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HomeMy WebLinkAbout20162774.tiffRESOLUTION RE: APPROVE ANNUAL PROGRAM PLAN FOR CHAFEE FOSTER CARE INDEPENDENCE 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 an Annual Program Plan for the Chafee Foster Care Independence 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, to the Colorado Department of Human Services, Division of Child Welfare Services, commencing October 1, 2016, and ending September 30, 2017, with further terms and conditions being as stated in said plan, and WHEREAS, after review, the Board deems it advisable to approve said plan with the condition that eligibility requirements will remain as is for the service period of this Plan and the County will not fund services to individuals over the age of 21, 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 Annual Program Plan for the Chafee Foster Care Independence 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, to the Colorado Department of Human Services, Division of Child Welfare Services, be, and hereby is, approved, conditional upon the understanding that the County will not fund services to individuals over the age of 21 under this Plan. BE IT FURTHER RESOLVED by the Board that the Acting Chair Pro-Tem be, and hereby is, authorized to sign said plan, as amended. cc, '• HS O C ZeG %GYYI l S f3J tO I (DO 1 (Co 2016-2774 HR0087 RE: ANNUAL PROGRAM PLAN FOR CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 31st day of August, A.D., 2016. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:ddrAtA) Weld County Clerk to the Board BY: APP Deputy Clerk to the Board 1 ve eAl7 ounty Attorney Date of signature: Cl( '€'/UI EXCUSED Mike Freeman, Chair ro-Tem bara Kirkmeyer Steve Morenot&Zons_e„sr- 2016-2774 HR0087 Catract :ED (doh p MEMORANDUM DATE: August 18, 2016 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Department of Human Services' Child Welfare Chafee Foster Care Independence Program (CFCIP) Collaborative Services Plan and Projected Budget, SFY 2016-2017 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 Departments' Child Welfare Chafee Foster Care Independence Program (CFCIP) Collaborative Services Plan and Projected Budget, SFY 2016-2017 (attached). The CFCIP is a federally funded program that provides age appropriate independent living services to youth who are in out -of -home placement. Currently, the program serves youth from the ages of 14 through 21. Funds from the Chafee program can be used to provide direct services to assist with self-sufficiency. Examples include incentive gift cards for attending life skills workshops, food for the evening workshops and items that may be needed by a youth to move into an apartment of their own. The Chafee program collaborates with additional community resources in order to avoid duplication of services. Up to 30% of the awarded funds may be used to assist with housing costs for youth who are in the aftercare category of the program. The attached Chafee Foster Care Independence Program (CFCIP) Collaborative Services Plan has been developed in accordance with State Department of Human Services rules and will be submitted to the Colorado Department of Human Services, Division of Child Welfare for approval. The plan is effective October 1, 2016 through September 30, 2017. If the plan is approved, the projected Federal fiscal award to Weld County will be approximately $91,761.00 and will be subject to change. This amount is a 4% decrease in funding and is reflected statewide. This program relies on the Child Welfare Block Grant to augment funding and to pay for the two existing full time staff. The funding for the program is already stretched; however, CDHS is considering expanding the program by providing services to youth up to age 23. We will be recommending to the Board to fight this expansion and to note that funding for this program is not sufficient. I do not recommend a Work Session. I recommend approval of this Plan. Sean Conway Steve Moreno Barbara Kirkmeyer Mike Freeman Julie Cozad Approve Request BOCC Agenda Work Session 4 4 _ 2016-2774 Pass -Around Memorandum; August 18, 2016 (ID 662) Page 1 COLORADO Office of Children, Youth. & Families Division of Child Welfare REQUEST FOR STATE APPROVAL OF PLAN Please complete all portions of the plan for the Chafee Foster Care Independence Program (CFCIP). This CFCIP collaborative plan is hereby submitted for Weld COUNTY (Indicate host county name), for the performance period of October 1, 2016 through September 30, 2017. The Plan includes the following: o Completed and Signed "Request for State Approval" form o Completed "2016-2017 Program Plan Cover Page" form o Completed "Statement of Assurances" form o Completed "Narrative Summary and Program Description" form o Completed and Signed "Regional Collaborative MOU(s)" (if applicable) o Completed "Financial Pre -award Questionnaire" form o Completed "Budget and Budget Justification Form Workbook" • Completed "Population to be Served" Worksheet • Completed "Budget Template" Worksheet • Completed "Workload Worksheet" (for each worker) This Chafee Foster Care Independence Program Collaborative Services Plan has been developed in accordance with State Department of Human Services rules and is hereby submitted to the Colorado Department of Human Services, Division of Child Welfare for approval. If the enclosed proposed Chafee Foster Care Independence Program Plan is approved, the plan will be administered in conformity with its provisions and the provisions of State Department rules and plan requirements. Contact Information: Primary Contact: Name: Kelly Krause Title: Youth Permanency Supervisor Supervisor/Administrator Contact: Name: Gabrielle Arreola-Brighton Title: Chile Protection Permanency Manager Accounting Contact: Name: Lennie Bottorff Title: HS Division Head Business/Fiscal Phone: 970-400-6289 Email: krausekc@weldgov.com Phone: 970-400-6230 Email: brightgm@co.weld.co.us Phone: 970-400-6537 Email: bottorll®co.weld.co.us By signing below you verify that the information provided in this plan is correct and current and the county agrees to provide services in accordance with this plan. Your signature also acknowledges agreement to the statement of assurances found herein. If two or more counties propose this plan, the required signatures below are to be completed by each participant county. Please attach an additional signature page as needed. Signat u vvW J .r TOR, CO NTY,PE RTMENT OF HUMAN SERVICES F/sipOiCt AUG 3 1 2016 Signature, Pro-Tem, Weld Co t' ty Commissioners DATE Page 1 of 26 ,A0/l0-2774 COLORADO Office of Children, Youth Et Families Division of Child Wetfar-- CHAFEE FOSTER CARE INDEPENDENCE PROGRAM (CFCIP) 2016-2017 PROGRAM PLAN COVER PAGE Period of Performance: October 1, 2016 to September 30, 2017 • Chafee Case Management and Support Services • Education and Training Voucher (ETV) Services • National Youth in Transition Data Base (NYTD) Services Host County Name: Weld County Fiscal Agent: Host County DUNS Number: 075757955 Regional Chafee Collaborative Counties (if any) Collaborative Counties: 1. 2. 3. 4. 5. Contracted Agency Name (if applicable) Name of Agency Contracted to Provide CFCIP Services on behalf of the County: Agency Name: Page 2 of 26 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN STATEMENT OF ASSURANCES The following County(ies): assure that, upon approval of the Chafee Foster Care Independence Program Collaborative Services Plan and notice of funding, the following wilt be adhered to in the implementation of the CFCIP Collaborative Services Plan: Chafee Foster Care Independence Program - Federal and State Required Statement of Assurances: 1 Funds shall be used exclusively for the purposes specified in the plan; 2. Funds shall not be used to supplant, duplicate, or replace existing child welfare funds and; 3. Funds shall not be used for county budget shortfalls; 4. Assistance and services shall be provided only to Chafee-eligible youth [PL 106-109, Section 477(b)(3)(A)] and [PL 110-351] on a voluntary basis; Not more than 30 percent of the amounts allocated for CFCIP for a fiscal year (performance period) will be expended for room and board for youth who have left foster care because they have attained 18 years of age and have not attained 21 years of age [PL 106-109, Section 477(b)(3)(B)]; 6. None of the amounts paid to the County Department from its Chafee award will be expended for room and board for any child who has not attained 18 years of age [PL 106-109, Section 477(b)(3)(C)]; 7. The County Department will make every effort to coordinate the CFCIP program receiving funds with other Federal and State programs for youth (especially transitional living youth projects funded under part B of Title III of the Juvenile Justice and Delinquency Prevention Act of 1974), abstinence education programs, local housing programs, programs for disabled youth (especially sheltered workshops), and school -to -work programs offered by high schools or local workforce agencies [PL 106-109, Section 477(b)(3)(F)]; 8. Adolescents participating in the program under this section will participate directly in designing their own program activities that prepare them for independent living and the adolescents will be required to accept personal responsibility for living up to their part of the program [PL 106-109, Section 477(b)(3)(H)]; 9. The County Department will enter data on services into the State automated reporting system (Colorado Trails); 10 The County Department will assure that National Youth in Transitions Database (NYTD) program evaluation and youth survey requirements are met; and 11 Ensure all youth 18 to 21 have documents that demonstrate legal presence in the United States before CFCIP services are provided. The County's Chafee Foster Care Independence Program (CFCIP) services plans are required to be approved annually. Given that services are not standardized across counties, it is important to provide detailed bullets of information about a County's projected services. According to Volume 7, the Chafee Foster Care Independence Program (CFCIP) is a federally funded statewide independent living program that is county administered. The purpose of the Chafee Foster Care Independence Program is to provide age appropriate independent living resources to youth in out -of -home care who are at risk of aging out of foster care. These services shall supplement existing independent living resources and programs in county departments, residential child care facilities and child placement agencies, and by federal statute, shall not replace or duplicate existing services. Chafee Foster Care Independence Program funds shall not be used for room and board for a youth under eighteen (18) years of age. Page 3 of 26 7.305.41 County Responsibilities [Rev. eff. 11/1/15] A. The designated host county department shall submit a county plan for State approval. B. The county department shall comply in format, content, and time lines with the instructions for Chafee Foster Care Independence Program plans as published by the State Department in an agency letter which will also contain required instructions for program and financial reporting. C. The county department shall administer the State approved plan in accordance with provisions of the plan. D. Funds shall be used exclusively for the purposes specified in the plan. E. County departments must submit amendments to approved plans when the county is proposing to add or delete a service to the plan. The county department shall submit amendments of the Chafee Foster Care Independence Program plan for approval to the State Department no less than thirty (30) business days before the amendment is to be effective. F. The county department shall consider the following factors, in the prioritization of Chafee services on an individual basis: 1. Risk or history of human trafficking; 2. Risk or history of homelessness; 3. Whether the youth was emancipated from Child Welfare or exited the division of Youth Corrections after attaining age eighteen (18), or is expected to do so; 4. Previous participation in Chafee services or transfer of services from another county or state; 5. Enrollment and progress in educational programs, internships or apprenticeships; 6. Enrollment and progress in workforce innovation and opportunity act programs or workforce development activities; and, 7. Connection to permanent, supportive adults and personal support systems. 