HomeMy WebLinkAbout051611_ca02
Cons\:nt Agenda
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street. Port Townsend' Washington' 98368
www,jeffersoneountypubliehealth,or9
April 12, 2011
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO:
Board of County Commissioners
Philip Morley, County Administrator
FROM:
Jean Baldwin, Director
DATE:
(,
II
SUBJECT: Agenda Item - Professional Services Agreement - Concerned Citizens
for Individual Employment and Persons to Persons Services &
Community Information, Amendment #2; October 1, 2009 - June 30,
2011; reduced by $3,800 total $72,021
STATEMENT OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division, is requesting Board approval of the
Professional Services Agreement - Concerned Citizens for Individual Employment and Persons to Persons
Services & Community Information, Amendment #2; October 1, 2009 - June 30, 2011; reduced by $3,800
total $72,021
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
This is a contract amendment to continue services to provide the placement of clients with developmental
disabilities into traditional employment settings at work sites or in job training in the community. This
contract provides a Pathway to Employment Plan, which centers around a personal discovery process
related to skills, capabilities and goals and assistance with employment vendor selection, Subcontractor will
continue services in connection to the Adult Job Club as part of this contract, which includes, focus on
attendance, proper grooming and hygiene, interviewing skills and appropriateness in the work place,
Subcontractor will also continue work with People First Chapter of Older and Younger Adults in Jefferson
County,
FISCAL IMPACT /COST BENEFIT ANALYSIS:
This amendment reduces funding in the amount of $3,800 for the period of July 1, 2010 - June 30, 2011
not to exceed $72,021. Funds are under spent as a result of the DD programs outcome based contracts and
the fewer number of clients being seen. These under spent funds will be reallocated to other DD program
services where funds can be better utilized, This agreement is a subcontract funded through the DSHS
Department of Developmental Disabilities contract
COMMUNITY HEALTH
DEVELOPMENTAL DISABILITIES
MAIN (360) 385-9400
FAX (360) 385-9401
PUBLIC HEALTH
HEALTHIER COMMUNITY
ENVIRONMENTAL HEALTH
WATER QUALITY
MAIN (360) 385-9444
FAX (360) 379-4487
COI1S.:nt Agenda
RECOMMENDATION:
JCPH management request approval of the Professional Services Agreement - Concerned Citizens for
Individual Employment and Persons to Persons Services & Community Information, Amendment #2;
October 1, 2009 - June 30, 2011; reduced by $3,SOOtotal $72,021
REVIEWED BY:
,
/")
C':C'>7-- -.J.,,.-:- >;,./ ,
philip MO~leY,f;ounty Administr<ltG'r
Date
(Routed to all Public Health Managers)
Contract Amendment #2
Agreement Between
Concerned Citizens
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Concerned Citizens (SUBCONTRACTOR) and Jefferson County (COUNTY) entered into
an agreement on October 1, 2009 for Professional Services to be provided in connection with the
provision of Individual Employment, Person to Person Services & Community Information & Education
for individuals with 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 30,2011.
2. The Subcontractor will continue to provide Individual Supported Employment Services,
through evaluation, job finding and development, job placemenVreplacement in community
settings, work site job training, development of natural supports and follow along services.
3. The Subcontractor will continue to provide Person to Person Services, through Pathway to
Employment Plan facilitation, a discovery process, detailed action steps/timelines that
will serve as a transition tool towards the advancement ofthe individual's pathway and as
an aid in the implementation of matching program clients to appropriate employment
services in the community.
4. The Subcontractor will continue to provide Job Club Services; the Adult Job Club
curriculum will include: attendance, proper (healthy) grooming and hygiene, first
impressions, interviewing skills, positive attitude and appropriateness in the work place,
employment portfolio development, mock interviews and support of vocational goals,
based on skills, abilities and areas of interest.
5. Subcontractor shall provide Job Club services for adults, (21 years & older) with
developmental disabilities, who are clients ofDDD in Jefferson County.
6. Subcontractor shall receive $68.00 per Unit for Individual Supported Employment service.
A Unit is defined as a "HOUR" which is up to 50 minutes of direct service or Assigned
Service Responsibility is defined as placement, replacement and follow-along services to
be provided in a service month.
7. Subcontractor shall receive $68.00 per Unit for Person to Person Services. A Unit is
defined as one (l) "HOUR" which is up to 50 minutes of direct service or Assigned Service
Responsibility, which is defined as placement, replacement and follow-along services to be
provided in a service month.
Concerned Citizens- P2P & Community Information/Education
8. The Subcontractor shall receive reimbursement for Community Information & Education
Services completed at the Payment Points and Program Requirements defined in
Attachment A. A Unit of Community Information and Education Services is defined as one
(1) iiSERVICE" or Assigned Service Responsibility which is defined as a designated
payment point in a service month.
9. The County will discontinue financial support for Community Information & Education
Services, if the funding is required for direct services for clients with developmental
disabilities in Jefferson County.
1 O. Subcontractor will be paid up to $200.00 per Unit for each Job Club, no more than two
billings a month. One Unit of Job Club Service is defined as one (1) "SERVICE" or
Assigned Service Responsibility in a service month. A "SERVICE" is defined as (3) three
hours of time, (2) twice a month or Assigned Service Responsibility to include the Job
Club meeting and the prep time in a service month.
I I. The County will make a payment of$200.00 if the Subcontractor serves four or more
adults with developmental disabilities~ payment of $150.00 will be made by the County if
the Subcontractor serves a minimum number of three adults with developmental
disabilities; payment of $100.00 will be made by the County If the Subcontractor serves a
minimum of two adults with developmental disabilities; payment of$50.00 will be made
by the County If the Subcontractor serves a one adult with developmental disabilities.
12. The County will discontinue financial support for Job Club, ifthe funding is required for
direct services for clients with developmental disabilities in Jefferson County.
13. Subcontractor will be entitled to a reduction of $1 t 700.' in funding for services rendered
under Community Information & Education & a reduction of$2 t 1 00 ~"funding for Job
Club services, during the term of July 1,2010 through June 30, 2011. Total compensation
under this Agreement shall not exceed $72 to 21 . without express written amendment
signed by both parties.
14. All other terms and conditions of the agreement will remain the same.
Dated this
day of
, 2011
Office
By:
John Austin, Chairman
Jefferson Board of County Commissioners
BY:~ ~l'cl~"
L' da MIddleton
Executive Director of Concerned Citizens
Concerned Citizens- P2P & Community Information/Education
2
AmE...f'l D IY':ENT I
Contract Amendment #1
Agreement Between
Concerned Citizens
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Concerned Citizens (SUBCONTRACTOR) and Jefferson County (COUNTY) entered into
an agreement on October 1, 2009 for Professional Services to be provided in connection with the
provision ofIndividual Employment, Person to Person Services & Community Information & Education
for individuals with 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 is extended and ends June 30, 2011.
