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Home My WebLink About20181092.tiffRESOLUTION RE: APPROVE INDIVIDUAL PROVIDER CONTRACT FOR PURCHASE OF FOSTER CARE SERVICES IN A FOSTER CARE HOME AND AUTHORIZE CHAIR TO SIGN - JEFF TAYLOR AND ALEX SILVA WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Individual Provider Contract for Purchase of Foster Care Services in a Foster Care Home between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Jeff Taylor and Alex Silva, commencing February 23, 2018, and ending June 30, 2018, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Individual Provider Contract for Foster Care Services in a Foster Care Home between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Jeff Taylor and Alex Silva, be and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 4th day of April, A.D., 2018, nunc pro tunc February 23, 2018. BOARD OF COUNTY COMMISSIONERS WELD f OUNTY, COLORADO ATTEST: dithev St Weld County Clerk to the Board Deputy Clerk to the B Attorney Date of signature: 04/44 -/Ii? ve Moreno, Chair arbara Kirkmeye , Pro-Tem Sean P. Conway Mike Freeman 4- .20 -/ 2018-1092 HR0089 /1°" PRIVILEGED AND CONFIDENTIAL EMORANDU DATE: March 5, 2018 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Weld County Department of Human Services' Individual Provider Contract for Foster Care Services 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 Individual Provider Contract for Purpose of Foster Care Services. The major provisions of this contract are: CMS ID 1706 Provider/Term Facility Type/Location Taylor, Jeff and Silva, Alexander County Foster Care February 23, 2018 -June 30, 2018 Greeley, CO 80634 I do not recommend a Work Session. I recommend approval of this Contract. Approve Schedule Recommendation Work Session Sean P. Conway Julie A. Cozad, Mike Freeman Barbara Kirkmeyer, Pro -tern Steve Moreno, Chair Pass -Around Memorandum; March 5, 2018 - CMS 1706 Daily Rate Negotiated based on needs of child(ren) Other/Comments: 2018-1092 Page 1 p NT'T PURCI4A0. OP Msrett CARE SERVICES, ft4 A POSTMCARE HOME l fila * T eitENT,Inade thi dated T 0/ 1� t of Human cos :p 0. BoxA, Greeley.,, 1 3 herelna '`..`. Street. Greelsy; 7 $,0 6341i# by and between the'Wel Departmeptand tbvitter. 2. T i O ct and AgreementattiIf be 'effective from Febr ar 4 2018 if a and coi.n force un 1r 'une 3o, 2018 pt t ilt a`f eility certificate is -rev . Or a irrendered. Thisvotafratcf and agreem t may be renewed at any time during the ter rh 1'Ethe valid facility a r t This contract antragroierpont tin l etiF' of firrftaersedes ail prior purchase corttracetweert theiparties hereto and rotating to the-servites herein' described. I The FPlrwider holds a valid cettificateea 4! Foster Care Home or 0 Kinship Foster Care Home (check applicable b1an'I ji. Such certification standards. Shall be mainfatned during the term herd` T e flOAder has read and is fully fahtliwith the "Rifles Regulating Foe1r Care liOtriet7 iS4uk; 4y the OoloadecOeieemedt,Of Human Services. 4: 'The C unfit' peRd t m4, but shall not be pblig#ted tt pW hase foster pans hatriesehzDa The County ©epartm er by duly authorized=gent may quest such services tg beFOOVItilagttO any wild or youth at any time within the limits of the certificate and without prior ndti.ce At such time -or as as possible after the acceptance of a child or youth for se ioeis, the County Department and tl ; r well d e ft' foster care placement of each chile' or youth in writing ©i1 therequired fOn'rti which shall beccele ttn'ed ndurrtito ttfs contract, atiefeet,teall thezterft and conditioris'hereof, '5, Thil forma of this Agreement are 444.fehldrrh integral parts of this Tefertglict the terms recited in this. do ct.ariaent ar ibit A arid dend04'1 and ?, nt. Exhibit A and, Addendum 1 and 2 are specifically incorporated herein t'la The ProVidOrtgf 1. To furnislT forte nate serve'sterOjitole, children and youth at the Stier i r bated cei the individua of ti1d Q youth rates rttgeted betteiteh tijastaounty department and ttro provide,. r (To safety ,provide t 24 -hour i f re OW supervision of each CFi td or= your until renewed or untie the agreement lere a *,d;, S. To accept a child er youth, onlyvith the approval of the certifying agency; 4. TO cooperate full with the County w r u ltt th e'lo t: af. FFl P y tyt�partmentor its representatives, ariid parts �, Service Plane -for a child or youth Iii placement, including visits with tt it parents, anotherfosteer care facility; S. To maintain approved standards of care akset°bythe l' )&06 Department OfHuman Services; 