HomeMy WebLinkAbout20191630.tiffRESOLUTION
RE: APPROVE STANDARD FORM FOR LICENSED CHILD CARE PROVIDER FISCAL
AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF
HUMAN SERVICES AND VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN
AGREEMENTS CONSISTENT WITH SAID FORM
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board sitting as the Weld County Board of Human Services, has been
presented with the Standard Form for Licensed Child Care Provider Fiscal Agreement for
Services between Weld County Department of Human Services, and various providers, and
WHEREAS, after review, the Board deems it advisable to approve the form of said
agreement, a copy of which is attached hereto and incorporated herein by reference and delegate
standing authority to the Chair of the Board of County Commissioners to execute individual
agreements between the Department of Human Services and various providers.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, sitting as the Weld County Board of Human Services, that the Standard Form
for the Licensed Child Care Provider Fiscal Agreement for Services, between the Weld County
Department of Human Services, and various providers, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign any agreements consistent with said form.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 29th day of April, A.D., 2019.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dJ p:�,� EXCUSED
Barbara Kirkmeyer, Chair
Weld County Clerk to the Board
Deputy Clerk
o my '''"orney
Date of signature: 5-2-1ci
Mike Freeman, Pro-
CG•NSil,CAC' VV
VIO/Lq
2019-1630
H R0090
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
Lug
DATE: April 16, 2019
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Department of Human Services' 2019-20 Child
Care Licensed Provider Fiscal Agreement Template
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 2019-20 State Fiscal Year's (SFY) Child Care
Licensed Provider Fiscal Agreement Template. This child care licensed provider fiscal agreement
template is developed and approved by Colorado State's Office of Early Childhood. These fiscal
agreements communicate the performance requirements for each child care provider and outlines the
responsibilities between the providers and Weld County Department of Human Services (WCDIIS). The
fiscal agreement is drafted in the Child Care Automated Tracking System (CHATS) indicating the new
county ceiling rates, identified by the State, for all contracted providers, and then distributed with a cover
letter to each provider for finalization.
I do not recommend a Work Session. I recommend approval for use of this agreement template and
authority for Anna Korthius, Child Care Supervisor, and Tami Grant, Division Head of Employment
Services, to sign said agreements.
Sean P. Conway
Mike Freeman, Pro -Tern
Scott K. James
Barbara Kirkmeyer, Chair
Steve Moreno
Approve
Recommendation Work Session
Schedule
Other/Comments:
2019-1630
Pass -Around Memorandum; April 16, 2019 —Not in CMS Page 1
Licensed Provider Fiscal Agreement
Weld County Department of Social
Services
315 N 11th Ave
Greely, CO 80631
trip
COLORADO
Office of Early Childhood
Department of Kamm Services
le tdicie40
Provider ID: 1668791
CEEN JEFFERSON EHS-CC
Date: 09/11/2018
710 11th AVE STE L90
Greeley, CO 80631
License/Certificate Number: 1668791 Tax ID Number: 279242589
This agreement shall be in effect from 09/12/2018 to 09/12/2021.
This Agreement is entered into and between the Weld County Department of Social
Services, herein referred to as Department and CEEN JEFFERSON EHS-CC, herein
referred to as "Provider", who will provide child care at the following address: 710 11th
AVE STE L90, Greeley, CO 80631.
Provider Agrees to:
1. Maintain a valid child care license as required by Colorado Statute and conform
to all applicable State and Federal Regulations and local law.
2. Comply with the provisions of the Illegal -Aliens -Public -Contract for Services -Act
found at C.R.S Section 8-17.5-101 et. seq. By execution of the agreement,
provider certifies that it does not knowingly employ or contract with an illegal
alien who will perform work under the Agreement and that provider will
participate in either the E -verify program or Department Program in order to
confirm eligibility of all employees who are newly hired for employment to
perform work under the agreement.
3. Acknowledge that the county will use the State system of record related to
provider's license being revoked, suspended, denied or placed on probation and
will take appropriate action to recover any payments made as of the effective
date of closure.
4. Sign the child care fiscal agreement and all other county or state required forms
5. Allow parents or adult caretakers immediate access to the child(ren) in care.
6. Accept referrals for child care without discrimination in regard to race, color,
national origin, age, sex, religion, or physical, intellectual or mental handicap.
7. Provide children with adequate food, shelter and rest.
8. Ensure that care is provided only by authorized person or business listed above,
Provide care for children under this agreement only if authorized by the
Department.
