HomeMy WebLinkAbout20170542.tiffRESOLUTION
RE: APPROVE VICTIM ASSISTANCE AND LAW ENFORCEMENT (VALE) GRANT
APPLICATION FOR LONG TERM CARE OMBUDSMAN FRIENDLY VISITOR PROGRAM
AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Victim's Assistance and Law Enforcement
(VALE) Grant Application for the Long Term Care Ombudsman Friendly Visitor Program from the
County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld
County, on behalf of the Department of Human Services, Area Agency on Aging, to the Victim's
Assistance and Law Enforcement Board, commencing July 1, 2017, and ending June 30, 2018, with
further terms and conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Victim's Assistance and Law Enforcement (VALE) Grant Application for
the Long Term Care Ombudsman Friendly Visitor Program from the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Human Services, Area Agency on Aging, to the Victim's Assistance and Law
Enforcement Board, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 22nd day of February, A.D., 2017.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLO ' DO
ATTEST:da o;ok,
Weld County Clerk to the Board
BY:
APP
02,_c.
uty Clerk to the Board
ounty orney
Date of signature:3/co/ I1
Steve Moreno, Pro-Tem
Sean P. Conway
ike Freeman
cct H3OCRrnicmIse/J'(,)
arbara Kirkmeyer
2017-0542
HR0088
MEMORANDUM
DA'L'E: January 31, 2017
'1O: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Department of Human Services' Area Agency on
Aging (AAA) 2017-2018 Victim Assistance Law
Enforcement (VALE) Grant Application
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Area Agency on Aging (AAA) 2017-2018
Victim Assistance Law Enforcement (VALE) Grant Application. The AAA Ombudsman
Program has received the VALE grant since 1997. AAA would like to submit the grant
application requesting $10,000 for the July 2017 through June 2018 funding cycle. Through the
years, the VALE grant has allowed the Ombudsman Program to increase staff time to keep up
with the increasing demand for advocacy on behalf of this very vulnerable population. The funds
have enabled the Program to maintain an abuse education and awareness program aimed at
educating direct caregivers who work in long term care settings. The grant has also allowed the
opportunity for the Ombudsman Program to educate residents and staff about the Ombudsman
Program, abuse issues and resident rights. Continued funding will make it possible for the
Ombudsman Program to serve the increasing number of vulnerable long term care residents.
Continuation of funding relates to the mandate of early crisis intervention and to provide
assistance and support to victims and their families.
I do not recommend a Work Session. I recommend approval of the Application Submission.
Sean P. Conway
Julie A. Cozad, Chair
Mike Freeman
Barbara Kirkmeyer
Steve Moreno, Pro-Tem
Approve Schedule
Recommendation Work Session
Other/Comments:
Pass -Around Memorandum; January 31, 2017 — (Not in CMS)
Pagel
2017-0542
VALE Grant Application Signature Page
Applicant Agency: Weld County Department of Human Services, Area Agency on Aging
Project Title: Weld County Long Term Care Ombudsman/Friendly Visitor Program
Grant Period: July 1, 2017 to June 30, 2018
We hereby certify that the information contained herein is true and correct to the best of our
knowledge and belief. The following signatories understand and agree that any grant received as a
result of this application shall incorporate and be subject to the statements made within the above
described VALE Grant Application (The Application). Furthermore, the signatories certify that
they have each read The Application and are fully cognizant of their duties and responsibilities for
this project.
Original signatures of each party to this application (i.e., Project Director, Financial Officer and
Authorized Official) are required. Please use BLUE INK to distinguish the original documents
from copies. Refer to Application Instructions for definitions for the signing authorities.
