HomeMy WebLinkAboutCONSENT Group employment services amend 4 `3 ^ 615 Sheridan Street
j/ Port Townsend, WA 98368
Almon www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Josh Peters, County Administrator
FROM: Apple Martine, Jefferson County Public Health Director
Bonnie Obremski, Intellectual and Developmental Disabilities (IDD) Coordinator
DATE: 1i(GI�,y/- l� 2o2 S
SUBJECT: Agenda item — Amendment 4 to Professional Services Agreement between
Jefferson County and Cascade Community Connections for Professional Services
to be provided in connection with the provision of Group Supported
Employment Services for Persons with Intellectual/Developmental Disabilities in
Jefferson County; July 1, 2023 - June 30, 2025, $154,539.24.
STATEMENT OF ISSUE:
Jefferson County Public Health, the Intellectual and Developmental Disabilities program, requests Board
approval of an amendment to decrease the amount of this agreement by $17,925.53, bringing the total
contracted amount to $136,613.71.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
Provider did not invoice for as many Group Supported Employment services as estimated earlier in the fiscal
year. Unspent funds are being moved to contract"DD-23-068 Cascade - Community Inclusion"to reimburse
provider for"startup costs."
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This amendment reduces the agreement amount by $17,925.53, bringing the total contracted amount to
$136,613.71.
RECOMMENDATION:
JCPH management recommends approval of this contract amendment.
REVIEWED BY:
Ca23r& D'6256 ?-76° /g-c—
Josh Peters, County Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
DD-23-071-A4
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Cascade Community Connections Contract No: DD-23-071-A4
Contract For: Group Employment Services-Amendment#4 Term: July 1, 2023 to June 30, 2025
COUNTY DEPARTMENT: Public Health
Contact Person: Bonnie Obremski
Contact Phone: 360-385-9410
Contact email: bonnieo@co.jefferson.wa.us
AMOUNT: Decrease of$17,925.53-Total-$136,613.71 PROCESS: — Exempt from Bid Process
Revenue: Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds . Vendor List Bid
Fund # PH fund#127 ✓ RFP or RFQ
Munis Org/Obj HDD 620- 12768062 Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMP,LIA E WI I AND CHAPTER 42.23 RCW.
CERTIFIED: ` ■ N/A: ' — July 30, 2025
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
ERTIFIED: N/A: v July 30,2025
Signature Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche):
Electronically approved by Risk Management on 8/5/2025.
State funding and process.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 7/31/2025.
The contract expired before the amendment was submitted. Caselaw makes
clear that once a contract has expired, it cannot be amended. A new
contract is needed. There is a risk that someone will complain. Risk
Manager's decision whether to approve the contract.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
1
Contract Amendment#4
Between
Cascade Community Connections
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Cascade Community Connections (SUBCONTRACTOR)and Jefferson County
(COUNTY) entered into an agreement on July 1,2023 for Professional Services to be provided in
connection with the provision of Group Employment Services to Persons with
Intellectual/Developmental Disabilities in County.
WHEREAS,the parties desire to amend the terms of that agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
1. The term of the above referenced agreement ends June 30, 2025.
2. Subcontractor's contract will be decreased by $17,925.53 in funding, for a total of
$136,613.71.
3. All other terms and conditions of the agreement will remain the same.
APPROVED AND ADOPTED this day of , 2025.
(SIGNATURES FOLLOW ON THE NEXT PAGE)
1
DD-23-071-A4
SIGNATURE PAGE
CASCADE COMMUNITY CONNECTIONS JEFFERSON COUNTY
\ BOARD OF COUNTY COMMISSIONERS
By: Iw\14,00r-../
(Signature Heidi Eisenhour,Chair
Taylor Webster
Contractor Representative(Please print) Greg Brotherton,Member
Owner/Director
Title Heather Dudley-Nollette,Member
o8/05/202T5-
Date
SEAL:
Attest:
Carolyn Gallaway,
Clerk of the Board
Approved as ta! orm Only:
/? �.! for 07/31/2025
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
2
Contract Amendment#3
Between
Cascade Community Connections
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Cascade Community Connections(SUBCONTRACTOR)and Jefferson County
(COUNTY) entered into an agreement on July 1,2023 for Professional Services to be provided
in connection with the provision of Group Employment Services to Persons with
IntellectuaUDevelopmental Disabilities in Jefferson County.
WHEREAS,the parties desire to amend the terms of that agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
1. The term of the above referenced agreement ends June 30, 2025.
2. Subcontractor's contract will be increased by $31,516.80 in funding for services rendered
during the term of July 1, 2023 through June 30, 2025; for Group Supported Employment
Services. Total compensation under this Agreement shall not exceed$154,539.24,
without express written amendment signed by both parties. (The additional funding
specified above; can only be expended during the fiscal year of 2024/2025.)
3. Group Supported Employment services are a part of an individual's pathway to integrated
jobs in typical community employment. These services are intended to be short term and
offer ongoing supervised employment for groups of no more than eight(8)workers with
disabilities in the same setting. The service outcome is sustained paid employment,
leading to further career development in integrated employment. at or above minimum
wage. Examples include enclaves, mobile crews, and other business models employing
small groups of workers with disabilities in integrated employment in community setting.
4. Cascade Community Connections owns and operates a vending machine for the benefit
of individuals with 1/DD. Individuals who service the machine will gain a variety of
valuable skills that can reduce barriers to employment, increase confidence in performing
work tasks, and provide opportunities for engagement and integration in a community
setting. The job involves taking inventory, selecting products based on inventory needs,
collecting money from the machine, restocking the machine, and replenishing backstock.
The vending machine job will provide an opportunity for up to three individuals to gain
employment skills in the community.
1
DD-23-071-A3
■
5. Work performed between July I, 2023 and the execution of this Amendment that is
consistent with the provisions of this Agreement is hereby ratified.
6. All other terms and conditions of the agreement will remain the same.
CASCADE COMMUNITY CONNECTIONS JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
By: rC ,� 4
(Signature) r" Date
.461/4 \04 }�i'@ OS\12,1ir -- V/3, 2 --
Contractor Representative (Please print) r Brotherth.onp Member Date
ViCeaDr (N,3N1—( ' 3' 2 S—
Title Heidi Eisenhour, Member Date
' ` ��pN#finpry„�
1� �� �,,600 sev FEAR.",,a
r
Date W;" o ' is; ��'
z :so.
m. G$
;' ,F
.f /
. Attest: 4".*1/711*111\004
' i
Carolyn /Gallaway, Date
Clerk of the Board
Approved as to Form Only:
! tf, % I 0/17/2024
hilip C. Iunsucker, Date
Chief Civil Deputy Prosecuting Attorney
2
Contract Amendment#2
Between
Cascade Community Connections
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Cascade Community Connections (SUBCONTRACTOR) and Jefferson County
(COUNTY)entered into an agreement on July 1,2023 for Professional Services to be provided in
connection with the provision of Group Employment Services to Persons with
Intellectual/Developmental Disabilities in Jefferson County.
WHEREAS,the parties desire to amend the terms of that agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
1. The term of the above referenced agreement ends June 30, 2025.
2. Subcontractor's contract will be increased by $60,000.00 in funding for services
rendered during the term of July 1,2023 through June 30, 2025; for Employment
Services. Total compensation under this Agreement shall not exceed$123,022.44
without express written amendment signed by both parties. (The additional funding
specified above; can only be expended during the fiscal year of 2024/2025.)
3. Group Employment services are a part of an individual's pathway to integrated jobs in
typical community employment. These services are intended to be short term and offer
ongoing supervised employment for groups of no more than eight(8)workers with
disabilities in the same setting. The service outcome is sustained paid employment,
leading to further career development in integrated employment. at or above minimum
wage. Examples include enclaves,mobile crews, and other business models employing
small groups of workers with disabilities in integrated employment in community
setting.
4. Work performed between July 1, 2023 and the execution of this Amendment that is
consistent with the provisions of this Agreement is hereby ratified.
5. All other terms and conditions of the agreement will remain the same.
(SIGNATURES FOLLOW ON THE NEXT PAGE)
1
DD-23-071-A2
SIGNATURE PAGE
CASCADE COMMUNITY CONNECTIONS JEFFERSON COUNTY
BOARD F COUNTY COMMISSIONERS
By: .0 '`— - f,f Kyle'
(Signature Kat ea , Chair Date
lar fec
Contractor Representative(Please print) Ore `Brothertpn,Member DateOULAA(
1)1(e r
Title Heidi Eisenhour, Member Date
g i9- 12H
Date
Atte
kov Carolyn Gallaway, / Date
Clerk of the Board
Approved as to Form Only:
C July 10, 2024
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
2
Contract Amendment#1
Between
Cascade Community Connections
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Cascade Community Connections(SUBCONTRACTOR)and Jefferson County
(COUNTY) entered into an agreement on July 1,2023 for Professional Services to be provided in
connection with the provision of Group Employment Services to Persons with Intellectual/Developmental
Disabilities in Jefferson County.
WHEREAS,the parties desire to amend the terms of that agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
1. The term of the above referenced agreement ends June 30,2024.
2. Subcontractor's contract will be increased by $5,022.44 in funding for services rendered
during the term of July 1,2023 through June 30,2024;for Employment Services. Total
compensation under this Agreement shall not exceed $63,022.44 without express written
amendment signed by both parties.
3. Work performed between July 1, 2023 and the execution of this Amendment that is
consistent with the provisions of this Agreement is hereby ratified.
4. All other terms and conditions of the agreement will remain the same.
Dated this 1 /__t" day of /il(ti4 ,2024
By: (2,.._,A1)2
*C"`"""-- ,4 eii i( e,lit,,.,r
Kate Dean,Chair
Jefferson Board of County Commissioners �y: (9J‘j \\.\
,.•�'4 tiRSO,y 0,,,1„
��"' : � G ,141 4'O O�2?
.) ) -3 \\PI
B 1 rX11\ -1 n: C ttI
aylor i ebster, Owner/Executive Director
Cascade Community Connections F'••. :Q2�
a .• ,
ATTEST: ,,,1",,h,4S}jtta,,,e t`
ll
By: orte, ,?`, & 113't Z y
Carolyn Gallary)y, / Date
Clerk of the Board
APPROVED AS TO FORM s)Nt.Y:
- C -
B 44. February 15,2024
Y
Philip Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
DD-23-071-A I
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 1 of 29
SUBCONTRACT FOR PROFESSIONAL SERVICES
GROUP SUPPORTED EMPLOYMENT SERVICES
Agreement Between
JEFFERSON COUNTY PUBLIC HEALTH
And
CASCADE COMMUNITY CONNECTIONS
This agreement is made and entered into between Jefferson COUNTY Public Health (COUNTY) and
Cascade Community Connections (SUBCONTRACTOR) for provision of Group Supported Employment Services to
persons who experience intellectual/developmental disabilities in Jefferson County. The term of this agreement is July
1,2023 through June 30,2024. Either party upon 60 days' written notice may terminate this Contract. Termination of
this Contract shall not constitute a breach.
It is agreed Upon by Both Parties as Named Herein as Follows:
A. PROFESSIONAL SERVICES
Professional services to be provided by SUBCONTRACTOR shall include:
(1) "Group Supported Employment"or"GSE": services are a part of an individual's pathway to integrated
jobs in typical community employment. These services are intended to be short term and offer ongoing
supervised employment for groups of no more than eight(8) workers with disabilities in the same setting.
The service outcome is sustained paid employment leading to further career development in integrated
employment at or above minimum wage. Examples include enclaves, mobile crews, and other business
models employing small groups of workers with disabilities in integrated employment in community setting
Program management; (per the Individual Employment Phases & Billable Activities & Group Supported
rnplo'ment_Service Guidelines Minimum Expectations 2013 ). Specific service deliverables are delineated
in Exhibit A—Statement of Work attached hereto.
(2) Program management.