Correspondence ID : 20019754 Page 1 of 8
9. Collect the full parent fee due in the month of care each month from parent/adult
caretaker in accordance with, and not to exceed, the amount on the most current
Child Care Authorization. Report (via fax, email or mail) non-payment of parent
fee or failure to make satisfactory arrangements to pay the fee no later than sixty
(60) calendar days after the end of the month the parent fees are due (unless
county policy requires earlier). County will not take action on report of unpaid
parent fees if it is outside the required reporting time frame.10.Shall offer free
age appropriate alternatives to voluntary activities. Shall not charge parents
rates in excess of the rates in this agreement (including registration, activity and
transportation fees as set by the Department policy). The rate in the fiscal
agreement is the maximum allowable rate of reimbursement for the care
provided and includes any portion for which the parent or adult caretaker is
responsible. Providers may not receive payments for days in which they were
not open or available for use.
11.Notify the Department if a child is no longer in your facility (for reason other than
termination by the Department) within 1 working day.
12. Maintain as strictly confidential all information concerning children and their
families. Use the CDHs Attendance Tracking System as instructed and maintain
principles of confidential access. Child care providers shall not hold, transfer or
use an adult caretaker or teen parent's individual attendance credentials. If
intentional misuse is founded by any county or state agency, the child care
provider will be subject to fiscal agreement termination.
13. Protect children from abuse/neglect and report any suspected child abuse and
neglect to the Department.
14. Manual bills are only accepted under certain rare circumstances or exceptions
for preapproved providers not reimbursed automatically based on approved ATS
transactions. Bill the department on the State prescribed manual claim form for
authorized services provided. County policy may require submission of
attendance records and additional requirements to support requests for manual
payment. Forfeit payment for services when the original manual claim form is
submitted to the Department more than sixty (60) days following the month of
care. Forfeit payment if care could have been paid through the automated
process.
15. Maintain daily attendance records in accordance with Division of Early Care and
Learning licensing rule, payment records, and fee collection records for a
minimum of three (3) years plus current and make these records available upon
request to county, state and federal officials. Allow county and/or licensing staff
the authority to inspect the provider's facility for the presence of CCAP individual
attendance credentials or other fraudulent or suspicious billing information. Upon
discovery of these materials Violations will be reported to CDHS licensing staff
and county CCAP and will result in provider being subject to termination of this
fiscal agreement.
16. Hold the Colorado Department of Human Services, the State of Colorado and
the County Department of Social/Human Services harmless for any loss or
actions caused by the performance of this Agreement.
Correspondence ID : 20019754 Page 2 of 8
17. Attach a copy of your current charge policies on rates, transportation, activity,
registration fees, payment policies and all policies distributed to parent or adult
caretakers. These rates cannot be more than rates the provider charges to the
public. Allowable rates and other associated charges shall be in accordance with
State Rules for the Colorado Child Care Assistance Program. The provider
acknowledges that the rates will be paid and amended based on the provider's
Colorado Shines Quality level to pay either the county rate limit per tier or the
provider's private pay rate, whichever is less, taking into account the County
Policy for Higher Quality Provider reimbursement. Amendments based on
changes in quality level will become effective in a month following the officially
reported change. A copy of the change will be provided to provider from the
county. The Department has the approved tiered rate maximums based on the
Colorado Shines Quality Ratings attached.
Provider Rights:
When a provider contends that the county has not made adequate payment based on
program rules for care provided, the provider has the right to an informal conference
with county staff pursuant to 9 CCR 2503-9 at Section 3.910, (D).
• Providers may request a conference in writing within 15 days of the date of the
action.
• Provider request should be addressed to the county director of the County
Department of Social/Human Services responsible for the action.
• Provider may request that state program staff participate in the conference. That
participation may be by telephone conference,
• The conference shall be held within 15 days of the request for conference.
• The purpose of the conference will be limited to discussion of the payments in
dispute and the relevant rules regarding payment.
• The final decision of the county shall be mailed to the provider within 15 days of
the conference date.
A provider may request an informal conference if s/he disputes the termination of a
fiscal agreement.
• Providers may request a conference in writing within 15 days of the date of the
action.
• Provider request should be addressed to the county director of the County
Department of Social/Human Services responsible for the action.
• The conference shall be held within 15 days of the request for conference.
• The purpose of the conference will be limited to discussion of termination of
agreement pursuant to 9 CCR 2503-9 at Section 3.914.1, (H).
• The final decision of the county shall be mailed to the provider within 15 days of
the conference date.
Department Agrees to:
Correspondence ID : 20019754 Page 3 of 8
1. Reimburse the provider for authorized child care in accordance with Colorado
Child Care Assistance Program rules. Payment to the licensed provider is the total
cost of authorized care based on rates set by this Agreement minus the parental
fee.
2. Determine client's eligibility for child care services within 30 days of the application
date.
3. Send notices to the provider of changes in parental fees, authorized amount of
care, added or deleted children, and other changes to child care arrangements.
4. Send Child Care Authorization notices (or make them available electronically) to
the provider within 7 business days of county's initial approval or prior to making
any changes in eligibility of each child.
