HomeMy WebLinkAbout20230723.tiffRESOLUTION
RE: APPROVE FOUR-YEAR PLAN FOR AREA AGENCY ON AGING (TITLE III AND VII)
FOR FEDERAL FISCAL YEARS 2024-2027 AND AUTHORIZE DEPARTMENT OF
HUMAN SERVICES TO SUBMIT ELECTRONICALLY
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 Four -Year Plan for Area Agency on
Aging (Title III and VII) for Federal Fiscal Years 2024-2027 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 Human Services, Area Agency on Aging, to the Colorado Department of Human
Services, State Unit on Aging, commencing July 1, 2023, and ending June 30, 2027, with further
terms and conditions being as stated in said plan, and
WHEREAS, after review, the Board deems it advisable to approve said plan, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Four -Year Plan for Area Agency on Aging (Title III and VII) for Federal
Fiscal Years 2024-2027 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 Human Services, Area
Agency on Aging, to the Colorado Department of Human Services, State Unit on Aging, be, and
hereby is, approved.
BE IT FURTHER RESOLVED by the Board that Kelly Morrison, Division Head for Area
Agency on Aging, be, and hereby is, authorized to electronically submit said plan.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 15th day of March, A.D., 2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:);
Weld County Clerk to the Board
County Attorney
Date of signature: 03/22/2
cc:1-KSD
03/24 /23
2023-0723
HR0095
cont6
Dfr(c131
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: March 7, 2023
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Area Agency on Aging (AAA) Older Americans
Act (OAA) Four Year -Plan for Fiscal Years
2024-2027
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Area Agency on Aging (AAA) Older
Americans Act (OAA) four-year plan for Fiscal Years 2024-2027. Through the Older
Americans Act (OAA), the Weld County Area Agency on Aging (AAA) is required to develop a
four-year area plan to identify priorities and objectives for each AAA over the course of a four-
year period. The purpose of the Plan is to help guide AAA staff and the AAA Advisory Board in
providing services and support to Weld County older adults. The Plan is presented in nine (9)
sections and addresses areas that were developed by the Colorado Department of Human
Services, State Unit on Aging. Public input was acquired from community conversations and
survey data in order to complete the Plan. This Plan is reviewed annually, and adjustments are
made to reflect changes and new opportunities that come along.
I do not recommend a Work Session. I recommend approval of this Plan and authorize the AAA
Division Head to submit this Plan to the State.
Perry L. Buck, Pro-Tem
Mike Freeman, Chair
Scott K. James
Kevin D. Ross
Lori Saine
Approve
Recommendation
Schedule
Work Session
Pass -Around Memorandum; March 7, 2023 — CMS ID 6737
Other/Comments:
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GS/(S
2023-0723
h*O0G15 a
Weld County Area Agency on Aging
Assistance Advocacy Answers on Aging
AREA PLAN - 2B
TITLE III AND TITLE VII
OLDER AMERICANS ACT
STATE FISCAL YEARS 2024-2027
(July 1, 2023 - June 30, 2027
TABLE OF CONTENTS
SECTION I: EXECUTIVE SUMMARY 4
SECTION II: PUBLIC INPUT 5
Older Adult Focus Groups .. .... 6
Service Provider Focus Groups ... 7
Public Hearing .. ........ 9
SECTION III: DEMOGRAPHICS 9
SECTION IV: COMMUNITY ASSESSMENT SURVEY OF OLDER ADULTS (CASOA) 17
Overall Community Quality . 18
Employment and Finances .. 21
Equity and Inclusion ... 22
Health and Wellness .. 22
Information and Assistance ... 23
Productive Activities ........ . 23
The Economic Contribution of Older Adults ... 24
Town/County Comparisons . .. 25
National Benchmark Comparisons . 26
SECTION V: VOLUNTEERS: CURRENT AND FUTURE PROGRAMS 26
SECTION VI: COVID-19/PANDEMIC RESPONSE 27
SECTION VII: EQUITY 31
SECTION VIII: QUESTIONS 33
Older Amencans Act Core Services 33
Information and Assistance (MA) and Aging and Disability Resources for Colorado (ADRC) 34
Outreach Services. 35
Case Management Services for At -Risk Older Adults........ 35
Transportation Services 36
In -Home Services ........... 37
Legal Assistance Services ... 37
Ombudsman Services . ... 37
Nutrition Services ........ . .. 38
National Family Caregiver Support Program . 40
Older Amencans Act Optional Services... 41
Dental, Vision, and Hearing Program (DVH) and Visually Impaired Program 41
Chore Program . . . 42
Ombudsman and Legal Assistance 44
Other Services ... 49
Other programs not funded by the Older Americans Act or State Funds for Senior Services50
Targeting and Outreach.......... ...... ... ... ...... 51
Innovation and Expansion of Services 53
SECTION IX: TITLE IIINI COORDINATION 56
SECTION X: Forms 57
Attachment A Direct Service Waiver Request .. 57
Attachment B Nutrition Services 60
Attachment C Community Focal Points and Senior Centers 72
Attachment D Regional Advisory Council Membership 76
Attachment E 2022 Focus Group Locations 77
Attachment F Focus Group Questions for Weld County Older Adults 78
Attachment G Focus Group Questions for Service Providers 79
SECTION I: EXECUTIVE SUMMARY
The Weld County Area Agency on Aging's (AAA) Four Year Plan for State Fiscal Years
2024-2027 will help guide the AAA staff and AAA Advisory Board in providing services
and support to Weld County older adults. The plan will be reviewed annually, and
adjustments will be made to reflect changes and new opportunities over the coming
years. Any significant adjustments to the Plan dunng this four year cycle will be
approved by the AAA Leadership, the AAA Advisory Board, the Weld County Board of
County Commissioners and the Colorado Department of Human Services, State Unit on
Aging.
The Plan is presented in ten (10) sections: the executive summary, the results of
input received from community members who participated in focus groups, 60+
demographics, highpoints of information collected from the community assessment
survey, volunteers a review of current and future Older Americans Act programs,
specific program and planning questions, COVID-19/Pandemic response, coordination,
and an attachment section. The planning document follows the template developed
by the Colorado Department of Human Services, State Unit on Aging.
As described in Section II, public input was acquired from our Community
Conversations and survey data. The questions for these were developed by the AAA
staff and AAA Advisory Board designed to inform us in our four year planning process.
The demographic section (Section III) of the Plan provides a general overview of the
demographic changes within the region Weld County, like the rest of Colorado, is
expenencing a change in the aging population. According to the Colorado Demography
site, between 2020 and 2030, the growth forecast for Colorado's 65+ population is
36%. In Weld County, individual eligibility for Older Amencans Act services, is forecast
to experience a 21% growth The largest growth forecast is 44% in the 81 to 90 -year -
old group followed by a 41% growth in the 71 to 80 year -old group. These increases
will have a significant impact on how the Older Amencans Act (OAA) services are
implemented and will dramatically affect Weld County overall.
In Section IV, results from the Community Assessment Survey for Older Adults (CASOA)
are presented and results of the data are analyzed. In 2022, the Colorado Association
of Area Agencies on Aging (c4a) applied for, and received, a grant from Senate Bill
290 funds. This grant allowed the sixteen Colorado Area Agencies on Aging to
individually contract with the National Research Center in Boulder, Colorado to
complete a state-wide CASOA and a region -specific survey report The Weld County
AAA requested additional reports for the Carbon Valley area that includes Frederick,
Firestone, Mead, Dacono, and Platteville as well as the Johnstown, Berthoud,
Milliken, Longmont and Windsor areas. The Four Year Plan highlights the key findings
in Weld County as a whole and certain areas in the townships specifically selected.
The full reports are available on the Weld County Area Agency on Aging website
www.weldaaa.org.
4
Section V provides an overview of current and future programs using volunteers
provided by or through the Weld County AAA over the next four years More detailed
information on these programs may be found in Section VIII (Questions) where we
address current and future initiatives for each program area.
Section VI addresses Weld County's COVID-19/Pandemic Response which includes how
services were added or adjusted, and examples of how the emergency funding we
received was allocated.
Section VII describes our plans and objectives toward building equity and inclusion in
our region.
The question section (Section VIII) of the Plan addresses an in-depth look at all
current services funded through the OAA, targeting and outreach, other services and
innovation and program expansion. Each question was addressed based on historical
program practice, future planning, knowledge of the AAA system, Older Americans Act
regulatory requirements, and current and future agency initiatives.
Section IX: Does not apply to Weld County. We do not have a Title VI Native American
program in our region
Attachments in Section X include the direct service waiver requests, which outlines
the programs that are managed within the AAA versus being managed by a community
contractor/provider. All programs that are managed internally must be approved by
the Weld County Area Agency on Aging Advisory Board, the general public through a
public hearing process and the Colorado Department of Human Services, State Unit on
Aging. The additional attachments address the location of all Senior Nutntion meal
sites, the commumty focal points and senior centers, Area Agency on Aging Advisory
Board membership, the statement of intent, additional focus group information, and
demographics.
SECTION II: PUBLIC INPUT
The Weld County Area Agency on Aging (AAA) offered multiple opportunities for
consumers to share the strengths and needs of older adults in Weld County. The Area
Agency on Aging Advisory Board members and the AAA staff members played a
significant role in gathering information through the focus group process.
During August and September 2022, ten focus groups were held throughout Weld
County (Attachment E) dedicated to obtaining feedback from older adults. One of
these sessions was for Spanish-speaking adults and one was held virtually. The
questions asked of the older adults may be found in Attachment F. Two focus groups
(one in person and one virtually) provided an opportunity for senior -service providers
from the community to provide information about how their efforts are perceived by
the seniors. A total of 244 individuals attended the groups geared to older adults, 76
5
professionals responded to the survey and 16 attended the in -person provider focus
group. In addition, a public heanng was advertised and held to give the public an
opportunity to provide feedback for this Plan
Older Adult Focus Groups
Because community engagement plays an important part in a person's quality of life,
we were interested in knowing what positive things the participants saw happening in
their community. Many reported that they were pleased with their senior/community
centers and the services offered at the location, such as a senior nutrition meal
program among other social activities the centers offered. Other comments noted
access to libranes, walking trails, and classes offered through the AAA, etc. The
interest in engagement and type of community activities did not seem to differ
between rural and more urban communities.
We found, across the older adult focus groups, that participants shared many of the
same positive aspects of growing older. Responses ranged from time to make their
own schedules, explore other interests such as gardening or taking a walk, and
socializing more with family and friends The challenges of aging ranged from health
concerns, loss of independence, financial concerns, and fear of not being able to
drive or maintain their home We were also interested in finding out what services the
participants were currently using and if they were not currently using services, where
they would look to find them. As noted in previous focus groups, the services most
often mentioned were those related to heavy housework, yard care, general home
maintenance, and transportation. Participants noted that they were aware of how to
find the services due to word-of-mouth, family, and the Area Agency on Aging
outreach When asked what services they thought they might need in the next 3-5
years, many merely reported transportation assistance, both regular and handicapped
accessible transportation were particular concerns as respondents noted their need to
access the community, get to doctor appointments, and shop for food. Other
responses mentioned the AAA Chore service to assist them in maintaining their home
allowing them to age in place. We were pleased to see that many seniors are
successful in locating and accessing services for older adults, however we continue to
be concerned that many seniors indicated that they do not know where to go for
information about available services and how to connect with them.
We asked where we should promote/communicate information to older adults, and
how they would like to access and receive information about aging services and
resources in the future We will use this information to give us direction in our
marketing and outreach efforts in the coming years. What we found was that many
participants still look for information in print form, whether it is in the newspaper,
flyers, newsletters, or brochures Many also suggested we target libraries, churches,
and coffee shops. One unique perspective that stood out was the suggestion to
advertise/target areas that are utilized by younger people in hope that families will
gain information and know where to turn when the older adults in their lives need
service. Some did indicate that they use the Internet to access service information,
6
however a large majonty continue to rely on word of mouth. This information could
be coming from fnends, family members, senior centers, and at times, professionals.
We were interested to learn how respondents managed necessities during the COVID-
19 lockdown, such as food, medication, household essentials and getting to doctor's
appointments. Families/fnends were the number one resource for getting necessities
however many also stated that they "masked up" and did what needed to be done.
We followed up by asking respondents if they felt socially isolated/lonely and if so,
was it due to the pandemic or other reasons. Some indicated feeling socially isolated,
fifty percent attnbuted this to the pandemic while the other fifty percent reported
death of a spouse/family member or loss of independence as the reason.
We were curious to know how many of our respondents were caregivers themselves
and if so, how they were caring for themselves. This information will inform changes
to our Caregiver Program over the next four years Many respondents reported helping
neighbors with mail retneval, chores around the house, pet sitting and transportation
needs. Many of them did not consider themselves a caregiver, rather a fnendly
neighbor. Others reported being a caregiver for a family member, typically a spouse,
and most voiced their awareness of the importance of self -care.
Service Provider Focus Groups
We contacted providers for feedback in two ways. For one focus group we emailed a
survey to representatives from all Weld County organizations and businesses that
provide senior services and invited them to complete the survey. The other group of
community partners were provided questions during an in -person meeting and
included representatives from areas such as the Weld County Ombudsman program,
ARC of Weld County, low-income senior housing, local hospitals and police
departments and the behavioral health organization in Weld County. Both groups were
asked the same questions (Attachment G). We were interested in knowing how older
adults were made aware of the services they provide, what service gaps they feel
exist in the community, what improvements in the service network they would like to
see, whom they feel is being underserved and why, innovative services they would
like to see developed, and any additional thoughts and/or ideas that we did not ask
about.
The service provider focus group and survey had a good response rate. As we heard
from the older adult focus group participants and from the 2022 CASOA survey, many
seniors are unaware of the abundance of senior services available in their community.
Likewise, most are unsure of where to go to obtain this information when they need
it. We asked the question "How do older adults find out about your services in the
community?" and found that word of mouth seemed to be the primary way those
needing services not only found the AAA, but also specific providers within their
communities. Other provider responses resembled that of participants, including
senior centers, family/fnends and community events. No one seemed to feel they had
the "right" answer, but all agreed that getting the information to seniors who need
services continues to be challenging.
The service providers were asked about their views regarding what gaps exist in senior
services currently offered in their communities and what improvements could be
made within the current network of services. As noted by the older adult focus
groups, transportation and housing were noted as top concerns for seniors and their
families/friends struggling to access information about service options available in
their communities.
Other themes included staffing shortages, a limited number of Medicaid beds in
assisted living and skilled nursing facilities, especially memory care units. Additional
themes were outreach and waitlists/not enough funding, the lack of day programs in
Weld County along with technology struggles, limited services to rural seniors, and
gaps in services for seniors who live alone.
When asked who they thought were the most under -served population among older
adults, providers indicated the following: non-English speaking minorities, who are
often hesitant to engage in services due to the lack of translation options impeding
access and navigation, the aging population living in rural areas, un-homed
individuals, LGBTQ+ community, and those with mental health concerns Additionally,
they identified clients who can no longer drive, have limited mobility, and those that
cannot access the Internet. Also mentioned as underserved, were seniors that are not
eligible for Medicaid but cannot afford pnvate pay for the care or assistance they
need.
We also asked the participants to share what else we should know when creating new
programs or improving current programs over the next four years. Their ideas
included home repair services, programs to prevent homelessness before it happens,
more affordable and accessible housing options, and additional chore services for the
home to assist with home maintenance activities. Equally as important were mental
health services, additional resources for caregivers, adult day services,
transportation/accessible and reliable (e.g., door through door versus door-to-door).
Also mentioned was additional support or funding for those on a fixed income that
struggle to pay for utilities or taxes, as well as technology assistance, generational
services to connect youth with older adults, more culturally diverse/inclusive
activities, increased resources and community events to get the word out We asked if
providers have or will incorporate equity, diversity and inclusion in their business
practices and we received responses from a simple "yes" to "including this lens
throughout work and decisions".
At the conclusion of the focus group and survey, we asked the participants "what
else?" They asked that we consider provider burnout, quality of services, increased
cost of living and how all of this will impact the individuals we serve.
8
Weld County Area Agency on Aging staff serving older adults and caregivers in the
community play a vital role in providing feedback for this plan They report on the
most requested services and help guide programs to help meet the need.