8.: To maintain the mirifiderttiality of tri`forrnetlon sharedabbot the child or youth and his/her family; 7. •lot to accept money frrt1!iu,parent&aor guardians, 8: .ottit to make any independent agreefftent'with Orents or 9ui iii , a.. Kato release the child, sir yoult-taaroyone,Wftut prior autt'VtiZittidn from the County Department; 10. To allow representatives Of the County C71eparthaeri%to visit tfre fOstar care home and to meet with the CNN youth at any reasonable time, inclut ingscheduled and unscheduled visits and, 11. To give the County Departmeh a;,304day notice, except in an emergency, to remove a Child or youth fcir placement elsewhere, and to work with the County Department as rMAIlasted to prepare the child Oryouth ter andlikat pterelrilent 1575 Sherrman Street, 2nd Floor, Denver, CO BOZO P.O3,666-59n F 363-86615:536 www.colorado.gov/cdhs 1 John W. Hickenlooper,E.GOvernor I Reggie Bicha, Executive Director ,4B /I- /0 ?-2, 12. To provide transportation tothe child or youth. Theamount of transportation to be provided will be agreed upon at placement and maybe changed upon mutual agreement of the provider and the County Department, as recorded in the Family Service Plan, Transportation must be provided or arranged: a For -professional services and/or for school ttendance When necessary; and, tr. Forcha`idren or youth to participate in age or developmentally appropriate extracurricular, enrichment, itural, and social adivides 13. To report prompttyr to the County Department a. Any unplanned absence of ?the child oryouth from provider's care; b:. Any major illness of the child Or youth; c. Any serious injury to the child or youth; O. Any significant change in the Sleeping arrangement for the child or youth; e. Any contemplated chime°tit address or changeof members; f Any conflict the child or youth may have with law enforcement, .SchO Jlschool district staff, or other persons in authority; g. Any emergency; h. Any pertinent discussion with parents or guardians about the child or youth or supervising agency; and,; i. Any information received regarding, a change4f address of the parents or guardians. 14. To comply with the Civil Rights Act of 1964, Section 504, Rehabilitation Act of 1973, and the ADA, of 199,4, concerning discrimination on the basis of rte, color, sex, age sexual orientation, expression, or identity, religion, political beliefs,, national origin, or handicapping condition. 15. Tocomplete pre -service training prior to the placement of a child or youth. 16. TO annually: a. •Update the Training Development Plan with the County Department; b. Complete ongoing, quality, and relevant training that will build competencies to meet the needs of the ohlldren and youth served in the foster care home as requited by the Colorado Department of Human , erviees regulations; and, c. Obtain certification to use and apply the reasonable and prudent parent standard for each child or youth served in the foster cans home. 17. To attend semi-annual Administrative Reviews for a child or youth in placement. 18. To be knowledgeable of, and comply with the "Rules Regulating Foster Care: Homes" and the "General Rules for Child Care Facilities; 19. Not to enter into any, subort#inate subcontract hereunder, 20. TO keep required and necessary records for audit/reviewpurposes by state and; federal personnel. These ref:rata shall document the type of care and 'tes that care is providedfor each child or youth. In addition, medical, educational, and progress summary records shall be Maintained for each child or youth in accordance with Volume 1 requirements. 21. To complete or schedule a medical examination for the child or youth within 14 days after initial placement and.a dental the CountyDepartment; The County Department agrees: 1. To share all available information about the child or youth, including relevant social, medical and educational history, behavior problems, court involvement, parental, sibling and relative visits plans, and other spec fc r.haracterisii of the child or youth, with the provider before placement and to share additional information when obtained while the child or youth is in placement. 