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Home My WebLink About20192016.tiff0___en+-raCt PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: May 4, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with Colorado Boys Ranch Foundation DBA CBR YouthConnect 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 Agreement Amendment with Colorado Boys Ranch Foundation DBA CBR YouthConnect. The Department entered into a Child Protection Agreement for Services with Colorado Boys Ranch Foundation DBA CBR YouthConnect, identified as Tyler ID 2019- 2016 on May 29, 2019. The Agreement was amended on May 13, 2020 to extend the term date through May 31, 2021 and to amend the Rate Schedule. The Agreement is now being amended to renew for a third and final year, for the period of June 1, 2021 through May 31, 2022 and to make changes to the Scope of Services and Rate Schedule as noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Scope of Services Changes: • The provider bid in this year's Request for Proposal to add two additional services to their current Agreement: Home and/or Community -Based Therapeutic Supervised Visitation Services (TSV), and Home and/or Community -Based Supervised Visitation Services (SV). These new services are now reflected in the provider's Scope of Services. Rate Schedule Changes: • The following rates were added for the new Home and/or Cornmur ity-Based Therapeutic Supervised Visitation Services (TSV), and Home and/or Community -Based Supervised Visitation Services (SV) services: Rate Type Service Name $80,00 Hour Therapeutic Supervised Visitation $100.00 Hour Therapeutic Supervised Visitation with Transportation $68.00 Hour Supervised Visitation $88.00 Hour Supervised Visitation with Transportation $5.00 Hour Bilingual add on $40.00 Hour Family Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professional Staffing Pass -Around Memorandum; May 4, 2021 — ID 4732 0.,onqrerl+ 05/10 / 0�l Page 1 0019 - XO7O ICo HR0090 PRIVILEGED AND CONFIDENTIAL $15.00 $0.54 Episode Mile No-show For distance exceeding thirty (30) miles, one-way, from assigned staff's home I do not recommend a Work Session. I recommend approval of this Agreement Amendment. Approve Recommendation Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Saine Schedule Work Session Other/Comments: Pass -Around Memorandum; May 4, 2021 — ID 4732 Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND COLORADO BOYS RANCH FOUNDATION DBA CBR YOUTHCONNECT +h This Agreement Amendment, made and entered into I LI day of f na 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Colorado Boys Ranch Foundation dba CBR YouthConnect, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home Based Services and Life Skills, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2016, approved on May 29, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement was set to end on May 31, 2020. • The Original Agreement was amended on: May 13, 2020 to extend the term date through May 31, 2021 and to amend the Rate Schedule. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2016. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a third and final year, for the period of June 1, 2021 through May 31. 2022. 2. Exhibit C, Scope of Services, is hereby amended as attached. 3. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: Weld Co n Clerk to the B By: Deputy Clerk t e Bo sdr W. ,1640,6i BOARD OF COUNTY COMMISSIONERS and WELD COUNTY, COLORADO eve Moreno, Chair NTRACTOR: MAY 1 0 2021 olorado Boys Ranch Foundation dba CBR YouthConnect 12567 West Cedar Drive, Suite 210 Lakewood, Colorado 80228 By: Date: al -ere /11(1? #/, , TErese M Scofidio (Apr 27, 02112:59 MDT) Terese M. Scofidio, President and Chief Operating Officer Apr 27, 2021 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Preventative Aftercare (PAC), Specialized Mentoring, Supervised Visitation, Small Group Options, Community Connections, and Home and/or Community -Based Therapeutic Supervised Visitation Services (TSV), and Home and/or Community -Based Supervised Visitation Services (SV) services to families with children and youth, all ages, referred by the Department. 2. Preventative Aftercare (PAC): Involves highly skilled, trauma -informed, social work practices integrated with social -emotional learning principles. Contractor will provide guidance and support managing family dynamics; addressing conflicts and special needs. Contractor will family life skills and routines; help the family access medical and mental health services; bridge with the school systems to help youth stay in school and void delinquency; and address confounding issues that stress the youth and family system. a. Anticipated Frequency of Service: Three (3) to five (5) hours of frequency, weekly contact in the home or in the community, and Contractor is available 24/7 for crisis support. i. Three levels of services are offered. 75% of the total time in each level will be spent with the client working on treatment plan issues. The other 25% may be related to court activities/requests; professional meetings; participating in administrative review conferences; report writing; documentation; phone calls, and similar activities. ii. High Package: 6-9 hours per week. iii. Moderate Package: 4-5.5 hours per week. iv. Low Package: 1-3.5 hours per week. b. Anticipated Duration of Service: Average of five (5) months but varies based on the case plan and permanency plan. c. Goals of Service: i. Achieve permanency and family preservation ii. Improve child and family protective factors iii. Prevent children/youth removal from the home iv. Reduce the length of any separations or placements v. Prevent re-entry d. Anticipated Outcomes of Service: i. Active Engagement: Youth and family actively and compliantly engaged in services, versus resist and avoid. ii. State -4 Change: Youth and family progress to State 4 (States of Change continuum) on critical issues related to safety, unification and "real life" problem -solving skills. iii. Empowerment, Encouragement and Accountability: Family protective factors improve, and youth and family take more responsibility for their own futures. e. Target Population: Available to families with children and youth of all ages, abilities and disabilities, including but not limited to: i. Families with infants, young children and low protective factors. ii. Teen parenting skills and safe care support iii. Special needs and handicapping conditions. iv. Family conflicts, dependency/neglect and child protection concerns. v. Youth adjudication, homelessness and emancipation skills. vi. School truancy and drop -out evaluation. vii. Prevention of out -of -home placement. viii. Transition and reunification from congregate care and foster placement. ix. Permanency preservation of Kinship and Foster Care placement. f. Accessibility of Services: Services are available in the home or in the community throughout Weld County and are not office based. g. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. h. Medicaid Eligibility: Services are not currently Medicaid eligible. i. Transportation of Clients: Contractor can transport clients when it benefits the goal of services. 3. Specialized Mentoring: Using social -emotional learning principles, Contractor offers a neutral and supportive role; take the youth's lead; helps the youth explore their personal interests and aspirations; models and shares insights; connects youth to community resources; and inspires hope. a. Anticipated Frequency of Services: Based on the needs of the referred family and child/youth. Average of one (1) to three (3) hours per week per case with eight (8) to 16 hours per month. b. Anticipated Duration of Services: Based on the needs of the referred family and child/youth, as determined by the Department. c. Goals of Service: i. Support the permanency plan ii. Prevent OOH placement and/or school disruption iii. Support reunification following placement iv. Prevention re-entry to placement d. Anticipated Outcomes of Service: i. "Civic Engagement": Youth will demonstrate citizenship skills through volunteering and community service projects and developing a set of personal principles to live by. ii. Stage 4 Change: Youth will progress to Stage 4 (Stages of Change continuum) on critical issues and needs that led to the referral. iii. Insights — Youth will show insights about their life, personal beliefs and potential. iv. Friendship — Youth will build a friendship and identify some positive role models. v. Life Story — Youth will produce a creative project expressing what he/she wants their personal life story to be. vi. Commitment to Act: Youth will commit to at least two measurable goals and personal principles. vii. Spark of Hope: Youth will have gained a spark of hope that there is value and potential within themselves. e. Target Population: Services are highly adaptable, customizable, highly motivating, and engaging. Youth who may benefit from the service include, but are not limited to: i. Youth ages 10-21 ii. Youth who need specifically targeted support in addition to family intervention. iii. Youth experiencing trauma and loss without a sufficient support system. iv. Youth who resist therapy and dislike being labeled as a "diagnosis". v. Youth facing issues/deficits that will be life-long challenges. vi. Youth who are isolates and without friends or self-confidence. vii. Youth with alternative lifestyles and personal identifies who need affirmation and support. viii. Youth who have experienced a disrupted adoption. ix. Youth at risk of placement, drop -out or homelessness. x. Youth in placements who have "plateaued" and/or need support to transition home. f. Accessibility of Services: Services are not office -based and occur in the home or in the community. g. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. h. Medicaid Eligibility: Services are not currently Medicaid eligible. i. Transportation of Clients: Contractor can transport clients when it benefits the goal of services. 4. Supervised Visitation: Conjoint parent -child interaction supervised by interactive staff who utilize psychoeducation, coaching and support to address parent -child interactions. a. Anticipated Frequency of Services: Based on the needs of the referred family and child/youth. b. Anticipated Duration of Services: Anticipated Duration of Services: Based on the needs of the referred family and child/youth, as determined by the Department. c. Goals of Service: i. Provide a safe environment for children to spend time and interact with their parents(s). ii. Observe, mend and preserve the parent -child relationship. d. Anticipated Outcomes of Service: i. Maintain parent -child relationship for successful family reunification while maintaining child safety ii. Enhancing effective parenting skills iii. Providing psychoeducation for trauma to the parents iv. Maintaining and rebuilding parent/child and other family attachments v. Reducing the child's sense of abandonment during placement e. Target Population: Families with children in out -of -home placement through the Child Welfare system who are pursuing reunification for whom supervised parenting time has been court ordered. f. Accessibility of Services: Services can occur in home or in the community, or in a Department facility. g. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. h. Medicaid Eligibility: Services are not currently Medicaid eligible. i. Transportation of Clients: Contractor can transport clients. 5. Small Group Options a. Options i. PAWSITIVE Connection: A highly successful small group human/animal connection approach to creating a therapeutic environment where children and youth of all ages can learn and practice healthy relationships and regulate emotions while also developing character skills including respect, responsibility and empathy while working with dogs and other animals. ii. STORY Program: A personal development approach focused on inspiring youth to be all they can be. It offers a safe and uplifting opportunity for youth to reflect on their personal story and the stories around them. Youth learn to discover and express their through creative projects using iPad technologies with visioning boards, journaling, music art, story boarding, and movie making. Youth area also exposed to key life principles such as the Code of the West and helped to create their own personal code. iii. AFFINITY Groups: Customized small groups that focus on specific issues and life situations that youth share such as adoption, gender identity, abuse and neglect, school isolation, missing life skills. These groups incorporate the principles and methods highlighted in the other small group options. iv. FAMILY Resiliency: This is a multi -generational approach to address a family's needs for inspiration, hope and resilience. It occurs in the family home, around the kitchen table and the living room, or during a community -based activity. Contractor will sometimes bring a meal. Over a six to eight -week period, with guided reflection, the family completes several interesting exercises and projects that inspire parents and their children to grow together as a family. b. Anticipated Frequency of Services: Groups can occur as frequently as needed. c. Anticipated Duration of Services: Groups can be on an ongoing basis or set to a specific number of sessions, as determined by the Department. d. Goals of Service: i. Support the permanency plan ii. Prevent out -of -home placement and/or school disruption iii. Support reunification following placement iv. Prevent re-entry to placement e. Anticipated Outcomes of Service: i. "Civic Engagement": Youth will demonstrate citizenship skills through volunteering and community service projects and developing a set of personal principles to live by. ii. Stage 4 Change: Youth will progress to Stage 4 (Stages of Change continuum) on critical issues and needs that led to the referral. iii. Insights — Youth will show insights about their life, personal beliefs and potential. iv. Friendship — Youth will build a friendship and identified some positive role models. v. Life Story — Youth will produce a creative project expressing what he/she wants their personal life story to be. vi. Commitment to Act: Youth will commit to at least two measurable goals and personal principles. vii. Spark of Hope: Youth will have gained a spark of hope that there is value and potential within themselves. f. Target Population: Youth of all ages who require healthy peer experiences and supports; are facing issues that will be life-long challenges; are isolates; need affinity support; are missing important life skills; and/or lack motivation and inspiration for future direction. Youth who may benefit from the service include, but are not limited to: i. Youth of all ages. (Groups can be clustered by age ranges.) ii. Youth experiencing trauma and loss without a sufficient support system. iii. Youth facing issues/deficits that will be life-long challenges. iv. Youth who are isolates and without friends or self-confidence. v. Youth at risk of placement, drop -out or homelessness. vi. Youth who have risk -laden lifestyles and need self-confidence. vii. Youth who need a peer group with similar life experiences and needs such as adoption issues/disruption, gender identity, ethnicity, homelessness, body image, school avoidance, bullying. g. Accessibility of Services: Services are not office -based and occur in the home or in the community. h. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. i. Medicaid Eligibility: Services are not currently Medicaid eligible. j. Transportation of Clients: Contractor can transport clients. 6. Community Connections: Short-term, resource -generating service designed to promote "connectedness" between a youth and their community during transitions home from the OOH placement or to prevent disruption of permanency. a. Anticipated Frequency of Services: Average of three (3) to five (5) hours per week. b. Anticipated Duration of Services: Thirty (30) to ninety (90) days. c. Goals of Service: i. Support the permanency plan. ii. Prevent out -of -home placement and/or school disruption. iii. Support reunification following placement. iv. Prevent re-entry to placement. d. Anticipated Outcomes of Service: i. Identified and established case specific community supports and connectedness that fit the needs, interests and life situation of the at -risk youth and the family. ii. Delivery of a customized community resource guide plus personal introductions in the following two domains: I. Within the existing system -of -care such as: caseworkers, teachers, GALS, probation officers, mental health therapists and school navigators. 2. Within the community such as: community non -profits, local support groups, special interest and affinity groups, potential employers, location support groups and more. e. Target Population: All children, youth and families identified by the Department as needing transitional support and the development of sustainable community supports following reunifications or to prevent out -of -home placement or re-entry. f. Accessibility of Services: Services occur with the youth and family, in the school, the neighborhood, and in various community settings. g. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. h. Medicaid Eligibility: Services are not currently Medicaid eligible. i. Transportation of Clients: Contractor can transport clients. 7. Home and/or Community -based Therapeutic Supervised Visitation Services (TSV): Combined parent -child interaction supervised and conducted by a licensed or certified professional. The supervisor is actively involved in promoting behavioral change. This includes direct observation/documentation and intervention. The supervisor is able to provide immediate support, feedback, and intervention to parents who are interacting with their child(ren). a. Anticipated Frequency of Services: i. As determined by the Courts, Department, and Guardian Ad Litem (GAL). b. Anticipated Duration of Services: As determined by the Courts and Department. Over time the frequency of services will decrease as progress is made. c. Goals of Service: i. Observe, mend, and preserve the parent -child relationship. ii. Increase knowledge of trauma and attachment. iii. Increased knowledge of developmental stages and ages and the impact trauma has on development. iv. Increased parental protective capacity. v. Transition to a lower level of care (supervised or intermittent) with the ultimate goal for the child to return to parent. d. Anticipated Outcomes of Service: i. Enhanced parenting skills. ii. Parents demonstrate knowledge of childhood trauma and have taker or are takin the reparative measure to avoid future trauma. iii. Rebuild and/or strengthen parent -child attachment bond. iv. Children will be safe emotionally and physically when with parent(s). v. Stressors present in children upon referral will be reduced. e. Target Population: Families with children in out -of -home placement through the child welfare system who are pursuing reunification and for whom supervised parenting has been court ordered. f. Bilingual Capacity: English only. g. Medicaid Eligibility: Services are not Medicaid eligible. h. Transportation of Clients: Contractor can transport clients. 8. Home and/or Community -Based Supervised Visitation Services (SV): Combined non -custodial parent - child interaction supervised by a third person who has a bachelor's degree or equivalent experience. This person is supervised by a clinically licensed supervisor. Supervised Visitation is more natural and less directed and educational. The main focus is the protection and safety of the child and adult participants. The visitation supervisor's interventions are focused on building a parent's protective capacities and interventions are often in response to observed inappropriate parent -child interactions and include modeling/coaching of appropriate parent -child interactions. This level of service includes both the direct observation/documentation of visits; intervention is limited and occurs when the emotional and/or physical safety and well-being of the child is in question. a. Anticipated Frequency of Services: As determined by the Courts, Department, and Guardian Ad Litem (GAL). b. Anticipated Duration of Services: As determined by the Courts and Department. Over time the frequency of services will decrease as progress is made. A parent -child emotional -behavioral interaction assessment is completed at 30 days, 60 days and 90 days thereafter to help gauge progress in the case. c. Goals of Service: i. Observe, mend, and preserve the parent -child relationship. ii. Increase knowledge of trauma and attachment. Increased knowledge of developmental stages and ages and the impact trauma has on development. iv. Increased parental protective capacity. v. Transition to a lower level of care (supervised or intermittent) with the ultimate goal for the child to return to parent. d. Anticipated Outcomes of Service: i. Enhanced parenting skills. ii. Parents demonstrate knowledge of childhood trauma and have taker or are takin the reparative measure to avoid future trauma. Rebuild and/or strengthen parent -child attachment bond. iv. Children will be safe emotionally and physically when with parent(s). v. Stressors present in children upon referral will be reduced. e. Target Population: Families with children in out -of -home placement through the child welfare system who are pursuing reunification and for whom supervised parenting has been court ordered. f. Bilingual Capacity: English and Spanish. g. Medicaid Eligibility: Services are not Medicaid eligible. h. Transportation of Clients: Contractor can transport clients. Terms 1. Contractor will respond to the Quality Assurance Team(HS-CWQualityAssurance(a,weldgov.com within three (3) business days regarding the ability to accept the received referral. 2. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team HS- CWQualitvAssurance(a weldgov.com. 3. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understands that the Department will not reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows", or up to two (2) hours, on the part of case participants who cancel without 24 hour notice. After three (3) "no-shows", Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team HS-CWQualityAssurance(a,weldgov.com. 4. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team HS-CWQualityAssurance(aweldgov.com immediately via email, to discuss service continuation. 5. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 6. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 7. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 8. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service Coordinator or any member of the Quality Assurance Team. Any changes to visitation referrals will be approved by the caseworker, their supervisor, or the Family Support and Visitation Center. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 9. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Bid Meetings, Professional Staffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as there is written authorization from the Quality Assurance Team, and the Contractor obtains the Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. The Facilitator will be responsible for filling out the time attended on the Client Verification Form. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the Department. 10. Contractor will notify the Quality Assurance Team HS-CWOualitvAssurancenu,weldgov.com of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2022. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Home Based Services Rate Type Service Name $55.00 Hour Community Connections $1,900.00 Month High Package (6-9 hours per week) $1,450.00 Month Moderate Package (4-5.5 hours per week) $900.00 Month Low Package (1-3.5 hours per week) $54.00 Day Partial month rate used when services fall below the "Low Package" $48.00 Hour Small Group Options $55.00 Hour Specialized Mentoring $40.00 Hour Family Team Meeting, Team Decision Meeting, Professional Staffing $15.00 Episode No show $0.54 Mile For distance exceeding thirty (30) miles, one-way, from Assigned Staff's Home Life Skills Rate Type Service Name $80.00 Hour Therapeutic Supervised Visitation $100.00 Hour Therapeutic Supervised Visitation with Transportation $68.00 Hour Supervised Visitation $88.00 Hour Supervised Visitation with Transportation $5.00 Hour Bi-lingual add on $40.00 Hour Family Team Meeting, Team Decision Meeting, Professional. Staffing $15.00 Episode No-show $0.54 Mile For distance exceeding thirty (30) miles, one-way, from Assigned Staff's Home 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. New Contract Request Entity information. Entity Name * Entity ID* COLORADO BOYS RANCH CBR.) ra�rt36422 YOUTHCONNECT Contract Name* CBR YOUTHCONNEC-T (.AGREEMENT AMENDMENT) Contract Status CIE REriEW Contract Description ir EIOT,t B1900025. TERM: b'1 21--5;'31;'22. ❑ New Entity? Contract ID 4;,_>2 Contract Lead* APEGG Contract Lead Email apegg_l'veldgov.corn,cobbx xlk'<weidgov.ccrn Contract Description 2 CONSENT. PA IS BEING ROUTED THROUGH THE NORMAL PROCESS. ETA TO CTB Contract Type* AMENDMENT Amount* Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Requested Bt3CC Agenda Date* 05. 2H, 202.1 Parent Contract. ID 201924916. Requires Board Approval YES Department Project # Due Date 05122'2021 Department Email CM- Will a work session with BOCC be required?* HumanSer�+,ices'=eidgt°�.cc= NO m Department Head Email CM-HumanServices- DeptHead= relclgov.com County Attorney GENERAL COU=NTY ATTORNEY EMAIL, County Attorney Email CM - C OLIN 7YAT I ORNEY PAIELDa`. OV,C.OM If this is a renewal enter previous Contract ID If this is pant of a M.SA enter MSA Contract ID Note; t₹ OnEase Does Contract require Purchasing Dept. to be included? Previous Contract Number and Master Services Agreement. Number should be left blank if these contracts are riot Contract mates Effective. Date Review Date 0,4101.,'2022 Renewal Date Termination Notice Period Contact information Contact Info Contact. Name Purchasing Com,rnined Delivery Date Contact Type Contact Email Expiration Datex 05;` 31 2022 Contact Phone I Contact Phone 2 Purchasing Approver Purchasing Approved Date CONSENT 28 2021 Approval Process Department Head JAMIE ULRICH DH Approved [date Q `28,2x321 Final Approval 8OCC Approved BOCC Signed Date 8f3CC Agenda Date 0.5'10 2021 Originator APEGG Finance Approver CONSENT Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 04 2.8 2021 28'2©2' Tyler Ref # AC 051 021 C;on4 -A.c f TV 3,512 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: April 2, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Welfare 2020-21 Service Provider Agreement Amendments 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 Child Welfare 2020-21 Service Provider Agreement Amendments. The Department entered into agreements with various Child Welfare service providers through the 2019-20 Request for Proposal (RFP), identified as Tyler ID 2019-0707). These agreements were issued for a period of three years with the option to renew annually. The attached list reflects the providers, services and rates, including minor rate changes, the Department wishes to enter into for the period of June 1, 2020 through May 31, 2021. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Upon Board approval of this pass -around, signed agreement amendments will be obtained from providers and submitted to the Board for approval and Chair signature. I do not recommend a Work Session. I recommend approval of these Agreement Amendments. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; April 2, 2020 — Not in CMS Page 1 Goner -.P 1" Affeela& tigP ©,5 /i /Ac o5b3 3 l20 1getp9O VENDOR RENEWALS Vendor Program Area Service Name Family Interactional Evaluation Funding Core Rate $ 375.00 Unit Type Hour inservice Training for. Caseworkers and Foster Parents CW Block , $ 175:00 Hour Inservice Training for Caseworkers and Foster Parents CW Block $ 600.00 1/2 Day Mental Health Assessment Core $ 375,00 Hour Psychological Evaluation Core $ 375.00 Hour Staffing, Family Team Meetings, TDM, Court, etc. Core $ 175.00 Hour Brien, Jessica Home Studies Additional Face -to -Face Time CW Block/Child Welfare Services $ 50.00 Hour Additional Travel Fee CW Block/Child Welfare Services $ 150.00 Episode Extra Adult(s) After First Two (2) CW Block/Child Welfare Services $ 100.00 Each Home Study Update CW,Block/Child Welfare Services `: $ 700.00 Episode Home Study, 2 Adults CW Block/Child Welfare Services $ 1,600.00 Episode Mileage CW Block/Child Welfare Services $ 0.56 Mile Partial Home Study, Denied or Withdrawn CW Block/Child Welfare Services $ 300.00 Episode Centennial Board of Cooperative Education Services Day Treatment Services , Therapeutic & Educational. Costs Core $ 203.00 Day Therapeutic Costs Core $ 72.00 Day Collaborative Services for Change Child Mentoring and Family Support Mentoring Core $ 65.06 Hour Mentoring - In Home/Community Core $ 97.50 Hour Mentoring with Animal Assisted Therapy (AAT) Core $ 100.00 Hour Mentoring with Animal Assisted Therapy (AAT) - In Home/Community Core $ 150.00 Hour Transportation Core $ 0.56 Mental Health Services Case Management Core $ 85.00 Hour EMDR 90 -Minute Session Core $ 120.00 Episode Family Therapy Core $ 100.00 Hour Health Sexuality/Boundaries Curriculum Core $ 100.00 Hour Individual Therapy Core $ 100.00 Hour Team Meetings or Staffing Core $ 85.00 Hour Sexual Abuse Treatment Case Management Core $ 85.00 Hour MDR Therapy Session Core $ 120.00 Episode Family Therapy Core $ 100.00 Hour Health' Sexuality/Boundaries Curriculum Core $ 100.00 Hour Individual Therapy Core $ 100.00 Hour Informed Supervision Training Core $ 100.00 Hour MDT, Team Meetings or Staffing Core $ 85.00 Hour Colorado Boys Ranch Home Based Services CBR-HB (Per -Diem) Core $ 54.00 Day CBR-HB, High Package Core $ 1,900.00 Month LBR-HB, Low Package Core $ 900:00 Month CBR-HB, Moderate Package Core $ 1,450.00 Month Community Connections Core' $ 55:00 Hour Small Group Options Core $ 48.00 Hour Specialized Mentoring Core $ 55:00 Hour Life Skills Supervised Visitation Core $ 68.00 Hour . Transportation for Visitation Core $ 40.00 Hour Crossroads Counseling Sexual Abuse Treatment Sexual Abuse Treatment -Hourly Rate Core $ 80.00 Hour David Rails, Inc. dba Parker Personal Care Homes Domestic Violence Intervention Anger Management Treatment - In Office CW Block/Child Welfare Services $ 125.00 Hour WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: B2000037 Corri-raf- .Ve9# 3392 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND COLORADO BOYS RANCH FOUNDATION dba CBR YOUTHCONNECT This Agreement Amendment, made and entered into I Vinday of , 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Colorado Boys Ranch Foundation dba CBR YouthConnect, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home Based Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2016, approved on May 29, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2020. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a second full year term, for the period June 1, 2020 through May 31, 2021. 2. Exhibit D, Rate Schedule, is hereby amended as attached. All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTESTWAITAA) *id" ;4, COUNTY: BOARD OF COUNTY COMMISSIONERS Weld County Clerk to the Board rWELD COUNTY, COLORADO B ty Clerk to the Board Mike Freeman, Chair MAY 1 3 2020 Colorado Boys Ranch Foundation dba CBR YouthConnect 12567 West Cedar Drive, Ste 210 Lakewood, CO 80228 By: Amanda K. Bicker Date: Apr 23, 2020 COn5rails 41-endat__ os /rs /moo cc! HS n (6-otTe- 0St (3/9a 14-ic cot zor4- -4O16 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Home Based Services: $55.00/Hour (Community Connections) $1,900.00/Month (CBR-HB High Package) $1,450.00/Month (CBR-HB Moderate Package) $900.00/Month (CBR-HB Low Package) $54.00/Day (CBR-HB, partial month rate; used when service is prorated on the month and falls below the CRB-HB Low Package) $48.00/Hour (Small Group Options) $55.00/Hour (Specialized Mentoring) Life Skills: $68.00/Hour (Supervised Visitation) $40.00/Hour (Transportation with Visitation) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Form New Contract Request Entity Information Entity Name* Entity ID* COLORADO BOYS RANCH (CBR) @00036422 YOUTHCONNECT Contract Name* COLORADO BOYS RANCH YOUTHCONNECT (AGREEMENT AMENDMENT) Contract Status CTB REVIEW Contract ID 3592 Contract Lead* CULLINTA Contract Lead Email cullinta c@co weld.co.us New Entity? Parent Contract ID Requires Board Approval YES Department Project # Contract Description* CONSENT. BID NO. 82000037. BOCC APPROVAL 04/15/20. CHILD PROTECTION AGREEMENT AMENDMENT. TERMS- 06/01/20 THROUGH 05/31/21. FUNDING: CORE/OTHER. Contract Description 2 Contract Type* AGREEMENT Amount* $0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgovcom Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV.COM Requested BOCC Agenda Date* 04115/2020 Due Date 0111/2020 X11 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 MSA 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 Review Date* 01'01/2021 Renewal Date Committed Delivery Date Expiration Date* 05/31/2021 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 05/05/2020 Final Approval BOCC Approvers BOCC Signed Date BOCC Agenda Date 05/13/2020 Originator SNYDERKL Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone T Contact Phone 2 Purchasing Approved Date Finance Approved Date 05/06/2020 Tyler Ref # AG 051320 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 05/0612020 Submit //i 4?";15V CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND COLORADO BOYS RANCH FOUNDATION DBA CBR YOUTHCONNECT This Agreement, made and entered into thday of / 2019by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of man Services, hereinafter referred to as the "Department' and Colorado Boys Ranch Foundation dba CBR YouthConnect hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule. Exhibit B, C, and D are attached hereto and incorporated herein by this reference. Exhibit A is Weld County's Request for Proposal Number 61900025, which is incorporated into this agreement by reference and will be provided upon request to the Department. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agendes; and WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration or other funding to the Department for Home Based Services and Life Skills. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2019, upon proper execution of this Agreement and shall expire May 31. 2020, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Quality Assurance Team Supervisor (hainleid@weldgov.com 970-400-6210). No other Department staff or other party to the case may authorize services or modifications to services. e6:4 -A -1664z) 2019-2016 ii-go0 9� c. Contractor agrees to submit a complete Request for Reimbursement and supporting documentation by the 7t" of the month, following the month of service, utilizing billing forms required by the Department. Contractor agrees to utilize the Client Verification Form for all scheduled and unscheduled face-to-face services with the exception of home studies and monitored sobriety testing, Contractor agrees that original complete Client Verification Forms are to be submitted with the Request for Reimbursement. Requests for Reimbursement and Client Verification Forms received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet 6o -day deadline may result in termination of the Agreement. d. Contractor agrees to submit a monthly report by the 7th of the month, following the month of service, for each client receiving ongoing services. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Date and time of service b. Where the service took place c. Clinician/therapist name d. Clients participating e. What interventions were used, recommendations and/or goals discussed f. Any and all safety concerns One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will be the test result. A completed home study may be a full, partial or denied study, as determined by the Department. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service, vii. The client is not eligible for Medicaid. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit S, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c, Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has flailed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and (CMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an, which will be provided by the Department, with a voided check. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7 Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c, Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is determined by the Department. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e . Public Contracts for Services C.R.S. §8-17.5-1.42. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for e mployment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5- 102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work u nder this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work u nder this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and the Department within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment, If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to the Department, a written notarized affirmation that it has examined the legal work status of such e mployee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17,5-101 et seq., the Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it; (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5- 103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement Which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department With the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the Department must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. The Department reserves the right to require Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on IS® occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. iii.Automobi e Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduced by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify the Department within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by the Department. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to the Department, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker and shall have its agent or broker provide proof of Contractor's required insurance. The Department reserves the right to require Contractor to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors, suppliers or other entities upon request by the Department. A provider of Professional Services (as defined in the Enid or PFP) shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement, Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11, Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement, The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs .unless otherwise agreed to by the Department. 12, Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours, For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-400-6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department, The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor, Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Child Welfare Division Head Amanda K. Bicker, Chief Operating Officer 17, Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: For Contractor: Judy A. Griego, Director Amanda K. Bicker, Chief Operating Officer P.O. Box A 12567 West Cedar Drive, Suite 210 Greeley, CO 80632 Lakewood, CO 80228 (970) 400-6510 303, 905-4109 18. Litigation Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the u ndersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the u ndersigned parties that any entity other than the undersigned parties receiving services or benefits u nder this Agreement shall be an incidental beneficiary only, 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended, 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall 10 not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. A conflict of interest or appearance of a conflict of interest may also apply to personal relationships between providers and clients. If a provider has a personal relationship with a client to whom the Contractor may provide services for, the Contractor must disclose that relationship to the Department. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 11 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor; Not an Employee of weld County Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement, Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A, provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, S, C, and D. 12 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to the Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by the Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33, Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without the Department's prior written consent, which may be withheld in the Department's sole discretion. 36. Attorney's Fees/Legal Costs In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of the Department. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the Department. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of the Department. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. SeverabilitY If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: 'elk BOARD OF COUNTY COMMISSIONERS Weld - my Clerk to the Boa d WELD COUNTY, COLORADO By: Deputy Clerk to 15 CONTRACTOR: Colorado Boys Ranch Foundation dba CBR YouthConnect 12567 West Cedar Drive, Suite 210 Lakewood, CO 80228 (303)905-4109 nn ifM I� Tom Rose (Apr 9, 2019) By: Date: Tom Rose, Chief Executive Officer Apr 9, 2019 oto / 9 - 020/4, EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department.) This page intentionally left blank. CONTINUING OUR LEGACY COLORADO BOYS RANCH FOUNDATION January 28, 2019 Board of County Commissioners WELD County Department of Human Services Families, Youth and Children's Commission RE: Bid No,: 61900025 Child Welfare CORE SERVICES 2019-2020 CBR YouthConnect (CBRYC) is an active 501c3 non-profit organization the operating entity of Colorado Boys Ranch Foundation and a current WELD County provider of CORE services. Each service proposed with this submission fits the County's request for innovative CORE services with proven impact. All services can be blended, as needed. The proposed services also meet the definition and criteria for more than one CORE service area. Each proposed service and rate information is detailed on separate EXHIBIT C template forms. CBRYC is fully able to deliver the proposed services and comply with County requirements set forth in the Request for Proposal and Exhibit A. All services focus on child protection and family preservation; prevention of out -of -home placement; and prevention of re-entry. And, all services emphasize to clients the importance of civic responsibility. For 60 years, CBRYC has served more than 20,000 youth plus their families. CBRYC exclusively provides an array of unique and high -impact in -home and community -based core services. Our highly skilled, trauma - focused and evidenced based approach includes strong clinical and educational capabilities and innovation. Services are offered at intensive or less -intensive levels. They can be fully customized and "blended" together, as needed. CBRYC ascribes to the NASW Code of Ethics and has received several awards. Currently, we are pursuing Medicaid credentialing. We have continued communication with OBH, HCPF and several REA's to determine the best approach to having staff and the agency alike Medicaid credentialed. Additionally, we are actively staying updated on the changes in the Medicaid system, Phase II of the Accountable Care Collaborative, and the goals outlined in the Family First Prevention Service Act. CBRYC services are designed to be responsive quickly scheduling services as requested. There are no offices or office appointments. Staff members go to the families, their schools, their neighborhoods, and other special settings; staff live in the county they provide services to. Services emphasize family "empowerment, encouragement and accountability". The goal is to achieve permanency while helping youth and families transition from county resources and develop their own personal and community resources. We look forward to continuing a strong partnership and again providing services to Weld County in 2019- 2020. Sincerely, Amanda K. Bicker, MA, LPC Chief Operating Officer Member Of: Colorado Association of Farttily and Children s Agencies MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 80401 • Phone 303.691.6095 BUSINESS OFFICE: PO Box 681 • La Junta, Colorado 81O5O HOME AND FAA+ ILY SCHOO1 AND ENKAT ..' SOW .tea %tern:arcd .►9/ttund VALUE S AhiI ETHICS 2019 - 2020 CORE Services Proposal BACKGROUND INFORMATION CBR YouthConnect appreciates the opportunity to be a weld County Child Welfare provider. In recent years, we have provided an array of CORE services to over 1_50 cases in many geographical locations throughout weld County. Additionally, due to our geographical reach across the Front Range, we have been fortunate to provide services to Weld clients located outside of County territories. Thank you for, again, allowing us to submit a proposal. We continue to listen closely to the systemic changes and want to do everything possible to be a provider that meets your important needs. In response to this year's RFP process, we offer the following for 2019-2020: Home -Based Preventative Aftercare (PAC), Visitation Services, Specialized Mentoring, Community Connections, and Small Group Options CORE, Medicaid, and EFPA: We have continued communication with the Office of Behavioral health (0BH), Healthcare Policy and Finance, as well as several REA's, including Colorado Access. We are currently pursuing Medicaid eligibility and working with the aforementioned agencies to determine the best way to achieve this given our unique organization's array of services and span across the state/REA's. We appreciate that CORE funds are regulated as the "Payer of Last Resort" and understand that counties are intended to access Medical Eligible providers for services deemed Medically Necessary as well as for attempting continuity of care once Child Welfare concerns are mitigated. Neither the Federal Medicaid Act nor the state of Colorado has a definition of medical necessity specifically related to mental health. The only concrete answer provided is that it must be tied to a formal DSM-V diagnosis. Additionally, services must be tied to an individual client rather than systemic support inherent in the majority of Child Welfare cases. Formal clinical diagnoses are absent from many of our referred cases and we do not diagnose. Some of our cases involve youth and families on the brink of legal and/or DHS involvement; these cases are true prevention cases for which our interventions would not be specifically tailored to remedy a clinical diagnosis but rather support overall individual and family functioning and well- being. Additionally, we are actively staying updated on the changes in the Medicaid system and the implementation of the Family First Prevention Act. We are in process of training our staff in various evidenced based (ratings of 1-3 or NR on the CEBC) modalities to incorporate into our current practices. CBR YouthConnect is a stakeholder in several groups dedicated to learning more and being an active participant in the role out of FFPSA and the ACF. CBR YouthConnect's services are rooted in Trauma -Focused Interventions. Trauma -focused care is designed as a strengths -based service delivery approach that is grounded in an understanding of and responsiveness to the impact of trauma; that emphasizes physical, psychological, and emotional safety for both providers and survivors; that creates opportunities for survivors to rebuild a sense of control and empowerment. CBR YouthConnect's services, as they are designed, are best matched to the CORE service principles. The systemic, comprehensive, and holistic nature of our Preventative Aftercare (PAC) program embraces designations of non -therapeutic Home -Based, Life Skills, and Aftercare Services alike. It is possible that a County Designated Service is most appropriate. Mernber of: ',..olor,..ido l',sss,oci atton of Family and Children s A er;cies www.C'BRYouthConnect.ors MAIN OFFICE: 14143 Denver West Parkway, Suite 100 • Golden, CO 8(401 • Plione 303.6916095 BUSINESS OFFICE: PO :pox 681 • La €unta, C..olorado 81050 HOME SC HOO1_ LAND AND FAMILY EDUCATION rig Heated nfittatad VALUES ANIMALS AND A.1\40 ETHICS. acs NATURE --6,44SO,4 EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services CO. �`1S RANCH F-C) U.vD\I 1 �n�Y_ LI510 AGENCY OR PRIVATE PRACHCE C.1 = • CI C �� i t�-CC:1 X17 Y`�`ECT TRAILS PROVIDER ID (If Known) /YM N O /4- V- a I C .-1:3-12_ elP TIN L, (oFn c_ f 2 PRIMARY CONTACT -FULL NAME )95 -L1109 PHONE NUMBER PRIMARY CONTACT -TITLE EXT. FAX NUMBER C per + -11.1 COV)r\ t ' or3 PRIMARY CONTACT -EMAIL ADDRESS - AGENCY/PRACTICE ADDRESS (IF APPLICABLE) (�r 12,Stoq W v'_,S-vtIiZlfl (rticUAOCr x'0225 AGENCY MAILING ADDRESS CITY ZIP REFERRAL CONTACT PI,VACA ,CA IC. COD REFFERAL-CONTACT-FULL NAME REFERRAL CONTACT -TITLE (343 --1(0‘1 a 171 tsli@Lto,„coin e L r REFERRAL CONTACT -PHONE NUMBER REFERRAL CONTACT- E-MAIL ADDRESS BILLING CONTACT P ncv"l of c, L. epic_ kS.c BILLING CONTACT -FULL NAME I BILLING CONTACT -PHONE NUMBER Co() RUING CONTACT -TITLE Ct .L(u/a lou ti-1axtele..Lf" �✓` BILLING CONTACT -E-MAIL ADDRES I certify that the services proposed for intemled use by the Weld County Department of Human Services will meet all the specifications it has so indicated in this bid form I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the Comity of Weld, State of Colorado. The Board of meld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. Signature of Authorized Representative: Date of Signature: 117'51 L 01 Bid No.: B1900025 EXHIBIT C PROPOSAL Preventative Aftercare (PAC) Bid No.: B1900025 1. Bidder's legal entity name: Colorado Boys Ranch Foundation, d.b.a. CBR YouthConnect 2. Program name or service type being proposed: PREVENTATIVE AFTERCARE (PAC) — Service Types: Home-Based/Aftercare/Life-Skills/County Designated Service (via BID definitions) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. The PAC approach involves highly skilled, trauma -informed, social work and clinical best practices (i.e. TF-CBT, Mindfulness CBT, Motivational Interviewing, Solution Focused Brief Therapy, and others) integrated with social -emotional learning principles. Supported by formal independent research, the PAC approach utilizes evidence -based principles, promising practices, on -going professional guidance, standards and training. And, all services emphasize to clients the importance of civic responsibility. PAC Family Service Providers give guidance and support for managing family dynamics; addressing conflicts and special needs. Providers also teach family life skills and routines; help the family access medical and mental health services; bridge with the school systems to help youth stay in school and avoid delinquency; and address confounding issues that stress the youth and family system. PAS' services focus on empowerment, encouragement and accountability. Mobile PAC staff are titled "Family Service Provider's". This strength -based, trauma -informed, motivational approach helps build relationships and engagement with youth and families. Caseloads are 2 to 10 families with identified clients' ages ranging from infancy to age 21. Priorities include building concrete supports in times of need and establishing reliable social and community connections. PAC Family Service Providers document all direct contacts with the youth, family and community supports; attend stuffings and court sessions; maintain weekly contact with the referring agency; collaborate with the educational and other various systems the referred youth are involved; network with and develops community resources; and make every attempt to help locate a youth if AWOL. Feedback from clients, families, schools, and served agencies is collected and used for ongoing quality improvement. PAC and all CBRYC services adhere to the NASW Code of Ethics and are rooted in trauma -focused principles. Staff are Master's Level; some staff are also licensed social workers or counselors. All program supervision is provided by a Master's Level Licensed Professional Counselor (LPC), a Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW). The supervision ratio does not exceed 1:10. Supervision involves frequent communication and oversight, documentation review, case consultation and periodic evaluations. On -going staff training, peer interaction/support/collaboration and employee feedback is always encouraged. 4. Anticipated frequency of the service (ex. 4 hours/week). PAC involves 3-5 hours of frequent, weekly contact with clients/families in their homes and places of convenience rather than office appointments. PAC Family Service Providers make at least weekly contact with referring colleagues; court/team meeting appearances; actively network within the community for on -going resources and supports; and are available 24 hours for crises. 5. Anticipated duration of the service (ex. 3-5 months). The anticipated duration and intensity of services (length, frequency and amount of contact time) are discussed with the county representative at time of referral as part of the case plan and permanency plan. The duration can be flexible and adapted to fit specific needs or changing conditions with the youth and family. A statistical average for cases over the past three years is 5 months. 6. Goals of the service. Consistent with CORE funding objectives, PAC service goals are to: • Achieve permanency and family preservation Improve child and family protective factors Prevent children/youth removal from the home Reduce the length of any separations or placements Prevent re-entry 70 outcomes of service. Active Engagement. Youth and family actively and compliantly engaged in services vs, resist and avoid Slane. Youth and family progressed to Stage 4 (Stages of Change continuum) on critical issues related to safety, unification and "real life" problem solving skills Empowerment, Encouragement and Accountabi i. Family protective factors improved; youth and family take more responsibility for their own futures 8. Target population for service PAC is designed to serve and positively impact all types of families with children/youth of all ages,. abilities and disabilities. It is a very adaptive service utilizing professional social work practice and clinical interventions. PAC is also very collaborative and focuses on developing sustainable community supports and resource networks. Because PAC Family Service providers offer structure, support, supervision, and professionally skilled interventions within the home, at school and in the community; it is used by many counties across the state for a variety of youth and family circumstances such as: Families with infants, young children and low protective factors Teen parenting skills and safe care support Special needs and handicapping conditions Family conflicts, dependency/neglect and child protection concerns Youth adjudication, homelessness and emancipation skills School truancy and drop -Out prevention Prevention of out -of -home placement Transition and reunification from congregate care and foster placement ® Permanency preservation of Kinship and Foster Care placement 9e Service access. PAC staff and services are mobile and not office -based. There are no offices or office appointments. They go to the youth and family, the school, the neighborhood, various community settings and get into the flow of their lives and daily challenges. With an adequate and inclusive rate, travel can occur anywhere in the county. Staff is available 24/7. 