Public Hearing
The public heanng was held in the Weld County Department of Human Services,
during the Weld County Area Agency on Aging Advisory Board meeting on March 9,
2023, at 9:00 a.m The public hearing was made public through a press release to the
Greeley Tribune Beyond 60 Page, the leading newspaper in Weld County A total of 13
individuals attended the meeting. At the public hearing, the plan was reviewed,
highlighting the programs funded and managed either by internal staff or through
contracted community providers. Direct waiver information was discussed and the
complete Four Year Plan was approved by the Advisory Board. On March 15, 2023, the
Weld County Board of County Commissioners approved the Plan.
During the public heanng, concern was discussed regarding the 14% CASOA
respondents being truly representative of Weld County older adults, however, it is
only one portion of the feedback used when creating the Plan. A significant amount of
information is used from focus groups, staff and stakeholder input received
throughout the previous Four Year Plan. The discussion included the importance of
the CASOA and the ability to see trends from the previous plans as well as the
comparative data we receive across the nation.
SECTION III: DEMOGRAPHICS
Weld County, located in the northern part of the state, is the third largest county in
Colorado covering 3,987 square miles. The county is home to 340,131 people; 60,207
who are 60+ years old (Table 1 2022 Population Estimates Amencan Community
Survey of the U.S. Bureau of the Census). Weld County, like the rest of Colorado, is
expenencing a change in the aging population. As noted in Table 2, Weld County will
be seeing a 15.9% growth in 65 to 74 -year -old individuals and a 66% growth rate in the
85+ year- old group between 2021 to 2031. Table 3 provides an overall companson of
the 60+ population growth when compared to the overall population growth
anticipated over the next four years. This overall change in population will have a
significant impact on the type and scope of services that the AAA and the community
at large must address.
9
Table 1
2022 Final Population Estimates for Weld County
60+
60.207
17.952
75+
Poverty
4,523
60+
10.851
60+
Minority
18.019
Low
of
Poverty
Income
12,964
60+
(185%
Level)
Ethnic
Rural
60+
18%
Population
total
of
the
5%
Population
total
of
the
6%
Senior
Population
of
the
14%
of
Population
p
the
Senior
the
Population
23%
Senior
of
17%
of
Population
p
the
Senior
Source: American Community Survey of the U.S. Bureau of the Census
Table 2
Projected Population Change by Age Group, 2021 to 2031 for Weld County
Tota
0to17
18 to 24
25 to 44
45 to 54
55 to 64
65 to 74
75 to 84
85 +
28.0%
20.7%
21.8%
32.4%
353%
26.0%
15.9%
56.0%
66.0%
0%
10%
20%
30%
40%
Percent Change
Data and titsuaiizabon by the Colorado State Demography Office. Print Date: December 27, 2022
10
50%
60%
Table 3
Projected Age 60-100 verses Total Population
2021-2024
Projected Age 60-100 v.s. Total Polulation
■ Ages 60+
Weld County All Ages
400000
350000
300000
250000
200000
150000
100000
50000
0
63636
65339
66893
68404
2021 2022 2023 2024
Source: Colorado State Demographer, Department of Local Affairs
Weld County AAA strives to reach and address the needs of the greatest at -risk older
adults in our region. One indicator of risk that we pay special attention to is poverty.
We have mapped the location of older adults in the county based on 1 and 2 times the
poverty level and the location of our senior nutrition sites throughout Weld County.
Weld County Percent of Individuals 65 Years and Over
with Income Less Than 1.0 Federal Poverty Level
Senior Nutrition Sites
ti Senior Nutition Sites
65 and Over Lem Than 1 Times
Poverty Level
0.00%
0.01% - 10.00%
10.01% - 20.00%
20.01% - 30.00%
L 30.01% - 40.00%
_ 40.01% - 50.00%
50.01°% - 60.00%
60.01% - 70.00%
70.01°/o - 100.00%
T1th psc�d n hat Delft Y eb ai Ltt fa Internal use WI t*, *tie Caatp. The GIS Sande *flans, a d a in the product S sit -e1 tcanstant Came and ?c acne. and crams
cannot be and ri not guaranteed. The designation of tats a ors s and is PI the d t Ira doe rot POI that the lots err -S were cleated a that the La -al .eas a ph appi atee State
or lent au UNDER MO QRCtMSTJ CE SHALL MV PART NE PROOLCT 3E USED PCS FIhA1 OESFGR PUFPC6ES. WELD COLIC? MAKES SIC WAP$JX TES OR GUSH raS, EITHER EXPRESSED OR
MPUFG AS TO T1f OOMPIFTENES ACCURA i.OR CORNECTNESS OF Sl1Di PRODUCT, MOP. ACCECTS Aire 11AWIL'TV. ARISDK RCM ANY INCORRECT, P COMPLETE OR MISIEADI$3 INfOAnATDOh
CONTANED THEREIN
Casa II C tw.• dips. 5A, I Art L Vine Cetera:vet C IWr+ THY.r D' TC"1a
12
Weld County Percent of Individuals 65 Years and Over
with Income Less Than 2.0 Federal Poverty Level
0.010%O - 10.00%
10.01% - 20.00%
20.01% - 30.00°/O
30.01% - 40.00%
40.01% - 50.00%
50.01% - 60.00%
60.01% - 70.00%
70.01 - 100.00%
The ;abduct has been dc+tlo "- Icnr rot etc:m)i use or* by Weil County. The C5 database, as, am S:u in rite prtduaSsuttea to constant awe arcd Ire acn.ac r and orpletnes
cannot be and S not -ati The (seen d i t: ar paitala a and uses in the database does riot * tat the lots or parcels v ete k created a tat the lard :ass con* t•IM atipt.t a Smite
or Local aw UNDER NO 3PCJI5rNKE SHALL MAT POT NE PR0OuCT BE tlSED PR. FINAL DESIGN P PPC6ES,. 'NEW COL TY MMES NC WARAPCIEs C GUARIitrEs, EITHER EXFFESSFl DC:
IMPLIED AS To THE COMP t TNES , kCCt Afl. OP SARR. NESS OF SUCH PRODUCT, NOR KUM'S llch LIABILITY, ARISING PiloM MY IAODRPECT, INCOMPLETE OR PURErDING IMFCPP4A7 h
CONTAINED THEREIN
Setae. U S :e- s N.: eau 2021 AM S Its Ens Sub$ 1 Metes =1 ?C: 4
13
Many of the nutrition sites are located near or within the higher poverty areas in Weld
County. In addition to providing meals several times a week, nutrition sites offer
additional senior resources/services such as nutritional counseling, social support, and
provide vital information regarding senior services in the community. Since we know
age is another risk factor, we have identified where the 65+ older adults reside within
our county. Understanding where seniors are aging in our community will continue to
help with the development of future programming opportunities.
Weld County Senior Nutrition Sites
Fort Col II rs
Lcseiland
not;
Berthtud
n Mead
"J.:nr
"-Tr Severance
z�
Pm)
-'4
7f'
4
Auk
Eakin
flnul
-r
I
I
Weld County_
Fort Collins
„Grid ey
COOP
N
Lsir
Keenesburg
,) Senior Nut ition Sites
% of Total Population :> 60
0.00% - 5.40°/°
5.41% - 11.00%
11.01% - 14.60%
14.61% - 18.00%
18.01° - 20.40%
20.41% - 23.70%
23.71% - 27.10%
27.11% - 34.20%
34.21% - 46.00%
r
Mr& USGS, Es6 PEW Cart , zaO, NOA& It5c.'S. FP& •. j =sr', Nf E.C.S. aa FAO METIPIASA, IcIc. CPA,
Ts procha ►►as been ke.dcped solely kw rune a only by Set Cons The Q,xlta appetatlaru, and am in the prooua t st,nct to constant :woe aid the stay and origin
cannot be and s rrx • araccret The desiS► an of lots a brs a tend anew daubese doer: rot tray tint the bs a ps' was legs* •aoacsac ar tat the lard .mss camp* set amicable State
ar tool an UNr.e NO •3RCLMSTNICE SMALL ANY ROT NE PAOOUCT 3E u5ED FOR FINAL DESIGN PIsPOSES **ID ODUITY MMES NO warns Cspl alAR l rEES, FINER OCPRES.SFO OR
D4Pl.'ED AS TC TIE CotItfTE4ESS, ACCURACY OR CORRECTNESS OF SUGI PRODUCT, NOR acarrs AMY LIABILITY, MUSING FRt tI ANY IArzOPRECT, U CCA$PtflF OR MQ5tEACING IIeFGAMORDII
CONTA.'*ED T►EPFIN
Sauce usCeras Bares. ?021 ACS 5 tea csof►ts SC}ert Tables 50101
14
Weld County Senior Nutrition Sites
Fort Coll ins
17
I ,V'$1 rr I
f" n
wellnglon
• 1
f It
Severance
Johnstown
Berthoud
Mead
•
Long nor!
r
®Eaton
J
GiIcrest
1)
Platteville
leenburg
ie
r
Senior Nutrition Sites
;1 Senior Nutrition Sites
% of Total Population > 75
0.00% - 0.90%
0.91% - 2.00%
2.01% - 3.20%
3.21% - 4.30%
4.31% - 4.90%
4.91% - 6.40%
6.41% - 8.90%
8.91% - 11.50%
11.51% - 20.20%
r, Ca- f.. - 4 -**A SaS, Er*, NPS, Et, i#iiE. ;.,arrnir.. 54 eat, MF'i�r�A3AI t1�+� , F a `,
Ths prod. x has been tottered scatty be renal use :cif tv Weld Caap The ;LS matte, aGplcatiorts, a a San in the product is atiecs to toed Mange and lane coact and roeibkle ets
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at 1S gm UNDER NO CDiC.MSTANCE SMALL ANY PART NE PODOt1CT EE u%D FIIMAL CfSIGN ► A ES_ WELD oDcwrY MAKES C * WRAKTI S OR CiUMAWEES, EITtIFR EXPRESSED OR
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15
Weld County Minority Percent of Population
65 Years and Over
4,?: Senior Nutrition Sites
Minority % of Population 65
and Over
0.00% - 3.59%
3.60% - 8.54%
8.55% - 14.09%
14.10% - 19.10%
19.11% - 25.16%
25.17%
32.02% - 44.05%
44.06%
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carat be ands riot akara'rs. The OrslOnadrn of lass or parts a land uses in the database aces lot rot* cat the bas or aces wat leg" abated or t3tat the Ibid ases carpel WM amicable State
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WPM AS TO Tif COMP- TEMSS, ACCURACY, OR COR E-?11ESS OF SUCH PRODUCT, NOR rt:UPTS Ate LIABIUZne, MIS NG FRCP, ANY IbiORRECT, INCOMPLETE OR ItISta cnc INFonlnoh
CONTLIED THERM
SOIa ae US . Cava Bureau 2O21 ACS S vesv Earrzn Subject Tables Watt
t
16
SECTION IV: COMMUNITY ASSESSMENT SURVEY OF OLDER ADULTS (CASOA)
In the fall of 2022, a statewide Community Assessment Survey of Older Adults (CASOA)
was completed by the National Research Center of Boulder Colorado. This is the third
Colorado statewide older adult survey to be completed by the National Research
Center in the last 22 years. Each AAA received a custom report that focused on
responses from participants in their catchment area. Weld County AAA requested
additional reports for Erie, the Carbon Valley area which includes Frederick,
Firestone, Mead, Dacono, and Platteville, and a combination report including
Johnstown, Berthoud, Milliken, and Windsor. These areas are rapidly growing in
population, and we were interested to see if their needs varied significantly from the
rest of the county.
The overall objectives of the survey were to:
• Identify community strengths to support successful aging.
• Articulate the specific needs of older adults in the community.
• Estimate contributions made by older adults in the community.
• Develop estimates and projections of resident need in the future.
The goal of the survey was to provide useful information for planning and resource
development as well as strengthen stakeholder engagement and advocacy efforts over
the next four years.
The survey was opened on July 14, 2022, and closed September 26, 2022. A postcard
was initially sent to each participant (randomly selected) presenting the opportunity
to fill out the survey online or wait for the paper copy to arrive in the mail. The
survey was sent to a random selection of 11,351 older adult households in Weld
County. A total of 1,542 individuals completed and returned the survey. The overall
response rate was 14.27%, with a margin of error of plus or minus 2.5% around any
given percent and one point around any given average rating for the entire sample.
The current report compared results with the 2018 and 2010 surveys, where the same
questions were asked. We are also able to compare the 2022 data with a national
sample based on a National Research Center (NRC) dataset that collates responses to
CASOA, and related surveys, administered in other communities. This NRC national
sample allows Colorado responses to be compared against national benchmarks.
Trends Over Time
The best benchmark is your own community over time
Trends
T More favorable
At least 7 percentage points more favorable than last measure
Similar
No statistically significant difference
Less favorable
At least 7 percentage points less favorable than last measure
17
0
Mote: COV1O-19 hes negatively
elected many communities
washy less Caroni)* V ends
many topic s
This report summarizes how older residents view their community, quality and
aspects of livability are examined within six community dimensions:
• Community Design
• Employment and Finances
• Equity and Inclusivity
• Health and Wellness
• Information and Assistance
• Productive Activities
Community livability starts with evaluating the quality of life of those who live there.
Each dimension explored the older adult's rating of the community, participation in
community activities, and potential problems they face in relation to each dimension.
The COVID-19 pandemic has impacted every aspect of community livability, and older
adults were some of the hardest hit by the virus and its effects. The key findings for
each of the six dimensions, for Weld County, are listed below.
Overall Community Quality:
Weld County's older residents gave high ratings to the community as a place to live.
Respondents reported a good or excellent quality of life. Weld County older adults
tended to rate aspects of Overall Community similarly to how that item was rated in
other communities across the nation.
Weld County AAA Older Adult Quality of Life
Qh Your overall quality of life
29%
Excellent
Good
53%
Fair
Poor
15%
29% (441)
53% (811)
15% (224)
3% (44)
18
Livability score
Average of community quality items
Percent reporting erceiiertr or good.
Characteristic
v Trend •
positive
Notional
Beadwork
Your nesghborhood as a puce
to Irve
83% N/A
Your community as a place to
lire
82%
The overall quality of life in
your community
77% N/A
Your community as a pace to
retire
63%
U (t LL 11 61 tt !'t 66 ii Li et a is c! 99 ii ii /s n
ae-
1 r abihtyl wire aver tow
100
Livability score
Average of community quality items
-� Trending similar
Percent reporting very Irkety Or somnewhai likely.
79
75
2010 2018 2022
Characteristic % likely " Trend
National
Benchmark el
Remain in your community
throughout your retirement
Recommend living In your
community to older adults
73%
se
64 o is a tif et 99 al l tt
Community Design: Livable communities, which includes mixed -use neighborhoods
(where people can live close to places they can eat, shop, work and receive services)
19
are becoming a necessity for older adults to successfully age in place. Weld County's
Community Characteristics scored highest in the following areas:
Community Characteristics
Highest
70% or higher
• Ease of travel by car in your community
• Ease of getting to the places you usually have to visit
• Opportunities to attend religious or spiritual activities
55% to 69%
• Ease of walking in your community
• Opportunities to volunteer
• Ease of bicycling in your community
• Fitness opportunities
Weld County scored below 25% in the following areas:
Affordable housing and transportation remain areas of focus for many communities
nationwide.
Community Characteristics
Lowest
Less than 25%
• Cost of living in your community
• Quality of employment opportunities for older adults
• Availability of daytime care options for older adults
• Availability of accessible housing (e.g., homes with a no
step entry, single -floor living, wide hallways and
doorways)
• Ease of travel by public transportation in your
community
• Variety of employment opportunities for older adults
20
Community Characteristics
Comparisons to National Benchmarks
0
received more
favorable ratings
47
received similar
ratings
5
received more
unfavorable ratings
cc a 99 !! cc 91 as Li tt !! 66 as « It as II !! 93 as Ittt
Employment and Finances:
People in the U.S. are working longer and retiring at an older age than they have in
the past. Older adults are postponing retirement for a variety of reasons: improved
health, the desire to accumulate additional wealth and/or benefit from delayed
pension plans, and because the information age -based economy is less physically
demanding than jobs from the industrial age. Older workers are an untapped resource
for many communities seeking economic stability and growth. Weld County CASOA
results show:
• Employment opportunities for older adults received low positive ratings from
respondents; 21% for quality opportunities,15% for variety and 15% for the
opportunity to build work skills.