2. The Subcontractor will continue to provide Individual Supported Employment Services,
through evaluation, job finding and development, job placement/replacement in community
settings, worksite job training, development of natural supports and follow along services.
3. The Subcontractor will continue to provide Person to Person Services, through Pathway to
Employment Plan facilitation, a discovery process, detailed action steps/timelines that
will serve as a transition tool towards the advancement of the individual's pathway and as
an aid in the implementation of matching program clients to appropriate employment
services in the community.
4. The Subcontractor will continue to provide Job Club Services; the Adult Job Club
curriculum will include: attendance, proper (healthy) grooming and hygiene, first
impressions, interviewing skills, positive attitude and appropriateness in the work place,
employment portfolio development, mock interviews and support of vocational goals,
based on skills, abilities and areas of interest.
5. Subcontractor shall provide Job Club services for adults, (21 years & older) with
developmental disabilities, who are clients ofDDD in Jefferson County.
6. The Subcontractor will continue to provide services under Community Information &
Education by: Working with the People First Older Adults Chapter of Jefferson County
and the Self Advocates in Motion (SAM) Club.
7. Subcontractor shall receive $68.00 per Unit for Individual Supported Employment service.
A Unit is defined as a "HOUR" which is up to 50 minutes of direct service or Assigned
Service Responsibility is defined as placement, replacement and follow-along services to
be provided in a service month.
8. Subcontractor shall receive $68.00 per Unit for Person to Person Services. A Unit is
defined as one (1) tIHOUR" which is up to 50 minutes of direct service or Assigned Service
Responsibility, which is defined as placement, replacement and follow-along services to be
Concerned Citizens I.E. P2P Amendment # 1
Responsibility, which is defined as placement, replacement and follow-along services to be
provided in a service month.
9. The Subcontractor shall receive reimbursement for Community Information & Education
Services completed at the Payment Points and Program Requirements defined in
Attachment A. A Unit of Community Information and Education Services is defined as one
(l) "SERVICE" or Assigned Service Responsibility which is defined as a designated
payment point in a service month.
10. The County will discontinue financial support for Community Information & Education
Services, if the funding is required for direct services for clients with developmental
disabilities in Jefferson County.
11. Subcontractor will be paid up to $200.00 per Unit for each Job Club, no more than two
billings a month. One Unit of lob Club Service is defined as one (1) rtSERVICE" or
Assigned Service Responsibility in a service month. A "SERVICE" is defined as (3) three
hours of time, (2) twice a month or Assigned Service Responsibility to include the lob
Club meeting and the prep time in a service month.
12. The County will make a payment of$200.00 if the Subcontractor serves four or more
adults with developmental disabilities; payment of $150.00 will be made by the County if
the Subcontractor serves a minimum number of three adults with developmental
disabilities; payment of $100.00 will be made by the County If the Subcontractor serves a
minimum aftwo adults with developmental disabilities; payment of$50.00 will be made
by the County If the Subcontractor serves a one adult with developmental disabilities.
13. The County will discontinue financial support for Job Club, if the funding is required for
direct services for clients with developmental disabilities in Jefferson County.
14. Subcontractor will be entitled to an additional $41,932.00 in funding for services
rendered during the term of July 1,2010 through June 30,2011. Total compensation
under this Agreement shall not exceed $75,821.00 without express written amendment
signed by both parties. Total compensation reflects $5,570.00 in under spent funds from
the period from October 1,2009 - lune 30, 2010.
15. All other terms and conditions of the agreement will remain the same.
Dated this &~YOf~~2010
d~~o
David Sullivan, Chairman
Jefferson Board of County Commissioners
By: ~,~14' Ll1''''dltion
~
Executive Director of Concerned Citizens
Concerned Citizens I.E, P2P Amendment # I 2
By:
"""'"('(""'''1' "lS 'I'n 'f'"". "
" , ,.; ~ '. V ' ,,-:, ""0 '0 i rn G L.
{)(!L~_L_:(31; I~
, , ,x,:on Co. Prosccutor'~; )'}'
ATTACHMENT A
Payment Points-Program Requirements
a. Reimbursement for Community Information and Education services will be provided at the completion of
the following payment points:
(a) People First Advisor will coordinate and support up to nine (9) local People First meetings for older
adults in Jefferson County. The purpose of these meetings is to broaden membership through outreach
efforts aimed at future members, provide training in self-detemination, self-advocacy, mentoring and
other skills as requested by the Chapter, develop and implement the goals and objectives of the People
First work plan, coordinate with the State People First Chapter and other County Chapters within
Jefferson County and the State. A minimum of 4 people with disabilities must be in attendance in
order to bill for any meeting. $150 per meeting.
Payment Point and Documentation: $600 2010
$750 2011
$1350 TOTAL
Minutes of each local People First meeting to include date, time and length of meeting, location of
meeting, topics discussed and any decisions made. Sign-in sheet of attendees.
(b) People First Advisor will work with the existing People First Chapter of Older Adults to coordinate
and support four (4) additional meetings in Jefferson County. The purpose of these meetings will be to
develop a media/public education plan, (pass on People First Educational videos to the Officers
and/Members) and support members to partake in generic Jefferson County housing and transportation
programs.
A minimum of 4 people with disabilities must be in attendance in order to bill for any meeting at
$150 per meeting.
Payment Point and Documentation:
$600 2010-2011
$600 TOTAL
Minutes of each local People First meeting to include date, time and length of meeting, location of
meeting, topics discussed and any decisions made. Sign-in sheet of attendees.
(c) People First Advisor will work with members ofthe People First Group for Younger Adults to provide
outreach, & education at a Jefferson County Event. $150 a day for at least 3 hours of time, or $300 a
day for at least 6 hours of time. Up to four short events or two long events.
Payment Point and Documentation:
$600 2010-20ll
$600 TOTAL
A separate (minimum of one page) report about the Jefferson County Event must include date,
time, and length, result of the event and a sign-in sheet of volunteers/attendees.
(d) Develop a base of people with developmental disabilities and their family members to advocate for the
needs of people with developmental disabilities in Jefferson County. Sponsor and facilitate
participation in one (1) state-wide Advocacy Day events for the purpose of educating, sharing and
discussing issues of mutual concern. At least four self advocates and family members must participate
in each event. $250 per event.
Payment Point and Documentation: $250 2010
$250 TOTAL
Sign-in sheet of Self Advocates and families in attendance for each date ora state-wide Advocacy
Day event. One page report on the activities attendees participated in.
