HomeMy WebLinkAbout991268.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR CORE
SERVICES FUNDS AND AUTHORIZE CHAIR TO SIGN - FIRST STEPS OF WELD
COUNTY, INC.
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Notification of Financial Assistance
Award for Core Services Funds between 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, and First Steps of Weld County, Inc., commencing June 1, 1999, and ending May 31,
2000, with further terms and conditions being as stated in said award, and
WHEREAS, after review, the Board deems it advisable to approve said award, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, ex-officio Board of Social Services, that the Notification of Financial
Assistance Award for Core Services Funds between 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, and First Steps of Weld County, Inc., be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 2nd day of June, A.D., 1999, nunc pro tunc June 1, 1999.
BOARD OF COUNTY COMMISSIONERS
D OUNTYDO
ATTEST: 4J4S & #4
Weld County Clerk to th-Y'o-
f 1861 r Y '..z XCUSED DATE OF SIGNING (AYE)
arbara J. Kirkmeyer, Pro-Tem
Deputy Clerk to the Boar , • ` •\—i EXCUSED D TE OF SIGNING _ (AYE)
George E. xter
R E S TO FORM: l
. J. eile//
my A orney O _41,
lenn Vaad
991268
c C-. SS 550026
0:1?\11 .47:5-11
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY, CO 80632
Administration and Public Assistance (970)352-1551
Child Support(970)352-6933
O Protective and Youth Services (970)352-1923
COLORADO
MEMORANDUM
TO: Dale K. Hall, Chair Date: May 24, 1999
Board of County Commissioners //
FR: Judy A. Griego, Director, and Social Service
RE: Core Services Notification of Financial Assista ce Award
between the Weld County Department of Social Services
and First Steps of Weld County, Inc.
Enclosed for Board approval is a Core Services Notification of Financial Assistance
Award (NOFAA)between the Weld County Department of Social Services and First
Steps of Weld County, Inc. The purpose of the NOFAA is to conclude our Request for
Proposal Process for vendors under the Core Services Funds. The Families, Youth, and
Children(FYC) Commission has recommended approval of the NOFAA.
1. The term of the NOFAA is from June 1, 1999 through May 31, 2000.
2. The source of funds is Core Services, Family Issues Cash Fund. Social Services
agrees to pay First Steps of Weld County a unit cost as outlined in this
Memorandum.
3. First Steps of Weld County will provide a Life Skills Program entitled, "Teen
Pregnancy Program", as follows:
A. Description: The program will provide "Parents as Teachers"program
services for pregnant teens (ages ten to seventeen), for three hours per
week for approximately 26 weeks.
C. Cost Per Unit of Service: $50.10 an hour(outside of Greeley); 549.04
an hour(inside Greeley).
If you have any questions, please telephone me at extension 6510.
991268
Weld County Department of Social Services
Notification of Financial Assistance Award
for Families,Youth and Children Commission(Core) Funds
Type of Action Contract AwardNo.
X Initial Award FY99-PAC-7000
Revision (RFP-FYC-99005)
Contract Award Period Name and Address of Contractor
Beginning 06/01/1999 and First Steps of Weld County, Inc.
Ending 05/31/2000 Life Skills-Teen Pregnancy Program
1024 9th Avenue, Suite 3
Greeley, CO 80631
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Award is based upon your Request for Proposal(RFP). The
Provide services for Pregnant Teens(10-17) and their REP specifies the scope of services and conditions of award.
families and High Risk Mothers with babies(0-3),will Except where it is in conflict with this NOFAA in which case
be served with the Parents As Teachers program. Eight the NOFAA governs,the RFP upon which this award is based
families per year,four families monthly capacity,three is an integral part of the action.
hours per week of face to face contact for
approximately 26 weeks. apnditions
Cost Per Unit of Service 1) Reimbursement for the Unit of Services will be based on an
hourly rate per child or per family.
Hourly Rate Per Unit of Service 2) The hourly rate will be paid for only direct face to face
Hourly Rated Per Unit of Service contact with the child and/or family, as evidenced by client-
Based on Approved Plan signed verification form, and as specified in the unit of cost
Outside Greeley $ 50.10 computation.
Inside Greeley $ 49.07 3) Unit of service costs cannot exceed the hourly and yearly cost
per child and/or family.
Enclosures 4) Payment will only be remitted on cases open with, and
• referrals made by the Weld County Department of Social
Enc re : Services.
Signed RFP:Exhibit A 5) Requests for payment must be an original submitted to the
Supplemental Narrative to RFP: Exhibit B Weld County Department of Social Services by the end of
the 25th calendar day following the end of the month of
Recommendation(s) service. The provider must submit requests for payment on
Conditions of Approval forms approved by Weld County Department of Social
Services.
Approvals: Program Official:
f
By By D
Dale K. Hall,Chair Judy .. riego, irector
Board of Weld County Comm. sioners Weld unty Department of Social Services
Date: oz,/"..O/19 Date: 5/a9/961
a /. T
INVITATION TO BID
RFP-FYC 99005
DATE: February 26, 1999 BID NO: RFP-FYC-99005
RETURN BID TO: Pat Persichino, Director of General Services
915 10th Street, P.O. Box 758, Greeley, CO 80632
SUMMARY
Request for Proposal (RFP-FYC-99005) for: Family Preservation Program--Life Skills Pr.gram Family
Issues Cash Fund or Family Preservation Program Funds
Deadline: March 23, 1999, Tuesday, 10:00 a.m.
