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Home My WebLink About20180920.tiffAGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SHILOH HOUSE, INC. This Agreement Amendment, made and entered into day of 2018 by and between the Board of Weld County Commissioners, on behalf of the Weld Co my partment of Human Services, hereinafter referred to as the "Department", and Shiloh House Inc, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Day Treatment Home -Based Intensive Services, Life Skills, Mental Health Services and Sexual Abuse Treatment (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2018-0920 approved on March 26, 2018 WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement, 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, 2018. • The Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Agreement: 1. WHEREAS, the Colorado Department of Human Services has provided Core Services or other funds to the Department for Day Treatment, Home -Based Intensive Services, Life Skills, Mental Health Services, and Sexual Abuse Treatment. 2. Paragraph 1, Term This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement and shall expire May 31, 2019, unless sooner terminated as provided herein. 3. Payment 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; ez: 0e220/f- 0 9a� 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. 4. Exhibit C, Scope of Services, amended as attached. 5. Exhibit D, Payment Schedule, 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: dder1441 0;ti BOARD OF COUNTY COMMISSIONERS Wel• o my Clerk to t e :oard WELD COUNTY, COLORADO B Deputy Clerk the Board Steve Moreno, Chair JUL 16 2016 ONTRACTOR: Shiloh House, 6588 Ottawa Avenue Teton, Colorado 80128 (303) 93 By: Steven Ramirez, C Date: S a U Q ) xecutive Officer doit D yoga EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Day Treatment Services, Life Skills, Mental Health Services, and Sexual Abuse Treatment. 2. Day Treatment Services: Contractor will provide services to male and female youth, ages 7-18 years of age, who speak English, as referred by the Department. In situations in which a family member does not speak English, Contractor will provide an interpreter for the primary language of the family member. a. Services are primarily intended for youth with mental health treatment needs as well as social, emotional and academic challenges. Services are appropriate for youth with sexual offense - specific issues, both those adjudicated delinquent and those who may have offending issues but are not involved in the juvenile justice system. b. Services include: • Educational, psychological and clinical assessment services • Offense specific treatment services (when identified) • Individual, family, group and milieu therapies (weekly) • Case management • Academic curriculum (credits transferable to public school) • Special education services • Transportation to and from school (within 15 -mile radius) • In -home services (case -by -case basis) • Community activities • Monthly progress review facilitated at Shiloh • 24/7 on -call assistance • Monthly progress reports to include ongoing assessment of family Transitional services/staffing to public school. c. Services are specifically designed for youth with behavior disorders, mental health issues, and sex offending issues. d. The program focuses on skills development where the youth recognizes their problems and how thinking errors contribute to irresponsible behaviors, develops adaptive social skills, and develops new, healthy coping skills. Newly acquired skills are practiced in the program, in group therapy with their family and in the community at large. e. Group therapy occurs a minimum of twice weekly by a master's level clinician. Groups address a variety of issues, including independent living, coping skills/tools, social skills, and cognitive restructuring. Groups promote development and maintenance of a positive peer culture, while teaching accountability, support youth better utilizing self -monitoring, and enhance improved self-control and decision making. f. Individual therapy is offered weekly and facilitated by a master's level clinician with the focus being on the youth's individual treatment plan and coping with difficult family, school and community situations. g. Referred youth and adolescents with severely limited cognitive abilities (IQ below 65), ongoing medical issues that cannot be supervised/managed by staff, an inability or significantly impaired ability to understand and/or communicate in English, and those who are actively psychotic are generally not considered appropriate for this program. 1 h. Performance outcomes: • Credit recovery • Improved school emotional and behavioral functioning • Return to home school prepared for academic and interpersonal success • Maintain positive home and community relationships i. Therapeutic services are billed to Medicaid. 3. Life Skills: Contractor will provide Life Skills services to individuals and families, as referred by the Department. Services can be provided in -home at either a Master's level or lower, or in the form of respite. a. The goal of services is to: • Provide information regarding community resources, employment, occupational training, education, and health care options. • Provider support services to assist family with accessing resources and employment. • Provide families with assistance with household budgeting. • Provide help with household management. • Provide a non -judgmental relationship. • Help families identify and establish appropriate boundaries and limits. • Provide tools to improve family functioning, including behavior management, conflict management, communication, and problem -solving tools. • Support development of parent/child relationships. • Teaching appropriate discipline techniques that increase awareness, skill and management of child behavior. • Role modeling positive interaction with children including recognition of children's needs, nurturing interactions, appropriate responses to a child's cues, as well as modeling age appropriate discipline and consequences. • Increase parent confidence by providing parents resources to help them with supporting their family. • Teach the value of daily routine and consistency with children including establishing household rules, rewards and consequences, and age appropriate chore charts. • Increase parental awareness of children's basic and emotional needs including planning and preparing nutritious meals, accessing resources for food, housing, clothing and shelter. • Provide parents with information regarding age appropriate child development and recognition of age appropriate behavior and managing inappropriate behavior. b. CONTRACTOR has identified the following performance outcomes: • Increase the level of family functioning • Eliminate child protection issues in the home • Increase formal and informal support such as community, family and friends • Increase parents understanding of their parenting role • Help parents have realistic child expectations • Improve parenting, relationships and social skills c. Services are not billable to Medicaid. 4. Life Skills — Beyond the Walls: Contractor will provide Life Skills in the form of transitional coaching to youth ages 14-26, as referred by the Department. a. Contractor will assemble a circle of support and network of resources that exists naturally in 2 location community. Referred clients will build a plan by assessing where they are currently and their goals for the future. The referral youth will have the opportunity to work with a Life Transitions Coach to identify their needs, set goals, and connect with Contractor's Community Partners Network, to link them to opportunities and experiences to help them reach their goals. b. Contractor will provide 25 hours of learning opportunities per month including workshops, tours, and mentoring. c. Contractor has identified the following performance outcomes: • Percentage of completion • Successful completion of goals d. Services are not billable to Medicaid. 5. Mental Health Services: Contractor will provide Mental Health Services to youth, and their families, who speak English. In situations in which a family member does not speak English, Contractor will provide an interpreter for the primary language of the family member. a. Services will utilize the following evidence -based treatments: • Cognitive Behavioral Therapy (Correcting thinking errors, linking thoughts, feelings and behaviors; and teaching new, healthy empathic and reality -based ways for thinking) • Behavioral Therapy (Teaching and rehearsing healthy ways to behave when overwhelmed by feelings and perceived needs) • Psycho -education and Family System Theory (Teaching families to work together and provide them with coping skills to promote the well-being of the family) • Trauma Informed Care (Teaching clients how to for new attachments (relationships), regulate their arousal, self -regulate, which leads to a higher sense of self. b. Available services include: • Individual Therapy • Family Therapy • Mental Health Treatment (Individual, In -Home, Assessment) • Psychological Evaluations • Neuropsychological Evaluations c. Services will be provided by either a licensed clinician or a Master's level clinician supervised by a licensed clinician. The frequency of therapy will be determined at the time of referral and assessment, and sessions will be offered throughout the day and evening to accommodate working family members. d. Performance Outcomes: • Improved mental health as assessed by observation and structured assessments • Completion of treatment goals e. Mental Health Treatment, Individual Therapy and Family Therapy are billable to Medicaid. 6. Sexual Abuse Treatment: Contractor will provide Sexual Abuse Treatment (Offense Specific Services) to youth, ages 7 to 18, and their families, who speak English. In situations in which a family member does not speak English, Contractor will provide an interpreter for the primary language of the family member. a. Services will utilize the following evidence -based treatments: • Cognitive Behavioral Therapy (Correcting thinking errors, linking thoughts, feelings and 3 behaviors; and teaching new, healthy empathic and reality -based ways for thinking) o Trauma Focused Cognitive Behavioral Therapy o Offense Specific Cognitive Behavioral Therapy • Behavioral Therapy (Teaching and rehearsing healthy ways to behave when overwhelmed by feelings and perceived needs) • Psycho -education and Family System Theory (Stabilization of the client's mental health diagnoses) • Dialectical Behavior Therapy (DBT) • Eye Movement Desensitization and Reprocessing (EMDR) • Aggression Replacement • Animal Assisted Therapy • Play Therapy • Brief Strategic Family Therapy • Visiting Coaching Model • School — Core Knowledge • School — Positive Behavior Supports (PBS) b. Services will be provided by either a licensed SOMB clinician or a Master's level clinician supervised by a licensed SOMB clinician. All therapy adheres to the Colorado Sex Offender Management Board (SOMB) Standards and Guidelines for the Evaluation, Assessment, Treatment and Supervision of Juveniles. c. The frequency of therapy will be determined at the time of referral and assessment and will be offered throughout the day and evening to accommodate family schedules. d. Treatment Goals: • To ensure community safety • To assess risks, ensuring all family members are safe within the family • To provide strength based, accountable, relationship -oriented service which respect the family while ensuring that goals of treatment are achieved • To provide intensive psycho -educational treatment that increase the client and family member's understanding of abusive interaction patterns and enables the family to eliminate abusive patterns within the family • Disclosure of abusive behaviors as well as own victimization • To provide the client and family with an understanding of their family and personal cycle of abuse and to ensure their ability to interrupt that cycle • Correction of abusive patterns of behavior and creation of an abuse -free home and family life • Development of victim empathy • Mental health stabilization • Development of healthy coping skills and tools (self-control, rehearsal of corrected cognitions) • Increased pro -social behaviors and increase protective factors • To provide all caregivers with an understanding of Informed Supervision and the essential nature of being vigilant in providing a safe environment • To complete clarification work depending upon the individual family circumstances and stages in treatment • To provide a strong emphasis on identifying the contributing risk factors and aiding the family in remediating the risks • To develop a strong relapse prevention plan • To facilitate family reunification and/or establish healthy family dynamics if they are 4 unable to live together • To assist the family in development of a nurturing and healthy home environment which will enable the children to successfully progress in their development and academic achievement • To eliminate illegal behaviors by all members of the identified family unit. e. Performance Outcomes: • Completion of treatment plan goals • Prioritize community safety • Reduce risk of out -of -home placement • Reduce offending risk as measured by JSOAP • Demonstrate improved mental health per observation and assessments f. Services are not billable to Medicaid except for victim therapy. 7. Community Based Treatment Serving Youth with Problematic Sexual Conduct: Contractor will provide home and community based services for youth ages 8-18 and their families who are struggling with a wide variety of problematic sexual conduct, as referred by the Department. a. Contractor will provide approximately 4 hours per week of in -home Sex Offender Management Board (SOMB) Master's level treatment and 10 hours per week of Bachelor's level in -home training, coaching, and accountability targeting safe and healthy sexual behavior life skills. • The referred youth will participate in weekly offense specific group therapy with peers who share similar conduct. • Contractor will provide offense specific assessment including psychosexual and polygraph services. • Contractor will develop an individualized treatment plan following initial assessment for each referred youth and family, and will modify the treatment plan as needed during services with the approval of the Department and Multidisciplinary Team (MDT). b. Eligibility criteria: • Male clients ages 8-18 • Family and youth verbalizing a strong commitment to actively participate in a minimum of 14 hours per week of home based offense specific services, and demonstrated a willingness to engage in the treatment process. • Family and youth value the home -based treatment as a positive alternative to residential treatment or commitment. • Youth presenting sexual reactivity to abuse and/or trauma • Youth presenting behaviors that include inappropriate touching, bullying, gesturing, and threatening verbalizations • Youth who have engaged in family based incest • Youth who have engaged in community based sexual assault • Youth who have engaged in criminal sexual behaviors may be adjudicated or are non - adjudicated c. Treatment goals: • Promote victim and community safety • To successfully integrate SOMB guided home based offender treatment with evidence based treatment principals including Trauma Focused CBTand High -Fidelity Wrap Around • To support the following High -Fidelity Wrap Around principals: 5 o To be strength based and to value all members of the team focusing on family and youth needs rather than deficits o To engage natural support systems for the youth and family and provide the natural support with informed supervision training and accountability skills to ensure that the youth and family have supportive resources o To ensure that the family and youth voice are valued in all discussions o To be culturally competent and respectful in all services o To individually tailor all treatment and offense specific life skills o To collaborate and communicate effectively with all multidisciplinary team members o To be dedicated to progressing through inevitable challenges and barriers o To be outcome based with observable and measurable indicates of success o To address complex and overlapping needs o To successfully address family and offending youth denial of sexual offending problems o To reduce future Problematic Sexual Conduct o To strengthen protective and resiliency factors for the youth and family o To provide effective coordination with all community partners including development of a school safety plan o To provide offense specific assessments including 1 -SOAP, psychosexual evaluations and polygraphs o To successfully integrate mental health treatment with offense specific treatment o To provide well -coordinated treatment with victim therapists and support systems to provide services within SOMB guiding principles including; Community safety is paramount Sexual offenses cause harm Safety, protection, development growth and the psychological well-being of victims and potential victims must be represented within the MDT Evaluation, treatment and supervision must identify and address abusive and illegal behaviors. Offending behaviors are complex and the charged offense may or may not be definitive of the juveniles underlying problem All juveniles who have committed sexual offenses to whom SOMB standards apply must have a comprehensive sex offense specificevaluation A MDT will be convened for the evaluation, treatment care and supervision of juveniles who commit sexual offenses Treatment management and supervision decisions should be guided by empirical finding when research isavailable Risk assessment of juveniles is necessary however progress in treatment and level of risk are not constant over time and may not be correlated Assessment of progress in treatment must be made based on the juvenile's consistent demonstration of relevant changes in their daily functioning Decreased risk of sexual offending is likely to be most lasting when paired with increased overall health Family member are an integral part of evaluation, assessment, treatment and supervision d. Performance Outcomes: • Community safety • Completion of treatment plan goals • Prevent out of home placement e. Services are billable to Medicaid. 8. Informed Supervision Training: Contractor will provide Informed Supervision Training to parents or caregivers, as referred by the Department. a. Contractor offers a 10 -hour parent/caregiver education over 4-6 weeks that complies with SOMB Informed Supervision Guidelines. Training is provided by Informed Supervision Trained Bachelor's or Masters' level staff with Sex Offender Management Board (SOMB) supervision. b. Contractor will review, at a minimum, the following topics: • History of the SOMB • 20 Principals of SOMB treatment with an emphasis on community safety • Necessity of Informed Supervision • Victim Confidentiality • Sexual Offending Behaviors overview • Current laws that relate to juvenile sexual offending • Seriousness of juvenile offending, impact and priorities • Dynamic patterns (cycles) associated with abusive behavior • The role of the MDT in all decisions • Safety plans • High risk patterns • Community supervision and treatment c. Performance Outcomes: • Community safety • Parent/caregiver successful completion of Informed Supervision Training as demonstrated by observation, participation, and post test results. d. Services are not billable to Medicaid. 9. Contractor will offer an initial appointment within seven (7) days of receiving the referral and will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 10. 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. 11. 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. 12. 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. 7 13. 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. 14. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 15. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. 8 EXHIBIT D PAYMENT 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 specified 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 in Traits after May 31, 2019. 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 $1,650.00/Month (Day Treatment) $90.00/Hour (Individual or Family, Problematic Sexual Conduct) $110.00/Hour (In -Home, Problematic Sexual Conduct) $50.00/Hour (Group Per Person, Problematic Sexual Conduct) $90.00/Hour (Individual or Family, Sexual Abuse Treatment) $110.00/Hour (In -Home, Sexual Abuse Treatment) $300.00/Episode (Informed Supervision) $90.00/Hour (In -Office, Intensive Family Therapy) $110.00/Hour (In -Home, Intensive Family Therapy) $90.00/Hour (Individual, Mental Health Treatment) $110.00/Hour (In -Home, Mental Health Treatment) $95.00/Hour (Assessment, Mental Health Treatment) $65.00/Hour (In -Home, Life Skills or Home -Based Services) $1,020.00/Month (Beyond the Walls) $120.00/Hour (Psychological Evaluation or Neuropsychological Evaluation) Any partial unit of service shall be pro -rated. Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 1 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. 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. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 /�1 ,4 o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/03/2017 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Insurance Services West, Inc. Denver CO office 1900 16th Street, Suite 1000 Denver CO 80202 USA CONTACT NAME: (A/CC..NNo. Eat): (303) 758-7688 I (AJC. No.): (303) 758-9458 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED SaVio House 325 King Street Denver CO 80219 USA INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURERS: Pinnacol Assurance Company 41190 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570066353943 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY1 POLICY EXP MMIDD/VYYY) LIMITS A X LIABILITY COMMERCIAL GENERAL ABILITY PHPK1645648 05/01/2017 05/01/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE T O RENTED PREMISES (Ea occurrence) $100,000 X Sexual Molestation coverage applies MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICY PE 0. ❑ LOC JECT PRODUCTS - COMP/OP AGG $3,000,000 OTHER: A AUTOMOBILE LIABILITY PHPK1645648 05/01/2017 05/01/2018 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY ( Per person) OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) A AUTOS ONLY HIRED AUTOS NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) X ONLY Coll Ded: $1.000 X Comp Ded: $600 A X UMBRELLALIAB X OCCUR PHUBS81785 05/01/2017 05/01/2018 EACH OCCURRENCE $10,000,000 EXCESSLIAB CLAIMS -MADE AGGREGATE $10,000,000 DED I X I RETENTION S10 000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 984642 05/01/2017 05/01/2018 X PER STATUTE OTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE YIN N N /A E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A Misc Liab Cvg PHPK1645648 05/01/2017 05/01/2018 Prof each Occ. Aggregate $1,000,000 $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) State of Colorado Division of Youth Corrections and weld Adolescent Resources, Inc. are included as Additional Insured in accordance with the policy provisions of the General Liability policy and Professional Liability Policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE weld Adolescent Resources, Inc. 1750 25th Avenue, Suite 305 Greeley Co 80634 USA POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t.Jrei Rimo t atop YGfi✓viia W ✓,lG ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : AG' RO�0® AGENCY CUSTOMER ID: 10587081 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Insurance Services West, Inc. NAMED INSURED Savio House POLICY NUMBER See Certificate Number: 570066353943 CARRIER see certificate Number: 570066353943 NAIC CODE EFFECTIVE DATE. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL . INSD SL -BR WVD POLICY NUMBER POLICY EFFECTIVE (MM/DD/VYYY) POLICY EXPIRATION DATE (MM/DD/YYVY) LIMITSDATE OTHER A EPL - Primary PHSD1240991 Claims Made SIR applies per policy to 05/01/2017 ms & conditions 05/01/2018 Aggregate Limit 510,000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SHILOH INC. This Agreement, made and entered into the day of / /!2018, 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 Shiloh Home, Inc., hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. 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 funding to the Department for Day Treatment, Home -Based Intensive Services, Life Skills, Mental Health Services, and Sexual Abuse Treatment. 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, 2017, upon proper execution of this Agreement and shall expire May 31, 2018, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. CiLibicat, b -15D a3" -z' o-av--/7 3,024p -l8 2018-0920 Aeood9 c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. 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. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 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. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has 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, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. 2 b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. 3 - 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 Core Services. 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. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional 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). Contract Professional 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 Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional 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 Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional 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. Contract Professional 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. Contract Professional 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 Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional 4 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. Contract Professional shall deliver to County, 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 Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional 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 Contract Professional receives federal or state funds under the contract, Contract Professional 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 Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and 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/Contract Professionals must secure, at or before the 5 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/Contract Professionals 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, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, 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/Contract Professional. Contractor/Contract Professional 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/Contract Professional 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 Contract Professional'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 0001 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. iii.Automobile Liability: Contractor/Contract Professional 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 reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County 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 County. 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 County, whichever is earlier. c. Contractors/Contract Professionals 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/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional 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/Contract Professional's insurer shall name County as an additional insured as follows: County of Weld 1150'O' Street Greeley, Colorado 80631 f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, 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/Contract Professional. Contractor/Contract Professional 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/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 7 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 that 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 970-352-1551, x6503, 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 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. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. 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: 8 - 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, Administrator Austin Topolnicki, Chief Operating Officer 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Austin Topolnicki, Chief Operating Officer 6588 West Ottawa Avenue Littleton, CO 80128 (303) 932-9599 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 9 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 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. 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 10 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. 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 Contract Professional agrees that it is an independent Contract Professional and that Contract Professional'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. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment 11 insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional 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, and 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. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by 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, 12 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 conflict 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 Contract Professional'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, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, 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 Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional 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 County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 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 13 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: BOARD OF COUNTY COMMISSIONERS Weld Co -ty Clerk to the Board WELD COUNTY, COLORADO By: Deputy Clerk to th=4:oard CONTRACTOR: 15 teve Moreno, Chair MAR 2 6 2018 Shiloh Home, Inc. 6588 Ottawa Avenue Littleton, Colorado 80128 (303)932-'599 By: ven Ram - Chief Execut Date: � 6-- fficer EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL REQUEST FOR BIDS AND PROPOSALS WELD COUNTY, COLORADO 1150 O STREET GREELEY, CO 80634 DATE: April 3, 2017 BID NUMBER: B1700080 DESCRIPTION: Annual Request for Various Services DEPARTMENT: Human Services MANDATORY PRE -BID CONFERENCE DATE: N/A BID OPENING DATE: APRIL 24, 2017 ,.. _ 8 6' GOU •NTY PAGES 1-9 OF THIS DOCUMENT CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-9 MAY BE APPLICABLE. THE SCOPE OF WORK AND SPECIFICATIONS UNIQUE TO THIS REQUEST FOR BID FOLLOW PAGE 9. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS ENGLISH AND BILINGUAL (ENGLISH/SPANISH) SERVICES (SERVICE AREAS INCLUDED IN THIS PROPOSAL INCLUDE, BUT ARE NOT LIMITED TO THE BELOW LIST. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVE SERVICES.) Program Area Definition AftercareServices Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out- of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domesticviolence. 1 Program Area Definition Crisis Intervention and Stabilization Services Services that provide an immediate, in- person/in- home response to families, youth and children, in *crisis, 24 hours a day, seven (7) days a week. *A "crisis" is further defined as a situation or circumstance, usually acute (recent) in nature, which breaks down the normal functioning of an individual and/or family, and results in the inability of the individual and/or family to resolve the crisis through normal coping behaviors, orwithout Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and theirfamilies. Foster ParentConsultation Services provided to foster and group home families caring for Weld County children and youth in their homes to enhance and improve the quality of care being provided. Foster ParentTraining Core training for new Weld County foster parents. Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Kinship Services (Therapeutic) Kinship services in the areas of (1) consultation and kinship parent support specific to a child placed in a kinship home, (2) corrective consultation specific to a child placed in a kinship home, and (3) critical care consultation specific to a child placed in a kinship home. Children placed in kinship care are maintained in the lowest level of care and least restrictive setting when out - of -home placement is necessary. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective accessto community resources, parenting techniques and family conflictmanagement. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve familycommunication, functioning and relationships. 2 Program Area Definition Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multi-systemicTherapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. RelinquishmentCounseling Relinquishment counseling for parents considering relinquishment of their children. Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Other Creative and unique services designed to meet the needs of children, youth and families interacting with the Child Welfare system through a prevention or traditional case. B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24, 2017, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). Acceptable bid delivery methods are as follows: Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when we receive your bid/proposal. Mail. Mailed bids should be sent in a sealed envelope with the bid title and bid number on it. Bids must include the following statement on the email: "Ihereby waive my right to a sealed bid". Mailed bids should be addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare, Financial Unit, P.O. Box A, Greeley, CO 80632. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. Hand Delivery. Hand -delivered bids should be submitted in a sealed envelopewith the bid title and bid number on it. Bids must include the following statement on the email: "I hereby waive my right to a sealed bid". Hand - delivered bids can be dropped off at: Weld County Department of Human Services, Attn: Tobi Vegter, Financial Unit, 822 J" Street, Suite 150, Greeley, CO 80631. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. 3 II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described above). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III.INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 4 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. I. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5- 101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 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 this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age orolder 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 this 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 a Contract. M.All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 5 O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and 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. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in anyway to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV.GENERAL SPECIFICATIONS A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the 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 §§24-10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder 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 (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by 6 reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorney Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. V. Insurance Requirements i. General Requirements: Contractors/Contract Professionals 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 tothis request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. 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, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, 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/Contract Professional. Contractor/Contract Professional 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. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional'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. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: 7 • $1,000,000 each occurrence; • $2,000,000 general aggregate; • $50,000 any one fire; and • $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional 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. (d). Additional Provisions: • Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: • If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County 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 County. (e). 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 County, whichever is earlier. iii. Contractors/Contract Professionals 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 Bid. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance to the County. County reserves the right to require Contractor/Contract Professional 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. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, 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/Contract Professional. Contractor/Contract Professional 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. 8 Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. VI.Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. CONFIDENTIAL INFORMATION Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an appropriate court order preventing disclosure. Without such an order, Weld County will release the requested information in accordance with CORA. 9 SCOPE OF SERVICES PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English- speaking and bilingual (English/Spanish) providers in various service areas under various funding sources. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services (Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVESERVICES. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) Complete a Provider Information Form (PIF). 2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below. • Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs • Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 3) A bidder must agree to language proficiency testing that may include assessment of reading, writing and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient Spanish speaker selected by Weld County. 4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A bidder must include current contact information including physical address, mailing address, phone number, email address and website, if applicable. 5) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staffand/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol, including communication to the referring agency. 11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 13) A bidder must agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. 14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. Contract Period and Pricing: 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or other funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. Criteria for review, include but are not limited to the following: • Qualifications, appropriate licensure, and experience. • Cost structure. • Relationships and collaboration. • Organizational experience and past performance. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. EXHIBIT A SAMPLE AGREEMENT CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND This Agreement, made and entered into the _ day of 2015 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 «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Reuquest for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. 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 funding to the Department for NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on , upon proper execution of this Agreement and shall expire , unless sooner terminated as provided herein. The agreement is fora period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 1 d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. 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. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 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. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has 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 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services , and Exhibit D, Payment 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 ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of 2 Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. 3 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 Core Services. 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. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional 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). Contract Professional 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 Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional 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 Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional 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. Contract Professional 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. Contract Professional 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 Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional 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. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, 4 and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional 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 Contract Professional receives federal or state funds under the contract, Contract Professional 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 Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and 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/Contract Professionals 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/Contract Professionals shall keep the required insurance coverage in force at all times during the term of 5 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, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, 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/Contract Professional. Contractor/Contract Professional 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/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional'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 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. iii. Automobile Liability: Contractor/Contract Professional 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 reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County 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 County. 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 County, whichever is earlier. c. Contractors/Contract Professionals 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/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional 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/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, 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/Contract Professional. Contractor/Contract Professional 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/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional 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 7 Contractor may be required to attend training that 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 bye -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 970-352-1551, x6503, 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 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. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. 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. 8 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, Administrator CONTRACTOR, TITLE 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) 352-1551 18. Litigation For Contractor: 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 18. 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 9 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 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. 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. 10 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 Contractors 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. 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 Contract Professional agrees that it is an independent Contract Professional and that Contract Professional'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. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, 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 Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional 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 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 11 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. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by 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 conflict 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 Contract Professional'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. 12 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, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, 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 Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional 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 County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 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. 13 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Weld County Clerk to the Board WELD COUNTY, COLORADO BY: Deputy Clerk to the Board , Chair APPROVED AS TO FUNDING: APPROVED AS TO SUBSTANCE: Controller Elected Official or Department Head APPROVED AS TO FORM: Director of General Services County Attorney CONTRACTOR Contractor, Title 14 EXHIBIT B CONTRACTOR'S PROPOSAL PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services Shiloh Home, Inc. 1539982 AGENCY OR PRIVATE PRACRCE TRAILS PROVIDER JD Iff Rnovmi Austin Topolnicki Chief Operating Officer PRIMARY CONTACT -FULL NAME 303 i 932-9599 PRONE NUMBER atopalnleid@shilohhause.net PRIMARY CONTACT - TITLE 328 L303 )973-1269 nKr. FAX NUMBER PRIMARY CONTACT —E-MAIL ADDRESS 6588 W. Ottawa Avenue AGENCY MAULING ADDRESS Daniel Venman www.shiiohhouse.org AGENCY/FRAMER WEB ADDRESS (IF APPUcASLE) Littleton 80128 REFFERAL CONTACT- FULL NAME HEINFERENTTHAN PRIRRAR]LCONrACT) ) 303 ) 932-9599 REFERRAL CONTACT- PHONE NUMBER 604 CITY ZIP Clinical Director of Olfenee Specific Services REFERRALCONTACr - TITLE dvenmen@shilohhouse.net EAT, REFERRAL CONTACT -E-MAIL ADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves 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 bid re competitive in price and quality. Signature of Authorize! Representat Date of Signature; 12-6 Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number 81700080 2017 1 April 20, 2017 Weld County, CO Shiloh House 6588 W. Ottawa Ave Littleton, CO 80128 Steven and Vicki Ramirez founded Shiloh Home, Inc. (d.b.a. Shiloh House), in January 1985 after purchasing the program from an organization where they had served as Assistant Directors for the previous six years. They started with one home, sixteen boys, and six staff members. In March of 1987, an on -grounds school was established in Littleton to address the educational needs of emotionally disturbed youth and provide greater continuity of care. Today Shiloh House treats both boys and girls and operates 13 separate facilities, including five Colorado Department of Education approved schools to serve all of our facilities. Shiloh Home is a preferred provider of services for the counties of Adams, Arapahoe, Denver, Douglas, Jefferson, and Weld. Shiloh House primarily serves Colorado youth and families, by providing residential care, educational programming, day treatment, life skills services, home based intervention, sexual abuse treatment, family and individual therapy, and mental health services. Truama Informed Care is a cornerstone of every service provided by Shiloh House. We strongly believe in building a circle of support around each youth in our care while working closely with families and social services personnel. Our approach is based on over 30 years of experience creating an environment where wounds begin to heal, relationships are built or restored, and new possibilities are created. Mission Statement: Shiloh House offers nurturing, therapeutic and educational services to empower youth and families to overcome the impact of abuse, neglect and trauma. Through guidance, clinical intervention and advocacy, Shiloh House meets the needs of the community while respecting the diversity of youth and families. Shiloh House offers employment to skilled, educated men and women from diverse professional backgrounds. Each department serves a unique and important purpose, yet departments are interdependent. No one role is more valuable than another and every employee is expected to maintain focus on the agency wide goal of providing the highest standard of service for clients. All licensed employees of Shiloh Home, Inc. are registered under the Department of Regulatory Affairs (DORA). Qualifications for employees are listed with each service description. Administrators at Shiloh House specialize in their area of expertise including residential services, human resource management, clinical, educational and financial services. Each position has specific educational and experiential requirements depending on the particular department or service. Shiloh House Administrators also serve as liaisons to the community and to other professionals in the field. The scope of services provided for the current Weld County bid, number B1700080 will include Day Treatment, Sex Abuse Treatment, Home Based Intensive Services, Life Skills, Mental Health Services, Beyond the Walls, Group Counseling, and Psychological Testing. At this time, all services are provided in English only. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 2 Day Treatment Services: Shiloh Home, Inc. Day Treatment services are available to youth between 7 to 18 years of age who are proficient in speaking English. The program is specifically designed for those youth who demonstrate a pattern of maladaptive behaviors that interfere with their adaptive community functioning and who are not at greater risk for out -of -home removal. The program focuses on skills development where the youth recognizes his maladaptive behaviors and associated thinking errors and where the use of a greater repertoire of positive social skills and adaptive coping skills is supported. The referred youth practices these new cognitive and behavioral skills with peers and teachers in the Shiloh's program, in group therapy with their family and in the community at large. Progressions though the program is assisted by a feedback system in which the youth's behavior and quality of work on phase projects at Shiloh and at home is tied to his program privileges. Forward movement through the program also involves successful completion of written and behavioral assignments and the development of a relapse prevention plan. Components of the program: 1. Educational, psychological and clinical assessment services 2. Offense specific treatment services 3. Individual, family, group and milieu therapies (offered on a weekly basis) 4. Case management 5. Academic curriculum -credits transferable to public school 6. Special education services 7. Transportation to/from school (within 15 mile radius) 8. In -home service/per case need 9. Community activities 10. 24/hour on -call assistance 11. Monthly progress reports to include ongoing assessment of family Transitional services/staffing to public school Eligibility Criteria: Shiloh Home Day Treatment programs serve youth age 7 to 18 years of age with behavioral disorders, mental health issues and sex offending issues. Significant considerations for admission include, but are not limited to: level of risk to family, victim and community, typology of juvenile, level of denial, intellectual functioning, secondary diagnostic features and substance abuse issues. Clients with the following issues are generally considered not appropriate for the program: • Severely limited cognitive abilities (IQ below 65) • Ongoing medical issues that cannot be supervised/managed by staff • The inability or significantly impaired ability to understand and/or communicate in English. • Student Is actively psychotic During the course of treatment, it may be determined that a client in no longer appropriate. This recommendation may be based on, but is not limited to, the following considerations: assessment of risk, disclosure of new information which contradicts the appropriateness for placement, non- compliance with the program, increased psychiatric need and/or satiation of treatment interventions. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 3 Day Treatment Counseling Services: The focus of treatment sessions is both cognitive (teaching new, healthy, empathic and reality -based way of thinking) and behavioral (teaching and rehearsing healthy ways to behave when overwhelmed by feeling and perceived needs). Group counseling is offered daily within the program. A master's level clinician facilitates group therapy least twice per week. These groups address a variety of issues, including independent living, coping skills/tools, social skills and cognitive restructuring. These groups promote development and maintenance of a positive peer culture. They teach accountability, support youth better utilizing self - monitoring and enhance improved self-control and decision -making. Individual Psychotherapy is offered weekly by a master's level therapist. The focus is on fine-tuning and individualizing the youth's service plan for how to respond with coping "tools" in difficult family, school and community situations. Qualifications: Clinician - Master's level licensed, provisionally licensed, or under the supervision of a licensed super -visor. Education staff - Minimum BA level under the supervision of CDE approved supervisor. Outcomes: 1. Credit recovery 2. Improved school emotional and behavioral functioning 3. Return to home school prepared for academic and interpersonal success 4. Maintain positive home and community relationships Fee Schedule: All services are billed monthly Category Day Treatment Service Rate Unit Group $1,650.00 Monthly This rate does not include therapeutic services. Therapeutic services are billed directly to Medicaid. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 4 Shiloh House Community Based Treatment Serving Youth with Problematic Sexual Conduct: Service Description: Shiloh House provides home and community based services for youth ages 8-18 and their families who are struggling with a wide variety of Problematic Sexual Conduct. The Shiloh House Community Based Treatment for Problematic Sexual Conduct includes approximately 4 hours per week of in -home 5OMB Master's level treatment and 10 hours per week of BA level in -home training, coaching and accountability targeting safe and healthy sexual behavior life skills. The offense specific life skills coaches will reinforce the parents in the skill areas necessary for ensuring the care and wellbeing of their children, as well as treatment success for the youth with Problematic Sexual Conduct. The offending youth will also participate in weekly offense specific group therapy with peers who share similar Problematic Sexual Conduct. Offense specific assessment will be provided including psychosexual, and polygraph services. Case management services and communication are also provided by Shiloh House staff to ensure MDT member collaboration. Following an initial assessment, an individualized treatment plan will be completed for each youth and family and will be modified as needed during the course of services with approval by the MDT. Length of service is 6-8 months. Eligibility for these services includes: 1. Male clients ages 8 —18 2. Family and youth verbalizing a strong commitment to actively participate in a minimum of 14 hours per week of home based offense specific services. These families may not fully grasp the seriousness of the sexual offending or the contributing family dynamics but the family and the youth have demonstrated a willingness to engage in the treatment process. 3. Family and youth value the home based treatment as a positive alternative to residential treatment or commitment. 4. Youth presenting sexual reactivity to abuse and trauma 5. Youth presenting behaviors that include inappropriate touching, bullying, gesturing, and threatening verbalizations 6. Youth who have engaged in family based incest 7. Youth who have engaged in community based sexual assault 8. The youth who have engaged in these criminal sexual behaviors may be adjudicated or are non - adjudicated Program Goals: 1. Promote victim and community safety 2. To successfully integrate 5OMB guided home based offender treatment with evidence based treatment principals including Trauma Focused CBT and High Fidelity Wrap Around 3. To support the following High Fidelity Wrap Around principals: a) To be strength based and to value all members of the team focusing on family and youth needs rather than deficits b) To engage natural support systems for the youth and family and provide the natural support with informed supervision training and accountability skills to ensure that the youth and family have supportive resources c) To ensure that the family and youth voice are valued in all discussions d) To be culturally competent and respectful in all services e) To individually tailor all treatment and offense specific life skills f) To collaborate and communicate effectively with all multi disciplinary team members 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number 81700080 2017 5 g) To be dedicated to progressing through inevitable challenges and barriers h) To be outcome based with observable and measurable indicators of success i) To address complex and overlapping needs 4. To successfully address family and offending youth denial of sexual offending problems 5. To reduce future Problematic Sexual Conduct 6. To strengthen protective and resiliency factors for the youth and family 7. To provide effective coordination with all community partners including development of a school safety plan. 8. To provide offense specific assessments including J -SOAP, Psychosexual evaluations and polygraphs. 9. To successfully integrate mental health treatment with offense specific treatment 10. To provide well coordinated treatment with victim therapists and support systems 11. To provide services within SOME guiding principles including; a) Community safety is paramount b) Sexual offenses cause harm c) Safety, protection, development growth and the psychological well being of victims and potential victims must be represented within the MDT d) Evaluation, treatment and supervision must identify and address abusive and illegal behaviors. e) Offending behaviors are complex and the charged offense may or may not be definitive of the juveniles underlying problem f) All juveniles who have committed sexual offenses to whom SOMB standards apply must have a comprehensive sex offense specific evaluation g) A MDT will be convened for the evaluation, treatment care and supervision of juveniles who commit sexual offenses h) Treatment management and supervision decisions should be guided by empirical finding when research is available i) Risk assessment of juveniles is necessary however progress in treatment and level of risk are not constant over time and may not be correlated j) Assessment of progress in treatment must be made on the basis of the juveniles consistent demonstration of relevant changes in their daily functioning k) Decreased risk of sexual offending is likely to be most lasting when paired with increased overall health I) Family member are an integral part of evaluation, assessment, treatment and supervision Credentials: Problem Sexual Conduct Therapists are Master's level Clinicians, with associate or fully operating approval from the SOMB. Unlicensed clinicians working toward licensure will be supervised by a licensed therapist. Intervention service providers (Coaches) will have at minimum a BA/BS in a Human Services related field. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 6 Outcomes: 1. Community Safety 2. Completion of Treatment Plan goals 3. Prevent out of home placement Fee Schedule: All services billed monthly Category Service Rate Unit Problematic Sexual Conduct Individual $90.00 Hourly Problematic Sexual Conduct Family $90.00 Hourly Problematic Sexual Conduct In -Home $110.00 Hourly Problematic Sexual Conduct Group (per $50.00 Hourly person) Treatment options for sexual abuse and problematic sexual conduct are not currently billable to Medicaid. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 7 Sex Abuse Individual and FamilyTreatment: Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetration, and to prevent further sexual abuse and victimization. Shiloh Home practices the best standards of care and emphasizes implementation of evidence -based treatment practices. Shiloh Home adheres to the SOMB Guidelines and Standards. Risk assessment will be addressed through the Juvenile Sex Offender Assessment Protocol (JSOAP), on -going team and family collaboration, treatment progress and team members input, behavioral observation within all arenas of the client's life (home, school, job, social, community). Adjunct referral for polygraphs, arousal measurement, psychological services and psychiatric services are made as deemed necessary and appropriate. Therapy adheres to the Colorado Sex Offender Management Board's Standards and Guidelines for the Evaluation, Assessment, Treatment and Supervision of Juveniles. Shiloh Home utilizes the following evidence -based treatments in conjunction with a trauma informed approach: 1. Cognitive -Behavioral Therapy — Correcting thinking errors, linking thoughts, feelings and behaviors, teaching new, healthy, empathic, and reality based ways of thinking. a) Trauma Focused Cognitive Behavioral Therapy b) Offense Specific Cognitive Behavioral Therapy 2. Behavioral Therapy — teaching and rehearsing healthy ways to behave when overwhelmed by feelings and perceived needs. 3. Psycho -education and Family Systems Theory 4. Dialectical Behavior Therapy (DBT) 5. Eye Movement Desensitization and Reprocessing (EM DR) 6, Aggression Replacement 7. Animal Assisted Therapy 8. Play Therapy 9. Brief Strategic Family Therapy 10. Visiting Coaching Model 11. School — Core Knowledge 12. School — Positive Behavior Supports (PBS) The goals of the Sex Abuse Treatment are as follows: 1. To ensure community safety. 2. To asses risks, ensure that ail family members are safe within the family, 3. To provide strength based, accountable, relationship oriented service which respects the family while ensuring that the goats of treatment are achieved. 4. To provide intensive psycho -educational treatment that increases the client and families understanding of abusive interaction patterns and enables the family to eliminate abusive patterns with in the family. 5. Disclosure of abusive behaviors as well as own victimization 6. To provide the client and family with an understanding of their family and personal cycle of abuse and to ensure their ability to interrupt this cycle, 7. Correction of abusive patterns of behavior, and creation of an abuse -free home and family life 8. Development of victim empathy 9. Mental health stabilization 10. Development of healthy coping skills and tools (self-control, rehearsal of corrected cognitions) 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 8 11. Increased pro -social behaviors and increased protective factors 12. To provide all caregivers with an understanding of Informed Supervision, and the essential nature of being vigilant in providing a safe environment. 13. To complete clarification work depending upon the individual family circumstances and stages in treatment. 14. To provide a strong emphasis on identifying the contributing risk factors and aiding the family in remediating these risks. 15. To develop a strong relapse prevention plan. 16. To facilitate family reunification and/or establish healthy family dynamics if they are unable to live together. 17. To assist the family in development of a nurturing and healthy home environment which will enable the children to successful progress in their development, and academic achievement. 18. To eliminate illegal behaviors by all members of the identified family unit. Qualifications: SOMB approved, and Master's level clinician licensed, provisionally licensed or under the supervision of a licensed supervisor. Outcomes: 1. Completion of Treatment Plan goals 2. Prioritize Community Safety 3. Reduce risk of out of home placement 4. Reduce offending risk as measured by JSOAP 5. Demonstrate improved mental health per observation and assessments Fee Schedule: Ali services are billed monthly Category Service Rate Unit Sexual Abuse Treatment Individual $90.00 Hourly Sexual Abuse Treatment Family $90.00 Hourly Sexual Abuse Treatment In -Home $110.00 Hourly Treatment options for sexual abuse and problematic sexual conduct are not currently billable to Medicaid. Therapeutic services for victim therapy can be billed to Medicaid. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shifohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 9 Informed Supervision Training: Shiloh Home offers a 10 hour parent/caregiver education during 4- 6 weeks, consistent with SOMB Informed Supervision Guidelines. The Informed supervision training is consistent with SOMB standards by a Shiloh staff who is trained in Informed Supervision and supervised by an SOMB qualified supervisor. The Informed supervision training includes at a minimum the following topics: • History of SOMB • 20- Principals of 5OMB treatment with emphasis on community safety • Why Informed Supervision is necessary • Victim Confidentiality • Sexual Offending Behaviors overview • Current laws that relate to juvenile sexual offending • Seriousness of Juvenile Offending, impact, and priorities • Dynamic patterns (cycles) associated with abusive behavior • The role of the MDT in all decisions • Safety Plans • High Risk patterns • Community Supervision and Treatment Credentials: Informed Supervision Trained BA or MA level staff with SOMB supervision Outcomes: 1. Community Safety 2. Parent/Care Giver successful completion of Informed Supervision training as demonstrated by observation, participation, and post test resulsts. Category Informed Supervision Service Rate Unit Duration Education $300.00 Per episode 10 hour training Informed Supervision is not billable to Medicaid. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 10 Mental Health Services Individual and Family Therapy: Therapists employed by Shiloh Home, Inc. use a truama informed approach to therapy services. Shiloh Home provides clinical services to individuals and families to address clinical presenting issues which provide challenges to the individual or family with the goal of preventing out of home placements. With early intervention with complex mental health presenting areas, we believe that the individual and/or family system can be strengthened and as a component of a larger plan will be helped to successfully and safely remain in the community and within the family system. These services can be provided in the office or in the home. Evidence based services include TF-CBT, play therapy, animal assisted therapy, DBT, and EMDR. In addition, as a component of the after -care plan for youth in the residential program, Shiloh Home provides individual and family therapy services to ensure a successful transition for youth who are returning home. Individual and family therapy can also be provided as part of intensive in -home services to assist in preservation of the family and prevention of out of home placements. Qualifications: Masters level clinician licensed, provisionally licensed or under the supervision of a licensed supervisor. Outcomes: 1. Improved mental health as assessed by observation and structured assessments 2. Completion of treatment goals Fee Schedule: All services are billed monthly Category Service Rate Unit Intensive Family Therapy Family $90.00 Hourly Intensive Family Therapy In -Home $110.00 Hourly Mental Health Treatment Individual $90.00 Hourly Mental Health Treatment In -Home $110.00 Hourly Mental Health Treatment Assessment $95.00 Hourly Mental health treatment, including family and individual therapy are billed directly to Medicaid. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 11 In -Home Life Skills: The mission of Shiloh Home's Life Skills services is to provide services that support and strengthen the family, provide guidance and information to allow self-sufficiency, and create a safe, nurturing environment for children. Shiloh Home's Life Skills coaches focus on the individual needs of the family and the goals set forth in the treatment plan. The Life Skills coach will keep the family's County case worker and all other professionals involved, updated on objectives, progress, and issues in the case on a regular basis. The in -home life skills coaches are available on a very flexible schedule including evenings and weekends. The BA level Life Skills coach will provide the family with tools to move toward self-confidence and independence. These tools may include but are not limited to the following: 1. Provide information regarding community resources, employment, occupational training, education, and health care options. 2. Provide support services to assist family with accessing resources and employment. 3. Provide families with assistance with household budgeting. 4. Provide help with household management. 5. Provide a non -judgmental relationship. 6. Help families identify and establish appropriate boundaries and limits. 7. Provide tools to improve family functioning, including behavior management, conflict management, communication, and problem solving tools. 8. Support development of parent/child relationships. 9. Teaching appropriate discipline techniques - Life Skills coaches utilize a variety of techniques with parents to increase awareness, skill and management of child behavior. 10. Role modeling positive interaction with children - Life Skills coaches model how to positively interact with children, utilizing activities. The Life Skills coach will use books, games, crafts and creative play to teach clients. This includes recognition of children's needs, nurturing interactions, appropriate responses to the child's cues, as well as stepping in to model age appropriate discipline and consequences. 11. Increase parent confidence- As the parent begins to gain new skills and control in the home, confidence is naturally increased. Providing parents with resources to help them with supporting their family also gives the parent a feeling of accomplishment and instills a sense of pride. 12. Teach value of daily routine and consistency with children- Life Skills coaches will help parents establish a daily routine by using schedules and meal planning menus, Parents are assisted with household rules, rewards and consequences and are given resources such as age appropriate chore charts to help parents with consistency. 13. Increase parental awareness of children's basic and emotional needs- Life Skills coaches will assist parents in learning to recognize child healthcare needs, make doctor appointments, and at times, accompany the family to a doctor's appointment. Coaches will help parents plan and prepare nutritious meals, in addition to providing resources for housing, food, clothing and shelter. Coaches help teach parents to recognize what feelings are expressed in their child's behaviors and how to respond in a way that nurtures the child. 14. Provide parents with information regarding age appropriate child development- Life Skills coaches teach parents about child development. Coaches use a variety of assessments to help determine a child's developmental growth as well as providing parents with activities to utilize with their child in order to stimulate development of fine and gross motor skills as well as adaptive and communication skills. Coaches will help a parent recognize what is age appropriate behavior and 65881 N. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 12 how to manage any inappropriate behavior. The goal of Shiloh Home's Life Skills services is to enable the family to function in a safe manner, by addressing the concerns through education, role modeling, and providing information for community resources. Outcomes: a) Increase the level of family functioning b) Eliminate child protection issues in the home c) Increase formal and informal supports such as community, family, and friends d) Increase parents understanding of their parenting role e) Help parents have realistic child expectations f) Improve parenting, relationship, and social skills Treatment Packages available for In -Home Life Skills: Treatment Package Intensive: 10-15 hours per week Treatment Package High: 7-9 hours per week Treatment Package Moderate: 4-6 hours rate per week Treatment Package Low: 3 hours per week Treatment Packages include 75% face to face with family and 25% other duties including but not limited to Team Decision Meetings, Administrative Review Conferences, Case Management, and Court related activities. Fee Schedule: All services are billed monthly Category Life Skills Home Based Services Service Rate Unit In -Home $65.00 Hourly In -Home $65.00 Hourly Life Skills services are not billable to Medicaid. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 13 Beyond the Walls - Life skills Transitional Resource Network: Transitional coaching for youth ages 14-26 - Beyond the Walls assembles the circle of support, and network of resources that exists naturally in local communities. Young people build a plan by assessing where they are currently and their goals for the future. The youth that participate in Beyond the Walls will have the opportunity to work with a Life Transitions Coach to identify their needs, set goals, and connect them with our Community Partners Network. Our Community Resource Network then links young people to opportunities and experience to help them in reach their goals. Each month 25 hours of learning opportunities are available to the youth. This integrated system of resources and connections amplify the ability for each youth to have caring adults working along side as they journey towards their future. Each month Beyond the Walls sponsors; Work Shops such as financial literacy, Reality Tours such as college tours, business tours, Mentoring relationships on a 1: 1 level or in Circles of support; Each learning and support opportunity focus on the areas of education, housing, job skills, faith -based connections, business engagement, and community skills. The network of activities and support are proven tools that support young people in gaining vital confidence and support during times of change in their life. The combination of action learning, mentoring, coaching and peer mentoring provides young people with a wider source of support and inspiration for idea generation and greater creativity in problem solving during critical times in a young persons life. Specially trained community partners guide each learning opportunity which give young people the chance for experiential learning, a chance to discuss individual plans, followed by peer support with community partners acting as a sounding board for young people to bounce ideas and potential solutions to problems. Beyond the Walls also leverages and builds links to existing resources in the community to ensure young people are able to find what they need to become a vibrant member of their local community. Credentials: BA level Outcomes: 1. Percentage of participation 2. Successful completion of goals Fee Schedule: All services billed monthly Category Beyond the Walls Service Rate Unit Individual $1,020.00 Monthly and Group Beyond the Walls services are not billable to Medicaid. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 14 Psychological and Neuropsychological Evaluations: Psychological testing can be used as part of an overall assessment to provide accurate diagnosis of mental health issues, and to assist in effective treatment planning for clients. Psychological testing is provided by a licensed psychologist, who is registered with DORA. All psychological assessments will include a written report completed by the psychologist. Both psychological and neuropsychological evaluations can be completed with a written report in 8 to 12 business hours. Fee Schedule: Billed at the time of service Category Service Rate Unit Evaluation Psychological $120.00 Hourly Evaluation Neuropsychological $120.00 Hourly Psychological testing and evaluation may be billable to Medicaid if recommended by a qualified, licensed professional. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 15 Staff All employees of Shiloh Home, Inc. are required to complete finger prints and background checks. Clinical staff are licensed, or working under the supervision of a fully licensed practitioner. All licensed clinical staff are registered with Dora. The following section provides employee training information, supervision structure, and licensing information for employees who may provide the proposed services in Weld County, Colorado. Resumes for employees who may provide the proposed services in Weld County are included at the end of this proposal. Agency structure for initial and ongoing training specific to child abuse and neglect. Teachers, Paraprofessionals, Community clinical staff; including in -home therapists, life skills coaches, behavioral coaches, family preservation workers, and supervisors of supervised visitation are required to complete 40 hours of initial orientation training. Staff receive ongoing training to meet or exceed the required number of training hours for each year of service. • Introductions, agency philosophy, mission and program goals, and initial paperwork (benefits, personnel policies, work schedules). • Facility systems, and policies and procedures (to include client confidentiality, client rights, and the reporting of child abuse). • Staff roles (job responsibilities). • Code of ethics. • Health and safety policies and issues. • Emergency and on -call procedures. • Continuum of Care guiding principles. • General documentation, including critical incident reporting. • Family -centered models of care. • Strength -based treatment approaches. • Customer relations and collaboration. • Cultural diversity. • Impact of working with sexually abusive youth. • Cycle of abuse and Informed Supervision • Developmental considerations in working with youth (40 developmental assets). • Trauma Informed Care. • Mandatory reporting. On-the-job Mentoring: Following the initial training, staff undergo an extensive mentoring with their supervisors and other experienced staff. Staff complete an on-the-job training checklist during this training period. Community In -Home Life Skills Workers, Family Preservation Workers, and Family Therapists, participate in joint in -home family preservation work with a seasoned worker during the initial training period. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 201.7 16 Employee Supervision: It is the policy of Shiloh Home, Inc. to provide supervision to all employees. Individual or group supervision may be conducted; however, a minimum of one individual supervision must be completed one time per month. Supervision will be completed by all supervisors according to the agency organizational chart. Supervisors must meet the requirements outlined in the supervisory job description to be considered for a supervisory role. All supervisors must complete a supervisor training with the Human Services Director upon promotion to a supervisory role. Unless approved by the CEO, staff must be employed by Shiloh House for a minimum of six months before becoming eligible for promotion to a supervisory position. Shiloh Home, Inc. is a COA accredited agency, and follows the COA recommendation for supervisor to staff ratio of 1:8 for the services outlined in this proposal. Shiloh Home, Inc. clinical staff registered with Position DORA Beth Miller Melissa Larcom Daniel Venman Molly Ramirez Josie Hildebrand Brittany Losasso Jason Lynch Lauren Barr Alexandra Blumenfeld Samuel Cade Kathleen Combs Page Fischer Ashley Dryer Lena Kline Tiffany Lloyd Lauren Martinez Robin Munro Sarah Shapiro *indicates a supervisory position Chief Program Officer* Clinical Director* Clinical Director of Offense Specific Services* Clinical Manager* Community Outreach Services Manager* Lead Clinician* Lead Clinician* Shiloh First Clinician Clinician Clinician Clinician Clinician Clinician Clinician Clinician Clinician Clinician Clinician License Number CSW .00989828 LPC.0004127 LPC.0011841 CSW.09924481 NLC.0104747 CSW.09924119 LPCC.0014453 NLC.0105769 SW P.0001233 SWP.0001265 LPCC.0014478 LPC.0013500 LSW.0009921451 LPC.0013350 LPP.0001442 LPP.0001418 LPCC.0015171 SWP.0001248 SWP.0001264 SWP.0001237 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 17 Years of Supervisory Experience Name Years of Supervisory Experience at Shiloh House Current Position Beth Miller 6 years 1 Chief Program Officer Melissa Larcom 9 years Clinical Director Daniel Venman 2.75 years Clinical Director of Offense Specific Services Molly Ramirez 4 years Clinical Manager Josie Hildebrand 3 years Community Outreach Services Manager Brittany Losasso Less than 1 year Lead Clinician Bridget O'Hare 9 years , Community Outreach Services Supervisor Maureen Gleason 20 years Director of Licensing Jayne Pierce 9 years Human Resources Director Lawrence Green 8.3 years Director of Special Education Structure for outcomes reporting. Shiloh Home, Inc. will provide Weld County Department of Human Services a quarterly report summarizing outcome data from each of the service areas. Specific outcomes are listed following each service area description. Medicaid approved provider credentials and services Shiloh Home, Inc. is a Medicaid approved agency, and can bill for Individual, Group and Family Therapy within the context of the RCCF setting. We are approved to provide BHO funded outpatient, day treatment and residential services. Private insurance billing may also be available for qualifying services. Billing Requirements Billing will be submitted pursuant to the "Trails" billing system or as otherwise established by Weld County Human Services, and will be submitted with all requested supporting documentation. Shiloh Home will bill monthly (every 30 days), no later than the fifteenth day following the month in which Core Services were rendered. No-show appointments are not considered billable; therefore it is Shiloh Home's practice to place services on hold after the second no-show until the case is reviewed further with Weld County Human Services. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse,org Shiloh Home, Inc. Response to Annual Request for Various Services: Bid Number B1700080 2017 18 Structure for receiving referrals, assigning providers, engaging families, and beginning services. Referrals can be submitted directly to the supervisor or Intake Clinician assigned for the desired CORE service including: Beyond the Walls, Sexual Abuse Treatment, Intensive Family Therapy, Mental Health Services, Day Treatment, Informed Supervision Parent Education, Problematic Sexual Conduct Home Services, and Life Skills and Home Based Intervention. Referrals will be reviewed and approved within 24 business hours. Once approved, the supervisor or Intake Clinician will assign a provider. The provider will contact the family within 48 hours of the referral to schedule an initial appointment. Families often have busy schedules, and if a provider cannot immediately make contact, he or she will continue attempts to engage the family in services. The provider will work with the client or family, and the referring agency to identify service goals and create a plan to address any barriers to achieving those goals. The provider will work directly with the client or family to schedule consistent, ongoing appointments to provide the most effective service. For services that utilize treatment planning, an initial treatment plan is created within the first 10 days, and a copy is provided to the assigned Weld County Caseworker. Shiloh House recognizes that every family's needs will be different. Engaging families in services that will help them achieve their goals means developing creative solutions through evidence -based services. This can include animal assisted therapy, play therapy, Eye Movement Desensitization and Reprocessing (EMDR), or more conventional cognitive -behavioral therapy. For non -therapy services, creative approaches can include hands-on learning and opportunities to engage in community based activities with a provider to maximize goal oriented learning. 6588 W. Ottawa Ave. Littleton, CO 80128 Tel: 303-932-9599 Fax: 303-973-1269 shilohhouse.org i RCONTE IIATE.ERE rrni 116112017 r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MO R101H1S UPON THE CERTWCAT5 HOLDER. TIES CERTIFICATE DOES NOT AFFEIMATIVELY OR NEGATIVELY ANSND, EXTEND OH ALTER 'I llE COVERAGE AFFORDED BY THE POLJCIES BELOW. TIM CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE 156UN@ I URER(S), AUTWQRfI ED 'REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. /� �. SHILHOM-01 ..--- CERTIFICATE OF LIABILITY INSURANCE itavaITAI(T If the certificate huktor t! or ADDrOHAL INSURE°, the po0cy(fes) must have ADDITIONAL * SUR d. N SUBROGATION IS WANED. =Meet to the terms and conditions ofthepolicy, certetnpolicies rri. provisions ersatemersen Bile Certificate does not center iipfde to the ordifleato folder In Usual such endcreemeid(.). way ea endorsement. A statement nrr PREOEDalt ��e. Deriver, CO ■rauPsD Shiloh Honor, Inc: (IS50 tv COON Mire Ave Littleton. CO 00123 .OVERAGE1 CERUFIIIATE NUMBER; CT Anglo ildtlrtin edaf��I 336 x t a.,or ft _ arnordn is irau f enueste: Philadelphial2demn In* qD Noonan e:Wfpadpl Assurance Comm, NeuREE.c: D• MOM E: refulMAltF: BAILS 1805$ A1190 This IS TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TILE INSUREVISION NUMBER: RED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. .!NOTWITHSTANDING ANY REQUIREMENT, TERM GR CONDITION OF ANY CONTRACT CR OTHER DOcUMEN WITH RESPECT TO WHICH THIS CERTIFICATE MAY. BE ISSUED CR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TES, EXCLUSIONS AM) COMTI0NS OF SUCH POLICIES. UMrrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .lift TYPE OF IS5URAUCE A X CLAimemaker occult Melt Arr0N4.ILA Lri41e.RY X AIY Aura Mom, IWrTbTOe ONLY A X usieneu.A WIL EXCESS LIA0 x MED PHP*CI08173$ PHHP1c1511736 01/01/2017 0110112017 01101/3011 1,000,000 erasnrrss NFD EiTjade, sits wog) MIAOW, LaAw NARY GENERAL AGGREGATE JI OCCUR MAPASMADE x LAETI s 1 a,000 MiraiNitftarrr 'sq I dasorbt ceratevate Wee. A Manapemilla U.willy NSA PHUBB67665 PH= giwss _ 01/011201T 01110112017 01I01120fl 01.101 010 Aoa iTE EACH occorotiorce 01A11/2015 E.L,sAct1A0 i1T $ 100;000 &0x,000 X000 xittnnFl f" - s 5,000 1,004,000 3,000,000 8,003,000 1,000„000 3,000.000; 3,100,000 Li. mauls•reEMPLare s 81/01120'1$ I to +aaaLrGYUe e� 0,000.000 C Llehu r-.PhEAdni4 Na Ir llyli Co ', rra e$25 "'elll!'u4'!''llb1 'W fi'1relO4'B f", tR,'tPOa' LI Nitty -Paley PHPI(150173E, ereoSva 01101/2017 to l f/0I1201S, Umlts ar 11.0Q0.ap0 PerOCcurrenee and $3,O* 0o Polfojr Aggregate. Abuse S Lfolutrtlen. WW1ty - POllcy PIENC1Is17ae, effective 01(Oi12011 to 911018011,. Limits of $1,500006 Fur Oecrase ncii read $3,000,0O0 Peaty SEE ATTACHED ACORD 101 CERTIFICATE HOLDER Weld te• Colorado PO Boo A Brashly. CO ma0 4 ACORD 25 (20113/03) SHOULD ANY OP THE ABDw DESCRIBED POLICIES BE CANCELLED BEPORE THE IDOPitATION OATS THEREOF, Nonce W4.I. BE DILIVWRED IN ACCORDANCE BM INE POLICY PROVEiDSIs. AUTHEREED a6FRWNTA7arE 1081-2015 ACORD CORPORATION. AN rights reserved. The ACORD neme and logo are ra$fetered marks of ACORD Print Lookup Details I okun Detail View Page 1 of I Licensee Information This serves as primary source verification* of the license. *Prime* source rerat ,; !deeme 1. provided by ate Colorado D1Viaiaa a Prqtitsions and Ompadom v.rnbtrl ad by2444-102Clta Name j Public Address I rederick Bryan Hebert DENVER, CO 802094514j Credalyd 11 ' don Lime 1«si Lime License Original Effective Number !Method a Stains issue Dade Date DE.0017062 Original Physician A+.'tive 04/13/1971 05/01/2017 Expiration Date 44/30/2019 Board/Rini-am Actions 1 Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 4rir201712: 5:35 PM https://appLeoloredo.gov/dareAicensing/ .00kup PrintLicenseDetaila.a ?cred=o] 1064&c... 4/7/2017 Print Lookup Details kuu Dew Page l of 1 Lieenses hformation This serves ova primacy sowce verification* oft& license. * �ryzoom ur do License!' of + FbyrJ�Caro'adb Division est, i+ a Cy 2444 02 C JRS� starts mrd rprrrlarrr, Credential Information Marne Number License Method Name Public Address Laurie Ann Tonal Littleton, CO 80123 License Type PSY.0004245 Examination Licensed Psychologist Rorogrtai Actions License Original Effective Expiration Status lame Data Date Date Active 0�D8/20I 5 106/08/2015 108/31/2017 D>hne There is no Discipline or > Aictiana oa file for credantial. 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NosedMethod 7 *atm CSW.0O9S98211 Examination Licensed Clinical al Social Worker Orighatd I Active Issue Date ' Date Active 10119 1991 Board/Program Aedocte Diseipline 09/€11/2015 Expiration Date 08/31/2017 'Thom is no Discipline or Board Actions on file for this credential Canasta' on: 417/20 17 12 24:01 PM https,!fapps colorsdagovidoteliicenshs,nokup/Ri ttliceneeDeiaila. c?cred.S79'SO4d c,., 4/7/2D 7 Print Lookup Details Page 1 of 1 Licensee Information This tea• as p *nary some ailiorr* gfih. lens. *Printery source v 'i lead n: Mime blernieflon provided,* the Calomel° DivIsian egfPrettessiessand Occapallane, saaldish®dAy 24.34-102 C.1 Nine PrbUe At!dregs Won Jean Lamont Westminster, CO S0031 In>atian License License Minim- Method LPC. 0004127 Examihmtion License Typo Licensed Professional Counseled. License Original Status Issue Dote Active 09130/005 hive Dee 09/01/2015 &fil atfon [fate 0$/31/2017 Board/Propos Actions . Discipline There is hsa Discipline or Board Actions on file for this credential, Generated on: Q720171223:31 ['M bites://Asps,+calasado,gaoldoe fiu g/Lookup PrintlacenseDetaiig a 7cred.8665]9 ... 4/7/2017 Pint Lookup Details Page 1 of I Lin Dail View Licensee Information This serves as primary soiree v Ication * githe license. *Prinuoymace ►a alto MCCAW Infatramlaap d by the Colorado (*Wort tfPrafeszlons and OccapfillgrA eelaMLthidly 24-34102 CAS Nano Public Address dosie Dane& Hildebrand' ildel Atmore, CO lea8-6032 Creel atki Information Bohm Aetiani Dkcipline There is no Discipline or Board Ammons on file for this credential. Generated an: 4/713Q 171222:3 j Pm lit J/e .coloreds,govtdorallicensioglLookup/PrintLi Details a creel=106l03]fit... 4/7/2017 Print Lookup Details Page l oft Licensee Information This des as primary source ver caikcn* gfthe Ilcen e. *Prima y:owre 3 LIee*, bfarotpatilonprovkiai by tits Coioraclo Division if PrOiniaire old Orapeillom eatabilaiie iby 244440.2 C.R.S. �•m. rake Address t,�e�w,m�x.m;,c� tnu�,coeotze Name Public Address !Meredith Winn 1'lmmire2 Littleton, 0010128 Credential Iraaaf`en Lice lame Limn Number Method Type CSW.09924481 Examination Licensed Clinical Social Worker BetrdAPrograin Acme I License Orlga1 Steme lame Date Acu've 08131f2016 Effective Date 08/31/2016 Bspitdrus Date 08/3112017 Discipline There is no Discipline or Board Actions on file for this credential. Generated on 4/7/2017 12:20:53 PM lutps://apps.colontdo.govidorailicensing/Lookup/PrintLicenscDetailLaw7cred 074192&.... 4/7/2017 Lookup Detail View Licensee Information This serves as primary source verification* of the license. *Primary source venlcationr License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 CRS. Name Public Address Jason Aaron Lynch Longmont, CO 80504-9782 Credential Information License Number SWP.0001233 License Method Original Board/Program Actions License Type Provisional Social Worker License Status Active Or giinal issue Date 09/18/2015 Effective Date 09/18/2015 Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 4/21/2017 2:30:07 PM Expiration Date 08/31/2017 Lookup Dew View Licensee Information This serves as primary source verification * of the license. *`Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 2434-102 C.R.S Credential Information License Number SWP.0001265 License Method Original Board/Program Actions Name Public Address Lauren Taylor Barr Denver, CO 80231-4819 License Type Provisional Social Worker Discipline License Status Original Issue Date Effective Date Expiration Date Active 09/19/2016 09/1912016 08/31/2017 There is no Discipline or Board Actions on file for this credential. Generated on: 4121/2017 2:32:49 PM Lookup Detail View Licensee Information This serves as primary source verification* of the license. *Pr₹mary source verification: license information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address Alexandra Lindsay Blumenfeld Denver, CO 80223 Credential Information License Number License Method License'Pc License Status Original Issue Date Effective Date Expiration Date LPCC,0014478 Temporary Permit Licensed Professional Counselor Candidate ' Active 09/25/2015 09/25/2015 I 09/25/2019 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 4/21/2017 2:35:09 PM Lookup Detail View Licensee Information This serves as primary source verification * of the license. *Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 2434-102 C.R.S. Name Public Address Samuel Clay Cade Denver, CO 80218 Credential Information License Number License Method License License Status Original Issue Date Effective Date Expiration Date LPC.0013500 Examination Licensed Professional. Counselor Active 01/46/2017 01/06/2017 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on; 4/21/2017 2:36:11 PM Lookup Detail View Licensee Information This serves as primary source verification* of the license. *`Primary source verification: License information provided by the Colorado Division ofProfessions and Occupations, established by 24-34-102 C.R.S. Name Public Address Kathleen Elizabeth Combs Denver, CO 80218-1894 Credential Information License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date LSW 0009921451 Examination Licensed Social Worker Active 03/27/2017 03/27/2017 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on; 4121/2017 2:37:13 PM Lookup Detail View Licensee Information This serves as primary source verification* of the license. *Primary some verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address Page Christine Fischer Loveland, CO 80538-2014 Credential Information License Number License Method License Tie License Status Original Issue Date Effective Date Expiration Date LPC.0013350 Examination Licensed Professional Counselor Active 09/29/2016 09/29/2016 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 4121/2017 2.37:57 PM Lookup Detail view Licensee Information This serves as' primary source verification"` of the license. *Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address Lena Ann Kline Arvada, CO 80003 Credential Information License Number License Method License a License Status Original Issue Date Effective Date Expiration Date LP .0001418 Original Provisional Licensed Professional Counselor Active 04/18/2016 04/18/2016 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 4/21/2017 2:38:51 PM Lookup Detail View Licensee Information This serves asprimary source verification* of the license. *Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address Tiffany Danielle Lloyd Aurora, CO 80014 Credential Information License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date LPP.0001424 Original Provisional Licensed Professional Counselor Active 05103/2016 05/03/2016 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated. on: 4/21/2017 2•.40:00 PM Lookupetail yjw Licensee Information This serves as primary source verification* of the license. *PrinuRry source verification: License information provided by the Colorado Division of Profession and Occupations, established by 24-34-102 CAS. Name Public Address Brittany Rae LoSasso Denver, CO 80211-2832 Credential Information License Number License Method Licensee License Status Original Issue Date Effective Date Expiration Date LPCC.0014453 Temporary Permit Licensed Professional Counselor Candidate Active 09/09/2015 09/09/2015 09/09/2019 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 4/21/2017 2:40:39 PM Lookup Detail View Licensee Information This serves as primary source verification* of the license. *Primary SMOLT verification: License information provided by the Colorado Division ofProfessians and Occupations, established by 24-34-102 C.R.S. Name Public Address Lauren Ashley Martinez Denver, CO 80231-4233 Credential Information License Number License Method License License Status Original Issue Date Effective Date Expiration Date SWP.0001248 Original Provisional Social Worker Active 05/03/2016 05/03/2016 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 4/21/2017 2:41:51 PM Lookup Detail View Licensee Information This serves as primary source verification* of the license. *Primary source verification: license information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address Robin Lynn Munro Denver, CO 80205-5533 Credential Information License Number License Method License a License Status Original Issue Date Effective Date Expiration Date SWP.0001264 Original Provisional Social Worker Active 0910912016 09/09/2016 08131/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 4/21/2017 2:43:06 PM Lookup Detail View Licensee Information This serves as primary source verification* of the license, *Primary source verification; License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 CRS. Name Public Address Sarah Corrie Shapiro Boulder, Co 80303-9109 Credential Information License Number SWP.0001237 License Method Original Board/Program Actions License Type Provisional Social Worker License Status Active Original Issue Date 11/12/2015 Effective Date 11/12/2015 Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 412112017 2:43:59 PM Expiration Date 08/31/2017 Lookup Detail View Licensee Information This serves as primary source verification* of the license. *Primary source verification: License information provided by the Colorado Division of Professions and Occupations established by 24-34-102 C.R,S. Name T Public Address Ashley Dryer Denver, CO 80223 Credential Information License Number LPP, 0001442 License Method Original Board/Program Actions License Type License Status Original Issue Date Effective Date Expiration Date Provisional Licensed Professional Counselor Discipline Active 10/17/2016 10/17/2016 There is no Discipline or Board Actions on file for this credential. Generated on: 412112017 2:44:51 PM 08/31/2017 Melissa J. Lareom, MA, LPC 645 Eldorado Blvd #1236, Broomfield, CO 80021 720-302-3383 EMPLOYMENT HISTORY Clinical Manager, Shiloh Homes, Inc, Commerce City, CO May 2008 —present Managed all clinical services, coordinating with Residential Supervisor to ensure consistent, stabile and therapeutic environment for residential clients on. the Adams Campus. Conducted weekly utilization reviews. Provided regular supervision to Clinical staff including any necessary disciplinary action in conjunction with Human Resources. Participated in interagency meetings, and was liaison point person for Mama County Department of Social Services. Oversaw completion of clinical documentation required for Medicaid and other county contracts. Developed and implemented necessary treatment plans and assessment for clients entering the program. Participated in agency On -Call rotation. Provided training to new and existing staff necessary to ensure compliiitnce with standards of care established by the State of Colorado regulations and other licensing agencies. Research Assistant to Ph.D. candidate, Guru, Uganda October 2007 - January 2008 Conducted qualitative and quantitative interviews with individuals oflDP (Internally Displaced Persons) camps of Northern Uganda. Worked closely with an interpreter. Managed cultural gaps of individuals from remote Ugandan tribes. Provided counseling to trauma victims of a 20 year war in addition to research duties. Crisis Clinician -- Behavioral Health Network Springfield, MA July 2007 — October 2007 Conducted formal evaluations on individuals in crisis situations to determine appropriate level of care on a continuum from outpatient services to inpatient. Included in level of care options was dual diagnosis DETOX, regular DETOX, partial hospitalization and crisis stabilization (respite). Additional duties included writing up crisis evaluations upon completion of interviews and interfacing with insurance companies and service providers to link clients with appropriate level of care. Program Director - Children's Study Home Springfield, MA. June 2005 — April 2007 Responsible for overseeing administrative aspects of residential programs including formal evaluations, treatment reports, schedules, timecards, and ` ' on of employment. Developed and executed treatment plans and clinical interventions focusing on issues related to major mental illness including Schizophrenia, Bi-Polar Disorders, Major Depressive Disorders, Dissociative Disorders and PTSD. Performed case management services including court presentations, written therapeutic assessments, and coordination of care with psychiatrists, department of youth correction and social & human services, and other collateral community provider%. Managed bachelors level childcare workers of 15 -bed unit. Evaluated and advised clinical team on psychological and psychosocial needs of clientele. Coordinated staff education and training. Provided weekly individual and getup supervision to program personneL ht -Home Clinician Community Reach Center, Northglenu, CO. November 2004 - May 2005 Conducted psychotherapy and brief solution focused therapy to children, adolescents and their families. Provided in home services to clients and families. Oversaw the scheduling and monitoring of treatment planning and staffngs for all clientele. Supported clients in developing independent living and social skills. Conducted intakes and crisis evaluations. Utilized combination of psychodynamic and CBT approaches to help clients overcome mental health issues. Coordinated care with psychiatrists and other community based service providers. Therapist & Facility Clinical Treatment Leader, Third Way Center, Denver, CO June 2002 — November 2005 Provided individual, family, group and milieu therapy to mentally ill adolescents and their families in a residential treatment center. Developed and executed treatment plans and clinical interventions focusing on issues related to major mental illness, physical and sexual abuse, drug addiction, attachment disorders, sexual perpetration, and grief and loss. Performed case management services including court presentations, written therapeutic assessmeaus, and coordination of care with staff psychiatrists, department of youth corrections, social and human services, and other community service providers. Managed Masters level therapists and bachelors level mental health counselors for 22 -bed unit. Coordinated staff education. and training. Supported clients in developing independent living skills necessary for emancipation. Supervised staff administration duties including formal evaluations, treatment reports, schedules, timecards, and hiring/termination of employment. Provided weekly clinical supervision to therapists throughout the o ganization in both individual and groups settings. Drug & Alcohol Treatment Coordinator, Third Way Center, Denver CO June 1997 - June 2002 Developed and executed an ongoing treatment curriculum that balanced behavioral, cognitive and psychodynamic aspects of substance abuse treatment. Provided ongoing individual and group therapy for addressing chemical dependency issues addressing educational, treatment and relapse prevention. Managed and monitored drug sings for substance use among clientele. Educated clients on substance abuse treatment and recovery. Assessed, diagnosed, and treated substance abusing clients utilizing the SASSI (Substance Abuse Subtle Screening Inventory) and the ASAP (Adolescent Substance Abuse Profile) Conducted educational and formal presentations on Mental Health and Chemical Dependency in classroom settings. Supervised Masters level therapist and bachelors level mental health counselors on substance abuse issues, Clinical Therapist Third Way Center, Denver, CO August 1995 - June 1997 Conducted psychotherapy and brief solution focused therapy with children, adolescents, families, groups and couples. Interfaced with multiple systems involved in treating clients, including social and human services, probation, schools and employers. Provided case management services indulging treatment plans, court presentations, and written therapeutic assessments. Supervised a milieu of up to 22 residents. Supported clients in developing independent living skills necessary for emancipation. Provided in home services to clients and families. Oversaw scheduling and monitoring of treatment planning and staffings for all clientele. Versed in directing and managing emergency situations while an call. CLINICAL TRAINING Intern Arapahoe House January 1995 - May 1995 Provided individual and group therapy to adolescents in a residential setting on chemical dependency issues. Conducted educational and treatment focused therapy. Assisted clients in developing relapse prevention plans for subsequent release from treatment. Intern Denver Seminary June 1994 - December 1994 Conducted individual and couples psychotherapy session using brief solution focused therapy. Conducted intakes and provided case management services EDUCATION Denver Seminary, Denver, CO Master of Counseling May 1995 CACREP certification Graduated with honors Colorado Christian University, Lakewood, CO Master of Counseling May 1993 University of Puget Sound, Tacoma, WA Bachelor of Science - Psychology, May 1983 CERTIFICATION Licensed Professional Counselor, State of Colorado licensure number 41273 September 2005 • present REFERENCES 'Tyler Booth, LCSW Director Inter Community Mental Health Group (860)291- 1313 Julie James, LICSW Vice President of Rehabilitation Services Goodwill Industries (413) 788-6984 ex 224 Renee Johnson, LCSW, Clinical Director Third Way Center (303) 780-9191 5740W.71&AVE ARVADA,COsao43720-219• 630augelinadlyies@aalcam Objective To obtain a clinical position in the psychology or criminal justice &kJ. January 1, 2011 -Present Centennial Peaks Hospital Louisville, CO Mental Health Counselor • binning safely ina72-bedme health batty • Cherfing progressive behaviors and enotlo ns ofpadents • Aug dart:nightly, in ad idon to aagaoising and filing • Faciitalingandkanggroups • Crisis, due t ate and milieu management wither each (Athe Chemist Dependency, Adult (Depre ailArniety), Adolescent, and ilILT (F ) August 2011 -Present Karlis Family Center Parenting Time Supervisor as Intern • Mnninmag visiting tunes between pain and their child= as percourt =k rdue to negledinbuse, • Documenting negative or positive occutences during these visit • Maintair,jngsafety offfiec3nj1ciren. November 2009 - January 2012 Bartender • Lca,g • Providing customer service to guests • invedery, winching and meeting orieniedoes • T am,mgleed Lakewood, CO Baker Street Pub Boulder, CO January 2008- Metropolitan State College of Denver Denver, CO December 2011 B.A. Psychology, minor English Writing • GPA3,71 December 2012 -Present University of Northern Colorado M.A. Ctinicai Psychology (la progress) Denver, CO Susan Dett'enbach 720-495-4841, Centennial Peaks Hospital; Mental Health Counselor Jamie Van 208-850-9186 , M.A. Clinical Psychology, Boulder Community, Counselor Daniel Thatcher Venman, MA., P—LPC 4705 Halms Peak Dr Unit 104 4 Loveland, CO 80538 • (719.) 314-7469/ Education University of Northern Colorado, Greeley, CO 80634 Area of Study: Clinical Counseling, MA Fully CACREP Accredited Program Date of Graduation: December 2011 University of Northern Colorado, Greeley, CO 80634 Area of Study: Psychology, B.A. Minor Area of Study: Sports Pedagogy/Athletic Injury Management and Prevention Date of Graduation: May2009 L.icensure and Certification ▪ Provisionally Licensed Professional Counselor # 1272 • Colorado Registered Psychotherapist #13765 • 8OMB Intent to Apply Status - Associate level application is cut ently under review by the BOMB • Trained and certified in Trauma Focused Cognitive Behavioral Therapy (TF-031) • Qualified Medication Administration Person (QMAP) in the state of Colorado Work Experience Clinician, Shiloh House Adolescent Residential Treatment Center (TRCCF), Longmont, CO (December 2011 -Present) • Provide individual and family therapy to offense specific and non offense specific Adolescents (12-18) experiencing severe emotional and behavioral problems • Develop individualized, therapeutic treatment plans to best meet the needs of clients and their families • Facilitate multiple group therapy sessions on a weekly basis • Serve as a member of multidisciplinary teams to ensure effective individualized treatment for each client Shift Coordinator/Team Lead, Mountain Crest Psychiatric Hospital: Adolescent Residential Treatment Unit (TRCCF), Fort Collins, CO (December 2009 — December 2011) • Provided supervision, crisis intervention, emotional support, and psychoeducation to adolescents (ages 12-18) • Facilitated group therapy in areas such as Family Systems, Grief and Loss, Coping Skills Training, Trauma, etc. • Supervised, evaluated, and provided guidance to fellow Mental Health Counselors • Cooperatively developed therapeutic curriculum to be used on the milieu Clinical Counseling Intern, Medical Center of the Rockies: Counseling Department, Loveland, CO (March 2011 December 2011) • Provided emergency mental health evaluation and crisis stabilization for children, adolescents, and adults in the Emergency Department • Provided solution focused, brief therapy and emotional support to patients throughout the hospital • Provided emotional support to patients and families as a member of the MCR Trauma Team Mental Health Therapist in Training, UNC Psychological Services C3rnie: Practicum in Individual Therapy, University ofNorthern Colorado, Greeley, CO (December 2010 - May 2011) • Provided low cost, individual therapy to adolescents and adults from INC as well as the surrounding community Residential Counselor, the Namaqua Center (TRCCF), Loveland, CO (January 2009► - December 2010) • Provided supervision, crisis intervention, emotional support, and psychoeducation to children (ages 4-12) • Cooperatively developed therapeutic programming and curriculum for highly traumatized children Counseling Department Intern, University Middle School, Greeley, CO (December 2009- May 2009) • Aided the counselors and worked Ion 1 with students in crisis management situations • Worked 1 on 1 with students struggling in school because of various spars (mental health, family problems, etc.) • Provided psychoeducation to students about topics such as bullying, boundaries, and the dangers of cyberspace Professional Development • Brain Based Intntions, presented by Dr. Sheryl Ziegler (June 2009) • Trauma Treatment with Children and Adolescents: A strengths Based Approach, presented by Dr. Kevin Powell (February 2012) a A Trauma Informed Approach to Stop Sexual Harm by Youth, presented by Joann Srhladale (April 2012) • Trauma and the Developing Brass, presented by Dr. Michael Yager (April & May 2012) • Navigating the System: forting with Persons with Developmental Dom, various presenters (May 2012) • Victim Blaming: From Argument to Education, presented by Dr. Gail Stem. (July 2012) • Seeding: &dancing the Law, Teens, & Technolozj, presented by Scott hefty (July 2012) • Sexual History Evrduwiors, presented by Rick May, Pam Hiner, Brenna Tindall, & Jessica Battles (July 2012) • Normative Sandal Behavior and Development, presented by Dr. Mike Miner (July 2012) • Sew Victimization Issues Affect Sex Offender Management and Considerations for Contac Clanficatlon, and Reunification, acation, presented by Erin Jemison & Kandy Moore (July 2012) • Juveniles who Commit Sexual Offenses and Polygraph, presented by Mona Murch (July 2012) • Motivational Interviewing (August 2012) • Trauma Focused Cognitive Behavioral Therapy, various presenters (September 2012) • Presented DeaDemystifying Trauma Wormed Care to Shiloh Home Milieu Staff February 2013) Sarah C. Shapiro 4870 Meredith Way, #203 Boulder, CO 80303 303-847-2994 wit Masters of Social Work, May 2015 Simmons School of Social Work, Boston MA Bachelor of Arts in Art History, June 2007 University of Chicago, Chicago IL Relevant coursework Social Work with Groups, Cognitive Behavioral Therapy, Narrative Approaches to Social Work, Multiple Faces of Trauma, Spirituality and Social Work. HUMANSERVEESEXFERIENE Counseling Intern, September 2014 to May 2015 Center far Wellness, Wentworth. Institute of Technology, Boston MA Counseling center for a small (3400 students) engineering and technology -focused college, providing short- and long-term therapy, groups, and disability accommodations. • Provided weekly therapy to between 10-13 clients. • Conducted intake sessions for students seeking counseling or disability services. • Co -facilitated a semester -long, biweekly group for LGBTQI- students. Made referrals to external providers when appropriate. • Maintained notes using Titanium electronic medical record software. • Engaged in outreach, such as recruiting note -takers for students with disabilities. • Communicated with faculty, stafe and external providers regarding students' needs. Social Work Intern, September 2013 to June 2014 Winthrop House, Brookline Public Schools, Brookline MA Small therapeutic high school program, currently serving 28 students. The student population experiences various emerging chronic mental health issues. • Provided weekly individual in -school supportive counseling to five students. • Communicated with collateral contacts, such as parents and outside clinicians. • Met with any students as needed. Co -facilitated a weekly stiuleet leadership group with six students. • Co -facilitated a weekly cooking group with three students. • Coached students on decision -making and social skill development. • Assessed students' ability to function and self -regulate in school. • Collaborated with the social worker, director, teachers, and fellow interns. • Spent time in the milieu when not meeting individually with students. Volunteer Crisis Counselor, February 2012 to December 2012 Youth Services of Southern Wisconsin, Madison WI Community organization providing a crisis hotline for parents and teens, family and individual counseling, support groups, job training and referrals to other services. • Answered crisis hotline calls from, offering support and local resources. • Co -led intake sessions at the center with teens and families in crisis. • Chaperoned the "Teens Like Us" LGTBQ Pride Prom. OTHER EXPERIENCE Assistant to the Director, May 2012 to December 2012 Wisconsin Institute for Discovery (WID), Madison WI Wrote promotional content and designed print materials for use with potential donors. Wrote update documentation for two grants. Organized a two-day conference on the future of the university Coordinated day-to-day operations of the director's office. Technical Writer, July 2010 to May 2012 Epic Systems Corporation, Madison WI Wrote, edited, and maintained setup documentation for two software applications. Led a user -centered design process for a software tool for medical residents. Created training documents onsite at hospitals to guide software deployments. Administrative Assistant, August 2009 to April 2010 Department of Psychology in Education, University of Pittsburgh • Designed a web -based system to track applicants, current students, and alumni. • Guided students and faculty through university processes. Researcher, June 2007 to April 2009 Spencer Stuart & Associates, Chicago IL • Conducted and reported on research to help consultants develop candidate pools for executive searches. • Trained new coworkers on in-house database and search tools. SKILLS Language: Native English, intermediate French, some German. Computer: Expert in Microsoft Office, Epic EMR software, and Titanium EMR software. Personal Interests: Cooking, physical fitness, science fiction. 2 JASON LYNCH 14776 N 10TH ST LONGMONT, CO 80504 303-776-5920 OBJECTIVES An abundance of my life has been dedicated to supporting agencies that specialize in behavioral management. My passion is to work with at -risk youth and families in the clinical capacity. I have honed my natural abilities and skills to serve this demographic. My educational endeavors reflect my dedication to this clientele as well. Working in a therapeutic role would bring me fulfillment, and. catalyze the enhancement of my ability to serve this population. A personal objective is to pursue licensure in the summer of 2015. This will provide me with opportunities to attain certifications that will help me serve these children with specialized methods and techniques. Professional specializations I wish to pursue include certification in cognitive -behavioral therapy (CBI), trauma focused cognitive -behavioral therapy (TF-CBT), eye movement desensitization and reprocessing (EMDR), and art therapy. EXPERIENCE 10/1/2007 TO PRESENT Mountain States Children's Home Longmont, CO CHILD CARE WORKER Gaining experience working for a 501(cX3) residential child care facility Exemplify a healthy family model for children in behavioral management residential care Reinforced behavioral management program using individualized treatment plans Meet physiological and emotional needs of children in behavioral management facility in an effort to assist the child in gaining self -actualization Received certification of education from Colorado State Foster Parent Association training seminars Maintain training and recognition as Qualified Medication Administration Person Completed training from the Sex Offender Management Board Maintained Standard First Aid with CPR/AED Certified in Youth Mental Health First Aid Attend weekly trainings from guest speakers and MSCH staff Facility house -parenting model requires 22 full days on duty followed by six days of relief, equating to 132 total hours of maintenance and child care each week Supervised by Barbara Noble, RSW & Director of Human Services EXPERIENCE (CONTINUED) 9/1/2005 TO 9/30/2007 Children's Homes Inc. Paragould AR CHILD CARE WORKER Gained experience working for a residential child care facility Acted as unpaid voluntary child care worker in support of my wife Exemplified a healthy family model for children in behavioral management residential care Met physiological and emotional needs of children in behavioral management facility in an effort to assist the child in gaining self -actualization Facility house parenting model required 21-28 days on duty followed by seven days of relief, cq„Aling roughly 100 hours of voluntary child care each week Total weekly hours of child care at CHI was 10400, totaling 6846 waking hours Supervised by Paul Schandevel, LCSW & Director of Child & Family Services 1/30/2004 TO 9/30/2007 Teleflora Paragould, AR SERVICE CENTER TECHNICIAN/DOVE SUPPORT TECHNICIAN Assisted customers in analyzing financial statements, filing grievances, managed escalated callers, placed bulk product orders, and mediated customer disagreements Helped customers download Dove software, troubleshoot problems, translate errors. and utilize tools efficiently Weekly hours worked totaled 40 9/30/2001 TO 11/1/2003 Perkins Family Restaurant Paragould, AR SERVER/SHIFT LEADER Waited tables, worked banquets, handled customer complaints, solely opened the store, counted cash drawers, responsible for accessing the company safe Promoted to shift leader Business owner asked me to become assistant manager but I respectfully declined in pursuit of higher paying job Weekly hours worked totaled 30-40 EDUCATION 9/1996 TO 5/2000 Greater Tulsa Christian Academy Tulsa, OK HIGH SCHOOL DIPLOMA • Active in class offices, athletics, student council, Key Club International, Leadership Training for Christ, church mission teams, and volunteer projects 9/2000 TO 5/2002 Crowley's Ridge College ASSOCIATES OF ARTS IN GENERAL STUDIES • Graduated Magna Cum Laude • Led chapel devotions, acted as resident assistant for the men's dormitory, participated in service projects, and intermural athletics Paragould, AR EDUCATION (CONTINUED) 9/2002 TO 5/2006 Arkansas State University CONTINUING EDUCATION i Employers encouraged and supported education as an employee benefit 28 credits accepted by transfer to Colorado State University Jonesboro, AR 1/2010 TO 512014 Colorado State University Fort Collins, CO BACHELOR'S IN SOCIAL WORK Employers encouraged and supported education Completed field education at Mountain States Children's Home in the spring semester of 2014 Graduated Cum Laude 5/2014 TO 5/2015 Colorado State University Fort Collins, CO MASTER'S IN SOCIAL WORK • Recipient of federal Substance Abuse and Mental Health Services Administration Health Resources and Services Administration grant • Maintained a 4.0 in coursework • Completed field education at Mountain States Children's Home in the fall semester of 2014 and spring semester of 2015 REFERENCES ▪ Daryl Miller 1938 Kimbark St, Longmont 303-775-0399 ▪ Barb Noble 14780 N 1076 St, Longmont 303-776-6841 • Judy Winger 1333 Charles Dr #21, Longmont 303-772-6841 Robin Munro, MSW 1905 E 21St Ave, Denver, CO 80205 720.312.0430 Education Experience: Metspolua Stan Unity of Dextaer — Master's Degree in Social Work - Children/Youth/Families Concentration Metrvpoltan State Uuiversi# ofDenver-Bachelor's Degree in Human Services -Mental Health & Counseling Concentration - Certificate to work with High Risk Youth -Minor in Psychology Work Experience: CVoodbosise Day Spa — Full time massage therapist — Gained experience working with clients creating a safe, empathetic, and caring environment to aid in releasing muscle stress Internship Experience: Lookoua lountair, Youth Seniicer Center -Primary Therapist for Adolescent Clients Facilitated Therapeutic Groups -Developed Treatment Plans & Case Management -Facilitated Multi -Disciplinary Team Meetings — Aided in Transitions to other Facilities GreenLe, August 2014- May 2016 Fall 2009 May 2014 April 2007- August 2014 August 2015- May 2016 August 2014 -May 2015 oped Curriculum for Personal Development Group Facilitated Groups for Youth Leadership Development -Assisted with Grant Writing -Developed Workshops for Youth and Board Members Developed Working Relationships with Youth Crew Members Compassion Road Aeadavy High School August 2013 -May 2014 -Developed and Facilitated Anger Management Group — Completed assessments with students for Mental Health Team — Crisis Intervention with students - Collaborated with staff members to address specific needs of students Certifications / Associations: pplied LSW Licensure- Colorado - HRSA Stipend Recipient -Applied Suicide Intervention Skills Training (MIST) A August 2016 2015/2016 June 2015 icensed & Registered in City of Denver as Massage Therapist June 2007 Page C. Fischer (720) 442-2589 pc11schertnwalum Current Address: 1865 S Emerson St; Denver, CO 80210 Education University of Denver Graduated rune 2013; Master of Arts, Forensic Psychology; GPA: 3.9814,0 University of Wisconsin -Madison Graduated August 2010; Bachelor of Arts, Major: Psychology; Certificate: Criminal Justice; GPA: 3A5/4.0 Degree -Related Experience Rocky Mountain Children's Law Center, Clinical Consultant Denver, CO Juno 2013- Present trill time The mission of 111E Children's Law Center is to transform the lives of abused, neglected, and at -risk children through compassionate legal advocacy, education, and public policy. Assessment, Intervention, and Advocacy • Ongoing assessment of safety through statl:ng home, school, and community visits; and court hearings and other reviews, as well as monitoring and intervention as deemed appropriate based on risk • Recommendations and advocacy surrounding child welfare, in and out of home safety, placement recommendations based on the child's best interest • Gathers background and collateral information to incorporate in assessment, repeating, and recommendations in court hearings, reviews, and other