(e) People First Advisor will work with members of the People First Group for Younger Adults to provide
up to eighteen (18) meetings with Transition Students involved in Special Education at the Port
Townsend High school. Meetings will provide education about Self-Advocacy & Self Determination
& will focus on the Student's interest in creating a Self-Advocates in Motion, (SAM) Club at PT High
School. $150 per meeting. Payment includes mileage.
Payment Point and Documentation:
$2700.00 2010-2011
$2700.00 TOT AL
A separate (minimum of one page) report documenting date, time and location of meeting
attended, summary of issues and updates presented.
Concerned Citizens I.E. P2P Amendment # I 3
D 12-u';' I N-A L...
PROFESSIONAL St;RVICES AGREEMENT
Between
JEFFERSON COUNTY PUBLIC HEALTH
And
CONCERNED CITIZENS
INDIVIDUAL EMPLOYMENT and PERSON TO PERSON SERVICES
This Agreement is made and entered into between Jefferson County Public Health (COUNTY) and
Concerned Citizens of Forks (SUBCONTRACTOR) for provision ofIndividual Employment and Persons to
Person services to persons with developmental disabilities in Jefferson County. The tenn of this Agreement is
October I, 2009 through June 30,2010. Either party upon 60 days written notice may terminate this Contract.
Tennination of this Contract shall not constitute a breach.
It is Agreed Between Both Parties as Named Herein as Follows:
A. PROFESSIONAL SERVICES
Professional services to be provided by SUBCONTRACTOR shall include:
(1) Individual Employment Services - Evaluation, job finding and development, job
placement/replacement in community settings, worksite job training, development of natural
supports, and follow-along per Exhibit A - Statement of Work.
(2) Person to Person Services- Pathway to Employment Plan facilitation, a discovery process, detailed
action steps/timelines that will serve as a transition tool towards the advancement of the
individual's pathway and as an aid in the implementation of matching program clients to
appropriate employment services in the community per Exhibit A - Statement of Work.
(3) Job Club Services- Adult Job Club curriculum to include: attendance, proper (healthy) grooming
and hygiene, frrst impressions, interviewing skills, positive attitude and appropriateness in the
work place, employment portfolio development, mock interviews and vocational goals outlines
based on skills, abilities and areas of interest per Exhibit A - Statement of Work.
(4) Community Information and Education--Supporting an individual to become informed and
included on the DD Advisory Board, working with the People First Older Adults Chapter of
Jefferson County and the State People First Agency, per Exhibit A - Statement of Work.
(5) Program management.
B. OBLIGATIONS
SUBCONTRACTOR shall fulfill the following obligations:
(I) 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 7lA.14.070 or RCW 34.05 require a signed Release ofInfonnation or a
signed Oath of Confidentiality Form.
(2) SUBCONTRACTOR is required pursuant to RCW 43.43.830-845, that any prospective employee,
who will or may have unsupervised access to a person with a developmental disability, in the course
of his or her employment, or involvement with the business or organization, must have a Washington
State Patrol Criminal (W.S.P.) Background Check.
Concerned Citizens Individual EmploymentlPerson to Person 2009-10
Page 1
(3) SUBCONTRACTOR is required pursuant to RCW 74.15, that if any prospective employee, who has
not resided in Washington State during the last three years, and who will or may have unsupervised
access to a person with a developmental disability, in the course of his or her employment, or
involvement with the business or organization, must have a F.B.I. Fingerprint Check. This
fingerprint check must occur before employment begins working.
(4) SUBCONTRACTOR is required, to repeat the W.S.P. Criminal Background Check and the F.B.t
Fingerprint Check every three years. The W.S. P. Criminal Background Check and the F.B.I.
Fingerprint Check must go through the Background Check Central Unit Office within DSHS in
Olympia.
(5) SUBCONTRACTOR shall comply with all state and federal requirements under RCW 74.34, Abuse
of Vulnerable Adults, RCW 26.44, Abuse of Children, the WACs: 275-27 Division of
Developmental Disabilities Services Rules; 296-24 General Safety & Health, 296-62 General
Occupational Health Standards; the DDD Policies: 3.01 Client Service Plans, 5.01 Criminal
History Background Checks and Safeguarding Personal Information, 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, 6.13 EmploymentJDay Program
Provider Qualifications, 9.07 Human Irrununodeficiency Virus (HIV) and Acquired Immune
Deficiency Syndrome (AIDS), 12.01 Incident Management and the 1992 County Guidelines.
(6) If SUBCONTRACTOR is found to have a substantiated finding of abuse, neglect, abandonment or
financial exploitation they shall comply with the following APS guidelines:
. Upon receiving documentation of a substantiated finding of abuse, neglect, exploitation or
abandonment from APS, the regional DDD office will send a copy of the APS substantiation
report to the county within one working day.
. Upon receiving documentation of a substantiated finding of abuse, the county will send a
letter to the SUBCONTRACTOR vocational/day program provider within one working day.
I. The contracted provider is required to:
a. Document the steps the agency has taken to protect the vulnerable
person(s) immediately; and
b. Submit a corrective action plan, if needed, to the county within 10
working days.
2. The county will respond to the steps taken and the sufficiency of the proposed corrective
action plan within 10 working days. If the corrective action is not accepted the plan will be
returned to the provider for correction and an amended plan will be required within 5 working
days.
3. Once accepted, the county will send the corrective action plan to DDD for fmal approval.
DDD regional staff will respond as to plan sufficiency and whether any additional information
is needed within to working days. The region will send a copy to Central Office.
(7) 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) Qualified Staff: 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. SUBCONTRACTOR will provide COUNTY with
information regarding staff qualifications upon request.
Concerned Citizens Individual EmploymentlPerson to Person 2009-10
Page 2
(b) Performance Plan: SUBCONTRACTOR has a written performance plan which describes its
mission, program objectives, expected outcomes, how and when objectives will be
accomplished; and that the plan is evaluated at least biennially and revised based on actual
performance.
(c) 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
(d) Partnerships: SUBCONTRACTOR has a history of working cooperatively with cornmunity-
based organizations including Employers, other Agencies, the County DD Program, the
Division of Vocational Rehabilitation (DVR) and Schools,
(e) Financial and Program Management 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 progress reports; and
track key program performance indicators,
(f) Accreditation: SUBCONTRACTOR must be able to demonstrate conformance to Commission
on Accreditation of Rehabilitation Facilities (CARF) standards for quality assurance and CARF
accreditation.
(8) 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
frre, health and safety regulations.