Protect Director:
Name: Eva M. Jewell
Position/Title: AAA Division Head
Agency (including Division or Unit): Weld County Department of Human Services, Area Agency on Aging
Mailing Address: Post Office Box 1805, Greeley, CO 80632
Phone: (970) 400-610
Signature
Financial Officer:
Name: Leonard L. Bottorff
(970) 346-6951 E -Mail: ejewell@weldgov.com
Date:
Position/Title: Fiscal and Budget Manager
Agency (including Division or Unit): Weld County Department of Human Services
Mailing Address: Post Office Box A, Greeley, CO 80632
Phone: (970) 400-6537 Fax: 70) 346-7691 E -Mail: lbottorff@weldgov.com
Signatur Date: /I / 17
Authorized Official:
Name: Julie Cozad
Position/Title: Chair
Agency (including Division or Unit): Weld County Board of Commissioners
Mailing Address: Post Office Box 758, Greeley, CO 80632
Phone: (970) 400-4209 Fax: (970336-7233 E -Mail: jcozad@weldgov.com
Signatu
21 Date: FEB 2 2 2017
In accordance with the Colorado Revised St•Stutes 24-72-202.6, information supplied in this application is considered a public record.
oZon- osvz �i)
2017-2018 VALE ASSISTANCE FUNDS
19th Judicial District, Weld County Application
REFER TO APPLICATION INSTRUCTIONS TO COMPLETE THIS APPLICATION CORRECTLY.
SECTION A - AGENCY INFORMATION:
1. APPLICANT AGENCY: Weld County Department of Human Services
Area Agency on Aging
Program Name: Weld County Long Term Care Ombudsman Program
Street Address (if not confidential): 315 C. North 11th Avenue
Greeley, Colorado 80631
Mailing Address (if different): Post Office Box 1805
Greeley, Colorado 80632
Phone: (970) 400-6128
Fax: (970) 346-6951
E -Mail: rmaldonado(c�weldgov.com
2. CONTACT PERSON: Raegan Maldonado
Title: Ombudsman Supervisor
Phone: (970) 400-6128
Fax: (970) 346-6951
E -Mail: rmaldonado(a�weldgov.com
VALE USE ONLY
Grant #:
Amount Requested:
Amount Funded:
3. Agency Status ® governmental nprivate-non-profit n private -for-profit
84-6000813 Non -Profit agencies include their TAX ID Number here.
NOTE: If you are claiming non-profit status and if you have not previously provided documentation supporting this claim
to the VALE Board, then you must provide sufficient documentation concerning your agency's non-profit status with this
application.
4. PROJECT TITLE: Weld County Long Term Care Ombudsman/Friendly Visitor Program
5. Give a problem statement that is specific to the community the project will serve: The at -risk adult
population is growing rapidly. The funding will allow the Ombudsman Program to have a consistent
presence in Weld County long term care settings, allowing for advocacy and education. The funding
will enable the Long Term Care Ombudsmen to maintain a friendly visitor and awareness program.
6. FUNDS REQUESTED TOTAL: $10,000
ITEMS 1 - 6 MUST REMAIN ON THIS PAGE
1
SECTION B - NARRATIVE SUMMARY
7. Agency description: The Weld County Long Term Care Ombudsman Program is housed within the
Weld County Area Agency on Aging, and is funded by Federal and State grants. The authority of the
local Ombudsman Program comes from the Older American's Act, Colorado Revised Statutes 25-
11.5, and the Federal Nursing Home Reform Law/OBRA. Long Term Care Ombudsmen have
statutory status under the Older Americans' Act of 1965 as amended, and are required by federal
and state law to visit every nursing home monthly and every assisted living facility on a quarterly
basis. There are currently 8 Long Term Care Facilities and 25 Assisted Living Facilities in Weld
County. The Long Term Care Ombudsman Program is a resident/patient/consumer-centered
advocacy program.
The purpose of the Weld County Long Term Care Ombudsman Program is to assist and empower
consumers of long term care services by providing information about these services and furnish
support in complaint resolution. The Weld County Ombudsman acts as a consumer voice for the
concerns of the at -risk adults living in institutions, who may have no one else to speak for them. The
Ombudsman also investigates and resolves questions, issues, problems and complaints made by,
for, or on behalf of residents of long term care facilities. These issues or complaints may include, but
are not limited to access to long term care services, redress of neglectful or abusive care, and
information and assistance with civil and human rights. In addition, the Ombudsman documents and
reports problems of long term care, helps establish programs to meet residents' needs, and
stimulates and promotes improvement of the system.
