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Home My WebLink About20192573.tiffPRIVILEGED AND CONFIDENTIAL Con-Wa& ik 5I �5 MEMORANDUM DATE: August 17, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Amendment Agreement with Justice Works CO, LLC 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 Amendment Agreement with JusticeWorks CO, LLC. The Department entered into a Child Protection Agreement with JusticeWorks CO, LLC identified as 2019-2573 on July 3, 2019. The Agreement was amended on April 27, 2020 to extend the term date through May 31, 2021 and to amend the Scope of Services and Rate Schedule; June 3, 2020 to amend the Rate Schedule; August 31, 2020 to amend the Scope of Services and Rate Schedule; and finally, on April 28, 2021 to extend the term date to May 31, 2022. The Agreement is now being amended to update the Scope of Services and Rate Schedule with the changes noted below. Scope of Services Changes: s Added mentoring service, Rate Schedule Changes Mentorin Rate Unit Type Service Name $65.00 Hour In-officeNideo $65.00 Hour In -office with transportation $65.00 Hour In -home or community Staffing, Family Team Meeting (FTM), Team Decision Making $65.00 Hour (TDM) meeting. $75.00 Hour InteTretation services $35.00 Hour No Show $0.56 Mile Transportation, after 30 miles from 1013 37th Avenue: Court, Unit 102, Greeley, CO 80634 —� Pass -Around Memorandum; August 17, 2021 — ID 5195 6&:61t.tex)el-e-Ci-is) Page 1 2-5/-2-/ ao /9- O2573 /Mafia PRIVILEGED AND CONFIDENTIAL. I do not recommend a Work Session. I recommend approval of this Amendment. Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Saine Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; August 17, 2021 — ID 5195 Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND JUSTICEWORKS CO, LLC This Agreement Amendment, made and entered into Z5 day of * 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County De rtment of Human Services, hereinafter referred to as the "Department", and JusticeWorks CO, LLC, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Foster Care/Adoption and Home Based Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2573, approved on July 3, 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: April 27, 2020 to extend the term date through May 31, 2021 and to amend the Scope of Services and Rate Schedule. June 3, 2020 to amend the Rate Schedule. August 31, 2020 to amend the Scope of Services and Rate Schedule. April 28, 2021 to extend the term date to May 31, 2022. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2573. • 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. Exhibit C, Scope of Services, is hereby amended as attached. 2. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. 02,9/9,257,3 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: ddt114/O (� • �; Weld rkto By: Deputy Clerk to oard BOARD OF COUNTY COMMISSIONERS WELB COUNTYOLORADO tt K. James, Pro-Tem CONTRACTOR: AUG 2 5 2021 JusticeWorks CO, LLC 1500 Ardmore Boulevard, Suite 410 Pittsburgh, PA 15221 By: Date: Dan Heit, President and CEO Aug 16, 2021 c,24./.9-027,5 EXHIBIT C SCOPE OF SERVICES a. Contractor will provide Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation) and Home -Based Services (JustCare®Aftercare Services, JustCare® Home Based Services, and STOPP®: Crisis Intervention and Stabilization), as referred by the Department. b. Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation): Contractor will provide support and behavior management tools to foster parents through its JustCare® Foster Support program. Contractor will focus on improving relational and behavioral problems in the foster family system and will assist foster families with the educational, social and emotional needs in the fostering of traumatized children. Contractor will work to identify and assist foster families in accessing community resources and supports that address the myriad of concerns that are often present in fostering children. a. Capacity for Services: Two (2) to four (4) hours per week dependent upon risk and need factors. Contractor will be available 24 hours per day, seven (7) days per week. b. Goals of Service: i. To provide support, mentorship, coaching and psycho -educational tools for foster families to ensure the safety, well-being, and permanency goals for referred children. ii. Keep children safe within a nurturing environment where they can thrive. iii. Child's first placement is child's last placement. c. Outcomes of Service: i. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: 1. Placement experience, if applicable 2. Service goal achievement 3. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. ii. Foster families and child or youth will have an unshakable bond in which a stable, structured environment exists with the provision of the child's essential needs, including a nurturing and safe household. iii. Identification and formalization of extended kinship and neighbors who can play a supportive role in keeping families safe and intact. iv. Final discharge summary that documents resources. d. Target Population: Foster and group home families in need of support with children ages infant to 17 years of age. e. Service Access: In the home and in Weld County communities. f. Language: i. English and Spanish. ii. Contractor will attempt to hire for different languages, when needed. iii. Translation service, when needed. c. Home Based Services a. JustCare®Aftercare Services: Contractor will work with the placement agency to focus their services in accordance with the reality of home and community. Contractor will work with the child/youth and family to ensure a smooth transition home. By assisting families to understand issues form the child/youth's perspective, demystify placement language and coordinate and/or supervise visits. Contractor will work with family to develop their strengths and to set appropriate boundaries and supports for their children. Services are provided in the home, school and community, during non-traditional hours, to provide the child and family with guidance, coaching and support for continued success. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength - based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal 1. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Goals of Service: To reduce the reoccurrence of out -of -home placements and recidivism. iv. Capacity for Services: Two (2) to four (4) hours per week of in -home service depending on the risk level of the case and needs of the family. As families progress, service hours decrease. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Families will have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. vi. Target Population: Families with children infant to 17 years of age. vii. Service Access: In home and in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. b. JustCare® Home Based Services: Contractor will utilize a variety of techniques including behavioral management, motivational interviewing techniques, accessing community supports and resources, and case management with a focus on resolving system problems (employment, living conditions, housing, mental health, substance abuse, and education. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength - based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal 1. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Two (2) to four (4) hours per week in -home or in the community depending on need. iv. Goals of Service: 1. To prevent out -of -home placement for children at risk. 2. To decrease risk factors and increase protective factors. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Contractor will identify and formalize extended kinship and neighbors who can play a decisive role in keeping families safe and intact. 3. Contractor will document all resources in a final aftercare plan and discharge summary. vi. Target Population: Families with children infant to 17 years of age in need of home - based services to avoid out -of -home placement. vii. Service Access: 1. Within 50 miles of provider's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO. 2. Anywhere within Weld County and 3. Outside of Weld County upon request. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. c. STOPP®: Crisis Intervention and Stabilization: A high impact, short-term program designed to meet challenging situations in a child's home that put the child at risk for out -of -home placement. Contractor will work with families, through a proactive approach, to address the issues that need to be resolved to keep the child safe in the home setting and the family well -functioning. Contractor will work to maintain children in their homes by addressing concerns which led to the child welfare referral. i. Under this agreement, Contractor will: 1. Be in the home with three (3) hours. 2. Maintain a high level of response to any family emergency throughout the duration of services, usually 60 days. 3. Conduct a thorough family assessment and establish a goal plan within 72 hours after the initial contact. The goal plan is monitored throughout care and will include: a. Target areas for all family members b. Expectation for all family members 4. Have daily contact with the family and spend six (6) or more hours per week in direct contact with them to build needed skills and help them identify and access community supports. a. Once the family is stabilized, service hours may be reduced. 5. Address life domain issues by using a broad array of professional and other community resources including extended family members, church and friends to form a network of powerful supports. 6. Provide on -call emergency response 24 hours a day, seven (7) days a week. 7. Maintain a 3 -hour maximum response time after receipt of a referral. 8. Provide a family -based, child -focused service model. 9. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to stabilize the situation and avoid future crises. 10. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 11. Ensure families have the tools and support to avoid future crises, including a comprehensive aftercare plan. ii. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength - based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. Capacity for Services: Six (6) or more hours per week dependent up on risk and need factors. Staff are on -call 24 hours a day, seven (7) days per week. iv. Goals of Service: To stabilize high -risk family situations and avoid out -of -home placements. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. vi. Target Population: Families in crisis with children ages infant to 17. vii. Service Access: In -home or in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. d. Contractor will provide Visitation Coaching Service. a. Contractor utilizes the Marty Beyer Visit Coaching model which allows parents to experience parent -child contact while a professional facilitates the development of sustainable parenting skills. The goal is to reduce risk and promote protective factors leading to successful reunification/permanency. The premise of the Marty Beyer model is the four principles of Visit Coaching: Empowerment, Empathy, Responsiveness, and Active Parenting. Visit coaches must not only carefully tailor their methods to the family and child but also intervene in ways that allow the parent to take charge. b. Capacity for Service: Visitation Coaching Services vary depending on need, up to six (6) hours per week. c. Anticipated duration of Service: Three (3) to six (6) months. d. Goals of Service: To reduce risk and promote protective factors leading to successful reunification and permanency. e. Outcomes of Service: To reduce risk and promote protective factors leading to successful reunification and permanency. f. Target Population: Families with children infant to 17 years of age. g. Service Access: In home and in the Weld County office. h. Language: English and Spanish. e. Contractor will provide Supervised Visitation Services. a. Supervised visits provide an opportunity for contact between a child and a parent or caregiver in the presence of a third party. Supervised visits are crucial to monitor child -parent interaction for safety when the end goal is reunification. In most cases, the parents require assistance to establish positive parent -child connections. The use of a third party to oversee such contact becomes essential when children and parents have been separated. Contractor will supervise visits to maintain the child's relationship with the parent. The goal of supervised visits is to monitor the child -parent interaction while encouraging parents to provide a nurturing environment for their children and building attachment. Visits can occur in a neutral location, Contractor's office, a community atmosphere, the family's home, or other approved location by Weld County Human Services (WCHS). If there are potential safety concerns with the location, a discussion occurs with WCDHS to determine alternate location, or to create a safety plan to accomplish a healthy visit for all family members involved. b. Anticipated frequency of service may vary depending on need, from one (1) to six (6) hours per week. Prescribed hours will be based on approved visits by Weld County Human Services. c. Anticipated duration of Service: Average duration is six (6) to nine (9) months. d. Goals of Service: i. Reunification ii. Parenting support/increase protective factors iii. Reduce risk factors iv. For parents to learn how to meet their child's needs e. Outcomes of Service: The long-term desired outcome is to reduce risk and promote protective factors leading to successful reunification and permanency. Contractor evaluates the services by monitoring, tracking, and trending outcome data from the individuals who use the services. The goal of supervised visits is to observe an increase in family bonding, address needs of the parents, and guide parents to increase protective factors. f. Target Population: Families with children from infants through age 12, older youth as needed 13 to 17. g. Language: English and Spanish. Interpreter services available at an additional charge ($75.00/hour) h. Medicaid eligibility: Supervised Visitation is not eligible for Medicaid. d. Mentoring a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. A community -based program. ii. Mentors for the program will be matched with youth according to youth needs, career interests, hobbies, and mentor compatibility. The goal is to keep youth at home or help those transitioning out of foster care to build productive, self-sufficient lives through the support of a mentor. Mentors possess an equivalent of a High School Diploma or higher and are empathetic to the needs of the youth. iii. An `empowerment' based program using a blend of traditional mentoring such as one (1) mentor to one (1) youth, with no more than two (2) youth assigned to a mentor to be seen individually, and team mentoring for events and milestone celebrations. b. Anticipated Frequency of Services: i. One (1) hour per week c. Anticipated Duration of Services: i. On average, nine (9) to 12 months. d. Goals of Services: i. Establish a mentor — youth relationship where both develop mutual respect for one another. ii. Detect potential challenges and barriers that could negatively impact a youth and work towards addressing it. The mentor will help the youth address the problem rather than give direction. iii. Support youth with exploring activities and hobbies to enhance pro -social activities. e. Outcomes of Services: i. Youth will understand ways to address challenges and fulfill needs. ii. Youth will develop a way to be sustainable. iii. Youth will understand the benefit of a mutual relationship and positive engagement experience. f. Target Population: i. Youth aged 14 through 21 who are in or recently released from foster care or for youth living at home or in placement identified by the referring agency as needing a mentor. g. Language: i. English. ii. Spanish interpretation available upon request. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. Mentoring locations will be community -based and must be pre -approved by the Program Coordinator. Most events and celebrations for the entire team will occur at Contractor's office or other approved community locations. Terms 1. Contractor will respond to the Quality Assurance Team(HS-CWQualitvAssurance(&weld2ov.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- CW QualitvAssurance(a,weldaov.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-CWQualitvAssurance(aweldgov.