B. OBLIGATIONS
SUBCONTRACTOR shall fulfill the following obligations:
(1) SUBCONTRACTOR shall comply with all state and federal requirements regarding the confidentiality of
Client records. Client information is not disclosable to the public. Information acquired pursuant to RCW
7 I A.14.070 requires a signed Release of Information or a signed Oath of Confidentiality Form.
(2) SUBCONTRACTOR is required to assure that each employee has a current (within three years) DSHS
background check in accordance with RCW 43.43.83Q-845, RCW 74.15.030. and WAC 388-825. Any
prospective employee or volunteer who will or may have unsupervised access to a vulnerable person with a
developmental disability in the course of his or her employment, or involvement with the business or
organization,must have a background/criminal history clearance before they have unsupervised access. The
DSHS Background Check Central Unit(BCCU)must be utilized to obtain background clearance.
(3) A"Developmental disabilities(DD)"means a disability attributable to intellectual disability,cerebral palsy,
epilepsy, autism, or another neurological or other condition of an individual found by the secretary to be
closely related to an intellectual disability or to require treatment similar to that required for individuals with
intellectual disabilities, which disability originates before the individual attains age eighteen, which has
continued or can be expected to continue indefinitely, and which constitutes a substantial limitation to the
individual.
(4) if SUBCONTRACTOR reviews the application and elects to hire or retain an individual after receiving
notice that the applicant has a conviction for an offense that would disqualify the applicant from having
unsupervised access to vulnerable adults as defined in Chapter 74.34 RCW,then DDA shall deny payment
for any subsequent services rendered by the disqualified individual Provider. (The Developmental
Disabilities Administration or DDA means a Division within the Department of Social and Health Services.)
DD-23-07I
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 2 of 29
(5) COUNTY and its SUBCONTRACTOR are mandated reporters under RCW 74.34.020(13)and must comply
with reporting requirements described in RCW 74.34.035, .040 and Chapter 26.44 RCW. If the County is
notified by DSHS that a subcontractor staff member is cited or on the registry for a substantiated fmding,
then that associated staff will be prohibited from providing services under this Program Agreement.
(6) SUBCONTRACTOR is required pursuant to RCW 74.15.030;that if any prospective employee who has not
resided in Washington State during the last three years; who will or may have unsupervised access to a
vulnerable person with a developmental disability in the course of his or her employment,or involvement with
the business or organization;must have an F.B.I.Fingerprint Check before they have unsupervised access and
before the prospective employer begins working. The DSHS Background Check Central Unit(BCCU)must
be utilized to obtain background clearance.
(7) SUBCONTRACTOR is required to repeat the background/criminal history clearance for all employees or
volunteers who will or may have unsupervised access to a vulnerable person with a developmental disability in
the course of his or her employment,or involvement with the business or organization,every three years.The
DSHS Background Check Central Unit (BCCU) must be utilized to obtain background clearance in
accordance with RCW 43.43.830-845,RCW 74.15.030 and Chapter 388-06 WAC.
(8) SUBCONTRACTOR shall comply,as mandated reporters under RCW 74.34.020(11),with all state and federal
requirements under RCW 74.34.035, .040 Abuse and neglect of Vulnerable Adults; RCW 26.44, Abuse of
Children;the WACs:275-26 Division of Developmental Disabilities Services Rules;296-24 General Safety
& Health; 296-62 General Occupational Health Standards; WACs: 388-828 Developmental Disabilities
Administration, (DDA) Assessment; 388-845 Home and Community Based Waivers; Definitions 0001;
Criteria for HCBS Services 0030; Basic Waiver Services 0200; Basic Plus Waiver Services 0210; Core
Waiver Services 0215; Community Protection Waiver Services 0220; 0600-0610 Community Access
Service; Supported Employment Service 2100.
(9) SUBCONTRACTOR shall comply with the following Developmental Disabilities Administration, (DDA)
Policies: 3.01 Client Service Plans; 5.01 Criminal History Background Checks and Safeguarding Personal
Information; 5.02 Necessary Supplemental Accommodation (NSA); 5.03 Client Complaints; 5.05 Limited
English Proficiency(LEP)Clients;5.06 Client Rights;5.13 Protections From Abuse;5.14 Positive Behavior
Support;5.15 Use of Restrictive Procedures;6.08 Mandatory Reporting Requirements for Employment and
Day Program Services Providers; 6.13 Employment/Day Program Provider Qualifications; 9.07 Human
Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS); 12.01 Incident
Management; 13.04 DRW Access Agreement,and County Guide to Achieve DDA's Guiding Values.
(10) The COUNTY staff who performs on-site evaluations of SUBCONTRACTOR work sites, will promptly
report to DSHS per DDA Policy 5.13,Protection from Abuse: Mandatory Reporting, if:
(a) They have reasonable cause to believe that abandonment, abuse, financial exploitation or neglect (as
defined in RCW 74.34.020) of a person who has a developmental disability (as defined in RCW
71 A.10.020)has occurred,and,
(b) If they have reason to suspect that sexual or physical assault of such a person has occurred, they shall
also immediately report to the appropriate law enforcement agency.
(11) SUBCONTRACTOR shall comply with the following referenced documents found at DDA Internet site
https:/fwww.dshs.wa.gov/ddaicounty-best-practices under"Counties":
(a) DDA Policy 4.11,County Services for Working Age Adults;
(b) Chapter WAC 388-850, chapter 388-828 WAC, WAC 388-845-0001, 0030, 0210, 0215,0220,0600-
0610, 1030-1040,2100,2110;
(c) Criteria for Evaluation;
https:/lwww.dshs.wa.govlsites/defaulttfilesLDDA/dda/documents/Criteria%20for%20Evaluation 2020
21-2023.docx
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 3 of 29
(12) SUBCONTRACTOR shall meet the definition of QualityAssurance,by adherence to all Program Agreement
requirements and reasonably expected levels of performance,quality,and practice by adherence to:
(a) DDA Policy 6.13,Employment/Day Program Provider Qualifications,
hops:(/www.dshs. +a.govidda/pol Gies-and-n.rlcs policy; manual;
(b) County Guide to Achieve DDA's Guiding Values;
(c) DDA Guidelines for Community Assessments within Employment and Vocational Prot&rams.
(13) The DRW Access Agreement with DDA; assures that the COUNTY and SUBCONTRACTORS have
reviewed the Access Agreement; QissabilitxRights Washington (formerly Washington Protection and
Advocacy..._Svstem]Acccss Agreement. The Access Agreement covers DRW's access to individuals with
developmental disabilities, to Clients, to programs and records, to outreach activities, to authority to
investigate allegations of abuse,neglect,and other miscellaneous matters,and it is binding for all Providers
of DDA contracted services.
(14) SUBCONTRACTOR shall have written policies that protect individual rights that include but are not limited
to; sexual harassment and non-discrimination(said policies must guarantee human/civil rights); a person's
right to privacy, safeguarding personal information; abuse of participants; agency medication procedure;
respectful staff-to-participant interactions (i.e.: including a person's right to be treated with dignity and
respect and free of abuse)and respectful client to client interactions.
(15) SUBCONTRACTOR shall have a County approved grievance policy for clients that:
(a) Is explained to clients and others in accordance with DDA Policy 5.02,Necessary Supplemental
Accommodation;
hops://www.dshs.wa.gov'sitesidefault'filesiDDA'ddaidocurn its`ptlicy;pol icy 5.02.pdf
(b) Negotiates conflicts;
(c) States advocates are available and clients are encouraged to bring advocates to help negotiate;
(d) Provides a mediation process using someone who is unaffected by the outcome if conflicts remain
unresolved a DDA Case Resource Manager may be included as an alternative option;(A DDA Case
Resource Manager(CRM)"means a case manager for DDA Clients)
(e) Prohibits retaliation for using the grievance process;and
(f) Includes a process for tracking and reporting grievance
(16) SUBCONTRACTOR shall assure that clients and others,in accordance with DDA Policy 5.06,Client Rights,
have been informed of their rights, what services and benefits may be expected from the program, the
program's expectations of them, and if necessary, the client's family, guardian or advocate is also
informed.leapsr;tiyww.dshswa gov'sitcs%dctault lles ODA'ddtdocumewpoi icy'polio 5.06.pdf
(17) SUBCONTRACTOR shall assure that they have policies that protect individual rights; include but are not
limited:
(a) Respectful staff-to-client interactions
(b) A person's right to be treated with dignity,respect and free of abuse;
(c) A person's right to privacy;and
(d) Safeguarding personal information.
(18) SUBCONTRACTOR shall obtain and retain in the Clients'files signed proof of Client and/or family's review
of all policies,Provider expectations, and receipt of information about services and benefits to be provided
by the program. The signed proof required by this section shall be reviewed and renewed, with new
documentation,annually.
(19) SUBCONTRACTOR will encourage participant involvement in policy development.
(20) SUBCONTRACTOR shall update Client Intake Forms every 6 months during the Client Review meeting.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 4 of 29
(21) SUBCONTRACTOR shall assure potential conflict of interest,real or apparent,will not arise. Such a conflict
will arise when: The employee, officer or agent, any member of immediate family, Guardian / decision
maker,or an organization that employs or is about to employ any of the above has financial or other interest
in the Client(s).
(22) SUBCONTRACTOR shall have adequate staffing ratios and patterns to maintain quality and safety.
(23) All services for persons with developmental disabilities must be provided with attention to their health and
safety. SUBCONTRACTOR shall comply with all applicable federal,state and local fire,health,and safety
regulations.
(24) SUBCONTRACTOR shall make sure that all incidents involving injury,health or safety issues are reported
to DDA and the County;reference DDA Policy 6.08,Mandatory Reporting Requirements for Employment
Providers.https:/www.dshs.wa.ggv/sites/default filesiDDA/dda'documentstpolwicy oticv6.08.pdf
(25) SUBCONTRACTOR shall track and analyze incident reports for potential trends and patterns.
(26) Current emergency contact and medical information (medications, diet, allergies, etc.) needed during the
hours of service is readily available for each participant.
(27) SUBCONTRACTOR shall provide evidence that it employs typical safety protection based upon the
environment the client is working or receiving services in.
(28) The COUNTY and all SUBCONTRACTORS are mandated reporters under RCW 74.34.020(11);Abuse of
Vulnerable Adults httpj:/!apps.leg.wa,gcw/RCW/'default.aspx?citew74.34 and Chapter 26.44 RCW;Abuse of
Children.All parties must comply with reporting requirements described in RCW 74.34.035,040 and Chapter
26.44 and must adhere to DDA Policy,6.08 Mandatory Reporting Requirements for Employment and Day
Program Service Providers. All service provider employees, contractors, and volunteers are mandatory
reporters and must report every incident of observed,reported, or suspected abuse, improper use of restraint,
neglect,self-neglect,personal or financial exploitation, abandonment and/or mistreatment of clients.
(29) The Phases & Billable Activities document defines the individual Client services that DDA reimburses.
Imps:?'wwwTdshs.wa.govldda•co ty-best-practices
(30) For Group Supported Employment(GSE),Clients must have paid work. The total number of direct service
staff hours provided to the group should be equal to or greater than the group's collective amount of individual
support monthly base hours. If the direct service staff hours are less than the collective amount, then the
provider will be reimbursed only for the number of hours staff actually provided.
(a) The collective group's individual hours should be the minimum staff hours delivered to support the
group.
(b) A GSE client must be on-site/at work at least their base individual hours as a minimum per month. If a
client is not on-site/at work for all of their base hours,the county should verify that the provider delivered
the collective group's individual hours to the group. (What was the number of staff hours provided to
the group during the month. If it was less than the collective group's total, the provider can only bill for
the staff hours that were provided).
(c) A GSE agency may not bill for a GSE client who does not receive services during an entire service
month.
(d) A GSE agency must have a record of which staff is supporting which clients on any given day.
(e) A GSE agency must have supportive documentation that provides clear evidence of support helping with
specific activities as identified in the client plan to move a client on their pathway towards their
employment goal(s).
(f) Running a GSE service is a part of the business operation and not billable to individuals (contract
procurement,contract maintenance,or administration functions associated with GSE).
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 5 of 29
(g) Individual time in the community working towards the individual employment goal, separate from the
group time, must include phase information (refer to Individual Employment Phases &.k Billable
Activities-see Phases I —4 for element/activity description-). The Individual Employment Phases&
Billable Activities document defines the Client services that DDA reimburses.