• About 3 in 10 older adults reported financial challenges and 2 in 10 reported
looking for employment. The Erie survey reported 5 in 10 respondents reporting
at least a minor problem with having the funds to meet daily expenses.
• Although only 2 in 10 rated their cost of living as excellent or good,
approximately 6 in 10 respondents rated their community's overall economic
health as positive.
Longevity and increased cost of living will make retirement planning and employment
opportunities for older adults a priority for communities nationwide.
21
Equity and Inclusion:
Not only is a sense of connection and belonging necessary to feel a sense of
community, but also feelings of equity and trust in others in that community.
• Nearly 50% of respondents rated neighborliness and the sense of community in
their towns as excellent or good.
• 49% of respondents gave a positive rating for their community's acceptance
toward older residents of diverse backgrounds, and 4 in 10 indicated that their
community valued older residents.
• Although 77% of respondents report no concern with age discrimination, 3%
reported a major problem. This is comparable to the National Benchmark.
Health and Wellness:
The health of a community's older adults is one of the most significant areas a
community needs to address to ensure the independence and contributions of older
adults. For the purposes of this study, health and wellness included not only physical
and mental health, but also issues of safety, independent living, and health care.
• 77% of respondents in Weld County rated their overall physical health as
excellent or good, similar to previous reports, and 88% of respondents
positively reported about their overall mental health/emotional wellbeing. This
was 6% more favorable than from the previous CASOA completed in 2018.
Status Indicators - Personal Health Status
Percent positive
Your overall mental health/emotional
wellbeing
Status Indicators - Personal Health Status
Percent positive
88%
• Community opportunities for health and wellness were scored either excellent
or good by 60% of respondents. 4 in 10 noted excellent or good access to
22
services for physical health, 4 in 10 reported excellent or good access to
mental health care and 3 in 10 noted excellent or good access to long term
care options.
The most common challenges noted in the survey included 40% of respondents
indicating physical health, which included falls and injuries; having enough
food to eat; staying physically fit and maintaining a healthy diet. 40% of the
respondents also mentioned health care, which included challenges finding
affordable health care, dental and vision care and affording medication.
Compared to the last CASOA survey, we saw more respondents noting increased
challenges with obtaining vision and dental services, affordable medications,
and enough food to eat The survey results also showed an increase in concerns
with falls and injuries in the home, fraud, scams, and being a victim of a
crime.
Information and Assistance:
Bringing awareness to a community of older adults has always been a difficult task,
however the benefits of increasing their awareness will allow older adults more
opportunity to age in place.
• 6 in 10 respondents reported feeling "very informed" or "somewhat informed"
of services and activities available in their community.
• Nearly 9 in 10 respondents reported having high speed Internet/broadband at
home and the ability to access the Internet from their computer. Six in 10 visit
social media sites and 2 in 10 share their opinions online
Productive Activities:
Social Engagement:
It is well documented that social support also has many mental and physical health
benefits. Extensive opportunities for recreation, the arts, and social interaction make
a community more attractive, especially to older adults
23
Percent positive
Opportunities to attend religious or spiritual
activities
Overall quality of parks and recreation opportunities
Overall opportunities for education. culture, and the
arts
Recreation opportunities (including games,
arts, library services, etc.)
Opportunities to attend social events or
activities
Opportunities to enroll in skill -building or
personal enrichment classes
34%
51%
51%
43%
72%
64%
(can
Used a public library in your community
Participated in religious or spiritual activities
with others
Used a recreation center in your community
Participated in a recreation program or
group activity
Participated in a club (including book, dance,
game, and other social)
Used a senior center in your community
-4
Percent yes
27%
22%
21%
42%
36%
51%
The Economic Contribution of Older Adults:
Older Adults make significant contributions (paid and unpaid) to the communities
where they live. In addition to their paid work, older adults contribute to the
economy through volunteering, providing informal help to family and friends, and
caregiving. The value of paid (part- and full-time work) and unpaid (volunteering,
24
providing care) contributions by older adults in Weld County totaled about
$1,313,205,685 annually to their community. This was an increase of $339,687,591
from the 2018 survey.
Economic Contribution by Year
■ Unpaid Paid
2022
2018
2010
$690,861,427
$484,159,890
$324,282,032
$622,344,258
$489,358,204 ill
$201,255,198 $525,537,230
$973,518,094
$1,313,205,685
Dollars of unpaid and paid economic contribution
Town/County Comparisons:
The following municipalities were given individual scores outside their contributions
to the complete Weld County survey.
• Survey 1: Erie
• Survey 2: Carbon Valley (Frederick, Firestone, Mead, Dacono, and Platteville)
• Survey 3: Johnstown, Berthoud, Milliken, and Windsor (no previous data
available)
The municipality's individual survey results show specific problems faced by older
community members within their distinct communities. These results provide a broad
picture of older resident's moderate or major needs in the following areas:
Housing
Equity
Employment
Mobility
Caregiving
Information on Older Adult Services
Mental Health
Finance
Safety
Health Care
Social Engagement
Independent Living
Physical Health
Inclusivity
Areas showing more than 30% of respondents having concerns included:
Housing
Health Care
Information on Older Adult Services
25
Finances
Physical Health
The survey questions evaluated the community's ability to accommodate the needs of
older residents, as well as the actual experiences and challenges of older adults by
comparing the aspects of livability within the six domains: Community Design,
Employment and Finances, Equity and Inclusivity, Health and Wellness, Information
and Assistance, and Productive Activities.
An index score was calculated for each aspect of livability by averaging the ratings
given to the questions related to the specific community livability topic. (This index
includes only the ratings of community amenities, not those items related to the
respondents' own status, orthe challenges faced by the respondent )
Erie's index ratings were higher in all areas than the other two groups surveyed
Carbon Valley had lower survey results than in previous years in the following
areas:
o Health Care
o Safety
o Equity*
o Information available on older adult services*
* These areas are identified as lower survey results from previous years in Weld
County overall.
National Benchmark Comparisons:
Of the 52 assessments of community livability that were compared to the benchmark
database, 47 were similar, 0 above, and 5 below the benchmark comparisons.
The areas in which the region ratings were lower than benchmark compansons were:
• Overall quality of natural environment in your community
• Ease of travel by public transportation in your community
• Quality of employment opportunities for older adults
• Availability of affordable quality food
• Public places where people want to spend time
SECTION V: VOLUNTEERS: CURRENT AND FUTURE PROGRAMS
Volunteers remain a vital part of the work we do as the AAA in Weld County. Without
the dedication and service of our volunteers we would not have the thriving programs
that are in place today. Currently, the Weld County AAA programs, both internally
and externally, utilize volunteers in the following ways
The Friendly Fork (nutrition program) currently utilizes 215 volunteers. These
volunteers are a key component in the success of our congregate meal sites.
Volunteers check participants in, greet the delivery driver, serve the meals and are
26
responsible for the cleanup after the meal. Since hiring the Nutntion Program and
Voucher Specialist, we have had the opportunity to strengthen the way we recruit,
train, retain and recognize our congregate meal volunteers. Staff in this position have
been able to update our volunteer database with current volunteer information and
pictures. We will continue to post our volunteer job openings on the United Way
website as it has been beneficial. We will also continue to post on the Weld County
Facebook/Twitter page and work individually with the congregate site coordinators
and the participants who attend the location.
60+ Rides (transportation services) currently has 100 volunteers. These volunteers are
the pnmary source of rides for this agency. As need anses throughout the Region the
provider focuses their recruitment efforts in the area of need in an attempt to
provide transportation to as many individuals as possible. Meals on Wheels (home
delivered meal program) currently has 215 volunteers that participate by delivering
meals to our most vulnerable adults five days a week. Catholic Chanties (Outreach)
currently has 5 volunteers who participate in community meetings and speak at
service clubs and churches to educate the community about their services. Our
Disease Prevention and Health Promotion Programs (Weld Aging Well) currently has 25
volunteers for 2023. All internal and external programs embrace the goal of
increasing their volunteer numbers over the next four years
Over the past two years United Way of Weld County employed an Aging Well
Volunteer Recruitment Coordinator through a grant from the Next 50 Initiative. With
this coordinator, the AAA and many other agencies in Weld County, including some of
our providers, were able to work in partnership to recruit volunteers. Both the
Friendly Fork program and the Weld Aging Well programs benefited from not only this
position but also from the United Way website. The recruitment coordinator took the
time to learn all the details about each volunteer job within the AAA in order to
properly fit both the volunteer and the agency. The volunteer applications provided a
true descnption of the volunteer opportunity along with making the job sound fun and
exciting to be sure the volunteer knew what they were signing up for. The United Way
website was helpful in that it posted all our open volunteer positions. We got weekly
feedback from the website regrading views and inquines
SECTION VI: COVID-19/PANDEMIC RESPONSE
1 How has the pandemic impacted social isolation and loneliness in the Region?
What is your AAA and Region doing to address this?
Like much of the rest of the country, the pandemic has been challenging to
navigate for our older adults. As reported in the 2022 CASOA and comments
received dunng focus groups, older adults stated they have felt lonelier than
before.
27
The AAA has worked to be creative when it comes to combating social isolation
and loneliness. Some of the things we have done include
• Provided electronic companion animals
• Provided weighted blankets
• Early during the pandemic, we provided busy bags and distributed them to
individuals who were isolated in low-income housing complexes
• We made friendly visitor phone calls
• We have distributed tablets and laptops, partnering with the local library to
provide the necessary training to ensure they would be used
• We also purchased two CCTV's for low -vision individuals
All items mentioned were distributed to individuals that were socially isolated so
they can keep in touch virtually with family, enjoy entertainment, order groceries
and utilize telehealth appointments, etc. Our goal is to allow these individuals to
stay connected and safe in their home without worry about COVID-19 While this
social isolation project was started in response to the pandemic, we will continue
many of these activities while funds allow
In addition, our service providers also offered similar outreach to older adults The
transportation provider began assisting individuals to order online groceries and
have them delivered, as well as delivering food boxes from the local food bank
The home delivered meal provider included a number of various types of cards or
little goodies they gave to clients. Other agencies increased the frequency of calls
and outreach to case management or peer counseling clients to work through
difficult emotions they may have been experiencing
2. What changes in service delivery have been implemented during the pandemic
that have been identified as a best practice that will continue?
Grab and Go meal service, which allowed an individual to drive up to the meal
site and have meals passed through the window of their car or placed in the
backseat, was started in response to meal site closures during the Public Health
Emergency (PHE) This service has been well received and if funding allows, we
will continue the service over the next four years
Parking Lot Programming is a program we initiated during the PHE to offer a
way to safely congregate at a distance. Even as congregate sites have
reopened, there is still a desire for this type of programming, and we will
continue it into the coming years. Examples of these activities include bingo,
concerts, and dances
Initially, we switched to virtual programming for meetings and classes and are
currently offenng both in a hybrid format Participants enjoy this option for
both safety and/or convenience and we will continue this model into the next
four years
28
Our Nutrition Education was moved to virtual sessions and we began uploading
presentations to our Weld County website We will continue this practice in
addition to our traditional one-to-one education sessions
The evidenced based wellness classes that were allowed to move to virtual
during the PHE experienced greater than expected participation Therefore, we
will continue to provide virtual classes where allowed by the programs.
3. What strategies has the AAA used to retain staff and volunteers to ensure well-
being during the pandemic?
For our staff during the pandemic, we remained committed to providing
competitive wages and benefits We provide a positive, respectful, and safe work
environment. We focus on wellness and professional development. We also
recognize the importance of innovation and service and strive for continuous
improvement in all areas of our program.
We understand the importance of retaining staff who are trained and
knowledgeable in the AAA programs. This is vital to ensure continuity of services
to the individuals we serve
We feel strongly about wellness and we encourage staff to participate in the
Department's weekly broadcast called "Wellness Wednesday", focused on various
ways staff can take care of themselves, reduce stress, and increase overall well-
being In addition to our Employee Assistance Program, staff also have an
opportunity to participate in individual counseling sessions, through an outside
agency, that can be held in -person or virtually, during the regular scheduled work
week
Some of the areas we remain committed to are training, recognition, and staff
appreciation, team building activities to focus on relationship development and
personal growth; encouraging a work -life balance to include flexibility and
telework opportunities; and participation in various department initiatives and
committees
In addition to the vanous trainings staff are offered throughout the year, we
disseminate information on a vanety of training opportunities We have recently
provided trainings to our division that focused on safety related to home visits,
mental health and crisis situations, and trainings to enhance person centeredness,
including a Virtual Dementia Tour (an evidence -based sensory experience), and
Person Centered -Trauma Informed Approaches, with Dr. Shen Gibson.
Following the pandemic we will continue to assess and revise our retention plans
within the AAA to support our staff in the provision of quality service to our
consumers, and the goal of remaining our staff's employer of choice
29
For our volunteers dunng the pandemic we provided additional training as sites
began to reopen for congregate dining. AAA staff were made available to assist at
sites when they were understaffed with volunteers. We reiterated during training
that volunteers could not work when they were not feeling well, and that AAA
staff would cover shifts to ensure the meals would continue We are partnenng
with United Way to engage long-term volunteers for stability at the meal sites and
we were in constant contact with meal site coordinators to be sure they felt
supported and were able to meet the needs of the site.
4. How was the AAA able to use the current and previous stimulus funding to
respond to the community needs?
A significant portion of our stimulus funds have been funneled into our nutntion
program for grab -and -go containers, increased cost for food delivery and other
supplies. We have made, or are planning to make, improvements at numerous
congregate meal sites. We have earmarked money for facility upgrades and
repairs, ranging from fixing a leaky faucet to paving a gravel parking lot (which
will allow for snow removal in the winter months, creating a safer environment for
participants). We are working with senior centers/congregate sites for simple
improvements such as tables and chairs or adding outdoor shades over a garden to
allow the seniors to tend the garden safely in the heat of summer. We were able
to work with our Meals on Wheels site to provide funding to repair or replace large
ticket items in their kitchen We are exploring travel training for older adults and
purchasing marketing materials to assist with getting AAA information into our
communities. Additionally, we provided restaurant vouchers dunng the time that
our congregate sites were closed due to the holidays Due to the wonderful success
we experienced with the first round of vouchers, we are currently explonng
another round of meal vouchers in early 2023. We were able to partner with the
local cold weather shelter to fund their bunkbed dnve that allowed the shelter to
get the older adults off the mats on the floor and into a bed when utilizing the
shelter. Dunng the early days of the PHE we purchased laptops and tablets to
provide a means of communication for our older adults, to fend off isolation and
allow them a virtual or remote option to meet with their medical providers when
necessary.
5. Are there any services and/or service locations that have been permanently
stopped or closed as a result of the pandemic?
1 The Mead congregate meal site was previously housed in the Mead Town Hall.
When the seniors paused congregating, the space was given to another group
and the center did not have the capacity to restart the congregate program
once the seniors were ready to start meeting in person again. Options were
limited in the vicinity of the previous site; however, we were able to partner
with a local church and the program is now up and running. This new site
serves more participants than the Town Hall did prior to the PHE. The
30
Wattenberg meal site also closed during the PHE and we continue to work with
the volunteers and church where the site is located to prepare it for reopening.
2. Our Outreach program is planning to re -build their "Fnendly Visitor Program"
which was shut down due to COVID-19. Volunteers are assigned to older
isolated adults to help combat loneliness. These volunteers will serve as the
eyes and ears of the program's case managers when they sense a concern after
a phone call or visit. The volunteers will also deliver food boxes and needed
items to some participants. Although they have a new volunteer coordinator, it
will take time to rebuild the program.
3. Weld County had a large organization that housed individuals in a nursing
home, assisted living and apartment settings that closed during the pandemic
Although this change of ownership was already in the works, it did occur dunng
the pandemic creating an additional layer of difficulty. With the assistance of
many of the Weld County AAA programs, community partners and families, all
residents were safely relocated.
SECTION VII: EQUITY
When ensuring older adults are provided with equitable care, it is important to
demonstrate progression, centered around equity and inclusion. Aging services and
supports are cntical when working with various racial and ethnic minonties, LGBTQ+
older adults, low-income residents, and older adults living with HIV/AIDS. It is
important to recognize the various challenges and gaps when navigating and obtaining
services. According to SAGE, LGBTQ+ older adults are twice as likely to live alone and
four times as likely to not have children, making it more difficult to age successfully
in their homes and communities. In addition, SAGE states that 50% of all Amencans
living with HIV are over 50 years old
Over the next four years, WCAAA will incorporate building equity and inclusion
throughout the region
The AAA will work towards making positive impacts on the social determinants of
health by:
Participating in Thnving Weld, a collective impact structure of a vanety of
organizations that are working together to create meaningful and lasting
change by focusing on ways to address complex issues facing our community.