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-CWOualitvAssurance(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 Stallngs, 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. Stallings 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-CWpualityAssurance(a,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 Unit Type Service Name $120.00 Hour JustCare Aftercare Services $120.00 Hour JustCare Foster Support: Foster Parent Consultation $120.00 Hour JustCare Home -Based Services $130.00 Hour STOPP: Crisis Intervention and Stabilization $35.00 Each No Show $0.56 Mile Transportation, after 30 miles from 1013 37th Avenue. Court, Unit 102, Greeley, CO 80634 Rate Unit Type Service Name $75.00 Hour Interpreter Service $115.00 Hour Staffing, Family, Team Meeting (FTM), Team Decision Making (TDM) meeting. $115.00 Hour Supervised Visitation -In Office $172.50 Hour Supervised Visitation -Out of Office $75.00 Hour Visit Coach Interpreter $115.00 Hour Visit Coaching - In Office $35.00 Each No Show $0.56 Mile Transportation, after 30 miles from 1013 37th Avenue. Court, Unit 102, Greeley, CO 80634 Mentoring Rate Unit Type Service Name $65.00 Hour In-officeNideo $65.00 Hour In -office with transportation $65.00 Hour In -home or community $65.00 Hour Staffing, Family Team Meeting (FTM), Team Decision Making (TDM) meeting. $75.00 Hour Interpretation services $35.00 Hour No Show $0.56 Mile Transportation, after 30 miles from 1013 37th Avenue. Court, Unit 102, Greeley, CO 80634 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. Entity Infarrriation New Contract Request Entity Name* jUSTICEWORKS CO LLC Entity ID* X10040898 Contract Name* jUSTICEWORKS CO LLC (AGREEMENT AMENDMENT) Contract Status CTB REVIEW ❑ New Entity? Contract ID 5195 Contract Lead* APEGG Contract Lead Email apegg@weidgov.com; cobbx xlk@weldgov.com Parent Contract ID 20192573 Requires Board Approval YES Department Project f Contract Description* CONSENT - FOURTH AMENDMENT. ADDED NEW MENTORING SERVICE TO SCOPE AND ASSOCIATED RATES. Contract Description 2 PA IS BEING ROUTED THROUGH THE NORMAL PROCESS. ETA. TO CTB: 8/19/21. Contract Type* AMENDMENT Amount* $0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM - H u manServi ces:Pwe idgov. co m Department Head Email CM-HurnanServices- DeptHead Weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORN EY@WELDG OV.COM Requested BOCC Agenda Date* 09,01 '2021 Due Date 08128/2021 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? if this is a renewal enter previous Contract ID if this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Effective Date Review Date* 04?01:2022 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Department Head JAMIE ULRICH Finance Approver CONSENT DH Approved Date 08/16/2021 Final Apprmial ROCC Approved SOCC Signed Date BOCC Agenda Date 08125/2021 Originator APE.GG Committed Delivery Date Contact Type Contact Email Expiration Date* 05:'31,;2022 Contact Phone 1 Contact Phone 2 Purchasing Approved Date 08;16)2021 Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 08/16!202.1 Tyler Ref # AG 082521 08/1612021 PRIVILEGED AND CONFIDENTIAL Odn+roic+ -=D #LIG7g� MEMORANDUM DATE: April 20, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with JusticeWorks CO, LLC 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 JusticeWorks CO, LLC. The Department entered into a Child Protection Agreement for Services with JusticeWorks CO, LLC, identified as Tyler ID 2019-2573 on July 3, 2019. The Agreement was amended on April 27, 2020 to extend the term date through May 31, 2021 and to amend the Scope of Services and Rate Schedule, June 3, 2020 to amend the Rate Schedule, and finally on August 31, 2020 to amend the Scope of Services and 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 as noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Scope of Services Changes: Changing a service name from "Therapeutic Visitation Service" to "Visitation Coaching Service". I do not recommend a Work Session. I recommend approval of this Agreement Amendment. Approve Schedule Recommendation Work Session Other/Comments: Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Saine Pass -Around Memorandum; April 20, 2021— ID 4688 Ofbnren-l-- /a819 i ce,tat6x-d-e4-1s-P) o2g.-.9-1 Page 1 O0 -X5-73 ��oogo AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND JUSTICEWORKS CO, LLC 4 h /� This Agreement Amendment, made and entered into O/ o day of Apr i ( 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 JusticeWorks CO, LLC, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Foster Care/Adoption and Home Based Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2573, approved on July 3, 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: April 27, 2020 to extend the term date through May 31, 2021 and to amend the Scope of Services and Rate Schedule. June 3, 2020 to amend the Rate Schedule. August 31, 2020 to amend the Scope of Services and Rate Schedule. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2573. • 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. • 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 rk to the Board By: Deputy Clerk t BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ve Moreno, Chair NTRACTOR: APR 2 8 2021 JusticeWorks CO, LLC 1500 Ardmore Boulevard, Suite 410 Pittsburgh, PA 15221 By: Date: snsau:-.Eo„ Dan Heit, President and CEO Apr 9, 2021 020 /9- a 573 EXHIBIT C SCOPE OF SERVICES a. Contractor will provide Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation) and Home -Based Services (JustCare®Aftercare Services, JustCare® Home Based Services, and STOPP®: Crisis Intervention and Stabilization), as referred by the Department. b. Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation): Contractor will provide support and behavior management tools to foster parents through its JustCare® Foster Support program. Contractor will focus on improving relational and behavioral problems in the foster family system and will assist foster families with the educational, social and emotional needs in the fostering of traumatized children. Contractor will work to identify and assist foster families in accessing community resources and supports that address the myriad of concerns that are often present in fostering children. a. Capacity for Services: Two (2) to four (4) hours per week dependent upon risk and need factors. Contractor will be available 24 hours per day, seven (7) days per week. b. Goals of Service: i. To provide support, mentorship, coaching and psycho -educational tools for foster families to ensure the safety, well-being, and permanency goals for referred children. ii. Keep children safe within a nurturing environment where they can thrive. iii. Child's first placement is child's last placement. c. Outcomes of Service: i. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: 1. Placement experience, if applicable 2. Service goal achievement 3. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. ii. Foster families and child or youth will have an unshakable bond in which a stable, structured environment exists with the provision of the child's essential needs, including a nurturing and safe household. iii. Identification and formalization of extended kinship and neighbors who can play a supportive role in keeping families safe and intact. iv. Final discharge summary that documents resources. d. Target Population: Foster and group home families in need of support with children ages infant to 17 years of age. e. Service Access: In the home and in Weld County communities. f. Language: i. English and Spanish. ii. Contractor will attempt to hire for different languages, when needed. iii. Translation service, when needed. c. Home Based Services a. JustCare®Aftercare Services: Contractor will work with the placement agency to focus their services in accordance with the reality of home and community. Contractor will work with the child/youth and family to ensure a smooth transition home. By assisting families to understand issues form the child/youth's perspective, demystify placement language and coordinate and/or supervise visits. Contractor will work with family to develop their strengths and to set appropriate boundaries and supports for their children. Services are provided in the home, school and community, during non-traditional hours, to provide the child and family with guidance, coaching and support for continued success. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength - based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal 1. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Goals of Service: To reduce the reoccurrence of out -of -home placements and recidivism. iv. Capacity for Services: Two (2) to four (4) hours per week of in -home service depending on the risk level of the case and needs of the family. As families progress, service hours decrease. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Families will have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. vi. Target Population: Families with children infant to 17 years of age. vii. Service Access: In home and in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. b. JustCare® Home Based Services: Contractor will utilize a variety of techniques including behavioral management, motivational interviewing techniques, accessing community supports and resources, and case management with a focus on resolving system problems (employment, living conditions, housing, mental health, substance abuse, and education. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength - based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal 1. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Two (2) to four (4) hours per week in -home or in the community depending on need. iv. Goals of Service: 1. To prevent out -of -home placement for children at risk. 2. To decrease risk factors and increase protective factors. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2_ Contractor will identify and formalize extended kinship and neighbors who can play a decisive role in keeping families safe and intact. 3. Contractor will document all resources in a final aftercare plan and discharge summary. vi. Target Population: Families with children infant to 17 years of age in need of home - based services to avoid out -of -home placement. vii. Service Access: 1. Within 50 miles of provider's office located at 1013 37`h Avenue Court, Unit 102, Greeley, CO. 2. Anywhere within Weld County and 3. Outside of Weld County upon request. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. c. STOPP®: Crisis Intervention and Stabilization: A high impact, short-term program designed to meet challenging situations in a child's home that put the child at risk for out -of -home placement. Contractor will work with families, through a proactive approach, to address the issues that need to be resolved to keep the child safe in the home setting and the family well -functioning. Contractor will work to maintain children in their homes by addressing concerns which led to the child welfare referral. i. Under this agreement, Contractor will: 1. Be in the home with three (3) hours. 2. Maintain a high level of response to any family emergency throughout the duration of services, usually 60 days. 3. Conduct a thorough family assessment and establish a goal plan within 72 hours after the initial contact. The goal plan is monitored throughout care and will include: a. Target areas for all family members b. Expectation for all family members 4. Have daily contact with the family and spend six (6) or more hours per week in direct contact with them to build needed skills and help them identify and access community supports. a. Once the family is stabilized, service hours may be reduced. 5. Address life domain issues by using a broad array of professional and other community resources including extended family members, church and friends to form a network of powerful supports. 6. Provide on -call emergency response 24 hours a day, seven (7) days a week. 7. Maintain a 3 -hour maximum response time after receipt of a referral. 8. Provide a family -based, child -focused service model. 9. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to stabilize the situation and avoid future crises. 10. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 11. Ensure families have the tools and support to avoid future crises, including a comprehensive aftercare plan. ii. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength - based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Six (6) or more hours per week dependent up on risk and need factors. Staff are on -call 24 hours a day, seven (7) days per week. iv. Goals of Service: To stabilize high -risk family situations and avoid out -of -home placements. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. vi. Target Population: Families in crisis with children ages infant to 17. vii. Service Access: In -home or in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. d. Contractor will provide Visitation Coaching Service. a. Contractor utilizes the Marty Beyer Visit Coaching model which allows parents to experience parent -child contact while a professional facilitates the development of sustainable parenting skills. The goal is to reduce risk and promote protective factors leading to successful reunification/permanency. The premise of the Marty Beyer model is the four principles of Visit Coaching: Empowerment, Empathy, Responsiveness, and Active Parenting. Visit coaches must not only carefully tailor their methods to the family and child but also intervene in ways that allow the parent to take charge. b. Capacity for Service: Visitation Coaching Services vary depending on need, up to six (6) hours per week. c. Anticipated duration of Service: Three (3) to six (6) months. d. Goals of Service: To reduce risk and promote protective factors leading to successful reunification and permanency. e. Outcomes of Service: To reduce risk and promote protective factors leading to successful reunification and permanency. f. Target Population: Families with children infant to 17 years of age. g. Service Access: In home and in the Weld County office. h. Language: English and Spanish. e. Contractor will provide Supervised Visitation Services. a. Supervised visits provide an opportunity for contact between a child and a parent or caregiver in the presence of a third party. Supervised visits are crucial to monitor child -parent interaction for safety when the end goal is reunification. In most cases, the parents require assistance to establish positive parent -child connections. The use of a third party to oversee such contact becomes essential when children and parents have been separated. Contractor will supervise visits to maintain the child's relationship with the parent. The goal of supervised visits is to monitor the child -parent interaction while encouraging parents to provide a nurturing environment for their children and building attachment. Visits can occur in a neutral location, Contractor's office, a community atmosphere, the family's home, or other approved location by Weld County Human Services (WCHS). If there are potential safety concerns with the location, a discussion occurs with WCDHS to determine alternate location, or to create a safety plan to accomplish a healthy visit for all family members involved. b. Anticipated frequency of service may vary depending on need, from one (1) to six (6) hours per week. Prescribed hours will be based on approved visits by Weld County Human Services. c. Anticipated duration of Service: Average duration is six (6) to nine (9) months. d. Goals of Service: i. Reunification ii. Parenting support/increase protective factors iii. Reduce risk factors iv. For parents to learn how to meet their child's needs e. Outcomes of Service: The long-term desired outcome is to reduce risk and promote protective factors leading to successful reunification and permanency. Contractor evaluates the services by monitoring, tracking, and trending outcome data from the individuals who use the services. The goal of supervised visits is to observe an increase in family bonding, address needs of the parents, and guide parents to increase protective factors. f. Target Population: Families with children from infants through age 12, older youth as needed 13 to 17. g. Language: Engish and Spanish. Interpreter services available at an additional charge ($75.00/hour) h. Medicaid eligibiiity: Supervised Visitation is not eligible for Medicaid. Terms 1. Contractor will respond to the Quality Assurance Team (HS-CWQualitvAssurance(aweldgov.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 - C W QualitvAssu rance(a,weldEov.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-CWQualitvAssurance(&,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-CWQualitvAssurance(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 Facilitation, 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-CWQualitvAssurance(aweld2ov.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. New Contract Request Entity Information Entity Name* JUSTICEWORKS CO LLC Entity ID* X00040898 Contract Name* JUSTICEWORKS CO, LLC (AGREEMENT AMENDMENT) Contract Status CTB REVIEW Contract Description * BID 481900025 TERM 611 ; 21-5,e3 r"22. 