(9) The Agency shall report any injury or accident, which requires more than simple frrst aid, and any
extraordinary incident that requires intervention by the Agency, first to the DSHSIDDD Case
Manager for the individual involved and then to the COWlty Coordinator. This includes serious
physical or emotional harm or potential harm.
1. The initial report may be done through documented telephone calls to the County
Coordinator.
2. The Agency shall submit a written follow-up report within 10 days to the County
Coordinator. The report to the County Coordinator may be submitted by emaiJ,
facsimile (FAX) to (360) 385-9410 or by mail to Jefferson County Public Health, 615
Sheridan St, Port Townsend, W A 98368.
3. Serious and emergent incidents shall be handled in accordance with DSHSIDDD
Policy 12.01 Incident Management
(10) Within 30 days of the effective date of this Agreement and at least semi-annually thereafter,
SUBCONTRACTOR will provide [mancial reports to COUNTY, including aJl revenues and
expenses generated by SUBCONTRACTOR., in sufficient detail to demonstrate the uses of funds
provided under this Agreement.
(1 J) 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 the contract to
assure compliance with the DDD State Work Order.
(12) AUDIT REQUIREMENTS, Independent Audits will be submitted annually to the Jefferson
COlUlty DD County Coordinator in the following manner:
Concerned Citizens Individual EmploymentlPerson to Person 2009-10
Page 3
The SUBCONTRACTOR shall acquire a financial audit by an independent auditing firm to
detenuine at a minimum the fiscal integrity of the financial transactions and reports of the
SUBCONTRACTOR. Copies of the audit and management letter shall be submitted to the
Jefferson COUNTY Health and Human Services Department within 9 months of the end of the
SUBCONTRACTOR's fiscal year.
The SUBCONTRA.CTOR shall provide an independent audit of the entire organization
which:
(a) Is perfonned by an independent Certified Public Accountant, the Washington State
Auditor's Office, or another entity, by which the County and the SUBCONTRACTOR
mutually agree.
(b) Provides 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-B3 or A-128, as applicable.
(c) The SUBCONTRACTOR shall submit two (2) copies of the audit and/or the smnmary
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.
(13) For five years following the end date of this Agreement, SUBCONTRACTOR will maintain client
records and books, records, docwnents, 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. Client records shall minimally include statement of client goals,
documentation of training provided, training hours, routine progress notes and biannual summary
progress toward meeting client goals.
(14) 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.
(15) SUBCONTRACTOR shall provide COUNTY with a copy of a signed DSHS Provider Agreement
within 30 days of the effective date of this Agreement.
(16) 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/IRWE, COUNTY agrees that funding intended for those clients shall be
excluded from this Agreement.
(17) If the Developmental Disabilities Program 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:
(a) 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 five (5) days.
(b) Official Notification: lfthe informal notification does not result in resolution, the official
notification of possible non-compliance to establish a date, within five (5) working days of
Concerned Citizens Individual EmploymentlPerson to Person 2009-10
Page 4
notification, when representatives of the County and the SUBCONtRACTOR shall meet to
discuss areas of contention and attempt to resolve the issues.
(c) Written Summary: Within five (5) 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
(d) 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.
(e) 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 the scope of
this Agreement
C. REIMBURSEMENTS
(1) For said services rendered under this Agreement, COUNTY shall reimburse SUBCONTRACTOR
on a unit rate basis, as follows:
(a) Individual EmploymentlPerson to Person Services: SUBCONTRACTOR will be paid
$68.00 per unit assigned Service Responsibility ofreguIar Program Service, as defmed in Exhibit A,
Statement of Work, Section B. Job Club Services: SUBCONTRACTOR will be paid $200.00 per
unit for each Job Club, no more than two billings a month, as defmed in Exhibit A, Statement of
Work, Section E. Community Information and Education Services: SUBCONTRACTOR will be
paid designated amount per payment points for Community Information and Education Services as
defined in Exhibit A, Statement of Work, Section E.
(2) 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 DDD 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.
(3) COUNTY may, at its option, withhold reimbursement for any month for which required reports
have not been received or are not accurate and/or complete.
(4) Total reimbursements to SUBCON"IRACTOR by COUNTY under this contract shall not exceed
$39,459 in completion of these services without express written amendment signed by both parties to
this Agreement.
(5) Client services shall not be reimbursed under this Agreement when the same services are paid for
under the Rehabilitation Act of 1973 (DVR), P.L. 94-142 (public Education), or are being funded
under PASSIIRWE,
D. MISCELLANEOUS
(1) Pursuant to WAC 275, DSHS Division of Developmental Disabilities (DDD) shall determine
individual eligibility of persons for services delivered under this Agreement. DDD shall notify
COUNTY of persons authorized for services reimbursed under this Agreement. Only persons
referred to COUNTY by DDD shall be eligible for services reimbursed under this Agreement. 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
Concerned Citizens Individual Employment/Person to Person 2009-10
Page 5
(2) The SUBCONTRACTOR'S relation to the COUNTY shall be at all times as an independent
SUBCONTRACTOR and any of all employees of the SUBCONTRACTOR or other persons
engaged in the 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.
(3) 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.
(4) 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 ofthe 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 a 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.
(5) All employees or subcontractors of 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.
(6) It shall be the responsibility of the SUBCONTRACTOR to insure that any and all persons
engaged in the performance of any work or service required ofthe SUBCONTRACTOR under
this Agreement, shall comply with the same insurance requirements that SUBCONTRACTOR is
required to meet.
(7) Failure on the part of the SUBCONTRACTOR to maintain the insrnance 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 in connection
therewith, with any sums so expended to be repaid to the COUNTY on demand, or at the sole
Concerned Citizens Individual EmploymentfPerson to Person 2009-10
Page 6
discretion of the COUNTY, off set against funds due the SUBCONTRACTOR from the
COUNTY .
(8) All cost for insurance shall be considered incidental to and included in the unit contract prices and
no additional payment will be made.
(9) 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 SUBCONTRACTOR reserves the
right to require complete, certified copies of all required insurance policies at any time.
(10) 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.
(11) 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.
(12) 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.
(13) 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.
(14) 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.
(15) The SUBCONTRACTOR shall comply with the W A State Department of Labor and Industries
Minimum Wage Act, RCW 49.46, acknowledging persons with disabilities participating in job
assessments are not considered employees.
