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HomeMy WebLinkAbout971969.tiffRESOLUTION RE: APPROVE AMENDMENT TO SOCIAL SERVICES OPERATIONS MANUAL 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 an Amendment to the Social Services Operations Manual from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, with terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said amendment, 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 Amendment to the Social Services Operations Manual from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, be, and hereby is, approved. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 10th day of September, A.D., 1997. BOARD OF COUNTY COMMISSIONERS ATTEST: Weld County Cle BY Deputy Clerk to t Dale K. Hall EXCUSED 6O, 5s WELD UNTY, CORADO E. Baxter, Chair Constance L. Harbert, Pro;, em Barbara J. Kirkme/y/er W. H. Webster �1 971969 SS0023 Correa' rvi Colorado Works in Weld County and Child Care Policies and Procedures Table of Contents SECTION: TITLE: 6.000 Colorado Works in Weld County and Child Care Policies and Procedures 6.001 Definition and Legal Basis 6.002 Eligibility and Basic Grant Assistance 6.002.1 Eligibility 6.002.2 Domestic Violence Screening 6.002.3 Basic Grant Assistance 6.003 Client Assessment 6.003.1 Applicant 6.003.11 Department Responsibilities 6.003.12 Employment Services Responsibilities 6.003.2 Recipients 6.003.21 Department Responsibilities 6.003.22 Employment Services Responsibilities 6.003.3 Participant Assessment 6.004 Individual Responsibility Contract 6.004.1 Department Responsibilities with the IRC 6.004.2 Employment Services Responsibilities with the IRC 6.005 Temporary Good Cause Exemptions from Work Participation 6.005.1 Reasons for Temporary Good Cause Exemption from Work Participation 6.005.2 Redetermination of Temporary Good Cause Exemptions 6.005.3 Participant Appeal of Non -Exempt Status Under Temporary Good Cause Exemptions 6.006 Work Participation Requirements and Work Activities 6.006.1 Work Participation Requirements 6.006.12 Job Ready 6.006.2 Work Activities 6.006.21 Work Supplementation Program 6.006.211 Work Participation Standard with an Employer 6.006.212 Work Supplementation Responsibilities of an Employer 6.006.213 Work Supplementation Responsibilities of the Department 6.006.214 General Participant Screening Criteria 6.006.215 General Requirements for Training 6.006.22 Work Supplementation Program with Temporary Employment Agencies 6.006.221 Work Participation Standard with Temporary Employment Agencies M:\wpfiles\tanf.jag September 8, 1997 971969 Colorado Works in Weld County and Child Care Policies and Procedures 6.006.222 6.006.223 6.006.224 6.006.225 6.006.23 6.006.231 6.006.232 6.006.24 6.006.241 6.006.242 6.006.25 6.006.26 6.006.27 6.006.28 6.006.29 6.006.30 6.006.31 6.006.32 6.007 6.007.1 6.007.2 6.007.3 6.007.4 6.007.5 6.007.6 6.007.7 6.007.8 6.007.9 6.007.10 6.007.11 6.008 6.008.1 6.008.2 6.009 6.010 6.010.1 M:\wpfiles\tanf.jag September 8, 1997 Work Supplementation Responsibilities with Temporary Employment Agencies Work Supplementation Responsibilities of the Department General Participant Screening Criteria General Requirements for Training Public Sector Work Activity Public Sector Work Activity Agreement Optional Training Under the Public Sector Work Activity Agreement Private Sector Work Activity Private Sector Work Activity Agreement Optional Training Under the Private Sector Work Activity Agreement On -the -Job Training Program IRC Skill Development Seminar Community Service Program Vocational Education Training (not to exceed 12 months with respect to any participant) Job Skills Training Education Directly Related to Employment (for a participant who has not received a high school diploma or a certificate of high school equivalency) Secondary School or Equivalent Education County Designed Occupational Skills Training Program (not to exceed twelve months with respect to any participant) Weld County Grant Diversion Program (State Grant Diversion Program) Client Assessment Payment Limit and Types of Payment Pre -Authorization Information Authorization of Payment under the Individual Responsibility Contract and Limitations Eligibility Waiver Period for Colorado Works in Weld County Assistance Authorized Payee Submission of Payment Vendor Accepts Voucher Payment Vendor Does Not Accept Voucher Payment Responsibility of Department's Eligibility Technician Responsibility of Department's Business Office Job Retention and Skills Training Program (County Diversion Program) Eligible Participants General Requirements for Training Participant Sanctions or Other Assistance and Separate County Division Supportive Services (non -Child Care) Transportation ii 971969 Colorado Works in Weld County and Child Care Policies and Procedures 6.010.2 Participation Related Services 6.010.3 Start to Work Support Services 6.010.4 Supportive Services Expenditure Limit 6.010.5 Participant Criteria to Receive Supportive Services 6.011 Participant Sanctions and Appeals 6.011.1 Participant Sanctions 6.011.11 Definition of Sanctions 6.011.12 Notice of Proposed Applicant or Recipient Sanction 6.011.2 Absences or Late Occurrences of Participants in Work Supplementation Programs, On -the -Job Training Program, and the Job Retention and Skills Training Program 6.011.3 Absences from or Late Occurrences to Other Work Activities or Scheduled Appointments 6.011.31 Late Occurrences to Work Activities and Scheduled Appointments 6.011.32 Absences from Work Activities and Scheduled Appointments 6.011.33 Definition of Immediate Family for Purposes of Section 6.009.12 6.011.2 Participant Appeals 6.012 Organization, Flow Chart, and Budget Plan 6.012.1 General Organization 6.012.2 Joint Functions of the Department and the Employment Services 6.012.3 Functions of the Department 6.012.4 Functions of Employment Services 6.012.5 Participant Flow Chart 6.012.6 Budget Transfer from the Department to Employment Services 6.013 Performance Outcomes 6.013.1 Federal and State Participation Rates and Required Hours of Participation 6.013.2 Weld County Outcomes 6.014 Child Care 6.014.1 Client Eligibility 6.014.2 Child Care Provider Rates 6.015 Food Stamp Interface 6.016 Medicaid Interface 6.017 Social Services Division Interface 6.017.1 Procedures 6.018 Child Support Interface M:\wpfiles\tanf.jag September 8, 1997 III 971969 Colorado Works in Weld County and Child Care Policies and Procedures 6.018.1 6.018.2 6.018.3 Individual Responsibility Contract Child Support Payments Child Support Assessment 6.019 Weld County Housing Authority Interface 6.019.1 Client Preferences for the Weld County Housing Authority Section 8 Program 6.019.2 Participation and Notification 6.019.3 Family Self -Sufficiency Program (FSS) 6.019.4 Sanctions and Appeals 6.020 Community Agency Interface 6.021 Reporting Requirements 6.022 Out of Wedlock Births Plan 6.023 Statutory Rape Plan 6.024 Contracts or Other Agreements to Purchase Services 6.025 Earned Income Tax Credit 6.026 Individual Development Accounts 6.027 County Optional Other Assistance 6.028 County Optional Diversion Grants 6.029 Any Other Services Exhibit A: Exhibit B: Exhibit C: Exhibit D: Exhibit E: Exhibit F: Exhibit G: Weld County Individual Responsibility Contract (IRC) Work Supplementation Agreement Work Supplementation Agreement with Temporary Employment Agencies Public Sector Work Activity Agreement Private Sector Work Activity Agreement Participant Flow Chart Client Baseline Information for Colorado Works in Weld County M:\wpfiles\tanf.jag September 8, 1997 iv 971969 Colorado Works in Weld County and Child Care Policies and Procedures 6.000 Colorado Works in Weld County and Child Care Policies and Procedures 6.001 Definition and Legal Basis The Governor and the State Legislature created the Colorado Works Program on July 1, 1997, in response to Federal welfare reform legislation that replaced the Aid to Families with Dependent Children under Part A of Title IV of the Social Security Act. The Colorado Works Program also incorporated the Colorado Child Care Assistance Program. Under the Colorado Works Program, the Board of County Commissioners, as the Board of Social Services, is provided certain policy responsibilities under the law and state regulations. The Board of Social Services outlines policies and procedures under the Weld County Department of Social Services Operations Manual, through resolution. The Board of Social Services may amend the Department's Operations Manual, through resolution and as appropriate. The legal basis of the Colorado Works in Weld County Program is as follows: A. "Personal Responsibility and Work Opportunity Reconciliation Act of 1996", Public Law 104-193. B. "Colorado Works Program Act", Article 2 of title 26, Colorado Revised Statutes, Part 7, Section 26-2-701 through Section 26-2-722, and other associated statute revisions. C. "Colorado Child Care Assistance Program Act", Article 2 of title 26, Colorado Revised Statutes, Part 8, Section 26-2-801 through Section 26-2-806. D. Colorado State Rules Section 3.600, Volume III, Income Maintenance Programs. E. Colorado State Plan for Teniporary Assistance to Needy Families, as adopted and revised by the Colorado Board of Human Services, the Governor of Colorado, and the Federal Department of Human Services. F. "The Weld County Department of Social Services Operations Manual", as adopted and revised by the Board of Weld County Commissioners, as the Board of Social Services, through resolution. 6.002 Eligibility and Basic Grant Assistance 6.002.1 Eligibility The Department will follow those general eligibility guidelines for Colorado Works in Weld County as established by the Colorado Department of Human Services. The State Department outlines these guidelines in Section 3.600, Volume III, Income Maintenance Programs, and the Colorado State Plan for Temporary Assistance to Needy Families. Eligible recipients for Colorado Works in Weld County benefits are subject to the M:\wpfiles\tanf.jag September 8, 1997 1 971.969 Colorado Works in Weld County and Child Care Policies and Procedures availability of funds. If funding is available, the family will be eligible for a cash grant, services, or vouchers if: A. The family's gross income is under the standards in effect on July 16, 1996, and; B. Resources do not exceed $2000. Countable resources are the same as included in Colorado's State Plan in effect on July 16, 1997, for AFDC except that one car is exempt from countable resources. C. Additional incentives may be available to employed individuals as outlined in the county plan. D. The family may be eligible for family preservation services as determined under the standards effective as of September 30, 1995. E. Minor parents under age eighteen: 1. who are not married must live with a parent or adult relative, or guardian, or in a supervised setting, with exceptions for good cause, i.e., neglect, protective orders, etc.; and 2. who have not completed high school or its equivalent, must also attend high school, work on a GED, or be in an alternative education or training program approved by the State to be eligible for assistance. F. Teen parents will be approved if they attend an educational program. If they have dropped out, they will need to meet the provisions of eligibility for minors. The following persons will be ineligible for Colorado Works in Weld County: A. Fugitive felons and parole probation violators. B. Persons convicted of drug -related felonies after July 1, 1997, unless such person is determined to have taken action toward rehabilitation. C. Qualified legal aliens entering the country after August 22, 1996, except federally authorized exceptions. 6.002.2 Domestic Violence Screening Colorado Works in Weld County will follow the State rules concerning domestic violence screening. All Colorado Works in Weld County applicants and recipients will be given the opportunity voluntarily and confidentially to identify themselves as victims M:\wpfiles\tanf.jag September 8, 1997 2 971969 Colorado Works in Weld County and Child Care Policies and Procedures of domestic violence. The Department will inform staff of support services for domestic violence victims and make appropriate referrals to those services. Training will be provided to Department staff on domestic violence issues and how to identify domestic violence victims and circumstances. Colorado Works in Weld County applicants and recipients who are domestic violence victims will have the opportunity to apply for the county's temporary good cause exemption from work participation. 6.002.3 Basic Cash Assistance Basic cash assistance grants will be provided to eligible Colorado Works in Weld County recipients in accordance with statewide benefit levels and other Colorado State Department of Human Service regulations identified in Volume III, section 3.600. 6.003 Client Assessment 6.003.1 Applicants 6.003.11 Department Responsibilities A. At initial application, Department staff will assess the individual's eligibility for public assistance. The Department's screeners will refer applicants to the child support enforcement unit immediately after they have expressed their intent to apply for Colorado Works in Weld County services. An appointment will be scheduled for the applicant to meet with the eligibility technician. The applicant will provide a completed application and supporting documents to the technician at this meeting. B. The Department Eligibility Technician will complete an initial eligibility assessment for all applicants. This assessment will identify those applicants who may be temporarily exempt for good cause from work participation. C. Department staff will initiate an Individual Responsibility Contract (IRC) with the applicant. Department staff will explain verbally and in writing the Colorado Works in Weld County program provisions, participant responsibilities, and participant rights as outlined in the first section of the IRC. Department staff will obtain the necessary applicant and Department staff signatures. D. Department staff will schedule an appointment and send the applicant to Employment Services of Weld County (Employment Services), which is a subdivision of the Weld County Division of Human Services. The Department's referral constitutes a referral of the applicant to employment. M:\wpfiles\tanf.jag September 8, 1997 3 971969 Colorado Works in Weld County and Child Care Policies and Procedures 6.003.12 Employment Services Responsibilities A. At Employment Services, the applicant will complete an employment assessment for individuals who are not temporarily exempt from participation in work activities. B. An employment assessment will be completed on all scheduled applicants. This assessment will identify the work history, education, employment interests, skill levels and employment goals of the applicant. The employment assessment will also assess the applicant's need for supportive services and identify their barriers to employment. Employment Services' staff will give applicants information on the local labor market and current employment opportunities at the time of this assessment. C. The employment assessment will be the basis for completing the work activity assignment under the IRC. Employment Services' staff will schedule applicants, unless exempted after the employment assessment, to attend an IRC Skill Development Seminar. D. Upon the completion of the IRC Skill Development Seminar, Employment Services' staff will reassess applicants who have not obtained employment and have become recipients. Employment Services' staff will determine any additional work activities and/or supportive services the applicant may need to obtain or retain unsubsidized employment. This assessment may include additional testing, including basic skills, academic, vocational assessments, or employment and career exploration. E. The Employment Services' staff, along with the applicant, will complete the Second Section of the IRC as a result of this screening and assessment process. 6.003.2 Recipients 6.003.21 Department Responsibilities A. Department staff will provide an initial eligibility and employability assessment for the current case load as of July 1, 1997, through a mailed assessment form. These recipients will complete mailed assessment forms between July 1, 1997, through October 1, 1997. B. Department staff will initiate an Individual Responsibility Contract (IRC) with the recipient. Department staff will explain verbally and in writing the Colorado Works in Weld County program provisions, participant responsibilities, and participant rights as outlined in the first section of the IRC. Department staff will obtain the necessary recipient and Department staff signatures. M:\wpfiles\tanf.jag September 8, 1997 4 971969 Colorado Works in Weld County and Child Care Policies and Procedures C. Department staff will schedule an appointment and send the recipient to Employment Services. The Department's referral constitutes a referral of the recipient to employment. D. Department staff will reassess recipients who are temporarily exempted from work participation within three months of the last IRC to determine their readiness to participate in an employment assessment. 6.003.22 Employment Services Responsibilities A. At Employment Services, the recipient will complete an employment assessment for individuals who are not temporarily exempt from participation in work activities. B. An employment assessment will be completed on all scheduled recipients. This assessment will identify the work history, education, employment interests, skill levels and employment goals of the recipient. The employment assessment will also assess the recipient's need for supportive services and identify their barriers to employment. Employment Services' staff will give recipients information on the local labor market and current employment opportunities at the time of this assessment. C. The employment assessment will be the basis for completing the work activity assignment under the IRC. Employment Services' staff will schedule recipients, unless exempted after the employment assessment, to attend an IRC Skill Development Seminar. D. Upon the completion of the IRC Skill Development Seminar, Employment Services' staff will reassess recipients who have not obtained employment and have become recipients. Employment Services' staff will determine any additional work activities and/or supportive services the recipient may need to obtain or retain unsubsidized employment. This assessment may include additional testing, including basic skills, academic, vocational assessments, or employment and career exploration. E. The Employment Services' staff, along with the recipient, will complete the Second Section of the IRC as a result of this screening and assessment process. 6.003.3 Participant Assessment An applicant or recipient entering employment or those placed in work activities will undergo a participant assessment at the one month, three month, and six month intervals of their participation. M:\wpfiles\tanf.jag September 8, 1997 5 971969 Colorado Works in Weld County and Child Care Policies and Procedures A. Department staff, Employment Services' staff, or contractor staff will provide this follow-up assessment to offer participants mentoring services, if appropriate. These mentoring activities are designed to help the person retain employment and may include, but not limited to, counseling in work ethics and job retention. B. Department staff or Employment Services' staff will assess participants to identify and provide, if appropriate, any additional supportive service needs the participant may require to maintain their employment or work activity participation. 6.004 Individual Responsibility Contract The Department will develop with a client and monitor the Individual Responsibility Contact (IRC). The Individual Responsibility Contract (IRC) is attached to this section and is set forth in Exhibit A. The provisions and responsibilities of the IRC clearly define the expectations and responsibilities of the Colorado Works in Weld County applicant and recipient for assistance under the Colorado Works in Weld County Program. If an applicant refuses to sign an IRC, the applicant shall not receive assistance and processing of his or her application will cease. 6.004.1 Department Responsibilities with the IRC A. Department staff will explain verbally and in writing the First Section of the IRC. The Department staff will describe program provisions, participant responsibilities, and participant rights under the IRC. Department staff will obtain the necessary signatures of the applicant or recipient and Department staff on the First Section of the IRC. B. Department staff will use the Second Section of the IRC to identify steps the applicants or recipients may need to take which will enhance the recipient's or applicant's employability. These steps may include addressing mental health, physical health, drug, and alcohol, or other issues that would limit the recipient or applicant from participating on work participation activities. The Department staff will obtain the necessary signatures of the applicant or recipient and Department staff on the Second Section of the IRC. C. Department staff will schedule an appointment and send the recipient to Employment Services. The Department's referral to Employment Services constitutes a referral of the recipient to employment. M:\wpfiles\tanf.jag September 8, 1997 6 971.9£9 Colorado Works in Weld County and Child Care Policies and Procedures D. Department staff will review all temporarily exempted recipients who are not engaged in an authorized work activity between a one and three month period for continued exemption from work participation. E. Department staff will reassess recipients who are temporarily exempted from work participation within three months of the last IRC to determine their readiness to participate in an employment assessment. 6.004.2 Employment Services Responsibilities with the IRC A. Employment Services' staff will complete an employment assessment that will be used as the basis of completing the work activity assignment section under the second section of the IRC. Employment Services' staff will schedule applicants, unless exempted after the employment assessment, to attend an IRC Skill Development Seminar. B. Upon the completion of the IRC Skill Development Seminar, Employment Services' staff will reassess applicants who have not obtained employment and have become recipients. Employment Services' staff will determine any additional work activities and/or supportive services the applicant may need to obtain or retain unsubsidized employment. This assessment may include additional testing, including basic skills, academic, vocational assessments, or employment and career exploration. C. The Employment Services' staff, along with the applicant or recipient, will complete the Second Section of the IRC as a result of this screening and assessment process. Employment Services' staff will obtain the necessary signatures of the applicant or recipient and Employment Services' staff on the Second Section of the IRC. D. The Employment Services' staff will update the Second Section of the IRC, as appropriate, with the applicant or recipient. E. If Employment Services' staff identify employment barriers of an applicant or recipient, the Employment Services' staff, through the IRC, will direct the applicant or recipient to the Department for the needed additional supportive services. 