5. Provide an informal conference within 2 weeks of the provider's written request to
discuss the basis for any denial or termination of this agreement or to discuss any
payment dispute.
6. Will provide a written notice of the results of the informal conference within 15
days of the conference date.
7. Provide access to the most recent CCAP Rules and information at www.
coloradoofficeofearlychildhood.com
Either party may terminate this Agreement by giving the other party 30 days' notice by
registered mail. This Agreement may be terminated without advance notice if a child's
health or safety is endangered or if the provider is under a negative licensing action.
The provider may request an informal conference to discuss the basis of any
termination or denial of this agreement by submitting that request in writing within 15
days of the action.
By signing this agreement, the provider acknowledges receipt of information regarding
the rules and policies of the Colorado Child Care Assistance Program. The effective
date of this contract is the date that the county receives and signs the fiscal agreement.
The provider shall receive a copy of the signed fiscal agreement. Violation of the terms
of this agreement may be determined a violation of the Colorado Child Care Assistance
Program.
Correspondence ID : 20019754 Page 4 of 8
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Authorized Representative
Date
Authorized Representative
Date
Mailing Address
Address
City, State Zip
Phone Number
City, State Zip
Phone Number
Sincerely,
Judith Bush
970-352-1551
Correspondence ID : 20019754
Page 5 of 8
County Ceiling Rates
FT Ceiling Rates:CEN
(PT = 55% of FT rates, FT/PT = 155% of FT Rates, FT/FT = 200% of FT Rates)
Tier 1
Tier 2
Tier 3
Tier 4
Tier 5
Regular 0-6 Months
37.09
38.94
41.85
46.93
46.93
Regular 6-12 Months
37.09
38.94
41.85
46.93
46.93
Regular 12-18 Months
37.09
38.94
41.85
48.45
48.45
Regular 18-24 Months
34.54
36.22
41.85
50.33
50.33
Regular 24-30 Months
34.54
36.22
37.98
40.98
41.78
Regular 30-36 Months
34.54
36.22
37.98
39.83
41.78
Regular 36- School Age
30.29
31.66
33.13
37.73
37.73
Regular School Age
34.39
34.39
41.82
42.87
42.87
Evening 0-6 Months
55.64
58.41
62.78
70.40
70.40
Evening 6-12 Months
55.64
58.41
62.78
70.40
70.40
Evening 12-18 Months
55.64
58.41
62.78
72.68
72.68
Evening 18-24 Months
51.81
54.33
62.78
75.50
75.50
Evening 24-30 Months
51.81
54.33
56.97
61.47
62.67
Evening 30-36 Months
51.81
54.33
56.97
59.75
62.67
Correspondence ID : 20019754
Page 6 of 8
Evening 36- School Age
45.44
47.49
49.70
56.60
56.60
Evening School Age
51.59
51.59
62.73
64.31
64.31
Disability 0-6 Months
74.18
77.88
83.70
93.86
93.86
Disability 6-12 Months
74.18
77.88
83.70
93.86
93.86
Disability 12-18 Months
74.18
77.88
83.70
96.90
96.90
Disability 18-24 Months
69.08
72.44
83.70
100.66
100.66
Disability 24-30 Months
69.08
72.44
75.96
81.96
83.56
Disability 30-36 Months
69.08
72.44
75.96
79.66
83.56
Disability 36- School Age
60.58
63.32
66.26
75.46
75.46
Disability School Age
68.78
68.78
83.64
85.74
85.74
Weekend 0-6 Months
55.64
58.41
62.78
70.40
70.40
Weekend 6-12 Months
55.64
58.41
62.78
70.40
70.40
Weekend 12-18 Months
55.64
58.41
62.78
72.68
72.68
Weekend 18-24 Months
51.81
54.33
62.78
75.50
75.50
Weekend 24-30 Months
51.81
54.33
56.97
61.47
62.67
Weekend 30-36 Months
51.81
54.33
56.97
59.75
62.67
Weekend 36- School Age
45.44
47.49
49.70
56.60
56.60
Correspondence ID : 20019754
Page 7 of 8
Weekend School Age
51.59
51.59
62.73
64.31
64.31
Overnight 0-6 Months
55.64
58.41
62.78
70.40
70.40
Overnight 6-12 Months
55.64
58.41
62.78
70.40
70.40
Overnight 12-18 Months
55.64
58.41
62.78
72.68
72.68
Overnight 18-24 Months
51.81
54.33
62.78
75.50
75.50
Overnight 24-30 Months
51.81
54.33
56.97
61.47
62.67
Overnight 30-36 Months
51.81
54.33
56.97
61.47
62.67
Overnight 36- School Age
45.44
47.49
49.70
56.60
56.60
Overnight School Age
51.59
51.59
62.73
64.31
64.31
RAT FEE
Amount
Frequency
Transportation Fee
0.00
Yearly
Registration Fee
0.00
Yearly
Activity Fee
0.00
Yearly
Correspondence ID : 20019754
Page 8 of 8
Notification of Amendment to Fiscal Agreement Rates
Weld County Department of Social
Services
315 N 11th Ave
Greely, CO 80631
p Ito 00,12;414ephon ibAge
CEEN JEFFERSON EHS-CC
710 11th AVE STE L90
Greeley, CO 80631
COLORADO
Office of Early Childhood
Department of Human Services 4
Provider ID: 1668791
Date: 09/11/2018
This Amendment between the Weld County Department of Social Services, herein
referred to as "Department" and CEEN JEFFERSON EHS-CC, herein referred to as
"Provider", who will provide child care at 710 11th AVE STE L90, Greeley, CO 80631 is
made to amend the Fiscal Agreement entered into by these parties effective the
09/12/2018 and incorporated herein by reference. This amendment is in effect as of
09/12/2018 and remains in effect until the termination of the above -referenced Fiscal
Agreement.