2. To inter) th'e provider of expectations regarding the care of the child or youth, such as meeting medical needs, visitation,; spacial psychological needs, trauma and other grief/loss issues, and the child's or youth's identifcationwith his/herfarnily; 3. To give the provider the written admission record of the child or youth to the foster care home at the time of placement; 4. To give the provider a, written procedure or authorization for obtaining medical care for the child -or youth; 5. To involve the provider in family serv-ice planning for the child or -youth; as a member of treatment team; e. To give the provider a copy of the Family Service Plan, as it pertains to their expectations for meeting the needs of the child or youth in the foster care home, at the time of placement or when it is completed following placement; 2 157.5 Sherman Street, Znd Floor, Denver, CO 88203 P 303-866-5932 F 303.866.5536 www.colorado.gov/oohs John W. Hickenlooper, Governor I Reggie Bicha, Executive Director 7. To give at least a 30 -day notice of plans to remove a child or youth from the foster care home. The 30 -day notice may be waived by mutual consent to allow and permit immediate removal of a child or youth for placement elsewhere,or without such waiver in the event of an emergency. An emergency is defined as any situation in which a provider's inability to provide services threatens the health, safety or welfare of a child or youth. 8. To pay the provider at the rates established by the Colorado Department of Human Services or as authorized and negotiated between the provider and the County Department a. Payment shall be made by electronic banking transfers (EBT) drawn by the duly authorized county officer; and, b. Provider shall, notify the County Department of any payment or billing dispute within 80 days of the month when service was provided. Failure to do so will result in forfeiture of the payment. The Provider understands that, pursuant to the Colorado Department of Human Services' Rules for the General Reimbursement for Child Welfare Serves, when reimbursement is warranted current and (2) preceding months. 9. To provide or arrange through statewide contracted training, a minimum of twelve hours of core pre -service trail for foster care homes and 15 hours of pre -service training directed at the needs of the child or youth to be served in the foster care home. 10, To annually complete the following: a. Update the Training Development Plan with the provider; b. Provide or make available quality and relevant training for each foster parent that will build competencies to meet the needs of the children and youth served in the foster care home; c. Provide training that prepares each foster parent to use and apply the reasonable and prudent parent standard; and, d. Pursuant to the Colorado Department of Human Services' Rules Regulating Family Foster Care Homes, document that the provider is trained in, and can use and apply the reasonable and prudent parent standard for each child or youth placed in the foster care home. 11. The County Department is responsible for providing information on county specific procedures. 12. To invite the provider to Administrative Reviews for each child or youth in placement. 13. To incorporate provider information in planning for the child or youth placed in the foster care home. 14. To assure that the service described herein has been accomplished and a record made thereof on a case by case basis. 15. To provide notice of court hearings for each child or youth placed in the foster care home. ign/C4- l 1At1os ature 2/ZdrB Date WHEREFORE, the parties have herein set their hands and affixed their seals the day and date first written above. _COUNTY; ATTEb Wel • o 1 Clerk to By: V. T.‘ Provider (type or print) Ne)L S,\voh Provider (type or print) BOARD OF COUNTY COMMISSIONERS WELD OUNTY, COLORADO eve Moreno, Chair APR 0 4 2016 Signature S 1 8 zJzSt g Date 3 1575 Sherman Street, 2nd Floor, Denver, CO 80203 P 303.866-5932 F 303-866-5536 www.colorado.gov/cdhs John W. Hickenlooper, Governor I Reggie Bicha, Executive Director Agreement; ter Care Fa Thefiello ring additional provisions applyto the agreement entitled, individual Purpa ,ef.Foster Care Services and Foi ter Care Facility Agreement,' herein "Peerp!t:y j',and « Agenoys, herein er referred to as, "Contractor."" GENERAL, PR©YIStONS, 1. .Each party shall have the right tot grrriina e this Agreement by giving the other party written notice received at least thirty f30) days pr sr to the intended date of termination. If notice is so given, this Agreement Shall tientinate upon the e*piration of thirty (341 days, or until the eligible chiid(ren) may be placed felsewhere, whichever occurs first, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease: however, the parties shall, not be released from the dutytto perform their obligations up totedete of termination. This prevision does net affect removal of a child in an emergency