6.005 Temporary Good Cause Exemptions from Work Participation The Department will exempt individuals receiving or applying for benefits from participation in work or training activities based on individual or family situations. These exempted people will still qualify under Weld County's work participation rate M:\wpfiles\tanf.jag September 8, 1997 7 971269 Colorado Works in Weld County and Child Care Policies and Procedures 6.005.1 Reasons for Temporary Good Cause Exemption from Work Participation Temporary good cause reasons for exemption from work participation will include but not be limited to those listed below: A. Child Care -If child care is not available, the caretaker relative is exempt from work activities. B. Transportation - An applicant or a recipient residing at a location too remote for effective participation in work activities is exempt from participation. The person must demonstrate that he or she is unable to get to and from the site of a work activity within a reasonable commuting time or does not have alternative transportation. C. Temporary Incapacity - An applicant or a recipient who has an illness or injury (may include domestic violence) which prevents entry into employment or training for a temporary period not to exceed three months. D. Incapacitated Household Member - An applicant or a recipient needed in the home to care for an incapacitated member of the household. E. Jobs or Work Sites - If the Department's program does not have available jobs and work sites, the applicant or recipient is exempted from participation. F. Relative Care - A non -parent participant who has children living with him or her for whom out -of -home placement would be necessary if the Department discontinued the assistance. 6.005.2 Redetermination of Temporary Good Cause Exemptions The Department will redetermine the recipient's exempt status not to exceed three months, and possibly sooner, depending on the individual or family situation. 6.005.3 Participant Appeal of Non -Exempt Status Under Temporary Good Cause Exemptions The Department will send a notice of adverse action to all applicants and recipients, who in the opinion of the Department, do not meet the exempt status of temporary good cause. The Department's process is outlined in Section 6.011.2 of the Department's Operations Manual. The participant may appeal his or her nonexempt status under Temporary Good Cause Exemption (Sections 6.0051 and 6.0053) by following the procedures outlined in Section 6.011.2 of the Department's Operations Manual. M:\wpfiles\tanf.jag September 8, 1997 8 971969 Colorado Works in Weld County and Child Care Policies and Procedures 6.006 Work Participation Requirements and Work Activities 6.006.1 Work Participation Requirements All caretaker relatives with the exception of those caretaker relatives having a temporary good cause exemption from work participation will be mandatory participants in work activities. 6.006.12 Job Ready Job Ready is defined as any Colorado Works in Weld County applicant or recipient who does not have temporary good cause reasons, as established in the Department's Operations Manual, that would prevent the applicant or recipient from participating in work, training, or educational activities. Participants will be determined to be job ready by assessments being completed during various stages of the application process as previously described in Section 6.003. 6.006.2 Work Activities A. Applicants and recipients will be referred to full-time or part-time work for wages that the employer has paid in total. Employment may occur with any public, profit, nonprofit, or a private employer. B. An applicant or recipient refusing to accept a referral or an actual job offer will be sanctioned 100% of the family grant until remedied. C. All part-time employed participants will be required to seek full-time employment. D. Other mandatory participants will be assessed for participation in other work activities as described in Section 6.006.2. 6.006.21 Work Supplementation Program An employer may participate in a Work Supplementation Program for clients of the Colorado Works in Weld County. The Work Supplementation Program is a private sector employment program specifically designed for recipients of the Colorado Works in Weld County Program as an Employer and as an instructional training facility. 6.006.211 Work Participation Standard with an Employer The employer must provide a minimum of three months of unsubsidized, continuous, MAwpfiles\tanf.jag September 8, 1997 9 ✓719€9 Colorado Works in Weld County and Child Care Policies and Procedures full time employment. The employer will provide participants with wages and benefits that are comparable to other employees doing comparable work and provide liability and worker's compensation. The employer may provide an additional three months of continuous, full time employment, to those participants who need additional training to continue employment with the employer or preparation for employment with another employer. 6.006.212 Work Supplementation Responsibilities of an Employer A. Provide participant screening criteria to the Department of Colorado Works in Weld County participants for initial placement with the employer. B. Provide a forty -hour work week for the participant that provides for a combination of work and education. C. Provide training to the participant in job specifics and mentoring of recipients in work ethics and employment retention skills for either continued employment with the employer or for employment with another employer. D. Reinforce employer basic skills competencies with the participant through the Department's prescribed performance evaluations and/or counseling forms. E. Determine if the training will be provided directly by the employer or through subcontracts with training provider(s). F. Furnish all equipment and materials for the participant. G. Inform the Department within 24 hours when the employer terminates the Colorado Works in Weld County client and documents its reason(s) for its action. H. Adhere to certain program assurances provided by the Department. 6.006.213 Work Supplementation Responsibilities of the Department A. Provide the employer with an orientation session outlining the specific procedures and policies that the Department requires of the employer. B. Encourage participants to apply for available positions with the employer and assess participants to determine their job readiness for positions with the employer. C. Arrange for space for the employer to interview applicants referred to the employer. M:\wpfiles\tanf.jag September 8, 1997 10 9719£9 Colorado Works in Weld County and Child Care Policies and Procedures D. Refer, if available, the agreed upon number of participants to the employer for employment. E. Reimburse the employer a monthly work supplementation fee of 50% of the participant's gross salary for the month. F. Reimburse the employer a training allowance bonus on behalf of the participant as follows: A training allowance bonus of $300 for a participant who is placed in a three-month Work Supplementation Program. The employer will be reimbursed the total training allowance bonus at the end of the three- month period not to exceed $300. 2. A training allowance bonus of $300 for a participant who requires an additional three months of participation in the Work Supplementation Program. The employer will be reimbursed the total training allowance bonus at the end of the three-month period not to exceed $300. 3. A training allowance bonus of $500 for a participant whom the employer has hired after a successful completion of a three month or six month work supplementation program and retained in full time employment for three months. G. Assist the employer, upon the employer's request, in resolving any possible disputes with the participant. H. If the employer terminates a participant, the Department will determine the eligibility and sanction status of the participant. I. Complete a Work Supplementation Agreement with the employer. The Work Supplementation Agreement between an employer and the Department is attached and is set forth in Exhibit B. J. Complete a Work Supplementation Participation Agreement with the participant. The Work Supplementation Participation Agreement between the participant and the Department is attached and is set forth in Exhibit B. K. Provide the participant with the appropriate supportive services and work related expenses. 6.006.214 General Participant Screening Criteria A. The Department will not refer those participants whom the Department may M:\wpfiles\tanf.jag September 8, 1997 11 9719[89 Colorado Works in Weld County and Child Care Policies and Procedures directly refer to employment. B. The Department will refer those participants whom the Department has identified as having the motivation and aptitude for the Work Supplementation Program position, as meeting the screening criteria of the employer, and as having certain barriers as follows: 1. limited or no work experience 2. irrelevant work history, skills, or training, i.e., truck driving training with DUI issues. 6.006.215 General Requirements for Training Under the Work Supplementation Agreement, the employer will provide job specific and mentoring training necessary for the participant to retain employment. A. The Department will authorize with the employer the training plan for the participant including training criteria, methods by which the training outcomes will be measured, and associated costs. B. The employer may choose to provide this training directly or to provide this training, through subcontracts, with training providers. Training providers are defined, but not limited to, as public schools, private non profits, private for profit, post secondary, community colleges, and proprietary schools. C. The Department will authorize training providers in the training areas of: 1. Job Specifics 2. Mentoring of Recipients in Work Ethics and Job Retention Skills D. To ensure that the job specific and mentoring training meets the local demand of employers, local private sector employers, through the Weld County Private Industry Council, will recommend to the Department the authorization of training plans and training providers. 6.006.22 Work Supplementation Program with Temporary Employment Agencies A temporary employment agency, as the employer, may participate in a specially designed Work Supplementation Program for clients of the Colorado Works in Weld County Program. The Work Supplementation Program is a private sector employment program specifically designed for Colorado Works in Weld County participants as an employer and as an instructional training facility. M:\wpfiles\tanf.jag September 8, 1997 12 971263 Colorado Works in Weld County and Child Care Policies and Procedures 6.006.221 Work Participation Standard with Temporary Employment Agencies The temporary employment agency, as an employer, must provide a minimum of three months of unsubsidized, continuous, full time employment. The temporary employment agency will provide participants with wages and benefits that are comparable to other employees doing comparable work and provide liability and worker's compensation. The temporary employment agency may provide an additional three months of continuous, full time employment, to those participants who need additional training to continue employment with the temporary employment agency or preparation for employment with another employer. 6.006.222 Work Supplementation Responsibilities with Temporary Employment Agencies A. Provide participant screening criteria to the Department of Colorado Works in Weld County participants for initial placement with the temporary employment agency. B. Provide a forty -hour work week for the participant that provides for a combination of work and education. C. Provide training to the participant in job specifics and mentoring of recipients in work ethics and employment retention skills for either continued employment with the Employer. D. Reinforce employer basic skills competencies with the participant through the Department's prescribed performance evaluations and/or counseling forms. E. Furnish all equipment and materials for the participant. F. Inform the Department within 24 hours when the temporary employment agency terminates the Colorado Works in Weld County client and documents its reason(s) for its action. G. Adhere to certain program assurances provided by the Department. 6.006.223 Work Supplementation Responsibilities of the Department A. Provide the temporary employment agency with an orientation session outlining the specific procedures and policies that the Department requires of the temporary employment agency. B. Encourage participants to apply for available positions with the temporary employment agency and assess participants to determine their job readiness for positions with the temporary employment agency. M:\wpfiles\tanf.jag September 8, 1997 13 971.`x£9 Colorado Works in Weld County and Child Care Policies and Procedures C. Arrange for space for the temporary employment agency to interview applicants referred to the temporary employment agency. D. Refer, if available, the agreed upon number of participants to the temporary employment agency for employment. E. Reimburse the temporary employment agency a monthly work supplementation fee of 25% of the participant's gross salary for the month, or $300 per month, whichever is less. F. Reimburse the temporary employment agency a training allowance bonus on behalf of the participant as follows: 1) A training allowance bonus of $300 for a participant who is placed in a three-month Work Supplementation Program. The temporary employment agency will be reimbursed the total training allowance bonus at the end of the three-month period not to exceed $300. 2) A training allowance bonus of $300 for a participant who requires an additional three months of participation in the Work Supplementation Program. The temporary employment agency will be reimbursed the total training allowance bonus at the end of the three-month period not to exceed $300. G. Assist the temporary employment agency, upon its request, in resolving any possible disputes with the participant. H. If the temporary employment agency terminates a participant, the Department will determine the eligibility and sanction status of the participant. I. Complete a Work Supplementation Agreement with the temporary employment agency. The Work Supplementation Agreement between a temporary employment agency and the Department is attached and is set forth in Exhibit C. J. Complete a Work Supplementation Participant Agreement with the participant. The Work Supplementation Participant Agreement between the participant and the Department is attached and is set forth in Exhibit C. K. Provide the participant with the appropriate supportive services and work related expenses. 6.006.224 General Participant Screening Criteria A. The Department will not refer those participants whom the Department may directly refer to employment. M:\wpfiles\tanf.jag September 8, 1997 14 9712£9 Colorado Works in Weld County and Child Care Policies and Procedures B. The Department will refer those participants whom the Department has identified as having the motivation and aptitude for the Work Supplementation Program position, as meeting the screening criteria of the temporary employment agency, and as having certain barriers as follows: 1. limited or no work experience 2. irrelevant work history, skills, or training, i.e., truck driving training with DUI issues. 6.006.225 General Requirements for Training Under the Work Supplementation Agreement, the temporary employment agency will provide job specific and mentoring training necessary for the participant to retain employment. A. The Department will authorize with the temporary employment agency the training plan for the participant including training criteria, methods by which the training outcomes will be measured, and associated costs. B. The temporary employment agency will provide this training directly to the participant, through subcontracts, with training providers. C. The Department will authorize the training plan in the areas of: 1. Job Specifics 2. Mentoring of Recipients in Work Ethics and Job Retention Skills D. To ensure that the job specific and mentoring training meets the local demand of employers, local private sector employers, through the Weld County Private Industry Council, will recommend to the Department the authorization of training plans and training providers. 6.006.23 Public Sector Work Activity Public Sector Work Activity is designed to help the near job ready to enter the world of work, develop occupational skills and good work habits, and help the participant in obtaining permanent unsubsidized employment. Work sites will be in the public sector. The Department will enter into agreements with the public work site sponsor and the participant. These agreements will outline the work activity, expectation from a work site sponsor and participants and the length of the agreement. M:\wpfiles\tanfijag September 8, 1997 15 971969 Colorado Works in Weld County and Child Care Policies and Procedures 6.006.231 Public Sector Work Activity Agreements The hours outlined in Public Sector Work Activity Agreements must conform to the Fair Labor Standards Act. The total dollar amount of the cash assistance will be divided by the comparable wage amount of the client's work activity position. The total dollar amount of the cash assistance will be composed of Colorado Works in Weld County assistance and food stamp assistance. The Public Service Work Activity Agreement is Exhibit D. 6.006.232 Optional Training Under the Public Sector Work Activity Agreement Under the Public Sector Work Activity Agreement, the public sector sponsor may provide job specific training necessary for the participant to retain or obtain employment. A. The Department will authorize with the public sector sponsor the training plan for the participant including training criteria, methods by which the training outcomes will be measured, duration of the training, and associated costs. B. The public sector sponsor will provide this training directly or provide this training, through subcontracts, with training providers. C. The Department may authorize the job specific training plan and associated costs not to exceed $1,500. D. To ensure that the job specific training meets the local demand of employers, local private sector employers, through the Weld County Private Industry Council, will recommend to the Department the authorization of training plans and training providers. 6.006.24 Private Sector Work Activity Private Sector Work Activity is designed to help the near job ready to enter the world of work, develop occupational skills and good work habits, and help the participant in obtaining permanent unsubsidized employment. Work sites will be in the private sector. The Department will enter into agreements with the private sector work site sponsor and the participant. These agreements will outline the work activity, expectation from a work site sponsor and participants and the length of the agreement. 6.006.241 Private Sector Work Activity Agreements The hours outlined in the Private Sector Work Activity Agreements must conform to the Fair Labor Standards Act. The total dollar amount of the cash assistance will be divided by the comparable wage amount of the client's work activity position. The total dollar amount of the cash assistance will be composed of Colorado Works in Weld County M:\wpfiles\tanf.jag September 8, 1997 16 971969 Colorado Works in Weld County and Child Care Policies and Procedures assistance and food stamp assistance. The Private Sector Work Activity Agreement is Exhibit E. 6.006.242 Optional Training Under the Private Sector Work Activity Agreement Under the Private Sector Work Activity Agreement, the private sector sponsor may provide job specific training necessary for the participant to retain or obtain employment. A. The Department will authorize with the private sector sponsor the training plan for the participant including training criteria, methods by which the training outcomes will be measured, duration of the training, and associated costs. B. The private sector sponsor will provide this training directly or provide this training, through subcontracts, with training providers. C. The Department may authorize the job specific training plan and associated costs not to exceed $1,500. D. To ensure that the job specific training meets the local demand of employers, local private sector employers, through the Weld County Private Industry Council, will recommend to the Department the authorization of training plans and training providers. 6.006.25 On -the -Job Training Program The On -the -Job Training (OJT) Program is designed to teach and/or improve skills of the participant on the job. A. Employers must adhere to the hire first philosophy, and train the participant during the contract period. B. If an individual needs additional classroom training, beyond the employer training, the costs of tuition and books will be included as reimbursable costs to the employer from the Colorado Works in Weld County Program or other federal or state resources. C. The Department will reimburse the employer for the training costs. The costs and duration of the OJT are calculated by determining the Dictionary of Occupational Titles (DOT) code for the job description and the hourly wage. 6.006.26 IRC Skill Development Seminar (Job Search and Job Readiness Assistance) Job search and job readiness assistance will be provided through the IRC Skill Development Seminar. The IRC Skill Development Seminar is an activity that: M:\wpfiles\tanf.jag September 8, 1997 1 7 971263 Colorado Works in Weld County and Child Care Policies and Procedures A. Screens and assesses an applicant's or recipient's job readiness. B. Provides for an intensive job search activity during the participant's application/eligibility process for the Colorado Works in Weld County Program. C. Results in the completion of the IRC with the participant and assignment to other authorized work activities. D. Is up to four weeks. E. If an applicant is successful in obtaining employment through the activity, the applicant may not be eligible for cash assistance, or the length of time they required public assistance may be reduced. F. If an applicant or recipient is unsuccessful in finding unsubsidized employment, he or she will be assigned to other authorized work activities and may return to the IRC Skill Development Seminar later. 