8. Project Description for which the funds are being requested.
The V.A.L.E. Assistance Funds have allowed the Ombudsman Program to maintain staff time to keep
up with the increasing demand for advocacy on behalf of this very vulnerable population. The funds
have also enabled the program to maintain an educational program aimed at educating residents,
Certified Nursing Assistants (C.N.A.'s), other long term care staff, and family members. Education
material includes, but is not limited to: information about the Long Term Care Ombudsman Program,
Resident Rights, Elder Abuse and Neglect, and Victim Compensation. The Ombudsman's role,
through observation and a frequent presence in facilities, is to insure that resident rights are being
respected and that quality care is being administered. In addition, our program focuses on the
importance of recognition and appropriate response to signs and symptoms of elder abuse and
neglect. Continued V.A.L.E. funding will make it possible for the Weld County Area Agency on Aging
Ombudsman Program to serve the increasing number of vulnerable long term care residents and
their families. The Long Term Care Ombudsman Program has been very fortunate to have this
partnership with Victim Services. Being involved with CCVC and other networking groups involving
Victim Services, has strengthened and enhanced our ability to address the needs of at -risk adults in
Weld County.
2
SECTION C - GOALS AND OBJECTIVES:
(Goal 1, objectives 1 and 2, are mandatory for all applicants.)
9. GOAL 1 (standard): This project will provide direct services that assist crime victims with emotional
and physical needs to stabilize their lives, provide a measure of safety and security, and/or enhance
victims' experience with the criminal justice system.
OBJECTIVE 1 (standard): To provide services to the following estimated unduplicated number of crime
victims during the 12 -month grant period.
Although a person may be a victim of multiple crimes in one criminal episode, they can be counted
only once using the predominant crime.
Definitions:
Victims: primary and secondary victims
Primary victim: The person against whom the crime was committed, except in the case of homicide, and DUI/DWI
deaths where the primary victims are the survivors of the victim. In domestic violence crimes, children of the primary
victims (who are receiving services) are also considered to be primary victims.
Secondary Victims: Persons other than primary victims receiving services because of their own reaction or needs
resulting from a crime.
Unduplicated Count: New and continuing victims served by the project . Continuing victim is a person served in the
prior grant year who is continuing to receive services in the new grant year.
EST. NO.
VICTIMS
TYPE OF CRIME
EST. NO.
VICTIMS
TYPE OF CRIME
Child Physical Abuse
Adults Molested as Children
Child Sexual Abuse
Survivors of Homicide
DUI/DWI - Victims of vehicular assault or
vehicular homicide, DUI/DWI crashes or
careless driving resulting in death.
Robbery
Domestic Violence
Assault
10
Adult Sexual Assault
Other violent crimes such as hate and
bias crime, gang violence (specify).
80
Elder Abuse (including economic
exploitation and fraud crimes)
Other, please specify
TOTAL UNDUPLICATED VICTIMS ESTIMATED TO BE SERVED DURING THE 12 -MONTH PERIOD
90
3
OBJECTIVE 2 (standard): To provide the following types of services to the following estimated number of
unduplicated victims during the 12 -month grant period.
Number of Victims Receiving Each Type of Service: Estimate the number of victims who will receive
each type of service during the grant period. A victim may receive the same type of service more than
once (i.e. counseling), but the type of service can be counted only once during the grant period. An
individual service category cannot exceed the total number of victims listed in table A.
EST. NO.
VICTIMS
SERVICES
EST. NO.
VICTIMS
SERVICES
50
Crisis/Counseling Intervention (in person)
90
Victim Compensation Assistance
(required)
40
Follow-up (includes crisis intervention by
phone)
70
Personal Advocacy
Therapy
40
Telephone contact
Group Treatment / Support
Civil Legal Advocacy/Court
Accompaniment
Shelter / Safehouse
Forensic Exam
50
Information / Referral (in person)
Hospital/Clinic Response
Criminal Justice Support /
Advocacy/Court Accompaniment
Language Services (interpretation)
Emergency Financial Assistance
Transportation
Emergency Civil Legal Attorney
Assistance
Transitional Housing
Victim Rights Act Services
4
PROJECT -SPECIFIC GOALS AND OBJECTIVES:
Add at least one more goal with objectives but no more than three additional goals with no more
than three objectives per goal. Refer to Application Instructions, use format provided below.