professional meetings • Provides supportive services and referrals to assist children and their families Clinical Consultation • Consultation with Guardian ad Litem and other professionals to ensure delivery of high quality survival; • Establishing and maintaining strong relationships with clients and other professionals including case workers, lawyers, law enforcement, medical professionals, and other community resources • Assessing and implementing current treatment plans in order to effectively reach treatment goals; providing recommendations or additions to current treatment plan and ensuring delivery of services Colorado Mental Health Institute- Ft Logan, MerualHealth Clinician, Denver, CO October 2013- April 2014; part lime The Colorado Mental Health Institute at Fort Logan (CMHIPL) is one of Colorado's two state -operated inpatient psychiatric hospitals. CMHI Fort Logan servers clients in the civil mental health system. Direct and Indirect Mental Health Services • Assess in the development, maintenance, and monitoring of treatment plans through clinical insight, docatmentation, reporting, and recommendations • Clinical assessment and consultation • Manes therapy and crisis intervention Lookout Mountain Youth Services Center (LMYSC), 2" year Forensic Psychology student intern, Denver, CO Sept 2012 — June 2013: 10-12 hours/week LMYSC is an intensive secure treatment program that uses cognitive behavioral and social learning modalities to create therapeutic and strength -based relationships with male juvenile offenders. Indleddual and Group Therapy: • Offered comprehensive services to individuals with a range of mortal health diagnoses, substance abuse: issues, and various cognitive abilities • Engaged in offense -specific individual and group interventions • Utilized a multi -disciplinary team (MDT) approach to ensure a collaborative, structured environment • Identified goals, objectives, and target interventions through monthly treatment plans fuvenile and Family Justice TASC, STAR Support Specialist Denver, CO Sept 2011— August 2012:25 hours/week Denver Juvenile and Family Justice Treatment Alternatives for Safer Communities (TASC) uses a strengths -based approach to provide services and advocacy for individuals with substance abuse and mental health needs. Assessment, Intervention and Advocacy • Central substance abuse and mental health component for juvenile drug court system • Integrates a strength -based approach to provide assessment, services, and aggressive advocacy to Denver youth and adults • Responsible for case management and coordination of services ARC Community Services, Inc, Full -Elms overnight/ rel₹ f counselor, Madison, WI Sept 2010—July2A11 ARC Community Services, Inc. is a private, non-profit agency that provides community -based treatment and services to address female offenders` cognitive, alcohol and drug abuse, educational, vocational, and individual needs. Intervention and Engagement: • Used strengths -based, gander -specific approach to meet individual news of woman needing service • Ensured a positive and supportive environment for residents • Implemented effective strategies to address issues of substance abuse, mental illness, and criminality • Provided treatment, support, and services in lieu of incarceration Wisconsin Public Defends Office, 300 how Internship: Waukesha, WI May 2010— Aug 2010 Investigation and Evaluation: • Interviewed clients and families and review clients' family, medical, and legal history • Worked independently, as well as with other staff members, to assess and present client cases Written and Oral Communication Skills: • Incorporated best practice techniques through interaction with inmates, clients, coworkers, and other legal employees Oregon Correctional Center, Volunteer: Oregon, WI Fall 2009 — May 2010; approximately 2 hoursiwenk teaching and 2 hours/week preparing lessons Teaching: • Provided support, advice, and information to prepare inmates for release • Enhanced written and oral communication skills through preparation, presentations, and client interactions Interpersonal Skills: • Communicated, interacted, and collaborated with teaching partner and staff members • Developed strong communication, cooperation, planning, and leadership skills Memberships/Conferences Graduate School Association of Professional Psychology (GSAPP), Class Representative -Serves and advocates for the Graduate School of Professional Psychology students' infests and concerns. American Psychological Association, Strident Affiliate Member; Pall 2011— Present American Psychology -Law Society, Student Member: Fall 2011— Present APA Division of Psychotherapy (Division 29), Student Affiliate; Summer 2011 —Present Psychologists in Public Service (APA Division 113), Student Member; September 2011— Present Healthy Peer Education, Treasurer; Septeseber 2011— September 2012 BACCHUS Network: Provides health -related information, materials, and resources General Assembly National Conference 2011: Reston, VA; November 3-6, 2011 Peer Education Natrion. Health Prornvttori in Motion UW-Madison Criminal and Juvenile Justice Student Association, Active Member Status; Fall 2009--- May 2010 Publications Fischer, P. (2011). Attaining professional and multicultural competence in extremis environments. American Psychological Association: Division of Psychotherapy (Division 29). Online version accessible at Other Recent Work Experience Since 2004, I have worked part-time as a personal nanny. This expenence has allowed me to interact with children of all ages, some with developmental and psychiatric disorders, and their families to enhance their development and provide safety, security, and support. Working as a nanny allows ere to meet individual needs and address specific parental concerns. This demands an enriching and supportive environment that recognizes family and individual ditfc enccs. I have also worked part time as a cashier, office secretary, and front desk worker throughout my college years. These experiences have strengthened my interpersonal skills and abilities to work both individually and with others. Community Service Involvement Since 2004, I have dedicated time and effort towards assisting individuals in underse ved and diverse populations and environments, mainly through the Catholic Church. In addition to spending more than 120 hours serving the most in -need individuals across the country during mission trips, I have vohmteered as a religious education teacher, kitchen worker, and server at local churches. These volunteer experiences have increased awareness and understanding of cultural needs and diversity while maintaining an empathetic and non judgmental attitude. REFERENCES: Professional; Joe Penn; Behavioral Specialist and Therapist Lookout Mountain Youth Services Center Relationship: Supervisor Telephone number: 720-272-6726 Dab Pierce: Nursing Supervisor Colorado Mental Health Institute. Ft Logan. Relationship: Supervisor Telephone number. 720-833-8825 ShellyWhitney, MSW: Clinical Consultant and former Social Caseworker Rocky Mountain Children's Law Center Relationship: Coworker r Telephone number: 720-936-6921 Sarah Crisafi: Clinical Consultant and former Social Caseworker Rooky Mountain Children's Law Center Relationship: Coworker Telephone number: 970-324-O248 Personal: Michael and Kristi Franke Denver, CO Relationship: Employed as a personal nanny for their family Telephone numbers: Michael: 720-422-4461; Kristi: 303-229-2788 Alexandra Blumenfeld, LPCC, NCC Denver, CO • Phone: (617) 640-0254 • Objective To obtain a position as a Mental Health Counselor providing individual, family, and group therapy to children, adolescents, and their families. Education University of Colorado Denver, Denver, CO Master of Arts in Counseling GPA: 3.8 The Colorado College, Colorado Springs, CO Bachelor of Arts, Major: English on Creative Writing Track; Minor: Spanish Language Clinical Experience Aug. 2015 May2010 PRN Therapist, Walk-in Clinic & Crisis Stabilization Unit, Community Reach Center, Westminster, CO Oct. 2015 -present Conduct individual, group, and family therapy sessions in order to stabilize clients in crisis Complete crisis assessments, safety plans, and mental status exams Consult with psychiatrist and other healthcare professionals on treatment team Clinical Intern Therapist, The Mariposa Center, Denver, CO Dec. 2014 -present Manage intake and referral process Conduct intikr, individual, family, and play therapy sessions Facilitate Yoga Therapy and Parent Support Groups - Write monthly newsletter on mental wellness in children and families Maintain clients files, which includes writing notes, treatment plans, and transfer/termination summaries Practicum Student, University of Colorado Denver Counseling Center, Denver, CO Aug. 2014 -Dec. 2014 Conducted individual counseling sessions with students and community members Maintained client files, which included writing DAP notes, treatment plans, and transfer/termination summaries Provided outreach for the Counseling Center at a variety of events Attended weekly individual and group supervision Relevant Experience Family Coach, Maple Star, Denver, CO Jan. 2014 -Feb. 2015 Awarded Employee of the Month June 2014 Provided in-lhon q mira,t,11,eA1tb gervirog to children and Emilie, 'order supervision of lead therapist Worked with lead therapist and other treatment team members to develop and implement methods to achieve treatment plan goals Built and strengthened relationships with children and families Assisted fs*+iilies to develop and implement structure in the home 1 Alexandra Blumenfeld, LPCC, NCC Denver, CO • Phone: (617) 640.0254 • Taught and modeled caregiver interventions to families and supported family members in practice of interventions Provided therapeutic crisis intervention for children and families Attended monthly individual clinical supervision and bi-weekly group supervision Crisis Intervention Team Member, Mount Saint Vincent, Denver, CO Nov. 2012 -Jan. 2014 Guided staff members through crisis situations with children to therapeutic and safe resolutions using Therapeutic Crisis Intervention Performed team lead role by directing school, residential, and therapeutic staff Built and strengthened relationships with all clients in residential treatment facility Lead emotionally regulating somatosensory interventions with clients Communicated professionally with caseworkers, families, visiting friends, and others outside the agency Assisted residential and school staff with clients' daily routines Attended bi-weekly individual clinical supervision On -Call Mental Health Worker, Mount Saint Vincent, Denver, CO — Worked shifts on the residential units and in the therapeutic school Paraprofessional, Mount Saint Vincent, Denver, CO Provided daily support for child in therapeutic preschool classroom Built relationship with client in order to facilitate behavioral and educational goals - Attended weekly individual clinical supervision with client's Individual Therapist Completed client's Milieu Progress Notes daily Lead Infant/Toddler Teacher, University of North Carolina, Carrboro, NC Nov. 2010 -May 2011 Planned, supervised, and implemented age -appropriate activities for individual children and groups of children with developmental delays Collaborated with Individual, Family, and Occupational Therapists Developed and maintained appropriate parent -teacher relationships with mothers in treatment for substance abuse and supported mothers as advocates for their children — Completed developmental assessments Volunteer. Experience Night Attendant, MAPS Research Study, Boulder, CO - Assisted the study subject to rest and relax after therapy sessions Informally monitored the subject's mood and health status and called the treating therapists or the emergency medical response team if necessary Provided subject with dinner, breakfast, and any other necessities Aug. 2012 -Nov. 2012 Jul. 2011 -Aug. 2012 Presentations "Working Effectively with Resistant Clients" The Mariposa Center/Amaryllis Therapy Network Dec. 2013 -May 2014 Nov. 10, 2015 2 Alexandra Blumenfeld, LPCC, NCC Denver, CO • Phone: (617) 640-0254 • "Somatosensory Interventions to Encourage Emotional Regulation" Heritage Adoption Camps, Golden, CO Aug. 1, 2015 Trainings & Conferences Trauma Dynamics, Boulder, CO Rocky Mountain Center of Play Therapy and Early Childhood Conference, Laramie, WY Healing the Self Within the System, Denver, CO Yoga for Young Warriors trained children's yoga teacher Therapeutic Crisis Intervention and Neurosequential Model of Therapeutics Oct 2015 June 2015 Apr. 2015 Feb, 2015 Jul. 2011 -Jan. 2014 Language Skills Spanish-speaking 3 Lauren Barr 8405 E Hampden Ave • Denver, Colorado 80231 • (309) 531-0049 Education University of Denver Masters of Social Work (Graduation Date: June 3, 2016) Illinois State University Bachelors of Social Work (Graduation Date: May 13, 2013) University of Granada Spanish Minor (May 2011) Denver, CO Normal, IL Granada, Spain Employment Experience Unity Point Health Methodist Hospital Peoria, IL Mental Health Associate on the Inpatient Behavioral Health Unit (June 2013 -May 2015) ■ Engaged in therapy and behavior management among children and adolescents ages 4-18 and adults who have been admitted to the unit due to being a danger themselves, others, or both • Conducted admissions, individual and family counseling, psychosocial assessments of patients upon admission, led various therapeutic groups, and assisted in crisis situations • Trained new mental health associates by orienting them to the unit and its procedures, taught assertiveness and crisis intervention, and aided in their understanding of leading and processing therapeutic groups • Completed treatment and discharge planning including integrating care with families and connection to community resources East Bay Camp Hudson, IL Kitchen Staff (June -August 2010) • Prepared and served food for campers and retreat staff Camp Counselor (June - August 2008, June -August 2009) ■ Supervised, planned, and led activities for children ages 5-10 Internship Experience Lutheran Family Services Refugee and Asylee Programs Denver, CO Family Stabilization Specialist Intern (September 2015 -May 20 16) • Conducted treatment planning and therapy for high -risk refugees with situations involving child welfare, trauma, homelessness, sexual abuse, substance abuse, severe mental health, and/or domestic violence E': Engaged in case management duties such as advocating for clients in legal services, assisted clients with attaining basic needs, and conducted documentation E Triaged with other members of the Family Stabilization Team and responded to crisis situations ® Co -facilitated a seeking safety group for survivors of domestic violence Unity Point Health Methodist Hospital Peoria, IL Mental Health Associate Intern on the Inpatient Behavioral Health Unit (August 2012 -May 2013) E F.g iged in therapy and behavioral interventions among children and adolescents ages 4-18 who have been admitted to the unit due to being a danger themselves, others, or both Conducted admissions and assessments of patients, led various therapeutic groups, and assisted in crisis situations on both the child and adult units WI Observed and participated in family therapy sessions Volunteer Experience PATH Crisis Center Bloomington, IL (June 2010 -May 2012) • Responded to hotline calls and made social service referrals to callers • Provided crisis intervention to individuals calling the National Suicide Hotline • Trained prospective PATH volunteers in a group setting and individually in the phone room Worked under high stress situations when dealing with calls of an emergency nature while keeping a profession al manner Granada BIB' Granada, Spain (February -May 20 11) to Provided counseling in Spanish at a support group for adults with Bipolar Disorder Assisted in activities and conversing with the participants of the group Easter Seals Timber Pointe Outdoor Center Hudson, IL Camp Counselor (July 2007) • Provided 24 hour care to individuals with Spina Bifida Assisted campers in wheelchairs with transportation, personal hygiene and daily activities YWCA Peace Camp Bloomington, IL Camp Counselor (Winter break 2005 and 2006) E Supervised campers and co -taught lessons in coping with bullying lying Facilitated group discussion and activities among the campers References available upon request Ashley R. Dryer 1575 South Vallejo Street Denver, Co. 80223 303-913-3501 Education Master of Arts in Counseling Colorado Christian University, Lakewood, Co. Graduated December, 2014 Major: Masters in Counseling Bachelor of Arts in Human Communication University of Northern Colorado, Greeley, Co. Graduated May, 2008 Major: Human Communication Minor: Spanish Intensive Spanish Language Course University of Beig ano, Buenos Aires, Argentina June, 2007- July, 2007 Concentration: Conversational Spanish experience Campus Supervisor Excelsior, Aurora, Co. March 2015 to present • Supervise a campus of 80-100 at -risk youth Collaborate with families, caseworkers and probation officers to provide wrap around services for the youth Supervise staff on shift • Directly supervise 3-4 staff • Conduct monthly supervision with direct reports • Train new hires in Policy, Procedure and Professionalism monthly • Conduct weekly, monthly and in -the -moment training with staff • Implement and enforce Positive Behavior Interventions and Supports (PBIS) • Edit and Review Incident Reports • Complete reports to the state and county • Ensure the safety and security of all on campus • Respond to crisalemergency situations in an efficient manner • Obtain and maintain certification in QMAP, CPR and First -Aid • Effectively utili7p Trauma Informed Care to a diverse population • Utilize Crisis Prevention and Intervention • Utilize Strength Based Care Behavior Coach Excelsior Youth Center, Aurora, Co. July 2013 to August 2015 • Provide individual behavior management to at risk youth Assist at risk youth in learning life skills Complete weekly therapy notes Collaborate with therapists and treatment teams on each youth Group Living Counselor Excelsior Youth Center, Aurora, Co. April, 2012 to present • Supervise and assist in daily living activities for 15-20 adolescent girls • Provide group and individual counseling to troubled teenage youth • Complete daily and monthly therapy notes • Obtain and maintain certification in QMAP, CPR and First -Aid • Utilize Trauma Informed Care • Utilize Crisis Prevention and Intervention • Utilize Strength Based Care Internship Dr. Trathen and Associates, Parker, Co. September, 2011 to April, 2012 Provided supervised counseling to individuals, couples and youth Participated in supervision groups once a week Completed treatment plans and notes on each client Primarily implemented Cognitive Behavioral Therapy, Dialectical Behavioral Treatment, and Solution Focused Therapy • Completed over 300 total hours of direct and indirect supervised counseling Internship Crossroads Counseling Associates, Northglenn, Co. January, 2011 to September, 2011 Same as listed above, completed over 200 hours of direct and indirect supervised counseling Sales Associate Al's Formalwear, Littleton, Co. August 2012 to February 2013 • Rent and sell menswear for events such as weddings, proms, and funerals E Provide excellent customer service • Complete daily reports to ensure quality • Complete invitation and sale orders accurately and in a timely manner Store Manager Al's Formalwear, Lakewood, Co. September, 2009 to August 2012 • Same as described above and: • Manage between 2 and 4 employees • Create weekly work schedules • Complete quality reports and revenue reports • Market to outside business • Host "vendor days" and "manager's special weekends" • Work at bridal show booths • Contact prospective customers via phone and email Assistant Manager • Al's Formalwear, Northglenn, Co. February, 2009 to August 2012 • Duties same as described above (stepped down from management temporarily due to moving to the Denver area) Store Manager Al's Formalwear, Greeley, Co. May, 2008 to February, 2009 • Duties same as described in management position above Sales Associate Al's Formalwear, Loveland, Co. September, 2006 to May, 2008 Duties same as described in sales associate position above Teller Valley Bank and Trust, Westminster, Co. November, 2004 to September, 2006 • Complete customer's deposits and withdrawals • Open and close various accounts • Maintain a balanced cash drawer • Provide excellent customer service Certifications/Trainins • CPR/BLS certified • Crisis Prevention and Intervention (CPI) certified • QMAP certified • Strength Based Care LII and II7 certified • Emergency Medical Response First Responder Certified through American Red Cross • Trained in Experiential Therapy • Proficient in group and individual therapy References Dave Vaale 303-523-4414 Safety Manager at Excelsior Laura Schiff 303-906-8999 Campus. Supervisor at Excelsior Jaurene James-Blacklock 720-629-0091 Supervisor at Excelsior *additional references available upon request KATHLEEN COMBS (501)517-5775 Education University of Denver —Denver, CO • Master of Social Work • Mental Health Concentration • Animal Assisted Social Work Certificate Hendrix College — Conway, AR 4.0 GPA 3.9 GPA June 2016 May 2013 Relevant Clinical Experience Crisis Center, Clinical Intern -- Castle Rock, CO Sept. 2015 -present • ate a weekly Idda'group with children at the ageneys domestic violence shpler • Offer weekly non -directive and directive individual interventions for children • Regularly consult with parents about their children • Participate in clinical team meetings once every two weeks Adams County Head Start, Intern — Denver, CO Sept. 2014 -June 2015 • Led a parenting workahop using the Love and Logic curriculum • Provided classroom support • Observed children in the classroom and reported frndings during mental health team meetings Child Diagnostic Unit, Extern —Little Rock, AR • Interacted with and observed 2-12 year -old children in the residential facility • Participated in multidisciplinary team meetings • Provided written summary information about children and families Complex Brain Function Laboratory, Intern —Little Rook, AR • Explained testing procedures to children andparents • Scored psychological assessment batteries May -Dec. 2012 May 2011 -May 2012 BOWE 4 intecrearions of Mental Health, Substance Abuser, and Trauma Sept. 2014,Tt>ane 2016 BOWH 4454e Child and Adolescent Trauma SOWK 4500: Mental Health Interventions with Children Additional Work Experience Independent Child Care and Pet Care Worker —AR and CO 2003 -present Care for children ages 0-12 and animals for various periods of time during fps' absence Second Presbyterian Preschool, Teacher —Little Rock, AR Instructed and managed prekindergarten children Societies and Traininue Association for Play 'Therapy National Association of Social Workers Mandatory Reporter Training for Colorado Professionals Phi Alpha (Social WorkHonor Society) Psi Chi (Psychology Honor Society( Sept. 2013 -June 2014 April 2015 Nov 2015 -present Sept` 2015 Jas. 2015 -present May 2010preeent II / P5 o—lev-'ex..41 1001-6? 10 Samuel C. Cade, M.A. 9446 Morning Glory Ln. Highlands Ranch, CO 80130 970-691-0222 EDUCATION: Boston College Lynch School of Education Master of Arts in Counseling Psychology May 2014 (WA 3.9 60 credit hours 780 hour Internship, 100 hour Practicum University of Colorado at Boulder College of Arts and Science Bachelor of Arts in Psychology and Sociology May 2008 Major GPA 3,5 Dean's List, 2007-2008 LICENSE and CERTIFICATIONS: Chestnut Hill, MA Boulder, CO Certified Tutor, Level I (College Reading & Learning Association), April 2014 to Present Qualified Medical Administration Person, November 2008 to Present CPR and First Aid Certified, September 2008 to Present Registered Unlicensed Psychotherapist, January 2010 to October 2011 PROFESSIONAL MEMBERSHIPS: American Psychological Association, January 2013 to Present American Psychological Association of Graduate Students, January 2013 to Present INTERNSHIP and VOLUNTEER EXPERIENCE: Graduate Level Clinical Intern Academy of Physical and Social Development September 2013- June 2014 Newton, MA • Member of treatment team working with diverse student nonulation in Watertown Hieh School, as well as private facility specializing in active group therapy for children and adolescents. • Provide individual and group therapy within both settings. • Individual caseload of high school students, both voluntary and mandated by EP. • Co -facilitate Academy groups targeted toward addressing self-esteem, improved social skills, and other social/emotional needs. • Active participant in trainings and supervision, both on -site and at Boston College. Supervisor Ken Barringer, LMHC Cade 2 Advocate Dorchester, MA Jeremiah E. Burke High School l uslitute for the Study and Promotion of Race and Culture (ISPRC) Boston College - Lynch School of Education October 2012- June 2013 • Member of a multi --disciplinary tam of professionals working with a diverse student population of Boston Public Schools. • Provide advocacy services for individual caseload of at -risk students. • Promote students' individual strengths while facilitating growth in both academic and social domains. • Complete weekly documentation of student activities and progress. • Participate in group supervision at Burke School and Boston College. Supervisors: Cheryl A. Windle, MSW LAGS Dr. Janet E. Helms, Ph.D. RELEVANT WORK EXPERIENCE; Instructional Assistant Chestnut Hid, MA Learning Resources for Student -Athletes Borten College September 2013- May 2014 • Member of a multi -disciplinary team of professionals working within diverse student -athlete population. • Individual caseload of clients, meeting 2xlvveek for duration of academic year. • Provide advocacy and case manageroent as needed, coordinating with academic advisors and learning specialists. Provide individual instruction that focuses on teaching learning processes. O Foster development of stalls in analysis, critical reading, writing, and overall self -efficacy in learning. Supervisor= Dr. Dard Miller, Ph.D. Teacher Aide Denver, CO Synergy Day Treatment and Outpatient Services University of Colorado - School of Medicine (ARTS) April 2010- July 2012 • Member of a multi -disciplinary team of treatment professionals. • Assisted teachers and therapists in the implementation of each client's case management needs. • Co -facilitated a variety ofpsycho-educstional and life skills groups. • Assisted the classroom teacher in the area of behavioral management, provided detailed and accurate assessment to the treatment team members regarding the educational program, planning, and client behavioral issues. • Assisted classroom teachers by implementing lesson plans as directed, • Instructed students in core academic areas and GED studies. Supervisor: Kelly Parris, MA Cade 3 Drug and Alcohol Counselor Synergy Residential Treatment Program University of Colorado - School of Medicine (ARTS) July 2009- March 2010 • Member of a multi -disciplinary team of treatment professionals working in a highly structured therapeutic community. Shift supervisory role in which I had direct control over the structure of treatment activities and disciplinary interventions for the client population. Facilitated and co -facilitated a variety of life skills and therapeutic groups. Observed, monitored and intervened in client behaviors through group meetings, one- on-one interactions, redirecting clients, designing/determining consequences for negative behaviors. • Actively participated in Certified Addiction Counselor (CAC) trainings. Supervisor: Carolyn Stanton Patrick, MA CAC III Milieu Counselor Savio House September 2008- February 2009 • Team member of diverse residential treatment facility. • Provided one-on-one crisis management and counseling to clients. • Facilitated peer therapy sessions or house meetings when client behavior dictated. • Performed weekly reports assessing milieu behaviors and participation, as well as documentation of client behavior through the stafflog. Supervisor: Azra Selik, LCSW SPECIALIZED TRAINING: Advocacy Trainings (ISPRC), 2012-2013 Diversity Challenge - Race, Culture, and Violence (ISPRC), 2012 Trauma and Substance Abuse Cross Training (ARTS), 2012 Mental Health and Substance Abuse Cross Training (ARTS), 201I Signs of Safety Model and Substance Abuse Cross Training (ARTS), 2011 Group Counseling Skills (CAC), 2010 Motivational Interviewing (CAC), 2009 Health Insurance Portability and Accountability Act (HIPAA), 2009 GROUP EXPERIENCE and TREATMENT ISSUES: Anger Management Confrontational/Sensitivity Co-occurring Disorders Problem Solving/Decision Making Impulse Control Restorative Justice Sexual O,ff.'enMling Stress Management Trauma Social Skills Diversity Drug and Alcohol Self-esteem Grief and Loss Cruninality Healthy Boundaries Depression Physical and Sexual Abuse Denver, CO Denver, CO Emotional Expresaivity Conflict Resolution Gender Issues Coping Skills Healthy Relationships Empowerment 'Thinking tar a Change' Bullying Relapse Prevention Josie Hildebrand 1528 S. De Gaulle Way Aurora, CO 720-251-1952 jda nea Igttotrriail.corn EDUCATION Metropolitan State University 5/2013: NSW with 3.47 GPA Courses include: Direct Practice, Family Violence, Family Therapy, Evidence -Based Practice in Mental Health, Advanced Policy and Programming, and International Sodal Work I have taken and passed the jurisprudence exam and am currently working towards my LCSW 2008: BSW with 4.0 GPA with an emphasis in Child Welfare Casper Community College Art Major Casper, Wyoming Glenrock High School High School Diploma 8leixnck, Wyoming v0R EXPERIENCE 2005-2008, 2012- 2013 1997-1999 L994-1997 Arapahoe County Department of Human Services 2007-201.3 10/2008 to present: Child Protection Intake Caseworker; duties include completing traditional child protection investigations, as well as family assessments under differential response model with a diverse client population. 8/2012 to 5/2013: NSW student intern with Parenting Time Program; duties include completing therapeutic level supervised visitation and group visit facilitation. 5/2008 to 10/2008: Resource Caseworker; duties include managing full caseload of resource (foster) homes by ensuring foster parents meet certification criteria and providing support to foster parents. 8/2007 to 5/2006: Resource team intern; duties include completing SAFE home study gain , completing child welfare CORE training, managing faster and Idnship placement cases, and completing home studies. Families First 2006-2008 Family Support Line volunteer; duties include answering crisis hotline calls. Denver, CO 2 Josie Hildebrand 1628 S. De Gaulle Way Aurora, CO 720-251-1962 1628 S. De Gaulle Way Aurora, CO 720-251-1962 Planeat@hotrnait.00m Sacred Heart House of Denver Volunteer homeless shelter night manager; duties include supervising reddents and facilitating group sessions. Denver, CO Stair Steps To Learning Child Cars, Center Assistant Director Phoenix, AZ PROFESSIONAL REFERENCES Sandee Bredrodrerg Retired Child Protection Intake Supervisor Arapahae County Department of Human Services 2000 W. 92nd Ave., #400 Federal Heights, CO 80260 303-469-7678 Erin Medina Bridging the Gap Program Manager, United Way 303-561-2230 Jessica Resler Victim Services Coordinator at The Phoenbc Center At Auraila Instructor at Metropolitan State University 720.275-5486 2005-2006 12001 3 2of3 Joshua David Jajczylc 4355 South Cathay Way Aurora, CO 80015 (720) 557-1010 PSYCHOLoGLST Patient Support I Counseling I Patient Care Educated psychology professional with experience providing leadership and guidance to groups of diverse individuals in a variety of settings. A teacher by nature, able to provide instruction in a manner that is easy to comprehend. Able to effectively engage individuals oclall ages having ients ll agges hah experience with children through young adults. A strong comnnmicator, able to build strong relationships with t developed over time. Passionate about the ability to make a positive impact in patients lives through proper treatment and care. • Client Engagement Instruction & Mentoring • Patterns of Behavior • Patient Assessment Areas of Exeertise • Treatment Plans •Diagno'is i Current State Analysis Addressing Issues 4' Client Relationships 4- Communication Customer Service - Cause & Effect EDUCATION Bachelor of Arts Psychology - Argosy University - Denver, CO (2013) PROFESSIONAL EXPERIENCE CLIENT INTAKE SPECIALIST Bllnaarporated, Northglenn CO Accurately check clients in for their drug screen, class or install or uninstall Input Violations into the computer and then send to the PO or case manager Install and unhook ankle monitors checking with C -wise for clearance ACCOUNrMielit,M4MpERVISCIR CXD • Accurately input and record company transactions. • Performed bookkeeping tasks including sending invoices and ougnmining accurate account balances. • perfoessfully rmance_ managed a team of 2-6 employees, ensuring compliance with operational standards and driving increases in SUBSTITUTE TEACHER - MATHEMATICS Adams City High SdiooL Commerce City, CO • Created as environment that encouraged learning while teaching freshmen through seniors Algebra and Geometry. • Utilized dicritre communication skills to explain complex ideas in an turderstandable manner to groups of diverse students. • Mentored and tutored struggling students, providing strategy to increase their academic performance. • Served as the coach of the football team, teaching fandamenisls, encouraging safety and increases in performance. LEADER/ASSISTANT DIRECTOR &Pius Catholic d,:AA Aluvra, CO • Managed an Extended Day Program for children Pre -K through 8th grade after school and over the summer. • Maintained a safe environment for the kids both inside and outside of the school. • Provided assittanee with homework and education problems as needed, • Ensured safety of a group of children while on off -campus field trips. • Maintained continually conununic•iion with parents any child regarding issues or concerns. SECURITY OFFICER Advantage Security Ina, Dow,, CO 2013 - 2014 • Accurately logged incoming and exiting vehicles while accounting for foot workers. • Maintained security fora 16 -level parking garage by walking and watching security cameras, reporting any issues in a timely manner and resolving issues as needed. • Served as a personal security escort for individuals in need. 2016- Present 2015 - 2016 2014-2015 2014 JOSHUA DAVID JAJCZYK Professional Experience Continued Resume, Page 2 DAY-TO-DAY OPERATOR Winehellfs Donut House, Aurora, CO • Promoted food products to customers, delivering outstanding service at all times. • Responsible for cleaning the store and stocking inventory as needed. • Placed orders, picking up and delivering orders in a timely manner. BEFORE AND AFTER SCHOOL ASSISTANT/FOOD AND NUTRITION SERVICE WORKER Cherry Creek Schools Centennial, CO • Maintained a safe environment for students both before and after school. • Handled and served food in accordance with stmt health code and school district standards. FOOTBALL COACH Douglas Corny Schools, Parker, CO • Served as the coach of the freshman football team and the film coordinator for the varsity team. • Motivated team members to achieve their potential in a team setting, Taught the fundamentals of football, promoting safety and teaching best practices to encourage increases in team performance. 2007-2013 2006 2007 2406 - 2009 Amanda Talley Francis, I.I.A. 2944 S Clarkson Street, Englewood, Colorado $0113 1512.787.1801 I Education M.A. PROFESSIONAL COUNSELING Texas Slate University, San Marcos, 'IX August 2008 Grade Point Average: 3.93 B.S. PSYCHOLOGY Texas AAM University, College Station, TX August 2004 Psychology Grade Point Average 3.4 Cumulative Grade Point Avg 3.0 Employment LICENSEDPROFESSIONAL CUUPEWLDRIPRIVAIE$RACITCE IMANC23AC.A, TEXAS72010 2010 -2012 Conducted talk therapy with adults, couples, and fsmllies, activity therapy with adopts, and play therapy with DISTRICT COORDINATOR - BULLYING PREVENTION PROGRAM 1 THE COUNCIL ON AT -RISK YOUTH I AUSTIN, TX I 2008 - 2010 Implemented a bullying prevention program for Luling ISO in Luling, IX Taught eybe r -bullying dabs for junior high students. Trained school adminienotors and teachers in bullying prevention program strategies. Conducted committee meetings with bull "yin prevention team. Developed classroom meeting lesson plans. Facilitated ART (Aggression Replacement Training) groups and individual therapy sessions for nt-risk children and adolescents. COUNSE VGSTUDENr AND INTERN 1 MANCRACA, TEXAS 12007_ 2010 Co children,under d talk thetherapywith adults, couples, and Smiles, activity therapy with adolescents, and play therapy with - supervision of Erin Pannell, a Licensed Professional Counselor - Supervisor and Licensed Play Therapist SUBSTITUTE TEACHER I LOCKHART ISD 1 LOCKHART, TX 1 - 2006 Taught in K -12 classrooms. RESOURCE INSTRUCTIONAL ASSISTANT I COLLEGE STATION ISD 1 COLLEGE STATION, TX 12004 - 2005 ess with personalized insttaation of students, including students with autism. Encouraged aP behaviors in a students. Participated in training; related to education and classroom manages POOL MANAGER' CITY OFLOCKH !LOCKHART,TX12002 Supervised a team of 10 lifeguards. Managed scheduling, hiring, and money. Conducted patron relations. Other Relevant Experience MIDDLE EAST TRAVEL 1 20 13 -2014 Lived in Amman, Jordan and conducted extensive travel throughout the Middle East, gaining cultural experience. COMMUNITY SERVICE - Communities in Schools I2007IAggie School volunteers I 2004 I REFERENCES AVAILABLE UPON REQUEST TIFFANY LLOYD, M.A 12595 E. Wesley Ave • Aurora, CO 80014.303-619-0425 • Education University of Colorado Denver MA A - Counseling Psychology December 2015 University of Colorado, Denver Colorado BA Psychology May 2011 Clinical Experience University tetLblon ido Denver Clumselbw Center August 2015 — December 2015 Provided individual and group coin to Emdeots and c rarest -ity member with menial health concerns. Conducted inter assessments for r ewclients and pars don on-caflhnurs to assist wilt ails intervention and support Denver Center for Crime Victims May 2015 — August 9015 Provided short-term individual counseling and case management for victims of violent and non-violent crime. Provided crisis intervention and services for crime victims via hotline, in-house and on -site services. INTERN CLINICIAN Florence Crittenton High School January 2015 — May 2016 Provided individual counseling, one on one case management and advisement to the senior dass of pregnant and parenting teenage girls at Florence Crittenton. MCMglaksnmENT COUNSELOR Unturrelly qfCbleradeDeneer Center . 