6.006.27 Community Service Program The Department will not implement the Community Service Program at this time. 6.006.28 Vocational Education Training (not to exceed 12 months with respect to any participant) The Department will not implement Vocational Education Training at this time. 6.006.29 Job Skills Training The job skills training gives participants specific job skills training necessary to do a specific job or a group of jobs. A. Participant selection for this work activity will be based on assessment, availability of employment in the skill area, the probability of receiving a self- sufficient wage when employed, and the participant's interest in completing training. B. Guidelines in developing or approving specific job skills training are as follows: 1. Tailored toward employer needs. 2. In line with the skills, aptitudes and interests of the participant. 3. Geared toward entry level employment, if appropriate. 4. Not exceed twelve months with respect to any participant. 5. Use labor market projects, such as the Supply/Demand Report, in determining training areas. M:\wpfiles\tanf.jag September 8, 1997 18 971.063 Colorado Works in Weld County and Child Care Policies and Procedures C. To ensure that the job skills training areas are in demand, local employers will help in the determination of specific training. Employers are involved initially to ensure that training efforts result in actual jobs, and these jobs are available in the Weld County labor market or in an area where the participant is willing to relocate. 6.006.30 Education Directly Related to Employment (for a participant who has not received a high school diploma or a certificate of high school equivalency) Education will be provided for those participants who have not received a high school diploma or a certificate of high school equivalency. A. The participant must maintain satisfactory attendance, as defined by the Department, at the Employment Services computer laboratory, Aims Community College, or other accredited schools to achieve a GED or high school diploma. B. The work activity must meet the work participation requirement. 6.006.31 Secondary School or Equivalent Education Secondary school or equivalent education will be available to those participants who are the head of household and have not attained twenty years of age. A. The participant must maintain satisfactory attendance, as defined by the Department, at a secondary school or its equivalent. B. This work activity must meet the work participation requirement. 6.006.32 County Designed Occupational Skills Training Program (not to exceed twelve months with respect to any participant) Pursuant to Section 3.625.4 of the proposed rules of the Colorado Department of Human Services, Weld County has chosen to develop another work activity that will lead the participant to self sufficiency. The Individual Responsibility Contract will detail activity designed to comply with the requirements of the program. Program requirements are as follows: A. The County Designed Occupational Skills Training Program is a short-term educational activity intended to prepare an individual for employment. The Program will not exceed twelve (12) months of continuous participation with respect to any individual. Providers of this training include, but are not limited to, community colleges, proprietary schools and nonprofit organizations. B. Post secondary education will not be an allowable work activity for all new M:\wpfiles\tanf.jag September 8, 1997 19 9711369 Colorado Works in Weld County and Child Care Policies and Procedures applicants to the Colorado Works in Weld County Program effective July 1, 1997. C. Post secondary education will be an allowable work activity for a recipient who is already enrolled in or attending a post secondary or self -initiated education or training at the time she or he would otherwise commence participation in the Colorado Works in Weld County Program and meets the criteria of a recipient who: 1. is receiving Aid to Families of Dependent Children or Aid to Families of Unemployed Heads of Households as of June 30, 1997; and 2. is undergoing an assessment under the Colorado Works in Weld County Program in Weld County before October 31, 1997, and 3. has a cumulative GPA of 2.5 or above as demonstrated by transcripts; and 4. has physically attended, within the previous twelve month period, at least two semesters out of the last three semesters of a university schedule or three quarters out of the last four quarters of a community college schedule as demonstrated by transcripts; and 5. is enrolled in full-time training as defined as follows: a. Secondary school attendance (includes cooperative training programs) of twenty-five clock hours per week or as defined by the school; or b. Vocational or technical school attendance of twenty-five clock hours per week, thirty (30) in a program involving shop practice; 6. is enrolled in education that is in a demand occupational area leading to employment upon completion of the degree as determined by the Employment Services of Weld County; and 7. will finish a degree within a one year period from the date established in the Individual Responsibility Contract; and 8. is not in a master or doctorate degree program. D. Recipients enrolled in the County Designed Occupational Skills Program must maintain an acceptable level of performance, which shall be detailed in the Individual Responsibility Contract. To achieve an acceptable level of performance, as measured by semester or quarter, the recipient must: M:\wpfiles\tanf.jag September 8, 1997 20 971^x£9 Colorado Works in Weld County and Child Care Policies and Procedures I . maintain a GPA of 2.5 or above as demonstrated by transcripts; and 2. physically attend post secondary education by continuous attendance at school with no semester or quarter interruptions in a year period; and 3. maintain full-time enrollment. 6.007 Weld County Grant Diversion Program (State Grant Diversion Program) The purpose of the Weld County Grant Diversion Program is to offer an alternative to participants who are eligible for Colorado Works in Weld County Program, but could avoid the need of such cash assistance if the Department granted the recipient assistance in another form, in either a monthly payment or a one-time "lump sum" payment. The Department will comply with the general guidelines established by the Colorado Department of Human Services and outlined in Section 3.602, Volume III, Income Maintenance Programs. 6.007.1 Client Assessment The Department will assess a client who requests a Grant Diversion Payment as follows: A. Determine the client's eligibility for the Colorado Works in Weld County Program. B. Identify the level of monthly benefits the client is eligible to receive. C. Identify any special conditions attached to the eligibility determination of the client. 6.007.2 Payment Limit and Types of Payments The client may be eligible for payments, not to exceed $1,650 for a family unit per year, as follows: A. Vision correction necessary for employment -related activity. B. Tools necessary for employment -related activity. C Cost of repair of a vehicle to enable transportation to employment -related activity. D. Clothing/Grooming necessary for employment -related activity. E. One-way transportation and/or moving expense assistance to relocate to site of new employment. M:\wpfiles\tanf.jag September 8, 1997 21 Colorado Works in Weld County and Child Care Policies and Procedures 6.007.3 Pre -Authorization Information For each client, preauthorization information shall be considered by the authorizing Department supervisor, in determining if a payment should be provided and the amount of payment to the client. This preauthorization information must justify such cash assistance to secure or maintain employment. The authorizing Department supervisor shall consider the client's information as follows: A. A potential employer must verify an employment opportunity in writing. B. A client must demonstrate that he or she has the opportunity, willingness and ability to participate in work -related activity. C. A client must demonstrate qualifications or minimum screening criteria for the employment -related activity. D. A client does not have major supportive service issues or barriers that would prohibit his or her success in securing or maintaining employment and result in long-term dependency on Colorado Works in Weld County cash assistance. 6.007.4 Authorization of Payment under the Individual Responsibility Contract and Limitations The client may receive a cash assistance payment if the Department provides it under the Individual Responsibility Contract. A payment cannot exceed $1,650 for a family unit per year. The authorizing Department supervisor will use the Department's schedule in calculating or authorizing payment; however, the authorizing Department supervisor may request an exception by the Director. The Director may authorize such exception in writing. A. Vision Assistance - $175.00 per Client B Tools - $200.00 per Client C. Repair of a vehicle - $300.00 per Participant. D. Clothing/Grooming - $150.00 per Participant. E. Transportation/moving assistance - $800 per Participant. 6.007.5 Eligibility Waiver Period for Colorado Works in Weld County Assistance Clients receiving Grant Diversion Assistance shall agree to waive eligibility for Colorado Works in Weld County assistance payments for a period specified in the Individual Responsibility Contract. The duration of the waiver is negotiable between the M:\wpfiles\tanf.jag September 8, 1997 22 971.9f39 Colorado Works in Weld County and Child Care Policies and Procedures client's assigned Department staff member, the authorizing Department supervisor, and the client. The duration of the waiver should generally be calculated by dividing the grant diversion payment by the client's monthly grant assistance amount. 6.007.6 Authorized Payee Grant diversion payments will be made payable to the vendor providing the product or service, not the client. The Department Director must authorize any exception to this provision in writing. Exceptions should be considered extremely rare and will only be authorized upon full demonstration that all other available options have been explored and determined to be unfeasible. 6.007.7 Submission of Payment The Department's Business Office will generate payment for the grant diversion payment once each of the following procedural steps is completed: A. The Department's Eligibility Technician submits the Individual Responsibility Contract to the authorizing Department supervisor for signature of authorization. B. The authorizing Department supervisor reviews the Individual Responsibility Contract for thoroughness, accuracy and reasonableness. If a contract meets standards, the Supervisor signs contract authorizing purchase of product or service. C. The Business Office returns the Individual Responsibility Contract to the Eligibility Technician who coordinates with a provider or providers to purchase the product or service. 6.007.8 Vendor Accepts Voucher Payments If a vendor accepts vouchers from the Department, the Eligibility Technician issues a voucher to the client specifying: A. The vendor from whom product or service is to be purchased, B. The maximum dollar amount authorized for payment, and C. The expiration date of the voucher. This date shall be a period of from one day to one month, depending on the type of assistance being provided and the circumstances of the case. 6.007.9 Vendor Does Not Accept Voucher Payments If a vendor does not accept vouchers from the Department, the Eligibility Technician M:\wpfiles\tanf.jag September 8, 1997 23 971%73 Colorado Works in Weld County and Child Care Policies and Procedures requests that the vendor issue an invoice to the Department. This invoice must include the following information: A. The name of the client being served. B. The specific products and/or services being provided. C. Detailed breakdown of the price of each product and/or service being provided. D. Total amount of payment requested. E. Acknowledgment of the vendor that the Department is exempted from Colorado State Sales Tax requirements. 6.007.10 Responsibility of the Department's Eligibility Technician The Eligibility Technician submits copy of an authorized Individual Responsibility Contract and either the Invoice from Vendor, authorized for payment, or copy of Voucher to the Business Office for payment. 6.007.11 Responsibility of the Department's Business Office The Business Office will pay for grant diversion payments according to a predefined payment time schedule, which they shall make available to the authorizing Department supervisor. Any request for payment in advance of a payment time schedule must be authorized in writing by the Department's Director. Exceptions should be considered extremely rare and will only be authorized upon full demonstration that they have explored and determined all other available options to be unfeasible. 6.008 Job Retention and Skills Training Program (County Diversion Program) The Department will conduct or implement a County Diversion Program through the Job Retention and Skills Training Program. 6.008.1 Eligible Participants Eligible participants of the Job Retention and Skills Training Program will be those individuals who: A. were hired by an employer in unsubsidized, continuous, and full-time employment without the assistance of the Colorado Works in Weld County Program. B. were applicants or recipients as follows: M:\wpfiles\tanf.jag September 8, 1997 24 971969 Colorado Works in Weld County and Child Care Policies and Procedures 1. applicants who were determined eligible for the Colorado Works in Weld County Program within three months of their possible enrollment in the Job Retention and Skills Training program. 2. recipients who terminated their participation from the Colorado Works in Weld County Program within three months of their possible enrollment in the Job Retention and Skills Training Program. 6.008.2 General Requirements for Training A. Under the Job Retention and Skills Development Agreement, the employer may participate in the program as follows: For an initial three month period, the employer may train his or her employee in, but not limited to, mentoring services for purposes of job retention, job specific training, basic skills development, English as a Second Language, necessary for the participant to retain or obtain employment. 2. An additional three month period may be authorized by the Department, if the employee requires additional training in, but not limited to, mentoring services for purposes of job retention, job specific skills, basic skills development, English as Second Language, necessary for the employee to retain or obtain employment. 3. If at the end of the initial three month period or at the end of the additional three month period, the employer is eligible for an additional six month training period for the employee who the employer promotes and gives a salary increase. B. The Department will authorize with the employer the training plan for the participant including training criteria, methods by which the training outcomes will be measured, and associated costs. C. The employer may choose to provide this training directly or to provide this training, through subcontracts, with training providers. Training providers are defined, but not limited to, as public schools, private non profits, private for profit, post secondary, community colleges, and proprietary schools. D. The Department will authorize training providers in the training areas identified by the employer. E. To ensure that the job specific and mentoring training meets the local demand of employers, local private sector employers, through the Weld County Private Industry Council, will recommend to the Department the authorization of M:\wpfiles\tanf.jag September 8, 1997 25 971.%9 Colorado Works in Weld County and Child Care Policies and Procedures training plans and training providers. C. The Department may authorize the job specific training plan and associated costs not to exceed $1,800 as follows: 1. A training allowance bonus of $300 to be reimbursed at the end of the initial three month period. 2. A training allowance bonus of $300 to be reimbursed at the end of the additional three month period. 3. A training allowance bonus of $500 for the employee whom the employer promoted and successfully completed the initial three month period and, if applicable, an additional three month period of training. This training allowance bonus will be reimbursed at the end of a three month period. 4. An additional training allowance bonus of $500 for the employee whom the employer promoted and continues his or her training. This training allowance bonus will be reimbursed at the end of a three month period. 6.009 Participant Sanctions or other Assistance and Separate County Diversion The Department will not implement this section at this time. 6.010 Supportive Services (non -Child Care) The Department's case managers will arrange supportive services for the participant, as appropriate. Participation related expenses and supportive services are those expenses and services determined necessary by the case manager for an individual to participate in any Colorado Works in Weld County work component and/or activity. Supportive services will be provided for the participant engaged in an activity that is part of his or her Individual Responsibility Contract. 6.010.1 Transportation Those transportation costs necessary and directly related to Colorado Works in Weld County work and/or training component participation shall be made according to the individual's situations: A. Calculated at .20 cents per mile; or B. A flat daily rate of $2.00 may be provided. 6.010.2 Participation Related Services M:\wpfiles\tanfjag September 8, 1997 26 971969 Colorado Works in Weld County and Child Care Policies and Procedures Other participation related expenses and supportive services may include but are not limited to, clothing, uniforms, eyeglasses, dental work, tools, auto repairs, dues and fees, and also licensing exams, such as RN, LPN, electrician, and self improvement classes. 6.010.3 Start to Work Support Services Start to work support is specific expenses determined necessary by the case manager for a Colorado Works in Weld County participant to accept or maintain employment. Start to work support may include but not be limited to clothing, uniforms, eyeglasses, medical and dental needs, tools, auto repairs, relocation costs, dues and fees. The total expenditure for start to work expenses may not exceed $300.00 per work activity or employment. Each individual may access start to work support services once each twelve month period, unless authorizied in writing by the Director. 6.010.4 Supportive Services Expenditure Limit The total expenditures for participation related expenses and supportive services may not exceed $600.00 per participant in a 12 -month period. The 12 -month period begins with the month in which the first payment is made for the Colorado Works in Weld County participant. Transportation allowances paid to individuals in Public or Private Work Experience assignments do not count against this $600.00. 6.0103 Participant Criteria to Receive Supportive Services A Colorado Works in Weld County recipient or applicant must be maintaining an acceptable level of performance as outlined in the IRC. Acceptable level of performance is demonstrated progress with the employment or educational facility requirements. 6.011 Participant Sanctions and Appeals 6.011.1 Participant Sanctions 6.011.11 Definition of Sanctions Sanctions against assistance participants shall include the following. A. Failure to cooperate with child support enforcement, to comply with IRC requirements, or to secure proper immunizations for children shall result in a loss of 25% of the family's cash benefit for the first sanction, a 50% loss for the second sanction, and a loss of the entire cash benefit for the third sanction. Each sanction shall follow immediately after the previous. The first and second sanctions shall extend for a period of 30 days each. The third sanction shall extend for a minimum of 90 days and until the reasons for the sanction are cured. B. Conviction of fraud as determined by a court or through administrative hearing M:\wpfiles\tanf.jag September 8, 1997 27 971%9 Colorado Works in Weld County and Child Care Policies and Procedures shall result in the caretaker being removed from assistance for a 12 -month period for the first offense, twenty-four months for the second offense, and lifetime for the third offense. C. Assistance shall be denied for ten years to any individual who has been convicted by a court for misrepresenting his or her residence in order to obtain assistance in two states at the same time. D. Failure to sign an IRC or to be referred to or accept employment shall result in a loss of 100% of the family's cash benefit, until remedied. The Department's referral of an applicant or recipient to Employment Services is a referral to employment. 6.011.12 Notice of Proposed Applicant or Recipient Sanction A notice of proposed sanction shall be sent to any applicant or participant for whom there is a reasonable suspicion that his or her actions or inactions come within at least one of the categories described in Section 6.011.11 of the Department's Operations Manual. This notice shall: A. Contain all of the elements necessary for due process as outlined in the State Department of Human Services Volume III regulations. B. Advise the applicant/participant of the opportunity for a local level dispute resolution conference where he or she may present his or her side of the story. C. Advise the applicant/participant that failure to respond to the notice may result in a reduction or termination of the family's cash benefits or continued processing of his or her application. 