The Families, Youth and Children Commission, an advisory commission to the Weld County Department of
Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of
Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S. 26-5.5-
101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement
(C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to
run from June 1, 1999, through May 31, 2000, at specific rates for different types of service, the county will
authorize approved vendors and rates for services only. The Life Skills Program must provide services that
focus on teaching life skills which are designed to improve household management competency, parental
competency, family conflict management and effectively accessing community resources. This program
announcement consists of five parts, as follows:
PART A...Administrative Information PART D...Bidder Response Format
PART B...Background, Overview and Goals PART E...Bid Evaluation Process
PART C...Statement of Work
Delivery Date S bZ tkuA .
(After receipt of order) BID MUST BE SIGNED IN INK
• Nl(r7ate t U <
TYPED OR PRINTED SIGNATURE
VENDOR First Steps of Weld County
(Name) Handwritten Signature By Authorized
Officer or Agent of Vender
1024 9th Avenue, Suite 3
ADDRESS TITLE _ __
Greeley, CO 80631
•
DATE
( 970) 353-1192
PHONE #
The above bid is subject to Terms and Conditions as attached hereto and incorporated
II:5 ' l3 'ey I I,Y: :3.) tAA 1
RFP-FYC-99007 Attached A
SEXUAL ABUSE TREATMENT PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
1999/2000 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 1999-2000
BID ifRFP-FYC-99007
First Steps of Weld County
NAME OF AGENCY:
1024 9th Avenue, Suite 3
ADDRESS: —_
PHONE ( 9701 353-4192
CONTACT PERSON: Noelle Hause TITLE: Executive Director
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Sexual Abuse Treatment Program must
r vi e f r intervention thr n r m modali er a ti iz on
12-Month approximate Project Dates: _ I2-month contract with actual time lines of:
Start JuneA 1999 Start
End May 31,2000 End
Teen Pregnancy/Parents as Teachers
TTTLE OF PROJECT:
AMOUNT REQUESTED: $30 , 783 . 76
Noelle Hause ' �e�CFtCc March 18 , 1999
Name and Signature of Person Preparing Document Date
Noelle Hause -YYE �A--C� March 18 , 1999
Name and Signature Chief Administrative Officer Applicant Agency Date
MANDATORY PROPOSAL REQUIREMENTS
For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Proposal for
Bid- For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 1998-1999 to
Program Fund year 1999-2000.
In Beata No Change from FY 199$-1999
Project Description tz,(it it d St
r Target/Eligibility Populations
Types of services Provided ---- "'
l u' Measurable Outcomes
Service Objectives -; ILO
• Workload Standards
Staff Qualifications
I Unit of Service Rate Computation t? 1J J
Program Capacity per Month
_ ''L i/-2
(}. Certificate of Insurance
Page 29 of 35
RFP-FYC-99005 Attached A
C
Date of Meeting(s) �_ � 7q
with Social Services Division Supervisor:
Comments by SSD Supervisor: '� g4 ' a a M. J . r N"' ),o
r-_(..-‘ Cam, A v k 7 4,--) -2 . -,—<._ I c, , c -�;d ,r ,� f ," -c .hc. f-
-f'r'--z �,y �C '`f' �!--t � ti.? - ]it-�;.�c- �l �-'';� c..-._ - �c�.yr_?-�..�j �,-.. _,ice:.
�ly_,�,Zivt—r_ _L, C>�4. ck- �-.. . 11 Vii_
1
C a IcC, Iscii ry oSi 1\
-c, — --
Name and Signature of SSD Supervisor Date
•
S Tett
Oa% .71,Thip
\\ c:jnsi
N)ST 'PC'LI"t _2 WELL EARY cPVF
•
•
March 9, 1999
Ms. Elaine Furister
Department of Social Services
P.O. Box A
Greeley, CO 80631
Dear Elaine,
As an approved vendor during FY 1997-1998, First Steps is requesting renewal of our contract
since our bid remains substantially the same.
FY 1999-2000 RFP-PAC-97005 RENEWAL BID
A. Bid Questions
1. Will your project description remain the same? Explain.
Yes, our project description will remain the same. First Steps will continue to furnish case
management services and home visitation throughout the pregnancy and parenting
continuum. We will continue to serve pregnant teenager, ages 10-1 and/or babies, ages 0-3
years of age who are in danger of out-of-home placement. (See explanation on page 1 of the
•
bid package.)
2. Will your target/eligibility population remain the same? Explain.
Our target/eligibility population will remain the same (pg. 2).
3. Will the type of service remain the same? Explain.
Yes, the type of service will remain the same (pg. 3-5). First Steps will provide:
• Assessment
• Care planning
• Services Coordination and Referral
• Follow-up & monitoring
• Empowerment & Advocacy
• Education
Teaching, modeling, demonstrating as an interactive process, training in household
management, teaching childrearing, appropriate discipline and parenting skills, teaching
how to establish community linkages and demonstrating nurturing/ esteem role-modeling
arc included in the service package
_ •r,,r-irv . 7I . ,a )10 7c7.. :. I 'i-,
4. Will the measurable outcomes change? Explain.
Our measurable outcomes will not change (pg. 6).
5. Will the service objectives change? Explain.
The service objectives are addressed on page 7.