7.305.42 Eligibility [Rev. eff. 11/1/15]. To be eligible for Chafee Foster Care Independence Program (CFCIP) services, the youth must: A. Meet Program Area 4, 5, or 6 target group eligibility requirements, in a non -secure setting, with the Division of Youth Corrections, or meet requirements for ongoing Chafee services in the state where the youth emancipated, was adopted or entered Relative Guardianship, if other than Colorado. B. Be at risk of aging out of foster care which includes youth: 1. Currently in out -of -home care, fourteen (14) up to eighteen (21) years of age, and in out -of- home placement for a minimum of six (6) months if under age seventeen (17). Consecutive months are not required; 2. Age sixteen (16) to twenty-one (21), who meet requirements for Relative Guardianship Assistance and entered Relative Guardianship on or after age sixteen (16); 3. Age sixteen (16) to twenty-one (21), who meet requirements for Adoption Assistance and entered Adoption Assistance on or after age sixteen (16); 4. Age eighteen (18) to twenty-one (21), who were in out -of -home care on their eighteenth (18th) birthday. C. Have a current Family Services Plan in the State Department's automated system. For youth who emancipated, were adopted or entered Relative Guardianship in another state, have documented verification of eligibility from the state where the youth's case was closed. For youth who entered into a Relative Guardianship or Adoption Assistance agreement at age sixteen (16) or older, the following may be used in lieu of a Family Services Plan: 1. The Relative Guardianship or Adoption Assistance agreement; or, 2. An Independent Living Plan developed on or prior to the eighteenth (18th) birthday. D. Participate on a voluntary basis. The youth may decide to refuse services, but shall be entitled to reconsider his or her choice and receive services at a later date. E. Follow the plan developed with the youth and the county department regarding participation in the Chafee Foster Care Independence Program. CFCIP Program eligibility shall be determined in accordance with up-to-date Volume 7 regulations throughout the service period. However regardless of any changes to Volume 7 regulations during this service period, Weld County will not consider for eligibility or fund youth over the age of 21 under this program. Page 4 of 26 NARRATIVE SUMMARY AND PROGRAM DESCRIPTION 1. Independent Living Programs and Services Overview A) Briefly describe the county's independent living programs and services, including efforts to prepare youth in out -of -home care for transition from a structured environment to living on their own, and efforts to build life skills and self-sufficiency competencies. (Do not include Chafee services in this description) WCDHS workers utilize programs through United Way RITE (Reaching Independence through Education) program, Employment Services WIOA (Workforce Innovations and Opportunity Act) program, CORE services, EOC (Education Opportunity Center), Goodwill, SAFY (Specialized Alternative for Families and Youth), Shiloh (Pathways to Success). B) Briefly describe how the county CFCIP program enhances services already provided by the county including what services have been put in place to work with CFCIP-eligible fourteen (14) year olds. WCDHS Chafee workers continue to collaboratively work with most programs to bring them in-house for our youth. We work closely with providers as a multidisciplinary team to meet the youths individualized needs. Bring those providers to the table for TDM/FEM, Permanency Round Tables and Youth Voice meetings. We provide additional workshops and referrals to enhance financial opportunities. 2. Identification and Outreach: A) Describe in bulleted detail how the program will identify and engage youth eligible for Chafee services in each of the eligible populations. Notes: Recommended Standards of Practice - Identification and Outreach Processes: 1) Monthly review the County's Trails R570 Adolescent Care Exceptions Report to determine eligible youth and contact the caseworker. 2) Periodically review ETV listings provided by the State to determine Chafee-eligible youth at local vocational programs and colleges in your county or region and offer support. CFCIP-Eligible Service Populations Identification and Engagement Efforts 1) Youth, been in minimum consecutive (7.305.42(B)(1)). out of age -of 6 months 14 -home to months, 17, who care not required a have Referred Team and contact Chafee support Adolescent Decision made being and to Chafee services with a meetings Care voluntary youth, by Exceptions focused DHS (TDM), assessment program, CW on the through Crystal Report. completed Transition outcomes Family Reports, Outreach Plan in the Engagement with Permanency process: discussion created, Transition Referral Provide meetings Round regarding Plan. (FEM), Tables received, on -going 2) Youth, been month (7.305.42(6)(1)). in out requirement age -of 17 -home to 21, who care, no have Referred Team and contact Chafee support Adolescent Decision made being and to Chafee meetings Care with a voluntary services by Exceptions youth, focused DHS (TDM), assessment program, CW on through the Crystal Report. Transition outcomes completed Family Reports, Outreach in Plan the Engagement with Permanency process: discussion created, Transition Referral Provide meetings Round regarding Plan. received, on -going (FEM), Tables 3) Adoption age Youth, 16 (7.305.42(6)(3)). age 16-21, Assistance who entered on or after Referred TRAILS/Crystal with voluntary youth, to Chafee assessment program, Report. by Transition DHS Outreach completed Adoption Plan process: with created, CS: Monthly discussion Referral Provide regarding Administrative received, on -going contact Chafee support review being made and list a Page 5 of 26 services focused on the outcomes in the Transition Plan. 4) Relative on (7.305.42(B)(2)). Youth, or after age Guardianship age 16-21, 16 who entered Assistance Referred Tables, youth, voluntary services assessment Kinship focused to program, Chafee CW. completed on by the Outreach Transition DHS outcomes CW with Plan process: State in discussion created, the ETV Referral Transition list, regarding Provide TDM, received, Plan. on -going Permanency Chafee contact support being made Round a and with 5) were their (7.305.42(B)(4)). Young in 18th out adults, birthday -of -home age 18-21, care who on Referred Tables, process: discussion created, Transition and Provide to Referral regarding Plan. Chafee Youth received, on -going by Voice Chafee DHS Round contact support CW, being Tables. State and made a voluntary services ETV NYTD with listing, youth, and program, focused TDM, self assessment -referrals. on Transition the Permanency outcomes Outreach completed Plan Round in with the requirements community consecutive or in 18th 5) community Youth minimum an Youth, were unlocked birthday Corrections, age of community placement placement 6 months (7.305.42(A)). 14-21, for months, facility the and not who Division for placement on meet were required; their in a of received, regarding Referred on -going to contact Chafee support Chafee made being and by services DYC with a voluntary State youth, focused ETV listing. assessment program, on the outcomes Outreach completed Transition in process: Plan with the created, Transition discussion Referral Provide Plan. in B) Describe (in bulleted format) how the county will verify a youth meets the citizenship or qualified alien requirements before accessing CFCIP services. At the time of their referral to the program, each applicant must verify lawful presence in the United States by the following: 1) Produce either: a. Valid Colorado Driver's License or a Colorado Identification Card issued pursuant to Article 2 of Title 42, C.R.S.; OR b. A United States Military Card or Military Dependent's Identification Card; OR c. A United States Merchant Mariner Card; OR d. A Native American Tribal Document; OR e. Any other document authorized by rules adopted by the Department of Revenue; AND 2) Execute an Affidavit stating that: a. He or she is a United States citizen or legal permanent resident; OR b. He or she is otherwise lawfully present in the United States pursuant to the federal law. C) Describe the county's procedures for prioritizing services in the event that demand for services exceeds your programs capacity. Address how the following factors will be considered in prioritization of services. • Risk or history of human trafficking • Risk or history of homelessness • Emancipation or risk of emancipation from child welfare or exit from the Division of Youth Corrections after age eighteen • Previous participation in Chafee services or transfer of services from another county or state • Enrollment and progress in post -secondary educational activities, internships or apprenticeships • Enrollment and progress in workforce development opportunities Page 6 of 26 WCDHS does not anticipate having a wait list. We have two full time employees and access to a Disability Specialist to individualize Transition Plans for youth referred to the Chafee program. We offer two options a month for ILP workshops and individualized work with youth. Our 14 year olds will be invited to the Voluntary program once a month provided in collaboration with the RITE program. 