6.011.2 Absences or Late Occurrences of Participants in Work Supplementation'Programs, On -the -Job Training Program, and the Job Retention and Skills Training Program Colorado Works in Weld County Program participants who are participants of Work Supplementation Programs, On -the -Job Training Program, and the Job Retention and Skills Training Program, are expected to adhere to the employer's policies and procedures concerning absences and late occurrences to work. Participants who do not observe absence and late occurrence policies of the employer will be failing to participate in work activities. 6.011.3 Absences From or Late Occurrences to Other Work Activities or Scheduled Appointments Colorado Works in Weld County participants of the other work activities are expected actively to participate in all assigned work activities and to attend all scheduled appointments. These other work activities include: public sector work activity, private M:\wpfiles\tanf.jag September 8, 1997 28 971269 Colorado Works in Weld County and Child Care Policies and Procedures sector work activity, IRC Skill Development Seminar, Job Skills Training, Education Directly Related to Employment, Secondary School or Equivalent Education, or County Designed Occupational Skills Training. Clients who do not observe absence and late occurrence policies of Section 6.011.3 of the Department's Operations Manual will be failing to participate in work activities. The client's failure to observe absence and late occurrence policies is considered an unexcused absence that will result in a sanction. 6.011.31 Late Occurrences to Work Activities and Scheduled Appointments A. Colorado Works in Weld County participant responsibilities are as follows: 1. Telephone the appropriate Colorado Works in Weld County staff or contractor staff if the client expects to be late. 2. Telephone at least fifteen minutes before the start time of the client's assigned work activity. B. Clients who are more than one hour late and do not telephone the appropriate Colorado Works in Weld County staff or contractor staff will be considered as absent. C. During the first six months of work activity participation, the Department may allow the client a maximum of three late occurrences during any work activity participation. D. After the first six months of work activity participation, the Department may allow the client one late occurrence in work activity participation. 6.011.32 Absences from Work Activities and Scheduled Appointments A. During the first six months of work activity participation, the Department may allow the client a maximum of three excused absences during any work activity participation. B. After the first six months of work activity participation, the Department may allow the client two excused absences during any work activity participation. C. Excused absences are defined as follows: 1. Jury Duty: Jury duty will be an excused absence if the client presents verification to the appropriate Colorado Works in Weld County staff member before the time jury duty will start. The Department will require that the client provide verification from the court that he or she was present for jury selection. Jury duty time will not count against the M:\wpfiles\tanf.jag September 8, 1997 29 971969 Colorado Works in Weld County and Child Care Policies and Procedures total excused absences. 2. Child(ren) School Registration: A child(ren) school registration will be considered an excused absence if the client arranges the absence with the appropriate Colorado Works in Weld County staff member before being absent from a work activity or work activity appointment. 3. Inclement Weather: If the Department determines that the client is unable to attend a work activity due to inclement weather, the Department will excuse the absence. Generally, if city buses are transporting individuals or Weld County is open for business, the Department will not consider that day to be an inclement weather day. 4. Appointments for Food Stamp Redetermination: The client's appointments for food stamp redetermination will be considered an excused absence if the client notifies the appropriate Colorado Works in Weld County staff member 48 hours in advance and provides proof of attendance. 5. Sick Day Absence: During any eight (8) week period, the Department will allow the client a total of two (2) sick day absences for him or her and for a member of his or her immediate family. A sick day absence may be used for: a. A scheduled doctor's appointment. The client must notify the appropriate Colorado Works in Weld County staff member 48 hours ahead of the start day of work activity. b. An emergency sick day. The client must notify the appropriate Colorado Works in Weld County staff member no later than 8:30 a.m. on the day the absence will occur. c. Serious illness. The Department will allow the client one additional sick day if the client or a member of the client's immediate family has a serious illness. The client must notify the appropriate Colorado Works in Weld County staff member no later than 8:30 a.m. on the day the absence will occur. If the client or his or her immediate family member is sick for three (3) consecutive days, a physician's excuse for the days missed is required. The client must notify the appropriate Colorado Works in Weld County staff member no later than 8:30 a.m. on each day the absence will occur. d. Court Absence: During any two -month period, the Department will allow the client a total of one (I) court day. The client must notify the appropriate Colorado Works in Weld County staff member at least one week before the date of absence. e. Emergency Absence: During any two -month period, the Department will allow the client one (1) emergency day. The M:\wpfiles\tanf.jag September 8, 1997 30 971969 Colorado Works in Weld County and Child Care Policies and Procedures Department may allow the client, subject to the approval of the appropriate Colorado Works in Weld County staff member, an emergency absence for the purposes of: 1) transportation problems if the client lives outside the Greeley Bus System 2) child care problems if the client is not a member of a two parent family who has a non -working spouse. 3) eviction from housing problems if the client is not a member of a two parent family who has a non -working spouse. 4) funeral of a member of the client's immediate family. 6.011.33 Definition of Immediate Family for Purposes of Section 6.0011.3 A client's immediate family means a client's husband or wife, son, daughter, stepson, stepdaughter, father, mother, stepfather, stepmother, brother, sister, father-in-law, mother-in-law, grandmother, grandfather, grandchild, foster child(ren), or foster parent. 6.011.2 Participant Appeals A. The Department will adhere to the general policies of participant appeals as outlined in Colorado State Rules, Volume III, Section 3.600, Income Maintenance Programs. B. The Department will send a notice of adverse action to all applicants and recipients, who in the opinion of the Department, have failed to comply with the terms outlined in their individual responsibility contact. The notice will advise the applicant or participant of the opportunity to present evidence that good cause reasons existed for their noncompliance with the IRC. The notice will also advise the applicant or recipient that failure to respond to the notice of adverse action and present good cause evidence will constitute willful and demonstrable evidence of refusal to cooperate or participate in training, education, work, child support enforcement, and/or immunization of children, and result in discontinuation or denial of the entire cash assistance grant. C. If the applicant or recipient refuses, either by demonstrated evidence or by an affirmative statement, the Department may deny or terminate the basic cash assistance grant in its entirety as determined by the county. D. If the applicant or recipient responds to the notice of adverse action and presents evidence that, in the opinion of the Department, does not constitute good cause for failure to participate, a 25% sanction will be initiated for the first month, 50% the second month, and the entire cash assistance grant for the third month and will continue until they resolve the sanction. M:\wpfiles\tanf.jag September 8, 1997 31 971`)€,9 Colorado Works in Weld County and Child Care Policies and Procedures 6.012 Organization, Flow Chart, and Budget 6.012.1 General Organization The organization of Colorado Works in Weld County involves two major county departments and an advisory committee as follows: A. The Weld County Department of Social Services (Department) B. The Weld County Division of Human Services (Human Services) on behalf of Employment Services of Weld County (Employment Services) C. The Weld County Private Industry Council, an advisory committee to the Board of Weld County Commissioners, as the Board of Social Services, and Human Services. 6.012.2 Joint Functions of the Department and the Employment Services A. Develop, plan, and amend the Department's Operations Manual as it relates to the Colorado Works in Weld County Program. B. Develop, plan, and amend procedures, guidelines, principles, and policies for program operations to be approved by the Board of Social Services. C. Provide case management services for Colorado Works in Weld County participants as described in the Department's Operations Manual procedures, as amended. D. Prepare and provide client tracking and the monitoring of participant, program, goals, and program outcomes to assure that the Department meets the intent of the law and the Department is using resources for the maximum benefit of the client. E. Participate in the dispute resolution conferences with participants. F. Meet the monthly average participation rates as described in the Department's Operations Manual, as amended. G. Provide a public record of the resources devoted, activities undertaken, and performance achieved for the benefit of the Board of Weld County Commissioners, funding sources, the Weld County Private Industry Council, local citizenry, and taxpayers. 6.012.3 Functions of the Department A. Provide overall program administration of the Colorado Works in Weld County M:\wpfiles\tanf.jag September 8, 1997 32 971%9 Colorado Works in Weld County and Child Care Policies and Procedures Program, as outlined in Public Law 100-485 and 9CCR 2503-1, Section 3.630. B. Implement actions involving Colorado Works in Weld County recipients, including: 1. Determination of Colorado Works in Weld County eligibility 2. Determination of exemption status 3. Determination and application of sanctions 4. Providing notices of action affecting eligibility and payment 5. Providing dispute resolution conferences and final agency action C. Initially assess through Social Services case managers, supportive service needs and provide child care for those Colorado Works in Weld County participants who need such services to participate in the Colorado Works in Weld County Program. Coordinate with Employment Services to provide supportive services as needed in order to remain in Colorado Works in Weld County Program and remain in compliance with State regulations. D. Refer Colorado Works in Weld County applicants and recipients to Employment Services for employability assessment; assignments of works activity participation; and ongoing Colorado Works in Weld County component participation. E. Participate in joint planning, program development, monitoring and implementation of Colorado Works in Weld County, Employment First, and other related employment and training programs for Colorado Works in Weld County applicants and recipients with Employment Services. F. Provide training to Employment Services in the operation of Colorado Works in Weld County and related activities through the Colorado Department of Human Services and other appropriate training sources, as applicable. G. The Department shall establish billing procedures and reimburse Employment Services for actual, reasonable, and necessary expenses incurred in providing services pursuant to Section 6.012.6. H. Provide the initial information and orientation materials for Colorado Works in Weld County participants as prescribed through 9CCR 2503-1, Section 3.634.13. 6.012.4 Functions of Employment Services A. Prepare employability assessment of Colorado Works in Weld County applicants and recipients including participation barriers for purposes of the individual responsibility contract and assignment to Colorado Works in Weld County work activities. M:\wpfiles\tanf.jag September 8, 1997 33 971969 Colorado Works in Weld County and Child Care Policies and Procedures B. Develop, monitor, and direct mandatory and optional work activities as described in 9CCR 2503-1, Sections 3.600, and the Weld County Department of Social Services Operations Manual. C. Complete all necessary client, employer, or work site agreements and related paperwork for Colorado Works in Weld County work activities. D. Determine the time and dates for scheduling employability assessment so the Department may refer Colorado Works in Weld County applicants and recipients to Employment Services. E. Assess and recommend additional supportive services for Colorado Works in Weld County participants to continue in Colorado Works in Weld County activities or employment. Notify Department case managers of supportive service referrals. F. Approve work activities based on the aptitude, skills, and background of the client, and labor market demand. Amend the Individual Responsibility Contract with the client. G. Determine if the Colorado Works in Weld County participant is satisfactorily progressing in work activities through progress described in the Basic Work Skills Development Report, adherence to time and attendance policies, and other policies and procedures of the Colorado Works in Weld County Program. H. Provide an itemized statement of expenditure and request for payment of any services provided to a Colorado Works in Weld County participant. This itemized statement would include, but not limited to, any expense incurred for the Employment Services learning laboratory, Mini -Bus transportation, and testing. This itemized statement must be submitted by the 15th of the following month that the service was provided to the Department. The client information on the itemized statement must include cost, COIN State ID, and COIN household number. I. Provide proper invoices and verification of services performed by Employment Services for costs incurred in the performance of Employment Services as described in Section 6.012.6. 6.012.5 Participant Flow Chart The participant flow chart is described in Exhibit F. 6.012.6 Budget Transfer from the Department to Employment Services The Department will remit to Employment Services an amount not to exceed $177,887 for services provided from July I, 1997 through June 30, 1998. Employment Services M:\wpfiles\tanf.jag September 8, 1997 34 971969 Colorado Works in Weld County and Child Care Policies and Procedures will bill the Department for services provided as described in Section 6.012.4 of the Department's Operations Manual and will not seek additional reimbursement for these same services directly from the Colorado Department of Human Services. The $177,887 is calculated as follows: Budget Item Budget Amount 6.013 A. Staff: 1. 1 FTE Registration 2. 4 FTE Case Managers 3. .5 FTE IRC Skill Development 4. Sub Total B. Overhead: (includes administration, travel, printing books, supplies) C. Total: Performance Outcomes $ 27,143.00 112,719.00 14,822.00 $154,684.00 $ 23,203.00 $177,887.00 6.013.1 Federal and State Participation Rates and Required Hours of Participation The Department will adhere to the participation rates and the minimum number of hours of participation as outlined in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, under Title I, §407. Participation rates will be based upon those individuals involved in the authorized work activities outlined in Section 6.006 of the Department's Operations Manual. The participation rates and the required hours of participation are subject to change, and are as follows: Minimum Participation Rates by Fiscal Year for Single Parent Families Fiscal Year 1997 1998 1999 2000 2001 2002 + Participation Rate Minimum Hours Per Week 25% 30% 35% 40% 45% 50% 20 20 25 30 30 30 Minimum Participation Rates by Fiscal Year for Two Parent Families Fiscal Year 1997 1998 1999 + Participation Rate Minimum Hours Per week 75% 75% 90% M:\wpfileAtanf.jag September 8, 1997 35 35 35 35 9719139 Colorado Works in Weld County and Child Care Policies and Procedures 6.013.2 Weld County Outcomes The Department will use evaluation methods of program performance as outlined for work activities in the Department's Operations Manual, as amended, and as follows: A. Retention rates of individuals placed in unsubsidized employment because of participation in the program as measured by 3 month, 6 month, and 1 year follow-up of participants B. Recidivism rates of recipients returning to Colorado Works in Weld County are: - 1. returning from unsubsidized placement, and 2. returning after participating in work activities C. Percentage of recipients who enter employment after participating in allowed work activities. D. Number of recipients sanctioned. E. Cost of activities compared with outcomes. The Department established client baseline data and is attached and is set forth in Exhibit G. 6.014 Child Care 6.014.1 Client Eligibility Effective July 1, 1997, families whose income does not exceed 155% of poverty level will be eligible for child care under the Colorado Works in Weld County Program. 6.014.2 Child Care Provider Rates Effective January 1, 1998, child care provider rates will be as follows: Children under the age of two Licensed Centers Licensed Homes Exempt/Unlicensed care: M:\wpfiles\tanf.jag September 8, 1997 36 $25.00 $16.50 $ 8.75 Children over the age of two $18.50 to $19.00 $15.00 $ 7.75 9%1.2+39 Colorado Works in Weld County and Child Care Policies and Procedures 6.015 Food Stamp Interface (Reserved) 6.016 Medicaid Interface (Reserved) 6.017 Social Services Division Interface 6.017.1 Procedures A. Cases currently open on AFDC will be checked on the CATS system and the caseworker will be contacted. A meeting between the Colorado Works in Weld County case manager, the caseworker and the participant will occur when possible. If the Department cannot arrange this, the case manager and the caseworker will share information regarding the case to help in the development of the participant's Individual Responsibility Contract (IRC). B. For new applicants for Colorado Works in Weld County, the Colorado Works in Weld County screener will fill out an internal 810 form. Master file staff will use the form to: 1. determine the status of the case in CATS. 2. if the case is an open protection case, the Master file staff will write this on the form for the case manager. C. The case manager will then contact the caseworker. Together they can begin discussing the participant's needs and arrange to meet with the participant to develop the IRC. C. When the Department receives a referral regarding a protection issue, the protection screener will contact the Master File unit to see if there is a Colorado Works in Weld County case manager on the case. If there is an active Colorado Works in Weld County case, the caseworker will contact the case manager to discuss the participant's IRC and to share information regarding the participant's needs. D. When a caseworker is considering offering special economic assistance services to a participant, the caseworker will contact the Colorado Works in Weld County case manager first to discuss whether the participant is already receiving Colorado Works in Weld County money for the same purpose. The Colorado Works in Weld County case manager will prepare a voucher to purchase special economic assistance services through the Department's voucher process. M:\wpfiles\tanf.jag September 8, 1997 37 971969 Colorado Works in Weld County and Child Care Policies and Procedures E If the Colorado Works in Weld County case manager encounters a situation of a noncompliance with a participant who is also open with a caseworker, the case manager will contact the caseworker before sending the notice of a sanction. They can discuss any extenuating circumstances that could lead to the IRC being redone rather than the sanction being imposed. F. Changes in the participant's circumstances, i.e., financial situation, family situations, etc. will be shared between the case managers and the caseworkers to facilitate appropriate planning for the family. G. The caseworker will determine if the participant requires services under the Family Preservation Program core services, Special Circumstance Day Care services, or Case Services. If the caseworker determines with the Colorado Works in Weld County case manager that the participant requires these services, the Colorado Works in Weld County case manager will prepare a voucher to purchase such services through the Department's voucher process. 6.018 Child Support Interface 6.018.1 Individual Responsibility Contract For those households that involve an absent parent, the Department will require clients to cooperate with the Child Support Unit as follows: A. Provide complete and accurate information B. Provide the full name of the non -custodial parent C. Appear upon request to sign legal documents D. Appear at court hearings E. Provide copies of birth and legal documents F. Update any new information about the non -custodial parent G. Submit to genetic testing H. Assign the family's rights to all child support, including past due and current support, to the State of Colorado. This provision became effective July 1, 1997, and applies to those Colorado Works in Weld County applicants and recipients receiving child support payments. 6.018.2 Child Support Payments On or about October 1, 1997, a Colorado Works in Weld County applicant or recipient may choose not to receive child support payments if current child support payments received are more than Colorado Works in Weld County benefits paid to the applicant or recipient. The applicant or recipient can only receive the child support payment if the client is no longer receiving Colorado Works in Weld County benefits. M:\wpfiles\tanf.jag September 8, 1997 38 971.983 Colorado Works in Weld County and Child Care Policies and Procedures Effective July 1, 1997, the Colorado Works in Weld County applicant or recipient are not imposed a $50 disregard payment by the Department. 6.018.3 Child Support Assessment The child support enforcement worker will obtain appropriate information from the applicant and will provide documentation of cooperation to the Colorado Works in Weld County Unit. Included in the document will be an assessment regarding the probability of collecting support, prioritization of the case, approximate time frames to collect support, and case assignment to be used as a tool for the Colorado Works in Weld County case manager. 