The Child Care Assistance Program rates to be paid to the provider are amended
to be as follows:
Per the provisions of House Bill 14-1317, State and County reimbursement rates must
include a system of tiered reimbursement for child care providers based on Colorado
Shines Quality Rating.
See County Rate Reimbursement Chart/Page two of your current fiscal agreement
Rate Information:
Rates have been amended based on the provider's Colorado Shines Quality Level to
pay either the county rate limit or the provider's private pay, whichever is less. The
County reimbursement Chart (attached to your current fiscal agreement) has been
compared to the Provider's Private Pay rate sheet on file with current fiscal agreement.
The amended rates are listed below.
Correspondence ID : 20019792
Page 1 of 4
Provider Private Pay Rates
PT
FT
FTPT
FTFT
Regular 0-6 Months
$30.78
$55.96
$0.00
$0.00
Regular 6-12 Months' i • 1
28.56
$51.93- ,
$0.00
$0.00
Regular 12-18 dnths
9.40 t
$53.45
$0.00
$0.00
Regular 18-24 Months
$30.43
$55.33
$0.00
$0.00
Regular 24-30 Months
$25.37
$46.13
$0.00
$0.00
Regular 30-36 Months
$25.37
$46.13
$0.00
$0.00
Regular 36- School Age
$0.00
$0.00
$0.00
$0.00
Regular School Age
$0.00
$0.00
$0.00
$0.00
Disability 0-6 Months
$61.56
$111.92
$0.00
$0.00
Disability 6-12 Months
$57.12
$103.86
$0.00
$0.00
Disability 12-18 Months
$58.80
$106.90
$0.00
$0.00
Disability 18-24 Months
$60.86
$110.66
$0.00
$0.00
Disability 24-30 Months
$50.74
$92.26
$0.00
$0.00
Disability 30-36 Months
$50.74
$92.26
$0.00
$0.00
Disability 36- School Age
$0.00
$0.00
$0.00
$0.00
Disability School Age
$0.00
$0.00
$0.00
$0.00
Fiscal Agreement Rates
Effective: 09/12/2018
Quality Rating :Level 4
PT
FT
FTPT
FTFT
Regular 0-6 Months
$25.81
$46.93
$0.00
$0.00
Correspondence ID : 20019792
Page 2 of 4
Regular 6-12 Months
$25.81
$46.93
$0.00
$0.00
Regular 12-18 Months
$26.65
$48.45
$0.00
$0.00
Regular 18-24 Months
$27.68
$50.33
$0.00
$0.00
Regular 24-30 Months
$22.54
$40.98
$0.00
$0.00
Regular 30-36 Months
$21.91
$39.83
$0.00
$0.00
Regular 36- School Age
$0.00
$0.00
$0.00
$0.00
Regular School Age
$0.00
$0.00
$0.00
$0.00
Disability 0-6 Months
$51.62
$93.86
$0.00
$0.00
Disability 6-12 Months
$51.62
$93.86
$0.00
$0.00
Disability 12-18 Months
$53.30
$96.90
$0.00
$0.00
Disability 18-24 Months
$55.36
$100.66
$0.00
$0.00
Disability 24-30 Months
$45.08
$81.96
$0.00
$0.00
Disability 30-36 Months
$43.81
$79.66
$0.00
$0.00
Disability 36- School Age
$0.00
$0.00
$0.00
$0.00
Disability School Age
$0.00
$0.00
$0.00
$0.00
Amount
Frequency
Transportation Fee
$0.00
Yearly
Registration Fee
$0.00
Yearly
Activity Fee
$0.00
Yearly
Correspondence ID : 20019792
Page 3 of 4
Sincerely,
Judith Bush
970-352-1551
Correspondence ID : 20019792 Page 4 of 4
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