(16) The SUBCONTRACTOR shall indemnify and hold the COUNTY, and their officers employees, and
agents harmless from and shall process and defend at its own expense, including all costs, attorney
fees and expenses relating thereto, all claims, demands, or suits at law or equity arising in whole or in
part, directly or indirectly, from the SUBCONTRACTOR'S negligence or breach of any of its
obligations under this Agreement; provided that nothing herein shall require a SUBCONTRACTOR
to indemnify the COUNTY against and hold harmless the COUNTY from claims, demands or suits
based solely upon the conduct of the COUNTY, their officers, employees and agents, and provided
further that if the claims or suits are caused by or result :from the concurrent negligence of: (a) the
SUBCONTRACTOR'S agents or employees; and, (b) the COUNTY, its officers, employees and
agents, this indemnity provision with respect to (1) claims or suits based upon such negligence,
and/or (2) the costs to the COUNTY of defending such claims and suits, etc., shall be valid and
enforceable only to the extend of the SUBCONTRACTOR'S negligence or the negligence of the
SUBCONTRACTOR'S agents or employees.
(17) 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.
(I 8) 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
Concerned Citizens Individual Employment/Person to Person 2009-10
Page 7
SUBCONTRACTOR recognizes that this waiver was specifically entered into pursuant to provisions
ofRCW 4.25.1] 5 and was subject of mutual negotiation.
(19) SUBCONTRACTOR shall not discriminate against any person presenting themselves for services
based on race, religion, color, sex, age or national origin.
(20) COUNTY reserves the right to terminate this contract in whole or in part, without prior written
notice, in the event that 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.
(21) No portion of this contract may be assigned or subcontracted to any other individual, rum, 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 contractor and a third-party subcontractor must contain all provisions ofthis contract
and the subcontractor must agree to be bound by all terms and obligations found in this Agreement.
ADOPTED THIS / tj ~ay of (~.-' (!~.
g~/&.-
Davi Sullivan, hairrnan .
Jefferson County Board of Commissioners
.2009.
By:
By:
inda Middleton, Executive Director
Concerned Citizens of Forks
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Attest, Deputy/Clerk fthe B ,
Ef2- f 1'-1 L.u t.J D(;(/...G,~
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By:
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Concerned Citizens Individual Employment/Person to Person 2009-10
Page 8
EXHffiIT A
STATEMENT OF WORK
CONCERNED CITIZENS OF FORKS
INDIVIDUAL EMPLOYMENT/PERSON-TO-PERSON
I. WORK STATEMENT
SUBCONTRACTOR shall provide Individual Employment and Person-to-Person Services for program
clients; they will provide support for individuals with developmental disabilities in order to enhance their
ability to make informed choices and to realize their full potential and Community Information and
Education Services as described hereinafter. SUBCONTRACTOR shall be reimbursed for such services
on a unit of service basis, pursuant to Section C., Reimbursements, of this contract.
II. PROGRAM DESCRIPTION
A. Program Goals:
1, To support and strengthen Concerned Citizen's capacity to provide quality, cost effective
individual supported Employment services.
2. To assure that businesses employing individuals with developmental disabilities in Jefferson
County will meet the Employment Quality Indicators from the County Guidelines as
adopted by the D.D. Advisory Board.
3. To provide employment services that are designed to meet specific needs of individuals
based on personal preferences and individualized goals and outcomes.
4. To provide appropriate job matching and necessary vocational support services to assure
that program Clients placed in individual community jobs maintain continuous employment
for at least one year.
5. To provide Pathway to Employment Plan facilitation, a discovery process, detailed action
steps/time1ines that will serve as a transition tool towards the advancement of the
individual's pathway and as an aid in the implementation of matching program Clients to
appropriate employment services in the community.
6. To provide Job Club Services for adults with developmental disabiljties- the curriculum
will include: attendance, proper (healthy) grooming and hygiene, first impressions,
interviewing skills, positive attitude and appropriateness in the work place, employment
portfolio development, mock interviews and vocational goals outlines based on skills,
abilities and areas of interest.
7. To work with the Jefferson County People First Chapter of Older Adults to:
. Broaden membership through outreach efforts
. Provide training in self-detennination, self-advocacy, and other skills as
requested by the People First Chapter of Older Adults
. Develop a media/public education plan
. Coordinate with the State People First Chapter of Older Adults and other County
Chapters within Jefferson County and the State
. Develop and implement the goals and objectives of the People First work plan
. Create and host a booth at the Jefferson County Fair
. To attend two state-wide meetings per year with the State People First Group
. To support an individual with a developmental disability to become informed
and a member of the DD Advisory Board
· To provide four training sessions on Self-Determination, Inclusion
Training/Concepts, (i.e.: "Reaching My Own Greatness") and four training
Concerned Citizens Individual EmploymentlPerson to Person 2009-10
Page 9
sessions "Mixed Voices" training, for members of the People First Chapter of
Older Adults
. To coordinate with members of the People First Chapter of Older Adults to
provide two training sessions on Self-Determination, Inclusion
Training/Concepts, (i.e.: "Reaching My Own Greatness" ) and two training
sessions on "Mixed Voices" curriculum, focusing on the target groups in
Jefferson County.
. Develop a media/public education plan with the existing People First Chapter of
Older Adults
B. Definitions
1. Individual Employment is:
an individual job in the community where a traditional employer/employee relationship
exists (i.e. person is hired, paid and supervised by the employer);
performed at locations that are typical employment sites for non-disabled persons (not in
businesses or locations where the primary purpose is to provide employment or work
training for individuals with disabilities);
for those who have not traditionally held competitive jobs or who have had interrupted or
intermittent employment as a result of a severe disability;
for people with severe disabilities who need intensive and/or extended support services to
perform work in the community.
2. Placement is defmed as employment in a flTst job or in multiple jobs arranged by
SUBCONTRACTOR for 90 calendar days. Placements may be: full-time, average weekly
work totaling 40 hours or more; or part-time, average weekly work totaling 12 hours to 40
hours.
3. Replacement is defined as being assisted by the same SUBCONTRACTOR in any
subsequent employment (second, third, fourth job, etc.) for 90 calendar days. Employment
may be full-time, part-time or other as defined in B.2 above.
4. Placement and Replacement Services may include: vocational counseling and job analysis
to assist in the identification of work objectives and the job match process; job
development, locating a suitable community job for the worker; initial placement and
post-hire training of the supported employee, employer and/or coworkers at the
employment site; job restructuring and worksite modifications; supporting the worker,
employer and other interested persons (parents, unions, other employees, etc.) to develop
natural workplace supports and ensure stability on the job; assisting the worker to obtain
other services necessary for continued employment; feedback to the worker, COUNTY and
to DDD Field Services regarding progress and/or problems.
5. Follow-along Services begin at the time of placement or replacement and may include:
visiting with the worker, the employer and other interested parties (parents, unions, etc.) to
insure stability on the job; providing feedback to the worker, COUNTY and to DDD Fie]d
Services regarding progress and/or problems; counseling the worker and hislher family on
vocational issues.