(31) SUBCONTRACTOR is required to maintain the following minimum organizational capacity in order to meet
the performance standards set forth in this agreement. Failure or inability of SUBCONTRACTOR to meet any
or all of these minimum capacity requirements,as determined solely by COUNTY,may be cause for termination
of this agreement as provided herein.
(a) Accreditation: SUBCONTRACTOR must be able to demonstrate conformance to Commission on
Accreditation of Rehabilitation Facilities (CARF) standards for quality assurance and CARF
accreditation.
(a) Confidentiality: SUBCONTRACTOR shall protect and maintain all Confidential Information gained by
reason of the Program Agreement against unauthorized use, access,disclosure,modification or loss. This
duty requires the COUNTY to employ reasonable security measures,which includes restricting access to
Confidential Information by following,DDA—Data Security Requirements.
(32) Authority. The security requirements described in this document reflect the applicable requirements of Standard
141.10(https:!'ocio wa.sovtpoticics)of the Office of the Chief Information Officer for the state of Washington,
and of the DSHS Information Security Policy and Standards Manual. Reference material related to these
requirements can be found here: https:Jfwww.dshs.wa.gov/fsa%central-contract-serviceslecping-dshs-Client-
information-private-and-secure,which is a site developed by the DSHS Information Security Office and hosted
by DSHS Central Contracts and Legal Services.
(33) Administrative Controls. The Contractor must have the following controls in place:
(a) A documented security policy governing the secure use of its computer network and systems,and which
defines sanctions that may be applied to Contractor staff for violating that policy.
(b) If the Data shared under this agreement is classified as Category 4 data,the Contractor must be aware of
and compliant with the applicable legal or regulatory requirements for that Category 4 Data.
(c) If Confidential Information shared under this agreement is classified as Category 4 data,the Contractor
must have a documented risk assessment for the system(s)housing the Category 4 Data.
(34) Authorization,Authentication, and Access. In order to ensure that access to the Data is limited to authorized
staff,the Contractor must:
(a) Have documented policies and procedures governing access to systems with the shared Data.
(b) Restrict access through administrative,physical,and technical controls to authorized staff.
(c) Ensure that user accounts are unique and that any given user account logon ID and password combination
is known only to the one employee to whom that account is assigned. For purposes of non-repudiation,it
must always be possible to determine which employee performed a given action on a system housing the
Data based solely on the logon ID used to perform the action.
(d) Ensure that only authorized users are capable of accessing the Data.
(e) Ensure that an employee's access to the Data is removed immediately:
1) Upon suspected compromise of the user credentials.
2) When their employment, or the contract under which the Data is made available to them, is
terminated.
3) When they no longer need access to the Data to fulfill the requirements of the contract.
(f) Have a process to periodically review and verify that only authorized users have access to systems
containing DSHS Confidential Information.
(g) When accessing the Data from within the Contractor's network (the Data stays within the Contractor's
network at all times),enforce password and logon requirements for users within the Contractor's network,
including:
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 6 of 29
1) A minimum length of 8 characters,and containing at least three of the following character classes:
uppercase letters, lowercase letters, numerals, and special characters such as an asterisk,
ampersand,or exclamation point.
2) That a password does not contain a user's name,logon ID,or any form of their full name.
3) That a password does not consist of a single dictionary word. A password may be formed as a
passphrase,which consists of multiple dictionary words.
4) That passwords are significantly different from the previous four passwords.
(h) When accessing Confidential Information from an external location(the Data will traverse the Internet or
otherwise travel outside the Contractor's network), mitigate risk and enforce password and logon
requirements for users by employing measures including:
1) Ensuring mitigations applied to the system do not allow end-user modification. Examples would
include but not be limited to installing key loggers,malicious software,or any software that will
compromise DSHS data.
2) Not allowing the use of dial-up connections.
3) Using industry standard protocols and solutions for remote access. Examples include,but are not
limited to RADIUS Microsoft Remote Desktop(RDP)and Citrix.
4) Encrypting all remote access traffic from the external workstation to Trusted Network or to a
component within the Trusted Network. The traffic must be encrypted at all times while traversing
any network,including the Internet,which is not a Trusted Network.
5) Ensuring that the remote access system prompts for re-authentication or performs automated
session termination after no more than 30 minutes of inactivity.
6) Ensuring use of Multi-factor Authentication to connect from the external end point to the internal
end point.All Contractors must be in compliance by 6/30/2020.
(i) Passwords or PIN codes may meet a lesser standard if used in conjunction with another authentication
mechanism,such as a biometric(fingerprint,face recognition,iris scan)or token(software,hardware,smart
card,etc.)in that case:
1) The PIN or password must be at least 5 letters or numbers when used in conjunction with at least
one other authentication factor
2) Must not be comprised of all the same letter or number (11111, 22222, aaaaa, would not be
acceptable)
3) Must not contain a "run" of three or more consecutive numbers (12398, 98743 would not be
acceptable)
(j) If the contract specifically allows for the storage of Confidential Information on a Mobile Device,
passcodes used on the device must:
1) Be a minimum of six alphanumeric characters.
2) Contain at least three unique character classes(upper case,lower case, letter,number).
3) Not contain more than a three consecutive character run.Passcodes consisting of 12345,or abcdl2
would not be acceptable.
(k) Render the device unusable after a maximum of 10 failed logon attempts.
(35) Protection of Data. The Contractor agrees to store Data on one or more of the following media and protect
the Data as described:
(a) Hard disk drives. For Data stored on local workstation hard disks,access to the Data will be restricted to
Authorized User(s) by requiring logon to the local workstation using a Unique User ID and Hardened
Password or other authentication mechanisms which provide equal or greater security,such as biometrics
or smart cards.
(b) Network server disks. For Data stored on hard disks mounted on network servers and made available
through shared folders,access to the Data will be restricted to Authorized Users through the use of access
control lists which will grant access only after the Authorized User has authenticated to the network
using a Unique User ID and Hardened Password or other authentication mechanisms which provide
equal or greater security,such as biometrics or smart cards. Data on disks mounted to such servers must
be located in an area which is accessible only to authorized personnel, with access controlled through
use of a key,card key,combination lock,or comparable mechanism.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 7 of 29
For DSHS Confidential Information stored on these disks,deleting unneeded Data is sufficient as long
as the disks remain in a Secure Area and otherwise meet the requirements listed in the above paragraph.
Destruction of the Data,as outlined below in Section(31) Data Disposition,may be deferred until the
disks are retired,replaced,or otherwise taken out of the Secure Area.
(c) Optical discs(CDs or DVDs)in local workstation optical disc drives. Data provided by DSHS on optical
discs which will be used in local workstation optical disc drives and which will not be transported out of
a Secure Area. When not in use for the contracted purpose,such discs must be Stored in a Secure Area.
Workstations which access DSHS Data on optical discs must be located in an area which is accessible
only to authorized personnel,with access controlled through use of a key, card key, combination lock,
or comparable mechanism.
(d) Optical discs (CDs or DVDs) in drives or jukeboxes attached to servers. Data provided by DSHS on
optical discs which will be attached to network servers and which will not be transported out of a Secure
Area.
Access to Data on these discs will be restricted to Authorized Users through the use of access control
lists which will grant access only after the Authorized User has authenticated to the network using a
Unique User ID and Hardened Password or other authentication mechanisms which provide equal or
greater security,such as biometrics or smart cards. Data on discs attached to such servers must be located
in an area which is accessible only to authorized personnel,with access controlled through use of a key,
card key,combination lock,or comparable mechanism.
(e) Paper documents. Any paper records must be protected by storing the records in a Secure Area which
is only accessible to authorized personnel. When not in use, such records must be stored in a Secure
Area.
(0 Remote Access. Access to and use of the Data over the State Governmental Network(SGN)or Secure
Access Washington (SAW) will be controlled by DSHS staff who will issue authentication credentials
(e.g.a Unique User ID and Hardened Password)to Authorized Users on Contractor's staff. Contractor will
notify DSHS staff immediately whenever an Authorized User in possession of such credentials is
terminated or otherwise leaves the employ of the Contractor, and whenever an Authorized User's duties
change such that the Authorized User no longer requires access to perform work for this Contract.
(g) Data storage on portable devices or media.
1) Except where otherwise specified herein, DSHS Data shall not be stored by the Contractor on
portable devices or media unless specifically authorized within the terms and conditions of the
Contract. If so authorized,the Data shall be given the following protections:
2) Encrypt the Data.
3) Control access to devices with a Unique User ID and Hardened Password or stronger authentication
method such as a physical token or biometrics.
4) Manually lock devices whenever they are left unattended and set devices to lock automatically
after a period of inactivity,if this feature is available. Maximum period of inactivity is 20 minutes.
5) Apply administrative and physical security controls to Portable Devices and Portable Media by:
i. Keeping them in a Secure Area when not in use,
ii. Using check-in/check-out procedures when they are shared,and
iii. Taking frequent inventories.
6) When being transported outside of a Secure Area,Portable Devices and Portable Media with DSHS
Confidential Information must be under the physical control of Contractor staff with authorization
to access the Data,even if the Data is encrypted.
(h) Data stored for backup purposes.
1) DSHS Confidential Information may be stored on Portable Media as part of a Contractor's existing,
documented backup process for business continuity or disaster recovery purposes. Such storage is
authorized until such time as that media would be reused during the course of normal backup
operations. If backup media is retired while DSHS Confidential Information still exists upon it,
such media will be destroyed at that time in accordance with the disposition requirements below
in Section(31)Data Disposition.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 8 of 29
2) Data may be stored on non-portable media(e.g. Storage Area Network drives,virtual media,etc.)
as part of a Contractor's existing, documented backup process for business continuity or disaster
recovery purposes. If so, such media will be protected as otherwise described in this exhibit. If
this media is retired while DSHS Confidential Information still exists upon it, the data will be
destroyed at that time in accordance with the disposition requirements below in Section(31)Data
Disposition.
(i) Cloud storage. DSHS Confidential Information requires protections equal to or greater than those
specified elsewhere within this exhibit. Cloud storage of Data is problematic as neither DSHS nor the
Contractor has control of the environment in which the Data is stored. For this reason:
1) DSHS Data will not be stored in any consumer grade Cloud solution, unless all of the following
conditions are met:
i. Contractor has written procedures in place governing use of the Cloud storage and
Contractor attest to the contact listed in the contract and keep a copy of that attestation for
your records in writing that all such procedures will be uniformly followed.
ii. The Data will be Encrypted while within the Contractor network.
iii. The Data will remain Encrypted during transmission to the Cloud.
iv. The Data will remain Encrypted at all times while residing within the Cloud storage
solution.
v. The Contractor will possess a decryption key for the Data,and the decryption key will be
possessed only by the Contractor.
vi. The Data will not be downloaded to non-authorized systems,meaning systems that are not
on the contractor network.
vii. The Data will not be decrypted until downloaded onto a computer within the control of an
Authorized User and within the contractor's network.
2) Data will not be stored on an Enterprise Cloud storage solution unless either:
i. The Cloud storage Provider is treated as any other Sub-Contractor,and agrees in writing to
all of the requirements within this exhibit;or,
ii. The Cloud storage solution used is HIPAA compliant.
3) If the Data includes protected health information covered by the Health Insurance Portability and
Accountability Act(HIPAA),the Cloud Provider must sign a Business Associate Agreement prior
to Data being stored in their Cloud solution.
(36) System Protection. To prevent compromise of systems which contain DSHS Data or through which that
Data passes:
(a) Systems containing DSHS Data must have all security patches or hotfixes applied within 3 months of
being made available.
(b) The Contractor will have a method of ensuring that the requisite patches and hotfixes have been applied
within the required timeframes.
(c) Systems containing DSHS Data shall have an Anti-Malware application,if available,installed.
(d) Anti-Malware software shall be kept up to date. The product, its anti-virus engine, and any malware
database the system uses,will be no more than one update behind current.
(37) Data Segregation.