6.019 Weld County Housing Authority Interface 6.019.1 Client Preferences for the Weld County Housing Authority Section 8 Program Applicants who can demonstrate that they are employed at least 20 hours per week during nine out of the last 12 months shall receive preference for admission through Weld County Housing Authority's Section 8 Rental Assistance Payments Program. 6.019.2 Participation and Notification The Weld County Housing Authority Community Services Specialist will notify the Colorado Works in Weld County case manager whenever an applicant receiving Colorado Works in Weld County benefits is approved for the Section 8 Program. When the Community Services Manager becomes aware that a Section 8 participant receiving Colorado Works in Weld County benefits is terminated from employment, the Community Services Manager shall notify the Colorado Works in Weld County case manager. 6.019.3 Family Self -Sufficiency Program (FSS) Section 8 participants who are participating in FSS shall sign a Family Self -Sufficiency Contract. The Family Self-sufficiency Contract shall specify goals agreed to by the Section 8 participant to achieve self-sufficiency within a five year period. Case management services for any Section 8 participant who is also participating in Colorado Works in Weld County shall be provided by the Colorado Works in Weld County case manager, not the Community Services Manager. 6.019.4 Sanctions and Appeals The Department shall terminate participants of the Colorado Works in Weld County Program, who: M:\wpfiles\tanf.jag September 8, 1997 39 971969 Colorado Works in Weld County and Child Care Policies and Procedures A. are enrolled in the Section 8 Family Self-sufficiency Program, and B. fail to cooperate with Colorado Works in Weld County requirements and the Section 8 Housing Assistance Program. Each participant the Department terminates, based on failure to comply with FSS and Colorado Works in Weld County requirements, shall have the right to a hearing based on the Section 8 Administrative Plan. 6.020 Community Agency Interface (Reserved) 6.021 Reporting Requirements (Reserved) 6.022 Out of Wedlock Births Plan The responsibility of developing an Out of Wedlock Plan for the State of Colorado rests with the Colorado Department of Human Services. The Colorado Department of Human Services has a statewide goal of reducing out of wedlock births by 1%. This goal has been established for the state fiscal year of 1997 - 1998. 6.023 Statutory Rape Plan The responsibility of developing a Statutory Rape Plan for the State of Colorado rests with the Colorado Department of Human Services. 6.024 Contracts and Other Agreements to Purchase Services (Reserved) 6.025 Earned Income Tax Credit Documents providing the required information concerning the Earned Income Tax Credit will be distributed to all Colorado Works in Weld County participants. This information will also be posted in common areas throughout the Department and mailed to all Colorado Works in Weld County participants at least once per year. 6.026 Individual Development Accounts Individual Development Accounts will be allowed for participants who wish to establish savings for one or more of the allowable goals/objectives: post secondary education; M:\wpfiles\tanf.jag September 8, 1997 40 971.969 Colorado Works in Weld County and Child Care Policies and Procedures purchase of a home; and business capitalization. The Department will not contribute financially to these accounts. 6.027 County Optional Other Assistance The Department may choose to operate this program by amending its Department's Operations Manual. 6.028 County Optional Diversion Grants The Department may include an optional diversion grants program by amending its Department's Operations Manual. 6.029 Any Other Services The Department may include other services by amending its Department's Operations Manual. M:\wpfiles\tanf.jag September 8, 1997 41 9719C9 Exhibt A Page 1 of 2 COLORADO WORKS IN WELD COUNTY INDIVIDUAL RESPONSIBILITY CONTRACT (IRC) FIRST SECTION Applicant ❑ Recipient ❑ Name Household # Social Security Number Telephone Number State ID # PROVISIONS 1. This document is an Individual Responsibility Contract (IRC) between you, the applicant/recipient, and the Weld County Department of Social Services (the "Department"). It governs the terms and conditions of your receipt of assistance or application for assistance under the Colorado Works in Weld County (CWWC) Program. 2. You are not legally entitled to receive any form of assistance under the CWWC Program. 3. Your failure to comply with the terms and conditions of this IRC may result in a reduction or termination of cash assistance or a discontinuation of the processing of your application for assistance. 4. This IRC will end if: 1) cash assistance to you is terminated for any reason, 2) the processing of your application for assistance is discontinued for any reason, or 3) if you move to another county. RESPONSIBILITIES As a CWWC applicant/recipient, you are required to: • Keep all appointments designated on Page 2 of this IRC; • Respond to any request from the Department regarding your employment status; • Participate in assessments to determine your level ofjob readiness; • Report for and participate in any employment or training activity listed on Page 2 of this IRC; • Provide immediate documentation to your case manager of any situations which may prevent you from participating in your scheduled activities; • Notify your case manager of any change in your employment status; and • Accept and maintain appropriate employment. • Comply with all requirements of the Department's Child Support Enforcement Unit, but not limited to, the requirement that I assign all of my rights to child support, including past due and current support, to the State of Colorado. You have the right to participate in the development of this IRC with your case manager. You have the right to file a grievance or complaint with the Department if: 1) you believe that you have been discriminated against on the basis of your age, race, color, creed, sex, or national origin; 2) you disagree with your case manager's assignment or decision; or 3) you are not satisfied with actions affecting your assistance or CWWC participation. Your case manager may assist you in filing a grievance or complaint. I have read or have had read to me Pages 1 and 2 of this IRC. My rights and responsibilities for participation in the CWWC Program as detailed above have been explained. As consideration for my application for assistance and for any cash assistance I may receive, I agree to participate in the activities and for the number of hours per week designated on Page 2 of this IRC. I also understand that if I move to another county, this IRC will no longer be in effect and cash assistance to me will end or my application for assistance will not be processed. Applicant/Recipient Signature Date As the Applicant/Recipient's case manager, I have carefully explained the terms and conditions of this IRC to the Applicant/Recipient. A signed copy of this IRC has been provided to the Applicant/Recipient. Case Manager Signature Date White Copy: Social Services K4-\.,,..il.c\ndm\;rrcc ;an 971969 IRC - Page 1 of 2 Pages Yellow Copy: Employment Services of Weld County Pink Copy: Applicant/Recipient Exhibit A Page 2 of 2 COLORADO WORKS IN WELD COUNTY INDIVIDUAL RESPONSIBILITY CONTRACT (IRC) SECOND SECTION Original O Revision O Name Household # State ID# Social Security Number I Telephone Number Work Activity: Begin/Estimated End Dates: Plan: to Client Will: Agency Will: Scheduled Hours/Week: Comments: Revision of Dates: Initials/Date: Completion Date: Case Manager's Signature: Client's Signature: Show ❑ No Show O Work Activity: Plan: Begin/Estimated End Dates: to Client Will: Agency Will: Scheduled Hours/Week: Comments: Revision of Dates: Initials/Date: Completion Date: Case Manager's Signature: Client's Signature: Show ❑ No Show ❑ I have received a Diversion Grant and agree not to apply for any further assistance in Weld County, or any other county for a period of Client Signature White Copy: Social Services Yellow Copy: Employment Services of Weld County MAwnfilrc\irces iae Date IRC - Page 2 of 2 Pages Pink Copy: Applicant/Recipient 971%9 1%9 Exhibit B COLORADO WORKS IN WELD COUNTY EMPLOYMENT AND TRAINING PROGRAM WORK SUPPLEMENTATION AGREEMENT This Agreement is made this day of , 199_by and between the Weld County Division of Human Services, on behalf Employment Services of Weld County, hereinafter referred to as "Employment Services," and, hereinafter referred to as "Employer." WITNESSETH WHEREAS, Employment Services conducts the employment and training program for eligible recipients of the Colorado Works in Weld County Program; and WHEREAS, Employment Services' goal is to assist eligible applicants and recipients under the Colorado Works in Weld County Program obtain and retain unsubsidized employment; and WHEREAS, the Employer desires to participate with Employment Services in a subsidized private sector employment program specifically designed for recipients of Colorado Works in Weld County as an employer and as an instructional training facility for the recipients of the Temporary Assistance for Needy Families participants under the Colorado Works in Weld County Program; and WHEREAS, the Employer and Employment Services desire to work together for the express purpose of providing employment and instructional training for participants under this program. NOW THEREFORE, in consideration of the implementation of these goals, the parties hereby agree to the following: A. Program Definitions Work Supplementation is an employer incentive -based program designed to introduce the participant into the workforce. The employer provides a wage to a participant as an alternative to a Temporary Assistance to Needy Families grant. Colorado Works in Weld County provides training reimbursements of 50% of the gross monthly salary. The participant is a recipient of aid under the Colorado Works in Weld County programs for which the training reimbursement will apply. Mentoring is a service the employer agrees to provide to assist the participant under the terms of this agreement, resolve related issues and problems and assist the M:\wpfilestadm\tanfxxjag 1 September 10, 199'7 971969 Exhibit B participant's entrance into the work force The work site is the location in which the participant will be out stationed by the Employer. The Employer is eligible to receive a training allowance bonus of $500 if the Employer hires a participant at the conclusion of the Work Supplementation Program and retains the participant in full time employment at the end of a three month period. B. Employer Responsibilities 1. Provide for a minimum of three months of unsubsidized, continuous, full time employment for a participant to achieve a complete diversion from a public assistance grant. The Employer will provide participants with wages that are comparable to other employees doing comparable work. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. a. Commit to a forty -hour work week that provides for a combination of work and education. b. Provide training in job specifics, and mentoring of recipients in work ethics and employment retention skills for either continued employment with the Employer or preparation for employment with another employer. Reinforce employer basic skills competency through performance evaluations and/or counseling forms. 1) Training may be provided directly by the employer or through subcontracts with another training provider. 2) Employer Basic Skills Competencies, approved by the Weld County Private Industry Council, is attached to and made a part of this Agreement as Attachment A. 3) The Employer is eligible to receive a $300 training allowance for the participant to receive job search skills, interviewing, job specific, and mentoring and employment retention skills at the end of the three-month period. c. Furnish all equipment and materials as deemed reasonably necessary by the Employer to ensure the continued accomplishment of program objectives. d. Provide liability and worker's compensation insurance coverage on the participant to the same extent as for other employees similarly employed. M:\wpfiles\admVanbacjag September 10, 1997 2 971.969 Exhibit B e. Agree that the Employer is given the final decision in selecting the participant under the terms of this Agreement. 1. Provide the same benefits including health insurance, sick leave, holidays, vacation, life i .mince and other benefits to the same extent as for other employee similarity e i loyed. g. Accept only the number of participants whom the Employer can utilize productively. h. Not to replace regular full-time or part-time employees with participants under this program. Provide competent supervision, including adequate training, when the job requires the use of equipment and/or procedures that are unfamiliar to the participant. j. Abide by all pertinent Department of Labor Laws (Occupational Health and Safety [OHSA], Davis Bacon Act, Child Labor Laws, etc.). The Employer agrees to contact the Special Programs Coordinator of the Employment and Training Program with any questions concerning specific tools or the Child Labor Laws. k. Report to Employment Services within 24 hours when the Employer terminates a participant and documents its reason(s) for the action. Employment Services will determine the sanction status of the participant and make appropriate referrals to the Department of Social Services for eligibility and sanction status. The Employer will complete the attached Work Supplementation Invoice Form and follow the procedures outlined on the Form for reimbursement. The Form is added hereto as Attachment B and is hereby made a part of this Agreement. A separate Invoice will be completed on each participant by the 15th of the following month based on the gross wages paid for the previous month. m. Treat all participants in the same manner as other employees of the Employer, concerning such issues as safety and job performance. n. Immediately contact Employment Services regarding any difficulties the Employer may have concerning the participant's performance, absence or tardiness, etc. n. Participate in any follow-up, monitoring, and evaluation procedures conducted or endorsed by Employment Services. M:\wpfilestadm\tanfia jag September 10, 1997 3 971069 Exhibit B o. Not to do any of the following: 1) promote or deter union organizing 2) charge fees to participants under this Agreement 3) involve participants in sectarian activities 4) involve participants in lobbying activities 5) accept any kickbacks 6) have anyconflict of interest under this Agreement, including nepotism, 2. Provide with continued subsidy, an additional three months of continuous, full time employment, to those participants who need additional training to continue employment with the Employer. a. The conditions of such employment will continue as described in Item B. 1. a through o of this agreement. b. Employer is eligible to receive a training allowance bonus of $300 in order for the participant to receive additional training at the end of the three- month period. c. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. d. The Employer and Employment Services will determine the need of additional training for the participant by, but not limited to, the performance results outlined in the Basic Work Skills Development Report, and the participant's adherence to responsibilities under the Work Participation Agreement between Employment Services and the participant. 3. Hire and retain those participants who have been successful in meeting the Employer's training needs, as full time employees, if appropriate. Employment Services agrees to provide a $500 training allowance bonus to the Employer if the Employer hires the participant at the conclusion of the Work Supplementation Program and retains the participant for an additional three month period. Employment Services will pay the training allowance bonus at the conclusion of the additional three month period. B. Employment Services Responsibilities 1. Provide the Employer with an orientation session outlining the specific procedures and policies the Employment Services requires that the Employer follow. 2. Encourage participants to apply for available positions with the Employer and M:\wpfiles\adnt\tanfat jag September 10, 1997 4 971.9E+9 Exhibit B assess participants to determine their job readiness for positions with the Employer. 3. Arrange for space for the Employer to interview applicants referred to the Employer. 4. Refer, if available, the agreed upon number of participants to the Employer for employment. 5. Complete a Work Supplementation Participation Agreement that outlines programs expectations and responsibilities with participants. The Work Supplementation Participant Agreement is attached hereto and incorporated herein as Attachment C. 6. Provide the Employer a monthly work supplementation fee of 50% of the participant's gross salary for the month. Employment Services shall not be liable for any costs that exceed the agreed upon amount. 7. Provide the Employer a training allowance bonus on behalf of the participant as follows: a. A training allowance bonus of $300 according to the provisions of Item B. 1. of this Agreement. b. A training allowance bonus of $300 according to the provisions of Item B. 2. of this Agreement, if the participant requires an additional three months of participation in the Work Supplementation Program. c A training allowance bonus of $500 for a participant who has been hired by the employer after a successful completion of a three-month or six- month work supplementation program and retained in full time employment for three months. 8. Assist the Employer, upon the Employer's request, in resolving any possible disputes with the participant. C. Assurances 1. The Employer agrees that it is an independent contractor and that its officers and employees do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees because of the execution of this Agreement. 2. Weld County, The Board of County Commissioners of Weld County, and its officers and employees shall not be held liable for injuries or damages caused by M:\wpfiles\adm\tanfxxiag September 10, 1997 5 971..9E9 Exhibit B any negligent acts or omissions of the Employer, or its employees, volunteers, or agents, while performing Employer duties as described in this Agreement. The Employer shall indemnify, defend, and hold harmless Weld County, and its officers and employees for any loss occasioned as a result of the performance of this Agreement by the Employer, its employees, volunteers, and agents. 3. The Employer understands that monitoring and evaluation of the performance of this Agreement shall be conducted by Employment Services and the results provided to the Weld County Private Industry Council and the Board of County Commissioners of Weld County. 4. The Employer assures that it will comply with Title VI of the Civil Rights Act of 1986 and that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under this approved Agreement. D. Performance Performance will be monitored as follows 1. Retention rates of individuals placed in unsubsidized employment because of participation in the programs is measured by 3 month, 6 months, and 1 year follow-up of participants. 