The AAA is currently involved with the Healthy Eating and Active Living
workgroups
o The Healthy Eating Workgroup ensures accurate information is reflected
for both congregate and home delivered meals on the website. It
continues to evaluate what is trending and how the programs can serve
the community, such as advertising what healthy food options are
available like the food bank, food trucks, and Older Amencans Act
programs. Future growth will include outreach with Spanish speaking
31
older adults at the Rodarte Center and Grandparents Raising
Grandchildren program.
The Active Living Workgroup focuses on increasing the number of people
living at a healthy body weight through increased activity and active
transportation. The AAA can showcase the Weld Aging Well workshops
and classes, as well as promote Drug Take Back Day and Outdoor Rx, an
initiative aimed at getting people outdoors to improve physical and
mental health and wellbeing.
Continuing in-depth involvement with United Way of Weld County's Aging Well
Workgroup, formally known as the Older Adults and Healthy Aging Collective
Impact Initiative As previously mentioned, United Way took the initiative to
move to a collective impact process, working with interested partners to
achieve a shared goal and social change, such as Age-Fnendly communities.
Maintaining involvement with the planning of the Weld Senior Symposium,
formerly known as Senior Law Day, a public service event for northern Colorado
older adults and their caregivers. The event offers seminars and resource
information such as veterans' benefits, how to avoid probate, qualifying for
Medicaid long-term care benefits, medical advance directives, nutrition
information, how to downsize, fraud and identity theft protection, and aging in
place.
The AAA will work towards serving older adults living with HIV/AIDS by:
Engaging with the Weld County Department of Public Health and Environment
to collaborate and offer programs and services that will close service gaps for
older adults.
Outreach to community partners and organizations such as churches, Northern
Colorado Health Network, and hospital systems that may serve older adults
living with HIV/AIDS, to initiate and secure collaboration.
The AAA will maintain ongoing strategic planning to ensure programs, staff, and
providers are engaged in inclusion, equity, and diversity practices within Older
Americans Act programs by:
Requinng OAA staff, including Ombudsman, to attend Project Visibility and/or
other traimngs, such as unconscious bias training, as well as offering the same
or similar trainings to other AAA staff, DHS staff, contracted providers,
volunteers, AAA Advisory Board members, and/or community partners.
The Ombudsman will encourage long-term care and assisted living facilities to
incorporate equity and inclusion with staff traimngs and provide resources.
When program planning for Older Amencans Act services, ensure an equity,
inclusion, and diversity lens is applied to applicable situations
Preparing, publishing, and disseminating educational materials dealing with the
health and economic welfare of older individuals such as:
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o Ensuring inclusive language and graphics are incorporated in marketing
matenals such as the local newspapers, monthly messaging, and
quarterly newsletters.
o Taking a hands-on approach to hosting a Changing the Narrative event
for professionals working with older adults and community members.
Continuing to support cultural experiences, activities, and services such as:
Planning and implementing an art show that highlights local older adult
artists, both amateur and professional.
Planning and implementing a film festival, an event that paints a
landscape of aging, whose short films celebrate the joys, challenges, and
opportunities of life.
Participating in cultural opportunities in the community such as Pnde
events, Martin Luther King, Jr. Day of Service, Cinco de Mayo,
Juneteenth, and others as appropnate.
SECTION VIII: QUESTIONS
1. What service/services are the highest priority in the Region and why are these
services prioritized?
Older Americans Act Core Services
This section provides an overview of the core and optional programs that are the
highest pnonty for Weld County and those that we anticipate funding over this
four year planning penod The services and pnonty planning for the Weld County
Area Agency on Aging (AAA) was guided by the information obtained from senior
groups, individual seniors, volunteers, professionals, AAA staff, the Area Agency on
Aging Advisory Board, as well as the requirements under the Older Americans Act
Every four years the Weld County AAA releases a Request for Proposal (RFP) for all
major program areas that are not provided directly by internal staff. For this
bidding cycle, the RFP was released by the Weld County Department of Human
Services in January 2023 The bid proposal outlined the expectations, goals, and
objectives of the specific programs the AAA was interested in funding. Once the
proposals were received from interested bidders, they were reviewed by a
subcommittee of the Weld County Area Agency on Aging Advisory Board. The
subcommittee will present their findings and recommendations to the Area Agency
on Aging Advisory Board in March 2023. The Weld County Board of County
Commissioners will review the bids in March 2023 and, upon their approval,
provider contracts will be written, signed, and sent through the county contract
process
Below is a detailed outline of the service areas that will be funded dunng this four
year planning penod Programs that are available through the Weld County AAA
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but are not funded by the Older Amencans Act are also included in the plan but
are clearly identified as programs funded through other funding streams.
Information and Assistance (I Et A) and Aging and Disability Resources for
Colorado (ADRC)
The AAA will continue to ensure that all older adults have reasonable and
convenient access to information and assistance regarding key services. As
outlined in the 2022 CASOA and from the formal focus groups, Weld County older
adults continue to express a lack of knowledge regarding access to information and
assistance
To increase reasonable and convenient access to information and assistance about
services, the AAA has or will:
Increase numbers of internal staff providing information and referral services.
Volunteers are not currently used in this program.
Add a rotating schedule of community face time with internal staff to include
community focal points, senior centers, independent living centers, low-income
housing complexes and community events including a regular presence in target
areas with low-income/minority populations.
Continue to provide training and assistance to the senior coordinators
(WELDCOs) who are located throughout Weld County. The senior coordinators
are well known to older adults in their communities and can provide
information and assistance to seniors in a cost-effective and timely manner.
The senior coordinators are either employees of the towns/cities they
represent or are dedicated volunteers. Continued monthly meetings will be
held to provide in -person training for these coordinators.
Continue to disseminate information and assistance to the community through
multiple forms of media including. the quarterly AAA newsletter, the AAA
Monthly Insights email, the 50+ Marketplace News, the Greeley Tribune (the
Beyond 60 Active Living page), the Senior Nutrition quarterly newsletter, local
rural weekly publications, local radio stations, agency service directories,
agency program brochures, the Department of Human Services' website,
Facebook, Twitter, YouTube, LinkedIn, etc.
Continue to form strong community partnerships with vanous agencies and
organizations to offer workshops and traimngs available to the public on topics
that address current senior issues or needs such as Senior Symposium, Project
Connect, a Shred Event with AARP, a caregiver appreciation day event, High
Plains library, United Way age friendly initiatives, partnership with the Greeley
Natural area, making connections with agencies focused on disability advocacy,
and we are actively assisting in the planning of other county -wide resource
events and fairs.
Explore a rebrand to clearly identify and increase visibility of the Older
Americans Act programs.
34
Continue to support the efforts of the ADRC as It provides Options Counseling
to nursing home residents that are interested in transitioning back into the
community The AAA will continue to explore partnership opportunities over
the next four years as the long-term care system restructuring continues to
evolve
Continue working with Medicaid funding through the Federal Financial
Participation program.
Continue quarterly ADRC Committee meetings that is comprised of multiple
service agencies.
Outreach Services
The Weld County AAA will ensure that outreach efforts are conducted throughout
Weld County to identify older persons and to inform them of the availability of
services by:
Maintaining the Minority Outreach Program. This service is currently being
provided through a contractual agreement with a community provider. The
contractor's responsibility will be to identify isolated and at-nsk minonty
seniors and provide information and assistance regarding community services to,
enable the seniors to remain independent in the community. A specific focus
will be on seniors residing in remote areas and areas with higher poverty rates
within Weld County Volunteers are currently being used on a limited basis in
this program to disburse flyers and attend community engagements to provide
program matenals and education
Providing technical assistance on the services available to seniors in Weld
County to a wide range of community leaders, including church leaders, service
clubs, elected officials, and key personnel in other volunteer organizations.
Case Management Services for At -Risk Older Adults
Due to increasing numbers of at -risk seniors struggling to remain safely
independent in the community, and to address the issue of limited case
management service availability in Weld County, the AAA will continue to fund a
case management services provider
• Maintain the Case Management Program identify at -risk older adults who need
short or long-term case management. This service is designed to help older
adults remain as independent as possible in the community by providing and
facilitating access to community -based supportive services
• Volunteers are not being used in this program due to the scope of services
provided.
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Transportation Services
The AAA will continue to fund transportation services. The 2022 CASOA survey
indicated that 38% of older adults have experienced at least a minor problem
accessing safe and affordable transportation. This is an 11% increase from the 2018
CASOA Thirty-nine percent (39%) of the responders that are age 75 or older stated
that not being able to drive was at least a minor problem. As the senior population
continues to increase, service needs will rise and there will be an even greater
need for a variety of transportation services throughout the county.
Currently, transportation service is being provided through a contractual
agreement with a non-profit community service provider. The contractor provides
door through door service rides to seniors, using volunteer drivers and a staffed
minivan The challenge this contracting agency faces is the increasing demand for
services and the need for additional volunteers throughout Weld County. The
overall success of this program is primarily contingent on the ability to attract and
maintain a robust volunteer staff. During the Public Health Emergency, the
provider saw their volunteer dnvers fluctuate from an average of 100 active
volunteers in 2019, dropping to only 34 volunteers in 2020. In 2021 they were able
to expand their volunteer dnvers to an average of 50 volunteers throughout Weld
County and at the time this Plan is being written they are currently reporting an
average of 100 active volunteer drivers. This program continues to target the most
vulnerable individuals, who do not drive and do not use public transportation
because of cost, accessibility, or lack of stamina. Approximately 90% of their nders
are living at or below 50% of the Area Median Income No current traditional
transit system exists in the county that has the potential of reaching older adults
in all parts of the county. We continue to address the need for handicapped
accessible transportation Our current provider was recently successful in
obtaining funding to add a handicapped accessible van to their fleet and will work
to have their new program up and running in early 2023
The Weld County community receives additional transit services from a variety of
entities:
The City of Greeley/Evans provides transportation services (fixed route and
paratransit services) within the cities of Greeley and Evans
Individual senior centers/recreation centers and long-term care facilities
provide limited transit services either through their own vans or volunteer
drivers Also, Envision, the Community Center Board, provides transit services
to older adults with developmental disabilities
Traditional taxi companies and ndeshare companies such as Ztrip, Uber and
Lyft are present in parts of Weld County
VIA Mobility Service covers Southern Weld County.
Coming soon, Bustang, a transportation option offered through the Colorado
Department of Transportation to provide services between Sterling, Greeley,
and Denver.
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In -Home Services
The AAA will provide homemaker/personal care and mental health in -home
services through contractual agreements with non-profit community providers. The
2022 CASOA found that an average of 36% of the respondents reported at least a
minor problem with feeling depressed, while 50% of those 85+ reported a problem.
28% percent indicated that they needed assistance with performing regular
activities including walking, eating, and preparing meals 64% stated that they are
having at least minor issues with heavy or intense housekeeping. An average of 56%
report problems with maintaining their home and yard and finally 31% report an
issue with having a home to suit their needs The following services are designed
to give older adults access to a vanety of homemaker/personal care provider
services through a voucher program. Our counseling service provides the ability to
access mental health services in an innovative and effective avenue
Maintain homemaker and personal care services to frail older adults who have
no other source of third -party reimbursement for such services, through a
person -centered voucher program The AAA's internal voucher program
contracts with multiple provider agencies. The program will continue to work
with multiple provider agencies within and outside of the county to increase
availability of services to older adults residing in even the most isolated and
rural parts of the county
In addition to the homemaker/personal care voucher program Weld County AAA
has instituted a Home Safety Program, providing vouchers to individuals
requiring assistance to remain independent in their home If funding allows, we
will plan to expand this program over the next four years, considering
community needs at the time
Maintain funding for in -home or virtual one-on-one peer counseling services to
at -risk seniors. Providing counseling in a home and virtual setting, versus office
or mental health center, has been very successful with the senior population,
who often hesitate to access mental health services This service addresses
issues related to loneliness, isolation and loss, and other life changes that
impact many seniors
Due to the nature of the services being provided, volunteers are not being used
for the in -home service programs
Legal Assistance Services
See information under Section VIII. Ombudsman and Legal Assistance section,
question #7.
Ombudsman Services
See Information under Section VIII Ombudsman and Legal Assistance, questions #5
and #6
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Nutrition Services
The Weld County AAA will continue to prioritize both the congregate and home
delivered meal programs in Weld County. The congregate program will remain an
internally managed program run by five staff with the assistance of short-term
internship students. AAA will continue to fund the home -delivered program
through a contractual agreement with a non-profit home delivered meal provider.
Congregate Meal Program - The Friendly Fork
The congregate meal program (The Friendly Fork) is an internally managed
program. The staff consists of one full-time supervisor, a part-time registered
dietitian, a part-time warehouse manager, a nutntion program/voucher specialist,
and an administrative assistant. Our service area is nearly 4,000 square miles and
is both urban and rural in nature. To meet the needs of our senior population, we
currently manage twenty-three (23) congregate meal sites throughout the county.
The congregate sites are in a vanety of settings including low-income housing,
senior centers, recreation centers, town halls, and community buildings, chosen to
give access to seniors throughout Weld County, paying special attention to the
locations of our targeted populations.
The program is very dependent on dedicated volunteers. The Fnendly Fork
volunteer staff include a meal site coordinator, registration desk staff, individual
kitchen workers, and greeters All the volunteers are equally important, and most
are cross -trained, allowing them to work in different areas, depending on the
need. Each meal site requires a minimum of five volunteers, but the larger sites
require up to 10 As of 2022, the Friendly Fork has approximately 215 volunteers
who have been trained on program policy and procedures, food safety and
sanitation, customer service, and a vanety of other pertinent topics We saw a
significant decrease during the Public Health Emergency and are steadily working
on regaining and adding to our previous number of volunteers.
AAA continues to contract food purchasing and meal preparation with existing
providers in the community. The University of Northern Colorado has been our sole
provider for over 39 years The delivery of food to the meal sites has always been
provided by a professional transportation company, rather than by volunteers. In
addition, it is important to note that due to our successful partnership with our
local communities, 22 of our 23 meal site locations are provided at no cost to the
program.
The Weld County Senior Nutrition Program continues to see an increase in
participation since the 2018 Four Year plan was submitted, which is not the trend
for the rest of the country Over 58,000 meals were ordered in Fiscal Year '19,
over 63,000 in Fiscal Year '20, while in Fiscal Year '21 the program exceeded
80,000 meals. In Fiscal Year '22 there was a slight decline in meals ordered
(78,000) due to no longer serving frozen meals to the four senior housing facilities
38
during the COVID-19 shutdown. The increase in participation can be attributed to
many different factors: adding service days to meal sites, continuing to offer
evening meals at targeted locations, as well as the populanty of offering both
take-out and dine in options at all meal sites. The Weld County Fnendly Fork
program was exceedingly creative throughout the pandemic when offering
nutntion education presentations Virtual presentations became the best
alternative and an excellent way to engage with older adults. Recorded
presentations were available via the County website for those that were unable to
attend the live presentation. As meal sites re -opened, presentations resumed
within the facilities in addition to the virtual and recorded presentations.
The Weld County Senior Nutntion Program does have concerns regarding the
budget and the increase of program costs (food costs, cost of living adjustments,
supplies including the additional take-out matenals) compounded with funding
streams that will no longer be available in the coming four years. The AAA staff
will continue to evaluate and monitor the program to meet the greatest needs
To keep the program viable and relevant to older adults over the next four years
we plan to:
Market the Nutrition Program across the county to attract new customers to
the program. Continue to support the communities within the county that are
building new structures (Carbon Valley and Hill -N -Park) and assist with their
program visibility. Offer support and guidance to meal sites when re -opening
after the pandemic.
Maintain a financial contract with the University of Northern Colorado or like
provider to prepare hot meals for the congregate program that meet guidelines
and offer vanety
Maintain a financial contract with a community provider to deliver food from
the meal provider to the designated meal sites.