GOAL 2: The Weld County Long Term Care Ombudsman Program will educate long term care residents
and their families about their rights and crimes committed especially against at -risk adults. This education
will include information regarding Victim Rights and Victim Compensation.
Objective
(list title of person
responsible)
Intended
Outcome/Impact
Data Collection
Timeframe
1
The LTC Ombudsman
and Ombudsman
Supervisor will provide
1:1 education to 20 long
term care residents per
quarter.
Residents in facilities
will have knowledge of
their rights, crimes
targeting at -risk adults,
and victim rights and
victim compensation.
Staff documentation in
database.
During the
12 -month
grant period.
2
The LTC Ombudsman
and Ombudsman
Supervisor will provide
group education during 2
Resident Council
meetings per month.
Residents will have an
opportunity to discuss
victim information in a
group setting. Involve
facility staff in the
discussion.
Staff documentation in
database.
During the
12 -month
grant period.
GOAL 3: The Weld County Long Term Care Ombudsman Program will provide group education about
resident rights, and elder abuse detection and response topics. This education will include information
regarding Victim Rights and Victim Compensation.
Objective
(list title of person
responsible)
Intended
Outcome/Impact
Data Collection
Timeframe
1
The LTC Ombudsman
and Ombudsman
Supervisor will provide
education to 100-150
nurse aide students.
Nurse aide students will
be knowledgeable
about elder abuse and
victims services before
they begin their
employment at
facilities.
Staff documentation in
database. Training
evaluations.
During the 12
month grant
period.
2
The LTC Ombudsman
and Ombudsman
Supervisor will provide
education to 50-100
direct care staff.
Direct care staff will be
informed about abuse
detection and how to
respond, including
victim services.
Staff documentation in
database. Training
evaluations.
During the 12
month grant
period.
3
The LTC Ombudsman
and Ombudsman
Supervisor will provide
victim rights and
compensation
information during 5-10
committee meetings.
Agencies in the
Ombudsman network
will be made aware of
victim rights and victim
compensation.
Staff documentation in
database.
During the 12
month grant
period.
5
GOAL 4: The Weld County Long Term Care Ombudsman Program will collaborate with Adult Protective
Services when applicable.
Objective
(list title of person
responsible)
Intended
Outcome/Impact
Data Collection
Timeframe
1
The LTC Ombudsman
and Ombudsman
Supervisor will attend
10-12 Adult Protection
Networking Group
Meetings.
Networking with other
entities involved with at-
risk adult cases.
Include information
about victim rights and
victim compensation.
Number of cases
addressed during the
meetings.
During the 12
month grant
period.
2
The LTC Ombudsman
and Ombudsman
Supervisor will refer
cases to APS, and
receive cases from APS.
Referrals to appropriate
program.
Number of case referrals.
During the 12
month grant
period.
3
The LTC Ombudsman
and Ombudsman
Supervisor will combine
efforts with APS when
appropriate.
Combined
investigations will allow
for gathering necessary
data at the same time.
Number of collaborated
case investigations.
During the 12
month grant
period.
6
10. QUALITY ASSURANCE PLAN: Describe the approach for evaluating the project in response
to the stated objectives, intended outcomes/impact and data collection.
We will track the type of meeting attended, education provided, and the number of individuals present.
We will also distribute training evaluations when appropriate. The evaluations will include questions
regarding knowledge of victim rights and victim compensation. We will document cases in our database
in order to keep track of our collaboration with Adult Protective Services. All pertinent information will be
documented in our quarterly VALE reports. The long term care community is a population that no other
entity has access to like the Ombudsman Program. We intend to ensure that this population is made
aware of victim rights and victim compensation.
7
11a. Services as defined in the V.A.L.E. statute, 24-4.2-105 (4) (a — m) C.R.S.
Indicate YES for services which are indicated in the Goals and Objectives of this application, and
NO for services NOT indicated in the Goals and Objectives of this application.