2. Recidivism rates of Colorado Works recipients returning to public assistance from unsubsidized employment with the Employer. D. Modification This Agreement may be modified at any time by a written amendment signed by both parties. E. Termination This Agreement may be terminated at any time by either party giving 48 hour written notice. IN WITNESS THEREOF, the parties hereto have duly executed this Agreement as of the day, month, and year first above written. EMPLOYMENT SERVICES OF WELD COUNTY EMPLOYER Authorized Representative Authorized Representative M:\wpfiles\adm\tanfiocjag September 10, 1997 971989 Attachment A COLORADO WORKS IN WELD COUNTY BASIC WORK SKILLS DEVELOPMENT REPORT NAME: WORKSITE: DATE REPORT PERIOD: PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 1. Honesty and Integrity -Chooses an ethical course of action -Follows through on commitments -Shows regard for possessions of others -Demonstrates high trust level -Adheres to truth despite consequences 2. Independent Worker -Independently completes tasks with minimum supervision/assistance -Demonstrates self-starting behavior -Recognizes and responds to situations appropriately -Identifies and solves problems 3. Self Management -Demonstrates readiness to work -Demonstrates initiative -Demonstrates capacity for lifelong, personal growth -Assesses self accurately -Sets personal goals and monitors progress -Exhibits self control 4. Responsible Job Behavior & Positive Work Ethics -Exerts a high level of effort and perseverance toward goal attainment -Works hard to achieve excellence by establishing high standards -Detail oriented -Displays high attendance/ punctuality standards -Willing to approach and complete tasks -Exercises good judgment and takes responsibility for actions -Meets goals within allotted time frame -Distinguishes effectively between competing priorities q7p E 9 PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 5. Completes Work -Completes tasks accurately and within given time frame -Works to meet standards set by employer 6. Team Player -Contributes to group effort through cooperation and consensus -Demonstrates value of team members and encourages their input -Promotes team atmosphere -Accepts responsibility conferred by team -Demonstrates an understanding of others through courtesy, adaptability and empathy -Receptive to change 7. Communicates Effectively -Displays ability to receive and relay information clearly and effectively -Utilizes effective verbal and nonverbal cues -Organizes ideas and communicates oral messages appropriate to listeners and situations -Selects appropriate medium for conveying a message -Understands and responds to instruction 8. Effective Listener -Appropriately responds to verbal messages -Follows verbal instruction -Acknowledges verbal messages -Asks for clarification if message is unclear -Conveys information accurately 9. Effective Speaker -Clearly and effectively organizes and presents ideas orally -Participates in discussions and conversations -Articulates effectively 97101;9 PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 10. Demonstrates Basic Math Skills -Adds, subtracts, multiplies and divides using whole numbers -Adds and subtracts using negative and positive numbers -Changes a number from one form to another, using whole numbers, fractions, decimals or percentages -Approaches practical problems by choosing appropriate mathematical techniques 11. Demonstrates Basic Reading Skills -Locates, understands, and interprets written information in prose and in documents such as manuals, graphs and charts -Recognizes proper placement of a step in a sequence of events -Recognizes cause -effect relationships -Recognizes the application of complex instructions involving several steps to describe situation -Based on context, identifies correct meanings for words 12. Demonstrates Basic Writing Skills -Clearly organizes and effectively presents ideas in writing -Writes so that others understand 13. Demonstrates Ability to Perform Basic in Various Work Ambiences -Accepts differences and works well with individuals from diverse backgrounds and/or divergent ideas or philosophies COMMENTS TRAINEE MAwpfiles\adm\bsdr)g 9/V97 DATE WORK SITE SUPERVISOR DATE 971.269 WORK SUPPLEMENTATION PROGRAM INVOICE NUMBER EMPLOYEE/PARTICIPANT INFORMATION Employee/Participant's name Social Security Number Ribi r e an tarting age Agreement Period Start and End Attachment B WSP-3 EMPLOYMENT INFORMATION Employer Name Address Phone Number Identification Number 1. I request reimbursement for wages paid for the period of 2. Gross Wage Information: $ x50%=$ / / To / / 3. Reimbursement requested: 4. Training Bonus Request: 4. CERTIFICATION BY EMPLOYER AND WSP REPRESENTATIVE I request reimbursement in the amount indicated. The information given on this form is correct. I understand that receipt of the requested funds for other than the purposes indicated constitutes fraud punishable under the Penal Code of the United States. Signature of Employer Date Based upon my knowledge of the facts, the employer's statements on this form are correct. Reimbursement to the employer in the amount indicated is recommended. Signature of WSP Representative Date IF FINAL INVOICE, PLEASE ENTER APPROPRIATE TERMINATION REASON CODE TERMINATION REASON CODE: 01 Completed Program Voluntary by Employee 02 Illness or Injury 06 Transportation Problems 03 No Reason Given 07 Type of Work 04 Other Employment 08 Excessive Overtime 05 Child Care Problems 09 Other Distribution: Original - Employment Services of Weld County Copy - Case Manager Copy - Employer Involuntary Termination 10 Layoff (economic reasons) 11 Excessive Absences 12 Disruptive Behavior 13 Substandard Skill Level 14 Other 971969 Attachment C WORK SUPPLEMENTATION PARTICIPATION AGREEMENT PART 1 Name Case Name (Complete if different from above) Address (Street Address) (City) Phone Number SSN State (Zip Code) PROGRAM DESCRIPTION The Work Supplementation Program (WSP) is designed to help people receiving a TANF grant to become self-supporting through employment WSP does not guarantee employment, but WSP is an additional opportunity to gain valuable work skills as well as additional referrals to jobs. The Employer interviewed and hired in accordance with their company's personnel practices. Your TANF Monthly grant amount will be adjusted or discontinued in accordance with TANF eligibility earned income requirements. Based upon wages received from employment, your TANF monthly grant amount will be adjusted or discontinued in accordance with TANF eligibility requirements. Medicaid eligibility will be determined in accordance with current regulations. All work supplementation program employees/participants are considered TANF recipients for the purpose of child support collections and disbursements. RIGHTS AND RESPONSIBILITIES M a WSP employee/participant my salary will not be less than the Federal minimum wage, and I will receive the same benefits (it, sick leave, vacations, health insurance, etc.) as other employees of my employer which have the same status (ie., permanent, temporary, etc.) as I. I will be expected to perform work at my job as other employees of my employer at the same level. I must notify my case manager of any change in employment status, address, or telephone number as soon as I know of such change. If I have a complaint I will follow my employer's complaint procedures. I also understand that my Case Manager at Employment Services will provide me with additional information for complaints dealing with discrimination. I have read the program description and the rights and responsibilities. I have also read, signed, and understand my responsibilities as outlined in my Individual Responsibility Contract (IRC). WSP Employee/Participant Date I have witnessed the WSP employee's/participant's signature and have given him/her a copy of this form. I have verified that the above named individual is a recipient of TANK The TANF grant amount for mo. yr. was S Case Manager PART H I have accepted Employment at Date to begin Date Starting Salary S per Agreement Duration through mo/day/yr mo day/yr WSP Employee/Participant Date 9 x1.9£'9 Exhibit C COLORADO WORKS IN WELD COUNTY EMPLOYMENT AND TRAINING PROGRAM WORK SUPPLEMENTATION AGREEMENT WITH TEMPORARY EMPLOYMENT AGENCIES This Agreement is made this day of , 199_by and between the Weld County Division of Human Services, on behalf Employment Services of Weld County, hereinafter referred to as "Employment Services," and, hereinafter referred to as "Employer." WITNESSETH WHEREAS, Employment Services conducts the employment and training program for eligible recipients of the Colorado Works in Weld County Program, and WHEREAS, Employment Services' goal is to assist eligible applicants and recipients under the Colorado Works in Weld County Program obtain and retain unsubsidized employment; and WHEREAS, the Employer desires to participate with Employment Services in a subsidized private sector employment program specifically designed for recipients of Colorado Works in Weld County as an employer and as an instructional training facility for the recipients of the Temporary Assistance for Needy Families participants under the Colorado Works in Weld County Program; and WHEREAS, the Employer and Employment Services desire to work together for the express purpose of providing employment and instructional training for participants under this program. NOW THEREFORE, in consideration of the implementation of these goals, the parties hereby agree to the following: A. Program Definitions Work Supplementation is an employer incentive -based program designed to introduce the participant into the workforce. The employer provides a wage to a participant as an altemative to a Temporary Assistance to Needy Families grant. Colorado Works in Weld County provides training reimbursements of 25% of the gross monthly salary or $300, whichever is less. M:\wpfiles\adm\tanbacx.Jag September 10, 1997 1 971989 Exhibit C The participant is a recipient of aid under the Colorado Works in Weld County programs for which the training reimbursement will apply. Mentoring is a service the employer agrees to provide to assist the participant under the terms of this agreement, resolve related issues and problems and assist the participant's entrance into the work force The work site is the location in which the participant will be out stationed by the Employer. B. Employer Responsibilities 1. Provide for a minimum of three months of unsubsidized, continuous, full time employment for a participant to achieve a complete diversion from a public assistance grant. The Employer will provide participants with wages that are comparable to other employees doing comparable work. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. a. Commit to a forty -hour work week that provides for a combination of work and education. b. Provide training in job specifics, and mentoring of recipients in work ethics and employment retention skills for either continued employment with the Employer or preparation for employment with another employer. Reinforce employer basic skills competency through performance evaluations and/or counseling forms. 1) The employer will provide training directly. 2) Employer Basic Skills Competencies, approved by the Weld County Private Industry Council, is attached and made a part of this Agreement as Attachment A. 3) The Employer is eligible to receive a $300 training allowance for the participant to receive job search skills, interviewing, job specific, and mentoring and employment retention skills at the end of the three-month period. c. Furnish all equipment and materials as deemed reasonably necessary by the Employer to ensure the continued accomplishment of program objectives. d. Provide liability and worker's compensation insurance coverage on the M:\wPfiles\admVannocciag September 10, 1997 2 971969 Exhibit C participant to the same extent as for other employees similarly employed. e. Agree that the Employer is given the final decision in selecting the participant under the terms of this Agreement. f. Provide the same benefits including health insurance, sick leave, holidays, vacation, life insurance and other benefits to the same extent as for other employees similarity employed. g. Accept only the number of participants whom the Employer can utilize productively. h. Not to replace regular full-time or part-time employees with participants under this program. Provide competent supervision, including adequate training, when the job requires the use of equipment and/or procedures that are unfamiliar to the participant. j Abide by all pertinent Department of Labor Laws (Occupational Health and Safety [OHSA], Davis Bacon Act, Child Labor Laws, etc.): The Employer agrees to contact the Special Programs Coordinator of the Employment and Training Program with any questions concerning specific tools or the Child Labor Laws. k. Report to Employment Services within 24 hours when the Employer terminates a participant and documents its reason(s) for the action. Employment Services will determine the sanction status of the participants and make appropriate referrals to the Department of Social Services for eligibility and sanction status. The Employer will complete the attached Work Supplementation Invoice Form and follow the procedures outlined on the Form for reimbursement. The Form is added hereto as Attachment B and is hereby made a part of this Agreement. A separate Invoice will be completed on each participant by the 15th of the following month based on the gross wages paid for the previous month. m. Treat all participants in the same manner as other employees of the Employer, concerning such issues as safety and job performance. n. Immediately contact Employment Services regarding any difficulties the Employer may have concerning the participant's performance, absence or tardiness, etc. M:\wpfites\adm\tan&aac.Jag September 10, 1997 3 971969 Exhibit C o. Participate in any follow-up, monitoring, and evaluation procedures conducted or endorsed by Employment Services. p. Not to do any of the following: 1) promote or deter union organizing 2) charge fees to participants under this Agreement 3) involve participants in sectarian activities 4) involve participants in lobbying activities 5) accept any kickbacks 6) have any conflict of interest under this Agreement, including nepotism 2. Provide with continued subsidy, an additional three months of continuous, full time employment, to those participants who need additional training to continue employment with the Employer. a. The conditions of such employment will continue as described in Item B. 1. a through o of this agreement. b. Employer is eligible to receive a training allowance bonus of $300 in order for the participant to receive additional training at the end of the three- month period. c. The Employer understands that they are expected to continue to employ the participants unless good cause prevents retention. d. The Employer and Employment Services will determine the need of additional training for the participant by, but not limited to, the performance results outlined in fife Basic Work Skills Development Report, and the participant's adherence to responsibilities under the Work Participation Agreement between Employment Services and the participant. B. employment Services Responsibilities 1. Provide the Employer with an orientation session outlining the specific procedures and policies the Employment Services requires that the Employer follow. 2. Encourage participants to apply for available positions with the Employer and assess participants to determine their job readiness for positions with the Employer. 3. Arrange for space for the Employer to interview applicants referred to the Employer. M:\wpfiles\adm\tanhocx jag September 10, 1997 4 9:19£9 Exhibit C 4. Refer, if available, the agreed upon number of participants to the Employer for employment. 5. Complete a Work Supplementation Participation Agreement that outlines programs expectations and responsibilities with participants. The Work Supplementation Participant Agreement is attached hereto and incorporated herein as Attachment C. 6. Provide the Employer a monthly work supplementation fee of 50% of the participant's gross salary for the month. Employment Services shall not be liable for any costs that exceed the agreed upon amount. 7. Provide the Employer a training allowance bonus on behalf of the participant as follows: a. A training allowance bonus of $300 according to the provisions of Item B. 1. of this Agreement. b. A training allowance bonus of $300 according to the provisions of Item B. 2. of this Agreement, if the participant requires an additional three months of participation in the Work Supplementation Program. 8. Assist the Employer, upon the Employer's request, in resolving any possible disputes with the participant. C. Assurances 1. The Employer agrees that it is an independent contractor and that its officers and employees do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees because of the execution of this Agreement. 2. Weld County, The Board of County Commissioners of Weld County, and its officers and employees shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Employer, or its employees, volunteers, or agents, while performing Employer duties as described in this Agreement. The Employer shall indemnify, defend, and hold harmless Weld County, and its officers and employees for any loss occasioned as a result of the performance of this Agreement by the Employer, its employees, volunteers, and agents. 3. The Employer understands that monitoring and evaluation of the performance of this Agreement shall be conducted by Employment Services and the results provided to the Weld County Private Industry Council and the Board of County Commissioners of Weld County. M:\wpfites\adm\tanfaac jag September 10, 1997 5 971269 Exhibit C 4. The Employer assures that it will comply with Title VI of the Civil Rights Act of 1986 and that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under this approved Agreement. D. Performance Performance will be monitored as follows: 1. Retention rates of individuals placed in unsubsidized employment because of participation in the programs is measured by 3 month, 6 months, and 1 year follow-up of participants. 2. Recidivism rates of Colorado Works recipients returning to public assistance from unsubsidized employment with the Employer. D. Modification This Agreement may be modified at any time by a written amendment signed by both parties. E. Termination This Agreement may be terminated at any time by either party giving 48 hour written notice. IN WITNESS THEREOF, the parties hereto have duly executed this Agreement as of the day, month, and year first above written. EMPLOYMENT SERVICES OF WELD COUNTY EMPLOYER Authorized Representative Authorized Representative M:\wpfiles\adm\tan5ocx jag August 20, 1997 971269 Attachment A COLORADO WORKS IN WELD COUNTY BASIC WORK SKILLS DEVELOPMENT REPORT NAME: WORKSITE: DATE REPORT PERIOD: PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 1. Honesty and Integrity -Chooses an ethical course of action -Follows through on commitments -Shows regard for possessions of others -Demonstrates high trust level -Adheres to truth despite consequences , 2. Independent Worker -Independently completes tasks with minimum supervision/assistance -Demonstrates self-starting behavior -Recognizes and responds to situations appropriately -Identifies and solves problems 3. Self Management -Demonstrates readiness to work -Demonstrates initiative -Demonstrates capacity for lifelong, personal growth -Assesses self accurately -Sets personal goals and monitors progress -Exhibits self control 4. Responsible Job Behavior & Positive Work Ethics -Exerts a high level of effort and perseverance toward goal attainment -Works hard to achieve excellence by establiching high standards -Detail oriented -Displays high attendance/ punctuality standards -Willing to approach and complete tasks -Exercises good judgment and takes responsibility for actions -Meets goals within allotted time frame -Distinguishes effectively between competing priorities Y g 1.9f39 PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 5. Completes Work -Completes tasks accurately and within given time frame -Works to meet standards set by employer 6. Team Player -Contributes to group effort through cooperation and consensus -Demonstrates value of team members and encourages their input -Promotes team atmosphere -Accepts responsibility conferred by team -Demonstrates an understanding of others through courtesy, adaptability and empathy -Receptive to change 7. Communicates Effectively -Displays ability to receive and relay information clearly and effectively -Utilizes effective verbal and nonverbal cues -Organizes ideas and communicates oral messages appropriate to listeners and situations -Selects appropriate medium for conveying a message -Understands and responds to instruction 8. Effective Listener -Appropriately responds to verbal meccages -Follows verbal instruction -Acknowledges verbal messages -Asks for clarification if message is unclear -Conveys information accurately 9. Effective Speaker -Clearly and effectively organizes and presents ideas orally -Participates in discussions and conversations -Articulates effectively 971%9 PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 10. Demonstrates Basic Math Skills -Adds, subtracts, multiplies and divides using whole numbers -Adds and subtracts using negative and positive numbers -Changes a number from one form to another, using whole numbers, fractions, decimals or percentages -Approaches practical problems by choosing appropriate mathematical techniques 11. Demonstrates Basic Reading Skills -Locates, understands, and interprets written information in prose and in documents such as manuals, graphs and charts -Recognizes proper placement of a step in a sequence of events -Recognizes cause -effect relationships -Recognizes the application of complex instructions involving several steps to describe situation -Based on context, identifies correct meanings for words ' 12. Demonstrates Basic Writing Skills -Clearly organizes and effectively presents ideas in writing -Writes so that others understand 13. Demonstrates Ability to Perform Basic in Various Work Ambiences -Accepts differences and works well with individuals from diverse backgrounds and/or divergent ideas or philosophies COMMENTS TRAINEE M1wp6Ica dmWsdrdg 9/8/97 DATE WORK SITE SUPERVISOR DATE 971269 WORK SUPPLEMENTATION PROGRAM INVOICE NUMBER Attachment B WSP-3 EMPLOYEE/PARTICIPANT INFORMATION EMPLOYMENT INFORMATION Employee/Participant's name Employer Name Social Security Number Address Job Title and Starting Wage Phone Number Agreement Period Start and End Identification Number 1. I request reimbursement for wages paid for the period of / / To / / 2. Gross Wage Information: $ x 50% = $ 3. Reimbursement requested: 4. Training Bonus Request: 4. CERTIFICATION BY EMPLOYER AND WSP REPRESENTATIVE I request reimbursement in the amount indicated. The information given on this form is correct. I understand that receipt of the requested funds for other than the purposes indicated constitutes fraud punishable under the Penal Code of the United States. Based upon my knowledge of the facts, the employer's statements on this form are correct. Reimbursement to the employer in the amount indicated is recommended. Signature of Employer Date Signature of WSP Representative Date IF FINAL INVOICE, PLEASE ENTER APPROPRIATE TERMINATION REASON CODE TERMINATION REASON CODE: 01 Completed Program Voluntary by Employee 02 Illness or Injury 06 Transportation Problems 03 No Reason Given 07 Type of Work 04 Other Employment 08 Excessive Overtime 05 Child Care Problems 09 Other Distribution: Original - Employment Services of Weld County Copy - Case Manager Copy - Employer Involuntary Termination 10 Layoff (economic reasons) 11 Excessive Absences 12 Disruptive Behavior 13 Substandard Skill Level 14 Other 9'71.!X9 Attachment C WORK SUPPLEMENTATION PARTICIPATION AGREEMENT PART 1 Name Case Name (Complete if different from above) Address (Street Address) (City) State (Zip Code) Phone Number SSN PROGRAM DESCRIPTION The Work Supplementation Program (WSP) is designed to help people receiving a TANF grant to become self-supporting through employment. WSP does not guarantee employment, but WSP is an additional opportunity to gain valuable work skills as well as additional referrals to jobs. The Employer interviewed and hired in accordance with their company's personnel practices. Your TANF Monthly grant amount will be adjusted or discontinued in accordance with TANF eligibility earned income requirements. Based upon wages received from employment, your TANF monthly grant amount will be adjusted or discontinued in accordance with TANF eligibility requirements. Medicaid eligibility will be determined in accordance with current regulations. All work supplementation program employees/participants are considered TANF recipients for thepurpose of child support collections and disbursements. RIGHTS AND RESPONSIBILITIES As a WSP employee/participant my salary will not be less than the Federal minimum wage, and I will receive the same benefits (ie., sick leave, vacations, health insurance, etc.) as other employees of my employer which have the same status (ie., permanent, temporary, etc.) as L. I will be expected to perform work at my job as other employees of my employer at the same level I must notify my ease manager -ofany change in employment status, address, or telephone number as soon as I know of such change. If I have a complaint I will follow my employer's complaint procedures. I also understand that my Case Manager at Employment Services will provide me with additional information for complaints dealing with discrimination. I have read the program description and the rights and responsibilities. I have also read, signed, and understand my responsibilities as outlined in my Individual Responsibility Contract (me. WSP Employee/Participant Date I have witnessed the WSP employee's/participant's signature and have given him/her a copy of this form. I have verified that the above named individual is a recipient of TANF. The TANF grant amount for mo. yr. was S Case Manager Date PART U I have accepted Employment at to begin Date Starting Salary per Agreement Duration through mo/day/yr mo/day/yr WSP Rmployee/Participant Date 9719£9 Exhibit D COLORADO WORKS IN WELD COUNTY PUBLIC SECTOR WORK ACTIVITY AGREEMENT WITH A SPONSOR This Agreement, made and entered into the date written below, by and between the Employment Services of Weld County, hereinafter referred to as "Employment Services" and a public sector employer, hereinafter referred to as the "Sponsor." PURPOSE OF THE AGREEMENT A. It is the purpose of this Agreement to outline a cooperative and non -financial Agreement between Employment Services and the Sponsor in the assignment of Colorado Works in Weld County (CWWC) participant to specific CWWC activities at the Sponsor's work site. B. The Sponsor will provide specific activities for the CWWC participant that lead to the development of basic work habits, enhancement of employment skills through reinforcement of work place skills, and the obtainment of a current work history for the participant. C. As an option, the Sponsor will provide specific training activities that will enhance the participant's job specific skills. COOPERATIVE AND NONFINANCIAL AGREEMENT A. EMPLOYMENT SERVICES AGREES AS FOLLOWS: 1. To refer participants who they believe can perform work activities within the Sponsor's work assignment. 