performance of the contract,and in addition,shall provide that if the contractor or his subcontractors
fail to duly pay for any labor,materials,team hire,sustenance,provisions,provendor or other supplies used or consumed by such contractor or his subcontractor in
performance of the work convected to be done,the surety will pay the same in an amount not exceeding the sum specified in the bond,together with interest at the
rate of eight per cent per annum.Unless such bond,when so required,is executed,delivered and filed,no claim in favor of the contractor arising under this contract
shall be audited,allowed or paid.A certified or cashier's check or a bank money order payable to the Treasurer of the State of Colorado may be accepted in lieu of a
bond.This provision is in compliance with 38-26-106 CRS, as amended.
INDEMNIFICATION
4. To the extent authorized by law,the contractor shall indemnify,save and hold harmless the State,its employees and agents,against any and all claims,
damages,liability and court awards including costs,expenses,and attomey fees incurred as a result of any act or omission by the contractor,or its employees,
agents,subcontractors,or assignees pursuant to the terms of this contract.
DISCRIMINATION AND AFFIRMATIVE ACTION
5. The convector agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957,as amended,and other applicable law respecting
discrimination and unfair employment practices(24-34-402.CRS 1982 Replacement Vol.),and as required by Executive Order,Equal Opportunity and Affirma-
tive Action,dated April 16, 1975.Pursuant thereto, the following provisions shall be contained in all State contracts or subcontracts.
During the performance of this contract,the contractor agrees as follows:
(1) The contractor will not discnmmate against any employee or applicant for employment because of race,creed,color,national origin,sex,marital status,
religion,ancestry,mental or physical handicap,or age.The contractor will take affirmative action to insure that applicants are employed,and that employees are
treated during employment,without regard to the above mentioned characteristics.Such action shall include,but not be limited to the following:employment,
upgrading,demotion,or transfer,recruitment or recmitment advertising;lay-offs or terminations;rates of pay or other fortes of compensation;and selection for
training,including apprenticeship.The contractor agrees to post in conspicuous places,available to employees and applicants for employment,notices to be pro-
vided by the contracting officer setting forth provisions of this non-discrimination clause.
(2) The contractor will,in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified applicants will receive
consideration for employment without regard to race,creed,color,national origin,sex, marital status, religion,ancestry, mental or physical handicap,or
age.
(3) The contractor will send to each labor union or representative of workers with which he has collective bargaining agreement or other contract or understand-
ing,notice to be provided by the contracting officer,advising the labor union or workers'representative of the contractor's commitment under the Executive
Order, Equal Opportunity and Affirmative Action,dated April 16, 1975,and of the rules,regulations,and relevant Orders of the Governor.
(4) The contractor and labor unions will fumish all information and reports required by Executive Order,Equal Opportunity and Affirmative Action of April 16,
1975,and by the rules,regulations and Orders of the Govemor,or pursuant thereto,and will permit access to his books,records,and accounts by the contracting
agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules, regulations and orders.
(5) A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization,or expel any such individual
from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity,because of race,creed,color,
sex,national origin,or ancestry.
(6) A labor organization,or the employees or members thereof will not aid,abet,incite,compel or coerce the doing of any act defined in this contract to be dis-
criminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder;or attempt either directly or
indirectly,to commit any act defined in this contract to be discriminatory.
•
395-53-01-1022
Revised 1/88 page 5 - of 6 pages Dc-m-23o6a-88
Form 6-AC-02C
(7) In the event of the contractor's non-compliance with the non-discrimination clauses of this contractor or with any of such rules,regulations,or orders,this
contract may be cancelled,terminated or suspended in whole or in part and the contractor may be declared ineligible for further State contracts in accordance
with procedures,authorized in Executive Order,Equal Opportunity and Affirmative Action of April 16,1975 and the rules,regulations,or enders promulgated
in accordance therewith,and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive Order,Equal Opportunity and
Affirmative Action of April 16, 1975,or by rules,regulations,or others promulgated in accordance therewith,or as otherwise provided by law.
• (8) The contractor will include the provisions of paragraph(1)through(8)in every sub-contract and subcontractor purchase order unless exempted by rules,
regulations,or milers issued pursuant to Executive Order,Equal Opportunity and Affirmative Action of April 16.1975,so that such provisions will be binding
upon each subcontractor or vendor.The contractor will take such action with respect to any sub-contracting or purchase order as the contracting agency may
direct,as a means of enforcing such provisions,including sanctions for non-compliance;provided,however,that in the event the contractor becomes involved
in,or is threatened with,litigation with the subcontractor or vendor as a result of such direction by the contracting agency,the contractor may request the State
of Colorado to enter into such litigation to protect the interest of the State of Colorado.