(a) DSHS category 4 data must be segregated or otherwise distinguishable from non-DSHS data. This is to
ensure that when no longer needed by the Contractor, all DSHS Data can be identified for return or
destruction. It also aids in determining whether DSHS Data has or may have been compromised in the
event of a security breach. As such, one or more of the following methods will be used for data
segregation.
1) DSHS Data will be kept on media(e.g. hard disk, optical disc, tape, etc.) which will contain no
non-DSHS Data.
2) DSHS Data will be stored in a logical container on electronic media, such as a partition or folder
dedicated to DSHS Data.
3) DSHS Data will be stored in a database which will contain no non-DSHS data.And/or,
4) DSHS Data will be stored within a database and will be distinguishable from non-DSHS data by
the value of a specific field or fields within database records.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 9 of 29
5) When stored as physical paper documents, DSHS Data will be physically segregated from non-
DSHS data in a drawer,folder,or other container.
(b) When it is not feasible or practical to segregate DSHS Data from non-DSHS data,then both the DSHS
Data and the non-DSHS data with which it is commingled must be protected as described in this exhibit.
(38) Data Disposition.When the contracted work has been completed or when the DSHS Data is no longer needed,
except as noted above in Section (30. b.) DSHS Data shall be returned to DSHS or destroyed. Media on
which Data may be stored and associated acceptable methods of destruction are as follows:
Data stored on: Will be destroyed by:
Server or workstation hard disks,or Using a"wipe"utility which will overwrite the Data
Removable media(e.g. floppies,USB flash drives, at least three(3)times using either random or single
portable hard disks)excluding optical discs character data,or
Degaussing sufficiently to ensure that the Data
cannot be reconstructed,or
Physically destroying the disk
Paper documents with sensitive or Confidential Recycling through a contracted firm, provided the
Information contract with the recycler assures that the
confidentiality of Data will be protected.
Paper documents containing Confidential On-site shredding, pulping, incineration, or
Information requiring special handling (e.g. contractor
protected health information)
Optical discs(e.g.CDs or DVDs) Incineration,shredding,or completely defacing the
readable surface with a coarse abrasive
Magnetic tape Degaussing,incinerating or crosscut shredding
(39) Notification of Compromise or Potential Compromise. The compromise or potential compromise of DSHS
shared Data must be reported to the DSHS Contact designated in the Contract within one(1)business day of
discovery. If no DSHS Contact is designated in the Contract, then the notification must be reported to the
DSHS Privacy Officer at dshsprivacyofficer@dshs.wa.gov. Contractor must also take actions to mitigate the
risk of loss and comply with any notification or other requirements imposed by law or DSHS.
(40) Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a
subcontractor,the Contract with the subcontractor must include all of the data security provisions within this
Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot
protect the Data as articulated within this Contract,then the contract with the sub-Contractor must be submitted
to the DSHS Contact specified for this contract for review and approval.
(41) Notification of Compromise or Potential Compromise. The compromise or potential compromise of DSHS
shared Data must be reported to the DSHS Contact designated in the Contract within one(1)business day of
discovery If no DSHS Contact is designated in the Contract, then the notification must be reported to the
DSHS Privacy Officer at dshsprivacyofficer@dshs.wa.gov. Contractor must also take actions to mitigate the
risk of loss and comply with any notification or other requirements imposed by law.
(42) SUBCONTRACTOR shall provide the following:
(a) Equal Access: SUBCONTRACTOR will assure equal access to persons who do not speak or have a
limited ability to speak,read, or write English well enough to understand and communicate effectively
(reference DP. Policy 5.05,l,rnrued English Prrnicieni tt.la hcins).
(b) The date policies are implemented or the date,they are revised.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 10 of 29
(c) Financial and Program. Management: SUBCONTRACTOR will maintain an
administrative/organizational structure that clearly defines responsibilities; systems and personnel to
maintain accounting records that accurately reflect all program revenues and expenditures; prepare
monthly statements of activity(ADSA Reports);maintain appropriate Client service records and Six(6)
Month(semi-annual)Progress Report;track key program performance indicators and Quality Assurance
and a Quality Improvement components;listed under on page 9-Section g.
(d) Participants: SUBCONTRACTOR has a commitment to support integration of individuals with
developmental disabilities with people who are not disabled and has involved participants with
developmental disabilities in policy development.
(e) Partnerships: SUBCONTRACTOR has a history of working cooperatively with community-based
organizations including Employers, other Agencies, the COUNTY DD Program, the Division of
Vocational Rehabilitation(DVR),and the Schools.
(f) Performance Plan: SUBCONTRACTOR has a written performance plan that describes its mission,
program objectives,expected outcomes,and describes how and when objectives will be accomplished;
and will assure the plan is evaluated at least biennially with revisions based on actual performance. The
Performance Plan must include performance indicators that address diversity, equity, and inclusion
efforts. SUBCONTRACTOR will document progress on performance indicators identified in DDA
Policy 6.13,Provider Qualifications for Employment and Day Program Services.
https://www.dshs.wa.gov/sites/de fault/files/DDA/dda/documents/pol icy1policy6.13.pdf
(g) Quality Assurance and Service Evaluation Plan: SUBCONTRACTOR will have an evaluation system
to review services. The evaluation system must have both a Quality Assurance and a Quality
Improvement component, and both must include performance indicators/objective measures, that
evaluate Client progress every 6 months.The objective measures at a minimum will include:
1) Increased wages(by acuity)if applicable
2) Increased number of working hours(by acuity)if applicable
3) The number of new jobs(by acuity)if applicable
4) Job loss and why—retention rates(by acuity)if applicable
5) The percentage employed(by acuity)if applicable
6) Looking at Quantitative-(Data)vs.Qualitative-(Narrative)
(h) SUBCONTRACTOR will collect, analyze and compare all the performance indicators/objective
measures listed above in Section:(g) 1-6.The results will be sent to the County in an excel spreadsheet
every 6 months.
(i) The COUNTY'S Service Evaluation System: shall serve as the method by which current Providers
demonstrate that they continue to be qualified as Providers. A copy of the COUNTY'S Service
Evaluation System shall be provided upon request,to DDA for review.
(j) Internal Control Systems:SUBCONTRACTOR will have an administrative/organizational structure that
clearly defines responsibilities.
1) SUBCONTRACTOR has sufficient policies and procedures for establishment and maintenance of
adequate internal control systems.
2) SUBCONTRACTOR will maintain written policy procedural manuals for information systems,
personnel, and accounting/finance in sufficient detail such that operations can continue should
staffmg change or prolonged absences occur.
3) SUBCONTRACTOR will date all policies when they are implemented or date they are revised.
(k) Qualified Staff SUBCONTRACTOR will provide adequate,qualified staff with skills and experience
in evaluation, training, supervision, counseling and support of adults with developmental disabilities
who are earning wages,per the attached Statement of Work.
1) SUBCONTRACTOR will assure that all direct service staff are trained and has experience in
accordance with DDA Policy 6.13 and that training is documented.
2) SUBCONTRACTOR will assure that each employee has a current (within three years) DSHS
background check in accordance with RCW 43.43.830-845,RCW 74.15.030 and WAC 388-825.
3) SUBCONTRACTOR will provide COUNTY with information regarding staff qualifications upon
request.
(1) Safety: SUBCONTRACTOR will provide evidence that it employs safety protection based on the
environment in which the participant is working or receiving services.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 11 of 29
(m) Integration:Employment and day services must show evidence that the agency adheres to the Medicaid
Home and Community Based settings(HCBS)requirements of 42CFR 441 530(a)(1),including that
1) The setting is integrated in the greater community and supports individuals to have full access to
the greater community;
2) Ensures the individual receives services in the community to the same degree of access as
individuals not receiving Medicaid HCBS;
3) The setting provides opportunities to seek employment and work in competitive integrated settings;
and
4) The setting facilitates individual choice regarding services and supports,and who provides them.
(43) SUBCONTRACTOR shall identify settings that isolate people from the broader community or that have the
effect of isolating individuals from the broader community of individuals who do not receive Medicaid HCB
services.These settings are presumed not to be home and community-based.
(44) SUBCONTRACTOR shall provide an initial Group Supported Employment/Vocational Client Plan that
identifies and addresses the individualized goals and support needs for each client. Plans must consider
individualization,integration and safety.
(a) The Group Supported Employment/Vocational Client Plan will include the information listed below;and
1) Be developed by the SUBCONTRACTOR in collaboration with the COUNTY, the Client,their
DDA Case Manager,Residential Staff, Guardian/Family Members and others as appropriate(the
team).
2) Initial plans will be completed within 60 days from date of service authorization and must be signed
by the participant and their guardian if any.
3) Copies of the initial and subsequent Six(6)Month Plans; (semi-annual)Progress Reports will be
distributed as appropriate to all team members.
4) Plans will be reviewed and signed annually.
(b) The initial Group Supported Employment/Vocational Client Plan and subsequent Six (6Month (semi-
annual)Progress Reports will include:
1) Current date;
2) Timeline for the plan;
3) Client's name first and last;
4) Client's ADSA ID;
5) Employment goal;
i. The preferred(job type)the participant wishes to obtain or maintain;
ii. The preferred wages/salary the participant wishes to earn;
iii. The number of hours the participant prefers to work;
iv. The agreed upon time line to achieve the employment goal.
6) The Client's skills,gifts,interests and preferred activities;
7) Measurable strategies and timelines(action steps and supports)to meet the employment goal;
8) Identification of persons and/or entities available to assist the participant in reaching his/her
employment goal(example:a family member,Vocational Rehabilitation services,etc.)and;
9) Identification of other accommodations, adaptive equipment and/or supports critical to achieve
employment goal.
(c) SUBCONTRACTOR must assure that Group Supported Employment staff hours are attributed to the
Client via the Individual Employment Phases & Billable Activities & Group Supported Employment
Service Guidelines Minimum Expectations 2013.
(d) SUBCONTRACTOR shall identify the provision of supports necessary for job success to each
participant. Supports may include, but are not limited to, identification of resources necessary for
transportation,job restructuring,work materials or routine adaptation,work environment modifications,
identification of job counseling needs,etc.
(e) SUBCONTRACTOR will provide training and support to employers and co-workers, in each job
placement to ensure jobs are maintained and fading is occurring. This also includes the development of
natural supports.
(f) The SUBCONTRACTOR will document all employment services activities and outcomes to those
activities that relate to the participant's individually identified goal(s)as outlined in their Six(6)Month
(semi-annual)Progress Report.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 12 of 29
(g) The SUBCONTRACTOR will invite the COUNTY to all six-month client meetings at least 20 days
before the meeting occurs.
(h) The SUBCONTRACTOR will provide six- month progress reports describing the progress made
towards achieving the client's goal,service activities and the outcome of those activities will be provided
by the service provider to the Case Resource Manager, client, and/or guardian if any within 30 days
following the six-month period.
(i) The SUBCONTRACTOR will document all services that relate to the client's individually identified
goal(s)as outlined in their six-month plan.
(j) The SUBCONTRACTOR will provide the following:
1) Training and support is provided as a part of an individual's pathway to integrated employment in
accordance with DDA Policy 4.I I,C,'orrrrt} Sen ices.lbr Working Age Adults.
2) Information about wages,productivity,benefits,and work hours for each participant.
3) Progress in achieving increased wages and work hours for each participant.
(k) The SUBCONTRACTOR shall report any injury or accident that requires more than simple first aid,and
any extraordinary incident that requires intervention by the SUBCONTRACTOR to the DSHS/DDA
Case Manager for the individual involved,and then report the injury,accident,or extraordinary incident
to the COUNTY Coordinator. This includes serious physical or emotional harm or potential harm.
1) Incidents involving injury,health or safety issues are reported to DDA and the County reference
DDA Policy 6.08.:MMandatorr Reporting Reg:tir me rrts furr Employment and Day Pr•vlreun Services
Providers.
2) The initial report to the COUNTY may be done via documented telephone calls to the COUNTY
Coordinator.
3) The SUBCONTRACTOR shall submit a written follow-up report within 10 days to the COUNTY
Coordinator. The report to the COUNTY Coordinator may be submitted by email,facsimile(FAX)
to 360-385-9401, or by mail to Jefferson COUNTY Public Health 615 Sheridan Port Townsend,
WA 98368.