2014—Dambrdr 2014 Raided 40 hours of (facet dmeml semi= in the =as ofindiaidusl counsding and c :dueled /nukes with aduhs, minors and couples undo ditectsupervisianfmmatleatmentte' Work Experience COIMN)MY RESOURCE SPECIALIST Rocky Mountain Crisis Partners July 2015 -Present Responsible for rnsnaii RMCP's community resources, with a focus on those resources provided through the Pro Bono Counseling & Referral Program. Carried out responsibilities in Pro Bono volunteer management, Pro Bono and Resource data management, and data collection. Conducted phone based intakes with potential pro bono clients to determine eligibility for services and matched clients with appropriate licensed providers. Researched various social services organizations and healthcare providers in the greater Colorado area for inclusion in the database and confused contact information, pligiility requirements, and service provided by new and current providers. PRO BONO PROGRAM COORDINATOR Mental HealthAmerlca Colera& July 2014-Fr+stt Coordinated a volunteer tram of 70.4- licensed mental health providers for the organization's Pro Bono program which increases access to menial health therapy for people with no or limited access to care. Led plan of volunteers within the program: as supervisor in other volunteers; at a host site; or as a private practice volunteer. This included conducting placement interviews with vohinteers, imitating relationships with other hers including Host Site Jiaianns, and potential Supetvis or/Supetvisees. UNIVERSITY OF C LORADO DENVER COMPUGIRLS Program Aranagety0raduateAssistant August 2012 r 20#4 Managed the "scale up" expitosion ofcarrrls, a tecimologypdogcatn designed to incense inteestin SJEM amongst teenage girls (13-18) of color from underrepresented areas around the state of Colorado Supponed r � for executing the cultundly responsive anticulum. Recruited, hired and ,tea teaching staff Reviewed applirsdions and other per, dOCUMettS toy make demons pertaining to ptu m staff and participant& OPEN WORLD LEARNING Site Leader July 2007 -January 2012 Supported 30 students, per -year, in developing technology skills through computer prograrraning and graphic design instruction. Recruited and retained participants by working closely with school personnel. Supervised a team of two additional staff and substitutes. Advised students in grades 3-8 in the creation of their own computer animation projects with the use of real -world universal programming language applications. E AMERICAN COUNSELING ASSOCIATION ILA CHI -SIGMA IOTA, Counseling Academic and Professional Honor Society Jake Lohwater, MSW LSW in Progress 3060 S. Marion St, Englewood, CO 80113 303-517-7578 Education Muter of Social Work: Emphasis on Children, Youth, & Families — May 2015 Metropolitan State University of Denver — Denver, CO Bachelor of Science: Business Marketing: Minor in Fine Art --- May 2007 Winthrop University — frock Hill, SC Additional Education 2015 Behavioral Health Workforce Education and Training (BHWET) Scholar Substance Abuse and Mental Health Services Administration (SAMHSA) Professional Training Child Play Therapy Intern & Psychotherapy Intern August 2014 — June 2015 Godsnian Elementary School/Maria Droste Counseling Center, Denver, CO • Provided play therapy to children ages 5-10 with social, emotional, or behavioral issues • Guided individual psychotherapy sessions for adults with low socio-economic status • Participated in weekly in-service trainings on therapeutic interventions Counselor & Case Management Intern November 2013 — May 2014 Colorado Youth At Risk, Denver, CO • Counseled clients in crises to facilitate social, emotional, and psychological regulation • Supported students in meeting basic needs, job placement, and school readiness Counselor & Case Management Intern December 2012 — November 2013 Synergy Residential: University of Colorado Denver, Denver, CO • Utilized treatment -specific goals and assignments for clients' therapeutic progress • Co -facilitated group counseling sessions and performed daily individual coaching • Assisted clients with community reintegration, job readiness, and college enrollment Wilderness Adventure Therapy Guide Aspiro Adventure Therapy Group, Mt. Pleasant, UT • Guided students in individual and group therapy sessions towards greater self -efficacy • Managed physical and emotional safety of adolescent and adult groups • instructed high adventure activities to increase personal responsibility and team building Conservation Corps Crew Leader Rocky Mountain Youth Corps, Steamboat Springs, CO • Supported 16-18 year olds during 4 -week camping and trail building expeditions • Organized and facilitated technical skill building, education, and recreation • Supervised various aspects ofprofessional and recreational expeditions April 2012 — November 2012 May 2009 — October 2009 BRITTANY LOAD P03) 8684622 CLINICAL KNOWLEDGE. CLIENT RELATIONS' PRIVATE PRACTICE EXPERIENCE• CUSTOMER $ERNICE.SALESB MARKETIN0■BUDGET MANAGEMENT. VENDOR RE .AT1ONS•PROACTIVE LEADERSHP 3662 Math Clay Sheet; Deriver, CO 802111. - . " QUALIFICATIONS SUMMARY Dynamic and well-rounded professional with several years of experience in psychotherapy, marketing, sales,customer service, and admirnistration. Experience developing effective client treatment plans, performing assessments, utilizing risk Instruments and assisting In diagnosis. Excellent communication (both oral & written) and interpersonal skills. Strong international travel background; able to establish rapport with others from different cultures and backgrounds. Skilled In Microsoft Outlook, Word, Excel, PowerPoint, and HTML. PROFESSIONAL EXPERIENCE Therapist (LPCC), Fusion Health Services, Denver, CO 5/15 — Present Manages a portfolio of 10-15 clients under the supervision of Dr. Amber McGregor. Assists with initial, transfer, exit evaluations and completes mental health and alcohol and drug assessments. • Gaining clinical and legal expertise in the substance abuse, trauma, and mood disorder arenas ■ Meets weekly with supervisor for clinical guidance and case consultation Milieu Coordinator, Eating Recovery Center, Lowry, CO 3/16 —10115 Managed the milieu of 40 eating disorder patients, facilitated group therapy sessions, individual therapy sessions as needed andmeal times. • Worked with milieu team end management team to effectively treat and support the patients throughout recovery Accounts Payable, Reilly Pozner LLP, Denver, CO 2/11 -6/15 Directs accounts payable and supplies financial resources to firm and vendors. Collaborates with Executive Director to manage daily operating costs. • Partners with Controller to facilitate Invoicing, expensing and record keeping Psychotherapist, The Medical Center of Aurora, Aurora, CO 8/13 —12/14 Worked with Dr. Schnur, plastic surgeon, to facilitate mental health treatment options for oncology patients. • Conducted weekly therapy sessions and created treatment plans for 10 female clients facing cancer and life threatening related Issues Private Practice Intern, Howard Baumgarten LPC, LLC, Lakewood, CO 8/12 -- 6/13 Managed and serviced a portfolio of 15 clients under Howard Baumgarten's supervision. Worked with clients on a weekly basis on developmental, transitional, trauma, family and work related issues. • Partnered with Howard Baumgarten to expand clinical understanding by regularly discussing client cases and diagnostic criterion • Gained expertise on managing financial and marketing plans in private practice Administrative Assistant, Bray Whaler International, Centennial, CO 12/08 — 7/00 Directed daily administrate operations and. provided superior administrative support at this hill -service hospitality procurement company. Created purchase orders and processed vendor invoices and payments. C Partnered i ith other teem members to implement systems that increased the expediting of goods by 30% on a luxury resort project; personally rewarded with a monetary bonus for outstanding project performance Sales Coordinator, Disney and ESPN Media Networks, Burbank, CA 2/06 — 5/07 Managed and serviced a large portfolio of 20 client accounts. Traveled to client locations to increase product awareness by leading sales tralnings for account executives. Managed the budget and invoice process for the Southwest Region Sales Team. Coordinated field sales logistics and marketing team placement. • Honored with company -wide recognition from the V.P. of Field Sales for developing and delivering a presentation that sold ESPN U to Cox Orange County, increasing subscriber base by 10,000 customers Committed to volunteer service; currently serve as a volunteer mentor for children with cancer at Brent's Place in Aurora. Also currently serve as a volunteer mentor and fundraiser at Friends for Families First in Aurora. . Partnered with the marketing team to design new marketing ideas, brand images, and promotional items EDUCATION MASTER OF ARTS, COUNSELING PSYCHOLOGY AND COUNSELOR EDUCATION (4.0 GPA), May 2013 UNIVERSITY OF COLORADO, SCHOOL OF EDUCATION AND HUMAN DEVELOPMENT, Denver, CO Member of the Golden Key International Honour Society BACHELOR or SCIENCE, BUSINESS ADMINISTRATION (MARICETING/ENTREPRENEURSHIP) (3.5 GPA), May 2005 UNIVERSITY OF COLORADO, LEEDS SCHOOL OF BUSINESS, Boulder, CO Member of the Phi Sigma Theta National Honor Society Member and former Vice President of the Pi Beta Phi Sorority (trained, motivated, and advised new members) COMPLETED THE SEMESTER AT SEA ABROAD PROGRAM, Spring Semester, 2004 Traveled abroad to Cuba, Brazil, South Africa, Tanzania, India, Vietnam, South Korea, China, and Japan LAUREN A. MARTINEZ 3086 S. Willow St. Denver, CO 80231 Phone: 720-838-5350 OBJECTIVE Seeking a challenging and rewarding opportunity where I will utilize my strong organizational skills, education, diverse professional background and phenomenal people skills of which allow me to contribute to an organization and grow with personally and professionally. EDUCATION University of New Fsgland Portland, ME August 2014 -December 2015 MSW2015 University of Colorado Bachelor ofArts - Sociology PROFESSIONAL EXPERIENCE Providence Human Services (UNE)Cntr for lnterrprofeesional Edu Parkside Neighborhood Center Arapahoe County Residential Center Boulder County Public Health (CU) Wardenburg Health Center Complete Home Healthcare Boulder, CO Clinical Intern Graduate Assistant Program Intern Program Counselor HIV Prevention Intern Student Coordinator Home Health Care Aide August 2008 -June 2012 April 2015 -December 2015 September 2014 -December 2015 August 2014 -May 2015 October 2012-3'une 2014 April 2012 - September 2012 August 2009 - September 2012 November 2008 -November 2009 ACCOMPLISHMENTS & RESPONSIBILITIES Clinical • Serve as a family therapist, working with children and their families with severe mental health and behavioral needs in Virtual Residential Program (2015) • Counsel Residents at ACRC regarding behavior change and integration back into community (2012-2014) • Certified HIV/HEP C Tester/Counselor (2009 -Present) • Provided syringe exchange services and counseled those who sought medical and mental health treatment as well as provided harm reduction education (2012) • Meet with and counsel students regarding their concerns and match students with resources (2009-2012) • Provided aide and companionship to the elderly and disabled (2008-2009) • Prison Rape Elimination Act Interventionist (2012-2014) Facilitation • Facilitator of student interizofessional education teams, providing skill building and guidance on working interpmfeasienaly in the medical setting (2014 -present) • Facilitator of Parkside Neighborhood Center after school program, students k -5th grade (2014-2015) • Facilitator of weekly English conversation mulls for penurres new tin Woke with lirn;tr. F,nglich lance egm (7.014- 2015) • Facilitator of weekly life skills education and therapy groups (2012-2014) • Facilitator of county wide HP/ testing training sessions (2011-2012) • Facilitator of multiple workshops around sexual health, gender violence, stress management, relationship wellness, body image and how to help others through bystander intervention (2009-2012) • Presented on student health/safety to incoming freshman est. 150 students per session (2009-2012) • Educate peas regarding concerns of social injustice around wide variety of gender and domestic violence issuer (2009-2012) Project Management • Responsible for organizing and managing multiple events and projects sponsored by IPEC (2014-2015) Responsible for development and coordination of Parkside Neighborhood Center (PNC) English Conversation Group as well as the after school program (2014-2015) • Case Management of ACRC Non-residential clients (2012-2014) • Responsible for working with ACRC residential council in organizing monthly community events (20122014) • Assisted event planners for Boulder County's annual National HIV Awareness Days Event (2012-2013) • Responsible for coordinating and implementing events, campaigns and workshops designed for sustaining students' health and wellness (2009-2012) • Served as lead HIV Coordinator, arranging locations of testing sites and coordination of awareness events (2011- 2012). Organized and planned two successful simnel body appreciation events known as "Rock Your Body Day" (2009-2012) Responsible for coordinating and implementing major presentations to all LTC -Boulder's incoming freshman regarding student health and safety (2009-2012) EDUCATION/TRAINING/MISC • On -going Shared Leadership trainings for supervisory roles (2014-2015) • Certified in Motivational Interviewing (2012 -Present) • Data entry for Boulder County Public Health and responsible for compiling a study and report of the HIV and • Works Program (syringe exchange) supply and budget (2012) • Responsible for working effectively with sfi,den+s, faculty, staff and surrounding communities to improve understanding of social justice and the intersection of identities and oppression (2009-2012) • Represented CU -Boulder by presenting Community Health at the BACCUS General Assembly in 2010 • Representative of Community Health on the Student Health Board being responsible for budget allocations for the Waldenburg Health Center with focus on the best interest for Student Wellness through Community Health (2010- 2012) AWARD$. • Catch -ME Grant 2014-2015 o Awarded for clinical focus in children at risk • "Women Who Make a Difference Award" o Recipient in 2012 for outstanding ADDITIONAL • Student Health Advisory Committee • Boulder Cnty Sexual Health Coalition • Boulder Cnty AIDS Project • Student Government Health Board • Gender Justice Committee EXCELLENT REFERENCES UPON REQUEST representation and organization of student right march/protest Portland, ME Boulder, CO Boulder, CO UC-Boulder UC-Boulder August 2014 -December 2015 2012 2012 August 2011 -May 2012 August 2011 -May 2012 JADE WOLCOTT HUGGINS 9752 E Arizona Dr, APT 735, Denver CO, 80247.747-567-1894 • EDUCATION UNIVERSITY OF DENVER Morgridge College of Education Masters of Arts in Curriculum and Instruction LAKE FOREST COLLEGE Bachelors of Arts in Psychology; Asian Studies Minor: English EXPERIENCE Denver, CO August 2015 Lake Forest, IL May 2014 24-7INTOUCII Aurora, CO Customer Service Representative 2016 • Provided accurate and appropriate information in response to customer inquiries • Demonstrated mastery of customer service call flow within specified timefi"ames • Responded to customer pushback to defuse confrontation and provide positive customer experience THE WOLCOTT FAMILY FOUNDATION Denver, CO Board Member 2009 -Present • Read and review grant applications, including organizational budgets and progress reports • Meet once a year to assess proposals and assign grants according to foundation mission statement VALVERDE ELEMENTARY SCHOOL Denver, CO Third Grade ELA-E Teacher 2015 - 2016 • Served the needs of students and parents in a diverse population, maintaining constant communication and thoughtfully addressing concerns • Worked with a diverse team of professionals to best serve the needs of individuals and the community • Created and managed systems for tracking and acting on large amounts of data WESTERLY CREEK ELEMENTARY Denver, CO nth Grade Literacy Apprentice Teacher 2014 - 2015 • Collaborated closely with an experienced team to create and implement curriculum and assessments • Independently created and taught unit on Chinese culture and history • Developed and maintained a positive relationships with a diverse group of 56 students HARM REDUCTION ACTION CENTER Denver, CO Syringe Access Volunteer 2012 • Interacted directly with clients to promote the health and safety of injection drug users through registration for center classes, and disposal and distribution of necessary medical supplies • Supported the Program Director by inputting and analyzing population data STUDYABROAD Beijing, China 2013 PEKING UNIVERSITY Asian Studies Study Abroad Program UNIVERSITY OF WESTMINSTER English Literature Study Abroad Program OTHER SKILLS • Trilingual: English, Basic Spanish, Basic Mandarin • Proficient with SPSS, MS Word, PowerPoint, Excel, and Adobe Photoshop CC 2015 • Well versed with Promethean Board, Smart Board, and Activinspire software London, England 2013 Nicolas Toyer 1607 Gilpin St. #f9 Denver, CO 80218 (720) 375-4572 EDUCATION: Front Range Community College Fort Collins, CO 2006-2008 Math & English mini& Child and Adolescent Counseling TCI trained & certified QMAP trained & certified Five years working in a youth residrnt;Rl facility Five years of experience in case management and conflict resolution Two years supervising all units and staff in a residential facility Experience leading group therapies for young adults Office and Customer Service Ten years customer service, public relations, case management and record keeling Four years of computer and office experience 50 words/min. typing Two years maintaining company finances Proficient in Microsoft Outlook, Word, PowerFoint, & Excel EMPLOYMENT: Denver Children's Home Denver, CO 200$ Current Youth Treatment Counselor I develop and maintain positive relationships with young adults ages 07-18. I plan and implement programs that include conflict resolution, Dialectical Behavior Therapy, anger management, basic living skills, self-respect, and critical thinking. I complete daily documentation, internal and external incident reports, and I communicate with caseloads as needed. I implement individual treatment goals for each young adult. I administer medications to youth and aid in health and safety issues. Walter Jackson's Community Alcohol Drug Rehabilitation Education Center Denver, CO March 2013 -Aug 2013 Clinical Assistant I maintained accurate record keeping of services rendered and pending accounts. I communicated with outside agencies to share reports, gather won, and develop a clientele. I worked with Microsoft office programs to maintain logs, charts, create flyers, and 'mite new policies and workflow charts of duties. I supervised volunteers and gave feedback for improvement. I scheduled appointments, assisted clients, and maintained online user accounts and managed client intakes. I was responsible for managing money, sorting and delivering mail, as well as maintaining the Color Line. Andrew Odom 205-835-5306 861 Cherry Street Unit 24 Denver CO 80220 Objective To secure a position in a well established organization that will lead to a rewarding career. Education Auburn University, Auburn, AL -Graduated with Bachelor of Arts in History Hoover High School, Hoover AL -Graduated with Advanced Academic Diploma Experience Alternative Support Inc Job Coach, February 2016 to Present Supervisor Cynthia Olvera (303) 993-5464 • Foster client relationships • Develop Individualized programming • Client crisis support • Identification of skill sets • Positive motivationing influence The Joshua School, February 2014 -Present Job Coach, March 2015 to February 2016 Supervisor: Jason Cruhl (303) 758-7171 Instructional Assistant February 2014 to March 2015 Supervisor : Kristin Buchanan (303) 758-7171 • implement individualized programming with fidelity • Collect data and report progress quarterly • Foster and build community relationships • Manage time with good preparation • Communicate and problem solve from many angles • Help others with a passion • Identify skills and areas where support may be needed • Prepare and present I.E.P Denver YMCA Schiessman Branch July 2011 -Present Membership Coordinator September 2012 to February 2014 Supervisor: Lauren Otteman (720) 524-2758 Sports Coordinator November 2011 to September 2012 Supervisor : Greg Bolding (720) 524-2750 Member Service Representative July 2011 to present Supervisor: Lauren Otteman (720) 524-2758 Proven leadership Excellent performance in individual and team environments Ability to mentor and support staff o Proven relationship building skills Demonstrate high customer service skills • Technical and analytical problem solver Commitment to completing the task at hand Works well under pressure • Excellent organization and preparedness Proven Interpersonal and communication skills Consistently exceeds projections and goals Tiger Package -Auburn AL Manager, February 2007 -Aug. 2010 Supervisor: Jason Saunders (334)821-6499 • Customer service • Inventory and accounting • Point of sale contact YMCA Shades Valley Branch -Birmingham Alabama Summer Camp/After school counselor, member services representative, May 2003 -Aug. 2008 Supervisor: Cham Norman (205)870-9622 • Built relationships • Developed curriculum • Registration and program delivery • Problem solving • Excellent customer service B&B Lawn Care -Birmingham, Alabama Co - Owner, May 1999 -August 2002 • Estimated, sold and scheduled services • Built relationships • Completed services sold Chick- FIl-A -Birmingham Alabama Cashier and Cook, October 1998 -May 2002 • Point of Sale Contact • Customer Service Representative Interests Community involvement through volunteer opportunities o Coaching and refereeing youth sports o Habitat for humanity a Membership Coordinator for Rocky Mountain Auburn Alumni Club o Event planning o Organization and communication References • Jay Brown: since 2011, Friend and mentor (720) 364-1008 • Colin Lowell: since 2008, Education (261) 654-3592 • Michael Kremer. since 2000, Registered Nurse (205) 218-0929 • Jon Medley: since 2000, Logistics (205) 422-0740 • Diane Zarzour: since 1998, Mentor (205) 491-5595 A4,18-08 10c48Am FROM-MWFP MTEHOUSE 303987452` T-703 P.02/03 F - Bridget M. Oellayre 52 0 ee #2 A CO 80002 303-241- 4656 b SUMMARY OF QUALIFICATIONS Goal directed individual who applies well developed interpersonal and communication skills to interact with people on all levels, Capable supervisor with a proven ability to direct in crisis situations. Demonstrates stall as an instructor, particularly enjoying work with children. E XPBRIl3NCE Safely and Secrwty Ofcerl, Mount View Youth Scaviaes Center, Lakewood, CO, 2000 — Present • Perform correctional security work in ajuvemle detention centedirearment facility • Assure all posts are staffed in an adequate and effective manner under alt clx+camutsices • Responsible for interaction between paw, professionals, and the public • Conduct daily group therapy and stnietured leisure sessions • Plan, develop and implement behavioral plans and disciplinary plans for students • Monitor and respond to hourly safety and security checks of all campus units Review incident reports for content, appropriateness and comply • Properly conduct diartlin ry hearings Wog incident reports, evidence and resident statements • Coordinate internal and external emergency plans • Properly dI crib rte and document inedrugsinnsgsnrcseet, t_r� higan, 1998 1999 7l"eateaerrt DirecrorTa>ely Worker, Wolverine Hu • Conduct daily student group therapy sessions • Plan, develop and implement on -going family intervention strategies • Oa call at anilines to assist in crisis situations and support treatment plans of students • Respond to various crisis situations in a manner of appropriate to the treatment plans of students involved • Write initial, updated and discharge service plans on all youth in consultation with program managers • Attend clinical meetings, case crefererices, family therapy sessions and court hearings • Coordinate on -going communication with families, students, treatment team and stare workers • Participate in staffdevelopment prograros, staff meetings and evaluation of policy end procedures • Observe and supervise team members, including ion pf disciplinaty action • Provide follow up services in families of released students to ease transition into community niiy Health Coonfasaivr, Chins Up Youth and Family Services Inc., Colorado Springs, CO, 1997 1998 • Medication administration, log in procedures and prescription follow-up • Maintain current health records, audit residential records and conduct file inspections • Attend court sessions, psychiatric consultations, clinical meetings and educational meetings • On call at all times 7D insist residential staff≥, de-escalate residents in crisis situations, and approve intakes • Act as and perform duties of Residential Director when necessary Days Shift Team Leader/Case Management Support, Chins pp Yoa% and Family Services Inc.. Colorado Springs, CO, 1996 -1997 • Counsel residents, schedule, direct and train floor staff; conduct parent orientations, maintain case contacts, and assist with case management responsibilities P71G-18-06 10:48AM FRaM1-M/YF" 10USE 303987452" Bridget M. 4'Hayre 32 0 cr.as sot S. pet 2 An► CO 80002 EDUCATION 30 -241-4656, BA Psychology —University of Colorado at Colorado Springs, CO, 1996 T-703 P.03/03 F -B11 CONTINUING EDUCATION • Boys Town training, Crisis Prevention and numerous workshops • State of Michigan Certified Addictions Counselor (CAC I) (expired) • Clued Crisis Prevention and intervention Instructor (expired) • Medication Administration Qualification • Coaching Skills for Mangers and Supervisors • Interviewing victims of sexual and physical abuse • Successful completion of three licensing exams toward Colorado Teaching I ,;c a+se — Glee IC -6 RELATED SKILLS • First Aid, CPR, Sign Language, advanced computer skills is Microsoft Office Products References available upon request Gabrielle Preston Fort Collins, CO 80524 970.692.4737 Quick Notes: Colgate University Graduate: May 2012 Strom in: Japanese Studies Computer Science Design & illustration Oblectiee: To find employment in an environment where I can eventually combine my Major in Japanese Studies with my Minor In Computer Science. Skills and Knowledps Working with customers to ensure great service Completing projects with self motivation and speed Work together with coworkers to provide quick solutions to problems Coinnuter Knowledge and Experience Web Development I1Th( CSS, Pu P, WordPress Coding: Python, Ruby, Java, C, CpenGL Appficalions • Microsoft: Ward, Excel, PowerPoInt, Publisher —Adobe: Photoshop s Windows: Task Manager, Scheduler WPM: 80 Recent Work Hist 4/2015 to Currant— Armstrong Hotel housekeeping Staff I Upholds the values of the Armstrong Hotel by keeping spaces clean within the building 10/2012 to 01/2015 —Xerox Customer Service Senior Team • Assisting customers and agents with medical insurance needs and providing Mime solutions to escalated problems 912010 to 512012 —The Barge (Colgate Univ. Wbrk Study} HamMon, NY • Batista, assisting customers, light food maidngrserving, cashier Community Connections • Sept 2009 to May 3012 —DJ at WRCU Radio Hamilton, NY —Every Sat 10 PM Art Portfolio illustration/Drawing Diq, ai end TradidonalArtwork (Portfolio available on request) References • Yolchi Aizawa Adviser, Japanese Fbdissson Colgate U. 316.228.7282 • Theresa Carpi° Senior Supervisor, Xerox, Greeley, CO 970.528.8214 • Katrina Carnes Former Co-worker, Denver, CO 970.692.1364 Rebecca Rich 2019 Tunis Cr. Ft. Collins, Co 80526 (972) 221-1426 PROFESSIONAL OBJECTIVE: To gain. employment in an organization whose goals are aligned with my personal interests. EDUCATION: University of Northern Colorado 19964 997 AIMS Community College Associates of Arts, Criminal Justice 1996 EXPERIENCE: Alternative Homes For Youth Greeley, CO 2004 Milieu Manager • Responsible for direct supervision of unit staff ▪ Responsible for staff scheduling • Liaison between clinical and unit staff • Member of the program development team • Responsible for direct supervision of youth in a residential treatment center specializing in sexually abusive youth. • Responsible for organizing and supervising house outings. • Responsible for youth medical and court transports. • Assist with psychiatric appointments. • Assist teachers during the school day • Certified TCI trainer. • Certified CPR/First Aid instructor Hub and Child Protection Larimer County, CO 2005 Intake specialist (on -call) • Complete detention screening in compliance with Senate Bill 94 • Answer phones and enter nforn ation on child protection ails • Help monitor youth on home detention. Monarch Youth Homes Berthoud, CO 2004 Associate House Manager Responsible for supervision of weekend staff. Responsible for direct supervision of youth in a residential treatment center. Responsible for organizing and supervising house outings. Responsible for youth transports. O Assist in development and implementing individual treatments plans. Platte Valley Youth Service Center Greeley, CO 1997-2004 SSOI Responsible for safety of youth in a state correctional facility. Responsible for planning, organizing and implementing student activities including treatment and recreation. Have been trained in and have successfully completed high -risk youth transports. • Have completed Pressure Point Control Tactics training. • Have completed training in crisis intervention. • Assisted in implementing a Positive Peer Culture program and have been responsible for facilitating such groups. o Taught life skills classes and drug and alcohol programs. • Have completed training in and performed suicide assessments on students in our care. Northern Colorado Security Services Greeley, CO 1996-1997 Corporal • Responsible for safety and security of all patients, visitors, and employees at Northern Colorado Medical Center. • Direct supervision of security staff • Responsible for schedules and job post assignments. • Successfully completed courses on non-violent crisis intervention. • Successfully completed training in mechanical restraint use. Strengths: • Ability to perform effectively in high stress situations. • Energetic, self -motivated individual able to motivate others. References: Furnished upon request. A C'-_3/ w.aJ El I- lrrdf: C. R tr pson'. k ndal", • ..(0I'0)cirl!ilI.„con 7 ' cee. Ir-ribthsY Ex ri6i working,,with ' I, - ii i:lu l. uoripus. .. Ll µYtff .l rx,:S's F nrPrilX '1;�4d : L c rt."1- ' re IDul`C.e3 from tho . 1 ,irc;iniz i al•LcotershiP. fir,�1111 :?�fn9 E tt'�,i'.ailing. a„ II Tr_ii;-A: ;pt. 11 EQi t1Qn 13aGkra.t $t t,it tD Olil:;n Slate Denvef, Colorado C,Qrnn1Jrity CoRegc of ,Aurora AliroT, C.c IotacJo 0ateway'High ;Sch of 9 Persrrnn•i Referenee No r , All r.i ilu Inc. ofessiDnsl Roference. tacto.l ShaOro Employcai •A her Relbruces ri.zOn r1 1T,c • Highly Reliable Self -Starter with Exceptional Mention to Detail Dedicated experience in providing case management and dependable quality care for individuals who are at risk youth, children and adults with mental and developmental disabilities, Committed to finding each person's full potential so that they can enjoy life and be an active citizen in their community. Helping families focused on the ability of the person and not the disability so that all individuals know that they can contribute to society and families can feel supported. Work Rocky Mountain Human Services: Denver, Colorado Community Connections Supervisor, Occupational and RespiteTherapist 2013 -Present c) Provided safe and quality care for seniors and adults with mental and developmental disabilities } Responsible for implementing activities for Individuals to enhance life skills and community awareness. o Team involvement to create appropriate service plans that coincides with program units, and help clients reach goals 10 Supervised community activities to support Medicaid/Medicare program waivers and community service boards. Garden Autism Services: Denver/ Colorado Respite Therapist 2012-2013 Cr Provided respite care for families and individuals with developmental disabilities 00 Worked with team members to set occupational goals and ABA therapies o Develop new strategies to increase better communication with families and therapist o Responsible for extensive documentation and adhering to HIPPA and Legal Rights Crowne Plaza Hotel Denver International Airport: Denver, Colorado Front Desk Concierge 2005-2042 * Responsible providing Customer Service check in and out guest, phone and guest complaints • Provided customer service training for new employees * Keeping balance and audit documents for all front desk transactions c) Responsible for keeping guest happy, content and well informed about hotel accommodations and surrounding area activities. Andrew Paul MeNew M.Mus. 1226 Cavan St. Boulder, CO. 80303 Phone: 720-839-5705 Objective Music Teacher Position - Shiloh House Experience Manhattan Middle School for the Arts - Boulder, CO. - Provided mentorship as a "guest artist" for the Instrumental Music Program Intermezzo Academy of Music - Broomfield, CO Brass Instructor String Ensemble Coach Metropolitan State College of Denver Music Theory Tutor Provided supplemental instruction in music theory, aural skills, and ear training Boulder High School - Boulder, CO. - Teaching Artist Community Learning Center at Casey Middle School - Boulder, CO. Brass Instructor for a pilot after -school program student participation was based upon family income Stnrirnts performed services in their community in exchange for after -school instruction Summit View Elementary - Highlands Ranch, CO. - Participated in the Jazz Mentor program with music educator Joe Andries Boulder School of Music Boulder, CO. - Brass Instructor Summit View Elementary Highlands Ranch, CO. - Participated in the Jazz Mentor program with music educator Joe Andries Lamont School of Music at the University of Denver Graduate Teaching Assistant March 2013 2009-2015 2009-2010 Fall 2013 2005- 2008 2005-2006 2005- 2008 2005-2006 2002-2004 Page 2 Education Metropolitan State College of Denver 2008 - 2010 Completed coursework in Music Education, Performance, and Psychology. Relevant courses: Developmental Psychology, Abnormal Child Psychology, Multicultural Issues in Education, Inclusion in the Music Classroom, Principles of Music Education, Woodwind Techniques, General Music Methods, Choral Music Methods, Technology for Music Educators Lamont School of Music at the University of Denver 2002- 2005 - Masters of Music: ju audios emphasis University of Colorado at Boulder College of Music 1999.2001 - Completed coursework for Masters of Music in Trombone Performance Fort Lewis College 1994 -1998 - Bachelor of Liberal arts Bin Music Performance Skills I currently possess a three year Colorado Substitute Teaching Licensure and am comfortable teaching groups or individuals in various settings. My education and professional experience have allowed me to work in multiple situations. Philosophy The task of the instructor is to build a system of trust with the student When that connection is made, instruction can flow. If a system of trust is not established, the teacher/student relationship will be continually burdened. This is my own personal educational philosophy. 1VIICJICI 1053 S. Locust St. ver, CO, 80224- 970-570-5151 - cjmlester@gma" n Objective To work with a company that offers a chalenging, ever-changing environment which is primarily in a people and health oriented industry. I would like to work in a position that will contribute to my growth, success and education. In return, I will support the continued growth, success and profit of the organization. Experience Communications & Scheduling Manager Optimal Terrain Consulting May 2015 to Present • Assisted clients by determining needs, scheduling or canceling appointments, or referring to correct staff person. Maintained and updated schedule of medical service providers' availability; maintained contact with clients, notified them of any scheduling changes. Coded information and entered Into files and databases; reviewed to ensure accuracy and completeness. • Maintained files and databases; updated and purge as necessary. • Responded to inquiries on policies and procedures andfor referred questioner to correct staff person. • Assisted in training new employees and served as resource person to them. • Handled any necessary arrangements for client utilization, i.e. pulling records, determined needs, ensured necessary forms are available. Assisted with any other medical record duties such as purging files, processing health history forms, etc. Guest Service Representative Marriott Courtyard Denver Tech Center January 2015 to Present • Checked guest into room under correct reservations. • Comfortable using computer systems: FOSSE and MARSHA. • Expert in customer service. • Ordering products for The Market. • Able to make Starbucks coffee drinks. • Bus tables in the Bistro, Clinic Supervisor end Patient Coordinator Namaste Health Center, Duran, CO January 2013 -December 2014 • Scheduled appointments for 9 practlflonare. Patients located across the country and overseas. • Ensured new patient paperwork, labs, reports, CT Pet scans and any documents necessary for each appointment were received 48 hours in advance. • Ordered lab requisitions as required by practitioners. • Coordinated patient questions regarding appointments and supplements, as prescribed by the practitioners. • Provided darificetion on prescribed treatment plans. Provided emotional support when necessary. • Managed all shipping and receiving, • Ordered supplements and test kits. • Retreat coordinator; Recruited attendees from around the world for various retreats provided by Nemesia. Verified all labs, new patient paperwork, and payment was received and available to the Practitioners prior to each retreat. • Responsible for ail social media marketing and creation of flyers and documents for events. Did marketing through Facebook and I -contact. • Technical trouble shooter. Grocery Store Cashier Albertson's Market, Durango, CO August 2009 -January 2073 • Responsible for cash register and the balancing my drawer far each shift This entailed working with cash, check, credit card, WIC program, Food Stamps, and any additional discounts or coupons when prompted. • Helped customers through payment options and made changes if needed. • Verified IDa for customers purchasing alcohol, tobacco products, or lottery tickets. Volunteer Coordinator Sexual Assault Services Organization, Durango, CO January 2012 - January 2013 • Coordinated and scheduled volunteers to manage a 24 -hour crisis hotline. • Communicated Information and education to new and existing volunteers via newsletters, °mails, phone calls. Actively recruited volunteers through various marketing tools and co -facilitated a 35 -hour bi-yearly hotline advocate training. On -call for back up support 24 hours a day to support volunteers after they supported survivors of sexual violence. Facilitated monthly advocate meetings and bi-yearly advocate appreciation parties. • Facilitated educational programs to educate community members and provide tools to end sexual violence and oppression. Bachelor of Arts, Psychology Fort Lewis College, Durango, CO December 2012 Cum Laude Field School in C$ntcel Psychology Nape State Hospital, Napa Valley, CA June 2012 A one month participation with an acute, forensic psychiatric team at a state hospital for mentally disturbed persons. Experience included admission, Interviews, diagnostic techniques, treatment planning, and implementation including occupational and recreational therapy. Awards Rekirenoes Pal Chi Honors Member 2012 international Honor Society in Psychology. Purpose of promoting excellence in scholarship and advancing the science of psychology. Martlyne S. Leftwich Community Service Award 2011 Given for outstanding work and promise outside of the classroom. Cyd Hildner Owner of Namaste Health Center, Durango, CO Years known: 2 970-749-0308 Ben Baroch Colleague at Napa State Hospital Years known: 5 970-217-9673 Brian Burke, PhD Psychology Professor, Fort Lewis College, Durango, CO Years known: B 970-946-2993 Tagah La Shawn Young 3209 Locust St (Denver Co 80207 Emad 720-298-7058 JOB OBJECTIVE: Seeking a fast -paced and fun career with much room for expansion EDUCATION: Regis University Enrolled: August 2003 Graduation Date: May 2008 Majoring in Sociology, with a minor in Criminology. GPA is currently 3.5 (Cumulative 2.6) RELEVANT COURSES: Introduction to Sociology Deviance Criminology Criminology through Film Introduction to Cultural Anthropology Global Ethnographies Diversity in the United States Research Methods Sociological Theory Family Violence Women in Prison Punishment and Corrections VOLUNTEER ACTIVITIES: 512005-1012005: Was a Fellow for the I Have A Dream Rotary Class, we took the Dreamers on Field Trips, made In -Home Visits, spoke w/parents, followed kids through school, made sure that they felt comfortable speaking to about when they were concerned or needed any help. 3/2005-s/,005: I assist another set of third graders st Fairview elementary, where I em present in the classroom, and assisting the teachers. I am also a part of the Colorado I Have A Dream Foundation, which is a program that helps at risk students graduate from high school, and eventually go on to college, or any other higher learning facility. 2/ 2005- 812005: Volunteer at Smedley Elementary SchooL I assist third graders with their homework, as well as other educational programs. 8/2004-112005- Completed an Internship at the Family Crisis Center in Colorado. Assisted in helping the youth with homework, and transitions throughout the day. 8/2004-5/2005: I am a mentor at North High School, where I assist my mentee in applying for college, looking for jobs, and completing her homework assignments. EXPERIENCE: 5/2007-9/2007- Lampkin Group Center for Boys, Colorado Industry: Youth Advocacy Youth Support Advocate Responsible for scheduling appointments, transporting youth, preparing meals in the home, and assisting owner of company with administrative duties (i.e. faxing, typing documents, taking messages) 4/2007-6/2001- National Cheek Loans, Colorado Industry: Customer Service Loan Officer Responsible for processing customer loans, data entry, and filing. Responsible for keeping up with my client's information, as well as making courtesy call to remind clients when loans were due. 12/2006-3/2007- Yellow Cab Company, Colorado Industry: Communications Lead Operator Lead operator on the second shift. Inbound call center, responsible for taking customer orders, and dealing with difficult customers. Cross -trained as a dispatcher. Responsible for pre -approved credit card orders, as well as following up on customer orders throughout the day. S/2006-1/2007- Glendale Super Target, Colorado Industry: Customer Service Food Service Worker Responsible for taking guests orders, food preparation and presentation. Maintaining a safe and clean working environment were part of my job responsibilities as well. 4/2006-8/2006- National Check Loans, Colorado Industry: Customer Service Loan Officer Responsible for processing customer loans, data entry, and filing. Responsible for keeping up with my client's information, as well as making courtesy call to remind clients when loans were due. 5/2005-10/2005 EchoStar Littleton, Colorado Industry: Technical Support Technical Support Representative Responsible for taking calls in the call center and ensuring that our customers are satisfied with the service that they are receiving. I will be assisting the customers with billing issues, frequently asked questions, and basic problems with their television service 10/2004 -12/2004 Km art Denver, Colorado Industry: Retail Cashier Responsible for handling cash and cash registers. Assisting customers in location of products within the store 5/2004-10/2004 Sears Aurora, Colorado Industry: Retail In -Store Marketing Associate Responsible for ad -setup and takedown. Responsible for bringing new merchandise out onto the sales floor, and ensuring that everything is signed correctly. 