situation, 2. Contractoragret that C antractor ie ata t dependent contractorannd that ner C'ontracter riet Contra is iiOnts>or. employees are, *shall be deemed to be, agents or emptOrete of the County for any purpose. Contractor shalt have he a torization, express or irnpliegt, to bind the County to any agreement, liability, or understanding; The parties agree that Contractor will not become an eimPloyee of County, nor is Contractor entitled to any employee benefits from County as a residue f the execution of this Aiyeefinent. Contractor shall be solely and rely responsible for its acts Or of any agent, employee, Serlents and sub -contractors during'the performance of this Agreement. 3. Payment pufsuant to..this Agreement, if in State of Colorado, c- nty% or f lfurtds; whether in Whole or in part, is Subject to and contingent upon the contintir`i0f Colorado, county, and federal funds :f it the purpose:thereof. 4. This Amendment is intended to be applied in conjunction with: attached Agreement and the Needs Based CareAddendum as the complete integration of all understandings between the parties. No prior orcentempora'neous addition, deletion or otheramendmerrt.hereto shall hazfeany fair, or affect whatsoever, unless embodied herein, in wr ting. No subsequent notation renewal: addition, deletion, or other amendment hereto shall have any force or effect unless embodied as a part of this written Agreement. This section Shall not be, construes as prohibiting the periodic amending of this ALreerne"nt or the Needs Based Care Addendum in -1001g, ifiagreadfe by both parties; The Agreement".; this Exhibit A and the Needs Based Care Adderidlirnare intended to be in lieu of and superSekeail prior agreements between the, parties heretS'argilrelating to the care and services herein descirlied, 5. The State of Colorado Department Of Human Services and the County shall be and hereby fa permitted to intinitor the service program, fiscal and other records sufficiently to assure the purchase of services, in this; Agreement arse vaned out for the benefit of the aferementionedo jfd or° youth Monitoring may occur through review ref program reports, onsite visits where applicable and other Agreements as deemed flecessary. Conti r understands that, the State Department and the County may provide consultation to Contractor tb neelire-,satin ory ;performance in the provision of purchased services under this Agreement. County Shall .have access to Contractor's service program, Martial and batter records, WhiehWili sufficiently and properly reflect all direct and indirect costs of any nature i mired in the performance of Ott Agreement for purposes of audit. Such records shall be complete and available for audit 90 days after final payment hereunder and'Shall be retained and ava ladle`fbr audit purposes for at least five years after Mal payment hereunder. Tin1e is of the essence in each and all of the provisions Of this Agreement. Neither party to this Agreement shall be liable to the other for delays in delivery or f Si,hibit A ()Abe CWS-7A 4 deliver or othenaise4a perform anyobligation Under this Agreement, where such failure is deee to any Oboe beyond itsitareasonaale control, including but not limited to Acts of God, fires, Strikes,, wet, flood, earthquakes or Governmental actions. Any notice redijireci to be given under this Agre: t SW be in waiting and shall. bemelled or delivered to the other party at that pate's address ae stated in this Agreement. 10. This Agreernent is nonexclusive and County may engage or use other contractors, Or personate perforrrr services of the same or similar nature. 11. Contractor certifies, warrants, and agrees that It does not knowingly employ or cpnti fit With an illegal alien who will p.crforrn work under this contract, COMM? WM oanfrrn the employment eligibility. of all employees who are newly.l iced for empJoy1t tithe United States tb'Wean work under this Agreement, through participation in the E-Vellfy pr :ism or the State of COlorado program establistted pursuant to C.R.S. §8.17.5.1Q2(5)(c). Coftraetar a°hall not knowing employ or contract :with an illegal alien to perform work ;urtder this Agreement or enter into a contract with a subcontractor. that fails to certify with Ct rttracter that the subcorltraotor shall not knowinigly employ or contract with an illegal alien to perform work under this Agree ant (orttra0tra. r shall not use E -Verify Program or State of Colorado program prures to undertake pre -employment screening or job applicants while this Agreer rt b• being performed