6. Will the workload standards change? Explain.
The workload standards will remain the same (pg. 8).
7. Will staff qualifications change? Explain.
No, the staff qualifications will not change. A Few of the personnel have changed (pg_ 9).
8. Will the unit of Service Rate Computation change? Explain.
The unit of Service Rate Computation will change and increase by approximately 4%.
This is due to the raise in salaries that was granted by the Board of Directors for 1999, as
well as the raise in rent for the office space First Steps occupies.
8. Will program capacity by month change? Explain.
No, the program capacity by month will not change (pg. 9).
B. Weld County Department of Social Services Evaluation Questions
There are no questions in this section to be addressed.
If you have questions regarding our responses to your inquiries, please do not hesitate to contact
me at 353-4192.
Sincerely,
Noelle Hause, MA
Executive Director
I irst Step,of AVdd( omits Ine 2
I. PROJECT DESCRIPTION
First Steps of Weld County, Inc., furnishes care coordination (case management) services and home visitation
throughout the pregnancy and parenting continuum. The Life Skills project serves two separate groups who meet the
Family Preservation Program eligibility criteria: 1) Pregnant teenagers, ages 10-1 and/or 2) Rabies, ages 0-3 years of age
When a teen becomes pregnant, the girl and her family encounter stressors that often result in controvers'_
communication barriers, and typically strain family situations that may already be tenuous The resulting situation is
unique in that there are two generations that require coping skills. First Steps' care coordinators, who are either registered
nurses and medical social workers, provide support services for pregnant teens and their families to alleviate the unique
crises that can lead to out-of-home placement. Care coordination dovetails both medical and social work models to include
• Assessment and screening for physical and psychosocial barriers to healthy births and contributors to child
abuse and neglect of the teen and/or the new baby.
• Enhancing the teen parent's ability to create a safe, stable and nurturing home environment that will promote
healthy child development.
• Prenatal, postpartum and parenting education.
• Referrals to healthcare and existing county resources.
• Training in Self Esteem, Self-Responsibility. Decision Making Skills and Communication Skills.
Following physical and psychosocial assessment, care coordinators provide case management for the pregnant teen
- and her parents that is both individualized and interactive. Families are taught skills that allow them to adopt appropriate
measures to decrease barriers, increase the probability of the teen mother delivering a healthy infant and remaining in the
home, and increase the success of appropriate parenting of the new baby. Through counseling. mentoring and education.
care coordinators help families understand the many options and resources that are available to them, both financially,
emotionally and physically.
In the second focus area including children from birth to 3 years of age, parents receive all of the aforementioned
services with the addition of the Parents As Teachers (PAT) program. PAT is designed to promote positive famtk
functioning by giving parents realistic expectations of their parenting abilities, as well as their child's competencies. PAM
emphasizes prevention of child maltreatment through a multi-dimensional focus including:
• Basic child development -- increasing the knowledge of appropriate parenting skills tied to child development
• Enhancing parents'ability to create a safe, stable. and nurturing home environment that promotes heultht, chrl,i
development.
4 Education and skill development of child care and discipline.
• Coaching parents in alternative approaches to punitive techniques of child management
• Improving connections la community support and resources.
• Supervised visitation of infants who are being considered for reintroducnnn Into lilt' home
II. TARGET/ELIGIBILITY POPULATIONS
A. Total number of clients to be served in the 12-month program.
First Steps will serve eight clients during the 12 month program. Clients may be from either age group. the
pregnant teens or infants and meet the program requirements jar out-of-home placement criteria as listed in page l 7
including:abandonment by or incarceration of caretakers, abuse or neglect. domestic violence. conditions that exist
that cause the caretaker to be unable to care for the child, infant or young child of teen parent in placement.
relinquishment or termination of parental rights, or child returning home from out-ofhome placement First Step
assists the Department of Social Services with intervention strategies and advocacy to: assess and identity parent's
abilities to protect children and assist them in accessing and utilizing services that address the presenting
conditions.
B. Total individual clients and the children's ages.
Pregnant teens will be between the ages of 10 and 17. Infants will be between birth and 3 years of age.
C. Total family units.
First Steps will serve eight family units. The pregnant teen and her family are considered one family unit the
infant and his/her parents and siblings, if present, are considered one family unit.
D. Sub-total of individuals who will receive bicultural/bilingual services.
First Steps is able to provide bilingual services. since two of First Steps'care coordinators are bilingual. Each or
the bilingual care coordinators is available to serve one individual per year. one every six months. Therefore. Tint
Steps would be able to serve four Spanish speaking individuals per year, two even'six months
E. Sub-total of individuals who will receive services in South Weld County.
First Steps is available to serve south county residents and the rate of service is reflected separately in the budget
F. The monthly maximum program capacity.
The monthly maximum program capacity is four individuals.
G. The monthly average capacity.
The monthly average capacity is also four individuals.
H. Average stay in the program (weeks).
Approximately twenty-six weeks. unless a longer time frame is requested by the case worker.
I. Average hours per week in the program.
Approximately 3 hours per week of face to face contact with the care coordinator
III. TYPE OF SERVICE TO BE PROVIDED
A vital portion of care coordination involves the establishment and growth of a relationship between the care
coordinator and the client. This relationship is interactive and allows the care coordinator to teach, model, demonstrate
and coach the client according to the client's goals and individual needs. Care coordination includes
Assessment -- determining, in a comprehensive manner, the client's medical. psychosocial, education
and financial needs.