11 New Entity? Contract 1D 4688 Contract Lead* AAP'EGG Contract Lead Email apegg@weldgov.com:cobbx xik(Lz eidgo+:.cam Contract Description 2 CONSENT. PA IS BEING ROUTED THROUGH NORMAL. PROCESS. ETA TO CTB: 4 i 22 r 21, Contract Type* AMENDMENT Amount* S0.00 Renewable' NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServicesli'weidgov.co m Department Head Email CM-HumaaServices- DeptHeadgwelclgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYA I I ORNEY^�WELDG OV, COM Requested BOCC Agenda Date* 05 t26 2021 Parent Contract ID 20192573 Requires Board Approval YES Department Project # Due Date 05 22 2021 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID 1f this is part of a MSA enter MSA Contract ID Note: the Previous Contract Nurnber arid t faster Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date. Review Date* O4O1:2O22 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Committed Delivery Date Contact Type Contact Email Expiration Date* O5!31:2O22 Contact Phone 1 Contact Phone 2 Purchasing Approver Purchasing Approved Date CONSENT O4 19; 2O21 Approval Process Department Head JAMIE ULRICH DH Approved Date 04:1'9 2O21 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 04?2812O21 Originator APEGG Finance Approver CONSENT Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 04-19{2021 04,'19,2021 Tyler Ref # AG O42821 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: August 24, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with JusticeWorks YouthCare, Inc. 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 JusticeWorks YouthCare, Inc. The Department entered into a Child Protection Agreement for Services, identified as Tyler ID 2019-2573, on July 3, 2019 for the term June 1, 2019 through May 31, 2020. The agreement was amended on April 27, 2020, to extend the term from June 1, 2020 through May 31, 2021. Following theextension of term, the agreement was further amended to update rates. The vendor is requesting additional changes at this timeto the scope of work and rate schedule. Those changes are as follows: $120.00/Hour (jsagaiust® Foster Support: Foster Parent Consultation) $120.00/Hour (d tam+≥+ Aftercare Services) $120.00/Hour (drug® Home -based Services) $I 20.00/Visit-$35.00/No Show (No Show Rate for all ,J,yt S,Ars, Services) $130.00/Hour (STOPP®: Crisis Intervention and Stabilization) $130.00/Visit $35.00/No Show (No Show Rate for STOPP: Crisis Intervention and Stabilization) $115.00/Hour (Visit Coaching - In office) $172.50/Hour (Visit Coaching - Out of office) $115.00/Hour (Visit Coaching --_-_ Family Team Meeting, Team Decision Making, Professional Staffing) $115,00/Hour $35.00/No Show (Visit Coaching - No show/Visit Coaching) $75.00/Hour (Visit Coaching Interpreter) $115.00/Hour (Supervised Visitation — In office) $172.50/Hour (Supervised Visitation — Out of office) $115.00/Hour (Supervised Visitation — Family Team Meeting, Team Decision. Making` Professional Staffing,) $35.00/Hour (Supervised Visitation — No show) $ .56/Mile (Mileage) — For distance exceeding thirty (30) [wile radius from practitioner's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO, 80634. $75.00/hour (Interpreter service for Visit Coaching or Supervised Visitation) Pass -Around Memorandum; August 24, 2020 — CMS 4035 Bid No. B1900025 C__ari s0,1f 0075i(20 Cla5(f1<°) CC;20/cl- 25 73 VA3//29 Yg.o®�o PRIVILEGED AND CONFIDENTIAL. I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross AD Drove Schedule Recommendation Work Session 1M � x tot Other/Comments: Pass -Around Memorandum; August 24, 2020 - CMS 4035 Bid No. B1900025 Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND JUSTICEWORKS YOUTHCARE, INC. /ST This Agreement Amendment, made and entered into J day of , 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human rvices, hereinafter referred to as the "Department", and JusticeWorks YouthCare, Inc., hereinafter referred to as the "Contrac or". WHEREAS the parties entered into an Agreement for Foster Care, Adoption, and Home -Based Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2573, approved on July 3, 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, 2021. • The Original Agreement was amended on June 3, 2020. This Amendment is identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2573. • 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. Exhibit C, Scope of Service, is hereby amended as attached. 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. ATTES Weld By: lerk to the Boar Deputy Clerto the : oard COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO MA. 24..3'1 QL - Mike Freeman, Chair CONTRACTOR: AUG 3 12020 JusticeWorks YouthCare, Inc. 1500 Ardmore Boulevard, Suite 410 Pittsburgh, PA 15221 By: 1 �Alk4112ShiSdhiRPxecutive Officer Date: Aug 24, 2020 (2e/ g, a 73 EXHIBIT C SCOPE OF SERVICES a. Contractor will provide Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation) and Home -Based Services (JustCare®Aftercare Services, JustCare® Home Based Services, and STOPP®: Crisis Intervention and Stabilization), as referred by the Department. b. Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation): Contractor will provide support and behavior management tools to foster parents through its JustCare® Foster Support program. Contractor will focus on improving relational and behavioral problems in the foster family system and will assist foster families with the educational, social and emotional needs in the fostering of traumatized children. Contractor will work to identify and assist foster families in accessing community resources and supports that address the myriad of concerns that are often present in fostering children. a. Capacity for Services: Two (2) to four (4) hours per week dependent upon risk and need factors. Contractor will be available 24 hours per day, seven (7) days per week. b. Goals of Service: i. To provide support, mentorship, coaching and psycho -educational tools for foster families to ensure the safety, well-being, and permanency goals for referred children. ii. Keep children safe within a nurturing environment where they can thrive. iii. Child's first placement is child's last placement. c. Outcomes of Service: i. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: 1. Placement experience, if applicable 2. Service goal achievement 3. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. ii. Foster families and child or youth will have an unshakable bond in which a stable, structured environment exists with the provision of the child's essential needs, including a nurturing and safe household. iii. Identification and formalization of extended kinship and neighbors who can play a supportive role in keeping families safe and intact. iv. Final discharge summary that documents resources. d. Target Population: Foster and group home families in need of support with children ages infant to 17 years of age. e. Service Access: In the home and in Weld County communities. f. Language: i. English and Spanish. ii. Contractor will attempt to hire for different languages, when needed. iii. Translation service, when needed. 1 c. Home Based Services a. JustCare®Aftercare Services: Contractor will work with the placement agency to focus their services in accordance with the reality of home and community. Contractor will work with the child/youth and family to ensure a smooth transition home. By assisting families to understand ,issues form the child/youth's perspective, demystify placement language and coordinate and/or supervise visits. Contractor will work with family to develop their strengths and to set appropriate boundaries and supports for their children. Services are provided in the home, school and community, during non-traditional hours, to provide the child and family with guidance, coaching and support for continued success. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs 2 p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Goals of Service: To reduce the reoccurrence of out -of -home placements and recidivism. iv. Capacity for Services: Two (2) to four (4) hours per week of in -home service depending on the risk level of the case and needs of the family. As families progress, service hours decrease. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Families will have a productive working relationship with a variety of community and kinship supports to sustain positive functioning., vi. Target Population: Families with children infant to 17 years of age. vii. Service Access: In home and in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. b. JustCare® Home Based Services: Contractor will utilize a variety of techniques including behavioral management, motivational interviewing techniques, accessing community supports and resources, and case management with a focus on resolving system problems (employment, living conditions, housing, mental health, substance abuse, and education. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 3 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Two (2) to four (4) hours per week in -home or in the community depending on need. 4 iv. Goals of Service: 1. To prevent out -of -home placement for children at risk. 2. To decrease risk factors and increase protective factors. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Contractor will identify and formalize extended kinship and neighbors who can play a decisive role in keeping families safe and intact. 3. Contractor will document all resources in a final aftercare plan and discharge summary. vi. Target Population: Families with children infant to 17 years of age in need of home - based services to avoid out -of -home placement. vii. Service Access: 1. Within 50 miles of provider's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO. 2. Anywhere within Weld County and 3. Outside of Weld County upon request. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. c. STOPP®: Crisis Intervention and Stabilization: A high impact, short-term program designed to meet challenging situations in a child's home that put the child at risk for out -of -home placement. Contractor will work with families, through a proactive approach, to address the issues that need to be resolved to keep the child safe in the home setting and the family well - functioning. Contractor will work to maintain children in their homes by addressing concerns which led to the child welfare referral. i. Under this agreement, Contractor will: 1. Be in the home with three (3) hours. 2. Maintain a high level of response to any family emergency throughout the duration of services, usually 60 days. 3. Conduct a thorough family assessment and establish a goal plan within 72 hours after the initial contact. The goal plan is monitored throughout care and will include: a. Target areas for all family members b. Expectation for all family members 5 4. Have daily contact with the family and spend six (6) or more hours per week in direct contact with them to build needed skills and help them identify and access community supports. a. Once the family is stabilized, service hours may be reduced. 5. Address life domain issues by using a broad array of professional and other community resources including extended family members, church and friends to form a network of powerful supports. 6. Provide on -call emergency response 24 hours a day, seven (7) days a week. 7. Maintain a 3 -hour maximum response time after receipt of a referral. 8. Provide a family -based, child -focused service model. 9. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to stabilize the situation and avoid future crises. 10. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 11. Ensure families have the tools and support to avoid future crises, including a comprehensive aftercare plan. ii. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Six (6) or more hours per week dependent up on risk and need factors. Staff are on -call 24 hours a day, seven (7) days per week. iv. Goals of Service: To stabilize high -risk family situations and avoid out -of -home placements. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. vi. Target Population: Families in crisis with children ages infant to 17. vii. Service Access: In -home or in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. d. Contractor will provide Therapeutic Visitation Service. a. Contractor utilizes the Marty Beyer Visit Coaching model which allows parents to experience parent -child contact while a professional facilitates the development of sustainable parenting skills. The goal is to reduce risk and promote protective factors leading to successful reunification/permanency. The premise of the Marty Beyer model is the four principles of Visit Coaching: Empowerment, Empathy, Responsiveness, and Active Parenting. Visit coaches must not only carefully tailor their methods to the family and child but also intervene in ways that allow the parent to take charge. b. Capacity for Service: Visit services vary depending on need, up to six (6) hours per week. c. Anticipated duration of Service: Three (3) to six (6) months. d. Goals of Service: To reduce risk and promote protective factors leading to successful reunification and permanency. e. Outcomes of Service: To reduce risk and promote protective factors leading to successful reunification and permanency. 7 f. Target Population: Families with children infant to 17 years of age. g. Service Access: In home and in the Weld County office. h. Language: English and Spanish. e. Contractor will provide Supervised Visitation Services. a. Supervised visits provide an opportunity for contact between a child and a parent or caregiver in the presence of a third party. Supervised visits are crucial to monitor child -parent interaction for safety when the end goal is reunification. In most cases, the parents require assistance to establish positive parent -child connections. The use of a third party to oversee such contact becomes essential when children and parents have been separated. JusticeWorks CO will supervise visits to maintain the child's relationship with the parent. The goal of supervised visits is to monitor the child -parent interaction while encouraging parents to provide a nurturing environment for their children and building attachment. Visits can occur in a neutral location, JusticeWorks office, a community atmosphere, the family's home, or other approved location by Weld County Human Services (WCHS). If there are potential safety concerns with the location, a discussion occurs with WCHS to determine alternate location, or to create a safety plan to accomplish a healthy visit for all family members involved. b. Anticipated frequency of service may vary depending on need, from one (1) to six (6) hours per week. Prescribed hours will be based on approved visits by Weld County Human Services. c. Anticipated duration of Service: Average duration is six (6) to nine (9) months. d. Goals of Service: i. Reunification ii. Parenting support/increase protective factors iii. Reduce risk factors iv. For parents to learn how to meet their child's needs e. Outcomes of Service: The long-term desired outcome is to reduce risk and promote protective factors leading to successful reunification and permanency. We evaluate the services by monitoring, tracking, and trending outcome data from the individuals who use the services. The goal of supervised visits is to observe an increase in family bonding, address needs of the parents, and guide parents to increase protective factors. f. Target Population: Families with children from infants through age 12, older youth as needed 13 to 17. g. Language: English and Spanish. Interpreter services available at an additional charge ($75.00/hour) h. Medicaid eligibility: Supervised Visitation is not eligible for Medicaid. f. Contractor will respond to the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 8 g• 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 Supervisor (hainleid@weldgov.com, 970-400-6210). h. 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 dlient 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 (hainleid@weldgov.com, 970-400-6210). i. 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 (hainleid@weldgov.com) immediately via email, to discuss service continuation. j. 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. k. 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. I. 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. m. 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. n. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffing, Family Team Meetings and/or Team Decision Making meetings. Contractor may participate by phone, if approved by the Department. o. Contractor will notify the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-6210) of new staff who will manage and/or administer the services with the following information: 9 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. 10 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, 2021. 