3. Program Narrative: Describe in bulleted detail and short summary how the program will design and deliver individualized services to achieve the purposes below. A) Legal permanency and lifelong connections 1) Describe how the program will help young people identify, develop, and strengthen relationships with family, kin, mentors, and other supportive adults, including your program's use of the Youth Connections Scale and other tools to support the development of lifelong connections. Chafee workers provide monthly independent living workshops. In addition to the many issues that are covered, workshops also address issues related to appropriate social skills, maintaining relationships, techniques for reaching out to others, and developing their own social traditions. Beginning with their initial involvement in a case, Chafee workers begin educating foster and adoptive parents, placement staff, caseworkers, and kinship providers regarding the importance of their continuing involvement and support of youth after they leave the child welfare system in order to support their successful emancipation. Chafee workers participate in TDM's, Family engagement meetings, permanency round tables, youth voice permanency round tables, monthly staffings and permanency reviews in order to develop appropriate planning related to emancipation from child welfare and to prepare for appropriate permanency and ongoing supportive relationships. Chafee workers may work with youth who meet requirements for Adoption or Relative Guardianship Assistance, and entered Relative Guardianship on or after age fourteen, in order to support those permanent relationships so that youth have a strong foundation that prepares them for eventual emancipation and self-sufficiency. B) Wellbeing 1) Describe the services the program will provide to help youth meet their physical, dental and mental health needs. Include your program's efforts to educate and enroll youth in Former Foster Care Medicaid. The Weld County Chafee workers utilize many of the services offered by The Public Health Department. Chafee workers connect youth to services provided by Public Health, including information and resources on sexual health strategies. Chafee workers include programming provided by Public Health in independent living groups, monthly workshops and individually with youth. Chafee also works with caseworkers, foster parents, and kinship providers in order to encourage the youth's ongoing education regarding personal hygiene, regular health care checkups, how to make appointments, and creating a portfolio of the documents needed to access services successfully. 2) Describe the services the program will provide to help young people make informed sexual health decisions and meet their sexual health needs. Chafee workers connect youth to services provided by the Public Health Department, including information and resources on sexual health strategies. This will be a subject in a particular workshop Page 7 of 26 (topic of conversation), one on one discussion, refer to their primary care physician and if needed will refer to other community resources. 3) Describe the services and supports the program will provide to young people who are pregnant and parenting. Chafee workers connect youth to services provided by community resources, appropriate medical professionals and parenting classes. Chafee workers will refer to primary care physician, the Public Health programs and community resources. If specific needs can refer to CORE services for assistance. 4) Describe the services the program will provide to help young people make healthy relationship decisions. Chafee workers will offer specific topic workshops, one on one discussion, and referrals to community resources. Refer to other community groups through UNC and AIMS colleges for specific supports. 5) Describe the services the program will provide to help young people make healthy lifestyle decisions. Chafee workers will offer specific topic workshops, one on one discussion, and referrals to community resources. Also refer to specialized community support groups and resources. Refer to Medicaid services or CORE services depending on the need or decisions being made for extra support. 6) Describe how your program will collaborate with family, kin, mentors, other supportive adults, community health and mental health centers, and community partners to support the wellbeing of young people in the program. Chafee worker will be involved in monthly staffing with caseworkers and other multidisciplinary team members, TDMVI, FEM, Permanency Round Tables, Youth Voice Permanency Round Tables, ARD, Community meetings, school meetings. Continue to build collaborative relationships with those support systems to the youth in or outside the home. 7) Describe how your program will collaboratively serve young people with physical and developmental disabilities. WCDHS has collaborative relationships with community agencies that specialize in working with individuals with disabilities. Chafee staff will work with these agencies to meet the special needs of our youth. WCDHS has a Disability Specialist that will be able to collaborate with staff to individualize projects to meet needed accommodations. 8) Describe how the program will support the cultural and linguistic needs of the young people you serve and unique ways in which your program will serve young people with varying racial and ethnic backgrounds, sexual orientations, and gender identities. Chafee workers will meet the linguistic issues of participants by providing interpreters as needed. All staff have access to the Language Line and multi-lingual employees can be available if needed. The Chafee Assessment provides individual information regarding racial and cultural identifiers and practices. Specific needs will and are being incorporated into group and one on one interaction with workers. Page 8 of 26 C) Safe and stable housing 1) Describe how the county uses Independent Living Arrangements (ILA) and other transitional living services to help youth develop self-sufficiency skills prior to emancipation. Address any ways in which the county uses ILA to support connections with supportive adults. The team looks at youth placed in specialized GH/FH that address independent living skills with support. Chafee workers assist youth to explore Job Corp as an option for independence with support. 2) Describe the housing supports, including financial assistance (fees, deposits, rental assistance, and emergency funds), referral services, and assistance locating housing, the program will provide to help youth secure safe and stable housing. Weld County Chafee will work with the Family Unification Program to ensure all eligible youth have completed applications for a FUP voucher. Staff will also refer individuals to the Community Services Block Grant (CSBG) before accessing Chafee funds for housing assistance. Through the grant, for a total of the 30% of the allocations, Chafee will offer temporary housing, rental deposit, and food. The amount will not exceed $480 per participant per year and is only available if the funds are available. Payment will be made directly to the vendor through a voucher. This expenditure will be approved by the Chafee worker and the Youth Services Permanency Supervisor. Through the grant, Chafee will offer temporary Emergency Economic Assistance when all other resources have been exhausted or are unavailable. The goal of the use of these funds is to continue to encourage the youth to be self- sufficient, provide a temporary safety net for unexpected needs and help youth avoid homelessness. These funds cannot be used for purposed of room and board but for items such as new worker boots, employment license fees, assist temporarily with emergency medical co -pay fees, and tuition for training or a class for employment. The amount will not exceed $480 per year per youth and is only available if the funds are available. 3) Briefly describe barriers to securing safe and stable housing in the communities you serve and efforts your county is engaged in to address those barriers. Chafee workers continue to do outreach to the Housing Authority and collaborate closely with the FUP (Family Unification Program) voucher program through United Way/North Range Behavioral Health. Chafee workers communicate with community landlords to educate about the needs of Weld County youth. They also intervene and assist youth with communication with landlords to mediate issues. The Chafee and other staff work together investigating alternative options (including diligent searches). 4) Describe ways in which the program will collaborate with family, kin, mentors, supportive adults, housing authorities, or community partners to help young people secure safe and stable housing. Chafee workers will work with each youth and the youth's supportive people on an individual basis. Chafee will be involved with monthly staffing, TDM, FEM, Round Tables and Youth Voice Round Tables. Chafee workers will collaborate with case involved members of the team in coming up with creative and supportive plans for youth. Chafee staff continue to support and participate on various community youth boards. Page 9 of 26 D) Secondary educational attainment 1) Describe how the program will support or encourage young people as they work to complete their high school diploma or GED. The Chafee workers will mediate and support eligible Chafee youth's relationships with secondary educators in order to encourage the successful completion of their high school or HSE programming. They also connect youth to appropriate educational services offered in the community such as: special education assessments, transitional education programming, tutoring through AIMS, UNC and Rodarte Center, the GAP or private program, alternative schools, the Workforce Innovations and Opportunity Act (WIOA), Job Corps, and Division of Vocational Rehabilitation (DVR). 2) Describe ways in which the program will collaborate with family, kin, mentors, supportive adults, and education and community partners to support the achievement of high school diplomas or GEDs by youth in your program. Weld Chafee workers participate in and support youth participation in the Annual Celebration of Educational Excellence and the Annual College Connect Conference as they encourage and celebrate the youth's educational successes and dedication. Weld County will also recognize all individuals who have achieved success with High School or High School Equivalency and are involved with the Child Welfare Division within the County. E) Post -secondary training and educational attainment 1) Describe how the program will support and encourage young people as they work to complete their postsecondary educational goals. The Chafee workers use their alliance with youth in order to successfully promote the necessity of post- secondary training and education by helping youth research employment opportunities and the requirements for them. They assist the youth in visiting post -secondary training and education alternatives, facilitating meetings with faculty, counselors and other youth. Chafee workers provide referrals to assist youth with completing enrollment applications/forms and or financial aid applications related to ETV funds, FASFA, and scholarships. Chafee workers help youth manage their stipends, self- sufficiency budgets, and scheduling so that they can keep up with their education planning. 