Care planning --developing an individualized care plan focusing on the services and resources required
to address the individual needs of the client.
Service Coordination and Referral -- establishing access to services by assisting the client as they
arrange for and obtain appropriate care and services.
Follow-up & Monitoring --assuring that services are accessed and delivered, assessing barriers to
services and making modifications in the care plan and care coordination process.
Empowerment & Advocacy --developing a supportive, nurturing relationship with the client to
develop the client's self esteem and skills which empower them to problem-solve as well as access and
utilize services.
Education -- providing all aspects of education and training in self-esteem, self-responsibility, decision-
making skills, communication, household management, childrearing and discipline.
The Teen Pregnancy and PAT projects both include all of the types of service provision_
A. Teaching, modeling, demonstrating, and coaching as an interactive process with the clients
B. Training in household management.
C. Teaching child rearing, appropriate discipline and parenting skills.
D. Teaching how to establish community linkages, advocacy and making use of services.
R Demonstrating nurturing/esteem role-modeling.
The teen pregnancy portion of the project includes education and support services for pregnant teens and their
families. Care coordinators provide assessment of teens and their parents to screen for physical and psychosocial barriers
to healthy births and contributors to child abuse and neglect of the teen and/or the new baby. Physical barriers contributing
to child abuse that arc specifically evaluated during the assessment process include.
• ('nmpli Cal ioas' ("pregnancy • Drug and crlcohnl onus('
• Lnnguo,ge. income and educanan borrrerv •
• Nniritianul dcJiarncrrs
• Lack o/revources and physical neccssriics •
sUcna/c Inno.chokl mauncnance
Psychosocial factors contributing to child abuse or neglect that are evaluated include:
• Emotional status of the teen and her parents •
Her relationship to the baby's lather
• The family's support system and coping skills •
• Parenting skills and expectations
• Decision-making skills •
Stress levels in the family
Following identification of specific barriers, care coordinators follow both the pregnant teen and her parents on a
regular basis to provide case management that is both individualized and interactive. Care coordinators utilize a variety of
instructional methods including interactive learning modules, individualized instruction, role playing, as well as actual
modeling of appropriate behaviors in concrete and tangible learning situations. Families receive skills to assist them in
adopting appropriate tools to decrease barriers, increase the probability of the teens delivering healthy infant and remaining
in the home, and increase the success of appropriate parenting of the new baby. Care coordinators arc nurturing mentors,
healthy role models and provide instruction in:
• Coping skills for unique stressors
• Communication skills
• Utilization of community resources
• Decision-making and problem solving skills
• Appropriate self-responsibility and goal setting
• Parenting knowledge. skills and practice
• Appropriate expectations of both teen and infant growth and development
• Household management (as related to newborn care)
All of the previously mentioned services are provided in the second portion of the project dealing with infants (0-_
years) in danger of out-of-home placement. In addition, the PAT curriculum is used to enable parents to cope with
parenting responsibilities and learn appropriate parenting skills. The PAT program offers timely information about child
development and gives parents realistic expectations of their child's abilities and their own parenting skills. During the 3
hours per week that the care coordinator spends with the family, she also provides training in household management as it
applies to the care of a baby. Budgeting, cleaning, maintenance, purchasing, menu planning, and food preparation are
taught as they relate to an child from birth to 3 years of age. Age appropriate childrearing and discipline instruction arc
given as needed, through demonstration of nurturing behaviors as well as through oral and written instruction.
First Steps has been providing information and referral to area resources since its inception, thus care coordinators
are well versed in the availability of community resources open to families. Care coordinators arc also able to provide
supervised visitation of infants who are being considered for reintroduction into the home
Quantitatively. all services are available to all clients, whether they are in the teen presnancv portion of the projee:
or the PAT portion of the project Acquisition of services is client driven, individualized and is determined during the
assessment process. First Steps assessment took are labeled and are included as an attachment. In addition. First Steps
utilizes many educational handouts related to all aspects of pregnancy and parenting These printed materials arc developed
by the First Steps staff or are purchased from educational suppliers. Any of the above are available for viewing at the
office, however they are too numerous to be included as part of the bid. As part of the teen pregnancy focus. care
coordinators will also be using a set of four workbooks called "My Baby and Me." Due to their size, they are not included
in the bid packet, nevertheless a brief synopsis is included in the attachments.
First Steps is able to serve eight clients per year. as explained in the Target/Eligibility Populations Section. These
eight clients can be served either in the teen pregnancy or the PAT portion of the project.
First Steps prenatal care coordination and PAT parenting education services are well-known in the county and the
organization is committed to non-duplication of services. There is no other agency in the area providing the unique
combination of a single point of entry into healthcare, education, support and resource referral for pregnant women and
families with young children. Funding for the organization is obtained through philanthropic giving, contracts for services
with individual corporations, through state Medicaid dollars and PAC resources. Individual referrals are matched with a
single funding source according to predetermined criteria. PAC dollars are utilized for PAC referrals from case workers
and are never used for clients from other referral sources. The organization is not large, thus this determination is never a
difficult or tedious one.
ti
IV. MEASURABLE OUTCOMES
All services will be offered to all clients. however since services are individualized, some families may not require
or receive all service objectives.