Maintain a positive relationship with the Weld County Department of Public
Health and Environment and partner with them to assist with Food Safety and
Sanitation training for the volunteers
Maintain nutntion education and counseling services to all congregate senior
nutntion participants through education presentations and written matenal,
and offer counseling services to all participants, targeting those participants
who are nutntionally at risk.
Continue to offer and grow the Text -2 -Live Healthy (T2LH) and Fresh
Conversations programs available through the State Unit on Aging.
Maintain and support AAA Staff who will continue to provide the required
oversight needed to ensure that the program meets federal, state, and local
regulations and guidelines.
• Improve the supportive services at the senior nutntion sites.
• Offer senior nutntion counseling and education to seniors who are not
participants of the senior nutrition program.
39
Home -Delivered Meals Program
The AAA will continue to fund home -delivered meals through a contractual
agreement with a non-profit home -delivery meal provider Nationally and locally
the aging network is anticipating an increased need for home -delivered meals due
to the growing number of adults 85 years and older. Histoncally, the local
community provider has used volunteers extensively in their program. Almost all
the client meals are delivered by a fleet of volunteers Staff will cover routes if a
volunteer is unavailable.
To maintain the program as it is currently structured, the following must occur:
Maintain a financial contract with Meals on Wheels or similar provider to
provide home -delivered meals to Weld County seniors.
Maintain nutntion education and counseling services to all home -delivered
senior nutntion participants by providing participants with educational material
and offer counseling services to all participants, targeting those participants
who are nutntionally at risk These services will be provided by a registered
dietitian.
Continue to explore expanding home delivered service to parts of the county
that are currently not served. ,
Explore the possibility of providing an evidence -based wellness program geared
to homebound seniors who participate in the home -delivered program, through
the AAA's Weld Aging Weld Program.
National Family Caregiver Support Program
The AAA will continue to internally manage the National Family Caregiver Support
Program. The program provides enhanced information and assistance to
caregivers, periodic training and workshops, as well as respite voucher program
services. According to the 2022 CASOA, approximately one in five Weld County
older adults feel burdened either physically or emotionally by their caregiving
responsibilities and one in four burdened by their financial responsibilities 21% of
respondents reported providing between 4 to 20+ hours of care each week. As our
85+ population continues to grow, we anticipate an increase in the number of
requests for services. We continue to see an increase in the number of caregivers
that still work and an increasing number of children caregivers. In State Fiscal
Year '19, 63% were spouse caregivers and 35% children caregivers. To date, 46%
are spouse caregivers, 49% children caregivers, while 4.5% of caregivers fit neither
of these categones. Children are reporting that they now work from home or work
a hybrid schedule since the beginning of the PHE, providing them the opportunity
to offer care for a parent.
The program continues to offer evidence -based programs such as Powerful Tools
for Caregivers and Stress Busters. These classes, taught by internal staff and
trained community volunteers are held in a variety of locations throughout the
40
county. These classes, as well as our other evidence -based classes, frequently
attract individuals who might otherwise have not reached out to the AAA. Several
Area Agency on Aging Advisory Board members attend these classes, and many
have become volunteer instructors. The Caregiver Appreciation Day, a
collaborative event with several community network providers, has been an annual
event for many years and will continue to be offered if attendance and interest
remain steady.
We continue to see an increase in the number of younger grandparents raising
grandchildren that do not meet the age requirements of the Older Americans Act
Many of these grandparents are experiencing very complex and diverse challenges
with their grandchildren. These situations frequently result in referrals to North
Range Behavioral Health, family law attorneys, Weld County's Community
Outreach Program and the Kinship programs at the Department of Human Services
and Catholic Chanties, and similar agencies AAA staff and the AAA Grandparents
Raising Grandchildren Committee members will continue to monitor the trends and
evaluate the AAA's continued role with this program.
To maintain the program as it is currently structured, the following must occur:
Maintain the consumer directed caregiver voucher program structure and
process
Explore additional supports for caregivers
Strengthen relationships with providers in Weld County that offer support for
caregivers. Examples of these providers include, Dementia Together and A
Little Help
Continue to explore innovative ways to meet the needs of the older
grandparents who are raising their grandchildren and maintain relationships
with Catholic Charities and the Kinship program within the Department of
Human Services
Older Americans Act Optional Services
Dental, Vision, and Hearing Program (DVH) and Visually Impaired Program
The AAA will continue to manage the Dental, Vision, and Hearing Program (DVH)
internally. The program is a consumer directed voucher program that allows the
older adult to select the provider of their choice During this Plan period, the AAA,
using new software, was able to streamline the voucher process and in doing so
has allowed for greater consumer contact and assistance We continue to
encourage providers to give reduced rates to our clients.
Most of the clients we serve do not have pnvate dental or vision insurance Clients
who receive Medicaid do have limited dental coverage but finding a Medicaid
provider in Weld County can be a challenge. Other dental assistance programs,
such as the Colorado Dental Health Program for Low -Income Seniors have few
41
accessible providers in Weld County. The administrative time needed to explore
payer of last resort options has added delays in clients accessing services
Since 2015 the Visually Impaired Program has been funded by State General Funds
and implemented by the AAA as a voucher program. The program was designed to
provide services to older adults who are blind or visually impaired whose vision
cannot be corrected with glasses The designated funds can be used to purchase
assistive technology, visual aids, adaptive aids, and access to training by a
therapist. The program is managed by the same coordinator that oversees the
Dental, Vision, and Hearing Program The coordinator works closely with agencies
such as the Curtis Strong Center, Ensight Skills Center, and the Audio Information
Network to connect clients with the most appropriate services and/or equipment.
These funds help increase the number of services that we can provide to clients
who have specialized equipment and service Volunteers are not used in either of
the programs in this section.
Chore Program
The Chore Service Program will continue to be managed internally by the
Community Service Coordinator. The program is a consumer directed voucher
program that allows the older adult to select the chore provider of their choice.
The chore services are designed to help frail seniors stay safe and independent at
home The chore services that may be included are lawn maintenance, snow
removal, fall or spring yard clean up, and heavy housework. The 2022 CASOA found
that overall, 55% respondents stated that they had at least a minor problem
maintaining their house, 64% indicated at least a minor problem doing heavy or
intense housework, and 57% indicated at least a minor problem maintaining the
yard work. Across the board, over 60% of the seniors who most frequently stated
that they had at least a minor problem maintaining their home and yard were 75
years or older We anticipate that we are going to see an increasing need for chore
services over the next four years as the 75+ senior numbers continue to grow.
Volunteers are not used in this program. The Home Safety Program is reported
under chore services to the State Unit on Aging, we will continue providing this
program as a consumer directed voucher The program assists eligible older adults
in obtaining grab bars installed in their home to increase safety
2. What is the workforce and volunteer capacity in the Region relative to the
need?
We continue to hear from our providers and community partners the frustration
with the inability to fully staff their programs. This gap in staffing often leads to
service delay or denial. Over the next four years we will continue to explore
avenues to collaborate with our providers and community partners to tackle this
issue. One area we are exploring in the Age Friendly Initiative is a collaboration
with the North Colorado Regional Health Summit to address workforce concerns
42
The volunteer capacity in Region 2B is currently in a state of expansion. Prior to
the pandemic we had a solid base of volunteers throughout the region with both
internal and external programs. However, during the height of the pandemic,
many providers observed their volunteer numbers and hours decline to near single
digits. However, we are pleased to report that all areas of volunteerism across the
region are beginning to increase. For example, as previously noted, our
transportation service dropped as low as 34 volunteers in 2020 and has been able
to grow their program back to 100 volunteers as of December 2022. Although the
growth continues in all areas of the Region, there is never enough to fill all the
needs as our population ages.
3. What is your current process for monitoring providers and what plans do you
have to update it and improve over the next four years?
Currently, all community providers submit a monthly invoice by the 10th of the
following month of when services were provided. Once the invoices have been
received, the AAA Quality Assurance Specialist reviews the information provided to
assure that the information on the invoice matches the data in the State system as
well as meets other requirements such as units requested, required cash or in -kind
match, overall program costs, etc. The AAA Division Head also reviews the invoices
and signs off on each invoice. The invoices are then given to the Department's fiscal
office where the fiscal staff reviews the information again for accuracy before paying
the provider.
Annually the AAA conducts a formal review of every community contractor. Each
contractor must complete the AAA onsite evaluation form and return the completed
form to the AAA pnor to the onsite visit. The AAA evaluation team consists of the
AAA Division Head, the Community Outreach Manager, the AAA Quality Assurance
Specialist, a member of the Weld Department of Human Service's fiscal team, and
members of the Area Agency on Aging Advisory Board. For the monitonng visit to be
productive, key contractor staff members are requested to be present at the visit.
Dunng the visit, the evaluation form is reviewed, and additional information is
obtained if needed. Policies and/or procedures, program issues/concerns, need
trends and other relevant topics are discussed. The goal of the monitonng visit is to
ensure that contractors are providing appropnate services in a manner that meets
both the AAA's and the State Unit on Aging's regulatory expectations, and also that
they are meeting the expectations of the individuals they serve.
The AAA previously reorganized the duties of an existing AAA staff member to allow
for a more concentrated focus on quality assurance, for both internal and external
programs throughout the fiscal year. This has proven to be helpful in identifying
issues or concerns or any difficulties implementing new regulations pnor to the AAA
or the State Unit on Aging evaluations.
4 What services currently have a waitlist? What is the process for monitoring the
waitlist and how are individuals prioritized to receive services?
43
The waitlists continue to fluctuate related to the time of year and availability of
funding During any given year we typically see waitlists for the following internal
voucher programs:
• Chore services
• Caregiver Respite services
• In -Home (homemaker and personal care) services
• Dental, Vision, and Hearing services
All providers have a written policy and procedure in place that guides how they
monitor and pnontize individuals on the waitlist. For all internal programs, we
monitor the waitlists minimally every month and we use the state approved
prioritization worksheet to help guide our prioritization process. All waitlist
information is gathered from internal and external program areas and reported in
the State's required reimbursement system monthly and reviewed quarterly for
accuracy.
Ombudsman and Legal Assistance
5. What long-term care issues would you like the State Ombudsman to give
priority to as a systems advocate during the next four years?
Areas we would like to see the State Ombudsman give priority to over this planning
period include:
Strengthening/improving communication with CDPHE-AL and SNF teams.
• Arbitration Agreements in assisted living settings.
• Advocacy for Involuntary Discharges
• Advocacy surrounding HCBS Settings Final Rule.
• Mandatory staffing ratios/potential nursing home closures -advocating for
residents who will need to relocate when there are minimal options available
Advocating for improvements in the declining options for residents on
Medicaid.
6. In addition to resident council meetings, family council meetings, and
presentations to the community, what other activities will the local
Ombudsman participate in during the next four years to educate the
community regarding long-term care ombudsman services?
The AAA will continue to be the host agency for the LTC Ombudsman Program and
will maintain the program internally. The LTC Ombudsman Program will be
supported as a separately identifiable, distinct entity within the AAA The LTC
Ombudsman Supervisor/Regional Ombudsman reports to the AAA Director and has
all of the authority vested by the federal Older Americans Act and State of
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Colorado Statutes to carry out the activities of a Long -Term Care Ombudsman.
Oversight will include nine (737 beds) skilled nursing facilities and twenty-four
(801 beds) assisted living facilities. There are plans for two additional assisted
living facilities to open in 2023 (approximately 28 beds). It is anticipated that the
community will see some additional private pay assisted living facility licensing
requests within the next four years. Due to the current number of long-term care
facilities in Weld County, as well as the anticipated growth in assisted living
facilities, the Ombudsman Program will continue the three full-time Ombudsman
positions. In the event that the number of facilities continues to grow, it may be
necessary to consider possible funding options for an additional LTC Ombudsman
position.
The Ombudsman staff will continue to participate in all required training
sponsored by the Colorado State Long -Term Care Ombudsman Program, or other
approved training that will help meet the annual training requirements to maintain
certification. The Ombudsman Program uses volunteers on a very limited basis due
to the sensitive and confidential nature of the program and the high level of
supervision required. When utilized, volunteers receive all required ombudsman
training.
The Ombudsman Program often receives complaints about overall care concerns
related to staffing shortages in LTC facilities. Staffing shortages are widespread
and often lead to high use of agency staff Several of the Weld facilities have goals
of becoming agency free, yet few have been able to consistently achieve and
maintain this goal. It is anticipated that there will be ongoing facility staffing
issues throughout the next four years. The Ombudsman Program continues to
monitor legislation for mandatory staffing ratios in skilled nursing facilities and
considers possible outcomes of such requirements.
The Ombudsman Program continues to see a significant number of residents in
skilled nursing facilities and assisted facilities who need mental health services
and traumatic brain injury support. It is often challenging for staff to meet the
needs of these individuals. As a result, appropriate training and support for staff
and family, as well as having more mental health related services, is crucial for
providing person -centered care LTC Ombudsman cases involving this population
often require a high level of advocacy and extensive staff time. Individuals who
exhibit high-nsk behaviors have very limited housing options if they need assisted
living or nursing home level of care. There has been a decline in the number of
assisted living and skilled nursing facilities that are willing to admit individuals
with significant mental health needs.
The Ombudsman Program continues to see a decline in ACF's (Alternative Care
Facilities), further limiting available housing for residents who are enrolled in
Medicaid In addition, Medicaid skilled nursing facilities have become very
selective when accepting individuals with a Medicaid pending status. This can be
very challenging for individuals who are discharging from a short-term
45
rehabilitation stay and in need of placement at a long-term care facility that
accepts Medicaid.
The Ombudsman Program will continue to work closely with the office of the
Colorado State Long -Term Care Ombudsman, the LTC Ombudsman network, Adult
Protective Services, HCBS Services, and local community providers, whenever
possible.
The Long -Term Care Ombudsman Program pnonties include:
Investigate long-term care complaints and concerns.
Provide information and consultations to residents, family members,
facilities, and the community.
Maintain thorough, accurate and timely documentation in the State data
system.
Maintain involvement with resident, family and dietary councils
Maintain awareness of facility staffing challenges and provide residents'
rights training to facility staff.
Monitor facilities for patterns of willful interference with the LTC
Ombudsman Program.
Monitor person -centered care education and practices within LTC facilities.
Monitor ACF's for compliance with residents' rights related to HCBS Settings
Final Rule.
Monitor and respond to involuntary discharge notices.
Monitor the transfer/discharge practices of assisted living facilities to
ensure they are following new Chapter VII appeal process regulations.
Assist with contract issues related to services provided by facilities, such as
arbitration agreements.
Monitor issues in facilities related to mental health and traumatic brain
injuries.
Provide long-term care related information to the community at large.
Educate residents, family, staff and the community about the LTC
Ombudsman Program, residents' rights, and how to make a referral.
Maintain involvement in the Adult Protection Community meeting.
Participate in community victim advocacy groups/committees, such as CCVC
(Coordinating Committee for Victims of Cnme).
Encourage facilities to develop and maintain appropriate Emergency
Preparedness plans.
7. How will the AAA prioritize legal assistance in the form of advice or
representation from the Legal Assistance Program during the next four years
for cases identified in the Older Americans Act, including income, health care,
long-term care, nutrition, housing, utilities, protective service, defense of
guardianship, abuse, neglect, and age discrimination?
46
The AAA will continue to fund Legal Services through a contractual agreement with
a non-profit legal services provider. According to the 2022 CASOA the availability
of financial or legal planning services was rated positively by 29% of older
residents. To address the continued need, the contractor will provide services that
are aligned with the scope of services and priorities, outlined below The priorities
and scope of services will be reviewed annually by internal staff, the provider, and
state staff dunng the program audit process, and formally every four years during
the four year planning process. To ensure that the provider is providing services
that address the identified pnonties, the provider will complete the Legal
Assistance Report. This form outlines the units of services given, the type of legal
issues addressed, the type of services given to address the identified legal issue
and a list of services they were unable to provide and why The AAA will review
this information regularly and report the cumulative information to the State Unit
on Aging. Due to the confidentiality issues related to this service, no volunteers
are used.
The following are the pnonties that guide the Legal Program:
Public Assistance Benefits.