YES
NO
Services: C.R.S. 24-4.2-105 (4) (a — m)
J
(a) Provision of services for early crisis intervention;
x
(b) Provision of telephone lines for victims and witnesses
assistance;
J
(c) Referral of victims to appropriate social service and victim
compensation programs and assistance in filling out forms for
compensation;
J
(c.5) Assistance programs for victims and their families;
x
(d) Education of victims and witnesses about the operation of the
criminal justice system;
x
(e) Assistance in prompt return of the victims' property;
x
(f) Notification to the victim of the progress of the investigation,
the defendant's arrest, subsequent bail determinations, and the
status of the case;
x
(g) Intercession with the employers or creditors of victims or
witnesses;
x
(h) Assistance to the elderly and to persons with disabilities in
arranging transportation to and from court;
x
(i) Provision of translator services;
x
(j) Coordination of efforts to assure that victims have a secure
place to wait before testifying;
x
k) Provision of counseling or assistance during court appearances
when appropriate;
x
(1) Protection from threats of harm and other forms of
intimidation;
x
(m) Special advocate services
(7) (b) "Special advocate services" means the services offered to aid victims
who are children, including, but not limited to, court -appointed special advocate
(CASA) programs, sexual assault treatment and prevention programs,
community -based youth and family servicing programs, gang alternative
programs, school -based intervention and prevention programs, big brother and
big sister programs offering aid to children who are victims, restitution
programs, partners programs offering aid to children who are victims, and child
abuse treatment programs.
Only grants submitted by the Court Administrator's Office would check (2.5) (a) (I) below.
(2.5) (a) (I) The court administrator of each judicial district may apply for grants of moneys for the
purpose of collecting all moneys assessed by the courts, including moneys owed pursuant to this article, and
collecting and disbursing restitution owed to victims of crime;
Only grants submitted by the local Probation Department would check (2.5) (a) (II) below.
(2.5) (a) (I) The local probation department may apply for grants of moneys for the purpose of
implementing the right of victims.
8
11b. For each YES listed in 13a), reference the Goal and Objective that relates to the service
rovided with a brief explanation. DO NOT RESTATE THE GOAL OR OBJECTIVE.
a
Goal 2 and Objectives 1 and 2
Goal 3 and Objectives 1, 2 and 3
Goal 4 and Objectives 1, 2 and 3
Explanation: All of these goals and objectives focus on early crisis intervention through
education and collaboration of services.
c
Goal 2 and Objectives 1 and 2
Explanation: We will provide residents and family members with information regarding
social services contacts and Ombudsman contacts in case they are in need of assistance
with filling out forms for compensation.
Goal 3 and Objectives 1, 2 and 3
Explanation: We will refer victims to APS, and collaborate with APS, when appropriate. We
will provide individuals with information regarding the Victim Compensation Program and
assist them as needed.
Goal 4 and Objectives 1, 2 and 3
Explanation: We will provide information regarding the Victim Compensation Program
during our trainings.
c.5
Goal 2 and Objectives 1 and 2
Explanation: We will educate residents and their families about assistance programs.
Goal 3 and Objectives 1, 2 and 3 ,
Explanation: We will provide education about assistance programs for victims and their
families.
12. Will this project utilize volunteers and or interns? n Yes ® No
If yes, please answer the following:
Number of volunteers/interns which were utilized for last six months, July 1, 2016
through December 31, 2016.
In 2016, the total number of volunteers/interns was who provided hours
to the agency.
9
SECTION D - SERVICE INFORMATION:
for service through this project?
and will you serve?
13. What is the population and geographic area targeted
a) How many crime victims have you served
VICTIMS SERVED
1 YEAR
July 1, 2014
Through
June 30, 2015
VICTIMS SERVED
1 YEAR
July 1, 2015
Through
June 30, 2016
PROJECTED VICTIMS
SERVED
July 1, 20156
Through
June 30, 2017
PROJECTION OF
VICTIMS TO SERVE
July 1, 2017
Through
June 30, 2018
70
90
90
90
b) What is the number
c) Are there other community
There are no other community
If yes, explain how this
14. Document community
a) List the top five
of victims served July 1, 2016 through December 31, 2016? 46
agencies currently providing like services to the targeted population?
agencies that provide such services to long-term care residents.
project is not a duplication of services.
support, coordination and networking by providing the following information:
agencies who your agency works most closely with in coordination and
victim services and indicate how you work with them.
provision of crime
AGENCY
HOW YOU COORDINATE
1 Home and Community Based Services
SEP quarterly meeting, collaborate efforts if working with the same
resident/client. Information and referral regarding Weld County
long term care facilities.