8/2002-1/2004 Aurora Super Target Aurora, Colorado Industry: Retail Cashier/Guest Service Representative Responsible for handling cash, and completing sales transactions. Assisting customers in the location of products both within the store, and in other stores. Responsible for completing exchange and return transactions. Relevant Skills: 55 WPM Microsoft Office, Word, Excel, PowerPoint 10 -key (by sight and touch) Brody Fuller 4003 431d St. Northport, AL. 35473 (205)-826-8079 EDUCATION December, 2015 S.A. Psychology The University of Alabama, Tuscaloosa, AL Cumulative GPA: 3.1 Honors: Dean's List, Phi Sigma Theta Honor Society CLINICAL AND PROFESSIONAL EXPERIENCE Mental Health Worker I Brewer -Porch Children's Center The University of Alabama, Tuscaloosa, A.I. Supervisor. Dewayna Smith, (662)-415-2008 April 2016 to current • Brewer -Porch Children Center is a residential treatment facility that assists children who have been diagnosed with mental illness and have been exposed to traumatic experiences, abusive backgrounds, and neo-natal difficulties • Extended experience following and maintaining specific treatment plans fnr children in a residential facility • Responsible for writing Basic Living Skills notes that were reviewed by state insurance agencies • Versatile employee, requested to work in many different treatments programs, such as Autism Outpatient, intrn sive Residential Treatment, and Moderate Residential Programs • Educated and assisted children with learning different living skills and stress management tarhni s • Led children on community outings designed to improve interactions while in public settings UA-ACTS Mentor for UA AC1'i Program The University of Alabama, Tuscaloosa, AL Faculty Supervisor, Dr. Sarah Ryan Fall, 2015 • UA-ACTS Program was created to assist students with an ASD transition into college lifestyle • Mentor to an international student diagnosed with an ASD, responsible for assisting student integrating into a new community • Assisted student with adapting to the unique challenges of academic organization, social interacfion, personal hygiene, and daily living tasks • Expanded experience creating and maintaining treatment plans centered around student's abilities • First -band practice working one-on-one with an adolescent with an ASD Kitchen Manager Walton's (Naar! and Wings, Tuscaloosa, AL. Supervisor/ Owner: Bill Walton, Cell: (205)-391-1522, Store :(205)-7524693 August 2009.October 2016 • Kitchen Manager for 6 years • Responsible for placing employees in positions for their shift • Trained all new hires during their two-week training period • Member of the Quad Squad Food Truck serving and preparing food during football game days Research and Volunteer Work Research Assistant The University of Alabama, Tuscaloosa, AL, Faculty Supervisor Dr. Theodore Tomeny(Abnormal Psychology -FY 358) 2016 • Studied and compared relationships between education levels and parenting styles searching for connections to positive outcomes for students with an ASD • Conducted data entry into SPSS for statistical analysis • Generated surveys using Qualifies to improve interactions with participants Research Assistant The University of Alabama. Tuscaloosa, Al. Faculty Supervisor: Forrest Scogin (Psychology of Aging-PY 365), Graduate Study of Lisa Mieskowski 2016 • Studied how self-help therapy techniques can improve the quality of life for older adults who identified as having an average to below average life satisfaction • Conducted weekly phone interviews with participants • Utilized psychological measures to track how self-help workbook techniques affected pardeipants • Recruited participants by conducting cold calls from a research database and placing flyers around different community centers Camp Mentor/ Volunteer Camp Full Ltre Ahead at Lake Martin, Alexander City, AL. Executive Director. Tammy Moore, February, 2016 • One-on-one mentor to adolescent student with an ASD • Aided student while working on social interactions, maintaining schedules, and outdoor activities • Assisted with transportation for students with physical limitations that restricted their mobility Poster Presenter/ Contributing Author The University of .Alabama, J5k Annual Alabama Autism Conference Contributing Author to Poster presented by Graduate Student Loden Baker February, 2016 • Research paper focused on identifying how parental psychopathology symptoms and social support relate to children with an ASD externalize their problems • Supported Graduate student by writing Introduction and Citations for research paper presentation • Presented poster to conference attendees, answering questions about research topic, data gathering methodology, and research findings Research Assistant The University of Alabama Tuscaloosa, AL. Faculty Supervisor: Dr. Theodore Tomeny (Abnormal Psychology -FY 358) 2016 • Studied and compared relationships between education levels and parenting styles searching for connections to positive outcomes for students with an. ASD. • Conducted data entry into SPSS for statistical analysis. • Generated surveys using Quall ries to improve interactions with parlicipa'nts. Research Assistant The University of Alabama Tuscaloosa, AL. Faculty Supervisor: Forrest Scogin (Psychology of Aging-PY 365), Graduate Study of Lisa Mieskowski 2016 • Studied how self-help therapy techniques can improve the quality of life for older adults who identified as having an average to below average life satisfaction. • Conducted weekly phone interviews with participants. • Utilized psychological measures to track how self-help workbook techniques affected participants. • Recruited participants by conducting cold calls from a research database and placing flyers around different community centers. Camp Mentor/ Volunteer Camp Full Life Ahead at Lake Martin Alexander City, AL. Executive Director: Tammy Moore, February, 2016 • One-on-one mentor to adolescent student with an ASD. • Aided student while working on social interactions, maintaining schedules, and outdoor activities. • Assisted with transportation for students with physical limitations that restricted their mobility. Poster Presenter/ Contributing Author The University of Alabama, 15'h Annual Alabama Autism Conference Contributing Author to Poster presented by Graduate Student Loden Baker February, 2016 • Research paper focused on identifying how parental psychopathology symptoms and social support relate to children with an ASD externalize their problems. • Supported Graduate student by writing Introduction and Citations for research paper presentation. • Presented poster to conference attendees, answering questions about research topic, data gathering methodology, and research findings. LIFEE Volunteer Arts N' Autism, Tuscaloosa, AL, February- May, 2016 Volunteer Director: Debbie Glass (805) 509- 284 • Assisted students improve social interactions by guiding them on community outings. • Developed occupational skills with clients by guiding them while they volunteered in the community. • Assisted clients with stress management techniques when becoming upset. CINDY GONZALEZ 641 Campo St Denver, COI (303)-856-5242 I Skills Summary Highly motivated future graduate with over five years of experience in working in an office setting. I am especially skilled in managing offices and have great knowledge in administrative and clerical work. In combination with my exceptional customer service skills and ability to adapt and change in any environment has given me a great advantage in administration. Education B.A. Psychology and Minors In Sociology and Spanish, University of Northern Colorado /May 7,2016 Relevant Experience • Bilingual • Fast Learner • Ability to multi -task and work in a fast paced environment Pay close attention to detail • Dependable and punctual Wells Fargo Bank Teller / December 2014 -Present • Processed cash transactions, accepted and processed payments • Customer service and cross sell bank products • Receive money from curriers, count and verify cash and maintain vault balanced • Manage balancing duties akin to currency, coins and checks University of Northern Colorado -MAST Institute Administrative Assistant/August 2012 -August 2014 • Data entry, filing, mailing and faxing • Provided assistance for professors, including creating presentations, grading work and other projects. • Answered multiple phone; lines and kept record of memos • Organized and provided documents, reports and information to department and external clients in a weii-organized and useful manner. Kaiser Permanents Administrative Assistant / August 2011 -August 2012 • Fulfilled a multitude of Clerical Duties and managed front office operations. • Typed, compiled and maintained database records. Provided assistance in translating for Spanish speaking patients as well as translating flyers, letters and other documents for doctors. • Assisted in the care and maintenance of office equipment • Maintained medical appointment books • Assisted with preparation of agendas, materials and notes Anthem Blue Shield and Blue Cross Billing and Enrollment -Control Team / August 2019 August 2009 Data entry • Verified accounts, claims and insurance policies • Requested, located, sent and received patient medical records. • HIPPA trained Grants and Awards Stryker Leadership Institute 12013 -Present Are you president of your fraternity or sorority, head of the condo board, or a team lead for your favorite charity? You're a natural leader -tell It like it is! Extracurricular Activities Lambda Theta Nu Sorority, Inc. / May 2013 -Present • As Chapter President I coordinated, prepared and oversaw meetings. • Organized, directed, and volunteered In community service and fundraising events • Attended weekly meeting while taking minutes and ensured it was recorded and distributed accordingly. • Assisted in coordinating, fundraising and mentoring in a conference aimed at promoting higher education to eight grade Latina girls. • Sigma Delta Pi National Hispanic Honors Society ! May 2014 -Present • Attended weekly meetings with other members the assist in organizing and creating events aimed at promoting cultural awareness. 2 Joshua Gray 271 Sheckel In. Breckenridge, CO 80424 Phone: 361-290-1280 kvailabillty Job Type: Permanent, Temporary, Internship Work Schedule: Full-time or Part-time Education Texas State University, San Marcos TX, Bachelor's Degree 04/2015; • Major: Criminal Justice • GPA:3.0 Relevant Course and Areas of Study: — Policing -Corrections -Police Theories Organized Crime -Terrorism/Anti-Terrorism — Racial Issues regarding policing -Police Management -American prison systems Academia De Espanol, Antigua Guatemala Spanish Language Certification • Immersion Program (2 years) Spent a total of two years over two separate immersion trips down to the city of Antigua Guatemala. The program included intensive Spanish lessons along with living with a host family to better understand the culture and way of life of the people living in the rural areas of Guatemala. This period of study has allowed me to become fluent, in the Spanish language. Throughout my time spent in Central America, I was able to travel to several countries including Panama, Belize, Honduras and El Salvador, experiencing the cultures of each of those countries. Summit High School Diploma 05/2008 LSAT- taken 10/3/15 (Score available on request) Work Experience Law Office of James D. Granberry 05115 -Current Corpus Christi, Texas Legal Assistant -Hours per week 30 -Supervisor: James D. Granberry, Sandy Franco (361-903-0960) Currently working in the office of a very high volume criminal defense attorney based out of Corpus Christi, Texas. Responsibilities entail assisting in day-to-day operations of the law firm. Duties include: Setting up meetings with new and existing clients, filing sensitive legal documents, acting as a receptionist, delivering documents to the proper office's at the courthouse (Runner), as well collecting documents of discovery from the courthouse. In my position it is necessary to understand the way that the courts and legal system operate. High Altitude Mobile Physicians Seasonal Breckenridge, Colorado Oxygen Technician -Hours per week: 60-75 - Supervisor: David Gray (970-389-7999), Scott Kiser Worked as an assistant to several physicians and nurses in a house call practice that primarily treated altitude sickness. My duties included but were not limited to delivering oxygen, assisting the doctors while treating patients, taking vital signs as well as recording and filing official medical documents Charter Sports Seasonal Breckenridge Colorado Ski Technician -Hours per week: 35-45 - Supervisor: Dave Tunason (970-485-3317) Worked in a fast paced ski shop at the base of Breckenridge Ski resort. Was responsible for renting out equipment, as well as making sure that it was properly set according to each person's individual measurements. Also included the sale of a wide array of different retail items, Saltgrass Steakhouse 04/12-3/14 San Marcos, Texas Kitchen Expo -Hours per week: 50 1 - Supervisor: Jason Byrd Worked in a faced paced kitchen and was in charge of making sure that food was cooked and served in a timely manner. Managed several different stations within the kitchen and brought the food together as a finished product. Along with cooking, my responsibilities also included preparation in the proper amounts. Belling Painting 07/06-09/09 Breckenridge, Colorado Paint Crew Leader -Hours per week; 40-45 -Supervisor; Daniel Bellina (970-389-3381) Exterior and interior painting of up scale homes in a resort community. Was responsible for making sure that the large furniture moved was moved in a delicate manor that resulted in no damage. Managed day-to-day duties of myself and several other orewmembers. References Name Employer Title Phone Gi.inter Umundum Hotshot Delivery Driver 361-215-6666 David Spooner Oilfield Manager Site Supervisor 361-813-7293 Joe Wilson Self-employed Retired 3.61-728-6578 Kim Wilson 361-728-8983 Sandy Franco Law Office Legal assistant 361-903-0960 Quentin Dokken Gulf of Mexico Foundation President/CEO 361-442-6064 Andy Lowe Chupacabra Bar Bar Manager 210-260-5433 Ryan D. Bross 2951 S Washington St • Englewood CO 80113.720-217 98 - Summary • • • • 2 Years teaching experience in alternative and facility school settiegs serving students with severe emotional needs Endorsement in Secondary Science Education Alternative Teaching License with eligibility for initial license in Jan 2016 Experience using PETS behavior management program Wong towards Spedel Education endorsement Related Training, and Certifications • CPI Nonvinlent Crisis Intervention ▪ Common Core State Standards Implementation • Executive Function and use of Assessment Data • Mandated Reporter for Colorado Educators • Cultural Diversity • Excelsior Cultural and Skills Competency Training • DBT Dialectic Behavior Therapy • CPR, First Aid, and Emergency Oxygen Work Experience Secondary Science Teacher, Excelsior Youth Center, Aurora, CO • Served as lead teacher for the science department • Created and altered lessons plans to meet the needs of a highly diverse student population • Worked to help implement the new "Guidance Model" into the Excelsior school culture • Provided one on one assistance and maintained a safe and therapeutic classroom • Created engaging lesson plans that aligned with the Colorado State Standards Licensed Substitute Teacher, Aurora Public Schools, Aurora, CO • Helped to ensure the continuity of the educational process • Managed the classroom in an effective manner • Followed the assigned lesson plan and helped students with material Licensed Substitute Teacher, Denver Mlle Schools, Der; CO • Held a long term assignment with Summit Academy Middle School • Helped provide a safe, structured learning environment • Created lesson plans and helped students to understand material Sales Associate Bicycle Village, Aurora, CO Part-time, Bicycling and outdoor fitness • Provided outstanding customer service • Ensured apparel drat is properly stocked and correctly merchandised • Worked with management and other employees to improve overall customer experience Indoor Cycling Instructor/Member Services Rep, Schlemiel YMC4, Denver, CO Part-time, non-profit organization • Lead group exercise class and motivate members for self-improvement • Interact and problem solve with a diverse member base • Help people make positive lifestyle decisions pertaining to family, fitness, and healthy living h�12014 - Dec 2015 Feb 2014- Jun 2014 Mar 2014- Jun2014 Feb 2013 - Jul 2014 Jun 2011 - Present University Development Representative, Grand Canyon University, Denver, CO Sept 200 —Nov 2010 Private secondary education • Planned, secured and directed marketing events for the College of Education • Presented the benefits of OCU to both large and small groups of teachers and staff members • Increased market share and enrollment in rural areas by 25% • Consistently exceeded minimum scheduling requirements for marketing events Regional Account Representative, Den Mat Holdings ILC, Denver, CO Cosmetic & restorative dental products • Developed and maintained client relationships with dentists and office staff • Conducted training events on how to best market the "Lumineers" brand in their practices • Represented DenMat at regional trade shows Regional Sales Representative, HealthPort, Denver, CO Health irifonnalion management services • Covered a multi -state territory and managed a large customer database • Represented DenMat at regional trade shows • Presidents Club award winner FY 07' Sales Representative —RR Donnelley, Denver, CO Business to business printing services • Presented complex solutions to a diverse customer base • Was responsible for creating new customers while managing 1Mal in annual revenue • Gained experience in large contract implementations and RFP procedures May2008—Mar 2009 Jun2006 —May2008 Nov 1999—Jun2006 Education Bachelors of Science, Ball Slate University, Mande, 1N Continuing Education, Red Rocks Community College, Lakewood, CO • Independent study in the field of life sciences Continuing Education, University of Phoenix Online • Independent study in the field of life sciences Aug 1994 -May 1498 Aug 2010----May2011 Feb 2014 —Jun 2014 Volunteer Experience Porter Adventist Hospital, Denver CO • Worked in Nurse Education department to assist with data entry for quality control Campus Middle School, Greenwood Village, CO • Assist teacher with small group projects and lab experiments Apr 2011— Oct 2011 As requested Sarah B_ricl ewater 739 Baylor Dr Santa Clara, CA 95051 (408) 221-3525 Objective Have a successful career In the mental health field by continuing to execute critical thinking skills that need to be developed quickly. Helpful to others in areas of team effort, can take responsibilities as well as taking direction well. Excel at crlsis communication and being under sir ssful and intense situations. Courses taken such as, Abnormal Psychology and Pathology of Adolescence has enriched my education in mental illnesses in adults and children. Trained swim instrudEr able to explain skills while being age appropriate and conscience. education • Colorado State University- Pueblo, CO • B.A., Psychology May 2009 Summary of Qualifications • Trained in research methodologies and experienced In SPSS. • Computer skills: Microsoft Word, SPSS software, Excel, Power Point, Internet, Webquest. • Trained in CPR, first aid and Water Safety Instruction. • Two years experience in sales. • Other training Includes: Blood borne pathogens, dealing with cutting and suicidal ideations in adolescence, Lesbian Gay Bisexual Questioning Transgendered (LGBQT) in adolescence, and Soda economic settings. • Pro Act trained 2009 • Safe Environments 2010 Work Experience 11109 - Residential Counselor II, Lincoln Child Center Responsibilities: Modeling appropriate behavior of life, social and hygiene skills to Severly Emotionally Disturbed youth ages 9-14 in a House setting. Communicating to staff as well as the clients the needs of the shift or house in clear words. Encouraging the clients to utilize their coping skills instead of displaying self injurious behaviors, screaming or using violence. While crisis communicating reminders of events or past achievements have been observed to deescalate the client and maintain safety. As well as emphasizing what they express whilst validating their feelings. Providing constant supervision to the clients while implementing their behavioral goals. Lead group therapy while encouraging participation to support fellow peers as well as give input to personal or house needs. Organizing group activities daily as well as outside activities in the community and outings with the clients. Working with the clients to appropriately express themselves and how to get their needs met. While at Staff meetings brainstorming of how to meet clients needs are addressed, constantly building teamwork and enhancing communication skills. Q9/Q7- 09/09 Associate for Limited Brands Corporation, Bath and Body Works Responsibilities: Maintaining cleanliness of the store which includes: mopping, sweeping, putting out new product, replenishing current product and appearance of self. Making the customers experience friendly, informative and quick. Maintaining efficiency of checkout by manning the cash register and customer satisfaction. 05/07-08/08, 01/10- 08/10 Lifeguard and Instructor for the City of Santa Clara Parks and Recreation then to a Manager Responsibility: Guarding residents and nonresidents during recreational swimming while enforcing rules, regulations and general water safety. Administering first aid when needed and the assessment of means of aiding the injured person. Instructing various ages ranging from six months to adults in various level of swimming in small class size form. Maintaining safety for the children and explanation of requirements of the levels to the swim students. Assessing levels of swim students prior to the two weeks of swim lessons and a post test with a report of recommendation(s) of various tasks the swimmer did or did not master. Manager position obtained at the Senior Center responsibility consists of observing seniors in the pools as well as enforcing the rules. Maintained pool safety by informing swimmers when it is and is not safe to swim. As well as monitoring the lifeguards and the equipment needed to fully support them while on duty. Facilitated any questions, comments or concerns between seniors or lifeguard colleagues. Education Experience 08/04-05/09 Colorado State University- Pueblo, CO student enrolled in Methods and Research. Completed four research papers of APA standard. Preparation included literature reviews on subjects, and IRB drafts. Execution of the research included: data collection, result analysis, a complete paper and a board presentation presented to peers and fellow faculty professors. Kirsten Bohne Address: 344 S Clarkson Street, Denver, CO 50202 Tel : 720-862-7318 e-mail : Objective Obtain a position that utilizes my clerical experience to provide Internal and external satisfaction to the organization. Key Sides Typing 80 WPM I Microsoft Operating Programs I Advocacy I Data Entry I Communication I Customer Service I Clerical work Education High School Diploma (May 2008) Deane Bozeman School, Panama City, Florida Bachelor Degree in progress Metropolitan State University of Denver, Denver, Colorado Related Experience Hearin®Life - Denver, Colorado Patient Care Coordinator September 2015 to Present Maintain the front office and Input data in office systems. Support marketing and outreach programs. Work with and provide support to the Providers, Complete Accounts receivable and Inventory reports, and convert calla or walk-ins as sales opportunities, TESSA - Colorado Springs, Colorado Domestic Violence/Sexual Assault Advocate Volunteer September 2014 to September 2015 Fadiltatad the Domestic Violence Education (DOVE) group with children living with, or coming from homes with, domestic violence and abuse. Provide client services for female victims and their children residing in the Safehouse. AspenPointe Behavioral Health- Colorado Springs, Colorado Medical Records Specialist September 2014 to September 2016 Pulled and distributed medical records. Responded to Release of Information requests, conducted chart audits end submitted report of findings. Initiated the processing of subpoenas and sequestered charts. Provided Medical Records coverage for all facilities as needed. National Jewish Health - Denver, Colorado Scheduling Customer Service Representative May 2013 to March 2014 Data entry, used programs such as EMR (AllScripts), Tempus, and Passport, scheduled appointments, viewed patients charts, checked end documented voice messages and answered incoming calls. Gulf Coast Dermatology— Panama City, Florida Operator Specialist and Receptionist April 2012 to March 2013 Worked referrals, used EMR (E -Clinical), scanned and filed documents in charts, assisted medical assistants, scheduled appointments for over twenty office locations, worked the front desk and handled cashlcredit payments. RESUME Name: Christine Armijo Address: 2675 St. Paul Denver, CO. 80205 - 303-393-6986 CP-- 720-323-4520 Short Term Objective: To be able to re-enter into the youth services fold and juvenile justice system. This would allow me to implement my prior work experience into the objectives of this position and further develop a more effective role in working with our youth. Long Term Objective: To give me the opportunity to enhance my work and educational experience with an organization in which the goal is in the better development of our youth through a team concept. As a team member, my goal is to take a pro -active approach in assisting our youth for the future. Educational History: Adams State College, Alamosa, Colorado Major -- Secondary Education Minor— Sociology University of Southern Colorado Pueblo, Colorado Major: B.S. Sociology with emphasis In Criminology Minor: Psychology Employment History: Employer: Dominican Sisters Home Health Agency Denver, CO. 80205 October, 2006 — present Duties: CNAJPCP — Responsible for providing patient related services to meet the personal care needs of the patient, activities of daily living and to promote patient comfort. Assists with tasks directly essential to client's health needs. Reports any changes in client's mental, physical, environmental condition or any incidents to primary RN oil case, Clinical Director or Assistant Clinical Director. Participates in client case conferences as requested. Attends appropriate in service and Continuing Education programs totaling no less than 12 hours per calendar year. Employer: Reliable Personal Care Services, Inc. Denver, CO. 80211 November, 1996 — Present Duties: Personal Care Provider: Provided Personal Care, Home Management Services and Support Services to individuals in need of care in their place of residence. Provide a clean and safe environment, including safe us of equipment, e.g. bath benches, transfer benches, side rails, wheelchairs, oxygen, etc. Assists patient with medication reminders. Provides basic personal care and assists with tasks directly essential to client's health needs. Employer: Geriatric Assistance Program Denver, Co. 80205 January, 2000 — August, 2006 Duties: Director/ Private Personal Care Provider: Provided Personal Care, Home Management Services and Support Services to quadriplegic patients in their homes. Performed range of motion and other simple procedures as an extension of therapy services. Provided basic personal care such as assistance with bathing, oral hygiene, toileting, skin care, and passive/active exercise. Utilized universal precautions and infection control techniques as necessary. Worked closely with other agencies to ensure that all of their medical, dental, mental and emotional needs were met. Also, worked closely with their families for continued support for the patients. Employer: Catholic Charities Denver, CO, 80212 September, 2002 —July, 2004 Duties; Expedited Permanent Planning Case manager — Worked closely with Department of Social Services and Denver District Court in monitoring parent (s) who were reunited with their children. Worked closely with Denver Police Department in being involved with any abused cases in the Denver area. Had supervised visits with parents and children to enable parent (s) to appropriately discipline, educate, and love their children. Coordinated and implemented support services with families/agencies to advocate for parents and children. Employer: Parenting Partner Program (Home Based Program) Mount Saint Vincent Home Denver, CO. 80211 November, 1995 — August, 2002 Duties: Case Manager — Worked with multi -cultural from birth to twelve years old and their families in their home. Worked with parent(s) to establish a more pro- active approach on how to appropriately discipline, strengthen, educate and love their children. Worked on building self-esteem and self-confidence with parent(s) involvement with their social, emotional, language and cognitive skills. Was responsible for sending out pertinent information to Department of Social Services and various community agencies to ensure that parent(s) needs were being met. Coordinated and implemented support services with families/agencies to advocate for parents and children. Employer: Community Learning Center, Denver, CO. 80222 Denver, CO. 80222 December 1993 — November, 1995 Duties: Residential Counselor. Overnight shift, which included being responsible for 19-20 youth offenders' safety. Responsible for daily statistics, log notes, daily notes, filing, ITP's and journal writing on a nightly basis. Also, counseled youth on a night basis pertaining to individual problems. Was responsible for sending out pertinent information to Denver Department of Social Services and Denver Youth Services pertaining to budgeting, IEP's ITP's etc. Attended weekly staff meetings and attended community meetings. Worked closely with Denver Police Department. Employer: Crisis Center in Aurora, CO. Aurora, CO. 80220 March, 1993 — November, 1994 Duties: Program Counselor — Overnight shift which included working closely with Aurora Police Department to ensure the safety of hot runaways, juvenile delinquents and gang members. Worked closely with Adams and Arapahoe County Social Services to assist them in appropriate foster care placement for this special population. Responsible for journal writing, statistics of daily logs, and suicide phone calls on a nightly basis. Also, counseled parents in need of appropriate intervention for their troubled youth. References: Ms. Shelley Cass (Supervisor) Denver Department of Social Services Denver, CO. 303-841-6896 Sr. Michael Debris (Director) Mount Saint Vincent Denver, CO. 303-458-7220 303-507-0108 Ms. Diane Skufca Assistant Regional Director/Division of Youth Services Denver, CO. 303-866-7931 Lindsey Andrus 480 Alex Court Act # 924 • Castle Pines. C080108 (785) 341-7914 EDUCATION: Metropolitan State University of Denver, Denver, CO Prep for Masters in Social Work January 2015- Present Delta Alpha Pi International Honor Society Member 3.5 GPA Kansas State University, Manhattan, KS Graduated In May 2013 Bachelors of Science in Sociology Minor In Women's Studies Certifications: CPI (Crisis Prevention & Intervention) CPR First Responder EXPERIENCE: Excelsior, Aurora, CO Direct Caro Counselor May 2016 — September 2016 • Created a very structured environment for the clients, and expressed empathy during one on one counseling sessions • Handled many crisis situations, using CPI only when necessary • Prevented escalating behaviors through redirecting clients • Taught clients to use different coping skills to regulate their moods • Did extensive paperwork on clients, Including incident reports, group therapy notes, and checks • Assisted with intakes, discharges and searching client's rooms • Conducted Group sessions for clients sbuggling with addiction, mental health, and trauma issues Brainfuse August 2015— Present Fish Literature Tutor • Reviewed and work shopped college level English literature papers • Live Tutored College Students online using company software • Used a tutoring form to guide corrections and left in text comments for each client's paper • Returned papers to client in a timely manner • Help clients improve their writing through organization, structure, style and grammar inteliieource, Highlands Ranch, CO March 2014 — September 2015 Fraud Analyst • Graduated from 6 week Verizon Fraud Training Program • Ruled on a minimum of 113 fraudulent cases per day • Created alerts, contacted businesses and residential customers, sent remelts with CDR attached • Placed International or global blocks on phone lines • Worked with over 20 different software programs on a dally basis • Received inbound calls from customers while working on several cases at one time • Winner of company "gem contest' for perfect QAs and attendance The Koren Family, Lone Tree, CO May 2013 — May 2014 Manny • Picked children up from school • Drove children to various sports practices and after school activities • Cooked dinner for children each evening • Helped children with homework as needed The Crisis Center, Manhattan, KS August 2009 --- May 2013 Police Response Advocate • Met with victims at the scene of the crime via dispatcher phone calls • Counseled victims on crisis intervention and assisted them in creating a safety plan • Responsible for completing extensve paperwork on victims • Remained on call for 12+ hours at a time • Responded to all 911 domestic violence calls from the Riley County Police Department Dispatchers • Gave information about available services and transported them and their children to the women's shelter Women's Shelter, Manhattan, KS August 2010 — September 2010 Volunteer • Underwent weeks of extensive training • Provided emotional support to residents • Cleaned the shelter with other volunteers • Organized Donations into separate piles and boxes as they arrived Kansas Stabs University, Manhattan, KS August 2006 — May 2013 SafeloneAily► • Am a certified SafeZone Ally and active advocate to everyone on the KSU campus and assisted students who have been affected by hateful homophobic acts, sexual violence and harassment, or any distressing situation Kathryn Dahlstrom EDUCATION • Bachelor of Fine Arts • Metropolitan State College 467 Corona Denver, CO 80218 720-252-8395 1992-1997 Denver, CO EMPLOYMENT Lead Su pervisor/Sustainability May 2013 -present • Manage recycling intake • Oversee loading and unloading of product • Oversee customer service • Manage daily files on disabled employees • Attend all federally mandated meetings regarding employees • Oversee the daily operation of business • Take daily notes on all employees and write incident reports as well as oversee incident reports Bella Luna Transportation LLC • Maintain monthly budget • Coordinate all marketing • Manage company website • Customer Serrrice/Driving Nov 2009 -May 2013 Purity By Metal/Owner June 2002- July 09 ■ Primary liaison with vendors Denver, CO. m Maintained monthly budget Rinu Distriu ■ Coordinate all marketing • Oversee the daily operation of equipment and metal fabrication for commercial/residential contracts ▪ Manage company website First Baptist Church/Property Chairperson 1998-2002 • Worked in conjunction with minister overseeing all property II Maintained all operations of church properties e Worked in conjunction with shelter faculty overseeing all shelter needs and operations s Volunteered with shelter and worked with clients of shelter (volunteered with shelter since it's beginning 1986-2002) Farmers insurance/Claims Adjuster 1999-2000 g Maintained files for personal injury claims It Maintained daily contact with claimants, their health-care givers, lawyers, investigators, etc. kw Ran investigations of fraudulent claims in conjunction with lawyers, doctors and private investigators Lars Aim Day 679 South Reed Court 4-206 Lakewood, CO S0226 970.531.0518 Education Major: Psychology and Nutrition Metropolitan State College of Denver, Denver, CO: Graduate 2010 with B.A. Employment Skills Ability to relate and be responsible for the well being of children- • Great and effective problem, solver. • Meneoring and tutoring adolescents with positive reinforcement and guidance. • Ability to follow instructions well and make decisions with no supervision. • Experience working in a ettnatu red and safe ant for adolescents. • Ability to communicate effectively. • Fist Aid and CPR Certified. Qualified Medication Administration Person for the state of Colorado - Organizational skills and enjoy a neat and clean environment. Employment History a Sushi Food Runner, Sushi Den, Denver, CO, Full -Time. 08t27/11- Present • Cocktail Server/ Bartender, Crave Dessert Bar and Lounge, Denver, CO, Pull - Time, 05/12/12- 08/20/11 • Resident Supervisor/Mentor Adolescent and Family Institute of Colorado, Wheat Ridge, CO, Part -Time. 07/11/11- 05/11/12 Assistant General Maaeager, Organic Pizza Company, Denver, CO, Full- Time. 09/10- 08/12 • Hostess/Server, The Iron Cactus Restaurant, Austin, TX, Part -Time. 05/10- 08/10 Service Representative, 24 Hour Fitness: Lance Armstrong Sport, Austin, TX, Part -Time. 08110- 08/10 Shift Supervisor, Mici Handcrafted Italian, Denver, CO, Part -Time. 02/08- 05110 Server/Host, Pasquini's Pizzeria, Denver, CO, Part -Time. 01/07-12/77 Additional Data Interests include indoor/outdoor sports and activities such as camping, hiking and snowboarding, also enjoy reading, making crafts, traveling and crocheting. References Sure Cooper: 303-241-6059 1.1)6,61.1 Daniell Sharp 303-550-2428 Scott Iuarez: 720-201-6585 MEGAN L. COFER 4932 W. 29th Avenue #5, Denver, CO 80212 (303) 884-7701 EDUCATION BA Geography Bachelor of Arts In Geography, emphasis in Environmental Studies, University of Colorado Denver, May 2014 A.A. Assodates of Arts, Johnson County Community College, December 2003 Current work Able to obtain TEE through CO Dept of Education; Spring of 2017 —to begin Master of Arts: Special Education —Generalist (MA); Un ver ity of Northern Colorado SKILLS Leadership Professional DE NoV emt er 2316 Director of Recruitment, Delta Gamma Fraternity, Wichita State University • Engaging potential new members, and coordinating social recruitment events. Excellent written, communication, and customer service sidils. • Exceptional interpersonal skills, ability to quickly establish rapport and fadlitate positive professional relationships. • Highly proficient technical expertise including: ArcGIS, QGIS, ENVI, Yardl, Dentrix, Mogo, and all MS programs. • Extremely organized In all areas of production, excellent work ethic, and dependable. • Current on CPR, First -Aid, and TCI certifications. Sperm Education Teacher, Tennyson Center for Children, Denver CO • Taught students e-60, grade in self -c ntalned Specal Education dassroarn, with rnoderaWaffedlve needs. • Demonstrated ability to modify curriculum to meet diverse needs. • Experience with, and implementation of the IEP process. • Administered Individual academic testing and interpretation using i• Ready assessment. • Prepared lesson plans in advance for daily classes. • Maintained dassroom management techniques to insure the safety and security of each student. • Collaborated/oommunIcated effectively and consistently with all members of muitidisdpiinary team an a regular basis, and all outside agencies. • Demonstrated effective use of Youth Treatment Counselor(s) in the classroom, with student behavioral and teacher support needs. • Attended all IEP meetings and staffings for students; education meetings, and teacher In-seivIce days. • Maintained positive, weakly communication with parents and guardians of the students. Marls 2016— Title 1 Teacher, Catapult Learning, Denver, CO Presaht • Developed and maintained individual skill -appropriate lesson plans for students. • Worked with students to Improve reading/writing/mathematic skills. • Worked closely with direct supervisor, teachers, counselors, YTC'e, principal, and other school staff. 4 Ensured supervision of students at all times, Including escorting students safely to and from classrooms. • Attended educational meetings, and tralnings as required by the Company, school, local, state, and/or federal agencies. Demrrhwr2f14— Live -out Nanny, Denver, CO Presa* • Cared for twa children, ages 2 34 and 3 months. • Carry out daily activities to meet the children's physical, Intellectual, and emotional needs. • Household duties including meal preparation, and leaning. • Organization of educational activities for two -and a half -year -old, Including outings, art and creativity, at-home learning projects. 