COLORADO LABOR PREFERENCE
6a. Provisions of 8-17-101&102,CRS for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereun-
der and are financed in whole or in put by State funds.
b. When construction contract for a public project is to be awarded to a bidder,a resident bidder shall be allowed a preference against a non-resident bidder
from a stale or foreign country equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident If it is deter-
mined by the officer responsible for awarding the bid that compliance with this subsection.06 may cause denial of federal funds which would otherwise be avail-
able or would otherwise be inconsistent with requirements of federal law,this subsection shall be suspended,but only to the extent necessary to prevent denial of
the moneys or to eliminate the inconsistency with federal requirements(section 8-19-101 and 102, CRS).
GENERAL
7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,execution and enforcement of this
contract Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra judicial body or person or
which is otherwise in conflict with said laws,rules and regulations shall be considered null and void.Nothing contained in any provision incorporated herein by
reference which purports to negate this or any otha special provision in whole or in part shall be valid or enforceable or available in any action at law whether by
way of complaint,defense orotherwise.Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to
the extent that the contract is capable of execution.
8. At all times during the performance of this Contract,the Contractor shall atricdy adhere to all applicable federal and state laws,rules and regulations that
have been or may hereafter be established.
9. The signatories hereto aver that they are familiar with IS-8-301,et seq.,(Bribery and Corrupt Influences)and I8-8-401,et.seq.,(Abuse of Public Office),
CRS 1978 Replacement Vol., and that no violation of such provisions is present
10. The signatories aver that to their knowledge, no state employee has a personal or beneficial interest whatsoever in the service or property
described herein:
IN WITNESS WHEREOF,the parties hereto have executed this Contract on the day first above written.
Contractor. •
(Full Legal Name) ke/61 L/curl/ /VD
STATE OF COIARADOi
ROY � Rb
By \\\� 6,--t//l / for
Chairmanat.--
'5 EXECUTIVE IRECfOR
Position(Title) nd of County Commissioners
l�ptc-i I
Sorid "�'tile F loci DEPARTMENT
(If Corporation:) yi /�u yYlit • OF HEALTH
Attest(Seal) / WELD COUNTY MiEALTH DEPARTMENT
/ 1 cJ
,/'G�-t B Ra �`��Corporate Secretary.or Equivalent,To.n/uty/Couor ndolph Gor on, M.D. , M.P.Id.P H.
- Director
APPROVALS
ATTORNEY GENERA - CO LLER
By By �\Ct� 3QW. HALL
, .
I first Assistant Attorney General
C- r,ar •! Leal Services ^,
PROGRAM APPROVAL: / J rYz.&- ;Z((A—iA7r, C.--^
Page (0 which is the Iasi d G. pages
395-53-01-1010(Revised1/88) 'See inrtrvmians on reverse side. DC-I0-2305a-88
ATTACHMENT 1
Procedure for Conducting Personal
Care Boarding Home Inspections
1. State Health provides the County with a list of all PCBHs in the county including a list of licensed
facilities and license expiration dates.
2. On a monthly basis, State Health notifies the County in writing of new facilities, pending
applications, completion of Initial surveys and new licensees, etc.
3. State Health sends a license renewal packet to each licensed facility 120 days prior to the license
expiration date. A copy of the cover letter sent with the renewal forms will be sent to the County
Health Department.
4. The County Health Department shall conduct an annual re-inspection at least 60 days prior to the
license expiration date. At the end of the inspection the surveyor shall conduct an exit interview for
the purpose of explaining the deficiencies found.
5. Following the annual inspection the County Health Department surveyor shall write up a deficiency
list and send the list to the facility within 14 calendar days of the survey date.
6. The facility has 14 calendar days from the date on the cover letter (submitted with the deficiency
list) to submit a plan of correction. The plan of correction must include a specific response to each
deficiency and a completion date. Completion dates should not exceed 60 days from the date of
the inspection. Surveyor discretion may be used in cases where the facility demonstrates that
sufficient progress has been made in correcting deficiencies. The facility may provide such things
as bids, purchase orders, or written time frames, etc., to demonstrate progress.
7. Upon receipt of an acceptable plan of correction, the deficiency list and the plan of correction must
be submitted to the State Health Department along with a written recommendation for licensure at
least 14 days prior to the license expiration date.
8. The county shall conduct a revisit after the last stated completion date of the plan of correction and -
submit a report of the findings to Colorado Department of Health within 14 days.
9. Colorado Department of Health has the discretion to modify time frames at the request of the
Contractor.
ATTACHMENT 2
PCBH COMPLAINT INVESTIGATION PROCEDURES
If a complaint on a Personal Care Boarding Home is received by
the Colorado Department of Health, the caller will be referred to
the appropriate Local Health Department to file their complaint.