2 Adult Protective Services
APS monthly meeting, APS case staffing meeting, collaborate
efforts if working the same resident/client, together facilitate
trainings to groups. Referral of abuse and neglect cases that occur
in Weld County.
3 Disability Law Colorado
Information, consultation and referral with State Ombudsman's
office.
4 Medicaid Technicians
Refer residents and families when they are in need of applying for
Medicaid.
5 Weld skilled nursing and assisted
living facilities
Advocating, consultation, and education.
10
b) Is your agency an active participant in Weld County's Coordinating Committee for Victims of Crime
(CCVC)? If "yes," provide the name(s) and position(s) of the CCVC participant(s) and their level of
involvement in that group. Yes
NAME OF MEMBER
HOW THEY PARTICIPATE
Raegan Maldonado
Ombudsman Supervisor
Quarterly Meetings, Victim Rights Day, Subcommittee as needed, Trainings
Teresa Hill
Long Term Care Ombudsman
Quarterly Meetings, Victim Rights Day, Subcommittee as needed, Trainings
c) Briefly describe any other agency actions that demonstrate its high priority for developing
community support, coordination, networking, and cooperation.
COMMITTEE
HOW WE PARTICIPATE
Adult Protective Services
Networking Meeting
Monthly meetings, present Ombudsman perspective during case review,
provide group with information regarding LTC, the Ombudsman Program and
Victim Services.
The Weld County Bio-Ethics
Committee
Quarterly meetings and emergency meetings. Develop case studies for
review. Provide education regarding LTC, the Ombudsman Program and
Victim Services.
ADRC (Aging and Disability
Resources for Colorado)
Six meetings per year. Provide education regarding LTC, the Ombudsman
Program and Victim Services.
Weld County Senior Support
Network
Attendance at meetings. Provide education regarding LTC, the Ombudsman
Program and Victim Services.
11
SECTION E - VICTIM COMPENSATION:
Provide the following information concerning your agency's involvement with the Crime Victim
Compensation Program:
15. a) Does your agency regularly inform victims about Victim Compensation and help them to apply
when appropriate? M Yes n No
How? We meet with residents, victims, family members and staff members 1:1 to provide them with
information regarding Victim Compensation and their rights. In addition, we inform people about Victim
Compensation during Ombudsman trainings and meetings. We also educate individuals via telephone
and email, when appropriate. We also inform them that we can assist them with the application process if
they would like us to do so.
d) Explain any major issues that hinder your agency in helping crime victims to understand Victim
Compensation eligibility requirements and to apply for benefits.
We have no major issues that hinder our agency in helping crime victims to understand Victim
Compensation eligibility requirements and to apply for benefits.
c) Date of the last Crime Victim Compensation training: Tuesday, April 5th, 2016
d) Person who conducted the training: Fawn Harmon
2 Number of Staff and Volunteers in your agency providing services to crime victims.
2 Number of Staff and Volunteers who attended the last Victim Compensation Training.
DO NOT INCLUDE VICTIM COMPENSATION BROCHURES WITH YOUR APPLICATION.
12
SECTION F- VICTIM RIGHTS ACT:
16. Has your agency taken steps to assure that all staff and volunteers have read and understand the
GUIDELINES FOR ASSURING THE RIGHTS OF VICTIMS OF AND WITNESSES TO CRIMES:
Rights afforded to crime victims - C.R.S. 24-4.1-302.5; Procedures for assuring rights of victims of
crimes; C.R.S. 24-4.1-303; and Child victim or witness — rights and services — C.R.S. 24-4.1-304
®Yes 0 N
a) Briefly describe how your agency assures that all staff and volunteers are trained on VRA.