2. To provide a participant for six (6) months or less. 3. To assure that necessary and reasonable transportation and related work expenses are provided to the participant. 4. To provide timely notification to the participant and the Sponsor of the required number of hours of weekly participation. 5. To furnish attendance and performance evaluation report forms which the Sponsor and participant will jointly complete. 6. To maintain communication with the Sponsor concerning participant progress. 7. To assure that Worker's Compensation coverage for the participant is provided by Weld County Government. B. THE SPONSOR AGREES AS FOLLOWS: 1. To provide work activities that will enable the participant to learn vocational skills and gain work experience and, at the option of the Sponsor, job specific training activities. 2. Not to displace regular full-time or part-time employees to fill vacancies with the M:\wpsles\adtn\tanfr iag September 10, 1997 1 9/19f'9 Exhibit D CWWC participants. 3. To not create assignments in situations resulting from a labor dispute, nor which, in any way interfere with union rules. 4. To furnish equipment and materials reasonably necessary to ensure the accomplishment of the project task. 5. To accept only the number of CWWC participants whom the Sponsor can effectively supervise and use productively. 6. To assure competent supervision, including adequate training when the work assignment requires the use of equipment and/or procedures unfamiliar to the participant. 7. To prepare with each CWWC participant monthly attendance sheets certifying the days and number of actual hours spent at the work site. Those reports will be forwarded to Employment Services no later than (3) days after the report period has ended. 8. To grant to the participant the necessary time to report for employment interviews authorized by Employment Services. 9. To provide work assignments in which the participant shall not to exceed eight hours per day. 10. To treat all CWWC participants in the same manner and under the same rules as employees of the Sponsor concerning such issues as hours of work, safety, and job performance. 11. To inform each CWWC participant of the rules at the time of initial placement. 12. To contact Employment Services immediately in the event the CWWC participant fails to participate under the terms of the Assignment Agreement. 13. To complete a performance report that focuses on work place skills with each CWWC participant per arrangement with Employment Services. Such reports shall be prepared at a minimum of every two months and at the end of the participant's assignment at the work site. The form for the performance report is set forth in Attachment A. 14. To assure that the participant will not be subject to racial, ethnic, sexual, or religious discrimination. 15. To release immediately and return to Employment Services a participant whose conduct becomes excessively disruptive, or who consistently violates the rules and regulations. The Sponsor will provide Employment Services an explanation of the participant's release. 16. To respect the participant's rights to confidentially on being a CWWC participant. 17. To follow the procedures as provided by Employment Services for any worker's compensation coverage. The worker's compensation coverage procedure is Attachment B. PARTICIPANT AND WORK ASSIGNMENT INFORMATION A. Number of participants that the Sponsor can properly use: B. If a CWWC participant demonstrates ability and desire, is there a possibility of employment with the Sponsor? C. Work Activity Title: M:\wpfiles\adm\tanfpjag September 10, 1997 2 9710f39 Exhibit D Work Activity Skill Development Description: D. Work Activity Title: Work Activity Skill Development Description: JOB SPECIFIC TRAINING COMPONENT (OPTIONAL) A. Job Specific Training Title: B. Employment Services will reimburse the Sponsor a maximum training allowance of $1500 for the participant as described as follows: C. The Sponsor will outline the method by which the Sponsor will provide the training and how the participant will satisfactorily attain the job specific training. The Sponsor may provide the training directly or through a training provider(s). A training provider must be authorized by Empoyment Services and may include, but not limited to, a community college, proprietary school, post secondary school, private non profit organization, private for profit organization, public or charter sell -061. Employment Services will provide a list of authorized training providers for the Sponsor. DATE OF AGREEMENT, TERMINATION PROVISION, AND SIGNATURES The effective date of this agreement is The Sponsor or Employment Services may terminate this Agreement by giving written notice anytime. SPONSOR: EMPLOYMENT SERVICES: Sponsor: Employment Services of Weld County M:\wpfiles\adm\tanfp.lag September 10, 1997 3 971)439 Exhibit D Address: P.O. Box 1805; 1551 North 17th Avenue Greeley, Colorado 80632 By: By: Contact Person: Contact Person: Telephone: Telephone: Attachment A: Participant Performance Report (Basic Work Skills Development Report) Attachment B: Worker's Compensation Coverage Procedures Distribution: Original: Employment Services of Weld County Yellow: CWWC Sponsor M:\wpfiles\adm\tanfp.jag September 10, 1997 4 371.3f39 Attachment A COLORADO WORKS IN WELD COUNTY BASIC WORK SKILLS DEVELOPMENT REPORT NAME: WORKSITE: DATE REPORT PERIOD: PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 1. Honesty and Integrity -Chooses an ethical course of action -Follows through on commitments -Shows regard for possessions of others -Demonstrates high trust level -Adheres to truth despite consequences 2. Independent Worker -Independently completes tasks with minimum supervision/assistance -Demonstrates self-starting behavior -Reco VI irs and responds to situations appropriately -Identifies and solves problems 3. Self Management -Demonstrates readiness to work -Demonstrates initiative -Demonstrates capacityfor lifelong personal growth -Assesses self accurately -Sets personal goals and monitors progress -Exhibits self control 4. Responsible Job Behavior & Positive Work Ethics -Exerts a high level of effort and perseverance toward goal attainment -Works hard to achieve excellence by establishing high standards -Detail oriented -Displays high attendance/ punctuality standards -Willing to approach and complete tasks -Exercises good judgment and takes responsibility for actions -Meets goals within allotted time frame -Distinguishes effectively between competing priorities 9'71.969 PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 5. Completes Work -Completes tasks accurately and within given time frame -Works to meet standards set by employer 6. Team Player -Contributes to group effort through cooperation and consensus -Demonstrates value of team members and encourages their input -Promotes team atmosphere -Accepts responsibility conferred by team -Demonstrates an understanding of others through courtesy, adaptability and empathy -Receptive to change 7. Communicates Effectively -Displays ability to receive and relay information clearly and effectively -Utilizes effective verbal and nonverbal cues -Organizes ideas and communicates oral messages appropriate to listeners and situations -Selects appropriate medium for conveying a message -Understands and responds to instruction 8. Effective Listener -Appropriately responds to verbal messages -Follows verbal instruction -Acknowledges verbal messages -Asks for clarification if message is unclear -Conveys information accurately 9. Effective Speaker -Clearly and effectively organizes and presents ideas orally -Participates in discussions and conversations -Articulates effectively 971."'69 PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 10. Demonstrates Basic Math Skills -Adds, subtracts, multiplies and divides using whole numbers -Adds and subtracts using negative and positive numbers -Changes a number from one fonn to another, using whole numbers, fractions, decimals or percentages -Approaches practical problems by choosing appropriate mathematical techniques 11. Demonstrates Basic Reading Skills -Locates, understands, and interprets written information in prose and in documents such as manuals, graphs and charts -Recognizes proper placement of a step in a sequence of events -Recognizes cause -effect relationships -Recognizes the application of complex instructions involving several steps to describe situation -Based on context, identifies correct meanings for words 12. Demonstrates Basic Writing Skills -Clearly organizes and effectively presents ideas in writing -Writes so that others understand 13. Demonstrates Ability to Perform Basic in Various Work Ambiences -Accepts differences and works well with individuals from diverse backgrounds and/or divergent ideas or philosophies COMMENTS TRAINEE DATE WORK SITE SUPERVISOR MAwp61al.dmWadrjg 9/8/97 Attachment B EMPLOYMENT SERVICES OF WELD COUNTY WORKERS' COMPENSATION The following are the policies and procedures for Workers' Compensation: 1. Trainees in a public or private sector work activity program under the Colorado Works in Weld County Program are covered by the Workers' Compensation Act which is provided under Weld County Government. The coverage under Workers' Compensation provides that a CWCC participant receiving a job related disease or injury will be eligible for disability income and medical care. 2. If an injury occurs during training/work hours, you as the work site supervisor are directed to immediately report that injury on the day that it occurs to Employment Services of Weld County at 353-3800. If the injury is after hours or on a weekend, please notify Employment Services the next available working day. 3. All work site supervisors must know and be able to provide to the trainees the procedures to follow when an injury occurs. 4. All work related injuries occurring during daily working hours are to be treated at the North Colorado Occupational Medicine Clink located at North Colorado Medical Center, 1801 16th Street (if using the main entrance, the information desk can direct employees to the clinic). This clinic is open from 7:30 a.m. until 4:00 p.m., Monday through Friday. The Clinic staff will determine if immediate attention is necessary or if an appointment can be established in the near future. For hours other than 7:30 a.m. through 4:00 p.m., Monday through Friday, employees are to go to the emergency room at the same address. The claim may be denied if the participant goes to a private physician. The only exception will be if the injury is severe enough to require the use of an ambulance in which case the injured party will be taken to the nearest medical facility. Payment will not be made for any chiropractic service. 5. Before the injured trainee is allowed to return to work, a written release is required from the physician stating the trainee can -return -to work. The trainee's agreement with Employment Services of weld County will be immediately terminated if it is determined by the Weld County Personnel staff that the trainee has fraudulently claimed an injury or illness under Workers' Compensation. The Weld County Personnel Office will determine if further legal action will be pursued. Trainee Signature Date Employer Signature Date White Copy: File 21-97-5032 Yellow Copy: Trainee Pink Copy: Employment Site 9719£+9 Atachment C COLORADO WORKS IN WELD COUNTY PUBLIC SECTOR WORK ACTIVITY ASSIGNMENT AGREEMENT WITH PARTICIPANT Based upon the Individual Responsibility Contract (IRC), Employment Services has determined that your participation in the Public Sector Work Activity Program is a step toward your employment goals. The purpose of the Public Sector Work Activity Program is to provide you the opportunity to develop basic work habits, enhance employment skills through the reinforcement of your work place skills, and obtain current work history. Your participation in these activities will help you obtain employment. Employment Services will assign you to a "Sponsor." A Sponsor is a public sector employer. YOUR RESPONSIBILITIES AND RIGHTS ARE AS FOLLOWS: Employment Services will require that you participate in the Public Sector Work Activity Program as a condition for continued Colorado Works and food stamp eligibility, as applicable. Employment Services will expect you to: A. Observe the work site hours and rules as established by the Sponsor. B. Attend all job interviews arranged by your Employment Services case manager even if scheduled while you are on the work site. C. Talk with your Sponsor's assigned supervisor and Employment Services case manager regarding your progress or work site problems. D. Notify your Employment Services case manager immediately if you believe you have good cause for not participating in or continuing your work activity assignment. -WORK ACTIVITY SPONSOR WILL PROVIDE AS FOLLOWS: A. Orientation to the work activity site rules and regulations B. Assign you to a work activity assignment that you could perform. C. Supervise you and provide the necessary equipment or supplies to enable you to do your work assignment. D. Prepare with you a record of your days and hours of attendance. E. Prepare your performance report every two months and upon completion of your work activity. F. Provide the necessary time to attend job interviews that Employment Services arranges. EMPLOYMENT SERVICES OF WELD COUNTY WILL PROVIDE AS FOLLOWS: A. Necessary and reasonable transportation expenses for you as identified on the IRC. B. Work related expenses necessary for you to participate in your assignment. C. The number of hours per week that Employment Services will require you to participate in this work activity. Employment Services will calculate the number of hours by dividing your Colorado Works and Food Stamp grant amounts by the comparable wage of other comparable M:\wpfiles\adm\tanfp jag September 10, 1997 1 371.969 Atachment C work assignments by the Sponsor. D. An adjustment to the number of hours Employment Services requires that you participate if your Colorado Works and Food Stamp grant amount changes. E. An opportunity for you to volunteer to add to your weekly hours at the work activity. COLORADO WORKS IN WELD COUNTY PARTICIPANT ATTESTATION IS AS FOLLOWS: By signing this form, I attest that Employment Services has explained the above Public Sector Work Activity Program Agreement and a copy of this Assignment Agreement has been provided to me. I understand that this agreement may be up to six months and Employment Services will require that I continue in a work activity as assigned by my Employment Services case manager for continued Colorado Works eligibility. I understand that the maximum number of hours of participation in the public work activity will be no greater than my monthly Colorado Works and Food Stamp Grant divided by the Sponsor's comparable wage. I understand that I may volunteer to participate in the work activity for additional hours during the week; however, I am not required to participate in more hours. I understand that Worker's Compensation will cover me in case of an accident at the work site and I must follow the prescribed process. This process is provided by my Employment Services case manager. I also understand that I must be in an approved work activity for a minimum number of required hours and, if the Public Sector Work Activity Program does not meet this minimum requirement, I will also have to participate in the other Colorado Works programs or components as defined on my IRC. I understand that failure to participate without good cause will affect my Colorado Works and Food Stamp eligibility, as applicable. Witness: CWWC Participant Date Employment Services Participant's Social Security Number: WORK ACTIVITY ASSIGNMENT IS AS FOLLOWS: A. Title of Work Activity Assignment: B. Location of Sponsor's Work Site: C. Telephone Number of Sponsor: D. Work Activity Supervisor: E. Beginning Date of Assignment: F. Required Hours of Participation: M:\wpfiles\adm\tanfpjag September 10, 1997 2 per week. 971S63 Atachment C G. Volunteer Hours of Participation: per week. PARTICIPANT ACKNOWLEDGMENT TO PERFORM PHYSICALLY THE WORK ASSIGNMENT IS AS FOLLOWS: To the best of my knowledge, I am physically able to perform this assignment. Witness: CWWC Participant Date Employment Services Distribution: Original: Employment Services Yellow: Colorado Works Participant Pink: Sponsor M:\wpfiles‘adm\tanfp;jag September 10, 1997 3 971.9C9 Exhibit E COLORADO WORKS IN WELD COUNTY PRIVATE SECTOR WORK ACTIVITY AGREEMENT WITH A SPONSOR This Agreement, made and entered into the date written below, by and between the Employment Services of Weld County, hereinafter referred to as "Employment Services" and a private sector employer, hereinafter referred to as the "Sponsor." PURPOSE OF THE AGREEMENT A. It is the purpose of this Agreement to outline a cooperative and non -financial Agreement between Employment Services and the Sponsor in the assignment of Colorado Works in Weld County (CWWC) participants to specific activities at the Sponsor's work site. B. The Sponsor will provide specific activities for the CWWC participant that leads to the development of basic work habits, enhancement of employment skills through reinforcement of work place skills, and the obtainment of a current work history for the CWWC participant. C. As an option, the Sponsor will provide specific training activities that will enhance the CWWC participant's job specific skills. COOPERATIVE AND NONFINANCIAL AGREEMENT A. EMPLOYMENT SERVICES AGREES AS FOLLOWS: 1. To refer CWWC participants who they believe can perform work activities within the Sponsor's work assignment. 2. To provide a CWWC participant for six (6) months or less. 3. To assure that necessary and reasonable transportation and related work expenses are provided to the CWWC participant. 4. To provide timely notification to the CWWC participant and the Sponsor of the required number of hours of weekly participation. 5. To furnish attendance and performance evaluation report forms which the Sponsor and CWWC participant will jointly complete. 6. To maintain communication with the Sponsor concerning CWWC participant progress. 7. To assure that Worker's Compensation coverage for the CWWC participant is provided by Weld County Government. B. THE SPONSOR AGREES AS FOLLOWS: 1. To provide work activities that will enable the CWWC participant to learn vocational M:\wpfiles\fiomlindajc 1 September 10, 1997 ✓ ! 1.?Li9 Exhibit E skills and gain work experience and, at the option of the Sponsor, job specific training activities. 2. To not displace regular full-time or part-time employees to fill vacancies with the CWWC participants. 3. To not create assignments in situations resulting from a labor dispute, nor which, in any way interfere with union rules. 4. To furnish equipment and materials reasonably necessary to ensure the accomplishment of the project task. 5. To accept only the number of CWWC participants whom the Sponsor can effectively supervise and utilize productively. 6. To assure competent supervision, including adequate training when the work assignment requires the use of equipment and/or procedures unfamiliar to the CWWC participant. 7. To prepare with each CWWC participant monthly attendance sheets certifying the days and number of actual hours spent at the worksite. Those reports will be forwarded to Employment Services no later than (3) days after the report period has ended. 8. To grant to the CWWC participant the necessary time to report for employment interviews authorized by Employment Services. 9. To provide work assignments in which the CWWC participant shall not exceed eight hours per day. 10. To treat all CWWC participants in the same manner and under the same rules as employees of the Sponsor concerning such issues as hours of work, safety, and job performance. 11. To inform each CWWC participant of the rules at the time of initial placement. 12. To contact Employment Services immediately in the event the CWWC participant fails to participate under the terms of the Assignment Agreement. 13. To complete a performance report that focuses on work place skills with each CWWC participant per arrangement with Employment Services. Such reports shall be prepared at a minimum of every two months and at the end of the CWWC participant's assignment at the worksite. The form for the performance report is set forth in Attachment A. 14. To assure that the CWWC participant will not be subject to racial, ethnic, sexual, or religious discrimination. 15. To release immediately and return to Employment Services a CWWC participant whose conduct becomes excessively disruptive, or who consistently violates the rules and regulations. The Sponsor will provide Employment Services an explanation of the CWWC participant's release. 16. To respect the CWWC participant's rights to confidentially on being a CWWC participant. 