Teen Pregnancy Component: 80%of families involved with the teen pregnancy portion will show improvement of
household management competency (as related to the newborn), parental competency and ability to work independently
with area resources and services as measured by pre and post assessment instruments.
Households will be assessed according to the capacity of the teen's parent to maintain sound relationships with their
child and provide nutrition, hygiene, discipline, protection as related to teenage pregnancy Pregnant teens will be
assessed as to their ability to maintain a home that is stable, safe and habitable, for the infant. Parents and teens will
be assessed as to their ability to adequately utilize community resources, healthcare and other services that relate to
teen pregnancy and newborn infants. First Steps' assessment tools and The North Carolina Family Assessment Scale
(NCFAS) will be used to assess families and are included for review in the attachments.
Parents as Teachers Component: 80%of families involved with the PAT component will show improvement of
household management competency,parental competency and ability to work independently with area resources and
services as measured by pre and post assessment instruments.
Households will be assessed according to their ability to maintain a home that is stable, safe and habitable, for a
child from birth to 3 years of age. The capacity of the parent to maintain sound relationships with their children and
provide nutrition, hygiene, discipline, protection as related to babies from birth to age 3. Parents will be assessed as to
their ability to adequately utilize community resources, healthcare and other services that relate to babies from birth to
age 3. First Steps' assessment tools and either the NCFAS is used to assess families, as well as the PAT evaluation
tools currently used by First Steps. All are included for review in the attachments.
80%of families receiving either component of life skill services will remain intact, to the best of our knowledge. six
months after discharge of the First Steps' program and will have improved competency levels and/or reduced risk.
V. SERVICE OBJECTIVES
First Steps assists clients in improving the household management competency, improving parental competency and
improving the ability to access community resources through the utilization of
• Home, office and phone visitation.
• Individualized instruction, workbooks, educational handouts, and learning modules
• Role modeling and mentoring.
• Resource referral. empowerment. instruction and advocacy.
Quantitatively, all services are offered to all clients in either portion of the program. However, services are
individualized, therefore some families may not require all service objectives. Services are measured through the use of
pre and post tests, as well as First Steps' physical and psychosocial assessment tools. Referrals, care plans, progress
notes and risk assessments are compiled in individual charts. First Steps also utilizes a computer database to track the
number of referrals given to community resources, as well as the number of services received.
VI. WORKLOAD STANDARDS
A. Number of hours per day, week or month -- Care Coordinators record the time spent in face-to-face contact kith
clients, on paperwork requirements, travel and case management. See E. below.
B. Number of individuals providing the services -- At the present time. First Steps employees four staff members
who are either Registered Nurses or M.S.W.s. These three professionals provide the care coordination services.
C. Maximum caseload per worker -- Since First Steps provides additional services to the families of Weld County
that are above and beyond the services required by the PAC bid, each staff member will serve one to two PAC clients
per six month period. Should the PAC have need for additio nal services, First Steps' will consider hiring the additional
staff.
D. Modality of treatment-- Care coordinators utilize home, office and phone visitation to serve clients. In addition to
these weekly visits, care coordinators are available to accompany clients to individual appointments with healthcare
providers and area resources.
E. Total number of hours per month
Each client is allowed: 13.00 hours of face-to-face contact
F. Total number of individuals providing these services -- See item B.
G. The maximum caseload per supervisor--Not applicable.
H. Proof of Insurance -- Proof of insurance and Workman's Compensation are provided in the attachments
•
VII. STAFF QUALIFICATIONS
All staff are either Registered Nurses with Bachelor degrees or M.S.W.'s and have college education in behavioral
sciences. All staff have more than 2 years of public contact in service related fields. Two employees are certified Parents
as Teachers Educators and certified Childbirth Education Instructors. There are presently four staff members available for
the project, two staff members are bilingual.
Nancy Culbreath, M.S.W., LC.C.E.
Bachelor of Arts in Sociology and Personnel Administration, and Master of Social Work.
Presently: Certified Parents as Teachers Educator, Certified Childbirth Education Instructor through the International
Childbirth Education Association.
Past Experience: Instructor in Sociology and Abnormal Psychology at Aims Community College; Child Welfare, Juvenile
Corrections, Head Start, Mental Health and School Social Work.
Lani Wickam, R.N., B.S.N.
Registered Nurse with a Bachelor of Science in Nursing
Presently: Bilingual: Certified Parents as Teachers Educator; Childbirth Education Instructor; Staff Nurse at Monfort
Family Birth Center, North Colorado Medical Center.
Past Experience: Counselor, Crisis Pregnancy' Center; Adult Prenatal Education.
Jackie Rowe, R.N.
Applied Science Degree.
Presently: Works in a triage capacity with small case load at First Steps.
Past Experience: Bilingual. Worked with Migrant Families for 5 years. Worked in the Country of Panama for 3 %years
with indigent population. OR nurse for 10 years.
Ellen Laurence, R.N.
Registered Nurse.
Presently: School nurse Centennial BOCES shared programs. Childbirth Education Instructor. Community
Educator: Family Dynamics around Families and Children with Special Needs
Past experience: High risk Labor and Delivery nurse at Boulder community hospital for 13 years.