We require that the Ombudsman staff read, "Crime Victims Have Rights," on the DCJ website:
www.dcj.ovp.state.co.us, on a yearly basis. If we are able to recruit appropriate volunteers, we will
require that they review this information as part of their training.
b) Does your agency have a statutory mandate to notify victims about their rights under VRA?
❑ Yes ® No
c) Date of last VRA Training: June 28th, 2016
d) Person who conducted the training: Ami Gerstner, COVA
2 Number of Staff and Volunteers in your agency providing services to crime victims.
2 Number of Staff and Volunteers who attended the VRA Training.
e) How does your agency notify victims of their rights under VRA?
We provide residents, family members and facility staff members with information from, "Crime Victims
Have Rights," from the DCJ website: http://dcj.ovp.state.co.us/home/victim-rights, when appropriate. We
provide the large print brochures to individuals who have visual impairments. We also have Ombudsman
brochures that we distribute that specifically explain Resident Rights when they live in an assisted living
facility or nursing home.
f) Does your agency have a brochure describing VRA? ❑ Yes ® No
If "yes", list the languages in which your brochure is available. See SECTION I. ATTACHMENTS
g) If you agency does not have a brochure describing VRA, please indicate if your agency utilizes
brochures from other agencies. See SECTION I ATTACHMENTS VRA brochures SHOULD be
included in the application (all languages). DO NOT INCLUDE VICTIM COMPENSATION
BROCHURES TO YOUR APPLICATION.
"Crime Victims Have Rights," from DCJ website: http://dcj.ovp.state.co.us/home/victim-rights.
13
SECTION G - BUDGETARY INFORMATION:
All Budget pages MUST be completed. All figures should be rounded to the nearest dollar.
17. Have you received 19th JD VALE Funding for this project? ® Yes ❑ No
GRANT YEAR
AMOUNT AWARDED
AMOUNT OF FUNDS RETURNED
( not used during grant cycle)
2016-2017
$10,000
0
2015-2016
$9,000
0
2014-2015
$9,639
0
2013-2014
$12,000
0
18. What is the projected cost per client served (cost/benefit ratio)?
Funds requested divided by number of victims projected to serve = cost per client
$12,000 divided by 90 = $133.33 cost per client.
19. RESPONSIBLE PARTIES:
a) List the two individuals who are responsible for ensuring the grant is
administrated as proposed by the organization and approved by the VALE Board.
NAME
TITLE
PHONE
EMAIL
Eva Jewell
AAA Division
Head
(970) 400-6101
ejewell@weldgov.com
Raegan
Maldonado
Ombudsman
Supervisor
(970) 400-6128
rmaldonado@weldgov.com
b) Who (give name and title) in your agency is responsible for reviewing agency bank statements
against agency financial reports for accuracy of financial information?
Chris D'Ovidio
County Accounting
20. What controls and processes does your agency have in place for writing checks? The answer should
include information including: who in the agency is authorized to request a check, who is authorized to
write a check, who is authorized to sign a check, whether or not dual signatures are required on any
checks, and whether or not a person authorized to write a check could sign a check to themselves.
Weld County has separate processes in place to order goods and services, authorize payment, approve
payment and write checks. Program personnel order goods and services with the assistance of the
county purchasing office. After the order is received, an invoice is sent to the department fiscal office
where the accounts payable staff verify the delivery of the item, obtain authorization for payment and
code the payment in the accounting system. Approval of the payment is completed by a departmental
accounting supervisor and the central county accounting office verifies the approval and writes the check.
The system of internal control ensures that authorization, approval and disbursement are done by
different offices; no checks are authorized and written by the same individual.
21. What process does your agency have in place to reconcile financial information with the quarterly
VALE Financial Report?
The Ombudsman Supervisor submits a request to the Weld County Human Services fiscal department,
requesting that the fiscal department complete the required information/paperwork. The completed
information is then reviewed by the Ombudsman Supervisor, the AAA Department Head, and the
Financial Officer. The AAA Department Head and the Financial Officer sign the quarterly VALE financial
reports.
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