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 $120.00/Hour (JustCare® Foster Support: Foster Parent Consultation) $120.00/Hour (JustCare® Aftercare Services) $120.00/Hour (JustCare® Home -based Services) $35.00/No Show (No Show Rate for all JustCare Services) $130.00/Hour (STOPP®: Crisis Intervention and Stabilization) $35.00/No Show (No Show Rate for STOPP: Crisis Intervention and Stabilization) $115.00/Hour (Visit Coaching - In office) $172.50/Hour (Visit Coaching - Out of office) $115.00/Hour (Visit Coaching — Family Team Meeting, Team Decision Making, Professional Staffing) $35.00/No Show (Visit Coaching - No show/Visit Coaching) $115.00/Hour (Supervised Visitation — In office) $172.50/Hour (Supervised Visitation — Out of office) $115.00/Hour (Supervised Visitation — Family Team Meeting, Team Decision Making, Professional Staffing) $35.00/Hour (Supervised Visitation — No show) $ .56/Mile (Mileage) — For distance exceeding thirty (30) mile radius from practitioner's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO, 80634. $75.00/hour (Interpreter service for Visit Coaching or Supervised 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* JUSTICEWORKS CO LLC Entity ID* 00040890 Contract Name* JUSTICEWORKS CO LLC (AGREEMENT AMENDMENT) Contract Status CTB REVIEW ❑ New Entity? Contract ID 4035 Contract Lead* CULLINTA Contract Lead Email cul linta@co_weld. cous; cobbxxl k@coweld.co.us Parent Contract ID Requires Board Approval YES Department Project # Contract Description* BID NO. B1900025. THIS IS NO-FCONSENT. YOU WILL RECEIVE A SEPERAIE PA AGREEMENT AMENDMENT TO REVISE AND/OR ADD SERVCIES. TERM: 06/01/20 THROUGH 05/31/21. FUNDING: CORE/OTHER Contract Description 2 Contract Type* AGREEMENT Amount* $0 00 Renewable* NO Automatic Renewal Grant Department HUMAN SERVICES Department Email CM- HumanServices@weldgov corn 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* 08/31/2020 Due Date 08/27/2020 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept, to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter 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 Review Date* Renewal Date 04/01/2021 Termination Notice Period 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 08/24/202D Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 08/31/2620 Originator COBBXXLK Contact Type Contact Email Finance Approver CHRIS D'OVI©1O Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 08124/2020 Tyler Ref* AG 083120 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 08/25/2020 Submit C-0,71 3gsi PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: May 26, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with JusticeWorks YouthCare, Inc. 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 JusticeWorks YouthCare, Inc. The Department entered into a Child Protection Agreement for Services, identified as Tyler ID 2019-2573, on July 3, 2019 for the term June 1, 2019 through May 31, 2020. The agreement was amended on April 27, 2020, to extend the term from June 1, 2020 through May 31, 2021. The vendor has requested to revise and/or add the following rates for the following services: Rate Changes: $120.00/Hour (JustCareO Aftercare Services) - $120.00/Hour (JustCare® Foster Support: Foster Parent Consultation) - $120.00/Hour (JustCare® Home -based Services) $130.00/Hour (STOPPO Crisis Intervention and Stabilization) $ .56/Mile (Mileage) — For distance exceeding thirty (30) mile radius from practitioner's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO, 80634. Add Rates: - $120.00/Visit (No Show Rate for all JustCare Services) $130.00/Visit (No Show Rate for STOPP®: Crisis Intervention and Stabilization) Pass -Around Memorandum; May 26, 2020 — CMS 3681 Bid No. B1900025 C-.0n5re,n 06/6,3 / de/, 64-itve-Ci-Yo) l!-3 -O2O Page 1 Ootq-D513 j•Waic,10 PRIVILEGED AND CONFIDENTIAL I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; May 26, 2020 — CMS 3681 Bid No. B 1900025 Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND JUSTICEWORKS YOUTHCARE, INC. .-xrd This Agreement Amendment, made and entered into day of 0U n , 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 JusticeWorks YouthCare, Inc., hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Foster Care, Adoption, and Home -Based Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2573, approved on July 3, 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, 2021. • The Original Agreement was amended on April 27, 2020. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2573. • 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. 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. ATTEST: Weld County Clerk to the Board By: Deputy Clerk to the Board COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Freeman, Chair NTRACTOR: JUN 0 3 2020 JusticeWorks YouthCare, Inc. 1500 Ardmore Boulevard, Suite 410 Pittsburgh, PA 15221 By: Date: Will ' y 21, 202019:23 EDT) Dan Heit, President and CEO May 21, 2020 Q0I9-as73 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, 2021. 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 $120.00/Hour (JustCare® Foster Support: Foster Parent Consultation) $120.00/Hour (JustCare® Aftercare Services) $120.00/Hour (JustCare® Home -based Servioes) $120.00/Visit (No Show Rate for all JustCare Services) $130.00/Hour (STOPP®: Crisis Intervention and Stabilization) $130.00/Visit (No Show Rate for STOPP: Crisis Intervention and Stabilization) $115.00/Hour (Visit Coaching - In office) $172.50/Hour (Visit Coaching - Out of office) $115.00/Hour (Visit Coaching - FTM, TDM, Prof. Staffing) $115.00/Hour (Visit Coaching - No show/Visit Coaching) $75.00/Hour (Visit Coaching — Interpreter) $ .56/Mile (Mileage) — For distance exceeding thirty (30) mile radius from practitioner's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO, 80634. 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. Entity Information Entity Name* JUSTICEWORKS CO LLC Entity ID* Cci)Q0040898 Contract Name* JUSTICEWORKS CO LLC (AGREEMENT AMENDMENT) Contract Status CTB REVIEW New Entity? Contract ID 3581 Contract Lead* CULLINTA Contract Lead Email cuiiinta@co.weldcous; cobbxxl k@co.weld.co.us Parent Contract ID Requires Board Approval YES Department Project # Contract Description* BID NO. B1900025. THIS IS NOT CONSENT. YOU WILL RECEIVE A SEPERATE PA. AGREEMENT AMENDMENT TO REVISE AND/OR ADD SERVICES. TERM= 06/01;20 THROUGH 05/31/21. FUNDING. CORE/OTHER. Contract Description 2 Contract Type* AGREEMENT Amount* $0 00 Renewable NO Automatic Renewal Grant !GA 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 C NI- COUNTYATTORNEY@WELD GOV.COM Requested BOCC Agenda Date* 06/03/2020 Due Date 05/30/2020 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept_ to be included? if this is a renewals 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 Review Date* Renewal Date 04101/2021 Termination Notice Period 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 05/27/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 06(03/2020 Originator SNYDERKL Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 05/28/2020 Tyler Ref # AG 060320 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 05/28/2020 Submit PRIVILEGED AND CONFIDENTIAL C,0h17-6e_c # 3521 MEMORANDUM DATE: April 7, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with Justice Works YouthCare, Inc. 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 Justice Works YouthCare, Inc. The Department entered into a Child Protection Agreement for Services, identified as Tyler ID 2019-2573, on July 3, 2019, for the term June 1, 2019 through May 31, 2020, with the option to extend annually upon written agreement for a total period not to exceed three years. The Department wishes to extend the agreement for the term of June 1, 2020 through May 31, 2021 and, the vendor has requested to add the following rates for the following services: $115.00/Hour (Visit Coaching - In office) $172.50/Hour (Visit Coaching - Out of office) $115.00/Hour (Visit Coaching - FTM, TDM, Prof. Staffing) $115.00/Hour (Visit Coaching - No show/Visit Coaching) $75.00/Hour (Visit Coaching — Interpreter) $ .56/Mile (Mileage)— For distance exceeding fifty (30) miles from practitioner's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO, 80634. I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Approve Recommendation Work Session Me - Schedule "cm,/ \14- Other/Comments: Pass -Around Memorandum; April 7, 2020 - CMS 3521 C1-457)) o:4 /7/A0 Page 1 2O/T-2373 PRoo qD AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND JUSTCEWORKS YOUTHCARE, INC. This Agreement Amendment, made and entered into day of /L. KIN by and between the Board of Weld County Commissioners, on behalf of the Weld County De • artment of Human Services, hereinafter referred to as the "Department", and JusticeWorks YouthCare, Inc., hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Foster Care/Adoption Services and Home Based Services, (the "Original Agreement") identified by the Weld County Cleric to the Board of County Commissioners as document No. 2019-2573, approved on July 3, 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 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 fast above written. ATTEST. Weld •oun Ci kto By: ddrifeti Xia.;&k. Deputy Clerk COUNTY;, BOARD OF COUNTY COMMISSIONERS COUNTY, COLORADO ti reeman, Chair CTOR: APR 2 7 2020 ceWorks YouthCare, Inc. 00 Ardmore Boulevard, Ste. 410 Pittsburgh, P. By: an H it, President and CEO L/ Date: EXHIBIT C SCOPE OF SERVICES a. Contractor will provide Foster Care/Adoption Services (JustCare• Foster Support: Foster Parent Consultation) and Home -Based Services {JustCare®Aftercare Services, JustCare® Home Based Services, and STOPP°: Crisis Intervention and Stabilization), as referred by the Department. b. Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation): Contractor will provide support and behavior management tools to foster parents through its JustCare• Foster Support program. Contractor will focus on improving relational and behavioral problems in the foster family system and will assist foster families with the educational, social and emotional needs in the fostering of traumatized children. Contractor will work to identify and assist foster families in accessing community resources and supports that address the myriad of concerns that are often present in fostering children. a. Capacity for Services: Two (2) to four (4) hours per week dependent upon risk and need factors. Contractor will be available 24 hours per day, seven (7) days per week. b. Goals of Service: i. To provide support, mentorship, coaching and psycho -educational tools for foster families to ensure the safety, well-being, and permanency goals for referred children. ii. Keep children safe within a nurturing environment where they can thrive. iii. Child's first placement is child's last placement. c. Outcomes of Service: i. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: 1. Placement experience, if applicable 2. Service goal achievement 3. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. ii. Foster families and child or youth will have an unshakable bond in which a stable, structured environment exists with the provision of the child's essential needs, including a nurturing and safe household. iii. Identification and formalization of extended kinship and neighbors who can play a supportive role in keeping families safe and intact. Iv. Final discharge summary that documents resources. d. Target Population: Foster and group home families in need of support with children ages infant to 17 years of age. e. Service Access: In the home and in Weld County communities. f. Language: i. English and Spanish. ii. Contractor will attempt to hire for different languages, when needed. ill. Translation service, when needed. c. Home Based Services 1 a. JustCare®Aftercare Services: Contractor will work with the placement agency to focus their services in accordance with the reality of home and community. Contractor will work with the child/youth and family to ensure a smooth transition home. By assisting families to understand issues form the child/youth's perspective, demystify placement language and coordinate and/or supervise visits. Contractor will work with family to develop their strengths and to set appropriate boundaries and supports for their children. Services are provided in the home, school and community, during non-traditional hours, to provide the child and family with guidance, coaching and support for continued success. I. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Goals of Service: To reduce the reoccurrence of out -of -home placements and recidivism. iv. Capacity for Services: Two (2) to four (4) hours per week of in -home service depending on the risk level of the case and needs of the family. As families progress, service hours decrease. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Families will have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. vi. Target Population: Families with children infant to 17 years of age. vii. Service Access: In home and in Weld County communities. vili. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. b. JustCare• Home Based Services: Contractor will utilize a variety of techniques including behavioral management, motivational interviewing techniques, accessing community supports and resources, and case management with a focus on resolving system problems (employment, living conditions, housing, mental health, substance abuse, and education. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour mmdmum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 3 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Two (2) to four (4) hours per week in -home or in the community depending on need. iv. Goals of Service: 1. To prevent out -of -home placement for children at risk. 2. To decrease risk factors and increase protective factors. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Contractor will identify and formalize extended kinship and neighbors who can play a decisive role in keeping families safe and intact. 3. Contractor will document all resources in a final aftercare plan and discharge summary. vi. Target Population: Families with children infant to 17 years of age in need of home - based services to avoid out -of -home placement. vii. Service Access: 1. Within 50 miles of provider's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO. 2. Anywhere within Weld County and 3. Outside of Weld County upon request. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. c. STOPP•: Crisis intervention and Stabilization: A high impact, short-term program designed to meet challenging situations in a child's home that put the child at risk for out -of -home placement. Contractor will work with families, through a proactive approach, to address the issues that need to be resolved to keep the child safe in the home setting and the family well - functioning. Contractor will work to maintain children in their homes by addressing concerns which led to the child welfare referral. i. Under this agreement, Contractor will: 1. Be in the home with three (3) hours. 2. Maintain a high level of response to any family emergency throughout the duration of services, usually 60 days. 3. Conduct a thorough family assessment and establish a goal plan within 72 hours after the initial contact. The goal plan is monitored throughout care and will include: a. Target areas for all family members b. Expectation for all family members 4. Have daily contact with the family and spend six (6) or more hours per week in direct contact with them to build needed skills and help them identify and access community supports. a. Once the family is stabilized, service hours may be reduced. 5. Address life domain issues by using a broad array of professional and other community resources including extended family members, church and friends to form a network of powerful supports. 6. Provide on -call emergency response 24 hours a day, seven (7) days a week. 7. Maintain a 3 -hour maximum response time after receipt of a referral. B. Provide a family -based, child -focused service model. 9. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to stabilize the situation and avoid future crises. 10. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 11. Ensure families have the tools and support to avoid future crises, including a comprehensive aftercare plan. ii. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Six (6) or more hours per week dependent up on risk and need factors. Staff are on -call 24 hours a day, seven (7) days per week. iv. Goals of Service: To stabilize high -risk family situations and avoid out -of -home placements. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and rife events. vi. Target Population: Families in crisis with children ages infant to 17. vii. Service Access: In -home or in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. a. Contractor will provide Therapeutic Visitation Service. b. Contractor utilizes the Marty Beyer Visit Coaching model which allows parents to experience parent -child contact while a professional facilitates the development of sustainable parenting skills. The goal is to reduce risk and promote protective factors leading to successful reunification/permanency. The premise of the Marty Beyer model is the four principles of Visit Coaching: Empowerment, Empathy, Responsiveness, and Active Parenting. Visit coaches must not only carefully tailor their methods to the family and child but also intervene in ways that allow the parent to take charge. c. Capacity for Service: Visit services vary depending on need, up to six (6) hours per week. d. Antidpated duration of Service: Three (3) to six (6) months. d. Goals of Service: To reduce risk and promote protective factors leading to successful reunification and permanency. e. Outcomes of Service: To reduce risk and promote protective factors leading to successful reunification and permanency. f. Target Population: Families with children infant to 17 years of age. g. Service Access: In home and in the Weld County office. h. Language: English and Spanish. a. Contractor will respond to the Quality Assurance Team Supervisor (hainleid@weldxov.com, 7 970-400-6210) within three (3) business days regarding the ability to accept the received referral. b. 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 Supervisor Ihainlejd@weldRov.com, 970-400-6210). c. 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 (hainlejd@weldgov.com, 970-400-6210). d. 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 (hainlejd@weldRov.com) immediately via email, to discuss service continuation. e. Contractor will identify in detail areas of continued concem and make recommendations to the Department regarding continuation of services and/or the need for additional services. f. 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 concem should be reported immediately AND on the required monthly report. g. 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. h. 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. i. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffing, Family Team Meetings and/or Team Decision Making meetings. Contractor may participate by phone, if approved by the Department. 8 Contractor will notify the Quality Assurance Team Supervisor (hainleidPweldgov.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. 9 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, 2021. 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 $115.00/Hour (JustCare® Foster Support: Foster Parent Consultation) $115.00/Hour (JustCareth Aftercare Services) $115.00/hour (JustCare® Home -based Services) $125.00/Hour (STOPP®: Crisis Intervention and Stabilization) $115.00/Hour (Visit Coaching - In office) $172.50/Hour (Visit Coaching - Out of office) $115.00/Hour (Visit Coaching - FTM, TDM, Prof. Staffing) $115.00/Hour (Visit Coaching - No show/Visit Coaching) $75.CO/Hour (Visit Coaching— Interpreter) $ .56/Mile (Mileage) — For distance exceeding fifty (30) miles from practitioner's office located at 1013 37th Avenue Court, Unit 102, Greeley, CO, 80634. 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 7'h 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* JUSTICEWORKS CO LLC Contract Name* JUSTICEWORKS YOUTHCARE, INC. Contract Status CTB REVIEW Entity ID* 0040898 ❑ New Entity? Contract ID 3521 Contract Lead* CULLINTA Contract Lead Email cuIlinta@co_weld.co.us Parent Contract ID Requires Board Approval YES Department Project # Contract Description* JUSTICEWORKS YOUTHCARE INC. CONSENT. AGREEMENT AMENDMENT FOR THE PERIOD 06/01,F20 THROUGH 05/31/21 FUNDING: CORE/OTHER Contract Description 2 BID NO B2000037 Contract Type* AGREEMENT Amount* $0.00 Renewable* YES Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email C M- HumanServices@weldgov cam Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV.COM Requested B©CC Agenda Date* 04/01r2021 Due Date 0128/2021 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter 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 Review Date* 04/01/2021 Termination Notice Period Committed Delivery Date Renewal Date* 05131`2021 Expiration Date Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date OA/21/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda. Date OA/27/2020 Originator SNYDERKL Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 04/22/2020 Tyler Ref #t AG 042720 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 04/22/2020 Submit CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND JUSTICEpWOORKS CO, LLC This Agreement, made and entered into th d y of 2019, by and between the Board of Weld County Commissioners, on behalf of the Weld County Departme of man Services, hereinafter referred to as the "Department' and JusticeWorks CO, LLC, hereinafter referred to as the ontractor". 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 B1900025, 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 agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services or other funding to the Department for Foster Care/Adoption Services and Home Based Services. 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 Response to Request for 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 (hainleld@weldgov.com, 970-400-6210). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit a complete Request for Reimbursement and supporting documentation by the 7th of the month, following the month of service, utilizing billing forms required by the G6� C4-6-0 2019-2573 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 60 -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 B, 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. 2 d. The Department may withhold reimbursement if Contractor has failed 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 OMG 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 3 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. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this 4 contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment 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 under 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 under 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 employee 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. 5 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 ISO occurrence form CG 00 0110/93 or equivalent, covering premises operations, fire damage, independent Contractors, 6 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.Automobile 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 Bid or RFP) 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 8 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 Dipesh Chauhan, Director of Business Development 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: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970)400-6510 9 For Contractor: Dipesh Chauhan, Director of Business Development 1500 Ardmore Boulevard, Suite 410 Pittsburgh, PA 15221 (610) 858-8094 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 undersigned 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 undersigned parties that any entity other than the undersigned parties receiving services or benefits under 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, B, 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. 13 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. 14 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: ddrA44) Jeff40 G BOARD OF COUNTY COMMISSIONERS Weld Co - y Clerk to the Board WELD COUNTY, COLORADO By: Deputy Clerk to,Board 15 arbara Kirkmeyer, air UL03Li9 CONTRACTOR: JusticeWorks CO, LLC 1500 Ardmore Boulevard, Suite 410 Pittsburgh, PA 15221 (610)858-8094 By: Date: gefh X Chakrlrair Dip sh B. Chauhan (May 6, 2019) Dipesh Chauhan, Director of Business Development May 6, 2019 00 19 - as -13 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. EXHIBIT B CONTRACTOR'S RESPONSE TO REQUEST FOR PROPOSAL Justice orks YouthCare Building Better Futures for Youth and Community 1500 Ardmore Blvd.. Suite 410 Telephone: (877) 525-5992 Pittsburgh. PA 15221 Fax: (412) 241-6675 January 25, 2019 Weld County Department of Human Services Bid No. B1900025 — Child Services 1150 O Street Greeley, CO 80634 OUR CORE PRINCIPLE IS TO DO "WHATEVER IT TAKES" TO HELP CHILDREN, YOUTH, AND FAMILIES IN OUR CARE ACHIEVE SUCCESS. JusticeWorks YouthCare appreciates the opportunity to submit a proposal to provide services in Weld County, Colorado. As a potential new provider (and out-of-state provider) in Colorado, the page restrictions outlined in the Request for Proposal do not enable us to introduce ourselves fully and to discuss all of our services, outcomes, and success stories. Also, since we will need to hire or transfer for our Colorado staff, we will not be able to submit Exhibit D, the Staff Data Sheet. However, we invite you to visit our website located at www.justiceworksyouthcare.com and to review our attached outcome summaries and a sample success story. Please contact us if you have further questions regarding our organization or require additional documentation. Sincerely, Dipesh Chauhan Director of Program Development 7311 Airport Road Bath, PA 18014 Telephone: 610-858-8094 Email: DChauhan(c�justiceworksyouthcare com JusticeVtorks YouthCare Building Better Futures for Youth and Community 1500 Ardmore Blvd., Suite 410 Telephone: (877) 525-5992 Pittsburgh, PA 15221 Fax: (412) 241-6675 Introductory Letter: JusticeWorks YouthCare, Inc. based in Pittsburgh, Pennsylvania, was founded in 1999 with a mission to provide value-added community -based services which fill in the gaps in service delivery systems for youth and families in need. JusticeWorks has as its mission the goal of building a better future for youth, their families, and the communities in which they reside. We provide innovative programs that identify and build on youth and family strengths and create a structure to positively redirect lives. JusticeWorks' methodology and operating philosophy embrace the head and the heart' of human services. Our heart is a 'whatever it takes approach' where our staff work tirelessly and creatively until they achieve a positive outcome. We balance that passion for results with a cognitive commitment to be an outcomes -driven organization. We recognize that we must be good stewards of public resources. Since our inception, we have made the effort to track and report on our outcomes. We are proud, and our continued growth reflects, that our services achieve positive outcomes and reduce overall costs to our public -sector partners. Our organization is committed to making positive contributions to society beyond just financial performance. Our vision is for communities, families, and the public and private sectors to join in partnership to ensure the safety, well-being, and permanency for all children and youth. From our beginning in 1999, we have grown to serve child welfare, juvenile probation, adult corrections, and school institutions in 92 counties in Pennsylvania, Ohio, South Carolina, Maryland, and Florida. We employ approximately 600 employees with diverse backgrounds and a range of varied strengths with alignment toward shared goals. JusticeWorks serve thousands of families each year in need of in -home and community - based services. In 2017, we served 5,344 youth and families in geographically diverse locations, including rural and urban settings, and differing cultural and socio-economic backgrounds. JusticeWorks programs are backed by research. We provide research -informed child and family services. Program outcomes are optimized through a team approach which develops relationships with families, child welfare workers, probation officers, the courts, professional resources, and community supports. A Summary Performance Card of our programs and our success stories are available on our website: www.justiceworksyouthcare.com. One of our greatest strengths is our ability to introduce innovative solutions and services when working with our partners to best meet the needs of families, children, and youth. Our success in managing start-ups in new states is demonstrated by the positive outcomes achieved in Ohio, Florida, South Carolina, and Maryland, and we look forward to providing success stories in Weld County, Colorado. Bid No. B1900025 EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services JusticeWorks YouthCare, Inc. AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER ID llf Known) Dipesh Chauhan Director of Business Development PRIMARY CONTACT - FULL NAME PRIMARY CONTACT TITLE ( 610 ) 858-8094 j_ 610 )841-3501 PHONE NUMBER EXT. FAX NUMBER DChauhan a(�iusticeworksvouthcare com www Justiceworksvouthcare com PRIMARY CONTACT - E-MAIL ADDRESS AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) 1500 Ardmore Blvd , Suite 410, AGENCY MAILING ADDRESS Pittsburgh. PA CITY ZIP 15221 REFERRAL CONTACT Dipesh Chauhan Director of Business Development RUFERAL CONTACT- FULL NAME REFERRAL CONTACT - TITLE ( 610 ) 858-8094 REFERRAL CONTACT - PHONE NUMBER DChauhan@justiceworksyouthcare com EXT. REFERRAL CONTACT - E-MAIL ADDRESS BILLING CONTACT Matthew Davin Chief Financial Officer BILLING CONTACT - FULL NAME (484 )849-5746 BILLING CONTACT - PHONE NUMBER EXT BILLING CONTACT • TITLE MDavin@justiceworksyouthcare com BILLING CONTACT- E-MAIL ADDRESS certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the specifications it has so indicated in this bid form. [ further affirm intention to enter into an agreement with Weld Count, 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 County of Weld, State of Colorado. The Board of Weld 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: Bid No.: B1900025 rA44<fsa Justice norks Family of Services OUTCOME MEASURES QUICK SUMMARY Building Better Futures for Youth and Community All JusticeWorks' programs collect outcome information using a combination of standardized and non -standardized measurements that differ depending on the program. Across all programs the following data is collected: 1) any placements and their type experienced by a child or youth, 2) treatment goals and their achievement, and 3) key events a person experienced during services such as drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. Outcomes Data Collection Measured Elements at JusticeWorks Across Programs Outcome Metrics —T-Standardized Instruments in Use Intake/During Service ✓ ✓ ✓ Demographics Placements Key a. b. c. d. e. events Education Curfew Health Legal Safety checks — physical, & Attendance mental, SU ✓ ✓ ✓ ✓ ✓ Family Columbia HIT Anger Locus Scales Management of Assessment Control Impairment & Device' Assessment WhyTry Scale" Measure -R Discharge ✓ ✓ ✓ Outcomes a. b. c. d. e. f. Treatment Reason Placement Education Employment Community Legal Health for at Plan Discharge discharge (ROLES)"' Goal achievement ✓ ✓ ✓ ✓ ✓ Family Columbia HIT Anger Locus Scales of Management Assessment Control Impairment & Device Assessment WhyTry Scale Measure -R Follow -Up ✓ ✓ ✓ ✓ ✓ ✓ ✓ Placement Education Employment Community Legal Health Safety (ROLES) ✓ ✓ Family Columbia Assessment Impairment Device Scale FOLLOW-UP EVALUATION To determine if gains made during services are maintained after discharge, a follow-up interview is conducted by a member of the Evaluation and Quality Assurance department using a stratified sampling procedure. The parents or caregivers are then contacted at designated time points, probably six and twelve months, to complete a standardized evaluation interview by phone or using SurveyMonkey. All participants are provided with a $25 gift card for their participation. ' McMaster Family Assessment Device is a self -report measure of satisfaction with family functioning. It was developed by Epstein, Baldwin, & Bishop in 1983. At JusticWorks, we are using the subscales of Problem Solving, Communication, Roles, and Behavior Control. The scale is reported to have good reliability and validity and able to detect changes in functioning over time "The Columbia Impairment Scale is a 13 -item scale that can be completed by a parent/caregiver or youth to provide a global measure of impairment. The instrument was developed by Bird, Shaffer, Fisher, and Gould in 1993 and is widely used in the social service and behavioral health fields. The 13 items tap 4 major areas of functioning: interpersonal relations, broad psychopathological domains, functioning in job or schoolwork, and use of leisure time. The CIS score obtained through the parent's interview appears to provide a useful global measure of impairment. The instrument is reported to have good reliability and validity. "' The Restrictiveness of Living Environment Scale, is a measure to assess an environment's level of restrictiveness for children and youth. It was developed by Hawkins, Almeida, Fabry, and Reitz in 1992. The scale rates the restrictiveness of the setting on a 10 -point scale, using a rating method designed to yield an interval scale. It is often used as an outcome measure to determine effectiveness of care. It is used at JusticeWorks to determine if youth are moving