6. Person to Person Services are:
The development of a Pathway to Employment Plan that will serve as a transition too]
towards the advancement ofthe individual's pathway and as an aid in the implementation
of matching program clients to appropriate employment services in the community.
Concerned Citizens Individual EmploymentIPerson to Person 2009-10
Page 10
7. Planning is dermed as facilitating the development of a Pathway to Employment Plan,
delineating individual vocational skills experiences, preferences, strengths, support needs,
skills, goals and objectives, education on system navigation and the Discovery Process
related to vocational skills and capabilities.
8. 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 employment sites in the community.
9. Job Club Services- Adult Job Club curriculum to include: attendance, proper (healthy)
grooming and hygiene, first impressions, interviewing skills, positive attitude and
appropriateness in the work place, employment portfolio development, mock interviews
and vocational goals outlines based on skills, abilities and areas of interest.
10. Community Information and Education Services are: supporting an individual to become
informed and included on the DD Advisory Board, coordinating local People First
meetings for older adults in Jefferson County. Providing training in self-determination,
self-advocacy, and other skills as requested by the People First Chapter of Older Adults.
Develop a media/public education plan
C. Program Requirements
1. If SUBCONTRACTOR is selected as the Client's provider, SUBCONTRACTOR shall provide a
Pathway to Employment Plan for Clients in Person to Person Services delineating individual skills
experiences, preferences, strengths, support needs, skills and goals and objectives, within 30 to 60
days of the beginning of services for the Chent in order to promote Individual Employment.
Pathways to Employment Planning services shall include a personal discovery process related to
skills, capabilities and goals, education on system navigation, facilitated plan development, action
steps detailing steps, timelines and entities responsible for the accomplishment of tasks leading to
employment and the implementation of vocational services.
2. If SUBCONTRACTOR fails to provide the minimum number of monthly service hours in Person
to Person for the Client, the COUNTY will advise the Client, Parent/Guardian andlor Residential
Provider the minimum and maximum number of hours the Client should be receiving and the
option of choosing another Employment Provider.
3. The Action Steps of the Pathway to Employment Plan will be reviewed by the chosen
Employment Provider every 6 months, (sooner if needed) in order to assess if it is continuing to
meet the individual's goals for their pathway to employment.
4. The Action Steps of the Pathway to Employment Plan will reflect that 75% of the direct service
hours with the client will be at employment sites 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.
5. SUBCONTRACTOR will submit to the COUNTY, DDD Case Management, Residential Provider,
Parent/Guardian Semi-Annual Progress Reports on each Client. The frequency of the report for this
contractual period will be one every six (6) months after the initial plan, July through December
2009 with the report due on January 2nd of 20 I 0, the second due date will be January tluu June
20 I 0, due July 1st 2010. The Semi-Annual Progress Reports shal1 demonstrate the implementation
strategy and how the individual is progressing on their Pathway to Employment; indicating the
fulfillment of the commitments made concerning the Action Steps of the Pathway to Employment
Plan and it shal1 describe the reasons for any shortfall concerning the action steps and proposed
steps for correction. These Reports will enable Case Management to support the need for
continuing to authorize Person to Person services and will support the County to validate
continued funding.
6. SUBCONTRACTOR shall schedule a review meeting every 6 months for all program Clients. The
review meeting shall include an assessment/evaluation of the Action Steps of the Pathway to
Concerned Citizens Individual EmploymentJPerson to Person 2009-10
Page 11
Employment Plan (goals and objectives). The Action Steps of the Pathway to Employment Plan
will be updated every 6 months for all program Clients.
7. Subsequent to review meetings, the SUBCONTRACTOR will submit a copy of the updated Action
Steps of the Pathway to Employment Plan and progress reports to the Client, the DDD case
manager, the COUNTY Coordinator and Residential Support Staff, Parent or Guardian.
8. SUBCONTRACTOR shall provide a Vocational Client Plan for clients in Individual Employment
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 Individual
Employment. Job coaching and supervision of program clients will be based on goals established in
a Vocational Client Plan. Client goals, training provided and progress toward meeting goals shall be
documented in each client record.
9. SUBCONTRACTOR will submit to the COUNTY and DDD Case Management Semi-Annual
Progress Reports on each Client, indicating the fulfillment of the commitments made concerning
the Vocational Client Plan and Outcomes. The frequency of the report for this contractual period
will be one every six (6) months after the initial plan, July through December 2009 with the report
due on January 2nd of201O, the second due date will be January thru June 2010, due July 1st 2010.
10. The Semi-Annual Progress Reports will show Vocational Client goals, training provided and a
written synopsis showing progress toward meeting objectives or a description of the reasons for
any shortfall concerning the outcomes and proposed actions for correction.
11. SUBCONTRACTOR shall schedule a review meeting every 6 months for all program clients. The
review meeting shall include an assessment/evaluation of the Vocational Client Plan's goals and
objectives. The Vocational Client Plan will be updated every 6 months for all program clients.
12. Subsequent to review meetings, the SUBCONTRACTOR will submit a copy of the updated
Vocational Client Plan and progress reports to the Client, the DDD case manager, the COUNTY
Coordinator and Residential Support Staff, Parent or Guardian.
13. SUBCONTRACTOR must ensure that: every Client file has a copy ofDDD Client authorization
and referral (CSA), that a copy of the participant's Individual Habilitation Plan (ICF/MR),
Individual Service Plan, Plan of Care and/or Individual Support Plan (HCBS Waivers) and/or the
COWlty authorization/individual service Agreement plan as applicable is in the Client file.
14. SUBCONTRACTOR must ensure tbat: Client Goals and Objectives are based on a Person
Centered Plan! Action Steps or a Vocational Plan, that documentation and data collected or training
reflects the Action Steps or the Vocational Plan and the documentation shows how it has identified
and addressed support needs of each participant by demonstrating methods for providing services
based on individual needs are outlined in a Client's Person Centered Plan/Action Steps or a
Vocational Plan and has documentation of six month progress reports; that include Client
Goals/Action Steps and a summary of progress meeting those goals and objectives every 6
months.
15. SUBCONTRACTOR must ensure that: all Incident Reports are retained in Client files, they have
a policy to retain records at least 5 years, 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.
16. SUBCONTRACTOR shall provide Individual Employment Services. FWlding for the services of
placement and replacement as defmed in Section II. B above must initially be accessed from the
Division of Vocational Rehabilitation Services, (DVR). If service dollars are no longer available
from DVR, Section II. B 3-6 as defined above can be accessed. Follow-along services as defined in
Section II. B above is paid for by County Day Program dollars once a client is officially in the
ADSA Billing system.