4) Serious and emergent incidents shall be handled in accordance with DSHS/DDA Policy 12.01,
Incident Management.
5) Incident reports are tracked and analyzed for potential trends and patterns.
6) Mandatory reporting is done in accordance with Chapter 74.3�I RCW,4busu of 1'rrincrohle Adults
and Chapter 26.44 RCW,Abuse of Children.
(1) SUBCONTRACTOR shall comply with all applicable federal, state and local fire, health and safety
regulations and the following:
1) All services for persons with developmental disabilities must be provided with attention to their
health and safety.
2) Current policies address confidential/private information for participant and their documents.
3) Current emergency contact and medical information (medications, diet, allergies, etc.) needed
during the hours of service is readily available for each participant.
4) Make available for inspection, review, or audit by COUNTY DD Coordinator at all reasonable
times: all work sites; all Client records; records on productivity and Client wages; and all
documents, reports, and other data applicable to this agreement. The COUNTY shall monitor
services delivered, and conduct at least one on-site visit with SUBCONTRACTOR during the
period of this biennium to assure compliance with the DDA State Work Order.
5) Within 30 days of the effective date of this agreement and at least semi-annually thereafter,
SUBCONTRACTOR will provide (a) company (b) program financial reports to COUNTY,
including all revenues and expenses generated by SUBCONTRACTOR, in sufficient detail to
demonstrate the uses of funds provided under this agreement.
6) AUDIT REQUIREMENTS. Independent Audit will be submitted annually to the COUNTY
Coordinator in the following manner:
(m) SUBCONTRACTOR must be able to account for and manage public funds in compliance with Generally
Accepted Accounting Principles"GAAP". An agency,for-profit or non-profit,who receives in excess
of $100,000 in DDA funds during its fiscal year from the County, shall provide Certified Public
Accountant reviewed or audited financial statements within nine months subsequent to the close of the
SUBCONTRACTOR's fiscal year. Copies of the audit,financial statements and management letter shall
be submitted to the Jefferson COUNTY Public Health within 9 months of the end of the
SUBCONTRACTOR'S fiscal year.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 13 of 29
(n) The SUBCONTRACTOR shall provide an independent audit of the entire organization which:
1) Is performed by an independent Certified Public Accountant,the Washington State Auditor's Office,
or another entity the COUNTY and the SUBCONTRACTOR mutually approve.
2) Provide statements consistent with the guidelines of Reporting for Other Non-Profit Organizations
AICPA SOP 78-10,and is performed in accordance with generally accepted auditing standards and
with Federal Standards for Audit of Governmental Organizations, Programs, Activities, and
Functions,and meeting all requirements of OBM Circular A-133 or A-128,as applicable.
3) The SUBCONTRACTOR shall submit one (2) copies of the audit and/or the summary and the
management letter directly to the COUNTY immediately upon completion. The audit must be
accomplished by documentation indicating the SUBCONTRACTOR'S Board of Directors has
reviewed the audit.
(o) If the COUNTY Coordinator finds indications of potential non-compliance during the contract
monitoring process or learns that the SUBCONTRACTOR is out of compliance with any of the terms
or conditions of this contract,the following process will be pursued:
1) Informal Notification: Informal process wherein the COUNTY Coordinator alerts the
SUBCONTRACTOR in writing of the potential non-compliance and an agreeable solution is
reached within ten(10)days.
2) Official Notification: If the informal notification does not result in resolution, the official
notification of possible non-compliance to establish a date, within ten (10) working days of
notification, when representatives of the COUNTY and the SUBCONTRACTOR shall meet to
discuss areas of contention and attempt to resolve the issues.
3) Written Summary: Within ten (10)working days of such official notification,the COUNTY will
provide the SUBCONTRACTOR a written summary of the areas of non-compliance by certified
mail. Notice shall be sent to the address identified in the Agreement.
4) Discussion: Within twenty (20) days of the date of the written summary, a discussion between
COUNTY and SUBCONTRACTOR shall be conducted to resolve areas of non-compliance or
potential non-compliance.
5) Should the above procedures fail to resolve the compliance issue,the parties will obtain the services
of the Peninsula Dispute Resolution Center,or another agreed upon resource,and shall share equally
in any retainer fees or other costs of services.If no agreement is reached,the mediator's decision in
the matter will be binding on all parties,except that in no event will the COUNTY honor a financial
determination that is greater than the funds allowed in the scope of this Agreement.
(p) For six years following the end date of this agreement,SUBCONTRACTOR will maintain Client records
and books, records, documents, reports and other evidence of accounting procedures and practices,
which sufficiently and properly reflect all direct and indirect expenditures of funds provided under this
agreement.
(q) Client records shall minimally include statement of client goals, documentation of training provided,
training hours,routine progress notes and semi-annual summary of progress toward meeting client goals.
(r) SUBCONTRACTOR will provide COUNTY with Group Employment/Vocational Plans (or Person-
Centered Plan/Profile), client goals, and a summary of progress towards meeting those goals on a bi-
annual basis.
(s) Make available for inspection, review, or audit by COUNTY DD Coordinator at all reasonable times:
all Client records;and all documents,reports,and other data applicable to this agreement.
(t) SUBCONTRACTOR shall provide COUNTY with a copy of a signed DSHS Provider Agreement within
30 days of the effective date of this agreement.
(u) SUBCONTRACTOR agrees to assign to COUNTY its Medicaid Billing Rights for services to Clients
eligible under Title XIX programs. Written documentation shall be available to COUNTY on request.
If SUBCONTRACTOR contracts directly with DSHS to provide covered services under Title XIX,
COUNTY agrees that funding intended for those Clients shall be excluded from this agreement. If
SUBCONTRACTOR contracts directly with Social Security to provide covered services under a
PASS/1RWE, COUNTY agrees that funding intended for those Clients shall be excluded from this
agreement.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 14 of 29
C. REIMBURSEMENTS
(1) SUBCONTRACTORS receiving reimbursement on a fee for service basis may be reimbursed, at the
discretion of the COUNTY, for any temporary closure or substantial non-attendance necessitated by natural
causes, disasters, State/COUNTY trainings or mechanical failure above and beyond the control of the
Contactor.Federal XIX funds may not be used for this purpose.
(2) For said services rendered under this agreement,COUNTY shall reimburse SUBCONTRACTOR on a unit rate
basis,as follows:
(a) Group Supported Employment: SUBCONTRACTOR will be paid S91.04,per UNIT assigned Service
Responsibility of regular Program Service,from July 1,2023 to June 30,2024 as defined in Exhibit A:
Statement of Work.
(b) COUNTY will check in with SUBCONTRACTOR on a quarterly basis as to the status of the budget and
the number of clients requesting service. The budget may have to be renegotiated if a number of new
clients need services.
(c) Claims for individuals' services made in the CMIS system must comply with the defined units:(1)hour
=at least 50 minutes;(2)day=at least 4 hours;and(3)month=a minimum of one service visit with 50
minutes of direct service.
(d) One UNIT is defined as one DAY of direct service to one eligible client. One DAY of direct service is
defined as four(4) or more hours of paid productive work, paid on-the-job training, or paid time off
(such as routine holiday,vacation and sick leave)in one 24-hour period.A minimum of four(4)hours
of work a day is required.The Client must work a minimum of four(4)hours a day to bill the COUNTY
or access paid leave.
(e) SUBCONTRACTOR will bill COUNTY on a monthly basis,on or before the 5th day of the month,for
units of service provided under this agreement during the preceding month. SUBCONTRACTOR will
submit a Monthly DDA Services Report(ADSA)form for its billings.At no time,shall the invoices for
reimbursement be submitted more than 60 calendar days following the last day of the month for which
the services were provided.
(f) COUNTY may, at its option, withhold reimbursement for any month for which required reports have
not been received or are inaccurate and/or complete.
(g) Total reimbursements for the fiscal year of 2023-2024 to the SUBCONTRACTOR by the COUNTY
under this contract shall not exceed S58,000.00 in completion of these services without express written
amendment signed by both parties to this Agreement. Work performed between July 1,2023 and the
execution of this Agreement that is consistent with the provisions of this Agreement is hereby ratified.
This total reimbursement includes any amendment within the fiscal year of 2023-2024.
D. DEBARMENT
By signing this Agreement,the SUBCONTRACTOR certifies that it is not presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded in any Washington State or Federal
department or agency from participating in transactions (debarred). The SUBCONTRACTOR agrees to
include the above requirement in any and all subcontracts into which it enters,and also agrees that it will not
employ debarred individuals. The SUBCONTRACTOR must immediately notify the County if, during the
term of this Agreement, the SUBCONTRACTOR becomes debarred. The County may immediately
terminate this Agreement by providing the SUBCONTRACTOR written notice, if the SUBCONTRACTOR
becomes debarred during the term of this Agreement.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 15 of 29
E. FUNDING WITHDRAWN,REDUCED OR LIMITED
If the COUNTY determines in its sole discretion that the funds it relied upon to establish this Agreement
have been withdrawn,reduced or limited,or if additional or modified conditions are placed on such funding
after the effective date of this Agreement but prior to the normal completion of this Agreement, then the
COUNT,at its sole discretion,may: (1)Terminate this agreement;(2)Renegotiate this Agreement under the
revised funding conditions; or, (3) Suspend the SUBCONTRACTOR's performance under this Agreement
upon five (5)business days' advance notice to the SUBCONTRACTOR, if the COUNTY determines that
there is a reasonably likelihood that the funding insufficiency may be resolved in time to allow the
SUBCONTRACTOR's performance to resume prior to the normal completion date of this Agreement.
F. OVERPAYMENTS OR ERRONEOUS PAYMENTS TO SUBCONTRACTOR
If overpayments or erroneous payments have been made to the SUBCONTRACTOR under this Agreement,
the COUNTY will provide notice to the SUBCONTRACTOR and the SUBCONTRACTOR shall refund the
full amount of the overpayment within thirty(30)calendar days of the notice. If the SUBCONTRACTOR
fails to make timely refund,the COUNTY may charge the SUBCONTRACTOR one percent(1%)per month
on the amount due,until paid in full.
G. RECORDS AND DOCUMENTS REVIEW
(1) The SUBCONTRACTOR must maintain books, records, documents, magnetic media, receipts, invoices or
other evidence relating to this Agreement and the performance of the services rendered,along with accounting
procedures and practices,all of which sufficiently and properly reflect all direct and indirect costs of any nature
expended in the performance of this Agreement. At no additional cost, these records, including materials
generated under this Agreement,are subject at all reasonable times to inspection,review,or audit by the Agency,
the Office of the State Auditor, and state and federal officials so authorized by law, rule, regulation, or
agreement.
(2) The SUBCONTRACTOR must retain such records for a period of six(6)years after the date of final payment
under this Agreement.
(3) If any litigation, claim or audit is started before the expiration of the six(6)year period,the records must be
retained until all litigation,claims,or audit findings involving the records have been resolved.
H. RISK ASSESSMENT AND MONITORING FOR COMPLIANCE BY THE COUNTY.
(1) SUBCONTRACTOR shall immediately report to the COUNTY any failure to perform under this Agreement.
(2) Along with every request for reimbursement under this Agreement,the SUBCONTRACTOR shall submit a
Monitoring Certification using the form attached as Exhibit B for purposes of the County performing the risk
assessment of the SUBCONTRACTOR and compliance monitoring of this Agreement that is required under
the Program Agreement.
I. MISCELLANEOUS
(1) DSHS Developmental Disabilities Administration (DDA) shall determine client eligibility and service
referral are the responsibility of the DDA pursuant to Chapter 388-823 WAC(Eligibility)and Chapter 388-
825 WAC (Service Rules). Only persons referred by DDA shall be eligible for direct Client services under
this Program Agreement. It is DDA's responsibility to determine and authorize the appropriate direct
service(s) type. Direct Client services provided without authorization are not reimbursable under this
Program Agreement.