from more restrictive setting to less restrictive settings at time of discharge. EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: JusticeWorks YouthCare. Inc. Aftercare Services - JustCare® 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. JusticeWorks developed the JustCare® program in 1999 with the goals of reducing the length of stay in residential placements for both delinquent and dependent children and youth, and to establish successful outcomes when children and youth return to the community. JustCare® ensures that gains made in placement endure at home. Unlike most 'aftercare' programs, planning for the transition home is done throughout the residential stay, and includes input from family, caregivers, and other stakeholders. During the youth's placement, we work with the placement agency to focus their services in accordance with the reality of home and community. We also work with the child/youth and family to ensure a smooth transition back home. We accomplish this by assisting families to understand issues from a child's perspective, demystify placement language and coordinate (supervise, if applicable) visits. We work to help families resolve problems in the home (i.e., substance abuse, employment and economic problems, mental health concerns, housing). We work with families to develop their strengths and to set appropriate boundaries and supports for their children. JusticeWorks professionals work non-traditional hours, with an emphasis on being in the home, school, and community to provide the child and family with guidance, coaching, and support for continued success. JustCare® is an effective aftercare service to reduce reoccurrences of out -of -home placement. The cost savings in reducing residential stays more than pay for the cost of the service. Assessment Tools: Standardized measurements used include the Family Assessment Device (refer to website www.nctsnet.orq ) and the Columbia Impairment Scale (refer to the following link http://www.dhs.state.il.us/page.aspx?item=64974). Operating Methodology: .On -call emergency response 24 hours a day, seven (7) days a week. •Maintaining a 24 -hour maximum response time after receipt of a referral. •Providing a family -based, child -focused service model. We will go to the families, and delivering services in the home and community. •Communicate to the family that our priority is to keep children safe. We assist families and caregivers in developing the skills and resources to avoid future crises. •We work creatively and flexibly to assemble the resources and devote the time needed for family success. •At the conclusion of JustCare® services, families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. We utilize a variety of methods including evidence -based, cognitive behavioral 1 EXHIBIT C PROPOSAL TEMPLATE interventions and motivational interviewing techniques. We assist families in accessing community supports and resources and provide case management. Not all services are explicitly `therapeutic' in the clinical sense. Helping to prepare a meal, maintaining a family budget, follow-up on necessary appointments, introducing a board game for everyone, and planning an outing or other means of positive family engagement can be very significant for under-resourced families. Once we receive a referral, we are in contact with the referral source to discuss the case. We contact the families within 24 hours to schedule an intake appointment. Services are provided in -home and in the community. Direct service provision is divided into four sub -domains: 1) Engagement, 2) Planning, 3) Implementation, and 4) Transition. Each of these sub -domains coincides with meeting performance objectives: Engagement: Families have a high level of decision -making power in all aspects of planning, delivery, and evaluation of services and supports. We assess and address immediate crisis/safety needs. We support and encourage family members to participate as partners in resolving issues that can lead to a re -occurrence of out -of -home placement. We encourage fathers (where applicable), often relegated to secondary or non-existent roles, to take an active, participatory role throughout services. Our services implement, promote, and support the use of a non -judgmental, non - blaming, family -centered approach in partnering with families. Each person is recognized as having unique individual, family, and community strengths. We incorporate these in goal planning and development of protective factors. Strengths, needs, and cultural identity are communicated in case supervision and team meetings. Planning: Goal plans are developed with input from the family and child (if age -appropriate), the referring source, and any other child -serving agency involved with the family. Goal plans are strength -based and family -focused. They incorporate the family's vision and hope for the future. All plans are fluid documents and change as family needs change. Goal plans are comprehensive and address the priority life domains of the child, youth, and family which include, but are not limited to: Safety, emotional wellbeing, family, housing, education, employment, cultural, spiritual, parenting skills, social/fun, legal, medical/health, finances, relationships, developmental needs or independent living skills, substance abuse, and behavioral issues. Implementation: Families have timely access to an array of services and supports that are well - coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. Transition: Transition to autonomy occurs throughout services. Transition includes strategies to shift from stabilization and formal services to informal services and supports that can be sustainable after discharge. 2 EXHIBIT C PROPOSAL TEMPLATE 4. Capacity to Provide Services (ex. 4 hours/week). JustCare® provides two (2) to four (4) hours per week of in -home service depending on the risk level of the case and needs of the family. As families progress in the program, service hours decrease. 5. Goals of the service. To reduce re -occurrences of out -of -home placements and recidivism. 6. Outcomes of service. All of JusticeWorks' programs collect outcome information using a combination of standardized and non -standardized measurements. Across all programs the following data is collected: 1) if applicable, placement experience, 2) service goal achievement, and 3) key events a person experienced during services such as drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. To efficiently monitor program effectiveness, the data collected includes measures of both outcomes and the processes used to reach them. Refer to attached Outcome Summary Report. 7. Target population for service. Families with children from infant to 17. 8. Service access. Services are delivered in the home and Community for Weld County. 9. Languages service is available in. Cultural humility is an acknowledgment of one's barriers to true intercultural understanding. It is the difference between intellectually knowing another culture and being able to truly relate to it. Cultural humility is an alternative approach to that of cultural competency. It requires humility as individuals continually engage in self -reflection and self -critique as lifelong learners and reflective practitioners. Through cultural humility, individuals participate in the process of mutual understanding and awareness of self in relationship to others. JusticeWorks is committed to individual and organizational cultural sensitivity. Our goal is to have our staff composition reflect such diversity, including speaking the languages dictated by our target population. JusticeWorks maintains a staff complement that is diverse and reflects the families with whom the organization works. 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. (JWYC Direct Cost is $115.00 per hour) 3 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: JusticeWorks YouthCare, Inc. STOPPO: Crisis Intervention and Stabilization 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. STOPPO is a high impact, short-term program designed to meet challenging situations in a child's home that put the child at risk for out -of -home placement. By using a proactive approach, STOPPO works with families to address the issues that need to be resolved to keep the child safe in the home setting and the family well -functioning. We work to maintain children in their homes by addressing the concerns which led to the child welfare referral. Now being utilized in dozens of locations, STOPPO has proven to be extremely effective. Outcome studies have demonstrated that STOPPO routinely prevents out -of - home placements in more than 90% of cases, despite the most challenging conditions. Assessment Tools: Standardized measurements used include the Family Assessment Device (refer to website www.nctsnet.orq ) and the Columbia Impairment Scale (refer to the following link http://www.dhs.state.il.us/page.aspx?item=64974). Meeting the Need: Once a referral is made to the STOPPO program, staff are in the home within three (3) hours. They maintain a high level of response to any of the family's emergencies throughout services, which are usually 60 days in duration. Within 72 hours after the initial contact, staff conduct a thorough family assessment and establish a goal plan that guides the services. The goal plan outlines target areas and expectations for all family members and is monitored throughout care. Staff typically have daily contact with families and spend six (6) or more hours a week in direct contact with them to build needed skills and help them to identify and access community supports. Once the family is stable, and children are safe, service hours can be reduced as they progress through the program. In all circumstances, STOPPO addresses life domain issues by using a broad array of professional and other community resources including extended family members, churches and friends to form a network of powerful supports. Direct service provision is divided into four sub -domains: 1) Engagement, 2) Planning, 3) Implementation, and 4) Transition. Each of these sub -domains coincides with meeting performance objectives: Engagement Families have a high level of decision -making power in all aspects of planning, delivery, and evaluation of services and supports. We assess and address immediate crisis/safety needs. We support and encourage family members to participate as partners in resolving issues that can lead to an out -of -home placement. We encourage fathers, often relegated to secondary or non-existent roles, to take an active, participatory role throughout services. 1 EXHIBIT C PROPOSAL TEMPLATE Our services implement, promote, and support the use of a non -judgmental, non - blaming, family -centered approach in partnering with families. Each person is recognized as having unique individual, family, and community strengths. We incorporate these in the service plan in the development of protective factors. Planning The written goal plan is based on the strengths, needs, and culture of the youth and family, and focused on the vision and hope for the future. Safety assessments are ongoing. All plans are fluid documents and change as family needs change. Family plans are comprehensive and address the priority life domains of the child, youth, and family which include, but are not limited to: Safety, emotional wellbeing, family, housing, education, employment, cultural, spiritual, parenting skills, social/fun, legal, medical/health, finances, relationships, developmental needs or independent living skills, substance abuse, behavioral. Implementation Families have timely access to an array of services and supports that are well - coordinated, tailored to meet their individual needs, and delivered in the communities in which they live (i.e., mental health, substance abuse). We access and maximize the use of sustainable community resources to meet family and child needs in the communities in which they live. We communicate with the county and other child -serving agencies involved with the case to ensure continuity of care. Transition Transition planning occurs throughout services. Transition includes strategies to shift from formal to informal services and supports that can be sustainable after discharge. Goal plans set benchmarks for transitioning to less restrictive, less intrusive, and less formal services, taking into consideration the ability of families to move through the process. Operating Methodology: *On -call emergency response 24 hours a day, seven (7) days a week. *Maintaining a 3 -hour maximum response time after receipt of a referral. JusticeWorks staff are in the home immediately upon receipt of a referral. •Providing a family -based, child -focused service model. *Communicate to the family that our priority is to keep children safe. We assist families and caregivers in developing the skills and resources to stabilize the situation and avoid future crises. •We work creatively and flexibly to assemble the resources and devote the time needed for family success. •At the conclusion of STOPP® services, families have the tools and support to avoid a future crisis, including a comprehensive aftercare plan. 2 EXHIBIT C PROPOSAL TEMPLATE 4. Capacity to Provide Services (ex. 4 hours/week). Services are provided in the home for six (6) or more hours per week dependent upon risk and need factors. Staff are on -call 24 hours, seven (7) days per week. 5. Goals of the service. To stabilize high -risk family situations and avoid out -of -home placements. 6. Outcomes of service. All of JusticeWorks' programs collect outcome information using a combination of standardized and non -standardized measurements. Across all programs the following data is collected: 1) if applicable, placement experience, 2) service goal achievement, and 3) key events a person experienced during services such as drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. To efficiently monitor program effectiveness, the data collected includes measures of both outcomes and the processes used to reach them. Refer to the attached Outcome Summary Report and sample Success Story. 7. Target population for service. Families in crisis with children ages infant to 17. 8. Service access. Services are delivered in the home and Community for Weld County. 9. Languages service is available in. Cultural humility is an acknowledgment of one's barriers to true intercultural understanding. It is the difference between intellectually knowing another culture and being able to truly relate to it. Cultural humility is an alternative approach to that of cultural competency. It requires humility as individuals continually engage in self -reflection and self -critique as lifelong learners and reflective practitioners. Through cultural humility, individuals participate in the process of mutual understanding and awareness of self in relationship to others. JusticeWorks is committed to individual and organizational cultural sensitivity. Our goal is to have our staff composition reflect such diversity, including speaking the languages dictated by our target population. JusticeWorks maintains a staff complement that is diverse and reflects the families with whom the organization works. 