Provide legal assistance and advice in applying for and determination of
eligibility for public assistance benefits, including but not limited to Long -Term
Care Medicaid, Medicare Savings Plans, Old Age Pension, the Low -Income
Energy Assistance Program (LEAP), and Supplement Nutntion Assistance
Program (SNAP). This will include providing advice and information on specifics
of Medicaid Programs and payment of long-term care, including Medicaid
Qualifications, Medicaid Coverage, Spousal Protection (Community Spouse
Resource Allowance, Monthly Income Protection) and Medicaid Estate
Recovery. Assistance will consist of advice and/or administrative
representation for overpayments, reductions, and termination or denial of
Public Assistance Benefits
The Legal Services Provider will provide in -person representation before an
administrative court to appeal the reduction, termination, or denial of a senior
client's long-term care Medicaid.
Consumer Matters:
• Provide legal advice, negotiation and brief service regarding debt collections,
breach of contract, garnishments, utility shut offs, and other contract disputes.
Services may consist of assisting senior clients in prepanng for self -
representation, including, but not limited to: Small Claims Court, objections to
garnishments, interrogatones, etc.
Housing Issues:
• Provide legal advice, negotiation, and brief service on matters related to
landlord -tenant -renting and subsidized housing.
47
Powers of Attorney and Living Wills.
• Aid with document preparation of General Durable Power of Attorney, Medical
Durable Power of Attorney, and Living Wills.
Additional services beyond the basic pnonties include:
Community Education:
Provide community legal education presentations as requested from Weld
County senior centers, Weld County senior housing complexes, and long-term
care facilities on legal topics of interest to senior clients Those topics might
include preventative measures against consumer fraud, consumer debt issues,
housing issues, advanced directives for healthcare, financial powers of
attorney, and related issues.
Community Outreach:
• Provide legal assistance and meet the needs of senior clients unable to travel.
This will include visits to rural sites (e.g., senior centers, senior housing
complexes, nutntion sites, etc.) and to institutionalized, isolated and
homebound older adult residents of Weld County as needed. This can be
accomplished by phone, e-mail, on-line resources, or in the client's home.
Assistance will include the capacity to reach minonty senior clients by
providing legal assistance in Spanish.
Administrative Duties - the legal services provider shall ensure service quality and
maintain professional standards by providing the following:
Establish a system of filing, record keeping, system for conflicts checks, docket
control, and updating case activities.
Provide for the supervision of legal workers by an attorney.
Establish a system of review to evaluate the quality of legal work, determine
what pertinent issues have been identified, to assure the timely handling of
cases, to ensure that clients are involved in establishing case objectives, and
that the client is kept informed of developments in the case.
Track unduplicated clients on a quarterly basis including units of service, types
of cases, and demographics.
Document those senior clients the legal service provider is unable to represent
and the reason why they cannot be served.
• Give appropriate resources and referrals.
• Provide training for legal workers based on responsibilities and skills.
• Ensure the confidences of clients are preserved from unauthorized disclosure.
48
8. What challenges does the AAA anticipate to ensuring that the local Legal
Assistance provider is able and willing to provide representation for these
issues and how will the AAA address these challenges?
Weld AAA does not anticipate challenges in regard to ensuring our Legal Assistance
provider is able to provide the required services. During the Request for Proposal
process, we clearly outline priorities and scope of services. We also are assured
that the services will be provided by, or supervised by, an attorney or attorneys
who are able to address the legal issues/concerns appropriately. We will also
verify that services are provided in the manner requested during our annual
evaluation process.
9. PACE Ombudsman: For local PACE Ombudsman programs that have a PACE
organization in your area, what are your ideas to address the growth?
There are two PACE programs that work with Weld County residents who live
within specific zip codes: Innovage/PACE in Loveland and TruPACE in Lafayette.
At this time, the only local PACE Ombudsman program is housed within the Denver
Regional Council of Governments (DRCOG). There are many more PACE locations
and participants in their area. Any PACE concerns that anse in Weld County are
referred to and investigated by the state PACE Ombudsman. If another PACE
organization opens in Weld or Lanmer County, it would be beneficial to explore
the feasibility of adding a local PACE Ombudsman for Northern Colorado. However,
neither PACE program in our area is currently able to accept new enrollments.
Other Services
10. What are the AAA's plans related to providing evidence -based health
promotion or disease prevention programs?
The Disease Prevention and Health Promotion Services and Evidence -Based
Programs will remain as internal programs. The programs will continue to be
marketed to the community as Weld Aging Well. The program is administered by a
full-time employee dedicated to locating dedicated volunteers, offering more
workshops and evidence -based wellness classes to older adults, and connecting
with community partners. With the increase in staff time dedicated to health
promotion services, our goals are to increase volunteer retention rates, improve
volunteer satisfaction, and attract a more diverse community of volunteers. These
goals directly corollate with our ability to maintain and continue to look for ways
to increase the overall number and types of classes offered to older adults in a
variety of settings across the county.
Classes that are currently being provided are:
• A Matter of Balance
• Aging Mastery
49
• Healthier Living Colorado (Chronic Disease Self -Management Program)
• Healthier Living Diabetes Colorado (Diabetes Self -Management Program)
• Powerful Tools for Caregivers
• Stress Busters
• Strong Women (Strong People)
• Tai Ji Quan Moving for Better Balance
• Tomando Control de su Salud (Chronic Disease Self -Management Program in
Espanol)
Walk with Ease
The 2022 CASOA showed an increase from the previous report in 2018, in the
number of older adults reporting a challenge or potential challenge of falls or
injuring themselves in their home. In response to this need, the AAA will continue
to explore opportunities for additional evidence -based programs, expand our reach
dunng the fall prevention awareness week event and will continue to strengthen
our relationships with the coalition. The Weld Aging Well program can only grow if
we are successful in recruitment and retention of our volunteers. We currently
have 25 volunteers who have very diverse education and professional backgrounds.
It is critical that we take excellent care of our wonderful volunteers and provide
support, acknowledgement and guidance, if retention and growth are our goals
Evidence -based programs that are being explored in the next four years are:
• Healthy Moves for Aging Well (targeting homebound clients)
• Financial Wellness
• HomeMeds
• Mind Over Matter
11. In addition to funding received through the Older Americans Act (OAA) and
State Funding for Senior Services (SFSS), what other funds are received by the
AAA to provide services for older adults?
Other programs not funded by the Older Americans Act or State Funds for
Senior Services include:
Colorado Options for Long -Term Care Program (OLTC) or Single -Entry Point
(SEP)
Options for Long -Term Care Program provides community -based long-term care
options and case management services to persons qualifying for specific Medicaid
waivers and state programs Maintaining the Options for Long -Term Care Program
within the AAA increases the likelihood that clients (many who are the most
disabled, frail, and low-income in the community) are referred correctly and
quickly to the appropriate program or service. This program has continued to see
50
growth over the years, and we anticipate a steady increase over the next four
years.
Adult Protective Services
The Adult Protective Services Program (APS) moved under the umbrella of the AAA
in 2013 to streamline adult services within the Department of Human Services The
purpose of APS is to support and protect at-nsk adults from self -neglect or
mistreatment by investigating allegations, advocating for clients and, when
needed, arranging for services to stop or prevent harm by using the least
restrictive intervention and respecting the client's self-determination The APS
team is growing in number to reflect the increased number of at -risk adults in our
community
Colorado Choice Transitions (CCT)
Staff members of the Aging and Disability Resources for Colorado have participated
in in the Colorado Choice Transition project by providing Options Counseling for
residents of long-term care facilities who have indicated formally that they would
like to leave the institutional setting and return to a less restrictive living situation
within the community. Due to the funding changes that have occurred related to
the project, it is unclear what our role will be in the next four years. We will
remain open to continuing our partnership with the Colorado Department of
Health Care Policy and Financing and look forward to exploring other program
opportunities
Long -Term Care Eligibility
The Long -Term Care team determines eligibility for those in need of Home and
Community -Based Services and Nursing Facility Services. They can also complete
eligibility applications for older adults or persons with a disability for SNAP, MAGI,
Non -Magi, Adult Financial, Colorado Works and approve payments for Burial
Assistance
Targeting and Outreach
12 What are some successes the AAA has used that improved access and utilization
of services by individuals who are at greatest social and or economic need?
We continue to work diligently to reach seniors throughout Weld County. We
remain successful in this endeavor using our in -home voucher program and by
allowing clients to choose their own provider in the voucher programs such as our
Dental, Vision, and Hearing program, Chore program, and the Caregiver Respite
program We also have both contracts and informal partnerships with community
non -profits whose primary mission is to reach out to seniors who are in social and
economic need
51
We continue to place our senior nutntion program at the top of our pnonties. 59%
of respondents to the 2022 CASOA survey reported only fair or poor access to
affordable quality food and 20% reported at least minor problems with having
enough food to eat. Both sets of responses are trending 10% more negatively than
they did in the 2018 CASOA survey. Current sites are in a vanety of settings
throughout the county. Several of our sites are located within low-income housing
and in rural communities. We continue to monitor the need to expand days and
site locations to increase our accessibility
We offered restaurant vouchers when our congregate sites were closed for the
holidays and are currently explonng additional restaurant vouchers as well as
vouchers for the farmer's market in the future. We moved to grab -and -go during
the PHE and continue to provide this service to allow for improved access and
utilization.
We have provided laptops and tablets to decrease feelings of isolation and allow
access to communication with the recipient's family and medical providers.
We have been able to expand our evidence -based wellness program, Weld Aging
Well, in the rural areas of our county. In 2023 we will have 13 classes outside the
Greeley/Evans area and 31 classes within Greeley/Evans. The reason for the
dispanty in numbers is the increase in number of Strong People classes in the
Greeley/Evans area, directly related to the number of volunteers willing to teach
in these areas Dunng the Public Health Emergency, we were able to add virtual
classes as an option and due to the success, we will continue with this option into
the coming years. Moving to a full-time Wellness Coordinator has proved to be
extremely successful and we will continue with this model, making classes in more
rural areas of the County a priority.
We continue to require all contractors/providers who provide direct services to
older adults, to actively market to and report on the number of at -risk clients
served. This request is formally included in all appropriate provider contracts and
is included in the formal Request for Proposals process every four years
We also worked in collaboration with our transportation provider to allow for
grocery ordenng and delivery to our greatest at-nsk seniors in the community.
We opened a new meal site in Mead, near the closed site to allow for continued
participation for those already involved and also allowing for growth.
13. What strategies will the AAA use to raise awareness of the services provided
over the four years of the Area Plan to target populations?
Our goal is to continue to connect and serve all older adults who are eligible and
may benefit from OAA services. We have and will continue to market our services
52
to our community members in various ways The following information outlines our
current and future marketing and outreach efforts'
Explore the idea of a statewide campaign to increase awareness of the AAAs
and services offered by Weld County's AAA.
RFPs will include provider goals for reaching our targeted populations
Continuous improvement to our Weld AAA website.
Distnbute the updated AAA HelpSource Resource Guide (available both in hard
copy and on the AAA Website) www weldaaa org
Maintain the weekly AAA senior -focused page called Beyond 60 Active Living in
the Greeley Tribune (the page contains short articles and information
concerning the senior nutrition meal program and other educational and social
events geared to older adults).
• Distnbute our free quarterly agency newsletter
• Monthly announcements distnbuted via email
• Increase email distnbution of available opportunities within Weld County.
• Continue to submit senior -related articles in the 50+ Marketplace News, a free
publication available throughout Weld County and continue to seek other
media opportunities
Participate in a variety of community events geared to older adults
Partner with institutions of higher learning (University of Northern Colorado
and Aims Community College) and hospital systems (Banner and UC Health)
Continue to support and fund programs that have shown to be successful in
reaching out and serving our target population
Continue to monitor the efficiency and effectiveness of the number of meal
days at current senior nutntion meal sites
Increase the awareness of our Long -Term Care Ombudsman program
Increase awareness of senior resources by increasing the physical presence of
our ADRC staff at senior nutrition sites, food banks, book mobile, low-income
housing sites and other potential locations in the county.
Continue to work with United Way of Weld County's Collective Impact
Initiative.
Innovation and Expansion of Services
14. What type of innovations is the AAA planning to try during the next four years
to improve the quality and availability of services provided or funded by the
AAA?
The AAA is always open to looking at enhancing existing services or exploring new
service opportunities that will help meet the mission of the agency. Below are
projects that we are either actively working on or exploring:
• Due to the success we have seen in the Weld Aging Well program, we will
continue to have a full-time staff member dedicated to the wellness program
53
We will explore and offer new evidence and wellness -based programs to Weld
County seniors. We will consider new and innovative ways to market to the
community, information related to our available program options. We will
remain committed to exploring non-traditional partnerships that will help us
expand our program availability to locations throughout the county.
Age friendly initiative involvement
Over the last couple of years, the Senior Nutrition Program has offered evening
meals during the summer months. The evening meals have been favorably
received and we have attracted new clients, as well as regular attendees. We
have found that many individuals enjoy the opportunity to share an evening
meal with others. We will explore the possibility of adding a choice or special
diet meal to this program.
At the beginning of the Public Health Emergency, we switched all of our meal
sites to grab -and -go. Although all sites are now offering congregate meals
again, the grab-and-go's were very successful and we will continue to offer
these for individuals that prefer not to congregate as well as individuals that
find the grab -and -go more convenient. If funding allows, we will plan to
continue to offer this additional option.
The AAA will continue its work with United Way (UW) of Weld County's
Collective Impact Initiative. The Collective Impact Initiative for Older Adults
and Healthy Aging (now called the Aging Well Workgroup) started in June 2018.
As part of ongoing, collaborative processes that include volunteers and the
organizations themselves, the Collective Impact Fund invests in programs with
nonprofit organizations throughout Weld County that are working together to
reach community -wide goals in four initiative areas. The expectation is for
those awarded to develop and implement long-term efforts to improve their
communities Two of the four initiatives directly affect the 60+ population in
Weld County
Aging Well
The Aging Well Workgroup applied for admission into the AARP Network of
Age -Friendly Communities and began their work to meet the needs in local
communities This new initiative, Age -Friendly Weld (AFW), formally joined
the AARP Network in early 2021 with three municipalities in Weld County
signing on to add their support. The stakeholders leading this group, more
than 20 organizations in Weld County, work to address the needs of older
adults at both the individual and system levels with the goal of improving
all of Weld County for older adults.
Weld's Way Home
Affordable and accessible housing continues to be a major concern in Weld
County due to the overall population growth and cost of living increases.
Less than 25% of respondents in the 2022 CASOA stated they felt there was
availability of accessible housing (e g., homes with a no step entry, single -
floor living, wide hallways, and doorways). Homeless numbers have
increased in Weld County; a contributing factor is the limited amount of
affordable and accessible housing. While the number of individuals and
families expenencing homelessness can be difficult to ascertain, a recent
54
Point -in -Time count of people expenencing homelessness in Weld County
has found 40% of individuals currently passing through the United Way's
Housing Navigation Center/Cold Weather Shelter to be 60+ years of age.
This is an increase from 2019 at 20%. According to Weld County UW, Weld
County was recently ranked as the U.S. region most likely to be on the
verge of a housing crisis and the tenth most unaffordable housing market in
the nation.
Over half of Weld County renter households pay more than 30% of their
income on housing costs, putting them in a precarious financial position,
unable to meet expenses and to save for the future.
The solution to homelessness is housing, not more services or being sure
that someone is "housing ready" before they move into a new home. Given
that the 60+ population is rapidly growing in Weld County, it is fair to
assume that the number of homeless who are 60+ is also increasing.
Currently, a collaboration of 25+ organizations led by United Way of Weld
County, is working to address homelessness and household instability
through the Housing First method. Housing First focuses on rehousing people
expenencing homelessness in permanent homes as quickly as possible and
then providing support needed by the individual. Studies have shown that
once in a stable housing situation, individuals are more receptive to offers
of supportive services that will help them maintain their homes and meet
their needs.
As previously mentioned, the AAA was able to assist the Cold Weather
Shelter in obtaining bunkbeds which allows more access to older adults who
were unable to sleep on mats on the floor During the upcoming Four Year
Plan penod, the AAA is interested in better understanding the homelessness
issue as it impacts older adults in Weld County and exploring what role the
AAA may have in the homelessness and/or affordable and accessible housing
arena.
15. What plans do you have to measure the effectiveness, efficiency, and
outcomes of your programs and services?