2) Describe how the program will collaborate with family, kin, mentors, supportive adults, institutions of higher education, and community partners to support the achievement of postsecondary certifications or degrees by youth in your program. Chafee workers are very involved in disseminating information throughout the Department regarding the importance of Educational Training Vouchers for youth who are preparing for post -secondary educational opportunities. They provide information to workers related to financial aid. Chafee workers will collaboratively work with supports regarding youth in order to problem solve any issues, communicate processes and opportunities, continued education regarding financial assistance, encourage motivation, resources available (tutors, study groups, etc), and assisting youth with organizational skills. Chafee workers assist youth on time management skills to maneuver through work, school and family. Chafee workers assist youth with crisis intervention and transportation issues that arise. The Chafee worker will continue to meet with the support team to further identify needs. Page 10 of 26 F) Adequate employment 1) Describe how the program will help young people gain the experience and skills needed to be employed, ways your program will help young people locate job opportunities, and ways your program will help employed youth maintain employment. Chafee workers provide monthly support and information meetings that provide information on pre- employment processes, interviewing and job seeking skills and post -employment supports. The Chafee worker connects the youth with county contacts such as the Workforce Center and WIOA, Goodwill Career Center, SWAP and Division of Vocational Rehabilitation. 2) Describe how the program will collaborate with family, kin, mentors, supportive adults, local workforce centers (WIA / WIOA), and community based workforce programs to help youth prepare for and attain adequate employment. Chafee workers will collaborate with supportive parties to communicate barriers or issues as they arise. G) Financial stability 1) Describe how the program will work with youth to develop a functional knowledge of budgeting, money management, and basic financial literacy. Chafee provides eligible youth with an individualized, comprehensive assessment that identifies strengths and deficits relative to financial management. All youth involved in Chafee must develop and maintain a self—sufficiency budget. That budget is reviewed monthly with the Chafee worker and the assigned DHS caseworker. Chafee workers will provide monthly support and information meetings that provide information regarding these skills. Chafee staff will work with youth on an individual basis depending on level of skills. The Department will refer to our Disability Specialist if and when we need to customize services to meet the needs of an individual. Youth will be given individualized assignments to complete based on their identified needs in the IL Plan. WCDHS collaborates with the United Way RITE program to offer monthly information meetings. 2) Describe how the county will provide youth in out -of -home care with practical money management experience prior to emancipation or discharge. The WCDHS will complete the self-sufficiency budget with youth and have identified saving goals on the IL Plans. The workers collaborate with all involved parties to work on their identified financial goals. 3) Describe ways in which the program will help young people manage their personal finances. Chafee provides programming related to teaching youth about money management, budgeting, self- sufficiency, financial institutions, and benefits to saving, savings mechanisms, and financial aid. The information is provided at youth groups and individually. Chafee workshop presentations are broken down by the Chafee worker in individual sessions with youth to ensure comprehension so that the information becomes a part of the youths skill set through practice and supportive supervision. Page 11 of 26 4) Describe how your program will collaborate with family, kin, mentors, supportive adults, financial literacy programs, and community partners to support the financial education and decision making needs of young people in the program. Chafee workers will collaborate with supportive parties to communication barriers or issues as they arise. H) Successful transition to adult self-sufficiency. 1) Describe ways in which the program promotes and supports normalized experiences among young people through age or developmentally appropriate activities. Weld County promotes and supports normalized experiences among young people by providing monthly workshops covering areas of life skills that will be a benefit to them as they move into adulthood and emancipate. The program does this through collaboration with the RITE program and offers the workshops twice per month. The workshops are offered both on site at the agency and out in the community to give youth options for broader opportunities in their community. In addition, the RITE sponsored workshops allow Chafee youth to have friends and siblings attend with them. Chafee youth are encouraged to attend events in the community such as; hiring events, job fairs, leadership seminars, and other learning environments. 2) Briefly describe any group classes or activities including the name of the group, purpose of the group, intended audience, expected frequency and length of time, and name of the curriculum used for the group, if applicable. Workshops for Chafee youth will be held on each 2nd and 4th Wednesday of the month and will last for approximately 90 minutes. There is a specific curriculum for our 14-16 year olds that will begin as an orientation program that will feed into the older (16-21 year olds) program. Weld County will cover topics of housing, employment, leases, taxes, cooking, shopping, banking, credit information, and others. 3) Describe any services not addressed previously in this section that the program will provide to help young people develop life skills and self-sufficiency competencies. N/A 4) Describe collaborative partnerships or leveraging of resources not addressed previously in this section. Resources will be leveraged with the RITE program to provide incentives for the workshops that are collaborated on. 4. Targeted Service Delivery: According to the Midwest Evaluation of the Adult Functioning of Former Foster Youth (Chapin Hall, 2011), the functioning for former foster youth may be generally described in terms of subgroups and characteristics that provide general insights into their specific needs and the potential services they will need. These types may be dynamic but may be used as a guide for programming. Every youth's needs are unique and are to be addressed on an individualized basis. Page 12 of 26 1. Describe in short, bulleted detail how the program may meet the unique needs of each of the subgroups of foster care youth through targeted service delivery. Subgroup Characteristics Targeted Service Considerations Accelerated • Most likely to live on their own in stable Weld County Chafee workers provide eligible youth Adults o • housing One-third experience homelessness with: • Individually tailored, comprehensive, 36.3/ • • • • Likely Most Most Low rate likely likely to have of to to criminal attend be a high employed school college convictions diploma • hands supports. A identifies comprehensive on, incentivized strengths assessment and interventions deficits that related and to • One-third receive food stamps appropriate independent living skills sets. • Two-thirds are female • A the youth youth to specific and the prepare their unique and Transition them support adult needs for self-sufficiency. of successful Plan team each that towards youth guides in order emancipation meeting Struggling • Half have their own place / Half live with Weld County Chafee workers provide eligible youth Parents others with: 25.2% • Most likely to be married or Cohabitating • Individually tailored, comprehensive, • • Most Low have level resident of social children supports hands supports. on, incentivized interventions and • Least school likely to be currently enrolled in • A comprehensive assessment that • Least likely to finish high school or attend identifies strengths and deficits related to • toile Lowest g e rate of employment appropriate • Ayouth specific independent P Transition living skills Plan that sets. guides • Low rate of criminal convictions the youth and their support team towards • Most likely to receive need based meeting the unique needs of each youth in government benefits order to prepare them for successful • Three -fourths are female emancipation and adult self-sufficiency. Emerging • Most likely to live with family or friends Weld County Chafee workers provide eligible youth Adults • Least likely to be homeless with: 21.1% • Least likely to be married • Individually tailored, comprehensive, • Least likely to have a child hands on, incentivized interventions and • Most likely to have strong social supports supports. • Likely to have finished high school and • A comprehensive assessment that have at least some college identifies strengths and deficits related to • High rate of employment appropriate independent living skills sets. • Lowest rate of criminal convictions • A youth specific Transition Plan that guides • Over half are male the youth and their support team towards meeting the unique needs of each youth in order to prepare them for successful emancipation and adult self-sufficiency. • Most likely to be homeless or experience Weld County Chafee workers provide eligible youth Troubled and residence mobility with: Troubling • Half have children but not living with their • Individually tailored, comprehensive, 17.5% children hands on, incentivized interventions and • Lowest levels of social support supports. • Two -fifths have not finished high school• • Only one -tenth have some college A comprehensive assessment that • Least likely to be currently employed identifies strengths and deficits related to • High likelihood of conviction after age 18 appropriate independent living skills sets. • Most likely to be incarcerated or • A youth specific Transition Plan that guides institutionalized the youth and their support team towards Page 13 of 26 • Have mental health, substance abuse issues • Highest rate of victimization • Mostly male meeting the unique needs of each youth in order to prepare them for successful emancipation and adult self-sufficiency. 