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. (JWYC Direct Cost is $125.00 per hour) 3 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: JusticeWorks YouthCare, Inc. JustCare® Foster Support: Foster Parent Consultation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. At JusticeWorks YouthCare, we respect the role of foster parents as dedicated individuals focused on the task of being a resource family for the child or children being fostered until a permanency plan is established. Most foster children eventually return to their biological parents. Some are adopted by foster parents or kinship adoptions. Many foster parents will find themselves in unfamiliar territory. They may already be parents or have had parenting experience, but only for parenting non -traumatized children. They have not cared for children who have extreme impulse control issues and who have problems with boundaries, oppositional -defiant behavior, and expressing emotions appropriately. They find themselves in situations they have never been in before. Foster parenting has stopped feeling good, and they do not like the people they are becoming. The job of being a foster parent will never be an easy one. It can be extremely stressful, even for those who have done it for years with expert coping skills and a strong support system. Deciding to foster a vulnerable child may also affect other children in the household, marital relationships, friendships, and communities. It is normal for any parent, including foster parents, to feel, at times, stressed and frustrated with their child's behavior. JusticeWorks YouthCare can help. We provide support and behavior management tools to prevent foster parents from reaching a breaking point. Our JustCare® Foster Support program is highly responsive to the needs of foster parents and foster children while creating collaborative relationships between foster parents and the child welfare agency. Also, staff are cognizant of the trauma a child may have been exposed to and support the foster family with resources and guidance. JustCare® will focus on improving relational and behavioral problems in the foster family system. JusticeWorks staff will assist foster families with the educational, social, and emotional needs in the fostering of traumatized children. The JustCare® program (2 to 4 hours of direct family contact per week) is utilized as a supportive program to increase the ability of foster parents to be successful in fostering children and in supporting the reunification process. Hours can be reduced over time as progress is made. JusticeWorks professionals are experts in family engagement. We incorporate the following essential elements (but not limited to) to achieve successful outcomes for all participants. •Listening to each family member. •Demonstrating respect and empathy for both foster family members, and biological parents as 1 EXHIBIT C PROPOSAL TEMPLATE applicable. • Developing an understanding of a family's past experiences and current situation. • Being aware of family and child trauma and its implications for parenting. •Having open communication regarding concerns, incorporating strengths. • Immediately responding to concrete needs. • Establishing the purpose of involvement with the foster family. • Being aware of biases and prejudices. • Advocate for foster families as needed in the home and community. We work to identify and assist foster families in accessing community resources and supports that address the myriad of concerns that are often present in fostering children. By the conclusion of JustCare® services, foster families and the child or youth have an unshakable bond in which a stable, structured environment exists, with the provision of the child's essential needs, including a nurturing and safe household. If appropriate, we also identify and formalize extended kinship and neighbors who can play a supportive role in keeping families safe and intact. All of these resources are documented in a final discharge summary at the conclusion of services. JustCare® has the fundamental goal of keeping children safe within a nurturing environment where they can thrive. At JusticeWorks, we hope that a child's first placement is their last placement! 4. Capacity to Provide Services (ex. 4 hours/week). Services are provided in the home for two (2) to (4) hours per week dependent upon risk and need factors. Staff are on -call 24 hours, seven (7) days per week. 5. Goals of the service. To provide support, mentorship, coaching, and psycho -educational tools for foster families to ensure the safety, well-being, and permanency goals for referred children. 6. Outcomes of service. All of JusticeWorks' programs collect outcome information using a combination of standardized and non -standardized measurements. Across all programs the following data is collected: 1) if applicable, placement experience, 2) service goal achievement, and 3) key events a person experienced during services such as drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. To efficiently monitor program effectiveness, the data collected includes measures of both outcomes and the processes used to reach them. Refer to the attached Outcome Summary Report and sample Success Story. 2 EXHIBIT C PROPOSAL TEMPLATE 7. Target population for service. Foster and Group Home families in need of support with children ages infant to 17. 8. Service access. Services are delivered in the home and Community of Weld County. 9. Languages service is available in. Cultural humility is an acknowledgment of one's barriers to true intercultural understanding. It is the difference between intellectually knowing another culture and being able to truly relate to it. Cultural humility is an alternative approach to that of cultural competency. It requires humility as individuals continually engage in self -reflection and self -critique as lifelong learners and reflective practitioners. Through cultural humility, individuals participate in the process of mutual understanding and awareness of self in relationship to others. JusticeWorks is committed to individual and organizational cultural sensitivity. Our goal is to have our staff composition reflect such diversity, including speaking the languages dictated by our target population. JusticeWorks maintains a staff complement that is diverse and reflects the families with whom the organization works. 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. (JWYC Direct Cost is $115.00 per hour) 3 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: JusticeWorks YouthCare, Inc. JustCaree: Home -based Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. JusticeWorks developed the JustCare® program as a proactive service to build upon families' strengths, assist in overcoming challenging problems, and to reduce risk factors while promoting protective factors. JustCare® can be tailored between two (2) to four (4) hours per week of in -home service, based upon need. JusticeWorks staff can be available 24 hours per day, seven days per week to serve as a proactive resource to resolve challenging situations and stabilize the crisis and safety issues. The length of service is variable, depending on the progress of the family in accomplishing established goals. Case management is a collaborative process requiring excellent communication and organizational skills. It is an ongoing process of planning, implementing written plans, and coordinating services. The JusticeWorks team provides a high level of resource management that also advocates for participants. Our staff have extensive experience providing home -based services, ensuring fidelity to treatment models through data collection, monitoring, auditing effectiveness, and following program design. We utilize a variety of techniques including behavioral management, motivational interviewing techniques, accessing community supports and resources, and case management with a focus on resolving systemic problems (employment, living conditions, housing, mental health & substance abuse, education). Not all services are explicitly "therapeutic" in the clinical sense. Helping to prepare a meal, maintaining a family budget, follow-up on necessary appointments, introducing a board game for everyone, and planning an outing or other means of having real fun can be very significant for under- resourced families. In addition to professional agencies and community supports, we also identify and formalize extended kinship and neighbors who can play a decisive role in keeping families safe and intact. All of these resources are documented in a final aftercare plan and discharge summary. Assessment Tools: Standardized measurements used include the Family Assessment Device (refer to website www.nctsnet.orq ) and the Columbia Impairment Scale (refer to the following link http://www.dhs.state.il.us/page.aspx?item=64974). Operating Methodology: .On -call emergency response 24 hours a day, seven (7) days a week. •Maintaining a 24 -hour maximum response time after receipt of a referral. •Providing a family -based, child -focused service model. •Communicate to the family that our priority is to keep children safe. We assist families and caregivers in developing the skills and resources to avoid future out -of -home placement. 1 EXHIBIT C PROPOSAL TEMPLATE •We work creatively and flexibly to assemble the resources and devote the time needed for family success. •At the conclusion of JustCare® services, families have a productive relationship with a variety of community and kinship supports to sustain positive functioning. Once we receive a referral, we are in contact with the referral source to discuss the case. We contact the families within 24 hours to schedule an intake appointment. Direct service provision is divided into four sub -domains: 1) Engagement, 2) Planning, 3) Implementation, and 4) Transition. Each of these sub -domains coincides with meeting performance objectives: Engagement Families have a high level of decision -making power in all aspects of planning, delivery, and evaluation of services and supports. We assess and address immediate crisis/safety needs. We support and encourage family members to participate as partners in resolving issues that can lead to an out -of -home placement. We encourage fathers, often relegated to secondary or non-existent roles, to take an active, participatory role throughout services. Our services implement, promote, and support the use of a non -judgmental, non - blaming, family -centered approach in partnering with families. Each person is recognized as having unique individual, family, and community strengths. We incorporate these in the goal plan for the development of protective factors. Strengths, needs, and cultural issues are communicated in supervision and team meetings with the county, and are ongoing. Planning The written goal plan is based on the strengths, needs, and culture of the youth and family, and focused on the vision and hope for the future. Safety assessments are ongoing. All plans are fluid documents and change as family needs change. Family plans are comprehensive and address the priority life domains of the child, youth, and family which include, but are not limited to: Safety, emotional wellbeing, family, housing, education, employment, cultural, spiritual, parenting skills, social/fun, legal, medical/health, finances, relationships, developmental needs or independent living skills, substance abuse, behavioral. Implementation Families have timely access to an array of services and supports that are well - coordinated, tailored to meet their individual needs, and delivered in the communities in which they live (i.e., mental health, substance abuse). We access and maximize the use of sustainable community resources to meet family and child needs in the communities in which they live. We communicate with the county and other child -serving agencies involved with the case to ensure continuity of care. Transition Transition planning occurs throughout services. Transition includes strategies to shift from formal to informal services and supports that can be sustainable after discharge. 2 EXHIBIT C PROPOSAL TEMPLATE Goal plans set benchmarks for transitioning to less restrictive, less intrusive, and less formal services, taking into consideration the ability of families to move through the process. 4. Capacity to Provide Services (ex. 4 hours/week). Services are delivered in the home and community two (2) to four (4) hours per week depending upon need. 5. Goals of the service. To prevent out -of -home placement for children at risk. To decrease risk factors and increase protective factors. 6. Outcomes of service. All of JusticeWorks' programs collect outcome information using a combination of standardized and non -standardized measurements. Across all programs the following data is collected: 1) if applicable, placement experience, 2) service goal achievement, and 3) key events a person experienced during services such as drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. To efficiently monitor program effectiveness, the data collected includes measures of both outcomes and the processes used to reach them. Refer to the attached Outcome Summary Report and sample Success Story. 7. Target population for service. Families who have children from infant to age 17 in need of home -based services to avoid out -of -home placement. 8. Service access. Services are delivered in the home and Community for Weld County. 9. Languages service is available in. Cultural humility is an acknowledgment of one's barriers to true intercultural understanding. It is the difference between intellectually knowing another culture and being able to truly relate to it. Cultural humility is an alternative approach to that of cultural competency. It requires humility as individuals continually engage in self -reflection and self -critique as lifelong learners and reflective practitioners. Through cultural humility, individuals participate in the process of mutual understanding and awareness of self in relationship to others. JusticeWorks is committed to individual and organizational cultural sensitivity. Our goal is to have our staff composition reflect such diversity, including speaking the languages dictated by our target population. JusticeWorks maintains a staff complement that is diverse and reflects the families with whom the organization works. 10. Rates of service. (JWYC Direct Cost is $115.00 per hour) 3 STAFF DATA SHEET EXHIBIT D (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: Aftercare Services BIDDER LEGAL ENTITY NAME: Justice Works YouthCare, Inc. APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERVISOR INFORMATION ' No. Last Name First Name Worlc# Work Email Education Level Degree Focus Ucensure/ Credentials DORA # (If applicable) last Name First Name Work* Work Emei 1 Trunzo Annette -I' .c. -. -;`; Ph.D Social Work LSW N/A Cody Errone - ,. ECody@iusticew orksyouthcare.co m ... r 2 Davin Matthew B.S. Business N/A Chauhan Dipesh 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Bid No.: 81900025 STAFF DATA SHEET EXHIBIT D 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.) 25 26 27 28 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D (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: Crisis Intervention and Stabilization BIDDER LEGAL ENTITY NAME: J usticeWorks Youth Care, Inc. APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERVISOR INFORMATION No. Last Name First Name Work# Work Email Education Level Degree Focus Licensure/ Credentials DORA # Of applicable) Last Name First Name Work # Work Email 1 Trunzo Annette 2 Davin Matthew Ph.D B.S. Social Work LSW Business N/A N/A Cody Chauhan Errone Dipesh ECody@iusticew orksvouthcare.co m 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D (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.) 25 26 27 28 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D 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: Foster Parent Consultation BIDDER LEGAL ENTITY NAME: Justice Works YouthCare, Inc. APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERVISOR INFORMATION No. Last Name First Name Work# Work Email Education Level Degree Focus Licensure/ Credentials DORA # (If applicable) Last Marne First Naale Worst # Work EmaR 1 Trunzo Annette 7_ 3:1?4a Ph.D Social Work LSW N/A Cody Errone ECody@justicew orksVouthcare.co m 2 Davin Matthew Business N/A Chauhan Dipesh 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D (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.) 25 26 27 28 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D 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: Home -Based Services BIDDER LEGAL ENTITY NAME: Justice Works Youth Care, Inc. APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERVISOR INFORMATION No. Last Name First Name Work# Work Email Education Level Degree Focus Ucensure/ Credentials DORA # (If applicable) Last Name First Name" Work It Work Email 1 Trunzo Annette _ -� - _ . ,.. ';� Ph.D Social Work LSW N/A Cody Errone ECody@iusticew orksyouthcare.co m 2 Davin Matthew B.S. Business N/A Chauhan Dipesh 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Bid No.: 81900025 STAFF DATA SHEET EXHIBIT D 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.) 