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Consent Agenda
.,~oNffi"
(~rji;)~! JEFFERSON COUNTY PUBLIC HEALTH
\~~' 615 Sheridan Street. Port Townsend. Washington. 98368
'[11:1<>.. www.Jeffersoncountypubnchealth.org
July 25, 2011
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO:
Board of County Commissioners
Philip Morley, County Administrator
FROM:
DATE:
Jean Baldwln, Director
SUBJEcr:
.--
~efte t>'Ibe;r I q) ~ II
Agenda Item - Professional services Agreement with Concerned
Citizens for Community Access; July 1, 2011 - June 30, 2012; $28,800
STATEMENT OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Dlvlslon, requests Board approval of the
Professional Services Agreement wIth Concerned CItizens for Community Access;
July 1, 2011 - June 30, 2012; $28,800
~NAL YSIS/STRATEGIC GOALS/PRO'S and CON'S:
Community Access selVlces are designed for people with developmental disabilities who have retired or are
in post employment and need assistance to address services in the community. SelVices provided in this
contract will assist indlvlduals with participation in activities, events, and organizations and/or to volunteer In
the local community in ways similar to others of retirement age. Community Access services provide special
assIstance, advocacy, Indlvlduallzed education, and activities with the goal of providing options In order to
experience opportunities that Increase socIalization, support systems, and personal Independence through
community, social, recreational, commerdal, and or volunteer activities. This agreement provides for up to
four program dlents.
FISCAL IMPAcr/COST BENEFIT ANALYSIS:
The provider shall be compensated at the rate of $30.00 per unit as defined as one or more hour of direct
service or assigned service responsibility to one eligible client The budget reflects revenue and expense for
this vendor. The agreement Is a subcontract funded through the biennial agreement with the DSHS
Department of Developmental DisabIlIties contract
COMMUNITY HEALTH
DEVELOPMENTAL DISABILITIES
MAIN: (360) 385-9400
FAX: (360) 365-9401
PUBLIC HULTH
AlWAYS WDRIlIltG FOR A SAFER AND
HEAlTHIER COMMUNm
E~RONMENTALHEALTH
WATER QUALITY
MAIN: (360) 385-9444
FAX: (360) 379-4487
Consent Agenda
RECOMMENDATION:
JCPH management request approval of the ProfessIonal ServIces Agreement with Concerned atlzens for
CommunIty Access; July 1, 2011 - June 30, 2012; $28,800
?M-
Date
(Routed to all Public Health Managers)
A,'gree m,ent,Bet'weell
JEFFERSON COUN1~Y' PUBLllCHEAlJTH
And
CO,NCERNED CITIZENS
into betwieen
of
on COlJNTY'. The 'ternl this
noticelnayt!Crnlinate this Contract
COU'NTY Public Health
Ac:c,ess Services to
It is Between Bot 111 PartilcsasNalnedHere'in as F ollo'ws:
A. PROFESSIONAL SER'V1CIIES
to be
SUBCONT'R,ACTOR, shall includei:
resources with
individual ized
and interaction
of
8"
with al] state
Client information not disclosable to
Release of'lntbrm,ation a
the
of
to R(~W
Forrn.
toO
access to a pierson with .a
involvement with the
ound Check.
will
in thecOUfse of his or her
Patrol Criulinal
toRCW 74", I that if any
last thr1ee and who will or ]TIayhave
in tbe course of his or her
F ,8.,,1. Check. Frhis
Check
I'he
Criminai
H:eal.t,h
and
Client
Protections Froml
15
9.07 f'luman
12,01 Incident
6.13
and
COUNTY Guidelines,
SUBCON'"fR,.,ACTOR shall havewritt:en
must human/civH r
harass m en t and no n -d i sed '01. i nation
medicalion
be tre:ated with
prograrn:" the
or advocate is also informed"
that j,.11 accordance
hav"e been informed of their ri,
1
the program.
new dOCUlnentat,ion on not
of client's and/or
and benefits
;and ren'e'wed
SUBCONiTRA,CI"I'~OR will
in
SUB'COliNTRACTIOI~ shall
the Client
(1
(I
confl ict wi 1]
decis i on or an
other intere st in the
(I
SlJB'CONTR,ACI"r~OR shall have
and
to maintain
found
shall
docum,,,en tat] on
abandoulnent frorn
the COUNTY
a substantiated
\vith the
a substantiat
DDID office will send
abandon.rnent or
'.
of or
of theAPS substantiation to
.' docunlentation
the SU':BCON'TRI\,C~TO'R
of the C'IIQU"'N'"I'Ywill
within, one
a letter
l"he contractlled hi
a. Document
h"as taken to
the vulnerable
2011..2012
b.
action
to the
within 10
2. ~The
will to the:
ys. If the
and an amended
],
toDI)'D for final
wh er any additional infornultion
to Central Otllce.