Client satisfaction surveys are completed for most contracted and internal
services. For evidence -based wellness programs, formal and informal visits are
conducted to monitor the programs to ensure that the standards of the programs
are maintained For many of the classes pre- and post -assessments are completed
to identify changes in behavior and health status. We review survey results for
trends and address any concerns as needed. Over the next four years we will
investigate opportunities to evaluate our Information and Assistance program to
aid us to better understand how we can improve our support to Weld County's
older adults and their families.
55
We are always evaluating and reviewing our internal program processes to assure
that we are as efficient and effective as possible. Dunng the current Plan, we
contracted with Chocolate Software to create a more efficient way to track our
funding, create and pay vouchers for services and organize our provider contracts.
In the coming years, we will continue to work with Chocolate Software to
determine how we can gain more efficiencies within our programs. The Senior
Nutrition program staff implemented the LEAN strategy to evaluate and streamline
the senior nutrition program and site operations We will continue to look at ways
to grow this program while maintaining the efficiency and effectiveness that we
currently have.
We remain open to new methods to measure the effectiveness, efficiency, and
outcomes for all our programs and services. We will continue to seek opportunities
to collaborate with others and attend conferences and workshops that may present
new methods and/or idea that address all these key issues.
SECTION IX: TITLE IIINI COORDINATION
This section does not apply to Weld County AAA. We do not have the Title VI Native
Americans program in our region.
56
SECTION X: Forms
Attachment A Region 2B
Direct Service Waiver Request
We hereby request approval of a Waiver to provide the direct services listed below.
1. Chore Program
2. Congregate Meal Program
3. Evidence -Based Wellness Programs
4. In -Home Services: Homemaker and Personal Care
5. Information and Assistance
6. Matenal Aid: Dental, Vision, Heanng, Visually Impaired Program
7. National Family Caregiver Program
Direct Service Waiver Request: Program Information
Direct Service Program: Chore Program
Organizational Structure and Delivery System:
The Chore Program has been housed within the Weld County AAA since its inception.
The Chore Program is managed by the Community Services Coordinator. The Chore
Program is a voucher program that allows the client to use the vendor of their choice.
During fiscal year 2023, the Weld County AAA added a Home Safety Program that is a
consumer directed voucher program enabling clients to obtain grab bars installed in
their home. The Community Services Coordinator also provides Information and
Assistance/ADRC services.
Direct Service Program: Congregate Meal Program
Organizational Structure and Delivery System:
The Congregate Meal Program has been housed in part within the AAA since 1980. The
manager of the program, a registered dietitian, and additional administrative staff
coordinate the program The Weld County AAA purchases all prepared meals from the
University of Northern Colorado and the meal transportation service is provided by
another community -based provider. There are twenty-three (23) meal sites located
57
throughout Weld County in a variety of community settings. A team of volunteers
facilitates the meal service at each meal site. See a full description of the program
within the Four Year Plan document.
Direct Service Program: Evidence -Based Wellness Programs
Organizational Structure and Delivery System:
The Evidence -Based Wellness Program has been managed internally since the
designation of Part D of the Older Americans Act The program is managed by the
Wellness Coordinator who oversees the program and volunteers. The Weld County AAA
currently offers multiple evidence -based programs under the name Weld Aging Well.
The programs are: A Matter of Balance, Aging Mastery, Stanford's Chronic Disease
Self -Management Program and Diabetes Self -Management Program, Powerful Tools for
Caregivers, the Strong Women Program, Tai Chi: Moving for Better Balance, Stress
Busters, Tomando Control de su Salud, and Walk with Ease.
Direct Services Program: In -Home Services: Homemaker and Personal Care
Program
Organizational Structure and Delivery System:
For the last seven years, the Homemaker and Personal care program has been offered
as a consumer choice voucher program. The In -Home Program Coordinator manages
the program and completes all client evaluations, approvals, the invoice process, etc.
Clients are provided a list of approved home health care agencies from which they
can obtain services. Each of the home health care agencies has a contract with the
AAA. The In -Home Program Coordinator also coordinates the Home Safety Program.
Direct Service Program: Information and Assistance/Aging and Disability
Resources for Colorado
Organizational Structure and Delivery System:
The Information and Assistance (I£tA) Program has been managed internally since its
inception. These positions are funded by State Funds During the last four year period,
the program re -organized by moving the full time coordinator to a lead position and
we continue to have two part-time coordinators. In addition to IFtA, the full-time staff
member also coordinates the Aging and Disability Resources for Colorado (ADRC).
58
Direct Service Program: Material Aid (Dental, Vision, Hearing, and Visually
Impaired Program)
Organizational Structure and Delivery System:
The Community Resources Coordinator manages the Dental, Vision, and Hearing
Program and the Visually Impaired Program. Both programs are administered as a
voucher program, which allows the client to use a vendor of their choice. The Dental,
Vision, and Heanng Program has been an internal program for over twenty years. The
Visually Impaired Program was added in FY '15 and for efficiency was added to the
duties of the Community Resources Coordinator The Community Resources
Coordinator also provides Information and Assistance/ADRC services.
Direct Service Program: National Family Caregiver Program
Organizational Structure and Delivery System:
The National Family Caregiver Program has been managed internally since the initial
funding of Part E of the Older Americans Act The Caregiver Program Coordinator
manages the voucher respite program and provides information and assistance to
caregivers This coordinator also manages the Grandparents Raising Grandchildren
Program
59
Attachment B
Nutrition Services (Material Aid-Food/Congregate/Home Delivered Meal Programs) As of March 2023
Region 2B
Which
programs operate
out
of
this
location?
CONGREGATE
DELIVERED
HOME
GRAB-
N
-GO
CONGREGATE
MATERIAL
FOOD
MEALS
AID
-
-
MATERIAL
DELIVERED
FOOD
HOME
MEALS
AID
-
-
RESTAURANT
MATERIAL
VOUCHER
PROGRAM
AID
FOOD
-
MATERIAL
FARMERS/
FARMERS
VOUCHER
PROGRAM
MARKET
FOOD
AID
-
NUTRITION
SERVICE
DESCRIBE
PLEASE
OTHER
-
Site
Name
Birchwood
Apartments
X
X
Address
2830 W 27th
St
Lane
City
Greeley
Zip
80634
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Broadview
Apartments
X
X
Address
2915
W. 8th
St
City
Greeley
Zip
80634
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Carbon
Valley
Recreation
Center
X
X
Address
701
5th
St
City
Frederick
Zip
80530
Phone
303-833-3660
Email
sspriggs@cvprd.com
60
CONGREGATE
DELIVERED
HOME
GRAB-
N
-GO
CONGREGATE
MATERIAL
FOOD
MEALS
AID
-
-
MATERIAL
DELIVERED
FOOD
HOME
MEALS
AID
-
-
RESTAURANT
MATERIAL
VOUCHER
PROGRAM
AID
FOOD
-
MATERIAL
FARMERS/
FARMERS
VOUCHER
PROGRAM
MARKET
FOOD
AID
-
NUTRITION
SERVICE
DESCRIBE
OTHER
PLEASE
-
Site
Name
Eaton
Area Community
Center
X
X
Address
1675
3rd
St
City
Eaton
Zip
80615
Phone
970-454-1070
Email
amyhodge@eaprd.com
Site
Name
Erie Community
Center
X
X
Address
4450
Powers Street
City
Erie
Zip
80516
Phone
303-926-2795
Email
chickman@erieco.gov
Site
Name
Evans Community
Center
X
X
Address
1100
37th
Street
City
Evans
Zip
80620
Phone
970-475-1129
Email
jsandau@evanscolorado.gov
Site
Name
Ft.
Lupton
Community
Center
X
X
Address
203 S
Harrison
Avenue
City
Ft.
Lupton
Zip
80621
Phone
303-857-4200
x 6166
Email
Ikudrna@fortlupton.org
61
CONGREGATE
DELIVERED
HOME
GRAB-
N
-GO
CONGREGATE
MATERIAL
FOOD
MEALS
AID
-
-
MATERIAL
DELIVERED
FOOD
MEALS
HOME
AID
-
-
RESTAURANT
MATERIAL
VOUCHER
PROGRAM
FOOD
AID
-
MATERIAL
FARMERS/
FARMERS
VOUCHER
PROGRAM
MARKET
FOOD
AID
-
NUTRITION
SERVICE
DESCRIBE
PLEASE
OTHER
-
Site
Name
Greeley
Active
Adult
Center
X
X
Address
1010
6th
Street
City
Greeley
Zip
80631
Phone
970-350-9440
Email
erin.cranston@greeleygov.com
Site
Name
Greeley
Manor
X
X
Address
1000
13th
St
City
Greeley
Zip
80631
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Greeley
Senior
Housing
X
X
Address
1717
30th
St
City
Greeley
Zip
80631
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Hill
N
Park
X
X
Address
4205
Yosemite
Place
City
Greeley
Zip
80634
Phone
970-330-8619
Email
seniors2222@gmail.com
62
CONGREGATE
DELIVERED
HOME
GRAB
N
-GO
-
CONGREGATE
MATERIAL
FOOD
MEALS
-
-
MATERIAL
DELIVERED
FOOD
HOME
MEALS
-
RESTAURANT
MATERIAL
VOUCHER
PROGRAM
-
MATERIAL
FARMERS/
FARMERS
VOUCHER
PROGRAM
MARKET
FOOD
AID
-
NUTRITION
SERVICE
DESCRIBE
PLEASE
OTHER
-
AID
AID
FOOD
AID
Site
Name
Johnstown
Community
Center
X
X
Address
101
W Charlotte
St
City
Johnstown
Zip
80534
Phone
970-587-5251
Email
sgamez@bajabb.com
Site
Name
Kersey
Senior
Center
X
X
Address
215
2nd
St
City
Kersey
Zip
80644
Phone
970-353-1681
Email
kguerin@kerseygov,com
Site
Name
LaSalle
Community
Center
X
X
Address
101
Todd
Avenue
City
LaSalle
Zip
80645
Phone
970-284-0900
Email
vperez@lasalletown.com
Site
Name
Lochbuie
Senior Center
X
X
Address
501
Willow
Drive
City
Lochbuie
Zip
80603
Phone
303-659-8262
I
Email
afterglows501
@skybeam,com
63
CONGREGATE
DELIVERED
HOME
GRAB-
N
-GO
CONGREGATE
MATERIAL
FOOD
MEALS
AID
-
MATERIAL
DELIVERED
FOOD
HOME
MEALS
AID
-
-
RESTAURANT
MATERIAL
VOUCHER
PROGRAM
FOOD
AID
-
MATERIAL
FARMERS/
FARMERS
VOUCHER
PROGRAM
MARKET
FOOD
AID
-
NUTRITION
SERVICE
DESCRIBE
OTHER
PLEASE
-
Site
Name
Guardian
Angels
Catholic
Church
X
X
Address
109
3rd
St
City
Mead
Zip
80542
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Meals
on
Wheels
X
Address
2131
9th
Street
City
Greeley
Zip
80631
Phone
970-353-9738
Email
Michelle@mealsonwheelsgreeley.com
Site
Name
Milliken
Community
Center
X
X
Address
1101
Broad
Street
City
Milliken
Zip
80543
Phone
970-587-0671
Email
kkindsfather@millikenco.gov
Site
Name
Nunn
Senior
Center
X
X
Address
775
3rd
Street
City
Nunn
Zip
80648
Phone
970-400-6955
Email
friendlyfork@weldgov.com
64
CONGREGATE
DELIVERED
HOME
GRAB-
N
-GO
CONGREGATE
MATERIAL
FOOD
MEALS
AID
-
-
MATERIAL
DELIVERED
FOOD
HOME
MEALS
AID
-
-
RESTAURANT
MATERIAL
VOUCHER
PROGRAM
AID
FOOD
-
MATERIAL
FARMERS/
FARMERS
VOUCHER
PROGRAM
MARKET
FOOD
AID
-
NUTRITION
SERVICE
DESCRIBE
OTHER
PLEASE
-
Site
Name
Pierce Senior Center
X
X
Address
221
Main
Avenue
City
Pierce
Zip
80651
Phone
970-834-2655
Email
friendlyfork@weldgov.com
Site
Name
Platteville
Community
Center
X
X
Address
508
Reynolds
City
Platteville
Zip
80651
Phone
720-815-8136
Email
jtorres@plattevillegov.org
Site
Name
Rodarte
Center
X
X
Address
920 A St
City
Greeley
Zip
80631
Phone
970-350-9430
Email
friendlyfork@weldgov.com
Site
Name
Wattenberg
Community
Building
X
X
Address
1956
Grace Ave.
City
Ft.
Lupton
Zip
80621
Phone
970-400-6955
Email
friendlyfork@weldgov.com
65
CONGREGATE
DELIVERED
HOME
GRAB-
N
-GO
CONGREGATE
MATERIAL
FOOD
MEALS
AID
-
-
MATERIAL
DELIVERED
FOOD
HOME
MEALS
AID
-
-
RESTAURANT
MATERIAL
VOUCHER
PROGRAM
FOOD
AID
-
MATERIAL
FARMERS/
FARMERS
VOUCHER
PROGRAM
MARKET
FOOD
AID
-
NUTRITION
SERVICE
DESCRIBE
PLEASE
OTHER
-
Site
Name
Windsor
Community
Center
X
X
Address
250
N
11th
Street
City
Windsor
Zip
80550
Phone
970-674-3500
Email
jeckhardt@windsorgov.com
LIST
DAYS OF
Which
THE
days
WEEK
of
AS
the
week
FOLLOWS
are meals
SEPARATED
served?
BY A COMMA:
M,
T,
W,
TH,
F, SA, SU
CONGREGATE
HOME
MEALS
DELIVERED
GRAB
-N
-GO
MATERIAL
CONGREGATE
FOOD
MEALS
AID
-
HOME
MATERIAL
FOOD
MEALS
DELIVERED
-
AID
-
Site
Name
Birchwood
Apartments
M,
W,
F
M.
W,
F
Address
2830 W 27th
St
Lane
City
Greeley
Zi p
80634
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Broadview
Apartments
T, TH
T,
TH
Address
2915
W. 8th
St
City
Greeley
Zip
80634
Phone
970-400-6955
Email
friendlyfork@weldgov.com
66
CONGREGATE
HOME
MEALS
DELIVERED
GRAB
-N
-GO
MATERIAL
CONGREGATE
FOOD
MEALS
AID
-
HOME
MATERIAL
FOOD
MEALS
DELIVERED
-
AID
-
Site
Name
Carbon
Valley
Recreation
Center
T,
TH
T,
TH
Address
701
5th
St
City
Frederick
Zi
p
80530
Phone
303-833-3660
Email
sspriggs@cvprd.com
Site
Name
Eaton
Area Community
Center
w
w
Address
1675
3rd
St
City
Eaton
Zip
80615
Phone
970-454-1070
Email
amyhodge@eaprd.com
Site
Name
Erie Community
Center
TH
TH
Address
4450
Powers Street
City
Erie
Zip
80516
Phone
303-926-2795
Email
chickman@erieco.gov
Site
Name
Evans Community
Center
T,F
T,F
Address
1100
37th
Street
City
Evans
Zip
80620
Phone
970-475-1129
Email
jsandau@evanscolorado.gov
Site
Name
Ft.
Lupton
Community
Center
M
M
Address
203 S
Harrison
Avenue
City
Ft.
Lupton
Zip
80621
Phone
303-857-4200
x 6166
Email
Ikudrna@fortlupton.org
67
CONGREGATE
HOME
MEALS
DELIVERED
GRAB -N
-GO
MATERIAL
CONGREGATE
FOOD
MEALS
AID
-
HOME
MATERIAL
FOOD
MEALS
DELIVERED
AID
-
-
Site
Name
Greeley
Active
Adult
Center
M.
W,
F
M,
W,
F
Address
1010
6th
Street
City
Greeley
Zi
P
80631
_
Phone
970-350-9440
Email
erin.cranston@greeleygov.com
Site
Name
Greeley
Manor
M.
W,
F
M,
W,
F
Address
1000
13th
St
City
Greeley
Zi
P
80631
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Greeley
Senior
Housing
M,
TH
M,
TH
Address
1717
30th
St
City
Greeley
Zi
P
80631
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Hill
N
Park
W
W
Address
4205
Yosemite
Place
City
Greeley
Zip
80634
Phone
970-330-8619
Email
seniors2222@gmail.com
Site
Name
Johnstown
Community
Center
W
W
Address
101
W Charlotte
St
City
Johnstown
Zip
80534
Phone
970-587-5251
Email
sgamez@bajabb.com
68
- -
CONGREGATE
i
HOME
MEALS
DELIVERED
GRAB
-N
-GO
MATERIAL
CONGREGATE
FOOD
MEALS
AID
-
HOME
MATERIAL
FOOD
MEALS
DELIVERED
-
AID
-
Site
Name
Kersey Senior
Center
T.