25 26 27 28 Bid No.: B1900025 Success Story! ERICKA BRUNNER, ADAMS COUNTY FRS, RECEIVES WELL -DESERVED PRAISE FROM A VERY BRAVE AND DETERMINED MOTHER Good Morning, I'm sure I am somewhere in your files, but my name is Christine. I have two daughters, one age 12, and the other, age 9. In February 2017, my husband of 10 years poured gasoline on me and tried to light me on fire in front of my children. He was arrested and went to jail accordingly. Unfortunately, even though we were married, I lost everything, having no access to bank accounts, vehicles, or even my own driver's license. Of course, he was allowed no contact with the girls and me, but his parents tried to sue me for full custody of the girls, citing the trauma I had gone through, as well as the fact that I was homeless, jobless, etc. They even went so far as to take my vehicle, because it was in my husband's name, knowing a divorce settlement would take years due to his incarceration and unwillingness to sign. Inside the vehicle was the entire year of my children's homeschool work, which they admitted to destroying. We, in simple terms, we're screwed. Then came Justice Works, represented by Ericka Brunner. She began by simply giving me a ride to the DMV to get a new copy of my license. We then moved on to health insurance, food assistance, and educational materials to allow the girls to bypass their homeschool review and test out for the year. By the end of her time with my family, I managed to retain full custody, (they were forced to drop the suit entirely) find therapy services for my children, who now have PTSD, and encourage me to shoot for the stars and apply for my dream job. I now work from home, full time, as a legal marketing strategist. The girls can remain homeschooled, and I make enough to support us. This year I was even able to swing a lovely Christmas. The girls and I are eternally grateful for the help we received. Being an adult, I realize how close I came to losing my precious children, through no fault of my own. I wanted to take the opportunity to let you know Justice Works... WORKS. A year later I am able to support my family with no form of public assistance, I have a great job, and I learned it is ok to do things MY way and be successful. Without Ericka to encourage me, I would have given up. I was at the end of my patience, and frankly, my will to try. Please keep doing what you do. You truly are SAVING LIVES and families. I wanted to go beyond the paperwork and give you my personal thanks and support you as much as you supported us. If you EVER need any form of testimony, please contact me. I will never forget you, or Ericka, and my girls and I are living proof that you guys are truly needed and truly successful. Christine, you are not only in our files but also in our hearts. Thank you, for providing wonderful feedback on FRS, Ericka Brunner. Thank you, Ericka, for supporting and partnering with Christine in the spirit of the JusticeWorks Mission. It is through the power of positive relationships that true healing begins! JUS I wOH-o2 LBEN7LEY /AC -ORE) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) I 10/02/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Babb P&C, Ltd 850 Ridge Avenue Pittsburgh, PA 15212 INSURED Justice Works Youth Care, Inc. 1500 Ardmore Blvd Ste 410 Pittsburgh, PA 15221 rc+aa�tircT Daniel Gass PHOE (ArCC,N o, EM): (412) 237-2132 ,kt,Mss, dhg@babbins.com INSURERS) AFFORDING COVERAGE INSURER A : Philadelphia Indemnity INSURER B : UPMC Health Benefits Inc. INSURER C : FAX AJCC,No):(412) 322-1756 NA1C 0 18058 11018 INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR IADDL TYPE Of INSURANCE I INS➢ SUBRH I POLICY EFF WVD ) POLICY NUMBER I IMWDDIYYYYI POLICY EXP T iMM1DDJYYYY) . LIMITS A X I COMMERCIAL GENERALUABILITY i OCCUR Liab. PHPK1886926 ' 10/01/2018 I I 10/01/2019 '. 1,000,000 OCCURRENCE $ X I CLAIMS -MADE _EACHH DAMAGEMISE TO RENTED I PRES IEa occurrence! I $ 100,000 X ' Professional 5,000 MED EXP (Any one parson, I $ X AbU3@/MQtestatip❑ PERSONAL & ADV INJURY ' $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X 1 POLICY r� PRO I OC I JECT L____-1 '- OTHER: I ':: GENERAL AGGREGATE i $ 3,ODO,000 I 3,000,000 PRODUCTS -COMP/OP AGG I $ i I $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED • A.JTOS ONLY )( HIRED j AUTOS ONLY X I Wiec) Ded. I �4 X X PHPK1886926 10/01/2018, SCHEDULED AUTOS I NCN-OWNED ! AUTOS ONLY ! Cal. Odd. VAX) i y`I 10/01/2019' COMBINEDSINGLE LIMIT i 4 1,000,OOOy iEa accident) ; - BODr_YINJURY Ter person: ! $ I BODILY INJURY {Per accident) I $ PROPERTY DAMAGE . (Per accident) l $ $ A X I UMBRELLA LIAR , I OCCUR I + EXCESS LIAR X j CLAIMS -MADE, . IPHUB648952 10/01/20181 j 10/01/2019 ' 4,000,000 EACH OCCURRENCE ::$ AGGREGATE $ 4,000,000 1 DEC I X I RETEN-IONS 10,000 I$ B WORKERS COMPENSATION ! AND EMPLOYERS' LIABILITY YiN_ IWC100-0007800.2018A ANY PROPRIETORIPARTNER,EXECUTIVE N ; , N ! A I OFFICERNEMBER EXCLUDED? (Mandatory In NH) ! yes describe under DESCRIPTION OF OPERATICNS below 10/19/2018 ` 10/19/2019 DER j OL--I- X•srATttTE FR 500,000 E.L. EACH ACCIDENT I $ 500,000 ! E.L. DISEASE - EA EMPLOYEE $ I 500,000 I E.L. DISEASE - POLICY LMIT $ A (Crime A ;Crime i iPHPK1886926 I ! I PHPK1886926 110I01/2018110/01/2019,EmployeeDishonesty I 250,000 10/01/2018'; 10/01/2019 I Forgery/Alteration I 250,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached It more space Is required) Evidence of coverage for: Justice Works Youth Care, Inc; Helt Holdings, LLC CERTIFICATE HOLDER CANCELLATION Justice Works Youth Care, Inc. 1500 Ardmore Blvd Ste 410 Pittsburgh, PA 15221 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i dZW ACORD 25 (2016/03} O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation) and Home Based Services (JustCare®Aftercare Services, JustCare® Home Based Services, and STOPP®: Crisis Intervention and Stabilization), as referred by the Department. 2. Foster Care/Adoption Services (JustCare® Foster Support: Foster Parent Consultation): Contractor will provide support and behavior management tools to foster parents through its JustCare® Foster Support program. Contractor will focus on improving relational and behavioral problems in the foster family system and will assist foster families with the educational, social and emotional needs in the fostering of traumatized children. Contractor will work to identify and assist foster families in accessing community resources and supports that address the myriad of concerns that are often present in fostering children. a. Capacity for Services: Two (2) to four (4) hours per week dependent upon risk and need factors. Contractor will be available 24 hours per day, seven (7) days per week. b. Goals of Service: i. To provide support, mentorship, coaching and psycho -educational tools for foster families to ensure the safety, well-being, and permanency goals for referred children. ii. Keep children safe within a nurturing environment where they can thrive. iii. Child's first placement is child's last placement. c. Outcomes of Service: i. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: 1. Placement experience, if applicable 2. Service goal achievement 3. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. ii. Foster families and child or youth will have an unshakable bond in which a stable, structured environment exists with the provision of the child's essential needs, including a nurturing and safe household. iii. Identification and formalization of extended kinship and neighbors who can play a supportive role in keeping families safe and intact. iv. Final discharge summary that documents resources. d. Target Population: Foster and group home families in need of support with children ages infant to 17 years of age. e. Service Access: In the home and in Weld County communities. f. Language: i. English and Spanish. ii. Contractor will attempt to hire for different languages, when needed. iii. Translation service, when needed. 3. Home Based Services 1 a. JustCare®Aftercare Services: Contractor will work with the placement agency to focus their services in accordance with the reality of home and community. Contractor will work with the child/youth and family to ensure a smooth transition home. By assisting families to understand issues form the child/youth's perspective, demystify placement language and coordinate and/or supervise visits. Contractor will work with family to develop their strengths and to set appropriate boundaries and supports for their children. Services are provided in the home, school and community, during non-traditional hours, to provide the child and family with guidance, coaching and support for continued success. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills 2 q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Goals of Service: To reduce the reoccurrence of out -of -home placements and recidivism. iv. Capacity for Services: Two (2) to four (4) hours per week of in -home service depending on the risk level of the case and needs of the family. As families progress, service hours decrease. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Families will have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. vi. Target Population: Families with children infant to 17 years of age. vii. Service Access: In home and in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. b. JustCare® Home Based Services: Contractor will utilize a variety of techniques including behavioral management, motivational interviewing techniques, accessing community supports and resources, and case management with a focus on resolving system problems (employment, living conditions, housing, mental health, substance abuse, and education. i. Under this agreement, contractor will: 1. Provide on -call emergency response 24 hours a day, seven (7) days a week. 2. Maintain a 24 -hour maximum response time after receipt of a referral. 3. Provide a family -based, child -focused service model. Contractor will go to the families and delivering services in the home and community. 4. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to avoid future crises. 3 5. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 6. Ensure families have a productive working relationship with a variety of community and kinship supports to sustain positive functioning. ii. Contractor will utilize a variety of methods including evidence -based, cognitive behavioral interventions and motivational interviewing techniques. Contractor will assist families in accessing community supports and resources and provide case management. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Two (2) to four (4) hours per week in -home or in the community depending on need. iv. Goals of Service: 1. To prevent out -of -home placement for children at risk. 2. To decrease risk factors and increase protective factors. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. 2. Contractor will identify and formalize extended kinship and neighbors who can play a decisive role in keeping families safe and intact. 3. Contractor will document all resources in a final aftercare plan and discharge summary. vi. Target Population: Families with children infant to 17 years of age in need of home - based services to avoid out -of -home placement. vii. Service Access: In home and in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. c. STOPP®: Crisis Intervention and Stabilization: A high impact, short-term program designed to meet challenging situations in a child's home that put the child at risk for out -of -home placement. Contractor will work with families, through a proactive approach, to address the issues that need to be resolved to keep the child safe in the home setting and the family well - functioning. Contractor will work to maintain children in their homes by addressing concerns which led to the child welfare referral. i. Under this agreement, Contractor will: 1. Be in the home within three (3) hours. 2. Maintain a high level of response to any family emergency throughout the duration of services, usually 60 days. 3. Conduct a thorough family assessment and establish a goal plan within 72 hours after the initial contact. The goal plan is monitored throughout care and will include: a. Target areas for all family members b. Expectation for all family members 4. Have daily contact with the family and spend six (6) or more hours per week in direct contact with them to build needed skills and help them identify and access community supports. a. Once the family is stabilized, service hours may be reduced. 5. Address life domain issues by using a broad array of professional and other community resources including extended family members, church and friends to form a network of powerful supports. 6. Provide on -call emergency response 24 hours a day, seven (7) days a week. 7. Maintain a 3 -hour maximum response time after receipt of a referral. 8. Provide a family -based, child -focused service model. 5 9. Communicate to the family that the priority is to keep children safe. Contractor will assist families and caregivers in developing the skills and resources to stabilize the situation and avoid future crises. 10. Work creatively and flexibly to assemble the resources and devote the time needed for family success. 11. Ensure families have the tools and support to avoid future crises, including a comprehensive aftercare plan. ii. Direct service provision will be provided as follows: 1. Engagement: Support and encouragement of families to participate as partners in resolving issues that can lead to reoccurrence of out -of -home placement. 2. Planning: Development of goals with input from the family and child, the Department and other agencies involved with the family. Goals will be strength -based and family -focused and will incorporate the family's vision and hope for the future. All plans will be fluid documents and changes the family's needs change. Plans will be comprehensive and address the priority life domains of the child, youth and family which include, but are not limited to: a. Safety b. Emotional well-being c. Family d. Housing e. Education f. Employment g. Cultural h. Spiritual i. Parenting Skills j. Social/fun k. Legal I. Medical/Health m. Finances n. Relationships o. Developmental needs p. Independent living skills q. Substance abuse r. Behavioral issues 3. Implementation: Families will have timely access to an array of services and supports that are well -coordinated, tailored to meet their individual needs, and delivered in the communities in which they live. 4. Transition: Transition to autonomy will occur throughout services, including a shift stabilization to formal services to informal services and supports that will be sustainable after discharge. iii. Capacity for Services: Six (6) or more hours per week dependent up on risk and need factors. Staff are on -call 24 hours a day, seven (7) days per week. iv. Goals of Service: To stabilize high -risk family situations and avoid out -of -home placements. v. Outcomes of Service: 1. Contractor will collect outcome information using a combination of standardized and non -standardize measurements. The following data will be collected: a. Placement experience, if applicable b. Service goal achievement c. Key events a person experienced during services such as a drug screen results, education status, employment, hospitalizations, independent living issues, legal system involvement, and life events. vi. Target Population: Families in crisis with children ages infant to 17. vii. Service Access: In -home or in Weld County communities. viii. Language: 1. English and Spanish. 2. Contractor will attempt to hire for different languages, when needed. 3. Translation service, when needed. 4. Contractor will respond to the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 5. 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 Supervisor (_hainlejd@weldgov.com, 970-400-6210). 6. 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 (hainlejd@weldgov.com, 970-400-6210). 7. 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 (hainlejd@weldgov.com) immediately via email, to discuss service continuation. 8. 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. 7 9. 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. 10. 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. 11. 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. 12. 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. 13. Contractor will notify the Quality Assurance Team Supervisor (hainleid@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. 8 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 $115.00/Hour (JustCare® Foster Support: Foster Parent Consultation) $115.00/Hour (JustCare® Aftercare Services) $115.00/Hour (JustCare® Home -based Services) $125.00/Hour (STOPP®: Crisis Intervention and Stabilization) 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 !Contract Request Entity Information Entity Name* JUSTICEWORKS CO LLC Contract Name* JUSTICEWORKS CO_ LLC Contract Status CTB REVIEW Entity ID* @00040098 ❑ New Entity? Contract ID 2744 Contract Lead* CULLINTA Contract Lead Email cullinta@co_weld.co.us Parent Contract ID 20150707 Requires Board Approval YES Department Project # Contract Description* CONSENT_ NEW AGREEMENT FOR SERVICES. FUNDING: CORE/OTHER_ I ERM: 06101/19-05/31/20. Contract Description 2 BID NO B1900025 Contract Type * AGREE ..1ENT Amount 4 $0 DC Renewable 'DES Automatic Renewal Grant PGA If this is a rene Department HUMAN SERVICES Department Email CM- HumanServices@weldgov.com Departrnent Head Email CM-HumanSeNices- Deptl-lead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email Ctvi COUNTYATTORNEY@ ELD GOV. COM enter previous Contract ID If this is part of a MSA enter MSA Contract ID Requested BDCC Agenda Date* 05/29/2019 Due Date 05/25/2019 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in Onaase Contract Dates Effective Date Termination Notice Period Review Date* 04/01/2020 Committed Delivery Date Renewal Date* 06/01/2020 Expiration Date Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JUDY GRIECO DH Approved Date 06/27/2019 Final Approval BO)CC Approved BOCC Signed Date BO]CC Agenda Date D7103/2019 Originator CULLINTA Contact Type Contact Email Finance Approver CONSENT Contact Phone 1 Contact Phone 2 Purchasing Approved Date 06/27/2019 Hnance Approved Date 06/27/2019 Tyler Ref # AG 070319 Legal Counsel CONSENT Legal Counsel Approved Date 06127.2019 Submit Hello