If contractor obtains actual knowledge that a subcontractor performingpesibrMing word under the public. contract fpr services, knowingly employs or contracts with an illegal alien Cottitmctor shall notify tires subcontractor and County within three (3) days that COftbIrttdi 'has actual krieWleage that .a subtontraotor r employing or contracting with an illegal., alien ann Shill teMaruste the subco, ritraet if a subcontractor does not stop employing or contracting With the ill al efi'en Within three (3) days of receiving roam Contractor shall not terminate the =tit if within three days the subcontractor provides information to establish that the sdbcoritrot hat not knowingly employed or contracted with an illegal alien.' Contractor )1 comply With ► sonable. requests made in the course of an investigation, urndert en pigiant to C.R _. §8-17.5-102(5); by the Colorado Department of -tabor- and Employment. If Contractor partifpate s in the State of Colorado program, Contract Professional shall, within twenty days after hiring an new employee to perform work under the contract affirm that Contr-actor.has exatillned the legal work status Of such employee, retained file copies of the,documents, and not aftere t or falsified the identlfiagron dbouments for such employees. Contra:Dar shall deliver to County., a Written notarized affirm tipn 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..5-1Q'i et seq., County,. may terminate this Agreement; for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. Except where, exempted by federal law and except as provided in C.R..S: 24- 5; 1O'3R1 I€ Contractor receives federal or state fund8 under the contract, Vontfactor Must confirm that any individual natural person eighteen (1e) years of age or older is lawfully pr ,e t In the Unitad States pursuant at C<°R S. § -rs,-1O3(4;), if such individual applieslor public benefits przoilge0 Under tie contract if Contractor operates es a sole proprietor, Ott :foamy Sweats orliftithWtinder. penalty of perjury that it; (a) is a citizen of the United States or is otherwise lawfully prey "t r the United States pursuant to federal law, (b) Shall produce one Of the forms of identification tet1,lC d. by C.PA. § 24-76.5-101, et seq., and (o) shall produce oneof the forms of Identification m jaired by C. R,-8. § 24-76.5403 prior to the eff tive date of the contract. 12. Contractor assures and certifies that it and its principals: A. Are not presently debarred, suspended, proposed for debarment:, and declared ineligible or voluntarily excluded from covered trariaact'ifint3. by a federal department orageridy. Have not, within a three-year period of preceding this Agreement', been convicted of or had a civil judgment rendered against them for commission of fraud or acriminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a 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; C. 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 paragraph (B) above. Exhibit A o the CWS-7A 5 Revised 6/2016 D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 13. In addition to terminating this Agreement, in accordance with the provisions of this Agreement and Exhibit A, County may exercise the following remedial actions if the County finds and determines that the Contractor has substantially failed to satisfy the duties found in this Agreement, Exhibit A or the Needs s Based Care Addendum. 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 include, but are not limited to, any one or more of the following: A. Withhold payment to Contractor until the necessary services or corrections in performance are satisfactorily completed. B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by Contractor cannot be performed or if performed would be of no value to County. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to County. C. Recover from Contractor any incorrect payment to Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement, or other agreements between County and Contractor, or as a debt to County, or otherwise as provided by law. 14. 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 or their assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 15. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 16. Contractor shall promptly notify County in theevent in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The 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 County Director. The term "litigation" includes an assignment for the benefit. of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. 