10. Languages service is available in. English, at present. We actively recruit for Spanish/bi-lingual staff: when available, we will determine level of proficiency and notify the county. 11. Medicaid eligibility of services We have continued communication with the Office of Behavioral health (OBH), Healthcare Policy and Finance, as well as several PEA's, including Colorado Access. We are currently pursuing Medicaid eligibility and working with the aforementioned agencies to determine the best way to achieve this given our unique organization's array of services and span across the state/REA's. 12. Transportation of clients Staff is insured and available to provide transportation to clients. Transportation is provided when it benefits a service goal. Transportation assistance, as long as not enabling, can help overcome significant barriers to referred youth and families successfully completing DHS and judicial mandates. With an adequate and inclusive rate, travel can occur anywhere in the county. 13. Rates of service. By the end of this current year (in order to cover actual costs) CBRYC will have provided $65,000 in private subsidy to the county by filling the reimbursement gap with private donor funds for this service. We can no longer provide this level of private subsidy. Request Home -based Preventative Aftercare (PAC) rate: $54 per diem when services are prorated for any given month (i.e. when cases are opened or closed during the given month) Or $1500 per month when cases are open for the duration of any given month NOTE This requested rate remains less than actual casts. However, it makes the level of needed private subsidy more manageable. SPECIAL NOTE: Mileage costs and travel time is significant. Geographically, several cases have been located in rural areas or out -of -county. This is complicated by the reality that some clients have to overcome distance and transportation barriers in order to comply with court ,and county requirements. Without this support, they are further at -risk for continued county involvement. The table below shows the number of cases and locations to date. Service PAC Northern 43 Southern 17 Outliers 14 Total Cases 74 Comments: Outlier Case Locations Westminster, Denver, Centennial, Aurora, Longmont, Commerce City, Littleton, Boulder, Thornton EXHIBIT C PROPOSAL Specialized Mentoring Bid No.: B1900025 1. Bidder's legal entity name: Colorado Boys Ranch Foundation, d.b.a. CBR YouthConnect 2. Program name or service type being proposed: SPECIALIZED MENTORING. Service Type: Life SKILLS or County Designated Service 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Using social -emotional learning principles, the "Specialized Mentor" offers a neutral and supportive role; takes the youth's lead; helps the youth explore their personal interests and aspirations; models and shares insights; connects youth to community resources; and inspires hope. The focus is to grow a unique person not treat a diagnosis. Specialized Mentoring emphasizes to clients the importance of civic responsibility. Through conversations, purposeful community experiences and creative projects (including i-Pads with APPS and other technologies), youth are encouraged to creatively express their own personal STORY and think through the values and beliefs they want to live by. They are helped to discover their own power to live their best personal story and guide their +:wn lives no matter their personal circumstances° The process takes their lead and moves at their pace. It involves friendliness -- food, nurturing, conversation during projects and activities and candid sharing of viewpoints and life experiences. Session notes are written in an interactive -conversational format, making it easy to track the youth's thoughts, interactions and views on life. Specialized A4entoring is a highly skilled, trauma -informed process for inspiring and helping youth to build resilience and positive character. Specialized Mentoring offers youth repetitive coaching and feedback; normalized socialization! purposeful community experiences; and opportunities to explore their interests, their talents, values and beliefs. Specialized Mentoring was developed following a multi -year demonstration project of the STORY Program funded by the DANIELS FUND involving 250 risk -laden youth from alternative schools, day treatment centers, dysfunctional families, juvenile diversion and homelessness. Since this demonstration project, an additional 200+ youth from multiple counties, SB 94 and judicial districts have received specialized mentoring services. SM can be flexibly adapted to fit a variety of schedules, circumstances and conditions. Youth in placement can receive mentoring both on -site at their placement and during off -site community -based experiences the build social skills and community connections. Summary Focus is to grow a unique person not treat a diagnosis — their future STORY ® Mentor role is nurturing and non -judgmental — not a therapist or controlling adult ® Mentor models friendship making and social skills Youth in placement or youth at home ® when possible, meet twice per week for about two hours each session — 16 hours / month Conversation / food / projects / community experiences ® Take youth's lead and move at youth's pace re: what you do / talk about / when ® Include other people and have social experiences in the community ® Mentor shares some of their own life experiences and viewpoints when asked ® Documentation in an interactive/conversational format 4. Anticipated frequency of the service (ex. 4 hours/week) Frequency is determined by the county which sets a capitated number of hours per month and a flexible weekly allocation of those hours to accommodate the schedule and availability of the youth and family. Statistically, the frequency for this year's cases, have ranged between 1-3 hours per week and 8-16 hours per month with referrals as intense as 10 hours per week. 5. Anticipated duration of the service (ex. 3-4 months). Duration is determined by the county per the case plan and permanency goals. It is our responsibility to scale the service to fit the expected duration. 6. Goals of the service. Goals are consistent with CORE funding objectives for LIFE SKILLS and permanency planning Support the permanency plan Prevent OOH Placement and/or school disruption ® Support reunification following placement ® Prevent Re -Entry to placement 7. Outcomes of service. A LOGIC Model is developed for this program with anticipated short-term and mid-term results related to essential life skills. It does not fit into the 3 -page limit but can be provided as needed. The model focuses on the following deliverables: ® "Civic Engagement" -- Citizenship skills are part of the design via volunteering and community service projects and developing a set of personal principles to live by. Stage -4 Change -- Youth has progressed to Stage 4 (Stages of Change continuum) on critical issues and needs that led to the Specialized Mentoring referral. hnsights -- Gained new insights about their life, personal beliefs and potential ® Friendship -- Built a friendship and identified some positive role models ® Life Story — produced a creative project expressing what he/she wants their personal life story to be ® Commitment to Act -- Made a commitment to at least two measureable goals and personal principles ® Spark of Hope -- Gained a spark of hope that there is value and potential within themselves S. Target population for service. Specialized mentoring is a highly adaptable and customized service that is highly motivating and engaging. Youth who benefit include but are not limited to: ® Youth ages 10-21 Youth who need specifically targeted support in addition to family intervention ® Youth experiencing trauma and loss without a sufficient support system ® Youth who resist therapy and dislike being labeled as a "diagnosis" Youth facing issues/deficits that will be life-long challenges Youth who are isolates and without friends or self-confidence Youth will alternative lifestyles and personal identities who need affirmation and support Youth who have experienced a disrupted adoption Youth at -risk of placement, drop -out or homelessness * Youth in placements who have" plateaued" and/or need support to sustainability transition ,home o Combinations of the above, plus 9. Service access. Specialized Mentors are mobile and not office -based. There are no offices or office appointments. They go to the youth and family, the school, the neighborhood, various community settings and get into the flow of the youth's life. With an adequate and inclusive rate, travel can occur anywhere in the county. 10. Languages service is available in. English, at present. We actively recruit for Spanish/bi-lingual staff. When available, we will determine level of proficiency and notify the county. 11. Medicaid eligibility of service. SPECIAL NOTE: Currently, we are pursuing Medicaid credentialing. We have continued communication with OBH, HCPF and several REA's to determine the best approach to having staff and the agency alike Medicaid credentialed. Additionally, we are actively staying updated on the changes in the Medicaid system, Phase II of the Accountable Care Collaborative, and the goals outlined in the Family First Prevention Service Act. However, the Medicaid approach approximates mentoring is a "behavior coaching" process built upon different principles and relationship building methods. Our experience and feedback from over 300 youth from multiple counties, special settings and demonstration projects, affirms that the "life skills" and relational approach of Specialized Mentoring motivates youth and teaches valuable social -emotional skills including friendship. 12. Transportation of clients. Staff is insured and available to provide transportation to clients. Transportation is provided when it benefits a service goal. Transportation assistance, as long as not enabling, can help overcome significant barriers to referred youth and families. The requested rate includes the projected cost for travel and transportation. 13. Rates of service. Bequest Specialized Mentoring rate: $55 per hour NOTE This requested rate remains less than actual costs. However, it makes the level of needed ,private subsidy more manageable. EXHIBIT C PROPOSAL Visitation Services Bid No.: B1900025 1. Bidder's legal entity name: Colorado Boys Ranch Foundation, d.b.a. CBR YouthConnect 2. Program name or service type being proposed: VISITATION SERVICES. Service Type: County Designated Service 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Supervised Visitation is conjoint parent -child interaction conducted by a staff trained to provide visitation services. The role of the visitation supervisor is interactive and uses psychoeducation, coaching and support to address parent -child interactions. This level of service includes both the direct observation/documentation of visits as well as targeted intervention with parents to improve parenting skills, eliminate safety concerns and accelerate reunification. The visitation supervisor provides immediate support, feedback and interventions for parents when interacting with their children, The trained supervisor remains present as an active participant throughout the visit offering skills to build on the family's strengths and correct observed weaknesses. The visitation supervisor also ensures that the guidelines set by the Court or referral agency are followed, and submits progress reports and recommendations to the referral source as required. The focus is on Parenting Skills Development in which families receive individual instruction with an emphasis on attachment and bonding, alternatives to physical discipline, the impact of trauma, household management, consistent delivery of rules, effective communication skills, consequences and rewards, knowledge of developmental milestones and nutrition. Documentation consists of individual session notes for each achieved visit detailing: observed strengths, challenges, parent preparedness, interventions used, etc. Additionally, at the 30, 60, and 90day mark assessments are completed to establish parent -child baseline and gauge progress over time, Staff are Master's Level or BA level with Master's Supervision; some staff are also licensed social workers or counselors . All program supervision is provided by a Master's Level Licensed Professional Counselor (LPC), a Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSw). The supervision ratio does not exceed 1:10. Supervision involves frequent communication and oversight, documentation review, case consultation and periodic evaluations. On -going staff training, peer interaction/support/collaboration and employee feedback is always encouraged. 4. Anticipated frequency of the service (ex. 4 hours/week). Frequency is determined by the courts, county and GAL's which sets a capitated number of hours per week and, at times, designates the number of days per week visits are expected to occur. 5. Anticipated duration of the service (ex. 3-4 months). Duration is determined by the courts and county per the case plan and reunification/permanency goals. 