VIII. PROGRAM CAPACITIES
As stated on page 2 of this bid, with the current staff available. First Steps is able to serve a maximum of four
individuals per month_ If there is a greater need for First Steps' services in the PAC program. then hiring of new staff
members would be considered in order to accommodate the increase in referrals. Since First Steps provides additional
services to the community, the organization does not require a minimum number of clients to be able to offer the services U)
PAC. It is more important to match the needs of the individual with the services offered by First Steps Should there not he
any referrals generated_ then die need for this program vmould have to be reconsidered
RFP-FYC-99005 Attached A
VIII. COMPUTATION OF DIRECT SERVICE RATE
This form is to be used to provide detailed explanation of the hourly rate your
organization will charge the Core Services Program for the services offered in
this Request for Proposal. This rate may only be used to bill the Weld County
Department of Social Services for direct, face-to-face services provided to
clients referred for these services by the Department. Requests for payment based
on units of service such as telephone calls, no shows, travel time, mileage
reimbursement, preparation, documentation, and other costs not involving direct
face-to-face services will not be honored. Likewise, billings must be for hours
of direct service to the client, regardless of the number of staff involved in
providing those services. Therefore, it is imperative that this rate be
sufficient to cover all costs associated with this client, regardless of the
number of staff involved in providing these services.
(Explanations for these Lines are Provided on the Following Page)
Total Hours of Direct Service per Client /9 cc 1 Hours [A]
Total Clients to be Served clients [B] -
CLC --- j Ouf5l�e �,1,
Total Hours of Direct Service for Year -_ �(C itp Hours [C] /5�r
(Line [A] Multiplied by Line [B]
Cost per Hour of Direct Services $ 41- x✓ Per Hour [D] 7/-
Total Direct Service Costs $ G^
C�l`fT5" 7L� — [E] 7l
(Line [C] Multiplied by Line [D] ) (� /;/ //6,,s
Administration Costs Allocable to Program $ /, ( 1 c c ) _ [F] "' (/()
Overhead Costs Allocable to Program $ /� `-) 1) " /�� — [O] G� IG C
Total Cost, Direct and Allocated, of Program$ x lin
7"2" 76? /6 _ [H] 7 • iJ" rG'
Line [E]- Plus Line [F] Plus Line (5] ) -
Anticipated Profits Contributed by this Program $ [11
Total Costs and Profits to be Covered C i'> "�G �
�S (
by this Program(Line [H] Plus Line [I] ) �1, 6ip (� — [J] / � )`/"� i
/J
Total Hours of Direct Service for Year --
(Must Equal Line [C] ) - ----
Rate per Hour of Direct, Face-to-Face Service
to be Charged to Weld County Department of A�' c) /:.) I /6�
Social Services $ .— ._ ---- — [ I'
Day Treatment Programs Only:
Direct Service House Per Client Per Month _ - — [M.
Monthly Direct Service Rate $ [N]
Page 34 of 35
ATTACHMENTS
ASSESSMENT TOOLS
WORKBOOK SUMMARY
CERTIFICATE OF INSURANCE
PROOF OF WORKMAN'S COMPENSATION
Weld County Referral and Planning Form
Child's Name: _ Parent's Name:
Child's DOB: Parent's DOB: -
Address: City: _Zip Phone:
Initial Referral To: Date: __ Care Coordinator:
Family's Funding Source: Medicaid Insurance United Way YCPI CDSI YIC
DSS-Family Preservation _ FSS-Creating Safe + Stable Families Part C Other
6 Point Strengths / Challenges Scale
+2 Clear Strength +I Mild Strength 0 Adequate/Baseline -1 Mild Problems -2 Moderate Problem -3 Ongoing Problem
ASSESSMENT OF PARENT/FAMILY
Environment and Self Care --
Agency Agency * Initial Agency
Pre Post Date Pre Post Date Pre Post Date
Housing stability
Safety in the community
Habitability of housing
.31a.
Income/ employment a
Financial management
Personal hygiene
•
Obtains prenatal care
Transportation
Comments:
Family & Social Support
Agency Agency Initial Agency
Pre Post Date Pre Post Dale Pre Post Date
Educational level
School performance —_
Social relationships
Accesses regular services
Knows + obtains emergency services
Motivation for support
Personal problems that may affect parenting
tillysiant mentd health substance aOuse.rmritil issues)
History of neglect or abuse
Comments ---
ASSESSMENT OF PARENTING ABILITY& FAMILY INTERACTION
—
Agency Agency ` liiiiia1 Agency
Pre Post Date Pre Past Date Pre Puri Date
Bonding with child
Communication with child
Age appropriate expectations of child ry _ ___
Age appropriate discipline of child _-.� _
Provides adult supervision _. -_
Father of baby/child involved & supportive ,
Attends to the child's developmental needs _
Receives support/assistance from family I
Comments T WELL BEING OF'BABY AND OTHER CHILDREN
Agency Agency . Initial Agency
Pre Post Date Pre Post Dale Pre Post. Date
Well child check ups _ ----, ,
Hygiene - �— M _
Special needs or developmental delays „_ _ _ _
Chronic health problems — —_
Mental health
Evidence of abuse — r --
Child's behavior at home 1
r
Child's behavior at school/child care
Relationships with siblings •
•
Comments - - — --- ,
FOOD AND NUTRITION _ — -- -
Agency Agency ~ Initial Agency
Pre Post Date Pre Post. Date Pre - Post Date
Age appropriate diet --.