17. This Agreement and the provision of services hereunder shall be subject to the laws of Cold and be in accordance with the policies, procedures, and practices of County. Contractor shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established. 18. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 19. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Addendum 1 shall be used to determine the Child Maintenance and Medical Needs, if applicable, for each child placed with Contractor unless otherwise negotiated and approved by the County. 20. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for the Child Maintenance level of service, as indicated by the Needs Based Care Rate Table, designated as Addendum 2, for children placed within the Exhibit A o the CWS-7A 6 Revised 6/2016 Weld County Certified Foster Care= Home identifiedee provider ID#: 1712176. These s - be for children whe have been deemed eligible for seOef services under the statutes, rule regulatle;ns cif re State of Colorado. Ailr.bett held authorizations and payments are subject to.a 7 day maximum for a childs; aotta fi rn a facility, including:. hospitalization. Be l'11p1d requests must have prio a ret ttonl Nap- D.epallmentAdministrator b1:fora (payment will be release to Con, AnyaddltlanethOWOredecialized services, which may include but are not limited to; Co -pays, deductibles, orin not covered by Medicaid, will need to be authorized, in writing by the Department Admitistia 1-, prior to the service being performed. Any payment for special,, service* not authorizes in writing may be denied. ' tl relhibt.neeMent requests shall: Se ambrnitted it a format approved by the County. Ifsclbniitted in an unapproved twat err inadequate documentation is provided, the County reserves the right to denyli't Be submitted by the 4th of each month following the month of service. If the reimburseient request is not submitted within twenty-five (25) calendar days of the month feing service, it may result in forfeiture of payment. . Placement service reimbursement shall be paid from the date of placement U to, but not. including the day of discharge. Transportation reimbursement shall be for visitation purposes only. if Medical trariaPiartteaen is needed, Contractor will arrange reimbursement through Medicaid. Art tither special requests for transportation reimbursement shall require prior approval I* be Resource Manager or the Department Administrator. E.ng allowance reimbursement shall beapprmd and reimbursed as indicated on the t liithir g allowance form accessed through, the •P' ler Parents Database On-line System (MOP'S). 24. It rs agreed that if, after investigation, it is shown that reasonable care was given to guard and .pr"gtebt personal items brought to Contractor by the children, Contractor shall be released from respdnsibility for loss or damage to such personal items. CONTRACTORSHALL: 1. Confe rrn with and abide by all rules and regulations of the Colorado [ partment of litirnt SerViCeS, the Colorado Department of Health Care Policy and Financing (if appropriate), the State of Ctrado and any applicable federal laws and regulations, as such, which my be amended from time to tinge, and Shall be binding on Contractor and control any disputes in thisAgr ement. 2. Not Charge any fees to children or families of children referred by County for any se provided under this Agreement. 3. Notdesign the obligations udder this Agreementtsor enter into any sub -Agreement wiiheerthe express written approval of the Director of the County Department or his/her appointed dei*gtee. 4. Maintain at all times during the term of this Agreement a liability insurance policy of at least $2'5,000 for property damage liability, $150,000 for injury and/or damage to any one person, and $500,000 for total injuries arising from any one accident. Contractor shall provide a certificate of insurance provided by its insurer upon request by County. 5. Indemnify the County against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this Agreement or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. Exhibit A the CWS4A 7 Revised 6/2016 Attend or participate in Ice Breaker, Family En a errient or Team Deelsiori inakIng requested by the Department. County staff shall notify the Contractor of the dates and tit % attendance IS requested. Request a staffing if considering giving notice to remove a child, except in emergency situations. These requests shall be made through the child's caseworker and/or the Contractor's FoSterCara, Coordinator. 