Concerned Citizens Individual EmploymentlPerson to Person 2009-10
Page 12
17. All persons receiving Job Development Services shall be employed within three months. If 11
person is not employed by the time four months has elapsed, activities on behalf of the person
shall be reported to the COUNTY and DDD Case Management for reassessment and a new plan
may be made if it is in the best interest of the consumer.
18. A Vocational Client Plan must state the maximum amount of hours and services to be
(a) billed for in a County Service Authorization before the SUBCONTRACTOR can
(b) bill the COUNTY on the ADSA Billing System.
19. Monthly Progress Reports for Job Development and Vocational Assessment services,
(c) along with Job Coaching services for the fITst 60 days must accompany the County
System
(d) billing in order for payment to be rendered. If progress reports are not completed,
(e) or do not accompany the billing, payment will not be held for that month's services.
20. A Vocational Client Plan may lead to a Community based Assessment opportunity every six
months. Community Assessments Plans must be written by the SUBCONTRACTOR and signed
off by the DD Coordinator fIrst and then the DDD Case Manager before the SUBCONTRACTOR
can bill the COUNTY for services rendered.
21. The Community Assessment will serve, as an aide in matching client skills, preferences, strengths and
support needs to an appropriate job in the community. The Community AssessmentlReport shall
reflect that 80% of the hours billed are actually on community job sites. The Community Assessment
shall be at least 8 hours and can be up to 16 hours of mentoring and or actual job site experience. The
hourly rate shall be $65.00/$68.00 an hour and the Community AssessmentlReport shall accompany
the invoice for services.
22. Worker wages shall be conunensurate with the local industry accepted norms and comply with
applicable Federal Department of Labor standards.
23. Recommendations for program participant's termination in Individual Employment or transfer into
another Individual Employment agency must be authorized by the DDD 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, DDD case management, COUNTY, family members and other service
providers as applicable and within 10 working days of SUBCONTRACTOR'S recommendation.
24. SUBCONTRACTOR must ensure there is a legal requirement and a clear delineation for staff
qualifications and proof of background criminal history clearance in accordance with RCW
43.43.830-845 and RCW 74.15-030 on all staff.
25. SUBCONTRACTOR shall submit a mitten staffmg 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 all skills listed in Staff HourslPhases, (see Attachment
A), (b) SUBCONTRACTOR's plan to provide staff that are skilled in applying training techniques to
enhance the work-related skills of program clients; (b) FTE levels, job descriptions and organization
chart pertaining to program staff. SUBCONTRACTOR will provide COUNTY with information
regarding staff qualifications and documented training's upon request.
26. SUBCONTRACTOR's shall submit a written plan to enhance staff skills through participation in at
least 48 hours of annual training's, in-services, andlor workshop opportunities that are relevant to
persoill1el working directly with program clients. Once a Direct Service Staff has been employed
with Concerned Citizens for 12 months and has completed the 48 hours of annual training's, in-
services, and/or workshop opportunities; the County will reimburse the Provider a one time only
payment of$500. An agency can only be compensated one time annually for up to three direct
service staff.
Concerned Citizens Individual Employment/Person to Person 2009-10
Page 13
27. SUBCONTRACTOR must assure that 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 DDD Policies Prior to Workinf! with Clients: ADA training,
APS Reporting Requirements, Client confidentiality, Current individual instruction and Action
StepsNocational Plans for each Client with whom the employee works, DDD Policy 4.11
Working Age Adult (adult services only), DDD Policy 5.06, Client Rights, DDD Policy 5.13,
Protection from Abuse: Mandatory Reporting, DDD Policy 12.01 Incident Management.
28. SUBCONTRACTOR must ensure that new direct service staff demonstrate the following
competencies:
1) Values that support the abilities of individuals
2) Effective Communication - The ability to effectively listen and to make ones self
understood
3) Planning methods
4) Crisis Prevention and Intervention
29. Within one month of employment: SUBCONTRACTOR must ensure that direct service staff
received training and are knowledgeable in the following areas: Overview ofDDD Policies
induding: DDD Policy 3.0 I Service Plans, DDD Policy 5.03 Client Complaints, DDD Policy
5.17 Physical Intervention Techniques, DDD Policy 15.03 Community Protection Standards for
Employment/Day Programs and all reporting requirements related to these DDD Policies.
30. Within six months of employment: SUBCONTRACTOR must ensure that direct service staff
received training and are knowledgeable in the following areas: Program skill development, DDD
Policy 5.02 Necessary Supplemental Accommodation, DDD Policy 5.14 Positive Behavior
Support, DDD Policy 5.15 Use of Restrictive Procedures, DDD Policy 9.07 mv and AIDS and
Program Skill Development.
3 I. Within 30 days of the effective date of this Agreement, and semi-annually thereafter,
SUBCONTRACTOR will develop and submit to COUNTY an Individual Employment program
operating budget detailing the projected allocation of contract funds, other sources and amounts of
funding, program staffmg expenses and other cost allocations.
32. Semi-annually, SUBCONTRACTOR will develop and submit to COUNTY Individual Employment
program financial reports reflecting the actual revenues received and expenses inclUTed compared to
the projected program budget submitted per Section B.9.
33. The SUBCONTRACTOR will on an annual basis sponsor the surveying of participants, their
families, and their support networks and employers regarding customer satisfaction. The
SUBCONTRACTOR will design Customer/Client survey forms.
34. SUBCONTRACTOR shall provide Job Club services for adults with developmental disabilities a
minimum of four times a month. The COUNTY will pay for two Job Club services only if the
SUBCONTRACTOR provides two Job Club services that are not billed to the COUNTY.
35. Job Club Services for adults will occur twice a month. The clUTiculum will include: attendance,
proper (healthy) grooming and hygiene, first impressions, interviewing skills, positive attitude and
appropriateness in the work place, employment portfolio development, mock interviews and
vocational goals outlines based on skills, abilities and areas of interest.
36. SUBCONTRACTOR will bill the COUNTY on a monthly basis, for up to $200.00 for each Job
Club, no more than two billings a month. SUBCONTRACTOR will submit an invoice to the
COuNTY for Job Club services with a progress report. The report will include a copy of the sign-
in sheet, (who attended the club on that specific day), the date and time of the meeting and the
agenda/topics with information on the discussion or outcomes that occurred during the Job Club
session. Each Job Club will be at least three hours in length, one hour for prep, set up and clean up
and two hours for the Job Club session.
Concerned Citizens Individual Employment/Person to Person 2009-10
Page 14
37. Reimbursement for Community Information and Education services will be provided at the
completion of the following payment points:
(a) People First Advisor attends up to two state-wide meetings per year with the State People
First Group to obtain current information about resources and issues in order to assist people
with developmental disabilities and their family members in Jefferson County at $200 per
meeting.