6. Goals of the service. Visitation Services provide a safe environment for children to spend time and interact with their parent(s) through supervised visits or therapeutic supervised visits. Our goal is to observe, mend and preserve the parent -child relationship. 7. Outcomes of service. Visitation services support face--to-face contact between parents and their children in out -of -home care. Supervised Visitation maintains parent -child relationships necessary for successful family reunification while maintaining child safety. Research that has been conducted on supervised visitation identifies the following outcomes: enhancing effective parenting skills, providing psychoeducation for trauma to the parents, maintaining and rebuilding parent -child and other family attachments, in addition to, reducing the sense of abandonment that children experience during placement as potential benefits of this type of service. S. Target population for service. Families with children in out -of -home placement through the child welfare system who are pursuing reunification for whom supervised parenting time has been court ordered. 9. Service access. CBR YouthConnect does not have an office. Visitation referrals should be community and/or in -based approved. Should a case require facility -based visits, CBR YouthConnect staff would require access to Weld County's designated visitation rooms. With an adequate and inclusive rate, travel can occur anywhere in the county. 10. Languages service is available in. English, at present. We actively recruit for Spanish/bi-lingual staff. When available, we will determine level of proficiency and notify the county. 11.Medicaid eligibility of service. SPECIAL DOTE: We have continued communication with the Office of Behavioral health (OBH), Healthcare Policy and Finance, as well as several REA.'s, including Colorado Access. We are currently pursuing (Medicaid eligibility and working with the aforementioned agencies to determine the best way to achieve this given our unique organization's array of services and span across the state/REA's. However, it is understood that County Designated Services under which Visitation is detailed is exclusively a CORE funded service. 12. Transportation of clients. Staff are insured and available to provide transportation to clients. Transportation is provided when it benefits a service goal. Transportation assistance, as long as not enabling, can help overcome significant barriers to referred parents and/or kinship -foster placements. The transportation specified rate is listed below. 13. Rates of service. Request Visitation Service rate: $68 per hour Transportation rate: $40 per hour EXHIBIT C PROPOSAL Small Group Options Bid No.: B1900025 1. Bidder's legal entity name: Colorado Boys Ranch Foundation, d.b.a. CBR YouthConnect 2, Program name or service type being proposed: SMALL GROUP OPTIONS - Service Types: Aftercare/Life Skills/ County Designated Service (via BID definitions) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Customized small group opportunities designed to improve peer support and improve essential life skills. Through the use of creative projects using I -Pad technologies with visioning boards, journaling, music, art, story boarding and movie making, youth share common experiences, interests and issues with natural affinity groups such as: gender identity, homelessness, social isolation, body image, separation/loss, adoption adjustment and traumatic experiences. The approach also fits the social media driven environment in which these youth live and interact daily. Animal and nature connections are also available. NOTE: "Civic Engagement" and citizenship skills are part of the design via volunteering and community service projects and developing a set of personal principles to live by. The small group designs are built upon social -motional learning principles, life skills for adolescents, multiple -intelligence learning theory, and trauma informed principles. The focus is on building protective factors and resilience. Amidst their confusion and life turmoil, children and youth are vulnerable to the negative influences of our culture and social media. Yet, they are starving for meaningful conversation and reflection on what is important to them. They want to talk about their life, their personal aspirations and express their personal story. The approach also fits the social media driven world in which these youth live and interact daily. Each of the group options has graduation/celebration activities where youth receive certificates of accomplishment and a gift certificate. The approach also fits the social media driven world in which these youth live and interact daily. Each of the group options has graduation/celebration activities where youth receive certificates of accomplishment and a gift certificate. Examples of Small Group Options with demonstrated outcomes serving over 800 youth include° PAWSITIVE Connection-- A highly successful, small group human/animal connection approach to creating a therapeutic environment where children and youth of all ages are able to learn and practice healthy relationships and regulate emotions while also developing character skills including respect, responsibility and empathy while working with dogs and other animals 0 STORY Program — A personal development approach focused on inspiring youth to be all they can be. It offers a safe and uplifting opportunity for youth to reflect on their personal story and the stories of those around them. Youth learn to discover and express their story through creative projects using iPad technologies with visioning boards, journaling, music, art, story boarding and movie making. Youth are also exposed to key life principles such as the Code of the west and helped to create their own personal code. ® AFFINITY Groups — Customized small groups that focus on specific issues and life situations that youth share in common such as adoption, gender identity, abuse and neglect, school isolation, missing life skills. These groups incorporate the principles and methods highlighted in the other small group options. FAMILY Resiliency - This is a multi -generational approach to addresses the family's needs for inspiration, hope and resilience. It occurs right in the home, around the kitchen table and the living room or during a community -based activity. Sometimes, we will bring the meal!! Over a six -eight week period, with guided reflection, the family completes several interesting exercises and projects that inspire parents and their children to grow together as a family. 4. Anticipated frequency of the service (ex. 4 hours/week). Group sessions can occur as frequently as needed and in a variety of home or community locations. 5. Anticipated duration of the service (ex. 3-4 months). The group options can be on -going with a continual flow of youth in and out as needed. OR, they can be designed for a specific number of sessions. This is determined by the county case plan, referral guidelines and pre -authorization process. 6. Goals of the service. Goals are consistent with CORE funding objectives for LIFE SKILLS and permanency planning Support the permanency plan • Prevent OOFI Placement and/or school disruption Support reunification following placement ® Prevent Re -Entry to placement 7. Outcomes of service. A LOGIC Model is developed for Small Group Options with anticipated short-term and mid-term results related to essential life skills. It does not fit into the 3 -page limit but can be provided as needed. The model focuses on the following deliverables similar to the mentoring process "Civic Engagement" and citizenship skills are part of the design via volunteering and community service projects and developing a set of personal principles to live by. • Stage -4 Change -- Youth has progressed to Stage 4 (Stages of Change continuum) on critical issues and needs that led to the Specialized Mentoring referral. ® Insights -- Gained new insights about their life, personal beliefs and potential ® Friendship -- Built a friendship and identified some positive role models ® Life Store -- Produced a creative project expressing what he/she wants their personal life story to be C nnmitment to Act -- .bade a commitment to at least two measureable goals and personal principles ® Spark of Hope -- Gained a spark of hope that there is value and potential within themselves Specialized Small Group Options inspire youth to be all they can be ana offer safe and uplifting opportunities for them reflect on their lives and the stories of those around them. Youth learn to discover and express themselves through creative projects, community involvement and helping others. 8. Target population for service. Very helpful for all youth who need healthy peer experiences and supports; are facing issues that will be life-long challenges; are isolates, need affinity support; are missing important life skills; lack motivation and inspiration for future direction. The program is proven helpful for.......... ® Youth of all ages (groups can be clustered by age ranges) ® Youth experiencing trauma and loss without a sufficient support system ,r> Youth facing issues/deficits that will be life-long challenges Youth who are isolates and without friends or self-confidence G Youth at -risk of placement, drop -out or homelessness Youth who have risk -laden lifestyles and need self-confidence Youth who need a peer group with similar life experiences and needs such as adoption issues/disruption, gender identity, ethnicity, homelessness, body image, school avoidance, bullying 9. Service access. Specialized Mentors are mobile and not office -based. There are no offices or office appointments. They go to the youth and family, the school, the neighborhood, various community settings and get into the flow of the youth's life. With an adequate and inclusive rate, travel can occur anywhere in the county. 10. Languages service is available in. English, at present. We actively recruit for Spanish/bi-lingual staff. When available, we will determine level of proficiency and notify the county. 11, Medicaid eligibility of service. We have continued communication with the Office of Behavioral health (OBH), Healthcare Policy and Finance, as well as several REA's, including Colorado Access. We are currently pursuing Medicaid eligibility and working with the aforementioned agencies to determine the best way to achieve this given our unique organization's array of services and span across the state/REA's. However, Small Group Options is a LIFE SKILLS service. Our experience and feedback affirms that the "life skills" and relational approach of Specialized Mentoring motivates youth and teaches valuable social - emotional skills including friendship. 12. Transportation of clients. Staff is insured and available to provide transportation to clients. Transportation is provided when it benefits a service goal. Transportation assistance, as long as not enabling, can help overcome significant barriers to referred youth and families. The requested rate includes the projected cost for travel and transportation. 13. Rates of service. Requested rate: $48 per hour SPECIAL NOTE: We can no longer provide private subsidy to cover unreimbursed costs. Certificate of Completion nth (r to Centty. ttl,t Karen wt su n*44 catr tied -11K STORY PROMO(' ,:rzater 24, 2014 J t `a:Y2tiww.wt,vr, !::»;ce whew.,APCS s( V�ipnMti:u i‘NVOK Melissa C8R YoutttConnnet s °it F a first ..441 tnibnitif. prce.. prceett cp.".4-O7, rifrifor gta e 3,4�F. EXHIBIT C PROP'S SAL Community unity Connections Bid No.: B1900025 1. Bidder's legal entity name: Colorado Boys Ranch Foundation, d.b.a, CBR YouthConnect 2. Program name or service type being proposed: COMMUNITY CONNECT" NS Service Types: Aftercare/Life Skills/ County Designated Service (via BID definitions) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Description of Services "Community Connections" is a brief service (30-90 days). The permanency plan and court requirements drive the process. It is a short-term, resource -generating service designed to promote "connectedness" between a youth and their community during transitions home from oOH placement or to prevent disruption of permanency. Community Connections is a brief intervention that fills an important gap in services needed for successful reunification to home/community from oOH placement. It does the problem -solving and connecting needed to help reduce lengths of oOH placement, improve reunification; and reduce re- entry by establishing the community connections needed for success. A, Community Connections Specialist identifies and develops all types of "community connectedness" that fit the interests and life situation of the youth in transition or at -risk of home and school disruption. The permanency plan and court requirements drive the process. After referral, a Community Connections Specialist vu i l l a e a e e o e o n e Help the youth/family discuss and assess their interests and needs for community support, then set personal goals Coordinate with system -of -care providers and introduce the youth/family to various individuals/groups/organizations in the community that offer resources and opportunities that fit the interests/needs Help the youth/family develop a plan for taking acvantage of the community unity supports/resources The Community Connections process begins with an inventory of needs and interests plus an inventory of possible contacts and resources. Next, potential matches in the community are coordinated and accountabilities are set. Then, communication, coordination, cooperation occurs over and over and over again. Filling the Gap Healthy and sustainable community connections are essential to preventing re-entry. During reunification to home/community, there are many uncertainties. Youth often view themselves as disconnected or "on the fringe" of their community. They need predictable and reliable community connections in their lives (adults and other supports). Congregate care providers offer short-term stabilization. And, multi -disciplinary review teams, n avigators and facilitators work hard to coordinate services during OOH placement. However, in both public and private sectors, there is significant turnover in adult caregivers (staff and volunteers) and u nclear accountabilities during the time of transition. This disrupts the communication and coordination needed to organize the community supports that prevent re-entry. "Community Connections" helps fill this gap. Sustainable community supports are identified. 