5. Program Goals and Objectives: List the program goals and objectives for this plan period. Program goals and objectives should be specific, measurable, achievable, realistic, and time -limited (SMART). Sample Goal: 90% of youth served by the county Chafee program who are enrolled in post- secondary education programs during the spring semester will apply for the Educational and Training Voucher (ETV) by March 31, 2016. Sample Objective: Provide youth who are on -track to graduate with a high school diploma or GED with written information about Educational and Training Vouchers. Goal 1: Education: 50% of appropriate Weld County Chafee youth will avail themselves of the any educational, vocational, and technical and certificate programs available to them. Objective A: Chafee youth will receive either their high school diploma or GED. Objective B: Chafee youth will actively participate in seeking out secondary educational, vocational or certificate programs. Objective C: Chafee youth will participate in some form of secondary educational opportunity before they turn 21. Goal 2: Employment Stability: 50% of appropriate Weld County Chafee youth will be gainfully employed, either full or part-time by the time they turn 21. Objective A: Pre -employment skills: Chafee youth will demonstrate that they have the technical ability to apply for a job, search on-line for jobs and submit applications for a job. Objective B: Post -employment skills: Chafee youth will demonstrate that they have a strong work ethic by showing up to work on time, not calling in to miss scheduled shifts, being on time to work and not quitting their job. Objective C: Money Management: Chafee youth will save at least 80% of each pay check. Before the youth turns 21, they will have $3000-$4000 in savings. Page 14 of 26 Goal 3: Permanent Connections: 75% of Chafee youth will have permanent connections on which to turn to in a time of need or crisis before they turn 21. Objective A: Reconnecting or staying connected: Chafee youth will stay connected with current supports, or if desired and appropriate, reconnect with family supports. Objective B: Building Community Supports: Chafee youth will know how to access services such as the Public Health Department, food bank, social services and the hospital before they turn 21. Objective C: When invited, Chafee workers will attend FEM, TDM, PRT and Youth Voice Round Table for Chafee youth 75% of the time in an effort to learn who possible permanent connections are for the youth and to promote the maintenance of those connections with the youth. 6. Youth Involvement in Agency Improvement Planning Efforts A. Describe how the following positive youth development principles will be incorporated into the program. • Strengths -based - Taking a holistic approach that focuses on the inherent strengths of an individual, family or community, then building upon them. • Inclusive - Addressing the needs of all youth by ensuring that our approach is culturally responsive. • Engaging youth as partners - Ensuring the intentional, meaningful, and sustained involvement of youth as equitable partners in the programs, practices, and policies that seek to impact them. • Collaborative - Creating meaningful partnerships within and across sectors to effectively align our work. • Sustainable - Addressing long-term planning through funding, training, capacity building, professional development, and evaluation in order to ensure ongoing support and engagement of youth. Chafee workers attend bi-monthly youth services meetings, TDM, Family Engagement meetings, Permanency Planning reviews, Youth Voice Permanency Planning reviews, in order to develop a plan to ensure a continuum of care and to coordinate community and kinship supports and services. Youth have the opportunity to participate in all these planning reviews in order to provide information related to what interventions have been successful and what planning is needed to better address issues relative to permanency and self-sufficiency. Chafee workers have relationships with community organizations that provide services to emancipating youth, such as Realizing Independence Through Education (RITE), Mentoring programs, Rodarte Center, Goodwill, Housing Authority, United Way (FUP), University of Northern Colorado, AIMS Community College Admissions, WIOA, etc. Chafee workers transfer the alliance they have with youth to these providers in order to facilitate the youth's transition into successful participation in those identified services. Chafee workers support through mediation and by providing a communication hub, the relationships that youth are developing with providers and family members. Page 15 of 26 B. If the program has an established youth advisory board, describe the types of activities the board may engage in during the funding period. Include a description of how youth leaders will be compensated for their expertise, time, and performance (e.g. targeted stipends, recognitions, etc.). N/A C. Describe how youth have contributed to the development of this plan. Youth have the opportunity to participate in all these planning reviews (TDM, FEM, PRT, YVRT and monthly meetings) in order to provide information related to what interventions have been successful and what planning is needed to better address issues relative to permanency and self-sufficiency. Chafee worker develop, with eligible youth, an individually tailored, comprehensive, incentivized independent living plan based on a comprehensive assessment of the youth that identifies strengths and deficits related to appropriate independent living skills sets, so that the plan provides interventions that meet the unique needs of each youth in order to prepare them for successful emancipation and adult self-sufficiency. Incentives in their plan encourage youth to participate in youth development and leadership opportunities where their voice can benefit themselves and the community of emancipating youth. The youth receive support for their assigned Chafee and DHS caseworker in order to meet their goals. Youth are recognized for their efforts and successes during Chafee workshops, Court hearings, and DHS planning meetings. Those youth who demonstrate consistent t compliance with the objectives of their treatment planning, and who communicate openly and honestly with their treatment team, may be recognized by the Department with the opportunity to participate in an Independent Living Arrangement and the ability to earn and Independent Living Stipend. D. Describe how the program will engage youth in future County and Chafee program planning, service development, and evaluation. Chafee youth will be invited and encouraged to sit on various relevant Boards to have their voice heard. In order to increase leadership skills and opportunities youth are able to develop and lead monthly workshops for the group. Youth are required to complete and interest form at certain times of the year so the program can ensure topics of interest are covered at workshops. Chafee staff continuously seek honest feedback from participants on quality and relevance of information. 7. Training and Program Support A. Describe the training needs of staff in your program, ways in which your county will help staff develop skills to more effectively work with adolescents and young adults, and gaps in training opportunities offered through the Child Welfare Academy and in the community. Chafee staff are expected to attend all relevant trainings possible through various entities to enhance skills and knowledge of how to best assist the participant that are served. 8. Program Reporting A. Describe in buffeted detail how your county will engage foster parents and caseworkers to ensure full documentation of all independent living skill activities in Trails. County staff and foster parents will be trained on how to create an IL plan and the usefulness of completing the Ansel Casey assessment with all youth required. Information is documented in the youth's case file, during court reviews, foster care reviews, and in the Trails system. Page 16 of 26 B. Describe ways in which your county and program will support efforts to contact youth participating in National Youth in Transition Database surveys (Colorado Youth Experience Surveys) . Chafee staff will provide education to caseworkers, foster families and youth to ensure awareness of the NYTD requirements and benefits of participation after emancipation. While the youth is still in the care of the Department caseworkers and Chafee staff will contact individuals to have them complete the information either on their own or with the assistance of a supportive other. Page 17 of 26 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM REGIONAL MEMORANDUM OF UNDERSTANDING Date: This Memorandum of Understanding (MOU) is between County (Host County) and County (Partnering County) regarding the provision of Chafee program services. This MOU is entered into in order to clarify and define the roles and responsibilities for each County (listed above) in order to meet the requirements of the Chafee Foster Care Independence Program (CFCIP) regarding Regional County agreements for service delivery to CFCIP participants. It is the intent that by entering into this agreement that County (Host County) and County (Partnering County) mutually agree to adhere to State rules and Federal statutes and policies that apply to CFCIP. General Provisions: 1. It is expected that the Directors (or Director's designee) from both the Host County and the Partnering County sign this MOU. 2. It is expected that both Counties entering this agreement shall be responsible to communicate and coordinate with each other regarding case referral and to provide each other with pertinent information regarding the child and any other issues deemed necessary for effective and constructive service delivery. 3. The Host County shall be responsible for Trails documentation. 4. The Host County is responsible for providing funds for a Chafee participant being served by the Host County. 5. The Host County shall be responsible for documenting and tracking the Chafee funds disbursed and such funds shall be reflected in the Host County's annual reporting. 6. The Host County shall be responsible for expending funds per CFCIP and Federal guidelines, documentation of expenditures and reporting the annual expenditures in annual reports. 7. The Host County shall be responsible for compiling the annual individual data reports and submit them to the CFCIP Program Coordinator. 8. The writing and revision of Youth Transition Plans shall include the Chafee participant; care providers, and both the Host County and the Partnering County. 9. The Host County will agree to update the partnering County by use of Trails entry. 10. The Host County will provide any Chafee services determined necessary by the initial assessment in accordance with CFCIP regulations. 11. The Host County is responsible for initial follow up reports. 12. The Host County will inform the Partnering County of case closure through written documentation and will close the Independent Living case in Trails. 