(2) DSHS Developmental Disabilities Administration (DDA) shall notify COUNTY of persons authorized for
services reimbursed under this agreement. Only persons referred to COUNTY by DDA through a County
Service Authorization,(CSA)shall be eligible for services reimbursed under this agreement.
(3) The SUBCONTRACTOR'S relation to the COUNTY shall at all times be that of independent
SUBCONTRACTOR.Any and all employees of the SUBCONTRACTOR,or other persons engaged in the
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 16 of 29
performance of any work or service required of the SUBCONTRACTOR under this Agreement, shall be
considered employees of the SUBCONTRACTOR only,and any claims that may arise on behalf of or against
said employees shall be the sole obligation and responsibility of the SUBCONTRACTOR.
(4) The SUBCONTRACTOR shall not sublet or assign any of the services covered by this Agreement without
the express written consent of the COUNTY. Assignment does not include printing or other customary
reimbursable expenses that may be provided in an Agreement.
(5) The SUBCONTRACTOR, by signature to this Agreement, certifies that the SUBCONTRACTOR is not
presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participating in this Agreement, or any Agreement by any Federal department or agency. The
SUBCONTRACTOR also agrees to include the above requirement to all subcontracts into which it enters.
(6) The SUBCONTRACTOR shall obtain and keep in force during the terms of the Agreement, or as
otherwise required, the following insurance with companies or through sources approved by the State
Insurance Commissioner pursuant to RCW 48:05:
(a) Worker's compensation and employer's liability insurance as required by the State of Washington.
(b) Commercial Automobile Liability or Business Use Insurance providing bodily injury and property
damage liability coverage for all owned and non-owned vehicles assigned to or used in the performance
of the work for a combined single limit of not less than$1,000,000 each occurrence with the COUNTY
named as an additional insured in connection with the SUBCONTRACTOR'S performance of the
contract.
(c) General Commercial Liability Insurance in an amount not less than a single limit of one million dollars
($1,000,000.00)per occurrence and an aggregate of not less than two(2)times the occurrence amount
($2,000,000.00 minimum) for bodily injury, including death and property damage, unless a greater
amount is specified in the contract specifications. The insurance coverage shall contain no limitations
on the scope of the protection provided and include the following minimum coverage:
1) Broad Form Property Damage,with no employee exclusion
2) Personal Injury Liability, including extended bodily injury
3) Broad Form Contractual/Commercial Liability-including completed operations
4) Premises-Operations Liability(M&C)
5) Independent Contractors and Subcontractors
6) Blanket Contractual Liability
(7) All employees or subcontractors of the SUBCONTRACTOR who are required to be professionally certified
by the State in the performance of services under this agreement shall maintain professional liability
insurance in the amount of not less than one million dollars($1,000,000). In no case shall such professional
liability to third parties be limited in any way.
(8) It shall be the responsibility of the SUBCONTRACTOR to ensure that any and all persons engaged in the
performance of any work or service required of the SUBCONTRACTOR under this Agreement,shall comply
with the same insurance requirements that SUBCONTRACTOR is required to meet.
(9) Failure on the part of the SUBCONTRACTOR to maintain the insurance as required shall constitute a
material breach of contract upon which the COUNTY may, after giving five working days' notice to the
SUBCONTRACTOR to correct the breach,immediately terminate the contract or,at its discretion,procure
or renew such insurance and pay any and all premiums there with, with any sums so expended to be repaid
to the COUNTY on demand, or at the sole discretion of the COUNTY, offset against funds due the
SUBCONTRACTOR from the COUNTY.
(10) All cost for insurance shall be considered incidental to and included in the unit contract prices and no
additional payment will be made.
(11) Excepting the Workers Compensation insurance and any professional liability insurance secured by the
SUBCONTRACTOR,the COUNTY will be named on all certificates of insurance as an additional insured.
The SUBCONTRACTOR shall furnish the COUNTY with verification of insurance and endorsements
required by this Agreement. The COUNTY reserves the right to require complete, certified copies of all
required insurance policies at any time.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 17 of 29
(12) All insurance shall be obtained from an insurance company authorized to do business in the State of
Washington. The SUBCONTRACTOR shall submit a verification of insurance as outlined herein within 14
days of the execution of this Agreement to the COUNTY. All insurance policies obtained by the
SUBCONTRACTOR shall be primary to any equivalent or applicable policies held by the COUNTY. All
insurance policies obtained by the SUBCONTRACTOR shall include a waiver of subrogation rights. Any
insurance self-insured retention,deductible or risk retention maintained,or participated in,by the COUNTY
shall be excess and shall be non-contributory to the insurance policies provided by the SUBCONTRACTOR
in order to comply with the insurance requirements of this Subcontract. All policies provided by the
SUBCONTRACTOR in order to comply with the insurance requirements of this Subcontract must be
endorsed to show this primary coverage.
(13) The COUNTY will pay no progress payments under Section C until the SUBCONTRACTOR has fully
complied with this section. This remedy is not exclusive;and the COUNTY may take such other action as
is available to them under other provisions of this Agreement,or otherwise in law.
(14) Nothing in the foregoing insurance requirements shall prevent the COUNTY,at its option,from additionally
requesting that the SUBCONTRACTOR deliver to the COUNTY an executed bond as security for the faithful
performance of this contract and for payment of all obligations of the SUBCONTRACTOR.
(15) The SUBCONTRACTOR shall comply with all Federal,State,and local laws and ordinances applicable to the
work to be done under this Agreement. This Agreement shall be interpreted and construed in accord with
the laws of the State of Washington and venue shall be in Jefferson COUNTY,WA.
(16) The SUBCONTRACTOR shall comply with the WA State Department of Labor and Industries Minimum Wage
Act, RCW 49.46,acknowledging persons with disabilities participating in job assessments are not considered
employees.
(17) The SUBCONTRACTOR shall defend,indemnify and hold the COUNTY,its officers,officials,employees,
agents and volunteers(and their marital communities)harmless from any claims, injuries, damages, losses
or suits, including attomey's fees, arising out of or resulting from the acts, errors or omissions of the
SUBCONTRACTOR in performance of this Agreement,except for injuries and damages caused by the sole
negligence of the COUNTY. Should a court of competent jurisdiction determine this Agreement is subject
to RCW 4.24.115 if liability for damages occurs arising out of bodily injury to persons or damages to property
caused by or resulting from the concurrent negligence of the SUBCONTRACTOR and the COUNTY, its
officers, officials, employees, agents and volunteers (and their marital communities) the
SUBCONTRACTOR's liability, including the duty and cost to defend, shall be only for the
SUBCONTRACTOR's negligence. It is further specifically understood that the indemnification provided
constitutes the SUBCONTRACTOR's waiver of immunity under Industrial Insurance,Title 51 RCW,solely
for the purposes of this indemnification.This waiver has been mutually negotiated by the parties.This section
shall survive the expiration or termination of this Agreement.
(18) Claims against the COUNTY shall include, but not be limited to assertions that the use and transfer of any
software, book, document, report, film, tape, or sound reproduction of material of any kind, delivered there
under, constitutes an infringement of any copyright,patent,trademark,trade name, or otherwise results in an
unfair trade practice or an unlawful restraint of competition.
(19) The SUBCONTRACTOR specifically assumes potential liability for actions brought against the COUNTY by
SUBCONTRACTOR'S employees, including all other persons engaged in the performance of any work or
service required of the SUBCONTRACTOR under this Agreement and, solely for the purpose of this
indemnification and defense, the SUBCONTRACTOR specifically waives any immunity under the state
industrial insurance law,Title 51 RCW. The SUBCONTRACTOR recognizes that this waiver was specifically
entered into pursuant to provisions of RCW 4.24.115 and was subject of mutual negotiation.
(20) SUBCONTRACTOR shall not discriminate against any person presenting themselves for services based on
race,religion,color,sex,age,or national origin.
(21) COUNTY reserves the right to terminate this contract in whole or in part, without prior written notice, in the
event that contractual terms are not fulfilled,or if expected or actual funding from the Department of Social and
Health Services Division of Developmental Disabilities is withdrawn,reduced,or limited in any way after the
effective date of this agreement. In the event of termination under this clause,COUNTY shall be liable only
for payment for services rendered prior to the effective date of termination.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 18 of 29
(22) No portion of this contract may be assigned or subcontracted to any other individual,firm,or entity without the
express and prior written approval of COUNTY.If the COUNTY agrees in writing that all or a portion of this
Contract may be subcontracted to a third-party, then any contract or agreement between the
SUBCONTRACTOR and a third-party subcontractor must contain all provisions of this Agreement and the
third-party subcontractor must agree to be bound by all terms and obligations found in this agreement.
(23) The parties agree that:
(a) No representation or promise not expressly contained in this Agreement has been made.
(b) They are not entering into this Agreement based on any inducement,promise or representation,expressed
or implied,which is not expressly contained in this Agreement.
(c) This Agreement supersedes all prior or simultaneous representations, discussions, negotiations, and
agreements,whether written or oral,within the scope of this Agreement.
(24) Provided it does not result in a material change in the terms of this Agreement, if any provision of this
Agreement or the application of this Agreement to any person or circumstance shall be invalid, illegal, or
unenforceable to any extent,the remainder of this Agreement and the application this Agreement shall not be
affected and shall be enforceable to the fullest extent permitted by law.
(25) No consent by either party to,or waiver of,a breach by either party,whether express or implied,shall constitute
a consent to,waiver of,or excuse of any other,different,or subsequent breach by either party.
(26) The Contractor shall not sell,assign,or transfer any of rights obtained by this Agreement without the express
written consent of the County.
(27) The parties do not intend,and nothing in this Agreement shall be construed to mean,that any provision in this
Agreement is for the benefit of any person or entity who is not a party.
(28) This Agreement may be amended or supplemented only by a writing that is signed by duly authorized
representatives of all the parties.
(29) This Agreement may be executed in one or more counterparts,each of which shall be deemed an original,and
all of which counterparts together shall constitute the same instrument which may be sufficiently evidenced by
one counterpart. Execution of this Agreement at different times and places by the parties shall not affect the
validity of this Agreement,so long as all the parties execute a counterpart of this Agreement.
(30) The parties agree that facsimile and electronic signatures shall have the same force and effect as original
signatures.
(31) Notwithstanding any provisions of this Agreement to the contrary, to the extent any record, including any
electronic,audio,paper or other media,is required to be kept or indexed as a public record in accordance with
the Washington Public Records Act, Chapter 42.56 RCW (as may be amended), the Contractor agrees to
maintain all records constituting public records and to produce or assist the County in producing such records,
within the time frames and parameters set forth in state law. The Contractor also agrees that upon receipt of
any written public record request,the Contractor shall,within two business days,notify the County by providing
a copy of the request per the notice provisions of this Agreement.
(SIGNATURES FOLLOW ON NEXT PAGE)
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 19 of 29
ADOPTED THIS - day of Al O 4/ ,2023
r-
,Its
}M�uu.n,r T,,
By: _= OA/',`.. By: ` ,v
Gregerton,Chairman se .;' 0'Q�'-; Taylo 'eb r,Executive Director
Jefferson County Board of Commiss'.ne� ' `��Ss/0.'• Gz;Cascade Community Connections,LLC
4, Carolyn Gallaway, Date
,�
'4 "' "{'� Clerk of the Board
APPROVED AS TO FORM ONLY:
By:
f0- '+
October 12,2023
Philip Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 20 of 29
EXHIBIT A
STATEMENT OF WORK
GROUP SUPPORTED EMPLOYMENT
1. WORK STATEMENT
SUBCONTRACTOR shall provide Group Supported Employment Services for program Clients as described hereinafter.
SUBCONTRACTOR shall be reimbursed for such services on a unit of service basis pursuant to Section C.,
Reimbursements:Page 13 of this contract.
H. PROGRAM DESCRIPTION
A. Program Goals:
1. To provide work training and work opportunities for adults who experience intellectual/developmental
disabilities; until resources, support systems, and/or technology are available or adequate to aid these
individuals to obtain competitive employment.
2 To provide Group Supported Employment Services that are designed to meet specific needs of the
individual based on personal preferences and individualized goals and outcomes.