4. Anticipated frequency of the service (ex. 4 hours/week). The anticipated range of time and frequency is 3-5 hours per week. This is ultimately determined by the referral process and logistics involved such as: youth/family schedule and location, level of need and life situation and the amount of time required to identify and connect the youth and family to sustainable community resources. S. Anticipated duration of the service (ex. 3-4 months). 30--90 days. 6. Goals of the service. Goals are consistent with COPE funding objectives for LIFE SKILLS and permanency planning....... • Support the permanency plan Prevent OOH Placement and/or school disruption Support reunification following placement Prevent Pe -Entry to placement 7. Outcomes of service. Identified and established case specific community supports and connectedness that fit the needs, interests and life situation of the youth in transition (at -risk) and the family. ® Delivery of a customized community resource guide plus personal introductions in the following two domains: within the existing system -of -care such as: caseworkers, teachers, GLs, probation officers, mental health therapists and school navigators. Within the community such as: community non -profits, local support groups, special interest and affinity groups, potential employers, local support groups and more. 8. Target population for servicer All children, youth and families identified by the county as needing transitional support and the development of sustainable community supports following reunification from placement or as a prevention tool for placement or re-entry. .9a Service access. Staff are mobile and not office -based. There are no offices or office appointments. They go to the youth and family, the school, the neighborhood, various community settings and get into the flow of the youth's life. With an adequate and inclusive rate, travel can occur anywhere in the county. 10. Languages service is available in. English, at present. We actively recruit for Spanish/bi-lingual staff. When available, we will determine level of proficiency and notify the county. 11, Medicaid eligibility of service. We have initiated communication with several BHO's and will make every effort to pursue Medicaid eligibility, if feasible. However, Community Connections is an AFTERCARE and LIFE .SKILLS service. This is not a therapeutic service but a community resource development service to fill the gap of coordination among systems to establish sustainable community supports. Through conversations with OBH and Medicaid it is possible that this sort of service may, eventually, be reimbursable as a care coordination service under Medicaid. 12. Transportation of clients. Staff is insured and available to provide transportation to clients. Transportation is provided when it benefits a service goal. Transportation assistance, as long as not enabling, can help overcome significant barriers to referred youth and families. The requested rate includes the projected cost for travel and transportation. 13. Rates of service. Requested rate: $55 per hour EXHIBIT D: STAFF DATA SHEET (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Preventative Aftercare (PAC) BIDDER LEGAL ENTITY NAME: Colorado Boys Ranch Foundation d.b.a. CBR YouthConnect APPLICABLE STAFF INFORMATION MEMBER OR CONTRACTOR Educati Degree No. Last Name First Name Work# Work Email on Level Focus 303-905- Clinical 1 Bicker Amanda 4109 abicker@youthconnect.org NIA Counseling 303-945- awangaard@youthconnect 2 Wangaard Andrea 9372 .org MA Social Work 303-243- 3 Hagen Allison 0270 ahagen@youthconnect.org MA SocialWork 720-556- 4 Yue (Case) Emily 3720 eyue@youthconnect.org MA SocialWork 720-556- sgardiner@youthconnect.o Clinical 5 Gardiner Samantha 3576 rg MA Counseling 720-520- Marriage/Fa mily 6 Miller Aaron 1313 amiller@youthconnect.org MA Counseling 720-402- dsturtevant@youthconnec BS, NIA Candidat Marriage/Fa milt' 7 Sturtevant Danny 6056 t.org e Counseling 832-477- hsperling@youthconnect.o BS, MA Candidat Clinical 3 Sperling Holly 4663 rg e Counseling SUPERVISOR INFORMATION Licensure r Credentia Is DORA # (If applicable) Last Name LPC LPC:00118"13 Bicker LCSW LCSW:0992544 1 Bicker LS W LSW:00099210 49 Bicker First Name Amand a Amand a Amand a Work # Work Email 303-905- 4109 303-905- 4109 303-905- 4109 LSW Wangaa rd Andre a 303-945- 9372 LPCC Wangaa rd Andre a 303-945- 9372 M FTC Wangaa rd Andre a 303-945- 9372 Wangaa rd Andre a 303-945- 9372 Wangaa rd Andre a 303-945- 9372 abicker@youthconnect.or g abicker@youthconnect.or g abicker@youthconnect.or g awangaard@youthconnec t.org awangaard@youthconnec t.org awangaard@youthconnec t.org awangaard@youthconnec t.org awangaard@youthconnec t.org EXHIBIT D: STAFF DATA SKEET (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine .services.) PROPOSED SERVICE OR SERVICE TYPE; Specialized Mentoring BIDDER LEGAL ENTITY NAME: Colorado Boys Ranch Foundation d.b.a. CBR YouthConnect APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION Educatio No. Last Name First Name Work# Work Email n Level Degree Focus 303-905- Clinical 1 Bicker Amanda 4109 abicker@youthconnect.org MA Counseling 303-945- awangaard@youthconnect. 2 Wangaard Andrea 9372 org MA Social Work 303-243- 3 Hagen Allison 0270 ahagen@youthconnect.org MA SocialWork 720-595- mesplin@youthconnect.or 4 Esplin Mike 8790 g BS Business 720-556- 5 Yue (Case) Emily 3720 eyue@youthconnect.org MA Social Work 720-556- sgardiner@youthconnect.o Clinical 6 Gardiner Samantha 3576 rg (VIA Counseling 720-520- Marriage/l=am ily Counseling 7 Miller Aaron 1313 amiller@youthconnect.org MA BS, MA Marriage/Fam 720-402- dsturtevant@youthconnect Candida ily Counseling 8 Sturtevant Danny 6056 .org to BS, MA 832-477- hsperling@youthconnect.o Candida Clinical 9 Sperling Holly 4663 rg to Counseling BA, MA 720-724- bseaman@youthconnect.o Candida Clinical 10 Seaman Brianna 0526 rg to Counseling SUPERVISOR INFORMATION Licensure Credentia Is DORA # (If applicable) Last Carrie LPC LPC:0011813 LCSW LSW LCSW:0992544 1 LSW:00099210 49 Bicker First Nam Amand a Wsark.## �r'oricErr�a;a� 303-905- 4109 Bicker Amand a 303-905- 4109 Sicker Amand a 303-905- 4109 LSW Wangaar d 303-945- 9372 Bicker Wangaar d Wangaar d Wangaar d Wangaar d Amand a Andrea 303-905- 4109 303-945- 9372 303-945- 9372 303 -945 - Andrea 9372 Andrea Andrea Andrea 303-945- 9372 303-945- 9372 abicker@youthconnect.or a abicker@youthconnect.or g abicker@youthconnect.or g abicker@youthconnect.or g awangaard@youthconnect .org awangaard@youthconnect .org awangaard@youthconnect .org awangaard@youthconnect .org awangaard@youthconnect .org awangaard@youthconnect .org EXHIBIT D: STAFF DATA SHEET (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Visitation Services BIDDER LEGAL ENTITY NAME: 6 Colorado Boys Ranch Foundation d.b.a. CBR YouthConnect APPLICABLE MEMBER OR CONTRACTOR INFORMATION STAFF First Educati on Degree No. Last Name Name Work# Work Email Level Focus 303-905- abicker@youthconnect. Clinical 1 Bicker Amanda 4109 org MA Counseling 303-945- awangaard@youthconn 2 Wangaard Andrea 9372 ect.org MA Social Work 303-243- ahagen@youthconnect. 3 Hagen Allison 0270 org MA Social Work 720-595- mesplin@youthconnect. 4 Esplin Mike 8790 org BS Business 720-556- 5 Yue (Case) Emily 3720 eyue@youthconnect.org MA Social Work 720-556- sgardiner@youthconnec Clinical 6 Gardiner Samantha 3576 t.org MA Counseling 720-520- amiller@youthconnect.o Marriage/Fa mily 7 Miller Aaron 1313 rg MA Counseling BS, MA Marriage/Fa 720-402- dsturtevant@youthconn Candida mily 8 Sturtevant Danny 6056 ect.org to Counseling BS, MA 832-477- hsperling@youthconnec Candida Clinical 9 Sperling Holly 4663 t.org to Counseling BA, MA 720-724- bseaman@youthconnec Candida Clinical 10 Seaman Brianna 0526 t.org to Counseling Licensur e/ Credenti als LPC LCSW LS W LSW LPCC M FTC DORA # (If applicable) LPC:0011813 LCSW:09925 441 LSW:0009921 049 SUPERVISOR INFORMATION Last Name Bicker Bicker Bicker Bicker Wanga and Wanga and Wanga and Wanga and Wanga and Wanga and First Nam e Aman da Aman da Aman da Aman da Andre a Andre a Andre a Andre a Andre a Andre a Work ## 303-905- 4109 303-905- 4109 303-905- 4109 303-905- 4109 303-945- 9372 303-945- 9372 303-945- 9372 303-945- 9372 303-945- 9372 303-945- 9372 i Work Email abicker@youthconnect. org abicker@youthconnect. org abicker@youthconnect. org abicker@youthconnect. org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org EXHIBIT D: STAFF DATA SHEET (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Small Group Options BIDDER LEGAL ENTITY NAME: Colorado Boys Ranch Foundation d.b.a. CBR YouthConnect ,APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION Educati on Degree No. Last !`Jame First Name Work# Work Email Level Focus 303-905- abicker@youthconnect.o Clinical 1 Bicker Amanda 4109 rg MA Counseling 303-945- awangaard@youthconn 2 Wangaard Andrea 9372 ect.org MA Social Work 303-243- ahagen@youthconnect. 3 Hagen Allison 0270 org MA Social Work 720-595- mesplin@youthconnect. 4 Esplin Mike 8790 org BS Business 720-556- 5 Yue (Case) Emily 3720 eyue@youthconnect.org MA SocialWork 720-556- sgardiner@youthconnec Clinical 6 Gardiner Samantha 3576 t.org MA Counseling 720-520- amiller@youthconnect.o Marriage/Fa mily 7 Miller Aaron 1313 rg MA Counseling 720-402- dsturtevant@youthconn BS, MA Candida Marriage/Fa mily 8 Sturtevant Danny 6056 ect.org to Counseling BS, MA 832-477- hsperling@youthconnec Candida Clinical 9 Sperling Holly 4663 t.org to Counseling BA, MA 720-724- bseaman@youthconnect Candida Clinical 10 Seaman Brianna 0526 .org to Counseling SUIPERVISO INFORMATION Licensur ej Credenti a1s LPC LCSW LSW LSW LPCC M FTC DORA # (If applicable) Last Name First Name Work # Work Email LPC:0011813 Bicker Aman 303-905- da 4109 LCSW:099254 41 LSW:0009921 049 Bicker Bicker Bicker Wangaa rd Aman da Aman da 303-905- 4109 Aman da Andre a Wangaa Andre rd a Wangaa rd Wangaa rd Wangaa rd Wangaa rd Andre a Andre a Andre a Andre a 303-905- 4109 303-905- 4109 303-945- 9372 303-945- 9372 303-945- 9372 303-945- 9372 303-945- 9372 303-945- 9372 abicker@youthconnect. org abicker@youthconnect. org abicker@youthconnect. org abicker@youthconnect. org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org EXHIBIT D: STAFF DATA SHEET (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Community Connections BIDDER LEGAL ENTITY NAME: Colorado Boys Ranch Foundation d.b.a. CBR YouthConnect APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION No Last Name First Marne Work# Work Email Educati on Level Degree Focus 1 Bicker Amanda 303-905- 4109 abicker@youthconnect. org MA Clinical Counseling 2 Wangaard Andrea 303-945- 9372 awangaard@youthconn ect.org MA Social Work 3 Hagen Allison 303-243- 0270 ahagen@youthconnect. org MA Social Work 4 Esplin Mike 720-595- 8790 mesplin@youthconnect. org BS Business 5 Yue (Case) Emily 720-556- 3720 eyue@youthconnect.or g MA Social Work 6 Gardiner Samantha 720-556- 3576 sgardiner@youthconnec t.org MA Clinical Counseling 7 Miller Aaron 720-520- 1313 amiller@youthconnect. org MA Marriage/Fa mily Counseling 8 Sturtevant Danny 720-402- 6056 dsturtevant@youthconn ect.org BS, MA Candidat e Marriage/Fa mily Counseling 9 Sperling Holly 832-477- 4663 hsper►ing@youthconnec t.org BS, MA Candidat e Clinical Counseling 10 Seaman Brianna 720-724- 0526 bseaman@youthconnec t.org BA, MA Candidat e Clinical Counseling Sl PERV)$C R Licensur e/ Credenti als DORA # (I$ applicable Name First Nara ''orl LPC LCSW LSW LSW LPCC M FTC LPC:0011813 LCSW:09925 441 LSW:000992 1049 Bicker Bicker Bicker Bicker Wanga and Wanga and Wanga a rd Aman da Aman da Aman da Aman da Andre a Andre a Andre a Andre a Andre a Andre a 303-905- 4109 303-905- 4109 303-905- 4109 303-905- 4109 303-945- 9372 303-945- 9372 303-945- 9372 303-945- 9372 303-945- 9372 Work Erna' abicker@youthconnect. org abicker@youthconnect. org abicker@youthconnect. org abicker@youthconnect. org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org awangaard@youthconn ect.org EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Preventative Aftercare (PAC), Specialized Mentoring, Supervised Visitation, Small Group Options, and Community Connections services to families with children and youth, all ages, referred by the Department. 