13. The Host County is responsible for providing a copy of the annual County Collaborative Chafee Plan to the Partnering County upon plan approval and ensures that expenditures are allowable costs. Specific Provisions: Page 18 of 26 1. Please list specific services to be provided by the Host County: 2. Financial agreements: The Host County receives a total regional award of $ for the County Collaborative Chafee Plan submitted by the Host and Partnering Counties to the Division of Child Welfare. This award includes an amount of $ available for Chafee services to be provided to Chafee eligible youth from the Partnering County and for which referral is made to the Host County by the Partnering County requesting services. Any funds not expended by August 31st shall be expended at the discretion of the Host County. Chafee funds shall be used in accordance with Federal guidelines in Public Law 106-169 and 2 C.F.R. Part 200, and per federal statute Title IV -E of the Social Security Act at Section 477. Signatures: County, Host Collaborative County Director (or Director's designee) Administrator Chafee Supervisor Chafee Caseworker County, Partner Collaborative County Director (or Director's designee) Administrator Chafee Supervisor Chafee Caseworker Page 19 of 26 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN ABOUT THE AWARD AND SUB -RECIPIENT DETERMINATION Per the Uniform Administrative Requirements for grants and agreements at 2 CFR Part 200, DCW is required to notify funding recipients about the source of federal funds and about whether the recipient is considered a vendor or a sub -recipient of those federal funds. County recipients of Chafe Independent Living Awards are considered sub -recipients p e p and are subject to the provisions of 45 CFR Part 92 and the Uniform Administrative Requirements of 2 CFR Part 200 (formerlyOMB Circulars A-87, A-122, and A-133) . About the Award: Federal Number: Award Identification CAN - 2016G994415 Federal Date: Award October 30, 2017 1, 2015 - September p Federal Award CFDA #: 93.674 Total Federal Amount Award: of $1,830,397 Awarding Agency: US Department Human for Children Services, of Health Administration a Families and Pass -through Entity: Colorado Human Child Welfare Services, Department of Division of Award Description: John Social H. Chafee Security Foster Care Act (42 U.S.C. Independence 677 et. (Chafee Seq.). ILP) Program under Title IV -E of the Awarding Information: Agency Contact Derek 303-866-5995 Blake, Chafee / Derek.Blake®State.co.us Program Coordinator Indirect Indirect award rate is (including charged cost (F&tA) rate for if the per 2 costs). the CFR de Federal minimis §200.414 CDHS outlines uses an actual any indirect cost allocation costs assumed model by the to sub assess -recipient. indirect costs. 0% of this The award budget exhibit is R&D. The tentative Federal Fiscal Year 2017 award for each county is shown in Attachment 1. This is for planning purposes only, and should be treated as an estimate. Only county that received CFCIP funds in FFY 2016 are listed. The actual award may ay increase or decrease. Page 20 of 26 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN FINANCIAL PRE -AWARD QUESTIONNAIRE Per 2 CFR Part 200, effective July 1, 2015, DCW is also required to conduct a financial risk assessment for all sub -recipients prior to awarding grant funds. Counties must complete and submit this financial pre -award questionnaire and submit it along with their county plan. Name of organization: WELD COUNTY Name and title of person completing this form: Kelly Krause, Youth Permanency Supervisor 1) Please complete the following table (adding lines as necessary) or attach your own document detailing your organization's current sources of funding for services for the Chafee-eligible population (including CDHS grants). Provide the funding agency, the program name, the types of funds (i.e., Federal, State, local, private, etc.), and the contract/award budget amount: Grantor Agency Type Funds of Program Contract/Award Budget Amount Contract/Award Period CFCIP CFCIP CFCIP 91,761.00 2016-2017 2) Describe your experience managing similar awards. You may use the table below as needed. Program Name Program Dates Program Description Granting Agency Amount CFCIP 2015-2016 CFCIP CFCIP 99,488.00 - CFCIP 2014-2015 CFCIP CFCIP 97, 531.00 - CFCIP 2013-2014 CFCIP CFCIP $115,122 (surplus from previous yr) CFCIP 2012-2013 CFCIP CFCIP $102,432.00 3) For the accounting/fiscal FTE assigned to this project, provide their name, title, and how long they have worked for your organization in their current role. Identify the person that is in charge of maintaining your accounting and financial records for this project and provide a brief description of their accounting experience and qualifications. Identify any new accounting personnel assigned to this project within the previous 12 months, and whether any of your accounting systems have changed within the previous 12 months. Lennie Bottorff, Fiscal Manager. 4) Does your organization receive an annual financial statement audit under: • The Single Audit Act/OMB Circular A-133 (Government Auditing Standards) YES OR • Generally Accepted Auditing Standards (GAAS) Click here for more information on audit requirements for sub -recipients. https://www.co.weld.co.us/assets/7CA9cBAADb61 BDC5Aa8A.pdf • Page 21 of 26 If yes, please provide a copy (electronic preferred) or link to your most recent audit report and STOP HERE AND SIGN/DATE BELOW. IF NO, PLEASE ANSWER ALL THE REMAINING QUESTIONS AND SIGN/DATE BELOW. 5) Are your organization's financial records maintained in accordance with Generally Accepted Accounting Principles (GAAP)? 6) Are accounting records supported by original documentation specific to contracting with your vendors? 7) What controls are followed to ensure all of the following: a) The reasonableness of cost; b) The allowability lowa bi li ty of costs; c) The allocability of costs to a contract? 8) Do you have available accounting policies and procedures to review? If not, please describe your organization's overall fiscal controls and structure to sufficiently; a) Permit the preparation of financial statements; b) Allow the organization's staff, in the normal course of performing their assigned functions, to prevent or detect misstatements in financial reporting or the loss of assets in a timely manner; c) Compare the budget to actual expenditures. Please Sign and Date Below: Signature Date Page 22 of 26 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN BUDGET AND BUDGET JUSTIFICATION FORM INSTRUCTIONS Introduction All counties who submit a plan are required to submit a plan budget and budget justification using the attached budget form. This form is the same as last year application but see additional information below: 1. The Division of Child Welfare (DCW) has estimated county awards for federal fiscal year (FFY)17. Counties should use the tentative federal fiscal year (FFY) 17 county awards table to formulate their budget for FFY17. 2. The budget categories and level of justification required are more closely aligned with standard federal grant budget categories and justification requirements. The budget and justification breaks out personnel, supplies and operating, travel, and indirect expenditures from the standard Chafee activities. Accordingly, please use the budget form to describe how the categorical costs are derived. In the "description" field discuss the necessity, reasonableness, and allocation of the proposed costs. Calculations should include estimation methods, quantities, unit costs, and other similar quantitative detail sufficient for the calculation to be duplicated. For example: Telephone costs. Average cost is $40 per month per staff. Two 0.5 FTE staff are assigned for 12 months. $40 x 2 x 12 x 0.5 = $480. 3. DCW is requesting additional information about the unmet needs for serving the Chafee population. In addition to knowing the planned use for your Chafee award, DCW is interested in knowing the actual total cost of serving the Chafee-eligible population, above and beyond what the CFCIP grant is able to cover. Please include all of the costs of serving the Chafee population, and indicate in the appropriate column whether that cost is traditionally covered by Chafee or by another county funding source. DCW will not assume that the non-Chafee costs are match for the CFCIP. Please use the following categories and guidelines for preparing the budget and budget justification form. If applicable, please review the guidance under 'Host Counties'. This form was designed to make automatic calculations. However, it is your responsibility to DOUBLE CHECK ALL CALCULATIONS to ensure accuracy before submitting your final application. Personnel - CFMS - Program Code E010, Function Code 2850 Description: Costs of employee salaries/wages and benefits. If CFCIP is not funding 100% of the cost, please provide information about the other funding sources you are using, and whether those are a part of your CFCIP match. Justification: Indicate information for each employee for whom CFCIP funding is proposed in whole or in part. For each staff person, provide their: title, monthly salary/wages/rates, monthly fringe/benefits costs, time commitment to the project as a percentage or full-time equivalent, and time commitment to the project in months. Do not include the costs of consultants or personnel costs of delegate agencies, unless otherwise indicated. If CFCIP is not funding 100% of the position, please provide information about the other funding sources you are using. I Page 23 of 26 Example personnel tine items include: Chafee Coordinator: Direct program time associated with providing leadership to the program. Adolescent caseworker*: Administrative staff: Administrative support positions such as a receptionist, administrative assistant or program assistant, general clerical help, temporary help, etc. *In order for Colorado to access Federal IV -E Independent Living Funds, there is a required match. To meet the match requirement, code adolescent caseworkers currently reported in CFMS as an 80/20 Child Welfare County Administrative Services (Program Code 3200, Function Code 1210; to Program Code [050, Function Code 2875). Supplies Et Operating - CFMS - Program Code E010, Function Code 2850 Description: Costs of operating the program and of tangible personal property other than that included in the "Other" or "Indirect" categories. Such costs, where applicable and appropriate, may include but are not limited to: insurance, food, space and equipment rentals, printing and publication, computer use, training costs such as tuition and stipends, staff development costs, and administrative costs. This used to be included in the `Personnel' budget category, which distorted budget projections for personnel. If CFCIP is not funding 100% of the cost, please provide information about the other funding sources you are using, and whether those