0dcher2013— Office Manager & Dental Assistant, Natural Dentistry, Boulder, CO December 2014 • Assisted with all dental procedures and patient darting; kept high standard of organization and sterilization of patient rooms, lab, and instruments. • As office manager, conducted all reports, bank deposits, accounts payables and receivables, patient scheduling, patient accounts, treatment plans, collections, and dally office cleaning and functions. Decanter 2011 —AL.gust 2012 Dental Assistant, Dr. Erie Jande, Denver, CO • Assistant to Dr. Eric ]ands, DDS, assisted with all endodontic and surgical procedures. • Preparation and sterilization of patient rooms, all dental instruments and equipment. • Recorded patient procedure dictatlons, front desk duties, patient scheduling, and ordered all office and dental supplies. April 2008 — August 2009 REFERENCES Assistant Property, Manager, Clot' Central, Kansas City, MO • Managed five unique loft and condominium buildings, assisted the District Manager and company yawners with all internal reports, managed all financial transactions for the properties. • Assistant to Director of the Home Owner's Assodetbn, managed all incoming rent, HOA Dues, collection accounts, supervised and facilitated tasks with leasing agents and maintenance team. Mikayla Johnson, i'1AMF r Tennyson Center for Children 2950 Tennyson St. Denver, CO 80212 (612) 916-1125 Dr. Jennifer McAroy, DOS General Dentistry 6925 Tomahawk Road Prahie Village, KS 66208 (816) 686-7884 IGrsten Christensen Instructor of Geography & Environmental Sciences University of Colorado Denver 1200 Larirner Street Denver, 00 80217 (303) 929-6901 Maury Holliman 5507 Jasmine Pointe Dr. Northport, AL 35473 (205) 561-7694 EDUCATION May, 2016 B.A. Honors Psychology The University of Alabama, Tuscaloosa, AL Cumulative GPA: 4.o Awards: Honors College, Alumni Scholar Award, Collegiate Scholar Award, President's List, Psi Chi International Psychology Honor Society CLINICAL AND PROFESSIONAL EXPERIENCE Student Assistant The Women and Gender Resource Center The University of Alabama, Tuscaloosa, AL Supervisor: Zoe Winston 2015-2016 • The Women and Gender Resource Center provides free and confidential counseling to all University of Alabama students, faculty, and staff who are victims of dating/domestic violence and sexual assault • Publicly presented information on resources found at the Women and Gender Resource Center as well as possible volunteer opportunities • Served as a liaison to student organizations on issues of Sexual Assault, Domestic Violence, and Bystander Intervention • Assisted in the planning and execution of fundraisers and advocacy events revolving around sexual assault awareness, cross-cultural, and equality events Teaching Assistant The University of Alabama, Tuscaloosa, AL Supervisor: Dr. Erica White (Honors Psychology 101, Psychology 101) Fall, 2015 • Searched for external resources in order to engage students in the classroom and develop critical *linking about the subject • Assisted in developing in -classroom questions to promote learning and discussion • Developed comprehensive tests and quizzes (Blackboard Learn, Pearson MyLab and Mastering) • Tracked attendance records CAMPUS AND COMMUNITY INVOLVEMENT Mentor Women and Gender Resource Center Young Women's Leaders Program 2012-2016 • Partnered with a 5th grade female mentee in a school with demographics reflecting ethnic minority and low-income enrollment • Developed a mentoring relationship through group discussions to assist in navigating the difficulties women face in today's society with a direct emphasis on leadership qualities • Assessed individual areas of need during one-on-one mentoring time relating to mentee's personal and educational struggles ESL Tutor Tuscaloosa City Schools System Supervisor: Kava Smith, ESL Specialist Fall 2016 Built rapport with high school students with limited English proficiency abilities in order to establish areas of need and motivate learning • Developed curriculum to assess verbal and written English skills, comprehension of classroom activities, and day-to-day activity interactions • Utilized technology in order to engage students in active conversation • Applied conversational Spanish skills to ease stress of students and build trust Council Member The Women and Gender Resource Center Student Leadership Council; President 2015-2016 2012-2016 • Created a greater voice on campus advocating thr students' rights and disseminating information about dating and domestic violence • Interviewed potential members in a formal setting intended to test students' knowledge of current issues SLC attempts to confront • Fostered a learning community of students who, through active research and engagement, gained knowledge of issues surrounding equality and social justice issues • Raised awareness of current issues through student led panels and discussions: O Bystander Intervention Training O REEL Stories: Media's Effect on Sexual Assault Victims O Ray Rice- The REEL Story O Shatter the Silence O Know Your LY An Exploration of Title IX Rights O Domestic Violence in the Media Peer Leader First Year Experience, Division of Student Affairs Peer Leaders Assigned Instructor: Ms. Fatima Johnson 2012-2013 • Aim of the program is to provide a mentor and role model to students transitioning from other schools and/or high school in an effort to alleviate stress and provide resources to better their college experience • Planned lessons, provided outside resources for instructor, led class discussions Donnie R. Hill, Jr. 3220 E. County Line Rd., #111, Highlands Rand, CO 80126 - (520) 827.1062 - 01126(8i, Professional Experience PROBATION OFFICER III April 2002 — August 2012. Pinal County Adult Probation. Casa Grande, AZ. • Monitored offenders sentenced to probation for various sexually based offenses. • Prepared reports and documents for the Court including: presentence reports, pre -disposition reports, probation violation warrants, and modifications of probation. • Effectively maintained a specialized caseload by addressing offenders' needs, monitoring progress in counseling, and establishing positive relationships with offenders, community members and treatment agencies. • Ensured Victim/Survivor safety and community safety by strictly enforcing the terms and conditions of probation, sanctioning offenders who violated terms and arresting defaulting probationers. • Appeared in Court regularly to report sex offenders' and domestic violence offenders' status and prole • Elevated awareness of the Pinal County Domestic Violence Court Program by preparing and presenting informative demonstrations at conferences throughout the state of Arizona. • Monitored offenders sentenced to probation under the Domestic Violence Court Program out of the Superior Court and various limited jurisdiction Courts. • Organized and facilitated Domestic Violence Victim Impact Panels throughout Pinal County. Education • UNIVERSITY OF WYOMING COLLEGE OF LAW, Laramie, Wyoming Juris Doctor. May 2015. GPA 3.4. • GRAND CANYON UNIVERSITY, Phoenix, Arizona. May 1999. GPA 3.5. Consistently placed on Dean's List and Honor Roll Bachelor of Science Degree Major: Justice Studies, Minor: Spanish Bachelor of Arts Degree Major: Political Science Honors & Activities • Recipient of Dr. Robin Baker Political Science Award, 1999 (one of two) • College FelloW for two different professors • Co -Chair of the Pinar County Domestic Violence Coalition, 2007-2009 • Member of t1,p, Arizona Coalition Against Domestic Violence and Domestic Violence Task Force Skills • Experienced interviewer of individuals of all socioeconomic backgrounds, including hostile/defensive clients. • Advanced knowledge of criminal justice procedures concerning arrest, investigations, and probation. • Extensively and continuously trained in the field of Probation, including Pre-trial, Presentence and Specialized Supervision. 1 John Kimani CO 80233 (989) 996-0604 — Objective: ors' experience in leadership and arganl ona)tomnunic atlo ns, i am seeking a challenging position in the academic field. My goal is to excel at bringing alobust, beating pulse to my employer's work force. As an optimistic, determined person, I have and will continue to bring a unique standard of excellence and a distinct perspective with mefm eager to utilize my dedicated work ethic, education, and expertise in the area of Human Relations, Management, Customer Relations, Teaching/Training, andIor Marketing. Additional Skills: • Proven skill in building relationships and customer service satisfaction. • A visionary who offers a diverse skill set and excellence performance record. • Ability to adjust to changing circumstances efficiently and effectively. • Strong leadership communication as in planning and organizing. • Excellence as a team player with exceptional work ethic. • Adept in written communication skills. • Professional public speaking and presentation experience. • Adept in Microsoft Word, Outlook, Publisher and Power Point. Education University of Michigan DearbornMl Bachelor of Arts, Dec 2013 • Major: American Studies/Ms' story • Minor. Leadership and Communication within Organizations Oakland Community College Rochester, MI Liberal Arts Degree, Jul 2010 Exocri r Kipp: Montbello College Prep Flex Teacher/Guided Reading Teacher August 6 2015 -present • 7t& 8th grade guided reading teacher • 8th grade homeroom teacher • Long term Substitute PE Teacher • Building substitute • In school Suspension monitor Montbello, CO 2 Victory Preparatory Academy Academic Assistant October 28 2014 -July 31 2015 Commerce City, CO • Provide teachers with help in the management of the classroom • Assist with duties such as filing, copying, typing, keeping records and grading • Handle classroom audio-visual equipment such as televisions, projectors and computers • Performing interventions in small group settings Jefferson Hills —Residential Treatment Teacher assistant and Milieu Counselor January 2014 -October 6 2014 AuroraCO • Taught High school Social Studies to residential clients • Implemented treatment plans and coordinating activities for adolescent clients • Provided a safe environment where clients can function successfully • Facilitated and maintained the safety and security of the residents and other staff • Charted resident information effectively meeting mandated state requirements • Performed all daily paper work, safety checks, head counts and room checks Experience Prior to and while attending college: Associate Pastor and Youth Director Substitute Teacher K-12 2007 - March 2006 -April 201.3 2013 School Year Professional Ferndale Assembly of God Contract Management Inc. Ferndale, ME Portland, MI Security Officer September 2011 -June 2012 Strategic Protection Group Southfield, MI Substitute Teacher K -I2 2008- 2009 School Year Professional Education Service Group Caledonia MI. Assodate Pastor and Youth Director February 2006 -March 2008 Tuscola Assembly of God, Tuscola MI Youth Director April 2004 -October 2005 New Hope Assembly of God, Mlo MI References available upon request MATTHEW E. K ILIAN + 515-577-8514* Soda' Work Business s Community Involvements Outreach Expertise: Working with people experiencing homelessness based on over 2 years of experience PROFESSIONAL EXPERIENCE Stride, Service Coordinator, Wheat Ridge, CO August 2014- July 2015 a Intake for Housing and Opportunities Program, this included gathering personal documents like Social Security Cards, Photo ID's, Birth Certificates, Homelessness Verification o Conduct blopsydiosodal assessments on clients accepted into Housing and Opportunities Program a Internal and External meetings cilsoussi g goal ping, diet amass to services, and necessary referrals o Carry out Housing Quality Standard (HQS) inspections o Work with HMIS being trained on entering and dosing client files The Bridge Aga* fiufggNewton Site Denver, C4 NstemMay-August 2014 o Practice trauma informed care when working through behavior with children o Plan and parrtidpate In weekly "Guys" group o Fadliate volunteer experience o Ensure programming runs smoothly and fill in/ support other staff when needed Discovering Opportunities for Outreach and Reflection, Summer Stag, Denver, Colorado, 2012- 2014 a Increasing levels of responsibility in non-profit Leadership Development program o Establish sdnedule and oversee weddy experience of volunteer groups o Uvre with and work on a team with other support staff a Fedlitate communication between volunteers and local agendas Des Moines Golf and Country Club, Bag Room Assistant Des Moines, Iowa Aug. 2008 -Aug. 2011 o Assam members in the golf department EDUCATION University of Iowa, August 2010 —May 2015 Bachelor of SSodal Worly Minor Business Advdnisindion VOLUNTEER AND COMMUNITY SERVICE Young Adult Volunteer Program, Denver, CO August 2014 -August 2015 o Fedlitate program curriculum based on the four pillars; Community, spiritual formation, vocation, soda I justice a Live in an Intentional community with line people o Serve at year long community based placement, Stride Portland, OR Immersion trio, University of Iowa School of Social Work March 2014 a Learn about and witness macro level issues surrounding homelessness and models of how the city is working to help the homeless population Shelter House, Iowa City, Iowa, May 2013 — May 2014 o Asslststaff with rront des ktasks including diredhng phone calls, helping clients, and keep the building safe and secure El Salvador mission trip, Heartland Presbyterian Church January 2009, 2010 o Empower community through school, and water based projects a Complete needs assessment for the town of El Tablon near Berlin, El Salvador o Coordinate comrnurdty meals, and meetings about their current needs MEM 3527 S. Marion St A, Englewood, Co. 80113 720-690-3155 Objectives Obtain position as a Family Resource Counselor or the Part-time Lead Family Resource Counselor II as I continue with my Master's degree. My long-term goals are to continue with my schooling and get my Psy.D and eventually have a private practice of counseling children and adolescents. Margory Ray told me of these positions and thought I would be a good candidate to apply for the above positions. Education University of Phoenix February 2015 Bachelors in Science: Psychology (Graduated with a 3.89 GPA) Grand Canyon University Started in July 2015 to Current Master in Science in Professional Counseling (Currently holding a 3.8 GPA) Experience Child Care Provider Professional 1985 - Current Caring for a child or children in various settings. Responsibilities are: Caring for the wellbeing of the child or children (feeding, changing diapers, emotional, and so on). Providing educational and fun activities. Supervising children. Providing positive, yet firm guidance in behavior. Providing a positive role model. Skills ECE Director's Certification ❑ Stephen's Ministry Training Mick Kinney. Phone: (920) 660 - 3639 m,.kinreeymickegraail.coiti 661 Birch Dr. Hobart, W! 54155 Objective To obtain a position at Shiloh House as a Treatment Counselor where I can assist in the reintegration of at risk youth into the community. Education Bachelors of Science Criminal Justice Graduated Cum Laude: GPA of 3.36 Dean's List 6 semesters for Academic Achievement Northern Michigan University query Associates of Science Criminal Justice Northern Michigan University (Marquette, Ml) Experience Direct Care Worker at Teaching Family Homes of Upper Michigan August 2010 - December 2014 August 2010 May 2013 May 2014 - Present • Responsible for providing treatment to 6-8 youths with behavioral and mental handicaps in a group home setting • Distribute medication, teach basic life skills, coping skills, and aid in treatment planning of youth • Able to work effectively in crisis situations Computer Helpdesk Assistant at NMU August 2012 - December 2014 • Providing the highest level of quality support to NMU students, faculty, staffs and retirees • Providing support for NMU network connections and services, NMU issued software and computers • Received excellent performance evaluations Seasonal Security Guard for the Hiawatha Music Festival July of 2013 and 2014 • Enforced rules and regulations of the Hiawatha Music Festival • Provided security for the festival Car Wash Attendant (PDQ Car Wash, Green Bay, WI) October 2008 - January 2012 • Drive cars out of the car wash to drying stations while under pressure to produce quality washes, and work grirkly to wash as many cars as possible • Worked with customers when they had questions or comments about the wash • Earned three promotions while working at PDQ to become a gold level driver Qualifications and Achievements • Four years as a youth mentor at Teaching Family Homes of Upper Michigan • Yatd clean-up for elderly citizens on Make A Difference Day • Member of the Criminal Justice Association (Student Group) at NMU • Heart and Soul Award Recipient (Michigan Campus Compact) • Awarded a foundation scholarship from Northern Michigan University Certifications: • Crisis Prevention Institute (CPI), CPR, First Aid, AED, Lifeguard 658 Sol )swego Court Aurora, COI f :327.0%3 TIGISTI ISAAC PROFILE As a motivated, outgoing individual with a bright personality, and strong interpersonal skills, I latow I would be an asset to your team. My speaking skills thrive from my dynamic energy and natural interest in servicing others. I enjoy connections, problem solving and helping others. EXPERIENCE LIFE ESSENTIALS SPECIALIST ROCKY MOUNTAIN HUMAN SERVICES DENVER, COI FEBRUARY 2014- SEPTEMBER 2015 • Provided job development and coaching • Assisted with housing options • Supported with community transitioning • Provided mentorship and personal care to clients • Updated daily data entry via Therap Software • Conducted interviews with different service providers to meet client's needs • Found solutions to client issues and requests, such as medical assistance, psychiatric needs, respite services and community support MENTAL HEALTH COUNSELOR Et OFFICE MANAGER THIRDWAY CENTER DENVER, CO FEBRUARY 2010 -SEPTEMBER 2011 • Provided therapeutic counseling for adolescence • Educated and promoted independent skills such as cleaning, hygiene and daily responsibilities • Coordinated new living situations for advancing residents • Created and organized schedule and files for ten staff members • Managed high-vohane multi line telephone system while setting its • Assisted residents in creating resumes • Worked with residents to find new housing when done with program • Ensured that client's medical needs were met • Promoted to Mental Health Counselor after four mouths of employment CUSTOMER SERVICE AGENT a RAMP AGENT SKY WEST AIRLINES I DENVER, CO I JULY 2006 -JANUARY 2010 • Worked with flight crew, gate agents, maintenance staff and other stakeholders to ensure successful completion of daily operations • Observed necessary protocol to ensure the departure of safe flights • Completed numerous tasks for 12-15 inbound and outbound daily flight • Ensured high levels of service and maintained customer satisfaction • Maintained a clean, professional work space and ordered commissary supplies 658 Sot Jswego Court Aurora, CO ,.327.0963 ADMINISTRATIVE ASSISTANT METRO STATE UNIVERSITY OF DENVER. I DENVER, CO ! JANUARY 2013 -APRIL 2014 Maintained high standards of student information through archiving and inputting data Worked closely with students an application process • Coordinated application process for our master's Program • Assisted with event planning by coordinating various school eves Managed faculty and staff calendars Maintained front office responsibilities EDUCATION BACHELOR OF SCIENCE I SOCIAL WORK METROPOLITAN STATE COLLEGE OF DENVER I DENVER, CO • Graduation- Winter 2016 SKILLS • Microsoft Office applications • Strong wadding knowledge in Theuapl Colorado 'rails Application Skilled in data entry and management Excellent organizational skills Bilingual in Tigrinya More than taxi years of service and clerical skills Ability to work with diverse cultures Strong verbal communication skills Client assessment and analysis Project management and analysis Kyra Amnia — (402) 710-4043 — pelamemnin. NIX c••••44 0.111nmann.-111010WataamJI. Professional Experience: Workforce Specialist-- Arapahoc/Douglas Works! — Centennial, CO 10/14 — 08/15 • Aided customers ages 14-24 and their families, as well as customers ages 55 and older, with employment- related assistance, in addition to coordinating community resources and connections far families • Worked actively with secondary students one-on-one to develop employment and post -secondary plans • Presented to diverse groups of students on a regular basis about career pathways, education, and employment options; helped youth overcome mental health, justice involvement, and other bathers to gain employment • Developed employment preparation curriculum, workshops, and handouts for diverse youth populations • Utilized labor market research to deliver relevant and meaningfirl information to job seekers of all ages • Worked one-on-one and in small groups with youth customers on a walk-in and appointment basis in the Youth Resource Center; worked one-on-one with senior customers on a walk-in basis in the Generations at Work Resource Center as needed • Planned, developed, and marketed youth events to the community and surrounding areas • Aided other teams with weekly informational sessions, special events, and large hiring events • Developed monthly calendars and activities, maintained customer tracking data, and regularly edited company website to reflect new information and upcoming events Direct Care Counselor Excelsior Youth Center — Aurora, CO 01/14 - 09/14 • Maintained constant direct supervision over 20 teen girls with mental health and developmental disabilities; modeled and taught living and socialization skills, and disciplined inappropriate behavior • Provided group and individual counseling, aided with crisis interventions, and maintained consistent communication with co-workers, therapists, and case managers; maintained client confidentiality • Maintained therapeutic documentation, daily progress reports, and other necessary paperwork Child Care Associate/BLAST Camp Lead Counselor — Colorado Athletic Club — Denver, CO 08/11 08/13 • Supervised and interacted with elementary and middle school -aged children and their families • Planned, prepared, and implemented daily activities; completed daily paperwork • Maintained constant communication with all staff members and parents; supervised fellow counselors Performance Enhancement Consultant Center for Performance Excellence — Denver, CO 09111— 06/13 • Planned weekly consulting sessions with clients working on performance and life skslls-related progress • Maintained weekly case notes, developed periodized programming and educational materials for youth, adults, and seniors depending on client's age, skill level, and need • Facilitated both individual and group consulting sessions and activities for youth and adults • Marketed services and upcoming opporhmities to administrators, athletic directors, students, parents and families, as well as community partners and members • Adapted planning and activities depending on clients' ages, skill and ability levels, time constraints, and number of participants Intern — Turning Point -Fort Collins, Cu 08/10 —12/10 • Counseled court -refereed adolescent male clients on various clinical issues and life skills • Communicated with parole officers, therapists, and ease workers about the youth's development • Worked with youth with bathers that ranged from drug abuse and criminal charges to life skills and mental health issues Education: Master of Arts — Sport and Performance Psychology — University of Denver (Denver, CO) Bachelor of Sdence — Psychology — Colorado State University (Fort Collins, CO) Cum Laude and University Honors Scholar Krist ina M. Copp 3919 Boulder Dr. Loveland, Co. 80538 713-516-6695 0190040301100120018X411003/0031001 /0031001100110(41002500110018X4E001 OBJECTIVE: To obtain a career that I am able to use my degree in Human Development Family Studies with emphasis in child development SUMMARY: * Graduated from CSU with Bachelor of Human Development and Family Studies with focus on adolescent education • Planning on attending graduate school in the future to receive teacher's certification EDUCATION: Bachelor of Human Development and Family Studies, Graduated Colorado State University, FOrt Collins, CO Courses Taken: Basic Biology Psychology Sociology Childhood Socialization Schooling in the United States Individual and Family Studies Creative Learning for Children EXPERIENCM Volunteer: Biology of Human and Other Animals Programming for Children and Families Cognitive and Language Development in Children Adolescent/Early Adult Development Abnormal Psychology in Children and Adolescents Social work with Children and Families Infant and Child Development Juvenile Deputy Probation Officer January 2009- July 2009 a Assist in Check -Up Interviews and Initial Interviews • School Check -Up Interviews • Filing and Entering Paperwork in the Probation Computer System Narratives of Interviews with Clients, Drug Events, Violations, and Treatment Updates. Boys and Girls Club Volunteer 2008 • Assisted in the First Serve Tennis Program • Teach Members Tennis and Life Skills • Complete Facility Safety Checks Summer Bible Study Adventure Camp from 2003 - 2005 • Counselor to a Group of Five Children • Help Coordinate Craft Time • Involved in Placing Counselors with campers Paid Jobs: Kids Room Attendant at Fitness 19 2007 -Present • Entertain and Keep Children Safe • Facility Cleaning • Occasional Filing and Answering Phone Calls • Bills for the Parents of the Children in the Kids Room Texas A&M Sea Camp Instructor Summer 2009, Summer 2010 • Check -In and Place Campers (ages 10-14) in Rooms • Teach Campers on the Selected Oarriculum • Lead Campers in Educational Activities and Field Trips • Maintain Safe Environment for Campers Crossroads Church Chid Care Attendant September 2009 -Present • Three Year Old Room Attendant • Check -In and Check -Out Three Year Olds • Engage Children in Provided Learning Materials • Provide a Safe Learning Environment • Clean Room and All Toys Wal-Mart Shoes Sales Associate 2006-2007 • Receiving Merchandise from Backroom • Store Merchandise • Place Merchandise on the Sales Floor • Sales Floor Cleaning • Site -To -Store (online ordering that customers pick up in the store) • Sale Shoes to Customers CHELSEA MEECE I (513) 616-5968 9101 Federal Blvd, Westminster, CO 80260 OBJECTIVE To become active within the Denver community by using my creativity, coaching/ mentoring, and public speaking skills in order to become a leader within the city through en organization that strives to help others on their path towards self-suffe:ency. SKILLS & ABILITIES Great Communication, Interpersonal, Leadership, Innovation, Problem Solving, Flexibility/Adaptability. Planning/Organtzing, Computer and LiteracyAbiiitkes EXPERIENCE PERSONAL GROWTH SPECIALIST' FITNESS, FINANCE, AND HEALTH COACH BE YOUR BEST SELF COACHING MARCH 2014- PRESENT Key Responsibilities: Coaching, Group Activities, Motivation and Support. Meal Planning, Goal Setting, Team Calls. Public Speaking, Event Planning and Organization RESIDENTIAL SUPPORT WORKER TENDER MERCIES APRIL 2010- AUGUST 2016 Key Responsibilities: Ensuring the digfnht y and safety of residents which Include the homeless and mentally ill. Task and Problem Management Supervision. INTERNNOLUNTEER END SLAVERY CINCINNATI OCTOBER 2015 - AUGUST 2016 Key Responsibilities: Member of Mentor Team and Street Outreach. Direct contact with those In the life of prostitution, offered hygene! resource bag as well as proper services If needed or requested. Documented contact and debriefed with teammates. SERVER/BARTENDER THE KENWOOD BY SENIOR STAR OCTOBER 2015- AUGUST 2010 Key Responsibilities: Creating an Inclusive, comfortable, and enjoyable experience for the elderly residents as they enjoy drinks throughout the evening as wail as dinner. Worldng with AIzhelmer's and dementia residents. Making cocktails, running and preparing food. INTERNNOLUNTEER NORTHERN KENTUCKY YOUTH DEVELOPMENT CENTER JANUARY 2014- MAY 2014 Key Responsibilities: Worked 1:1 with the Juveniles and stiff in a setting to better understand them as well as the facility which cumulated in an extensive survey and an Internship findings review. Project was meant to better juvenile experiences in order to reduce recidivism and examine the facility as a whole. INTERNNOLUNTEER ST. BENEDICTS HOMELESS SHELTER AUGUST 2010- DECEMBER 2010 Key Responsibllltles: Prepared Meats Including Thanksgiving Dinner. Supervised Activities. Worked 1:1 as well as In groups with those staying at the facility. Connected to resources based on Individual need. OTHER EXPERIENCE VARIOUS AUGUST 2006 -PRESENT `Only related experience is listed above. Other work experience includes interpersonal and service industries such as serving, retail, and administrative (filing, scheduling, organizing, mailers, appointment scheduling, and other phone/computer duties) EDUCATION KENTUCKY WESLEYAN COLLEGE, OWENSBORO, KENTUCKY BACHLEORS OF SCIENCE IN CRIMINOLOGY 2.9 (TPA with an emphasis on Human Trafficking/Trafficking in Persons as well as minor studies In Psychology, Sociology, and other Behavioral Sciences HEALTH COACH INSTITUTE CERTIFIED HEALTH COACH VOLUNTEER WORK Miscellaneous Organizations Throughout Cincinnati, Ohio and Northern Kentucky (GO Cincinnati, Aruna5k, Public Library, Homeless Shelters, Church Groups, Etc...) April 2011- Present Dan Beard Council (Cub Scouts) -July 2000- August 2009 REFERENCES STACEY WITHERSPOON PREVIOUS SUPERVISOR TENDER MERCIES (513) 500-4327 ROBIN ESTES, CURRENT CO-WORKER- SUCCESS PARTNER TEAM BFACHBODY COACH NETWORK (513) 785-8812 ERIN MEYER PROGRAM COORDINATOR END SLAVERY CINCINNATI (513) 762-5858 CHRISTOPHER SKAGGS, DINING ROOMIBAR MANAGER THE KENWOOD BY SENIOR STAR (513) 262-3882 AMANDA LAMP, PREVIOUS CO-WORKER CRACKER BARREL (858) 402-5405 BRITTANY FIGGINS CLYDE, PERSONAL REFERENCE CROSSROADS CHURCH MEMBER (513) 675-7256 PAGE 2 Nicole Whynott 230 W. River St. Bourbonnais, Illinois 60914 (815) 5494940 EDUCATION Illinois State University Blinds State University Kankakee Community College Augustan College PROFESSIONAL EXPERIENCE Bachelors of Social Work, CPA 3.$8 August 2009 - May 2012 Minor in Psychology GPA 3.78 August 2009 - May 2012 Associates In Arts August 2007- May 2009 August 2006- May 2007 Transitional Living Program Counselor May 2012 -Present Indian Oaks Academy, moo, ilinois • Teach young adults day to day independents skills related to home management and employment. • Educate clients on life skills related to health, relationships, communication, safely, and decision making. • Research, plan, facilitate, and document counseling and life skills groups. • Hold and document individual counseling sessions with youth. • Utilize de-escalation and crisis management skills when working with young adults. • Oversee and coordinate clients' medical appointments to be in cnmplisnce with DCFS standard of care. • Work as part of a treatment team to develop and carry out the best treatment approach when working with mentally ill, developmentally delayed, and/or youth with sexually problematic behaviors. • Aid clients in developing and achieving educational, career, personal, and treatment goals. • Assist clients in obtaining housing, employment, and education. • Provide coverage for Indian Oaks Residential Treatment Programs when. needed. Transitional Living Specialist & Crisis Caunsdor-Intern August, 2011 -May 2012 Project Oz, Bloomington, Illinois • Assist young adults in obtaining housing, employment, and education. • Teach and plan developmental life skills courses for homeless/at-risk youth. • Aids clients in developing and achieving educational, career, and personal goals • Provides counseling and advocacy services to youth and families. • Educates clients on life skills related to safety, health, decision making, and communication. • Assumes rapid response duties and 24 hour crisis intervention counseling to clients in crisis. • Provides appropriate documentation of services and contact through case notes and reports. Intake Coordinator- Intern/Volunteer Recycling Duaiture for Families, Bloomington, Illinois • Processed Recycling Furniture for Families client applications. • Documented client information and explained program rules. • Assisted formerly homeless and low-income clients in obtaining furniture for their homes. • Arranged delivery of furniture to f rei Iles. CERTIFICATIONS/VOLUNTEER WORK/HONORS January 2011- August 2011 Therapeutic Crisis Intervention (TCI) Certon ABC Counseling and Family Services, Normal, Dlinnis Recycling Furniture for Families, Bloomington, Illinois Phi Alpha National Honor Society member, ISU, Normal, Illinois ISU Dean's List 2010-2011 Graduated May 2012 Cum r ands 1960 S. Clayton St, Denver, Co 80210 -(614)316-055On Carolyn Shapiro Qualifications/Skills Excellent Communication Skills: able to connect with others Dedicated and Passionate worker. interned and volunteered for social service agencies and political campaigns throughout Franklin County Selling experience: work is customer service with ability to please and ensure people axe appreciated and cared for Computer Slag; Microsoft Word, Excel, PowerPoint, Outlook, and KalidaCare Office Experience: faxing, copying, filing, and multiple phone line management Experience July 2010- December 2010 Specialized Alternatives for Columbus, OH Foster Youth (SAFY) Intern • Accompanied social workers on home visits, met with foster care children, and assisted in foster parent screening. • Office Work, Department of Juvenile Justice After Calls following up on past participants of Department of Juvenile Justice program. • Traveled around Columbus, Ohio area informing people of SAFY's work in the community and the importance of being a foster parent. May 2011- August 2011 Child Caretaker • Looked after 3- 6 children Monday- Friday • Assisted in Daily Activities: Prepared meals, light housework, and balanced the children's summer with learning and fun Plebs Powell, OH January 2011- May 2011 Columbus Initiative Columbus, OH Tutor • Tutor at Linden Elementary in an underprivileged area of Columbus. • Assisted children in reading, writing, mathematics, and social skills. January 2011- dune 2011 Just In Time Care Columbus, OH Caregiver e Looked after children and adults with disabilities (mainly Autism) ■ Take them out in order to complete daily tasks, help them with their homework, made sure they had adequate amount of physical activity, and prepare meals. May 2008- July 2010 ExpExpress Sales Associate • Greeted customers upon entering the store, floor sales associate, and working the register • Helped with stocking and shipment of garments Volunteer Work March 2012- Present Denver Jewish Day School Volunteer Denver, CO • Working with the school counselor in the upper, middle, and lower school division ■ Touching on Topics such as healthy relationships, day to day problems, bullying, and advisory work to help prepare for the future. • Main focus is with 4a and 5th grade girls on bullying. Educatlon 2007- 2011 Ohio Wesleyan University BA in Sociology! Anthropology • Graduated in May of 2011, Major in Sociology and Anthropology and Minor in Politics and Government • Member a[the Foundationfor Jewish Campus Lie References Delaware, OH *Susan Klein` School Counselor at Denver Jewish Day School- (303) 369- 0663 - Molly Perkins- Shiloh house employee- (720) 284- 2280 *Holly Kotte- IBM Sales Representative- (740) 602-1798 Felicia Phelps- Social Worker at SAFY in charge of Placement for Foster Youth- *Kristy DeVries- Supervisor at SAFY in Columbus/ Grow -port — (614)729-2024 Janie Roberts- Lawyer and Community Service Leader- (614) 578- 8047 ianiedroberts( JORDYN RUSSO 5431 S Federal Circle Apt B203 Littleton, CO 80213 (404) 735-3240 EDUCATION Indiana University, Bloomington IN BSW, School of Social Work Minor in Psychology Indiana University Purdue University Indianapolis Masters in Social Work School Concentration Juiasprudencew PASS May 2014 May 2016 PROFESSIONAL EXPERIENCE Clarence Farrington Elementary School 1PS 61) Indianapolis, IN August 201.5- May 2016 MSW Intern • Worked one-on-one with students in crisis, as well as, facilitated groups for students working on anger management, social skills, and self-esteem • Participated in developing IEPs, 504's, and other accommodations for students • Headed outreach programs and community service projects Leukemia & Lymphoma Society Iodimutpolis, IN May 2013 -August 2015 MSIVIntern • Responsible for providing resources to patients • Interacted with patients to inform them of services and opportunities that would best fit their needs • Headed programs and groups for patients and volunteers Adult and Child: Valle Vista team Indianapolis, IN July 2014 -March 28, 2015 Skills Development Specialist • Responsible for providing services to residents at Valle Vista Health System rrhing skills • Renewed Child and Adolescence Needs and Strengths (CANS), completing monthly and 80 day staffing reports for Department of Child Services • Led groups to assist them in reaching their goals Centerstone Mental Health & Substance Abuse Agency, Maztlnsvi e, IN August 2013- May 2014 BSV Rand Intern • Responsible for providing case naanat services to children and families in homes, schools and community settings. • Provided services in the Family and Adolescent unit • Member of the Severely Emotionally Disturbed team and worked closely with the Department of Child Services team Household Manager, Bloomington, IN June 2008- May 2014 Nwnj/ Hesse Manager • Managed a household of four children ages ranging from 5-14 • Created and coordinated schedules with parents regarding meal planning / daily activities etc. • Used income to supplement cost of college tuition COMMUNITY INVOLVEMENT Indianapolis Hebrew Congregation, Indianapolis, IN August 2015- May 2016 • Religious School Teacher CLUBS & CIVIC ACTIVITIES Member of the Social Work Student Association September 2012 -Present • Coordinated brainstorming meetings with the School of social work regarding community involvement. Member of the Zeta Tau Alpha Sorority- Alpha Xi Chapter March 2011- Present • Instrumental in herb to raise %195,195.11 for breast cancer research and awareness Flees as ZTA social. chair* In. Responsibilities over 4 years included --panning and coordinating parent dinners, brunches, silent auctiot nd sorority fundraising. CaHie E. Rossel 612-532-9263 15462 E. Evans Ave apt 301 Aurora, CO 80013 Objective To obtain a position using my experience and education b provide high quality workmanship. Education Bemidji State University 1500 Birchmont Drive NE Bemidji, MN Graduated May 2015 Major. Sociology Minor. Psychology Experience Direct Support Specialist Community Intersections, Denver, CO Farmington High School 20655 Flagstaff Avenue Farmington, MN Graduated June 2011 High School Diploma September 2015 present • Ensure quality of well being of developmentally disabled adults by assisting and supporting In everyday functions, administering medication, daily documentation, and connecting persons served to community through volunteer +writ. Shift Manager, Cook, Driver, Server Plana hut, Aurora, CO August 2012 -present o Maintain effective store operation using strong communication unication W Is, ntegrity of the brand's standards, existent team work, and delegation of reeponsbitties. Responsible for reconciling daily cash deposits against sales report training and mentodrig new employees daily, providing superior customer service, maintakikrg restaurant appearance, and handling customer complaints and delights. Entry-level Fundraiser DialogueiNrect, Denver, CO August 2015 -September 2015 • Empowered citizens of al backgrounds by involving them in a child eponsarsh0 through Ctildren International by canvassing in downtown Denver, using &bong verbal and nonverbal comnsinkation, and exposing the truths and solutions about poverty around the world as wail as participating in turf balding activities. Computer Experience Microsoft Word, Microsoft Excel, and ffecrosoft PaweIPoint College Activities Vice President of Delta Theta Kappa Sorority 2012-2015 Sociology Club Fell 2094 Varsity Singers 2011-2013 Skills Problem sowing, intermemete Frenck mss, time, and conflict management, effective team operation, planning of non-profit meetings, events and fundraisers; and verbal, nonverbal, and written communication. Callie E. Rossel 612-532-9263 15462 E. Evans Ave apt. 301 Aurora, CO 80013 Professional References Rahn Urban General Manger Taco Bell 1017 Mississippi Ave Bemidji, MN 56601 218.751-1601 218-404-04.43 Dana Danielson Central Service Administrative Specialist Senior Bemidji State University 6148Elliot RdNE Bemidji, MN 56601 218-755-2776 218-280-7680 Personal Reference Oho Anseimo Warden Correclional Facility of Togo 28464 County Rd 340 Big Fork, MN 56628 218-743-3127 Douglas Wayne Spellman 8110 Flanagan Drive, Las Vegas, NV 89131. 