3. To improve the cost-benefit of Group Supported Employment Services by increasing the average worker
benefit ratio and compared to the average monthly cost per person.
4. To support individual program clients in Group Supported Employment Services to experience community
job sites through mentoring,observation and/or on-site experience at least two times a year.
5. When appropriate to provide the service of assessment and consultation in order to identify and address
existing barriers to employment for individuals who have not yet achieved their employment goal through
consulting and assessment. (This is in addition to supports received through Group Supported Employment
services for individuals who have not yet achieved their employment goal).
6. To transition program clients to Individual Supported Employment services as soon as resources,support
systems, and/or technology are available or adequate to support these individuals to obtain individual
employment in the community.
7. Clients in any Employment program will be supported to work towards a living wage. A living wage is
the amount needed to enable an individual to meet or exceed his or her living expenses. Clients should
strive to average twenty(20)hours of work per week or eighty-six hours per month.The amount of service
a client receives will be based on his/her demonstrated need and acuity level.
However,each individual's preferred hours of employment should be taken into consideration.
8. To identify settings that isolate people from the broader community or that have the effect of isolating
individuals from the broader community of individuals who do not receive Medicaid HCB services.
Clients will not access these settings because they are presumed not to be home and community-based.
B. Definitions
1. Group Supported Employment Services are:
(a) training and supervision of adults who experience intellectual/developmental disabilities who are
involved in paid, productive employment at locations or in businesses that provide employment or
training for individuals with disabilities
(b) training, job modifications, and job-related support for persons who experience
intellectual/developmental disabilities to productively perform available work
(c) supplemental training required in a job situation to develop skills required for new tasks and to
enhance versatility;and
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 21 of 29
(d) providing a service provided for adults who experience intellectuaUdevelopmental disabilities until
resources, support systems, and/or technology are available or adequate to aid these individuals to
obtain competitive employment.
2. Employment is defined as paid productive work,paid,on-the-job training,and paid time off(such as routine
holiday,vacation,and sick leave). Employment may be: full-time,average weekly work of 40 hours for
an individual;part-time,average weekly work of 20 hours to 40 hours for an individual,or;other,average
weekly work of less than 20 hours for an individual.
3. The development of an Employment Plan that will serve as a transition tool toward the advancement of
the individual's employment pathway at the Group Employment site and as an aid in the implementation
of matching Clients to appropriate employment services in the community.
4. Planning is defined as facilitating the development of an Employment Plan; delineating individual
vocational skills,experiences,preferences,strengths,support needs,skills,goals and objectives,education
on system navigation and the Discovery Process, (when appropriate) related to vocational skills and
capabilities.
5. Implementation of the Action Steps that detail tasks timelines and entities responsible for leading to the
community employment will reflect that 75%of the direct service hours with the Client will be at the
Group Employment site. The amount of service a Client receives will be based on his/her demonstrated
need,acuity level,and work history.
C. Program Requirements
1. SUBCONTRACTOR will provide Group Supported Employment services for up to (Six) 6 program
clients who are authorized for service by DSHS/DDA and have been approved by COUNTY.
SUBCONTRACTOR shall attempt to transition program clients to Individual Employment placements.
2. In the event that SUBCONTRACTOR determines that Group Supported Employment Services are no
longer appropriate for any client, SUBCONTRACTOR will notify the DDA Case Manager and the
COUNTY of the basis for its determination and recommend that the client be terminated from service
and/or authorized for an alternative service. SUBCONTRACTOR may work with a consultant on behalf
of the client,in order to provide another perspective to address health and safety concerns.
3. SUBCONTRACTOR will provide written documentation of the reason(s)for its recommendation,which
may include:
(a) Client is working at a level of productivity that no longer requires continuous training,
(b) Health and safety considerations,
(c) Client no longer desires employment,the available employment option(s)or the program services,
(d) Client desires a community job placement.
4. Recommendations for termination or transfer will be reviewed by DDA Case Resource Manager and
COUNTY as appropriate. The DDA Case Resource Manager will notify SUBCONTRACTOR of its
decision to support SUBCONTRACTOR'S recommendation. If approved, COUNTY will work with
SUBCONTRACTOR to facilitate the development of a transition plan and schedule. The transition plan
will be developed in consultation with the client,DDA Case Management, SUBCONTRACTOR,family
members,and other service providers as applicable.
5. Worker wages shall be commensurate with the local industry accepted norms and comply with applicable
Federal Department of Labor standards.
6. The SUBCONTRACTOR will clearly communicate to the Client and the COUNTY, prior to beginning
service, an expected change in the maximum service hours per month the Client can expect to receive.
Service changes will not occur until the Client has received proper notification from DDA.
(a) The Client's DDA Person Centered Service Plan(PCSP)is the driver for service.The AWA County
Service Authorization and updated Planned Rates information will not exceed the Client's DDA
PCSP.
(b) Service changes will not occur until the Client has received proper notification from DDA.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 22 of 29
(c) The amount of service the Client receives should match with the AWA County Service
Authorization and updated Planned Rates information.
7. SUBCONTRACTOR shall provide a Group Employment/Vocational Client Plan for the Client,
delineating individual skills, experiences, preferences, strengths, support needs, skills, and goals and
objectives within 30 days of the beginning of services for the Client, in order to promote employment.
(Minimum Group EmploymentNocational Client Plan and each Six (6) Month (semi-annual) Progress
Report; elements are outlined in the reference document called "Criteria for Evaluation"
https:/twww.dshs.wa.gov/sitesdefault/f ilesi DDA,'dda`documentyCriteria°b20fot;020Evaluation°e20202.11.
-2023.docx)
8. SUBCONTRACTOR must ensure that Client goals and objectives are based on a Group
EmploymentNocational Client Plan and each Six(6)Month(semi-annual)Progress Report:
(a) Shows that documentation,data collected,training reflects those goals and objectives;
(b) Shows how it has identified and addressed support needs of each participant by demonstrating
methods for providing individualized services outlined in the Plan;
(c) Shows how the Six (6) Month (semi-annual) Progress Report demonstrates the participants
progression on his/her goals and objectives;
(d) Describes the reasons for any shortfall concerning the action steps and propose steps for correction
in the Six(6)Month(semi-annual)Progress Report.
9. SUBCONTRACTOR's employment services;may include a personal discovery process related to skills,
capabilities,goals; education on system navigation; action steps detailing steps,timelines, and entities
responsible for the accomplishment of tasks of vocational services leading to employment.
10. SUBCONTRACTOR must ensure that job coaching and supervision of Clients,will be based on goals
established in a Group Employment/Vocational Client Plan and each Six (6) Month (semi-annual)
Progress Report. Client goals/objectives, training provided, and progress toward meeting said
goals/objectives shall be documented in each Client record or file.
11. SUBCONTRACTOR will assure quality Group Employment/Vocational plans and each Six(6)Month
Progress Report,by measuring them against the Employment Plan Quality Review Tool,DDA created in
2016 and the DDA document called, Quality Employment Plan-6 Values of an Excellent Employment
Plan.
12. SUBCONTRACTOR will support Clients in an employment program to work towards a living wage. A
living wage is the amount needed to enable an individual to meet or exceed his/her living expenses.
Clients should average twelve (12)to twenty (20) hours of community work per week or forty-eight,
(48)to eighty(80)hours per month;however,each individual's preferred hours of employment should
be taken into consideration.
13. SUBCONTRACTOR shall provide evidence that volunteer opportunities comply with U.S.Department
of Labor standards and applicable state standards.
https:I%ww .dol.gov/sites/idoleov/files/W 1-1 D/leattcY/fi leslwhdfs 14a.pd f
imps:/iwa‘i_dol.gov/whd/forstatelocalgovernments.htm
14. SUBCONTRACTOR must ensure that the amount of service hours a Client receives will be based on
his/her demonstrated need,acuity level and work history per WAC 388-828.
15. SUBCONTRACTOR will contact all Clients according his/her demonstrated need,acuity level and work
history;at least once per month.
16. If SUBCONTRACTOR fails to provide the minimum number of monthly service hours for the Client,
the COUNTY will advise the Client, Parent/Guardian, and/or Residential Provider concerning the
minimum and maximum number of service hours the Client should be receiving and inform them of the
option of choosing another Employment Provider.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 23 of 29
17. SUBCONTRACTOR shall schedule a review meeting every six (6) months for all program Clients, (a
minimum of twice a year for every Client). For every new Client,a meeting will be scheduled every six
(6)months after the initial plan.
18. SUBCONTRACTOR shall schedule the Six (6)-Month meeting; by sending a series of available
dates/times 20 days ahead; to the COUNTY, DDA Case Managers, Client, Guardian/Family and
Residential Services one month before the required meeting.
19. SUBCONTRACTOR will submit a copy of the updated Six(6)-Month(semi-annual)Progress Report with
updated Action Steps of the Individual Employment/Vocational Client Plan to the Client,the DDA case
manager,the COUNTY Coordinator,and Residential Support Staff/Parent or Guardian within two weeks
of the scheduled Six(6)-Month meeting.
20. SUBCONTRACTOR shall provide an updated Six (6) Month (semi-annual) Progress Report for every
program Client during the six(6)month review meeting. The Six(6)Month(semi-annual)Progress Report
shall demonstrate how the individual is progressing on his/her goals and objectives;in order to assess if
they are continuing to meet the individual's pathway to employment goals; of the Group
Employment/Vocational Client Plan. The Six(6)Month(semi-annual)Progress Report shall describe the
reasons for any shortfall concerning the action steps and propose steps for correction.
21. SUBCONTRACTOR will provide a copy of the Group Employment/Vocational Client Plan and each Six
(6)Month(semi-annual)Progress Report;that describe the outcome of activities;to the Client,their DDA
Case Manager, Residential Staff, Guardian/Family Members and others as appropriate, within 30 days
following the six-month period. The Six(6)Month(semi-annual)Progress Report will summarize the
progress made towards the Client's individualized goals.
22. The Six(6)-Month(semi-annual)Progress Report with updated Action Steps,will reflect that 75%of the
direct service hours with the Client will be at an employment site in the community. The focus will be
on real work experience in a community setting delineating individual skills, experiences, preferences,
strengths,support needs and vocational interests.
23. SUBCONTRACTOR must ensure that every Client file has a copy of DDA Client Service Authorization
(CSA); a copy of the participant's DDA Person Centered Service Plan; (PCSP), the Individual
Employment Plan and updated Six(6)Month(semi-annual)Progress Reports as applicable.
24. SUBCONTRACTOR must ensure that all Incident Reports are retained in Client files;that they have a
policy to retain records at least 5 years;that emergency contact and medical information(medications,
diet,allergies,etc.)needed during the hours of service is available for each participant on the face sheet
of the Client file; that the emergency and contact information is updated yearly, or when needed; and
that services are provided in a natural or integrated environment or there is a goal to achieve that.
25. Worker wages shall be commensurate with the local industry accepted norms and comply with applicable
Federal Department of Labor standards.
26. Recommendations for program participant's termination in Individual Employment or transfer into
another Individual Employment agency must be authorized by the DDA Case Manager, and will be
reviewed in consultation with the COUNTY and others as appropriate. SUBCONTRACTOR will
facilitate the development of a transition plan and schedule. The transition plan will be developed in
consultation with the Client,DDA case management, COUNTY, Guardian/Family members and other
service Providers as applicable and within 30 working days of Clients request to change agencies.
27. SUBCONTRACTOR shall submit a written Program Staff Training Plan to COUNTY for approval or
disapproval within 30 days of the effective date of this agreement, semi-annually thereafter or when
reorganization occurs,which minimally includes:
(a) SUBCONTRACTOR's procedure to train new direct service staff,training must include,
• DDA Policies&Competencies(see Section C-Number 26-30)
• RCW's & WAC's referenced on page 1 & 2 of the County Contract under Section B.