2. Preventative Aftercare (PAC): Involves highly skilled, trauma -informed, social work practices integrated with social -emotional learning principles. Contractor will provide guidance and support managing family dynamics; addressing conflicts and special needs. Contractor will family life skills and routines; help the family access medical and mental health services; bridge with the school systems to help youth stay in school and void delinquency; and address confounding issues that stress the youth and family system. a. Anticipated Frequency of Service: Three (3) to five (5) hours of frequency, weekly contact in the home or in the community, and Contractor is available 24/7 for crisis support. b. Anticipated Duration of Service: Average of five (5) months but varies based on the case plan and permanency plan. c. Goals of Service: i. Achieve permanency and family preservation ii. Improve child and family protective factors iii. Prevent children/youth removal from the home iv. Reduce the length of any separations or placements v. Prevent re-entry d. Anticipated Outcomes of Service: i. Active Engagement: Youth and family actively and compliantly engaged in services, versus resist and avoid. ii. State -4 Change: Youth and family progress to State 4 (States of Change continuum) on critical issues related to safety, unification and "real life" problem -solving skills, iii. Empowerment, Encouragement and Accountability: Family protective factors improve, and youth and family take more responsibility for their own futures. e. Target Population: Available to families with children and youth of all ages, abilities and disabilities, including but not limited to: i. Families with infants, young children and low protective factors. ii. Teen parenting skills and safe care support iii. Special needs and handicapping conditions. iv. Family conflicts, dependency/neglect and child protection concerns, v. Youth adjudication, homelessness and emancipation skills. vi. School truancy and drop -out evaluation. vii. Prevention of out -of -home placement. viii. Transition and reunification from congregate care and foster placement. ix. Permanency preservation of Kinship and Foster Care placement. f, Accessibility of Services: Services are available in the home or in the community throughout Weld County and are not office based. g. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. h. Medicaid Eligibility: Services are not currently Medicaid eligible. i. Transportation of Clients: Contractor can transport clients when it benefits the goal of services. 3. Specialized Mentoring: Using social -emotional learning principles, Contractor offers a neutral and supportive role; take the youth's lead; helps the youth explore their personal interests and aspirations; models and shares insights; connects youth to community resources; and inspires hope. a. Anticipated Frequency of Services: Based on the needs of the referred family and child/youth. Average of one (1) to three (3) hours per week per case with eight (8) to 16 hours per month. b. Anticipated Duration of Services: Based on the needs of the referred family and child/youth, as determined by the Department. c. Goals of Service: i. Support the permanency plan ii. Prevent OOH placement and/or school disruption iii. Support reunification following placement iv. Prevention re-entry to placement d. Anticipated Outcomes of Service: i. "Civic Engagement": Youth will demonstrate citizenship skills through volunteering and community service projects and developing a set of personal principles to live by. ii. Stage 4 Change: Youth will progress to Stage 4 (Stages of Change continuum) on critical issues and needs that led to the referral. iii. Insights — Youth will show insights about their life, personal beliefs and potential. iv. Friendship — Youth will build a friendship and identify some positive role models. v. Life Story — Youth will produce a creative project expressing what he/she wants their personal life story to be. vi. Commitment to Act: Youth will commit to at least two measurable goals and personal principles. vii. Spark of Hope: Youth will have gained a spark of hope that there is value and potential within themselves. e. Target Population: Services are highly adaptable, customizable, highly motivating, and engaging. Youth who may benefit from the service include, but are not limited to: i. Youth ages 10-21 ii. Youth who need specifically targeted support in addition to family intervention. iii. Youth experiencing trauma and loss without a sufficient support system. iv. Youth who resist therapy and dislike being labeled as a "diagnosis". v. Youth facing issues/deficits that will be life-long challenges. vi. Youth who are isolates and without friends or self-confidence. vii. Youth with alternative lifestyles and personal identifies who need affirmation and support. viii. Youth who have experienced a disrupted adoption. ix. Youth at risk of placement, drop -out or homelessness. x. Youth in placements who have "plateaued" and/or need support to transition home. f. Accessibility of Services: Services are not office -based and occur in the home or in the community. g. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. h. Medicaid Eligibility: Services are not currently Medicaid eligible. i. Transportation of Clients: Contractor can transport clients when it benefits the goal of services. 4. Supervised Visitation: Conjoint parent -child interaction supervised by interactive staff who utilize psychoeducation, coaching and support to address parent -child interactions. a. Anticipated Frequency of Services: Based on the needs of the referred family and child/youth. b. Anticipated Duration of Services: Anticipated Duration of Services: Based on the needs of the referred family and child/youth, as determined by the Department. c. Goals of Service: i. Provide a safe environment for children to spend time and interact with their parents(s). ii. Observe, mend and preserve the parent -child relationship. d. Anticipated Outcomes of Service: i. (Maintain parent -child relationship for successful family reunification while maintaining child safety ii. Enhancing effective parenting skills iii. Providing psychoeducation for trauma to the parents iv. Maintaining and rebuilding parent/child and other family attachments v. Reducing the child's sense of abandonment during placement e. Target Population: Families with children in out -of -home placement through the Child Welfare system who are pursuing reunification for whom supervised parenting time has been court ordered. f. Accessibility of Services: Services can occur in home or in the community, or in a Department facility. g. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. h. Medicaid Eligibility: Services are not currently Medicaid eligible. i. Transportation of Clients: Contractor can transport clients. 5. Small Group Options a. Options i. PAWSITIVE Connection: A highly successful small group human/animal connection approach to creating a therapeutic environment where children and youth of all ages can learn and practice healthy relationships and regulate emotions while also developing character skills including respect, responsibility and empathy while working with dogs and other animals. ii. STORY Program: A personal development approach focused on inspiring youth to be all they can be. It offers a safe and uplifting opportunity for youth to reflect on their personal story and the stories around them. Youth learn to discover and express their through creative projects using iPad technologies with visioning boards, journaling, music art, story boarding, and movie making. Youth area also exposed to key life principles such as the Code of the West and helped to create their own personal code, iii. AFFINITY Groups: Customized small groups that focus on specific issues and life situations that youth share such as adoption, gender identity, abuse and neglect, school isolation, missing life skills. These groups incorporate the principles and methods highlighted in the other small group options. iv. FAMILY Resiliency: This is a multi -generational approach to address a family's needs for inspiration, hope and resilience. It occurs in the family home, around the kitchen table and the living room, or during a community -based activity. Contractor will sometimes bring a meal. Over a six to eight -week period, with guided reflection, the family completes several interesting exercises and projects that inspire parents and their children to grow together as a family. b. Anticipated Frequency of Services: Groups can occur as frequently as needed. c. Anticipated Duration of Services: Groups can be on an ongoing basis or set to a specific number of sessions, as determined by the Department. d. Goals of Service: i. Support the permanency plan ii. Prevent out -of -home placement and/or school disruption iii. Support reunification following placement iv. Prevent re-entry to placement e. Anticipated Outcomes of Service: i. "Civic Engagement": Youth will demonstrate citizenship skills through volunteering and community service projects and developing a set of personal principles to live by. ii. Stage 4 Change: Youth will progress to Stage 4 (Stages of Change continuum) on critical issues and needs that led to the referral. iii. Insights — Youth will show insights about their life, personal beliefs and potential. iv. Friendship — Youth will build a friendship and identified some positive role models. v. Life Story — Youth will produce a creative project expressing what he/she wants their personal life story to be. vi. Commitment to Act: Youth will commit to at least two measurable goals and personal principles. vii. Spark of Hope: Youth will have gained a spark of hope that there is value and potential within themselves. f. Target Population: Youth of all ages who require healthy peer experiences and supports; are facing issues that will be life-long challenges; are isolates; need affinity support; are missing important life skills; and/or lack motivation and inspiration for future direction. Youth who may benefit from the service include, but are not limited to: i. Youth of all ages. (Groups can be clustered by age ranges.) ii. Youth experiencing trauma and loss without a sufficient support system. iii. Youth facing issues/deficits that will be life-long challenges. iv. Youth who are isolates and without friends or self-confidence. v. Youth at risk of placement, drop -out or homelessness. vi. Youth who have risk -laden lifestyles and need self-confidence. vii. Youth who need a peer group with similar life experiences and needs such as adoption issues/disruption, gender identity, ethnicity, homelessness, body image, school avoidance, bullying. g. Accessibility of Services: Services are not office -based and occur in the home or in the community. h. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. i. Medicaid Eligibility: Services are not currently Medicaid eligible. j. Transportation of Clients: Contractor can transport clients. 6. Community Connections: Short-term, resource -generating service designed to promote "connectedness" between a youth and their community during transitions home from the OOH placement or to prevent disruption of permanency. a. Anticipated Frequency of Services: Average of three (3) to five (5) hours per week. b. Anticipated Duration of Services: Thirty (30) to ninety (90) days. c. Goals of Service: i. Support the permanency plan. ii. Prevent out -of -home placement and/or school disruption. ill. Support reunification following placement. iv. Prevent re-entry to placement. d. Anticipated Outcomes of Service: i Identified and established case specific community supports and connectedness that fit the needs, interests and life situation of the at -risk youth and the family. ii. Delivery of a customized community resource guide plus personal introductions in the following two domains: 1. Within the existing system -of -care such as: caseworkers, teachers, GALs, probation officers, mental health therapists and school navigators. 2. Within the community such as: community non -profits, local support groups, special interest and affinity groups, potential employers, location support groups and more. e. Target Population: All children, youth and families identified by the Department as needing transitional support and the development of sustainable community supports following reunifications or to prevent out -of -home placement or re-entry. f. Accessibility of Services: Services occur with the youth and family, in the school, the neighborhood, and in various community settings. g. Bilingual Capacity: English. Contractor does not have bilingual capacity at this time. h. Medicaid Eligibility: Services are not currently Medicaid eligible. i. Transportation of Clients: Contractor can transport clients. 7. Contractor will respond to the Quality Assurance Team Supervisor (hainle'd@wei�ov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 8. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does rot respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team Supervisor (hainled@weldgov.com, 970-400-6210). 9. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for visitation services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understand that the Department will no reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows" on the part of the client per month. After three (3) "no-shows, "Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team Supervisor (hainled@weldgov.com, 970-400-6210), 10. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor, If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team Supervisor (hainled@weldgov.com) immediately via email, to discuss service continuation. 11. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 12. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 13. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 14. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 15. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. Contractor may participate by phone, if approved by the Department. 16. Contractor will notify the Quality Assurance Team Supervisor (hainled@weldgov.com, 970-400-6210) of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020. Expenses incurred by the Contractor prior to the term of this .Agreement are not eligible Department expenditures and shall not pe reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Home Based Services; $55.00/Hour (Community Connections) $1,500.O0/Month (Preventative Aftercare — PAC) $54.00/Day (Preventative Aftercare — PAC, partial month rate) $48.00/Hour (Small Group Options) $55.00/Hour (Specialized Mentoring) Life Skills: $68.00/Hour (Supervised Visitation) $40.00/Hour (Transportatic}n with Visitation) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Hello