8. Actively paiffiCipate in achieving** child's permat errcy goal, perate with any ntratators hired by the Weld County Depart) ent of Human SerVittee to p `: erve placement in the least restrictive placement, appropriate, comply with the treat lent plan of the child, and attend court Tearing as requested, Have physical examinations completed within 14 days and dental examinationscompleted within 8 weeks of the child being placed with Contractor.All documentation of these examinationswill be placed in the foster child's placement binder, 10. Attend ail wassail( school meetings and support any plan that is developed regarding thechild. in order to pitmoteatitioational success. 11. Immediately report to the County Department and/or local law enforcement any known or suspected. child abuse or neglect as set forth in Section 19-3-304, C.R.S. Maintain, aceoas and mew information weekly on FIDOS. ainta n .r frrforrriatiion'in the foster child's binder. The binder will be re ii basis and "r d off by child's caseworker and/or the Contractor's Foster Care 14. Maintain/update medication logs on a daily basis, if child is taking laelicalderte,. 15. Maintain behavior obaervatIo niotes as required by the level of care assessed fgr ee ,c lid 16. Comply with all County and State Certification requirements as set forth in the State Department rules, Staff Manual Volume VII and the Weld County Depa, xntofHuman Services Fotipy and Procedure manual. Exhibit A o the CWS-7A 8 ADDENDUM 1 Needs Based re Assessment NEEDS BASED CARE ASSES SI 4E o the following, geestiens will determine the NBC Care Payment. For each queetivebelbeeplemeeselect the, rating. for tt t �Idi, The following seven (7) questions are mutually exclusive, Often do the child require transportatti n by the foster care provider the Select One ng. Therapy; MedlOalTreatment;: Family Visite on( Extraordinary Educational Needs; u he treatment plan? P2. How often is the foster care provider required to participate iriill'a therapy or counseling sessions? P3. How much time is the provider required to intervene at home and/or at school w child in conjunction with a regular or speciaj education plan? P4. How often does the child require apel, and extensive inrement by the provider in scheduling and monitoring of time and/or activities and/or crisis managern P5. How much time is the provider required to assist the child 11ecaus :beyond age. appropriate needs withp feeding, bathing, grooming, physical, and/or occupational therapy? ii'rments ith the Select One tack One Al. How tn..>≥CPA/County case,tfxanagement required? (Does not include therapy) **Please ;Note; The Case Management level may be assessed Ona combined basis if a sibling group or more than one County foster child is with the sa ro$der. 1. How often are therapy services needed to address child's individual needs per NBC assessment? NBC (NEEDS BASED CARE ;. SESSMi= NT) ® Behavioral Assessment Asses Aggression/Cruelty to An Verbal or Physical Threatening, en t Are elect One Rating O ctive of Property/Fire- Setting Ii elf -injurious Substan Presence o lenur esis/Encopres i elect One Select Orfe e Se elec Select One Select One ychiatric Symp Runa4V .E„ n" Inappropriate Sexual Behavior Disruptive Behavior Delinquent Behavior Depressive -like Behavior elect One Select On elect On Select One Select One Select One Select One Medical Needs - (If condition is r please complete the Medically fr Emancipation> ted "sever Bile NBC) Eating Pl Baundarylssues Requires Nigh Education Li Involvement with Child's Farrel tale Select One elect One elect One One Select One eel One Seledt One A"ddendum 1 9 Revised 6/2016 2.321 Age, ag1 Q4.:*r 1745 Agf (.1: 14.... Ctct i 2.1...S429,.3t7 to Table ' ` .e 7101/2015) ADMINISTRATIVE MAINTENANCE Daily Rate, $.-it52 l t isias int€t eral :irtinir l CPA itwdfirttt,14440;.40040, fackt4dit wit ih . p f. o w.. 1;3199 Minimal crisis interveationi;i ceded, rine fac ica-face visit Wreath With child, 2-3 aatt" , -. month. $1947 eea ctnai Male lateaseatieo af needed, iwr face -404W VititV with chiit#, -3 tactOit manila. Ongoing crira ._: g needed, wkly i ®':.' With child, and itt ;r erdinaticrn of multiple servicts, $26.44 Ongoing 0ri*interyertgatt49. needed, which itteiades ha f t ofca,s nrrtartageraent,anit iit'Oiveanelatwittr chili ate, provider a• -'d`2 3: "t 'Ikea coritaot r kn In m 3.66 $1.9.47 Daily Rate $5.21, Regularly Seliedal tttalrapyrnrp to 4 Imo; twat • 4:142 lcl sirhittteletl therapy 5-8 hollts' a month with 4 hd eff gr®aap therapy. �1 .43 Regularly 'Baled weeldY, Mil e ssior ean itreah are thbo pertan, i,e. family the. y fbr41 Hello