Obligations
• agency policies&procedures
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 24 of 29
• skills on how to instruct/teach Clients
• skills on how to document data collection,daily/weekly notes,&6-month reports in Client files
• skills on how to write Vocational Client Plans and/or Person-Centered Plans (creating Client
goals/objectives)
(b) SUBCONTRACTOR's plan to provide staff who are skilled in applying training techniques to enhance
the work-related skills of program Clients
(c) FTE levels,job descriptions,and organization chart pertaining to program staff
(d) SUBCONTRACTOR is required to send one direct service staff to a minimum of 16 hours of
workshops, trainings, and/or conferences about developmental disabilities. The COUNTY will
reimburse the SUBCONTRACTOR at the rate of$40.00 an hour for every hour of training accessed
for direct service staff(not more than a total of$640.00).
28. SUBCONTRACTOR will provide COUNTY with information regarding staff qualifications and
documented training's every six(6)months.
29. SUBCONTRACTOR must assure new staff are informed specifically of all agency policies/procedures
and have documentation that assures all direct service staff 18 years of age or older are trained in the
following DDA Policies Prior to Working with Clients: ADA training,APS Reporting Requirements,
Client confidentiality, current individual instruction and Action StepsNocational Plans for each Client
with whom the employee works; DDA Policy 4.11 Working Age Adult (adult services only); DDA
Policy 5.06 Client Rights;DDA Policy 5.13 Protection from Abuse,Mandatory Reporting; DDA Policy
12.0 Incident Management.
30. SUBCONTRACTOR must ensure that new direct service staff demonstrate the following competencies:
(a) Values that support the abilities of individuals
(b) Effective Communication—The ability to effectively listen and to make oneself understood
(c) Planning methods
(d) Crisis Prevention and Intervention
31. Within one month of emplomment: SUBCONTRACTOR must ensure that direct service staff received
training and are knowledgeable in the following areas: Overview of DDA Policies including: DDA
Policy 3.01 Service Plans;DDA Policy 5.03 Client Complaints;DDA Policy 5.17 Physical Intervention
Techniques; DDA Policy 6.13 Employment/Day Program Provider Qualifications; DDA Policy 13.04
DRW Access Agreement; DDA Policy 15.03 Community Protection Standards for Employment/Day
Programs;and all reporting requirements related to these DDA Policies.
32. Within six months of employment: SUBCONTRACTOR must ensure that direct service staff received
training and are knowledgeable in the following areas: Program skill development, DDA Policy 5.02
Necessary Supplemental Accommodation; DDA Policy 5.14 Positive Behavior Support; DDA Policy
5.15 Use of Restrictive Procedures;DDA Policy 9.07 HIV and AIDS and Program Skill Development.
33. SUBCONTRACTOR will have signed documentation that staff training took place within the timelines
listed above in(Section C-Number 26-30).
34. Within 30 days of the effective date of this agreement, and annually thereafter, SUBCONTRACTOR
will develop and submit to COUNTY an Employment program-operating budget detailing the projected
allocation of contract funds,other sources and amounts of funding,program staffing expenses and other
cost allocations. Within 30 days of the effective date of this agreement and at least semi-annually
thereafter, SUBCONTRACTOR will provide company and program operating financial reports to
COUNTY, including all revenues and expenses generated by SUBCONTRACTOR, in sufficient detail
to demonstrate the uses of funds provided under this agreement.
35. Every six months,SUBCONTRACTOR will develop and submit to COUNTY,Individual Employment
financial reports reflecting the actual revenues received and expenses incurred compared to the projected
program budget submitted,along with the overall operating budget.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 25 of 29
36. The SUBCONTRACTOR will on an annual basis sponsor the surveying of participants,their families,their
support networks, and their employers regarding customer satisfaction. The SUBCONTRACTOR will
design Customer/Client survey forms. The SUBCONTRACTOR will send the COUNTY copies of the
surveys received from participants,their families,their support networks and employers,upon request.
D. Performance Standards
1. SUBCONTRACTOR shall provide Group Supported Employment services that are referred for service by
DSHS/DDA and have been authorized by the COUNTY.
(a) Job coaching and follow-along services as necessary for Group Supported Employment Clients.
(b) Group Supported EmploymentNocational Client Plans must contain:
• Action Steps detailing steps,timelines and entities responsible for the accomplishment of tasks
leading to employment,
• Provide the minimum number of monthly service hours for the client,
• Implement Action Steps that affirm 75%of the direct service hours with the client will be at
employment site.
2. SUBCONTRACTOR will provide sufficient income producing work to challenge the productivity of
workers and result in at least 4 hours of paid production per day per eligible client.
3. SUBCONTRACTOR shall access appropriate jobs and provide sufficient training to result in an increase
in average monthly earnings from one twelve-month period to the next through productivity improvements
and/or increased hours.
4. SUBCONTRACTOR will create individual client goals and provide sufficient instruction that result in an
improvement in the program Client's vocational abilities,social and behavioral issues from one six-month
period to the next.
5. Workers will have variety in the work they perfonn and will learn behaviors and skills typical of those
required for employment in an individual job in the community.
E. Service Level Guidelines
1. Client Employment Acuity is determined through the DDA assessment. Acuity reflects conditions
typically related to the individual's disabilities that are not likely to change, and are generally not
impacted by outside factors.Client acuity is determined as"High",either"Medium"or"Low"as defined
within WAC 388-828. Other considerations are generally related to the job or service environment,
which may affect the individual's level of support,regardless of acuity.
2. Employment Service Levels reflect Client Employment Acuity and other considerations(see Table One-
Base Hours below);the Guidelines typically reflect direct service staff time provided to or on behalf of
the client to pursue or maintain employment. You may be eligible to receive additional Add-On Hours
(see Table Two, Add-On Hours on page 26). Add-on Hours for Employment Supports are considered
short-term and is a service that allows DDA to approve additional service hours,in addition to the amount
of your employment service Base Hours.
The COUNTY can approve additional Add-On Hours for up to three months when:
(a) A Client is beginning a new job;or
(b) There is a planned or unexpected change in the Client's job or job duties;or
(c) The Client's current employment is at risk and short-term supports are needed to assist them in
maintaining their current job.
• The expectation is that all hours reported are documented specific to the client authorized and
relate to the goals and supports outlined within the Client's Individual Employment Plan.
Allowable activities are defined in the Employment Phases and Billable Activities.
• Group Supported Employment reflects shared support among(Eight) 8 or fewer people at a
worksite. Service level to the individual may vary depending on staffing ratios within the
worksite,the acuity of individual served at the worksite,the number of work hours available
within the worksite and the number of additional individualized support hours provided
outside of the GSE setting to transition towards integrated community employment.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 26 of 29
• Group Supported Employment services are a part of an individual's pathway to integrated jobs
in typical community employment. These services are intended to be short term and offer
ongoing supervised employment for groups of no more than eight(8)workers with disabilities
in the same setting. The service outcome is sustained paid employment leading to further
career development in integrated employment at or above minimum wage.Examples include
enclaves, mobile crews,and other business models employing small groups of workers with
disabilities in integrated employment community settings.
• The average statewide ratio of staff to individuals within this environment is 1:6.
• The expectation is that all hours reported are documented specific to the client authorized and
relate to the goals and supports outlined within the Client's Employment Plan.
TABLE ONE-Base Hours
DDA DETERMINES YOUR EMPLOYMENT SERVICE LEVEL USING THE
FOLLOWING TABLE:
CLIENT YOUR THEN YOUR AND YOUR
ACUITY EMPLOYMENT EMPLOYMENT EMPLOYMENT
LEVEL STATUS SERVICE SERVICE BASE
IE: IS: LEVEL IS: HOURS PER
MONTH MAY BE:
WORKING A 0
NONE NOT WORKING B 0
WORKING C 4
OW NO'F WORKING D 7
WORKING 7
MEDIUM NOT WORKING F 9
WORKING I G 11
HIGH
NOT WORKING H 12
TABLE TWO-Add-On Hours
DDA USES THE FOLLOWING TABLE TO
DETERMINE THE MAXIMUM NUMBER
OF ADD-ON HOURS YOU ARE ELIGIBLE
TO RECEIVE.
IF YOU MEET ONE YOU MAY BE
OF THE BELOW ELIGIBLE TO
CONDITIONS AND RECEIVE UP TO
YOUR THE
EMPLOYMENT FOLLOWING
LEVEL IS: AMOUNT OF
ADD-ON
HOURS:
A 0
B 0
5
D 7"
F 5
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 27 of 29
12
H 14
F. Group Supported Employment Unit of Service
1. Group Supported Employment service support hours will be based on the Client's Employment Level
per WAC.
2. One UNIT of Group Supported Employment service will be$91.04 from July 1,2023 to June 30,2024;
and is defined as one"DAY"of direct service to one eligible client.A"DAY"is at least four(4)or more
hours of direct service;or ASSIGNED SERVICE LEVEL as defined above.
3. One "DAY" of direct service is defined as four (4) or more hours of paid productive work, paid
on-the-job training, or paid time off(such as routine holiday, vacation and sick leave) in one 24-hour
period. A minimum of four(4)hours of work a day is required. The Client must work a minimum of
four(4)hours a day to bill the COUNTY.
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 28 of 29
EXHIBIT B—COMPLIANCE AND RISK MONITORING FORM
This Compliance and Risk Monitoring Form shall be submitted before the Subrecipient Agreement can be approved
and also shall be submitted along with every request for reimbursement.
AGENCY CONTRACT NO:
DATE: 1 D S 12,5
NAME OF SUBRECIPIENT: .SC.(I.II_ .Q., ChiVI fi'l u,nt n►ief. t t
By signing below,I declare under penalty of perjury of the laws of the State of Washington and the United States
that the forgoing is true and correct. (Check the applicable boxes.)
DATE CERTIFICATION ITEM YES NO
Subrecipient is not presently debarred,suspended,proposed for
debarment,declared ineligible,or voluntarily excluded from
1D 23 transactions by any Federal,State,or local department or agency
Subrecipient has not within a 3-year period preceding the submission of
this Compliance and Risk Monitoring Form been convicted of or had a
civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining,attempting to obtain,or
performing a public(Federal.State,or local)transaction or contract
under a public transaction;violation of Federal or State antitrust
statutes or commission of embezzlement,theft,forgery,bribery,
i23 falsification or destruction of records,making false statements,or
10 Is receiving stolen property
Subrecipient is not presently indicted for or otherwise criminally or
civilly charged by a governmental entity(Federal,State,or local)with
commission of fraud or a criminal offense in connection with obtaining, /
attempting to obtain,or performing a public(Federal,State,or local) �/
transaction or contract under a public transaction:violation of Federal
or State antitrust statutes or commission of embezzlement,theft,
forgery,bribery, falsification or destruction of records,making false
(4I2c173 statements,or receiving stolen property
Subrecipient has not within a 3-year period preceding the submission of
( this Compliance and Risk Monitoring Form one or more public
10 IZS►2 3 transactions(Federal,State,or local)terminated for cause or default
t Subrecipient has provided all written reports required by the Agency
( Contract and this Subrecipient Agreement as of the submission of this f
�Q j '23 Compliance and Risk Monitoring Form
IIII Subrecipient has provided any audit report received by it from any
government agency since the last certification for its performance V/
jt)f2C73 related mto the Program Agreement
Subrecipient certifies that all of the deliverables and other work
I ID i CA ' required since the last certification have been completed
I All the work being billed for in the invoice being certified by this
Compliance and Risk Monitoring Form actually has been performed, ✓
I b Zg123 including any timesheet or other backup
Subrecipient agrees to submit to an audit within 30 days of a request
10 242 3 from the County
Subrecipient has corrected any deficiencies identified since the last
��/1 certification
Signed at 1 ork se,fl a- , u,r""u lij nrA ,
CITY
TE
Cascade Community Connections-Group Supported Employment-Contract 2023-2024 Page 29 of 29
,�;� v t>` 10 25 /Z 3
SUBRECI -NT SIGNATURE A.TE
i (t tAWaste'r
WRITTEN NAME OF PERSON SIGNING CERTIFICATION
AP.RROVEP.I3Y THE COUNTY:
COU A'PROVALSIGNATURE DATE
(leaf rat U S/One`" Ott W t'G"#),
WRITTEN NAME OF PERSON APPROVINOkERTIFICATION