If the complaint is received by letter at the Colorado Department
of Health, the letter will be sent to the Local Health Department
for investigation.
1) When a complaint is received by the Local Health Department,
it should be immediately acknowledged on the letter head of
the Local Health Department.
2) The complaint should be prioritized. If it is life
threatening it needs to be investigated in 48 hours. If it
is serious it needs to be investigated in seven (7) calendar
days. If it is routine it needs to be investigated in
forty-five (45) calendar days.
See attached Guidelines from the State Operations Manual.
3) When Local Health Department investigators go to the
facility to investigate the complaint, they go unannounced
at the appropriate time of the day or night, as determined
in the time frame identified in the complaint. They have
access to the facility twenty-four (24) hours a day.
4) During the course of the investigation, the investigator
will review the appropriate medical records, make rounds to
observe the patient care, staff/resident interactions,
dietary or environmental concerns, staff or anything else
appropriate to the complaint. If the resident has been
hospitalized, the hospital record is reviewed and the
patient is observed and interviewed at the hospital.
5) At the conclusion of the investigation a brief Exit
Conference is conducted with the appropriate staff of the
facility.
6) After the investigation is concluded, an investigative
report is prepared. Each allegation is addressed
individually and the appropriate findings are written for
it. A determination is made as to the validity of each
allegation. The allegations may be found to be:
a) Valid
b) Partially valid
• c) Not valid
d) Unable to be verified
e) Valid with cause
7) If any of the regulations have been violated, a Deficiency
List is prepared citing the appropriate concerns. It is
sent to the facility with the appropriate cover letter.
8) The Plan of Correction is returned to the Local Health
Department by the facility and the Local Health Department
reviews it to determine if it is acceptable. The proper
forms are filled out and it is sent to the Colorado
Department of Health. If necessary, the Local Health
Department conducts a revisit to the facility to determine
if the Plan off Correction has actually been implemented.
9) At the conclusion of the investigation, a call is placed to
the complainant to notify him/her of the results of the
investigation and a follow-up letter is sent to the
complainant notifying him/her of the results of the
investigation. It should be sent on the letterhead of the
Local Health Department.
10) When the investigation has been concluded and the
complainant has been notified, the complaint information is
sent to the Colorado Department of Health. It should be
sent to Dale Thorn, L.C.S.W. , Program Administrator for
Personal Care Boarding Homes.
11) Dale Thorn will review the material to determine if
appropriate deficiencies have been written. When he has
completed his review, the complaint will be given to Donna
Zentner, R.N. , Program Administrator for Investigations.
She will review the complaint investigation. If it is not
complete it will be returned to the Local Agency for
completion. If it is complete, it will be entered into the
Colorado Department of Health's computerized complaint
system and it will be approved for payment.
If there are any questions regarding this procedure they should
be clarified by Dale Thorn, L.C.S.W. Program
Administrator/Residential. He may be reached at (303) 331-6675.
ATTACHMENT 3
Cost Analysis of Weld County contract Rates Schedules
for Period July 1, 1990 to June 30, 1991
Weld County - 2 facilities total
3 beds each
$250 per survey x 2 = $500
Larimer County -9 facilities total
7 with less than 10 beds
$250 per survey x 7 = $1750
2 with more than 20/less than 40 beds
$450 per survey x 2 = $900
Complaint Activity
11 facilities x 2 complaints each x 4 hours per complaint x $25/hour = $2200
Maximum Total Contract Cost: $5350
ATTACHMENT 4
Facility List
Facility Name ' # Beds ' Lic. Exp. Date
Weld County
Halfway Home #1
601 28th Ave. 3 4/22/91
Greeley
Halfway Home #2
535 31st Ave. 3 1/29/91
Greeley
Larimar County
Evergreen
1829 Kinnison Dr. 4 10/4/90
Ft. Collins
Ft. Collins Good Samaritan
508 W. Trilby Rd. 6 3/19/91
Ft. Collins
Sierra Vista
821 Duffield Ct. 7 12/31/90
Loveland
Loveland Good Samaritan Retirement Village
2101 S. Garfield Ave. 20 11/14/90
Loveland
Autumn House I
2115 Eagle Drive 8 1/29/91
Loveland
Douglas Manor
3012 Worthington 5 10/4/90
Ft. Collins
Summerset House
562 Jocelyn Drive 6 11/14/90
Loveland
Eden Valley Lifestyle Village
6263 N. County Rd. 29 14 5/15/91
Loveland
Buxman Board and Care
3012 Southmoor Court 3 4/22/91
FL Collins
Hello