TH
T,
TH
Address
215
2nd
St
City
Kersey
Zi
P
80644
Phone
970-353-1681
Email
kguerin@kerseygov.com
Site
Name
LaSalle
Community
Center
T
T
Address
101
Todd
Avenue
City
LaSalle
Zip
80645
Phone
970-284-0900
Email
vperez@lasalletown.com
Site
Name
Lochbuie
Senior Center
T
T
Address
501
Willow
Drive
City
Lochbuie
Zip
80603
Phone
303-659-8262
Email
afterglows501@skybeam.com
Site
Name
Mead:
Guardian
Angels
Catholic
Church
TH
TH
Address
109
3rd
St
City
Mead
Zip
80542
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Meals
on
Wheels
M,
T,
W,
TH,
F
Address
2131
9th
Street
City
Greeley
Zi
P
80631
Phone
970-353-9738
Email
Michelle@mealsonwheelsgreeley.com
69
CONGREGATE
HOME
MEALS
DELIVERED
GRAB
-N
-GO
MATERIAL
CONGREGATE
FOOD
MEALS
AID
-
HOME
MATERIAL
FOOD
MEALS
DELIVERED
-
AID
-
Site
Name
Milliken
Community
Center
M,
F
M.
F
Address
1101
Broad
Street
City
Milliken
Zip
80543
Phone
970-587-0671
Email
kkindsfather@millikenco.gov
Site
Name
Nunn
Senior
Center
TH
TH
Address
775
3rd
Street
City
Nunn
Zip
80648
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Pierce
Senior
Center
TH
TH
Address
221
Main
Avenue
City
Pierce
Zip
80651
Phone
970-834-2655
Email
friendlyfork@weldgov.com
Site
Name
Platteville
Community
Center
M,
F
M,
F
Address
508
Reynolds
City
Platteville
Zip
80651
Phone
720-815-8136
Email
jtorres@plattevillegov.org
Site
Name
Rodarte
Center
W
W
Address
920
A St
City
Greeley
Zip
80631
Phone
970-350-9430
Email
friendlyfork@weldgov.com
70
CONGREGATE
HOME
MEALS
DELIVERED
GRAB
-N
-GO
MATERIAL
CONGREGATE
FOOD
MEALS
AID
-
HOME
MATERIAL
FOOD
MEALS
DELIVERED
-
AID
-
Site
Name
Wattenberg
Community
Building
T
T
Address
1956
Grace
Ave.
City
Ft.
Lupton
Zip
80621
Phone
970-400-6955
Email
friendlyfork@weldgov.com
Site
Name
Windsor
Community
Center
M,
T,
W. TH,
F
M,
T.
W,
TH,
F
Address
250
N
11th
Street
City
Windsor
Zi P
80550
Phone
970-674-3500
Email
jeckhardt@windsorgov.com
71
Attachment C
Community Focal Points and Senior Centers
Region 2B
CHECK
IF
FACILITY
IS:
A
FOCAL
POINT
A
CENTER
SENIOR
THROUGH
III
-B
FUNDED
or
SFSS
TITLE
Site
Name
Ault
Senior
Center
X
X
Address
PO
Box
1338
City
Ault
Zip
80610
Phone
970-834-1325
Email
n/a
Site
Name
Carbon
Valley
Senior
Center
X
X
Address
6615
Frederick
Way
City
Frederick
Zip
80530
Phone
303-833-3660
Email
sspriggs@cvprd.com
Site
Name
Eaton
Parks
and
Recreation
District
X
X
Address
1675 3rd
Street
City
Eaton
Zip
80615
Phone
970-454-1070
Email
amyhodge@eaprd.com
Site
Name
Erie
Community
Center
X
X
Address
450
Powers
Street
City
Erie
Zip
80516
Phone
303-926-2795
Email
chickman@erieco.gov
Site
Name
Evans
Community
Center
X
X
Address
1100
37th
Street
City
Evans
Zip
80620
Phone
970-475-1129
Email
jsandauevanscoIorado.gov
72
A
POINT
FOCAL
A
CENTER
SENIOR
FUNDED
TITLE
III
-B
THROUGH
or
SFSS
Site
Name
Ft.
Lupton
Community
Center
X
X
Address
203 S
Harrison
Avenue
City
Ft.
Lupton
Zip
80621
Phone
303-857-4200
x 6166
Email
Ikudrna@fortlupton.org
Site
Name
Greeley
Active
Adult
Center
X
X
Address
1010
6th
Street
City
Greeley
Zip
80631
Phone
970-350-9440
Email
erin.cranston@greeleygov.com
Site
Name
Grover/Friendship
Alliance
Church
X
Address
305 Cheyenne
Avenue
City
Grover
Zip
80729
Phone
n/a
Email
n/a
Site
Name
Hill
N
Park
X
X
Address
4205
Yosemite
Place
City
Greeley
Zip
80634
Phone
970-330-8619
Email
seniors2222@gmail.com
Site
Name
Johnstown
Senior
Center
X
X
Address
101
W Charlotte
Street
City
Johnstown
Zip
80534
Phone
970-587-5251
Email
sgamez@bajabb.com
Site
Name
Kersey
Community
Center
X
X
Address
215
2nd
Street
City
Kersey
Zip
80644
Phone
970-353-1681
Email
kguerin@kerseygov.com
73
A
POINT
FOCAL
A
CENTER
SENIOR
FUNDED
TITLE
III
-B
THROUGH
or
SFSS
Site
Name
LaSalle
Community
Center
X
X
Address
101
Todd
Avenue
City
LaSalle
Zip
80645
Phone
970-284-6931
Email
vperez@lasalletown.com
Site
Name
Lochbuie
Senior
Center
X
X
Address
501
Willow
Drive
City
Lochbuie
Zip
80603
Phone
303-659-8262
Email
afterglows501@skybeam.com
Site
Name
Mead:
Guardian
Angels
Catholic
Church
X
Address
109
3rd
Street
City
Mead
Zip
80542
Phone
n/a
Email
n/a
Site
Name
Milliken
Community
Center
X
X
Address
1101
Broad
Street
City
Milliken
Zip
80543
Phone
970-660-5040
Email
kkindsfather@millikenco.gov
Site
Name
Nunn
Senior
Center
X
X
Address
775 3rd
Street
City
Nunn
Zip
80648
Phone
n/a
Email
n/a
Site
Name
Pierce
Senior
Center
X
X
Address
221
Main
Avenue
City
Pierce
Zip
80650
Phone
970-834-2655
Email
n/a
74
A
POINT
FOCAL
A
CENTER
SENIOR
FUNDED
TITLE
III
-B
THROUGH
or
SFSS
Site
Name
Platteville
Community
Center
X
X
Address
508
Reynolds
City
Platteville
Zip
80651
Phone
720-815-8136
Email
jtorresplatteviIIegov.org
Site
Name
Rodarte
Community
Center
X
X
Address
920 A Street
City
Greeley
Zip
80631
Phone
970-350-9430
Email
n/a
Site
Name
Wattenberg
Community
Center
X
Address
1956
Grace
Avenue
City
Ft.
Lupton
Zip
8062
1
Phone
n/a
Email
n/a
Site
Name
Windsor
Community
Center
X
X
Address
250 N
11th
Street
City
Windsor,
CO 80550
Zip
970-674-3500
Phone
Jay
Eckhardt
Email
j
jeckhardtwindsorgovcom
75
Attachment D
Regional Advisory Council Membership
Region 2B
Name
Organization Affiliation
Aaron Sanchez
Community Member
Community Member
Community Member
Community Member
Community Member
Community Member
Community Member
Community Member
Community Member
Community Member
Community Member
Weld County Commissioner
Community Member
Community Member
Community Member
Community Member
Community Member
Community Member
Anne Curry
David Rusch
DeAnn Cure
Gillian Smith
Jami Shepherd
Katherine Broderius
LeAnne Bodine
Lynn Young
Nancy Haffner
Nicole Buckles
Perry Buck
Ron Heil
Ruth Leitel
Sandy Magnuson
Susan Collins
Teresa Schunter
Valeria Ortiz
Minority
60+
2
15
76
Attachment E
2022 Focus Group Locations
The Power of Voice!
The Weld County Area Agency on Aging invites
you to participate in a Focus Group.
Are you interested in the future of your aging community?
Do you care what your community has to offer as you age?
Come have a conversation with us and share your vision
of the future, what you enjoy about aging well and
what you might need in order to age well.
Your input will help shape the Weld County Four Year Plan_
Call the Area Agency on Aging for more information at (970) 400-6200.
Date Time
Location
Address
Aug 11
Aug 16
Aug 23
Aug 29
Aug 30
Aug 31
Sept 6
Sept 8
Sept 13
Sept 20
Dec 9
10:00 am
1:00 pm
12:00 pm
12:30 pm
9:30 am
2:00 pm
12:30 pm
10:00 am
1:00 pm
10:00 am
11:00 am
Pierce Senior Center
Carbon Valley Rec Center
LaSalle Community Center
Birchwood Apartments
Virtual — ZOOM
Mosaic Church (SPANISH)
Lochbuie Senior Center
Erie Community Center
Ault Senior Center
Evans Community Center
The Glens (SPANISH)
V^V
Weld County Area Agency on Aging
Assistance • Advocacy Answers on Aging
77
221 Main Ave. Pierce
7015` St., Frederick
101 Todd Ave., LaSalle
2830 W 27' St. Ln., Greeley
Call for Link: (970) 400-6200
3451 23rd Ave., Evans
501 Willow Dr., Lochbuie
450 Powers St., Erie
2041 St., Ault
1100 37th St., Evans
Dacono, Co
Region 2B
Attachment F Region 2B
2022 Focus Group Questions for Weld County Older Adults
1 What do you currently enjoy/or what positive things are happening in your
community that benefit older adults?
2. Do you get help with cooking, cleaning, meals, shopping, chores such as yard
work or snow shoveling (or anything else) from family, friends or an agency?
o If yes, how did you find out where you can get help?
o If no, who would you turn to (family, friends, church, neighbor, an
agency?) or ask if you needed help or how would you find out where
to get help?
3. What kind of help do you think you might need in the next 3-5 years in order to
stay in your home? Think about if an unplanned medical event happened to you
or a spouse/significant other. Who would you call, would you be able to stay in
your home?
4. Do you help anyone nght now with cooking, cleaning, meals, shopping, chores
such as yard work or snow shoveling (or anything else)? Are you a Caregiver?
o If yes, how do you take care of yourself? Do you have help to care for
the other person so you can take a break?
5. Where should we promote/communicate/inform older adults about how we can
help them (so people know about our resources)?
6. What do you find more enjoyment in as you age or what's better about your
life as you age?
7. What's more difficult for you as you age?
8. How did you get what you needed during the lockdown (like food, medication,
getting to appointments, toilet paper/household essentials, socializing with
family or friends, or anything else)? Does the pandemic continue to affect your
day-to-day activities/social activities/life?
9 Do you feel socially isolated and/or lonely? Is this because of the pandemic?
10. What else do you think we should know about when creating or making
improvements to programs for the next four years?
78
Attachment G Region 2B
2022 Focus Group Questions for Service Providers
1 How do older adults find out about your services in the community?
2. Where do you see gaps in services for older adults?
3. Where can improvements in services for older adults be made in the
community?
4 Do any of the above gaps or breakdown in services hinder your effectiveness in
providing services to older adults?
5 Who do you think is underserved in this community and why?
6 What additional services would you like to see in the community?
7 Have you incorporated, or plan to incorporate in the next four years, Equity,
Diversity, and Inclusion into your program(s)/agency/organization work?
8 What else should we consider?
79
New Contract Request
Entity Information
Entity Name'" Entity ID
COLORADO DEPARTMENT OF HUMAN @00003650
SERVICES
❑ New Entity?
Contract Name. Contract ID
AREA AGENCY ON AGING - OLDER AMERICANS ACT FOUR 6737
YEAR PLAN (FISCAL YEARS 2024-2027)
Contract Status
CTB REVIEW
Contract Lead
COBBXXLK
Contract Lead Email
cobbeixlk@co weld co us
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description.
AREA AGENCY ON AGING - OLDER AMERICANS ACT FOUR YEAR PLAN (FISCAL YEARS 2024-2027) TO BE
REVIEWED/UPDATED YEARLY
Contract Description 2
PA ROUTING THROUGH NORMAL APPROVAL PROCESS ETA TO CTB 3/9/23
Contract Type a
APPLICATION
Amount k
S0 00
Renewable.
YES
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
CM-
HumanServicesrwveldgov co
Department Head Email
CM-HumanServices-
DeptHeadveldgov corn
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COU NTYATTO RN EY@WELDG
OV COM
Requested BOCC Agenda
Date.
03;15/2023
Due Date
03/11/2023
Will a work session with BOCC be required?.
NO
Does Contract require Purchasing Dept_ to be included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter VISA Contract ID
Note the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Effective Date
Termination Notice Period
' Contact Information
Contact Info
Review Date*
01/31/2024
Committed Delivery Date
Renewal Date'
03/29/2024
Expiration Date
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
03/06/2023
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
03/15/2023
Originator
COBBXXLK
Finance Approver
CHERYL PATTELLI
Legal Counsel
BYRON HOWELL
Finance Approved Date Legal Counsel Approved Date
03/07/2023 03/07/2023
Tyler Ref #
AG 031523
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Cheryl Hoffman
To:
Cc:
Subject:
Hi ladies,
noreply@weldgov.com; CM-ClerktoBoard; Lesley Cobb; CM-HumanServices-DeptHead
Windy Luna; Lesley Cobb; Sara Adams
RE: Fast Tracked Contract ID (7798)
Did you mean to send this fast -tracked? If so, please provide a summary of why this is being fast -tracked, so I can add it
to the file.
Thank you.
Cheryl L. Hoffman
Deputy Clerk to the Board
1150 O Street/P.O. Box 758
Greeley, CO 80632
Tel: (970) 400.4227
choffman@weld.gov
O41-'7 79gi
Original Message
From: noreply@weldgov.com <noreply@weldgov.com>
Sent: Monday, February 12, 2024 11:56 AM
To: CM-ClerktoBoard <CM-ClerktoBoard@co.weld.co.us>; Lesley Cobb <cobbxxlk@weld.gov>; CM-HumanServices-
DeptHead <CM-HumanServices-DeptHead@co.weld.co.us>
Subject: Fast Tracked Contract ID (7798)
Contract # 7798 has been Fast Tracked to CM -Contract Maintenance.
You will be notified in the future based on the Contract information below:
Entity Name: COLORADO DEPARTMENT OF HUMAN SERVICES Contract Name: AREA AGENCY ON AGING - OLDER
AMERICANS ACT FOUR YEAR PLAN (FISCAL YEARS 2024-2027) Contract Amount: $0.00 Contract ID: 7798 Contract Lead:
COBBXXLK
Department: HUMAN SERVICES
Review Date: 4/30/2027
Renewable Contract: YES
Renew Date: 6/30/2027
Expiration Date:
Tyler Ref #:
Thank -you
Cheryl Hoffman
From:
Sent:
To:
Cc:
Subject:
Attachments:
Good afternoon CTB,
FAST TRACK ITEM:
Lesley Cobb
Monday, February 12, 2024 11:53 AM
CTB
HS -Contract Management
FAST TRACK - AAA Older Americans Act Four Year Plan CMS #7798
AAA Plan.pdf
Attached please find the Area Agency on Aging — Older Americans Act Four Year Plan (Tyler ID# 2023-0723)
originally CMS #6737. This plan is valid for four years (2024-2027). There are no changes that are being
requested to this plan and it is being Fast Track in CMS for tracking purposes only (CMS# 7798).
Thank you,
Lesley Cobb
Contract Management and Compliance Supervisor
Weld County Dept. of Human Services
315 N. 11th Ave., Bldg A
PO Box A
Greeley, CO 80632
Phone: (970) 400-6512
Fax: (970) 353-5212
Email: cobbxxlk@weld.gov
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Hello