Use of resoiire•es _
Knowledge of resniiices _
Comments _-.-.Y
FAMILY- AGENCY PLANNLNG&TRANSITIONS
Agency Nitrite: Agency Contact: --�
Contacts Phone #: _ Date of Planning: --�_
�t �als / Objectives Strategies / Act ivies Outcome —Other referrals made For Date
Transition to: (agency name) Transition Date:
Total # of contacts: Total # hours: Total # volunteer hours:
\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\
Agency Name: Agency Contact: -
Contacts Phone #: Date of Planning:
Goals / Objectives Strategies / Act ivi1s Outcome 1
Other referrals made For Dale
Transition to: (agency name) Transition Date:
Total # of contacts: Total # hours: Total # volunteer hours:
Release of Information Permission:
Parent/Guardian Consent: [ hereby authorize the exchange of information concerning my child and family tc
the below listed agencies. I understand that this information will only be shared to improve the coordination
of services and resources for our family. I understand that this information will remain confidential and will
not be share without my consent. I understand that I have access to any information that is gathered and
shared with agencies.
Date: Signature of Parent/ Guardian: —
Date: Signature of Witness. _..—
( Release is valid for one year alter signing.)
Agencies: First Steps __ CARE North Range Behavioral Health _ Family CONNECTS
DSS — Physician Name: - Others:
Others: .
rot Ilrvi .xrns • 2.25.t i9
Weld County Rating Guide
Environment& Self Care
Housing. +2 - secure housing(owns or stable lease)
-3 - homeless or frequently accessing transitional housing
Safety in the community: +2 - uses good judgment around places and situations - knows support resources
-3 - frequently in violent, unsafe situations without knowledge of support resources
Habitability of housing: +2-clean.adequate furnishings
-3-extremely unclean—no furnishings—or not sufficient for if living in home
Income/Employment +2-at least one parent has secure position with benefits
-3-no job and no active interest or effort in obtaining a position or job training
Financial Management +2—is able to pay all the bills and purchase needed living items on families income
-3—has significant debt-creditors are pursuing legal - frequently has gas. water.phone turned off
Personal hygiene +2—clean and appropriately dressed at all times
-3—unclean,extreme smell,not dressed appropriately for weather,or in extremely dirty-torn clothes
Prenatal care +2—plans prior to pregnancy about care and actively participates in prenatal appointments and care
-3—has not sought any care from physicians,prenatal care agencies and is not caring for physical needs
Transportation +2—has a reliable vehicle of their own and funds for eas needs
-3—does not have vehicle,is not using public transportation--has no friend or family to provide rides
Family&Social Support
Educational: +2—High school degree&college
-3—Less than a I2°i grade diploma,no GED and no interest in pursuing education or job training
School Performance: +2—Actively pursuing education,job training,or self improvement courses
—Expelled or removed from educational setting
Social Relationships: +2—has healthy relationships with family& friends with appropriate expectations-strong network of support
-demonstrates the ability to voice personal interests and needs and can be supportive of others
-3-isolated,unable to interact with others.or continues in unhealthy relationships without seeking changes
Accesses Services: +2 -independently seeks out resources that are needed and can access without assistance
-develops action plans to improve situation and implements systematic approach to reaching goals
-3-is unaware of any services in community and is dependent on others to be able to access resources
Obtains emergency services: +2-identifies a crisis situation determines what emergency service to access and knows how to
-3 -panics and looses ability to think clearly in any difficult situation-unable to access help
Motivation for support: -seeking supports and individuals that can enhance and improve present& future circumstance
-3-is not satisfied with circumstances but has no interest in making changes regardless of supports offered
Personal Problems- --2-recognizes personal stress and difficult experiences and uses appropriate coping strategies
-3 -lethargic,maternal depression,sad.lack of affect.still in domestic violence situation,appears fearful,
disorganized, fragmented,and distracted to the level that it interfere with care taking of family.
History of neglect and abuse: -this is documented cases that arc current or closed and required DSS or police involvement
Parenting Ability& Family Interaction
Bonding with child: +2-holds,cuddles,physical touch to comfortt good eye contact +facial expressions. warm tone of voice
-nurturing,encourages positive growth. recognizes feelings of child
-lacks nurturing skills,does not provide any physical comfort or touch_uses loud hostile tone of voice
- fears spoiling the child. maybe unable to handle parenting stresses
Communication with child. +2-positive tone of voice, uses appropriate length and content of sentences.interacti'c-listens and responds
-3 -doesn't verbally interact with child,cuts off child when talking.uses loud tone,uses demeaning remarks
Age appropriate expectations:+2-understands development.allows children to exhibit normal developmental behav ions.provide
Attends to developmental. -appropriate structure,toys and support for child to succeed. has positive self concep'.about care gi+ rig
-3-expectations exceed developmental capabilities. lacks understanding of development.tends to be
controlling and demanding
Age appropriate discipline'. +2-understands&utilizes alternatives to physical force_ tends to he demon am: in rude inakine.
-is respectful of children and their needs_rules fur fancily not just child
-3 -hitting,spanking and slapping are considered appropriate. lacks knowledge or ahi t ity to use other
strategies beside corporal punishment.strong disciplinarian,rigid,controlling, unrealistic expectations
Provides adult supervision. 12 - has appropriate safety limns and structure for all children_does not leave child without appropriate age
-caregit.C1, ensures home environment is free of dangerous situations
-3 - Ieaces children alone frequently home it not sale fix age of child. there ,', 110 iupc-s o snore or stnictiirc
Dad invoked&supports c -2 - lather he,s in the home. lather spends iuteract0 c time both in conversation.physical comforting.