are a part of your CFCIP match. Justification: Specify general categories of supplies and operating expenses. Show computations and provide other information that supports the amount requested. Travel - CFMS - Program Code E010, Function Code 2850 Description: Costs of employee's project -related travel (This item does not include costs of consultant travel). This used to be included in the `Personnel' budget category, which distorted budget projections for personnel. If CFCIP is not funding 100% of the cost, please provide information about the other funding sources you are using, and whether those are a part of your CFCIP match. Justification: For each type of trip show: the purpose, the duration, per diem, mileage allowances, and other transportation costs and subsistence allowances. Room and Board Reimbursement - CFMS - Program Code E010, Function Code 2810 Description: Reimbursement for room and board is available to young adults, ages 18-21, who emancipated from foster care on or after their 18th birthday. Room and board is defined as rent, rental deposits, furniture, and household start-up items. No more than 30% of your total award may be spent for room and board. If CFCIP is not funding 100% of the cost, please provide information about the other funding sources you are using, and whether those are a part of your CFCIP match. Justification: Indicate the number of young adults for whom reimbursement is to be provided, the estimated rate of reimbursement, the quantity, and the percent that will be billed to Chafee. If CFCIP is not funding 100% of the cost, please provide information about the other funding sources you are using, and whether those are a part of your CFCIP match. Purchase of Service Contracts - CFMS - Program Code E010, Function Code 2850 Description: Indicate information for each specific provider from whom CFCIP services are proposed to be purchased. The definition of `purchase of service contracts' is found in 12 CCR 2509-1 (Volume 7.003). If CFCIP is not funding 100% of the cost, please provide information about the other funding sources you are using, and whether those are a part of your CFCIP match. Page 24 of 26 Justification: The justification shall include the provider's name, the description of services provided, the rate of services, the quantity of services, and the percent of the cost assigned to Chafee. The description field shall describe the solicitation method for all known or anticipated purchase of service contracts greater than $10,000. Youth Direct Service - CFMS - Program Code E010, Function Code 2810 Description: Youth Direct Services shall be used according to federal guidelines as incentives for completing goals in the plan for transition to independent living. It should include other expenditures that will assist Chafee youth to emancipate; and, when no other funding sources exist. This may not be used for Room and Board. If CFCIP is not funding 100% of the cost, please provide information about the other funding sources you are using, and whether those are a part of your CFCIP match. Justification: The justification shall include the provider's name, the description of services provided, the rate of services, the quantity of services, and the percent of the cost assigned to Chafee. Host County/Other - CFMS - Program Code E010, Function Code 2810 Description: If you are a host county or the fiscal agent for a county, provide details for how much is being requested for each hosted county, including a description of the services offered and details about the calculation methodology. Also, use this section to indicate any other types of services your CFCIP program will provide. If CFCIP is not funding 100% of the cost, please provide information about the other funding sources you are using, and whether those are a part of your CFCIP match. Justification: Provide computations, a narrative description and a justification for each cost under this category. Indirect Charges Description: Indirect costs are those that have been incurred for common or joint purposes. These costs benefit more than one cost objective and cannot be readily identified with a particular final cost objective without effort disproportionate to the results achieved. After direct costs have been determined and assigned directly to Federal awards and other activities as appropriate, indirect costs are those remaining to be allocated to benefitted cost objectives. A cost may not be allocated to a Federal award as an indirect cost if any other cost incurred for the same purpose, in like circumstances, has been assigned to a Federal award as a direct cost. Justification: Describe your indirect rate or allocation methodology, including whether that methodology has been approved by the Federal government and whether it has changed with the introduction of 2. CFR Part 200, Appendix VII (Uniform Administrative Guidance for Grants and Cooperative Agreements, States and Local Government Indirect Cost Proposals). Match Additionally, in order for Colorado to access Federal IV -E Independent Living Funds, there is a required match. To meet the match requirement, code adolescent caseworkers currently reported in CFMS as an 80/20 Child Welfare County Administrative Services (Program Code 3200, Function Code 1210; to Program Code E050, Function Code 2875). Page 25 of 26 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN Attachment 1 PROJECTED FEDERAL FISCAL YEAR 2017 COUNTY FUNDING TABLE County Amount Adams $127,008 Alamosa $26,770 Arapahoe $144,548 Boulder $103,956 Denver $196,067 El Paso $203, 272 Elbert a Lincoln $10,348 Fremont $70,791 Garfield $17,251 Jefferson $138,905 La Plata $42, 831 Larimer $100,089 mer Mesa $50,565 Montrose $11, 504 Pueblo $104,254 Weld $91,761 Yuma $5,353 Broomfield $10,112 Balance of State $10,000 TOTAL $1,465,385 These funding amounts are tentative and shalt be treated as an estimate for budgeting purposes only. If your county is not listed, you do not need to complete a plan unless you would like to apply for CFCIP funds for FFY17. If you have a need for Chafee funds but do not wish to apply for full funding, please review the Balance of State application process which can be found in the Informational Memorandum titled Chafee Foster Care Independence Program (CFCIP) 2016-2017 Planning Package Due on August 19, 2016 (IM-CW_2016- xxxx). The memo can be found on the Memo Website (ittps;//sites.google.com/a/state,co.us/cdhs-memo- series/home). Page 26 of 26 CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN FFY 2016-17 POPULATION TO BE SERVED FORM Projected No. Unaccompanied Youth to be served Projected No. Youth with a Family To Be Served** Populations: Regional County: Chafee-Eligible 20 1) Youth, age 14 to 17, currently in out -of -home care and who have been in out -of -home care a minimum of 6 months, consecutive months not required. 16 2) Youth, age 17-21 currently in out -of -home care, 6 months not required. 2 3) Youth, age 16-21, who entered Adoption Assistance on or after age 16. 1 4) Youth, age 16-21, who entered Relative Guardianship Assistance on or after age 16. 11 5) Young adults, age 18-21, who are no longer in out-of-home.care and who were in out -of - home care on their 18th birthday. 6) Youth, age 14-21, who meet community placement requirements for the Division of Youth Corrections, and were in community placement for a minimum of 6 months, consecutive months not required; or, were in community placement (Title IV -E paid placement that is in an unlocked facility) on their 18th birthday. Regional County: 1) Youth, age 14 to 17, currently in out -of -home care and who have been in out -of -home care a minimum of 6 months, consecutive months not required. 2) Youth, age 17-21 currently in out -of -home care, 6 months not required. 3) Youth, age 16-21, who entered Adoption Assistance on or after age 16. 4) Youth, age 16-21, who entered Relative Guardianship Assistance on or after age 16. 5) Young adults, age 18-21, who are no longer in out -of -home care and who were in out -of - home care on their 18th birthday. 6) Youth, age 14-21/ who meet community placement requirements for the Division of Youth Corrections, and were in community placement for a minimum of 6 months, consecutive months not required; or, were in community placement (Title IV -E paid placement that is in unlocked facility) on their 18th birthday. an Regional County: 1) Youth, age 14 to 17, currently in out -of -home care and who have been in out -of -home care a 2) Youth, age 17-21 currently in out -of -home care, 6 months not required. 3) Youth, age 16-21, who entered Adoption Assistance on or after age 16. 4) Youth, age 16-21, who entered Relative Guardianship Assistance on or after age 16. 5) Young adults, age 18-21, who are no longer in out -of -home care and who were in out -of - home care on their 18th birthday. 6) Youth, Corrections, months unlocked age 14-21, who and were not required; or, facility) on their meet community placement in community placement were in community 18th birthday. requirements for the for a minimum of 6 months, placement (Title IV -E paid placement Division of Youth consecutive that is in an 0 50yTOTALS }NOTE 1 If you are part of a regional collaborative. please list all the counties for the regional collaborative. the projected total number of number of rojected Chafee-eligible youth to be served for each county in the regional collaborative. p **NOTE 2: An unaccompanied youth is a lone client. A youth in a family may be a youth accompanied by a family as defined by the youth. This may be a youth who is a pregnant and/or parenting teen. with a dependent child, dependent parent. in an adoption assistance or guardianship assistance agreement, etc. Onl the Chafee-eligible youth receives the direct services benefit. y CHAFEE FOSTER CARE INDEPENDENCE PROGRAM PLAN FFY 2016-17 BUDGET AND BUDGET JUSTIFICATION FORM Weld Pro Contact nom Phone, and Ian Krause, Youth Services Permanency Supervisor, 970-352-1551 x6289, krausekc@weldgov.com *SrOctober 1, ?016 September 30, ?017Comt Pitts "atandIxr►�MI Lennie Bottoroff, Fiscal Manager, 970-352-1551 x6537 bottorll@weldgov.com Chafee Foster Care Independent Living Program NOT COVERED l!V C EE* 9 yam; Pee," describe the tons to serve Olt h etest CN IEE RamSUP.SEMEN"t REQUEST 000utatior, thaton or ofyour Ch oke . .... reimbursement request. This d►om .' .M is 2,,..vw tip:...: w._ ss. , a>.:....... , ee:`. ,. 