217.620.6293 • Professional Purpose Highly driven and organized professional seeking a challenging and rewarding opportunity. As a bright and ambitious person, I enjoy working in a fast paced, highly motivating position where I can assist others while 'halienging and expanding my knowledge. Education North Central University • Attended from 2002-2004 Minneapolis, MN Skills • 10 years of experience in customer service • Excellent communication skills • Proven organizational, time management, and project leader skills • Decisive troubleshooter and problem solver • Effective supervisor, team member,, and individual contributor • CPR certified Work Experience Boys Town, Las Vegas, NV Family Teacher January 2012 -Present • Completed two week training in Omaha, Nebraska to learn the BoysTown Teaching Model • Responsible for the care of six at -risk youth ages 7-19 in a Residential Treatment Home setting on a 2'x/7 basis. • Responsible for creating a home environment in which youth can build healthy relationships and feel comfortable making positive changes in their lives by using the Boys Town Teaching Model to teach youth social skills. • Related duties include maintaining a $50,000 budget for the home, developing and maintaining relationships with legal guardians and outside agencies such as Juvenile Justice Services, DFS, DCFS, Clary County School District, Boys Town Donors and Board Members. participating in treatment strategy meetings, writing daily Medicaid progress notes and reports on youth behaviors. • Trained in Crisis Intervention techniques and medication et4ministration. • Identify youth strengths and deficiencies through treatment team meetings, treatment progress reports, observations and interactions with youth. • Consult with parents, teachers, and other school personnel to determine causes of problems such as truancy and misbehavior, and to implement solutions. Teach parents and caregivers about the Boys Town Model and ho .) implement those same strategies in t"tome to improve the youth's success. • Voted Family Teaching Couple of the year, twice certified in the Boys Town Teaching Model, Good Samaritan award, won most family style home 3 years in a row. • Trained in the Common Sense Parenting and the Common Sense Parenting for Toddlers curriculum Walgreens, Minneapolis, MN and Decatur, IL Assistant Manager March 2008- January 2012 • Balance and calculate incoming cash flow • Count and prepare cash and checks for daily deposit • Maintain and insure that payroll does not exceed the stores operating budget • Assist in scheduling of over 20 employees • Maintain store organization in a fast paced and changing environment • Supervise and train employees • Troubleshoot technical problems with registers and computers • Provide customer service Target Decatur, IL Guest Services Team Lead July 2004- March 2008 • Lead a team that delivers a strong guest focused culture that exceeds guest expectations every time. • Act quickly to resolve guest concerns • Manage the day to day operations of the front end team • Hire new employees • Conduct performance reviews including terminating employees as necessary and conducting exit interviews • Continuously train and develop new and existing employees on store policies and procedures • Cross trained in other areas of the store, placed on the inventory prep team • Assist in planning and running community outreach projects References Chris Cisneros Boys Town Family Homes Program Director 702.642.7070 ext113 Rhiannon Chantel Southern Highlands Preparatory School 702-290-4265 Rhiaunnonjoel@yahoo.com Brian Werner Lead Pastor at Community Christian Church in Naperville 630-881-9893 Cameron Tafoya 1900 iD Ross Court Fort Collins, CO 80526 720-338-5551 Education: Bachelor of Science, Psychology, Colorado State University, Fort Collins, CO Graduation: May 2014 Skills/Qualifications: • Maintaining confidential client files in a therapeutic counseling environment • Strong documentation skills with the development of action plans • Ability to work with various age groups and diverse populations • Work with clients In sensitive and confidential situations • Excellent listening skills and strong customer service skills • Computer skills Include extensive knowledge with Word, Excel, Outlook, and PowerPoint rfiggslEsimi Third Way Center, Denver, CO Mental Health Counselor April 2015 Current Third Way Center is an alternative home for youth before incarceration, or homelessness. Third Way Center focuses on helping clients with mental illness, and addiction problems to by end get them Integrated beck Into society. Maintained clients cases for two houses (Lincoln, and Pontiac) • Supervised clients throughout the day, escorted clients to specific meetings, or events • Participated In team building activities with the clients • Help the clients make•good choices and learn to cope with their behavior, and • Developed skills In active listening, assertiveness to clients, and enforced boundary rules. • Developed skins in paperwork, such as updates, census, and DAPS. Turning Point, Fort Collins, CO Intern January 2014 -- May2014 Turning Aaint is a youth residential treatment facility for those engaged in self-destructive behaviors including drugs and alcohol abuse. • Maintained case load of young men focused on changing/modifying behaviors • Maintained high level of authority with enforcement of rules and regulations, imposing consequences for actions and • Documented clients actions and interactions and maintained confidential flies • Participated as part of a care team and facilitated group sessions • Developed skills in active listening, boundary setting, completion of detailed paperwork and working as a team member for the good of the client iCast, Lakewood, CO Intern January 2014 — May 2014 !Cast is a company that researches ways to make changes to energy uses among disabled and elderly residents. • Maintain a case load of 120 residents involving interviews, monitoring energy use and documenting changes • Develop Interaction and education skills with the ability to persuade to make changes S.A.V,A, Fort Collins, CO Intern November 2010 — March 2012 S.A. V.A. Is an organization that deals with Sexual Assault and Warns Advocacy • Completed training for certification to be an effective advocate including legal issues • Volunteered on hotline and developed the ability to think and work under stressful situations • Maintained files on clients Addlt(onal Emolovment: Spoons, Fort Collins, CO Sever Colorado State University, Housing and Dining Services, Fort Collins, CO Sever References March — November 2013 August 2011— March 2013 „L L % • - - $ IP r iiLL vs” git,,. SO 10848 Bald E r r FklieliMei CO 90604 (35) o52 dkgemanrogcam r61 MEre IMMO To be pert of a cohesive team whose goal is to challenge end support studertEe while ptevkling herniation in a sale teeming environment. WfdligE anitiNfE SuI C#rhg - he& Charter School StudentTeecl*ng—Sky figs Fah School, albedo needs Polk= Experience Pad= txperience - ISM ligh , &hock eds re pradlam Brpederica M uriaPe Yaw shad, needs `� � klerr►erdauy�fiod, nnodembineede Fradtuer Experience — C hcn Malley Academy, mlit edemas, severe and Ado Ostiaa the .liss om Irmo* cruderschool K. Cation EKk Pothie itiR Compulealarrale/Freiblent Climbed rmer&Wee 3 Sales Operate General Otte -taKar " Subetlt's Teacher Irrdepenrient Cantracter Ad* Assistant Bookkeeper ! E B.A. Spacial Educalon Generalist AA Emphasis on Education Crests Fame CMOs ComPloto, CompleFlepats intmperslorralFblatb e AbltilybThink Orealkely Team Byer Imagine Charier School; Restore. CO Bawer Newspaper, Denver, CO Kinder Morgan, Firestone, CO Gement Farms, Emblem, WY krofNorthern tasleyy, CO Front Range Community College, Longmont, CO @PRIE Reforms are avapeble on rawest FehruaryMay 2009 Aug. 2004 -Feb. 2000 July 2002.Oec 2003 . 1996 -Feb. 2002 December 2006 may 2008 9473 S. Fairfax St. Denver, OO io22 To obtain a knowledge rr 970-214-2 aafeller$@gmailcom OBE .. r. in an established organization where I will acquire a good environment to drop my abilities and Implementing my education and experience. EDUCATION Colorado State University, Fart Collins, CO Bachelor ctfAppl ed Human Sciences in Social Work, December, =DoMichel Rocky High School, Pbrt Co line, CO 24 Hour Maass Denver, CO Swaim Maer a Support and lead Team Members March moot • Interact with district and ra¢onal support staffto implement camps ,y's principle end strategies. _ Supporting clients to nee the comspaey'e services and products. • rmpleineuts and plane promotional activities Service Ma thgLcnn &qer Sport. Centennial.00 Dept Head/Asst. Service Manager-Colorado/Yale Actin s. Denver, CO AssistantService Manager -Lowry t rt Denver, CO Assistant Benda Afanager-AiarnedaBport. Dewar, CO • March 2012-OCtaber 2012 August tax -March 2012 March aori-August son August 2010- March sou Denver Deparnnent album= ces Denver, CO mast 2+x09 -December 2oog Chad Welfare/Adoption • Wan assessment of the client's needs primarily focused on the strengths of the child and the family. • Conduct home studies to match children to suitable home or foster home, • Community outreach • Conduct and participate In Team Dedeion Making meeting to develop the best plan for each individual situation. Nellie's Home Daycare, Denver, CO Summer wog Assistant a• DPP Implements Irated home ts and appropriate and y Childhood and. education Education canter. Old Town Maeda Club, Fort Collins, C0 now -magi CfrOdearsArtendant • Observe playtime, create aothlties, And help with child appropriate Dunes Ages three months to twelve years. • Strong leadership and peoppkmen gememt skilh • Strang time administration and organisation Alb 1 wag beide= knowledge taprioriese, anaa r identify end provide active solutions to situettooa. CRIMPICATIONS CPR Certified (Endres 214/2015) lust Aid Certified (Expires 2/412015) (970) 593-2313 psrh0308(a rcrnail.com Current Address: 432 Alpine Meadows Ct Loveland, CO 50538 Personal Statement I am a friendly, outgoing, loyal, multi-tsskin quick learning, strong comnnmicator and dedicated person who strives in any given situation. I have extensive experience in the Landscaping and Oil Field industries. I am always open to learning new things and openly accept challenges in any situation. X get along well with others, but I also am independent and work efficiently on my own. I am locking for a position where I am able to excel and give my all to an employer Education 1Viauatsis View High School; L eland, CO Graduated May 2003, High School Diploma Recent Work Experience McCrary and Sons Lawn & Landscaping, t; w I,ear{er, Berthed, CC) Nov 2013. Present: full time Fulfills all lawn care and landscape needs • Provides quality wurkmanship and dedication • Individualized services based on client needs and requests • Prepares equipment and meets all client and employer requests Provides ongoing leadership and customer service as crew Leaders • Maintains strong customer relations based on integrity and dependability • Seeks customer -oriented solutions through problem solving, compromise, and support • Supervises and oversees employees • Often includes evening, Wight, and weekend overtime work Select Energy Services, hydros is Pressure Jesting Operator, Greeley, CO Jan 2012- Nov 2013: full time Brings new approach to water and water -related activities is oil and gas industry • Uam safety, experience, and research to execute crucial projects • Works collaboratively with several petroleum companies * Provide continuous communication through written and veilal reports as well as mails Delivers innovative, efficient, and environment -friendly end -to -end water solutions to oilfield operators • Responsible for testing pre-existing flow lines, new construction barriers, compressors, and pipelines o Works collaboratively with several petroleum companies ▪ Customer -centered solutions Davy Tree Experts, Rev climber and Ground man for residential, Fort Collins, CO Wright Tree Service, Tare climber and Ppower line clearing, Brighton CO Drive Train Industries, Delivery Driver and Warehouse worker; Fort Collins, CO Military Experience Marines; April 2003- November 2005 0331 Machine Gunner, U.S. Marines Infantry Man; 3/1 Weapons Company Combined Anti Armor Team Other Relevant Experience Since receiving the Purple Heart through the Marines in 2005, !have searched for other opportunities to serve and empower others, improve lives, and positively impact the community, Further, I am a single father raising two young Bans, which has allowed me to develop numerous skills, effective interventions, and personal strengths to aid in nurturing and supporting children. Community Service Involvement Since 1999, I have found numerous opportunities to serve children and farn1N:s through mission trips, soup kitchens, meals at homeless shelters, farms, and other local organizations. This has helped me understand, appreciate, and help individuals with unique and varying needs while enriching others' lives. JULY 1622 Judson Drive Longmont, Co 80501 Cell Phone: 303.810-3081 Jipiper66@gmail.com CAREER OBJECTIVE: To be the best employee at a job, which could possibly result in a career. I have excellent people skirls clue to my experience with children and their parents, customer service, as well as a lifetime background of sports and athletics. EDUCATION: Longmont High School -2002 -Graduate 2008 Honors Algebra -2002 Front Range Community College -Current EXPERIENCE October 2012 -March 2013 Door To Door Organics -Lafayette -packer and loader -teamwork - customer Service -special events -knowing the product -talking with potential customers ✓ teachering others a healthy lifestyle September 2011 -November 2011 Claypool Girls Home Jacob Center, Longmont -legal guardian for 5 teen girls - maintain schedules -maintain school, appointments -positive role model June 2010 -Current Blue Sky Concessions-Nana's Famous BBQ -food prep -grliling - cooking -maintain health department standards -cleaning -customer service -filling coolers -lifting/moving 30+ lbs. January of 2008 -August 2009 Assistant Teacher, The Goddard School, Longmont - work with ages 6 weeks to six years -feeding -diaper changing -nap time -constructive play -communication with co-workers and parents -CPR and First Aid certified - Medication Administration Certified YMCA August of 2004 -October 2012- YMCA Before and After School Site Director, Longmont -Site Director Imagine Charter School -currently -Summer Camp Lead Counselor -2 years -After school program assistant at Imagine School, Firestone -2 years -August 2006 Staff Spotlight -assistant summer camp counselor for 2 years -assistant counselor for Klds Inc. after school program for 2005-2006 school year -Site-director of Flagstaff Academy after school program 2006-2007 school year -started as substitute assistant counselor for Kids int. after school program -duties aside of caring for the children are: monthly planning, shopping for supplies, communication with parents and other employees, following the YMCA core values which consist of respect, responsibility, caring, and honesty, as well as being a role model. - Experience with at risk youth -Experience with children with special needs -CPR and First -Aid Certified -Medication Administration Certified June of 2004-2007- Youth Athletics, Longmont YMCA -Youth Sports field manager -currently -Coach and referee children 3 to 12 years old In basketball, baseball, and soccer - Supervised and ran camps and clinics June -August of 2002, 2003 -seasonal- Corps. Member, Boulder County Youth Corps. -Troll building and maintenance -Team building - Minor construction June -August of 2001- Temporary -Receptionist at Centennial BQCES -Answered phones -Made copies -Covered front desk at lunch 1999 -current- 8abysltter - Newborn to teen -Meals, playtime, transporting to and from school, after school activities, homework, discipline when appropriate, and bedtime ACTIVITIES: -Volunteer as teacher aid at Northridge Elementary School -Member of Longmont United Methodist Church -Summer sports -competitive fast pitch softball for 6 years -Longmont flyers -12 and under "B" level -2 years -Colorado Storm -14 and under °B" level -1 year -Lady Warriors -14 and under "B" level -1 year -Lady Warriors -16 and under "r level -1 year -Nlwot Thunder -16 and under "A" level -1 year -Longmont High School sports -2 time letter in softball -freshman and sophomore -Played one season of basketball -sophomore References. Ciselle Lehman, former YMCA Before rind After school Program Director, Longmont YMCA, 303.476-3556 Debbie Bethel, former Early Years Center Director, Longmont YMCA, 970-631-9332 Darren Cole, former Sports Director, Longmont YMCA, 303-408-0501 Sandra Baker, Manager, Nana's Famous BBQ, 720-560-9159 Brenda Mullins, teacher, Longmont High School, 303-349.7275 Matthew D. Mulczynski 7402 Church Ranch Blvd, APT 6210, Westminster, CO 80021 Cell - 303-570-2280 Email. - m czynski(a,2mall.cam SKILLS AND EXPERIEx • Cultural sensitivity and awareness training • Mentorship and coaching experience • Active listening O RY Twenty'g and Teaching • Critical thinking and problem solving to include developing creative solutes • De-escalation skills • Building interpersonal relationships and rapport Independent uContractor Fall 2014 Spring 2015 • Tutored l and rd grade math and English for 10-12 students in an after school program in the Boulder Valley School District. • As a special project in English group, taught vocabulary by having students make their own crosswords, and publishing the crosswords in the school bulletin. RunningRiver School Kindergarten and 1'c Grade Student Teacher Fall Semester 2014 • Wrote mathematics and literature lesson plans for groups of 5 to 10 students • Contributed to discussions during staff meetings concerning planning, and school and classroom policy. Taught lessons integrating mrndibiness techniques, including meditation, and self- awareness Brownfield Academy 2d Grade Student Teacher Spring Semester 2014 o Developed and taught several lessons for group of 12 students • Observed various classroom management techniques Ahoneda Unified School DIelrtct K-8 Paraprofessional Long -terns Substitute 2013-2014 School Year • Worked with students with moderate to severe handicaps, moderate to severe autism, auad other mild to moderate special needs • Volunteered personal time to teach 76 and 8th grade math for a special needs class Used Stalin Peace Corps (VSPC) Health Educator Sept 2011— Oet 2012 • Taught and facilitated HIV and Sexual Health Education workshops to high school teenagers in Huaraz, Armagh, PERU o Taught English as a second language to grammar school students in a rural community in Monterrey, Ancash, PERU Educated teen mothers on child development, to include nutrition, creative homemade toys, and the importance of consistent one-on-one attention from mother to baby EDUCATION & LICENSE/CERTIFICATION Florida Department of Education Teaching Certificate K-6 2013-2014 MS in Teaching and Learning, Colorado State University -Global Campus 2002-2007 BA in Global Studies and Maritime Affairs, California Maritime Academy SPECIFIC SKILL DEVELQPMENT FROM USPC AND EDUCATION Interpersonal and rapport building Community Liaison between the USPC, and Department of Ancash healthcare professionals. Interviewed and developed professional relationships with ad hoc community leaders and professional medical staff in the Peruvian village of Monterrey in the Department of Ancash, Pere. Cultural Awareness and Sensitivity Reached out to the minority Thai population during Police Academy training, in order to better personal understanding of the cultural roots and customs of Thai people. Learned Spanish, cultural history, and community respect in Peru, thmugh immersion. Planning and facilitating special projects Organized the planning and construction of a Child Development Center in rural Peru. Task required coordination with community leaders, doctors, and nurses. Facilitated meetings with medical professionals in Pe man community to address the problem of malnutrition in local children under the age of 5. Assessing and Connecting to Community Resources Researched community resources to become knowledgeable about community needs and financial avenues. a Advocated for community needs and facilitated special projects. OTHER EXPERIENCE Community Service Oyer -- Cal Maritime Sep 2008 - Feb 2011 Pollee Academy Graduate -Napa, California Jan - June 2008 Semester at Sea - TS Golden Rear June - Aug 2006 • Observed and studied the impact of Globalization in Fiji, Australia, New Caledonia and Tahiti Competitive Internship —United States Secret Service Summer of 2005 • Conducted a credit card investigation involving over $50,000 in fraud EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Day Treatment Services, Life Skills, Mental Health Services, and Sexual Abuse Treatment. 2. Day Treatment Services: Contractor will provide services to male and female youth, ages 7-18 years of age, who speak English, as referred by the Department. In situations in which a family member does not speak English, Contractor will provide an interpreter for the primary language of the family member. a. Services are primarily intended for youth with mental health treatment needs as well as social, emotional and academic challenges. Services are appropriate for youth with sexual offense - specific issues, both those adjudicated delinquent and those who may have offending issues but are not involved in the juvenile justice system. b. Services include: • Educational, psychological and clinical assessment services • Offense specific treatment services (when identified) • Individual, family, group and milieu therapies (weekly) • Case management • Academic curriculum (credits transferable to public school) • Special education services • Transportation to and from school (within 15 -mile radius) • In -home services (case -by -case basis) • Community activities • Monthly progress review facilitated at Shiloh • 24/7 on -call assistance • Monthly progress reports to include ongoing assessment of family Transitional services/staffing to public school. c. Services are specifically designed for youth with behavior disorders, mental health issues, and sex offending issues. d. The program focuses on skills development where the youth recognizes their problems and how thinking errors contribute to irresponsible behaviors, develops adaptive social skills, and develops new, healthy coping skills. Newly acquired skills are practiced in the program, in group therapy with their family and in the community at large. e. Group therapy occurs a minimum of twice weekly bya master's level clinician. Groups address a variety of issues, including independent living, coping skills/tools, social skills, and cognitive restructuring. Groups promote development and maintenance of a positive peer culture, while teaching accountability, support youth better utilizing self -monitoring, and enhance improved self-control and decision making. f. Individual therapy is offered weekly and facilitated by a master's level clinician with the focus being on the youth's individual treatment plan and coping with difficult family, school and community situations. g. Referred youth and adolescents with severely limited cognitive abilities (IQ below 65), ongoing medical issues that cannot be supervised/managed by staff, an inability or significantly impaired ability to understand and/or communicate in English, and those who are actively psychotic are generally not considered appropriate for this program. 1 h. Performance outcomes: • Credit recovery • Improved school emotional and behavioral functioning • Return to home school prepared for academic and interpersonal success • Maintain positive home and community relationships i. Therapeutic services are billed to Medicaid. 3. Life Skills: Contractor will provide Life Skills services to individuals and families, as referred by the Department. Services can be provided in -home at either a Master's level or lower, or in the form of respite. a. The goal of services is to: • Provide information regarding community resources, employment, occupational training, education, and health care options. • Provider support services to assist family with accessing resources and employment. • Provide families with assistance with household budgeting. • Provide help with household management. • Provide a non -judgmental relationship. • Help families identify and establish appropriate boundaries and limits. • Provide tools to improve family functioning, including behavior management, conflict management, communication, and problem -solving tools. • Support development of parent/child relationships. • Teaching appropriate discipline techniques that increase awareness, skill and management of child behavior. • Role modeling positive interaction with children including recognition of children's needs, nurturing interactions, appropriate responses to a child's cues, as well as modeling age appropriate discipline and consequences. • Increase parent confidence by providing parents resources to help them with supporting their family. • Teach the value of daily routine and consistency with children including establishing household rules, rewards and consequences, and age appropriate chore charts. • Increase parental awareness of children's basic and emotional needs including planning and preparing nutritious meals, accessing resources for food, housing, clothing and shelter. • Provide parents with information regarding age appropriate child development and recognition of age appropriate behavior and managing inappropriate behavior. b. CONTRACTOR has identified the following performance outcomes: • Increase the level of family functioning • Eliminate child protection issues in the home • Increase formal and informal support such as community, family and friends • Increase parents understanding of their parenting role • Help parents have realistic child expectations • Improve parenting, relationships and social skills c. Services are not billable to Medicaid. 4. Life Skills — Beyond the Walls: Contractor will provide Life Skills in the form of transitional coaching to youth ages 14-26, as referred by the Department. a. Contractor will assemble a circle of support and network of resources that exists naturally in 2 location community. Referred clients will build a plan by assessing where they are currently and their goals for the future. The referral youth will have the opportunity to work with a Life Transitions Coach to identify their needs, set goals, and connect with Contractor's Community Partners Network, to link them to opportunities and experiences to help them reach their goals. b. Contractor will provide 25 hours of learning opportunities per month including workshops, tours, and mentoring. c. Contractor has identified the following performance outcomes: • Percentage of completion • Successful completion of goals d. Services are not billable to Medicaid. 5. Mental Health Services: Contractor will provide Mental Health Services to youth, and their families, who speak English. In situations in which a family member does not speak English, Contractor will provide an interpreter for the primary language of the family member. a. Services will utilize the following evidence -based treatments: • Cognitive Behavioral Therapy (Correcting thinking errors, linking thoughts, feelings and behaviors; and teaching new, healthy empathic and reality -based ways for thinking) • Behavioral Therapy (Teaching and rehearsing healthy ways to behave when overwhelmed by feelings and perceived needs) • Psycho -education and Family System Theory (Teaching families to work together and provide them with coping skills to promote the well-being of the family) • Trauma Informed Care (Teaching clients how to for new attachments (relationships), regulate their arousal, self -regulate, which leads to a higher sense of self. b. Available services include: • Individual Therapy • Family Therapy • Mental Health Treatment (Individual, In -Home, Assessment) • Psychological Evaluations • Neuropsychological Evaluations c. Services will be provided by either a licensed clinician or a Master's level clinician supervised by a licensed clinician. The frequency of therapy will be determined at the time of referral and assessment, and sessions will be offered throughout the day and evening to accommodate working family members. d. Performance Outcomes: • Improved mental health as assessed by observation and structured assessments • Completion of treatment goals e. Mental Health Treatment, Individual Therapy and Family Therapy are billable to Medicaid. 6. Sexual Abuse Treatment: Contractor will provide Sexual Abuse Treatment (Offense Specific Services) to youth, ages 7 to 18, and their families, who speak English. In situations in which a family member does not speak English, Contractor will provide an interpreter for the primary language of the family member. a. Services will utilize the following evidence -based treatments: • Cognitive Behavioral Therapy (Correcting thinking errors, linking thoughts, feelings and 3 behaviors; and teaching new, healthy empathic and reality -based ways for thinking) o Trauma Focused Cognitive Behavioral Therapy o Offense Specific Cognitive Behavioral Therapy • Behavioral Therapy (Teaching and rehearsing healthy ways to behave when overwhelmed by feelings and perceived needs) • Psycho -education and Family System Theory (Stabilization of the client's mental health diagnoses) • Dialectical Behavior Therapy (DBT) • Eye Movement Desensitization and Reprocessing (EMDR) • Aggression Replacement • Animal Assisted Therapy • Play Therapy • Brief Strategic Family Therapy • Visiting Coaching Model • School — Core Knowledge • School — Positive Behavior Supports (PBS) b. Services will be provided by either a licensed SOMB clinician or a Master's level clinician supervised by a licensed SOMB clinician. All therapy adheres to the Colorado Sex Offender Management Board (SOMB) Standards and Guidelines for the Evaluation, Assessment, Treatment and Supervision of Juveniles. c. The frequency of therapy will be determined at the time of referral and assessment and will be offered throughout the day and evening to accommodate family schedules. d. Treatment Goals: • To ensure community safety • To assess risks, ensuring all family members are safe within the family • To provide strength based, accountable, relationship -oriented service which respect the family while ensuring that goals of treatment are achieved • To provide intensive psycho -educational treatment that increase the client and family member's understanding of abusive interaction patterns and enables the family to eliminate abusive patterns within the family • Disclosure of abusive behaviors as well as own victimization • To provide the client and family with an understanding of their family and personal cycle of abuse and to ensure their ability to interrupt that cycle • Correction of abusive patterns of behavior and creation of an abuse -free home and family life • Development of victim empathy • Mental health stabilization • Development of healthy coping skills and tools (self-control, rehearsal of corrected cognitions) • Increased pro -social behaviors and increase protective factors • To provide all caregivers with an understanding of Informed Supervision and the essential nature of being vigilant in providing a safe environment • To complete clarification work depending upon the individual family circumstances and stages in treatment • To provide a strong emphasis on identifying the contributing risk factors and aiding the family in remediating the risks • To develop a strong relapse prevention plan • To facilitate family reunification and/or establish healthy family dynamics if they are 4 unable to live together • To assist the family in development of a nurturing and healthy home environment which will enable the children to successfully progress in their development and academic achievement • To eliminate illegal behaviors by all members of the identified family unit. e. Performance Outcomes: • Completion of treatment plan goals • Prioritize community safety • Reduce risk of out -of -home placement • Reduce offending risk as measured by JSOAP • Demonstrate improved mental health per observation and assessments f. Services are not billable to Medicaid except for victim therapy. 7. Community Based Treatment Serving Youth with Problematic Sexual Conduct: Contractor will provide home and community based services for youth ages 8-18 and their families who are struggling with a wide variety of problematic sexual conduct, as referred by the Department. a. Contractor will provide approximately4 hours per week of in -home Sex Offender Management Board (SOMB) Master's level treatment and 10 hours per week of Bachelor's level in -home training, coaching, and accountability targeting safe and healthy sexual behavior life skills. • The referred youth will participate in weekly offense specific group therapy with peers who share similar conduct. • Contractor will provide offense specific assessment including psychosexual and polygraph services. • Contractor will develop an individualized treatment plan following initial assessment for each referred youth and family, and will modify the treatment plan as needed during services with the approval of the Department and Multidisciplinary Team (MDT). b. Eligibility criteria: • Male clients ages 8-18 • Family and youth verbalizing a strong commitment to actively participate in a minimum of 14 hours per week of home based offense specific services, and demonstrated a willingness to engage in the treatment process. • Family and youth value the home -based treatment as a positive alternative to residential treatment or commitment. • Youth presenting sexual reactivity to abuse and/or trauma • Youth presenting behaviors that include inappropriate touching, bullying, gesturing, and threatening verbalizations • Youth who have engaged in family based incest • Youth who have engaged in community based sexual assault • Youth who have engaged in criminal sexual behaviors may be adjudicated or are non - adjudicated c. Treatment goals: • Promote victim and community safety • To successfully integrate SOMB guided home based offender treatment with evidence based treatment principals including Trauma Focused CBTand High -Fidelity Wrap Around • To support the following High -Fidelity Wrap Around principals: 5 o To be strength based and to value all members of the team focusing on family and youth needs rather than deficits o To engage natural support systems for the youth and family and provide the natural support with informed supervision training and accountability skills to ensure that the youth and family have supportive resources o To ensure that the family and youth voice are valued in all discussions o To be culturally competent and respectful in all services o To individually tailor all treatment and offense specific life skills o To collaborate and communicate effectively with all multidisciplinary team members o To be dedicated to progressing through inevitable challenges and barriers o To be outcome based with observable and measurable indicates of success o To address complex and overlapping needs o To successfully address family and offending youth denial of sexual offending problems o To reduce future Problematic Sexual Conduct o To strengthen protective and resiliency factors for the youth and family o To provide effective coordination with all community partners including development of a school safety plan o To provide offense specific assessments including J -SOAP, psychosexual evaluations and polygraphs o To successfully integrate mental health treatment with offense specific treatment o To provide well -coordinated treatment with victim therapists and support systems to provide services within SOMB guiding principles including; - Community safety is paramount - Sexual offenses cause harm - Safety, protection, development growth and the psychological well-being of victims and potential victims must be represented within the MDT - Evaluation, treatment and supervision must identify and address abusive and illegalbehaviors. - Offending behaviors are complex and the charged offense may or may not be definitive of the juveniles underlying problem - All juveniles who have committed sexual offenses to whom SOMB standards apply must have a comprehensive sex offense specificevaluation - A MDT will be convened for the evaluation, treatment care and supervision of juveniles who commit sexual offenses - Treatment management and supervision decisions should be guided by empirical finding when research isavailable - Risk assessment ofjuveniles is necessary however progress in treatment and level of risk are not constant over time and may not be correlated - Assessment of progress in treatment must be made based on the juvenile's consistent demonstration of relevant changes in their daily functioning - Decreased risk of sexual offending is likelyto be most lasting when paired with increased overall health - Family member are an integral part of evaluation, assessment, treatment and supervision d. Performance Outcomes: • Community safety • Completion of treatment plan goals • Prevent out of home placement e. Services are billable to Medicaid. 8. Informed Supervision Training: Contractor will provide Informed Supervision Training to parents or caregivers, as referred by the Department. a. Contractor offers a 10 -hour parent/caregiver education over 4-6 weeks that complies with SOMB Informed Supervision Guidelines. Training is provided by Informed Supervision Trained Bachelor's or Masters' level staff with Sex Offender Management Board (SOMB) supervision. b. Contractor will review, at a minimum, the following topics: • History of the SOMB • 20 Principals of SOMB treatment with an emphasis on community safety • Necessity of Informed Supervision • Victim Confidentiality • Sexual Offending Behaviors overview • Current laws that relate to juvenile sexual offending • Seriousness of juvenile offending, impact and priorities • Dynamic patterns (cycles) associated with abusive behavior • The role of the MDT in all decisions • Safety plans • High risk patterns • Community supervision and treatment c. Performance Outcomes: • Community safety • Parent/caregiver successful completion of Informed Supervision Training as demonstrated by observation, participation, and post test results. d. Services are not billable to Medicaid. 9. Contractor will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 10. 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. 11. 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. 12. 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. 7 13. 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. 14. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 15. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. 8 EXHIBIT D PAYMENT 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 specified 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 in Trails after May 31, 2018. 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 $1,650.00/Month (Day Treatment) $90.00/Hour (Individual or Family, Problematic Sexual Conduct) $110.00/Hour (In -Home, Problematic Sexual Conduct) $50.00/Hour (Group Per Person, Problematic Sexual Conduct) $90.00/Hour (Individual or Family, Sexual Abuse Treatment) $110.00/Hour (In -Home, Sexual Abuse Treatment) $300.00/Episode (Informed Supervision) $90.00/Hour (In -Office, Intensive Family Therapy) $110.00/Hour (In -Home, Intensive Family Therapy) $90.00/Hour (Individual, Mental Health Treatment) $110.00/Hour (In -Home, Mental Health Treatment) $95.00/Hour (Assessment, Mental Health Treatment) $65.00/Hour (In -Home, Life Skills or Home -Based Services) $1,020.00/Month (Beyond the Walls) $120.00/Hour (Psychological Evaluation or Neuropsychological Evaluation) Any partial unit of service shall be pro -rated. Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 1 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. 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. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 ACCIVW CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 1/10/2018 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CoBiz Insurance, Inc. - CO 1401 Lawrence St., Ste. 1200 Denver CO 80202 CONTACT PHONE FAX lA/C. No. Extl• 303-988-0446 i •IA/C,�: 303-988-0804 ADDRESS: COMail@cobizinsurance.com INSURERS) AFFORDING COVERAGE NAIC M INSURER A: Philadelphia Indemnity Ins. Co 18058 INSURED SHILHOM-01 Shiloh Home, Inc. 6588 W. Ottawa Avenue Littleton CO 80128 INSURER B : PlnnaCOl Assurance Company 41190 INSURER C : INSURER 0 : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 985479379 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. - - IlISR LTR TYPE OF INSURANCE AWL WED SUER' MVO i POLICY NUMBER POLICY EFF . IMWIY DOYYYI POLICY EXP IMMJDD/YYYY1 LIMmi A X COMMERCIAL GENERAL LIABILITY Ht OCCUR PHPK1755940 1/12018 1/112019 ! EACH OCCURRENCE $ 1,000,000 ■■ CLAIMS -MADE DAMAGE TO RENTED PREMISESrEa 000urrence) $1,000,000 _ MED EXP (Any one person) S 5,000 ■ PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT POLICY r-1NT-LOC NT- APPLIES PER: F..: . GENERAL AGGREGATE $ 3,300,000 X PRODUCTS - COMP/OP AGO $3,000,000 OTHER: $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWED I AUTOS HIRED AUTOS IX SCHEI3ULED AVMS Al.flQEY+INED PHPK1755940 1/12018 1/12019 COMBINED SINGLE LIMIT $ (Ea accid9M1 1.000.000 X BODILY INJURY (Perparson) $ BODILY INJURY (Per accident) $ X PROPERTY er acidlen:DAMAGE J. s A X UMBRELLA LIAB EXCESS UAB X OCCUR PHUB812S48 1/1/2018 1/12019 EACH OCCURRENCE $ 3,000,000 I CLAIMS -MADE AGGREGATE 5 3,000,000 DED i lI RETENTION $ to.00o $ B WORKERS COMFFNSA11ON AND EMPLOYERS' LIABILITY ANY YICROORFARTNER MEE (Mendetnry In Nil) H yes, describe under DESCRIPTION OF OPERATIONS Y / N N l AECUTIVE I 1705862 111/2018 1!1201PER9 I STATUTE IiH ER E.L. EACH ACCIDENT S 503,000 EXN E.L. DISEASE - EA EMPLOYEE $ 500,000 below E.L. DISEASE -POLICY LIMIT 8500.300 1. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES IACORD 101, Additional Remelts Schedule, may be attached If more apace Is required) Cyber Liability - Philadelphia Indemnity Ins. Co. Policy 0PHSD1308806 eff 01/01/2018 to 01/01/2010 $1,000,000 limit. Professional Liability - Policy PHPK1755940, effective 01/01/2018 to 01101/2019, Limits of $1,000,000 Per Occurrence and 53,000,000 Policy Aggregate. Sexual Abuse & Molestation Liability - Policy PHPK1755940, effective 01/01/2018 to 01/0112019, Limits of $1,000,000 Per Occurrence and $3,000,000 Policy Aggregate. Fidelity Coverage - Policy PH8D1306877, effective 01/0112018 to 01/01/2019, Limits of $1,000,000 subject to a $5,000 Retention. See Attached... CERTIFICATE HOLDER CANCELLATION Weld County, Colorado PO Box A Greeley CO 80632 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 ACORD 25 (2014101) 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: SHILHOM-D1 LOC #: ACS ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY CoBiz Insurance, Inc. - CO NAMED INSURED Shiloh Home, Inc. 6588 W. Ottawa Avenue Littleton CO 80128 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE; ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Weld County, Colorado, by and through the Board of County Commissioners of Weld County, Its employees and agents, are included as Additional Insured with respect to General Liability as required by written contract or agreement per the attached form. 60 day Notice of Cancellation is provided for Weld County. ACORD 101 (2008101) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Hello