17. To follow the procedures as provided by Employment Services for any worker's compensation coverage. The worker's compensation coverage procedure is Attachment B. CWWC PARTICIPANT AND WORK ASSIGNMENT INFORMATION A. Number of CWWC participants that the Sponsor can properly utilize: M:\wpfileAfromlind.ajc 2 September 10, 1997 971.9C9 Exhibit E B. If a CWWC participant demonstrates ability and desire, is there a possibility of employment with the Sponsor? . C. Work Activity Title: Work Activity Skill Development Description: D. Work Activity Title: Work Activity Skill Development Description: JOB SPECIFIC TRAINING COMPONENT (OPTIONAL) A. Job Specific Training Title: B. Employment Services will reimburse the Sponsor a maximum training allowance of $1,500 for a the CWWC participant as described as follows: C. The Sponsor will outline the method by which the Sponsor will provide the training and how the CWWC participant will satisfactorily attain the job specific training. The Sponsor may provide the training directly or through a training provider(s). A training provider must be authorized by Employment Services and may include, but not limited to, a community college, proprietary school, post secondary school, private non profit organization, private for profit organization, public or charter school. Employment Services will provide a list of authorized training providers for the Sponsor. DATE OF AGREEMENT, TERMINATION PROVISION, AND SIGNATURES The effective date of this agreement is The Sponsor or Employment Services may terminate this Agreement by giving written notice anytime. M:\wpfiles\fiomlind.ajc Scptcmber 10, 1997 3 9719%9 Exhibit E SPONSOR: EMPLOYMENT SERVICES: Sponsor: Employment Services of Weld County Address: P.O. Box 1805; 1551 North 17th Avenue Greeley, Colorado 80632 By: By: Contact Person: Contact Person: Telephone: Telephone: Attachment A: CWWC participant Performance Report Attachment B: Worker's Compensation Coverage Procedures Distribution: Original: Employment Services of Weld County Yellow: CWWC Sponsor MAwpfiles\fromlind.ajc September 10, 1997 4 97199 Attachment A COLORADO WORKS IN WELD COUNTY BASIC WORK SKILLS DEVELOPMENT REPORT NAME: WORKSITE: DATE REPORT PERIOD: PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 1. Honesty and Integrity -Chooses an ethical course of action -Follows through on commitments -Shows regard for possessions of others -Demonstrates high trust level -Adheres to truth despite consequences 2. Independent Worker -Independently completes tasks with minimum supervision/assistance -Demonstrates self-starting behavior -Recognizes and responds to situations appropriately -Identifies and solves problems . 3. Self Management -Demonstrates readiness to work -Demonstrates initiative -Demonstrates capacityfor lifelong; personal growth -Assesses self accurately -Sets personal goals and monitors progress -Exhibits self control 4. Responsible Job Behavior & Positive Work Ethics -Exerts a high level of effort and perseverance toward goal attainment -Works hard to achieve excellence by establishing high standards -Detail oriented -Displays high attendance/ punctuality standards -Willing to approach and complete tasks -Exercises good judgment and takes responsibility for actions -Meets goals within allotted time frame -Distinguishes effectively between competing priorities 9719C9 PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 5. Completes Work -Completes tasks accurately and within given time frame -Works to meet standards set by employer 6. Team Player -Contributes to group effort through cooperation and consensus -Demonstrates value of team members and encourages their input -Promotes team atmosphere -Accepts responsibility conferred by team -Demonstrates an understanding of others through courtesy, adaptability and empathy -Receptive to change 7. Communicates Effectively -Displays ability to receive and relay information clearly and effectively -Utilizes effective verbal and nonverbal cues -Organizes ideas and communicates oral messages appropriate to listeners and situations -Selects appropriate medium for conveying a message -Understands and responds to instruction 8. Effective Listener -Appropriately responds to verbal messages -Follows verbal instruction -Acknowledges verbal messages -Asks for clarification if message is unclear -Conveys information accurately 9. Effective Speaker -Clearly and effectively organizes and presents ideas orally -Participates in discussions and conversations -Articulates effectively 1.903 PERFORMANCE STANDARDS NOT MEASURED MEETS STANDARD NEEDS IMPROVEMENT COMMENTS 10. Demonstrates Basic Math Skills -Adds, subtracts, multiplies and divides using whole numbers -Adds and subtracts using negative and positive numbers -Changes a number from one form to another, using whole numbers, fractions, decimals or percentages -Approaches practical problems by choosing appropriate mathematical techniques 11. Demonstrates Basic Reading Skills -Locates, understands, and interprets written information in prose and in documents such as manuals, graphs and charts -Recognizes proper placement of a step in a sequence of events -Recognizes cause -effect relationships -Recognizes the application of complex instructions involving several steps to describe situation -Based on context, identifies correct meanings for words 12. Demonstrates Basic Writing Skills -Clearly organizes and effectively presents ideas in writing -Writes so that others understand 13. Demonstrates Ability to Perform Basic in Various Work Ambiences -Accepts differences and works well with individuals from diverse backgrounds and/or divergent ideas or philosophies COMMENTS TRAINEE MlwpfiIc iadebsdrdg 9/8/97 DATE WORK SITE SUPERVISOR DATE 97j.9c'9 Attachment B EMPLOYMENT SERVICES OF WELD COUNTY WORKERS' COMPENSATION The following are the policies and procedures for Workers' Compensation: 1. Trainees in a public or private sector work activity program under the Colorado Works in Weld County Program are covered by the Workers' Compensation Act which is provided under Weld County Government. The coverage under Workers' Compensation provides that a CWCC participant receiving a job related disease or injury will be eligible for disability income and medical care. 2. If an injury occurs during training/work hours, you as the work site supervisor are directed to immediately report that injury on the day that it occurs to Employment Services of Weld County at 353-3800. If the injury is after hours or on a weekend, please notify Employment Services the next available working day. 3. All work site supervisors must know and be able to provide to the trainees the procedures to follow when an injury occurs. 4. All work related injuries occurring during daily working hours are to be treated at the North Colorado Occupational Medicine Clinic located at North Colorado Medical Center, 1801 16th Street (if using the main entrance, the information desk can direct employees to the clinic). This clinic is open from 7:30 a.m. until 4:00 p.m., Monday through Friday. The Clinic staff will determine if immediate attention is necessary or if an appointment can be established in the near future. For hours other than 7:30 a.m. through 4:00 p.m., Monday through Friday, employees are to go to the emergency room at the same address. The claim may be denied if the participant goes to a private physician. The only exception will be if the injury is severe enough to require the use of an ambulance in which case the injured party will be taken to the nearest medical facility. Payment will not be made for any chiropractic service. 5. Before the injured trainee is allowed to return to work, a written release is required from the physician stating the trainee can return to work. The trainee's agreement with Employment Services of weld County will be immediately terminated if it is determined by the Weld County Personnel staff that the trainee has fraudulently claimed an injury or illness under Workers' Compensation. The Weld County Personnel Office will determine if further legal action will be pursued. Trainee Signature Date Employer Signature White Copy: File 21-97-5032 Yellow Copy: Trainee Date Pink Copy: Employment Site 971'?r'9 Attachment C COLORADO WORKS IN WELD COUNTY PRIVATE SECTOR WORK ACTIVITY ASSIGNMENT AGREEMENT WITH CWWC PARTICIPANT Based upon the Individual Responsibility Contract (IRC), Employment Services has determined that your participation in the Private Sector Work Activity Program is a step toward your employment goals. The purpose of the Private Sector Work Activity Program is to provide you the opportunity to develop basic work habits, enhance employment skills through the reinforcement of your work place skills, and obtain current work history. Your participation in these activities will help you obtain employment. Employment Services will assign you to a "Sponsor." A Sponsor is a private sector employer. YOUR RESPONSIBILITIES AND RIGHTS ARE AS FOLLOWS: Employment Services will require that you participate in the Private Sector Work Activity Program as a condition for continued Colorado Works and food stamp eligibility, as applicable. Employment Services will expect you to: A. Observe the work site hours and rules as established by the Sponsor. B. Attend all job interviews arranged by your Employment Services case manager even if scheduled while you are on the work site. C. Talk with your Sponsor's assigned supervisor and Employment Services case manager regarding your progress or work site problems. D. Notify your Employment Services case manager immediately if you believe you have good cause for not participating in or continuing your work activity assignment. WORK ACTIVITY SPONSOR WILL PROVIDE AS FOLLOWS: A. Orientation to the work activity site rules and regulations B. Assign you to a work activity assignment that you could perform. C. Supervise you and provide the necessary equipment or supplies to enable you to do your work assignment. D. Prepare with you a record of your days and hours of attendance. E. Prepare your performance report every two months and upon completion of your work activity. F. Provide the necessary time to attend job interviews that Employment Services arranges. EMPLOYMENT SERVICES OF WELD COUNTY WILL PROVIDE OR ARRANGES AS FOLLOWS: A. Necessary and reasonable transportation expenses for you as identified on the IRC. B. Work related expenses necessary for you to participate in your assignment. C. For the number of hours per week that Employment Services will require you to participate in this work activity. Employment Services will calculate the number of hours by dividing your Colorado Works and Food Stamp grant amounts by the comparable wage of other comparable work assignments by the Sponsor. M:\wpfiles\fmmlind.ejc September 10, 1997 1 971969 Attachment C D. An adjustment to the number of hours Employment Services requires that you participate if your Colorado Works and Food Stamp grant amount changes. COLORADO WORKS IN WELD COUNTY CWWC participant ATTESTATION IS AS FOLLOWS: By signing this form, I attest that Employment Services has explained the above Private Sector Work Activity Program Agreement and a copy of this Assignment Agreement has been provided to me. I understand that this agreement may be up to six months and Employment Services will require that I continue in a work activity as assigned by my Employment Services case manager for continued Colorado Works eligibility. I understand that the maximum number of hours of participation in the private work activity will be no greater than my monthly Colorado Works and Food Stamp Grant divided by the Sponsor's comparable wage. I understand that Worker's Compensation will cover me in case of an accident at the work site and I must follow the prescribed process. This process is provided by my Employment Services case manager. I also understand that I must be in an approved work activity for a minimum number of required hours and, if the Private Sector Work Activity Program does not meet this minimum requirement, I will also have to participate in the other Colorado Works programs or components as defined on my IRC. I understand that failure to participate without good cause will affect my Colorado Works and Food Stamp eligibility, as applicable. Witness: CWWC participant Date Employment Services CWWC participant's Social Security Number: WORK ACTIVITY ASSIGNMENT IS AS FOLLOWS: A. Title of Work Activity Assignment: B. Location of Sponsor's Work Site: C. Telephone Number of Sponsor: D. Work Activity Supervisor: E. Beginning Date of Assignment: F. Required Hours of Participation: per week. CWWC PARTICIPANT ACKNOWLEDGMENT TO PERFORM PHYSICALLY HIE WORK ASSIGNMENT IS AS FOLLOWS: M:\wpfiles\froml ind.ajc September 10, 1997 2 971.9£19 Attachment C To the best of my knowledge, I am physically able to perform this assignment. Witness: CWWC participant Date Employment Services Distribution: Original: Employment Services Yellow: CWWC participant Pink: Sponsor M:\wpfiles\fromlind.ajc September 10, 1997 3 971.96,9 Initial contact. (Phone, referral, walk-in, etc.) at Social Services Receptionist determines purpose of visit Direct to appropriate person Yes Individual to see specific person or program WELD WORKS TANF Process Flow Chart Determine interest or need Meet With Social Services Screamer Determination of initial eligibility. Determination of TANF type Provide SPA 1 end assist incompleting. Assign Household Number Fraud detection Determine needs (I.e.. child care. child support. etc.) Initial determination or exemption Applying for TANF Provide SPA, ii and arrange appointment for SPA 11 eligibility determination, child care rangements. child support arrangements, EPSOT, EST training. etc. SS arranges day owe and other supportive services brtheiadNdual to anon. participation while Sear - - sppiationk --- pending ekgibifly gPoval SS arranges daycare, end other sopportive services Register with ES ( ment of education levels, work skills, work history etc. Complete Job Match and provide job referrals. Individual meets with case manager. IRC developed outlining requirements while application for assistance is. pending eligibility determination. Case manager arranges basic activities appropriate for Individual. (IRC Skill Development) DEFINITIONS EBT - Electronic Bandit Transfer EPSDT - Early Periodic Screening and Diagnostic Testing ES - Employment Services IRC - Individual Responsibility Contract OJT - On the Job Training SPA 1811 -Application for Assistance SS- Serial Services TANF - Temporary Assistance for Needy Pamlico YES Retorted to ES for revision of IRC to include auth:nred work scarily (Job Search, Job Tiering, School, etc.) or ether training rampanent. raviduala NI undergo more thalerph eaasmal which may include adbsenal (mining stinkers. Diropr to) p service as \\\\CDervitt Exemptions Kids Only SSI Kids 551 Adults? 4r l Exhibit ,F individual returns SPA II and SS determines eligibility and develops IRC stipulating requirement to register with ES and participate in activities while application pending Social Services monitors through ongoing caseload and keeps back of exemption time period Social Services determines exemption status and length of exemption Arrangement for Child Care, Child Support, and Primary Care Provider SS develops IRC regarding participation requirements SS works with r1lvidual b resolve exemption and Valise )0( individual for participation Information regarding participation, new supportive service needs, employment Information, etc. rayed to Social Services as needed. Social Services completes case closures, sanctions, exemptions that may arise, etc. 3711."x4'9 Colorado Works in Weld County and Child Care Policies and Procedures Exhibit G Page 1 of 4 CLIENT BASELINE INFORMATION FOR COLORADO WORKS IN WELD COUNTY A. Characteristics of AFDC Participants On May 1, 1997, the Weld County Department of Social Services reviewed the demographic characteristics (estimates) of its AFDC caseload: Caseload Size May 1, 1997 - 1264 November 1, 1994 - 1810 November 1, 1992 - 1850 Adults Number of cases with Adult Payee - 1052 Female 95% Male 5% Average Household Size 1 Adult and 2 children Average AFDC Grant $303.00 );ducation Approximately 50% of the total number of AFDC Parents have less than a 12th grade education. Approximately 49% of the total number of AFDC Parents are deficient in reading and math skills at the 9th grade level. Age of Recipients Children (total 24471 Age Less than 1 1 through 5 6 through 10 11 through 15 16 through 18 M:\wpfilesWnf.iag September 8, 1997 Percent 10% or 245 35% or 856 30% or 734 21% or 514 4% or 98 Caretakers Ages Percent 13 through 17 2% 18 through 19 7% 20 through 29 48% 30 through 39 33% 40+ 10% 971969 Colorado Works in Weld County and Child Care Policies and Procedures Exhibit G Page 2 of 4 Children Pre-school Age School Age 2631 45% or 1101 55% or 1346 thnic AFDC Caseload: Hispanic - 62% White - 37% Other - 1% Weld County Population: Hispanic - 21 % White - 77% Other - 2% Pregnant 7% or approximately 87 AFDC Family Location 71 % -- Greeley Area 20 % -- South Weld 5.5 % -- West Weld 2.5 % -- North Weld 1 % -- Kersey (Greeley, Eaton, Evans, Garden City, La Salle) (Dacono, Erie, Firestone, Fort Lupton, Frederick, Gilcrest, Hudson, Johnstown, Keenesburg, Lochbuie, Mead, Milliken, Platteville.) (Windsor, Severance) (Ault, Grover, Nunn, Pierce, New Raymer) Length of Time on AFDC 13.7 months was the average time thata person had received AFDC. This is determined by calculating the number of months backwards after closure. It does not take into consideration if someone had received benefits previously. Approximately 40 percent of new applicants have received assistance previously. Significant and often identified barriers to employment for AFDC recipients: 1. Transportation 2. Child Care 3. Physical limitations - disabilities 4. Disabled Children 5. Drug and alcohol problems 6. Domestic violence 7. Family size 8. Unwed teen age moms 9. Experience and attitude 10. Skills and aptitude M:\wpfiles\tanf.jag September 8, 1997 971.9€3 Colorado Works in Weld County and Child Care Policies and Procedures Exhibit G Page 3 of 4 11. Other health problems B. Child Welfare Baseline Statistics From May 1, 1997 through May 31, 1997, the number of child welfare cases that also had AFDC involvement was 91 out of approximately 980. This breaks down into 25 open ongoing child protection cases, 38 open intake child protection cases, 16 open youth in conflict cases and 12 referrals that did not result in a case being opened. C. Baseline Information for Child Care 1. Characteristics of Participants from demographic reports of April 1997 a. 14.7% of the families on the low income program remain on the program less than 6 months. b. 7% of the families on the low income program remain on the program less than 12 months. c. 24.4% of the families on the low income program continue the program more than 24 months. d. 18.1% of the families receiving child care for JOBS/New Directions remain on the child care program for less than 6 months. e. 4% of the families receiving child care for JOBS/New Directions remain on the child care program for less than 12 months. f There are no families receiving child care benefits for more than 24 months under the JOBS/New Directions program. g. Transitional child care recipients did not remain on the program for more than 12 months and then approximately 90% of those families moved into the low- income child care program. h. Services were provided to 782 children under the low-income program, 179 children under the JOBS program, 88 children under the transitional child care program, and 86 children under the special circumstances/protective services program. The average number of children served were two -parent families, and the remaining 91% were single -parent applicants. I. For the low-income population, 9% of the families served were two -parent families, and the remaining 91% were single -parent applicants. j. Expenditures were as follows: $185,208.07 for all child care programs combines; $143,764.91 was spent on low-income; $201235.23 on JOBS; $11,403.66 on transitional child care; and $9,804.27 on Special Circumstance child care. k. The demographic break down for facility care is as follows: M:\wpfiles\tanf.jag September 8, 1997 9719E-19 Colorado Works in Weld County and Child Care Policies and Procedures Exhibit G Page 4 of 4 1) Low Income Child Care: 62.7% use licensed center care 23.7% use licensed childcare homes 13.4% use exempt/unlicensed/relative care 2) JOBS/New Directions Child Care: 61.97% use licensed center care 12.5% use licensed child care homes 25.3% use exempt/unlicensed/relative care 3) Transitional Child Care: 46.8% use licensed center care 28.1% use licensed child care homes 25.0% use exempt/unlicensed/relative care 4) Special Circumstance Child Care: 81.8% use licensed center care 18.25 use licensed child care homes Not applicable for exempt/unlicensed/relative care M:\wpfiles\tantjag September 8, 1997 971969 Enclosed are the contracts for the Child Care Capacity Building Grant. The commissioners have previously approved our application for the grant. The five copies need to be signed and returned to the State Department. The State Department will then send one back after the signature process. The term of the contract is from July 1, 1997 through June 30, 1998. The contract is for $60,000.00. � l..9F9 COLORADO MEMORANDUM DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (970) 352-1551 Child Support (970) 352-6933 Protective and Youth Services (970) 352-1923 Food Stamps (970) 356-3850 Fax (970) 353-5215 TO: George E. Baxter, Chair Date: September 8, 1997 Board of County Commissioners %� FR: Judy A. Griego, Director, Social ServicesjV 0 0110 RE: Weld County Department of Social Servic4 Operations Manual and Section 6.000 of the Manual The Weld County Department of Social Services is requesting approval of the creation of Department's Operations Manual as follows: 1. The State of Colorado outlines the administration and programs of the Weld County Department of Social Services in State statutes. 2. The State Board of Human Services, appointed by the Governor, is responsible for establishing administrative program regulations according to State law. 3. The Board of Social Services is responsible for implementing State Board regulations and developing county policies for the operation of the Weld County Department of Social Services. 4. The Board of Weld County Commissioners serves as the Board of Social Services. Also, enclosed for Board approval is Section 6.000 of the Department's Operations Manual that outlines certain policy and procedures for the Colorado Works in Weld County Program. The Board's adoption of these policies and procedures will assist the Department in the local interpretation of the Colorado Works Program Act and the Colorado Child Care Assistance Program law and regulations. If you have any questions, please telephone me at extension 6200. 971969 Hello