4flt ,, helps DCW tither �• .et PERSONNEL - CF MS - Program Code £010, Function Code 285U►� r to pdyRulstio Job Title or Description of Wk orhourly Position Title/Employee Name (for employees please include the hourly rate and number of hours in your Monthly Salary description). Chafee Monthly Fringe Percent FTE assigned to No. Months of Cost Total Direct mod, by Other CFCIP Cost FlingSin Ossafplise at otter NSW FTE, Chafee Worker, Laurie Speck Chafee Worker -Coordinate and direct age appropriate independent living services to eligible youth who participate in the Chafee Foster Care Independence Program as directed by County program guidelines. Services supplement existing county independent living resources and programs and includes Life Skills assessments, information on education and work opportunities, community resources and direct support to prepare participants for successful independent living after foster care or emancipation. Hourly rate $25.44 $4,487 5780 100% 12 $63,208 $0 Jacoby FTE, Chafee Worker, Devan Chafee Worker -Coordinate and direct age appropriate independent living services to eligible youth who participate in the Chafee Foster Care Independence Program as directed by County program guidelines. Services supplement existing county independent living resources and programs and includes Life Skills assessments, information on education and work opportunities, community resources and direct support to prepare participants for successful independent living after foster care or emancipation. Hourly rate $25.44 $4,333 $780 100% 12 $61,356 $0 $0 $0 $0 So So So So $0 SO So So So $0 So SO $0 Total PifFlMMr $12364 40 SUPPLIES _ & OPERATING - CFMS - Program Code E010, Function Code 2850 NOT C ' * et CMNAFEE°' -� Item Name Description of item / Justification for Item Rate Obit % of cost assignedto Chafee Total Direct CFCIP Cost offunding farce Independent Living Groups Workshop giftcards and food $34.11 72 100% $2,456 $0 Emancipation Economic 18-21 Aftercare Services $124.00 20 100% $2,480 So Phones iPhones for 2 Staff $629.28 2 100% $1,259 $0 $0 $0 $0 So $0 $0 So SO $0 $0 $0 $0 $0 $0 ad SO TRAVEL - CFMS - Program Code £010, Function Code 2850 ! Jl, COVEREDRY CHAFE(' EE Item Name Description of Item / Justification for Item Rate of cost assignec! to Chafee Total Direct, CFCIP Cost hotting ` tw tarQty '"e Travel-Laurie Mileage $0.52 600 100% _u"V- L 5312 SO Travel-Devan Mileage - $0.52 600 100% 5312 SO $0 So So So So SO 50 SO $0 SO So So $0 $o So $o Total Trani! Room and Board Reimbursement - CFMS - Program Code €010, Function Code 2810{{�.` � m i °�, � zVa� «e � µ , �AMJ !Definition Reimbursement for room and board is available to young adults, ages 18-21. who emancipated from foster :are an or atter their 13th birthdav Room and board is defined as rent. rental deposits, furniture, and household start-up items. oWk e.4.lar yy , T. • I* 04 q _ v;, Provider Name Description of Services/goods PRate Qty of cost assigned to Chafee Total Direct CFCIP Cost Other Funding t i 0 howling - - . a • M CFCIP rent, deposits, Furniture, household start up, dorm Fee $480 8 100% $3,840 $0 $o $o $o $o So $o $o $o $o $0 So $o $o So So $0 So $o Total Ism and loud Vail Or Purchase of Service Contracts Indicate information for each specific - CFMS - Program Code €010, Function Code 2850 provider from whom CFCIP services are or000sed to ne ourcnased NOT COVERED SY CHIAFEE* Provider Name Description of Services Rate Qty % of cost assigned to Chafee Total Direct Other Itsof CFCIP Cost Mort. $o So $0 SO SO SO $0 So $0 $0 $0 SO $0 S0 SO SO $0 SO SO SO Total Punts of Cwatract villi ._ ..... YOUTH DIRECT SERVICE Definition: Youth Direct Services expenditures that will assist Chafee - CFMS shalt - be used youth to Program Code E010, Function Code 2810 according to federal guidelines as incentives or completing goals 'n the plan for transition to independent living and for other NOT COVERED $y OtAFEElt emancipate; and, when no other funding sources exist. This may not be used ror Room and Board Provider Name Description of Services P Rate Qty % of cost assigned to Chafee Total Direct � Dtlrer tundstg CFGP Cost 1''+llNill�ot CFCIP Incentives 5500 45 100% $22,500 $0 SO $0 $O $0 $0 SO $0 $0 $0 SO SO $0 $0 $0 So SO $0 $0 Total Youth Direct SOO $ -- I HOST COUNTIES/ OTHER - CFMS - Program Code €010, Function Code 2810 NOT COVERED WV OWI«E Description of Services Rate Qty of cost assigned to Chafee ;v16T0t:lName taster $0 $0 $O $0 SO SO SO So $0 $0 $0 SO $0 $0 $0 $0 $0 SO $0 $0 Tile Most Cos Me SUB -TOTAL BEFORE INDIRECT • $ $157,122 50 Indirect - CFMS Program - Code E010, Function Code 2810 i D SY .MMEE - -� Rate Description Amount It ti t tit aker eIL14—.nca.c Sv . 41 :r`A-�9Y.+tiYLb+1!a..51 $0 SO 'r. -at.. So 50 So 50 S TotalIndirect1 so II__._ $0 TOTAL 5157;722 Chafee Worker #1 Name: Laurie Speck Key Tasks, Requirements, and Standards of Practice Nrs/Week Mrs/Month krs/Year % of Time 1 Case Management and Support Services Recommended full-time caseloads: • Single County Metro, Suburban and Second City Programs 25 youth • Rural and Regional Collaborative Programs - 1.5-20 youth r 25 100 1200 63% 2 Reports Program reporting requirements: • Annual County Chafee Program Plan • Annual County Chafee Program Report • Monthly Wait -List Report 6 24 288 15% 3 Technical Assistance Training and technical assistance with caregivers, new Chafee workers, caseworkers, CASAs, Guardians ad Litem, and community partners. 3 12 • 144 8% 4 Collaborative Chafee program • Local collaborative • Local youth • State Chafee o Celebration o Colorado o Colorado o Chafee assessment o Chafee program Services Development staff may engage in: service and resource advisory board development program projects, committees of Educational Excellence 9 to 25 Youth Summit Youth Leadership Network review committee guidance development development and support and task groups, including: Planning ream Planning Team team 3 12 144 8% 5 Program Evaluation • National Youth • County quality in Transition Database Youth Surveys (NYTD) improvement efforts (including young people and stakeholders) 3 12 144 8% 6 Continuing Education: Minimum 40 hours per year • Required Chafee/Adolescent Services Quarterlies (four full -day meetings annually) to receive training, updates. and to provide county input on program decisions • Required minimum of 40 hours of training per year 0 0 0 0% 7 Staff Support Time (e.g. annual leave, sick leave, holidays, etc.) 0 0 0 0% Chafee Totals: Worker #2 Name: Devan Jacoby 44 160 1920 200% key Tasks, Requirements, and Standards of Practice F4rsAifeek Mrs/Month e % of Time 1 Case Management and Support Services Recommended full-time caseloads. • Single County Metro, Suburban and Second City Programs - 25 youth • Rural and Regional Collaborative Programs - 15-20 youth 25 100 1200 63% 2 Reports Program reporting requirements: • Annual County Chafee Program Plan • Annual County Chafee Program Report • Monthly Wait -List Report 6 e 24 288 15% 3 Technical Assistance Training and technical assistance with caregivers, new Chafee workers, caseworkers. CASAs, Guardians ad Litem, and community partners. 3 12 144 8% 4 Collaborative Chafee • Local • Local • State o o o o o Services Development program staff may engage in: collaborative service and resource youth advisory board development Chafee program projects, committees Celebration of Educational Excellence Colorado 9 to 25 Youth Summit Colorado Youth Leadership Network Chafee assessment review committee Chafee oroeram guidance_ develoomentteam development and support and task groups, including: Planning Team Planning Team 3 12 144 8% 5 Program Evaluation • National Youth in Transition Database Youth Surveys (NYTD) • County quality improvement efforts (including youngpeople and stakeholders) 3 12 I. 144 8% 6 I Continuing Education: Minimum 40 hours per year • Required Chafee/Adolescent Services Quarterlies (four full -day meetings annually) to receive training, updates, and to provide county input on program decisions. • Required minimum of 40 hours of training per year. 0 0 0 0% 7 Staff Support Time (e.g. annual leave, sick leave, holidays, etc.) 0 0 0 0% Totals: 40 I 160 1920 100% Chafee Worker #3 Name: Key Tasks, Requirements, and Standards of Practice 1 Case Management and Support Services Recommended full-time caseloads. • Single County Metro, Suburban and Second City Programs 25 youth * Rural and Regional Collaborative Programs - 15-20 youth 2 Reports Program reporting requirements: • Annual County Chafee Program Plan • Annual County Chafee Program Report • Monthly Wait -List Report 3 Technical Assistance Training and technical assistance with caregivers, new Chafee workers, caseworkers, CASAs, Guardians ad Litem, and community partners. Collaborative Services Development Chafee program staff may engage in: • Local collaborative service and resource development • Local youth advisory board development and support • State Chafee program projects, committees and task groups, including: o Celebration of Educational Excellence Planning Team o Colorado 9 to 25 Youth Summit Planning Team o Colorado Youth Leadership Network o Chafee assessment review committee o Chafee Program guidance develooment team 5 'Program Evaluation • National Youth in Transition Database Youth Surveys (NYTD) _• County quality improvement efforts (including young people and stakeholders) 6 Continuing Education: Minimum 40 hours per year `• Required Chafee/Adolescent Services Quarterlies (four full -day meetings annually' to receive training, updates, and to provide county input on program decisions. • Required minimum of 40 hours of training per year. 7 _Staff Support Time (e.g. annual leave, sick leave, holidays, etc.) Chafee Worker #4 Name: Key Tasks, Requirements, and Standards of Practke 1 2 3 4 5 6 7 Case Management and Support Services Recommended full-time caseloads: • Single County Metro, Suburban and Second City Programs 25 youth • Rural and Regional Collaborative Programs - 15-20 youth Reports Program reporting requirements: • Annual County Chafee Program Plan • Annual County Chafee Program Report • Monthly Wait -List Report Nrs/Week 0 krs/Month 0 0 0 0 0 0 0 01 0 0 0 0 0 Hrs/Year % of Time 0 #DIV/0! 0 0 0 0 0 #DIV/0! #DIV/o! #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0! Totals: 0 0 0 #DIV/0! Technical Assistance Training and technical assistance with caregivers, new Chafee workers. caseworkers, CASAs, Guardians ad Litem. and community partners_ Collaborative Services Development Chafee program staff may engage in: • Local collaborative service and resource development • Local youth advisory board development and support • State Chafee program projects, committees and task groups, including: o Celebration of Educational Excellence Planning Team o Colorado 9 to 25 Youth Summit Planning Team o Colorado Youth Leadership Network o Chafee assessment review committee o Chafee Program guidance develooment team Program Evaluation • National Youth in Transition Database Youth Surveys (NYTD) • County quality improvement efforts (including young people and stakeholders) Continuing Education: Minimum 40 hours per year • Required Chafee/Adolescent Services Quarterlies (four full -day meetings annually) to receive training, updates. and to provide county input on program decisions. • Required minimum of 40 hours of training per year. Staff Support Time (e.g. annual leave, sick leave, holidays, etc.) Totals: Hrs/Week 0 0 0 0 0 Mrs/Month Hrs/Yesr I % of Time 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0! 0 0 #DIV/0! #DIV/0 ! Hello