-demonstrates appropriate and respectful attitude towards mother and other family members. plays well
- if not in home. provides for financial.emotional needs w ith high frequency of time
-3 -- no contact at all from father. if contact very negative and not nurturing,demonstrates mappwpriate
-expectations of mother and those in household. may tend to be violent or verbally demeaning
Receives supportlassistancc. +2-parent has needs met appropriately.finds comfort,support and companionship from peers,
-children are allowed to express developmental needs.takes ownership of behavior.
- feels worthwhile as a person,good awareness of self
-3 -tends to use children to meet self needs.children perceived as objects for adult gratification.
-tends to treat child as confidant,peer,expects child to make life better by providing lo'e.assurance.
-exhibits low self esteem,poor self awareness,poor social life
Well Being of Baby and Other Children
Well child check ups: +2 -has primary care physician and follows recommended immunizations and check tip schedule
- 3 -does not have primary health provider,does not access routine care,is not current on immunizations
Hygiene. +2-child is clean.dental needs cared for,dressed in clean clothes&shoes appropriate for weather
-3 -child is not clean.hair is not combed or eared for,no dental care provided,clothes dirty and not
-appropriate for weather
Special needs: +2-if child has developmental or health needs parent has sought out supports,care,education to help
-care for the unique needs.
-3-parent is aware of special developmental or medical needs and does not seek any assistance or supports.
-parent does not provide any special care for necessary needs
Evidence of abuse: -this is documented neglect or abuse situations that have involved DSS or police involvement
Child's behavior at home: +2-child demonstrates age appropriate behaviors,child knows expectations and typically responds to
-parental requests.
-3 -child acts out physically and verbally often without provocation, child is destructive and violent
-child does not follow any established rules for household or parental requests
Child's behavior at school +2 -child is considered a good,attentive student that is compliant and respectful
-3-child is often disciplined by school staff,is disruptive in class.acts out,does not finish work
Relationship with siblings: +2-interacts positively with siblings,resolves conflicts without extreme measures.enjoys being with sibs
Food& Nutrition
Age appropriate diet: +2-parents provide a variety of healthy foods,meals are routine and appropriate times for age of child
-3-there is not a selection of healthy foods available,children are left to tend to their own dietary needs
Use of resources. +2-parents self educate about good nutrition or participate in classes to learn about eood diets. fancily
-access resources for food is finances are limited
-3-parents do not provide food in household and do not access resources that would supplement food
This is a generic guideline to ensure continuity between professionals rating family function and interaction. This guide is based on a rating scale of
+2-clear strengths through-3 as an ongoing problem. The other rating levels in between +2 and-3 arc between the two
"MY BABY AND ME" WORKBOOK SUMMARY
GOING HOME: BASIC DECISION-MAKING:
I) What Does a Child Cost? I) Looking Ahead
2) Basic Needs 2) Dreams
3) Parent/Daughter Situations 3) My Lifeline
4) My Day and My Needs 4) Decision Basics
5) Finances 5) Values & Goal Setting
6) Planning A Budget 6) Is Parenting for Me Now? (Adoption-related)
7) Alternatives & Decisions
(How they affect the morn and baby)
ti
First Steps or Weld County. Inc I ccn Prayrmey/Parents as'I umbers
=0"d 7101
3/9/90
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ONLY AND CONFERS NO RIGHTS UPON TAt tERt1E tiktE
CANPO ASI HOLDER. THIS CERTIFICATE DOES NOT AMEND, FXTFND OR
225 E. 16TH AVE. SUITE 1060 TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
DENVER CO 80203 COMPANIES AFFORDING COVERAGE
CO MANY COLORADO COMPENSAI"ON INSURANCE
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INSURED FIRST STEPS OF WELD COUNTY COMPANY
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INUILA 1 kU.NU I VVI I HS IANOING ANY REQUIREMENT,TERM OR G0NDMON or ANY CONTRACT OR OTHER DOCUMENT WITI I RCOPC CT TO W-ITCH THIC
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED S Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO owl IC FAPPDTIVP DOL1GY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(1414/00/TY) DATE(MMIDDm1 LIMITS
GENERAL LIABILITY GENERAL AGGREGATE S
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGO
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OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE 5
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AUTOMOBILE LIABILITY
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STATE OF COLORADO EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO e+A.
DEPARTMENT OF SOCIAL SERVICES WELD COUNTY DAYS WRITTEN NOTICE ro THE CERTIFICATE HOLDER NSW!:e TO THE n7
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CAN PO ASI HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
225 E. 16TH AVE. SUITE 1060 A TER THE COVERAGE AFFORDEp13Y THE-1'OLICIE$ BELOW.
DENVER CO 80203 COMPANIES AFFORDING COVERAGE
COMPANY
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INSURED FIRST STEPS OF WELD COUNTY COMPANY
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CO POLICY EFFETlvf POLIOAEXRIRADom
LTR 1TYE Of-INSURANCe POLICY NUMBER DATE(MMAIVYY) DATE(MMJODNY) LIMITS
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CLAIMS MADE X OCCUR PERSONAL AACVINJURY S 100G EO-C
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AUTOMOBILE LIABILITY
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