Payment Point and Documentation: $200.00 2009
$200.00 2010
$400.00 TOTAL
One page report documenting date, time and location of meeting attended, summary of
topics discussed.
(b) People First Advisor will support an individual with a developmental disability to become
informed and included on the Jefferson County DD Advisory Board five (5) times a year at
$75 per meeting.
Payment Point and Documentation: $150.00 2009
$225.00 2010
$375.00 TOTAL
One page report documenting date, time and location of meeting attended, summary of
topics discussed.
(c) People First Advisor will coordinate and support up to nine (9) local People First meetings for
older adults in Jefferson County. The purpose of these meetings is to broaden membership
through outreach efforts aimed at future members, provide training in self-determination, self-
advocacy, mentoring and other skills as requested by the Chapter, develop and implement the
goals and objectives of the People First work plan, coordinate with the State People First
Chapter and other County Chapters within Jefferson County and the State. A minimum of 4
people with disabilities must be in attendance in order to bill for any meeting. $150 per
meeting.
Payment Point and Documentation: $600 2009
$750 2010
$1350 TOTAL
Minutes of each local People First meeting to include date, time and length of meeting,
location of meeting, topics discussed and any decisions made. Sign-in sheet of attendees.
(d) People First Advisor will work with the existing People First Chapter of Older Adults to
coordinate and support five (5) additional meetings in Jefferson County. The purpose of these
meetings will be to develop a media/public education plan, (pass on People First Educational
videos to the Officers amI/Members) and support members to partake in generic Jefferson
County housing and transportation programs.
A minimum of 4 people with disabilities must be in attendance in order to bill for any
meeting. $150 per meeting.
Payment Point and Documentation: $300 2009
$450 2010
$750 TOT AL
Minutes of each local People First meeting to include date, time and length of meeting,
location of meeting, topics discussed and any decisions made. Sign-in sheet of attendees.
Concerned Citizens Individual Employment/Person to Person 2009-10
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(e) People First AdvIsor will work with members of the People first Group for Older Adults to
educate and disseminate project-training material at the next Jefferson County Fair once a
year. $450 for aU three days.
Payment Point and Documentation: $ 000 2009
$ 450 2010
$ 450 TOTAL
Report about the Jefferson County Fair with sign-in sheet of volunteers.
(f) People First Advisor will provide four training sessions on Self-Determination, Inclusion
Training/Concepts, (I.e.: "Reaching My Own Greatness") and four training sessions "Mixed
Voices" training, for members of the People First Group for Older Adults. Training must be at
least 3 hours. A minimum of 4 people with disabilities must be in attendance in order to bill
for any training. $90 per training.
Payment Point and Documentation: $360 2009
$360 2010
$720 TOTAL
Report of the training sessions to include date, time and length, location, topics covered
and progress of People First Trainers. Sign-in sheet of attendees. Training must be at
least 3 hours.
(g) People First Advisor will coordinate with members of the People First Group with Older
Adults to provide two training sessions on Self-Determination, Inclusion Training/Concepts,
(i.e.: "Reaching My Own Greatness" ) and two training sessions on "Mixed Voices"
curriculum, focusing on the following target groups:
o DDD case managers
o Service Providers (Targeting at least two Staff from Employment and Two
Staff from Residential)
o Parents/Guardians
A minimum of5 people must be in attendance in order to bill for any training. $120 per
training. Report of the training sessions to include date, time and length, location, topics
covered and outcomes of the Trainings. Sign-in sheet of attendees. Training must be at
least 3 hours.
Payment Point and Documentation:
$240
$240
$480
2009
2010
TOTAL
(h) Develop a base of people with developmental disabilities and their family members to
advocate forthe needs of people with developmental disabilities in Jefferson County. Sponsor
and facilitate participation in one (1) state-wide Advocacy Days and local legislative
advocacy events for the purpose of educating, sharing and discussing issues of mutual
concern. At least four self advocates and family members must participate in each event.
$250 per event.
Payment Point and Documentation: $250 2010
$250 TOT AL
Sign-in sheet of Self Advocates and families in attendance for each date of a state-wide
Advocacy Day event. One page report on the activities attendees participated in.
Concerned Citizens Individual Employment/Person to Person 2009-10
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D. Performance Standards
1. SUBCONTRACTOR shall provide Individual Employment services that are referred for
service by DSHSiDDD and have been authorized by the COUNTY.
(a) Job development,job coaching, follow-along and replacement services as necessary for
Individual Employment clients.
2. SUBCONTRACTOR shall provide Person to Person services that are referred for service
by DSHSIDDD and have been authorized by the COUNTY.
(a) Person-Centered Pathway to Employment Plan, Action Steps detailing steps,
timelines and entities responsible for the accomplishment of tasks leading to
employment.
(b) Provide the minimum number of monthly service hours in Person to Person for the
Client.
(c) Implement Action Steps that affirm 75% of the direct service hours with the client
will be at employment sites in the community
3. SUBCONTRACTOR shall provide Job Club services for adults with developmental
disabilities a minimum of four times a month.
(a) The COUNTY will pay for two Job Club services only if the SUBCONTRACTOR
provides two Job Club services that are not billed to the COUNTY.
4. SUBCONTRACTOR shall provide Community Information and Education Services.
(a) The COUNTY will only pay for services that meet the designated payment points.
E. Individual EmpJoymentlPerson to Person/Job Club/Community Information and Education
U nit of Service
I. One UNIT of Individual Employment'Person-to-Person service is defined as one (I) or more
"HOUR" of direct service or assigned service responsibility to one eligible client. A "HOUR" is
defined as one (I) hour or more hours of direct service or ASSIGNED SERVICE
RESPONSIBILITY to include placement, replacement and follow-along services available to be
provided in a service month.
2. One UNIT of Job Club Service is defmed as one (1) or more "SERVICE" or ASSIGNED
SERVICE RESPONSIBILITY in a service month. A "HOUR" is defmed as (3) three hours of
time, (2) twice a month or ASSIGNED SERVICE RESPONSIBILITY to include the Job Club
meeting and the prep time in a service month.
3. One UNIT of Community Information and Education Services is defined as one "SERVICE" or
ASSIGNED SERVICE RESPONSIBILITY which is defined as a designated payment point in a
service month.
4. One UNIT of Individual EmpJoyment/Person to Person service is $68.00 and is defined as one
"HOUR" of direct service to one eligible client, one UNIT of Job Club Services is $200.00 and
is defmed as onc "HOUR" direct service and one UNIT of Community Information and
Education Services is a designated payment point and is defmed as one "SERVICE".
Concerned Citizens Individual EmploymentlPerson to Person 2009-10
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