O,'DIIDII
need,ed
4~
and
describedinRCW
no DSHS that a
then that 'W ill be
underR"CW
040 and
staff member c it,ed
fi."om
(I
staff with and
adults with dev mental abiHtieswho are per the attaehed
SlJBCONTRA,CT"ORwil] C"OU"N~rYwith infonnatioll
A written
out:comies, how and when
leas1 and revised
of individuals with
and has invo~ved
with
includi'
V'ocational Rehabi lilation
the
and
Client service records and
iindicators,
deluon:s.tr"atecon,fornlance
standards for
(1
shall
and are
shaH report any
that intervllention the
individual and then to the"
harm or
their health and
health and
fl rst
DSIIS/[)DD
includes
201 ]
1.
C'J:"'he init ja.l
Coordinator~
lbe shall
COU'NTY Coordinator. "I~he toO the
facsimile to 360-385-9401 or
Sheridan WA 98368.
may be
documented
calls to the COUN'I~Y
within I 0
subrnitted
Publi"c f"lealth
Serious and
Incident
shall be handled
with DSHS/DDD
funds
under this
and
program. financial
in suffi.cient
(1
the
Nl'~RAC1:~OR will
(19)
D'D Coordina"tor at all
r'lecords on and Client and all
The COU'NT"Y' shall monitor services delivered and conduct le,ast
the of this bienniulTI to with theDD"D
Audit
m,anner:
submitted
10
DD
firm
of the Subcontractor,
CIOUN"TY Public Health
"~fhe
an
audi t
e:ntire
'Is
Auditorts
upon.
Provides statements consistent with the
AICPA SOP a
and with Federal
and
for
in accordance
dards for Aud.it of
and all
or
The Subcontractor shall submit
letter the
docu:mentation
of the audit andlor the and the
upon audit ITlust be
Subcontractorl's Board the audit,
Coordinator finds
process orl earnsth at
conditions of this c:ontrac:t,
Infonna'l "Notification: I nfornl al
of the
iCoordinator aJierts the Contractor in
solution within te:n
'Noti'fication: Ifthle informal notification does not result ill
w ithi n ten
and the Co ntractor sbal]
the
of
of contention and
Written Within ten
the Contractor written
shan be sent to the address identitled in
of such offic,ial notification the COlJN'rVwi II
ce:rtifle:d lllail, Notice
'Discussion: Within twe. of the date of the written sumrnary, a discussion between
CO'UNT'iY and Contractor shan be conducted to resolve areas of non-,
the th,e will obtain the of
or anal r upon resourc'e~ and shall share
f no is the mediator's decision in the
that in no event will the C;OlJNTY honor a financial
ds all ed the scople of this
the end date of this
and
refl e1ct al ',) direct "an '"
include statement 'C'lient documentation
and semi-annual sUlnmary progress
'CQ'UNT'Y with client r~"ut:ure Pia
on a bi.-,annuaJ basis.
Make for
and all
review or audit COU-N"TY DII,O Coordinator at aU reasonable times: all client
and other data to 'th i s
C'O'UN"fY with a copy of
DSHS Provider
within 30
agrees to to COU"NTY it.sMedillcaid for
under Title :XIX programs. Written doc..unlentation shall be ava.ilable to COUN1~Y on
contracts with DSHS cnvered services under l'itle C01JN"TY
g int for those CHents sha.ll be excluded from this u:- SlJBCIONTR,AC~TOR
'with Soc:ial to covered services under a COUNTY agrees
intended those Clients shall be excluded fro'ml
c.
(1)
For said servilces rendered under this
unit as defined in Exhibit
COUN1~'Y' shall reimburse SUB(~O'Nl"R,A,C""rOR $30,00 per
Statenlent of 'Work.
will bill COU"N'~rY on .a
under th i s
ODD ServicesR, rt, (
be submitted more than 60 calendar
on or befor,e the 5th of the for units
month. S'UB'CON~rRAC"'rOR will sublnit a
At no time shall the invoices for reimburselnent
the last of the rnonth for 'which the services were
COUNTY maY1" at I,tswithhold reimburs,enlent for anymontl1 f()r~rhich
been or are not accura,te andJ or
not
"'otal reimbursements for the fiscal year of 11.2012 to SUBCONTRAC"T"OR COUN'TV under this
c:ontract shall not exce,ed in of these servi,e,es w:ithout express vvritten amendment
both to this ~rhis total reirnburselnel1t includes any aJnendment 'within the fiscal
201 ]..201
D.
Oi sabi I ities shaJ I de:U~rrnm 11 eindi V' idua I
ODD shall COUNTY
persons referred to COUN'TY
('I Pursuant to W"AC DSI1SDivision
for delivlered under
authorized for servi'ces reimbursed under this
Concerned 2011-2012
01"12
under this The SUBCO,'N'TR,ACl"~OR shall
this ,A'G:R:EEME"N]"~ without the consent
or otber reimbursable expenses th,at
sublet or
CO'U'N'TY.
be in an
relation to tbe COU"Nl'~Y shan be at all tilnes as
and any of all SUBCONTR,AC1'\OR or othe:r persons
of any or e SU'"BCO'NTR,A,Cl"~OIR under this
he Sl,JBCONTIU..C'TOR. and that arise on behalf of
the sole: obli tion and of the SUB,CON'l~RAC'rOR,.
1""he
"AGREE:MENT
not include
an A'G'R"EEME"NT.
()N'TR,ACl'OR shall obtain and
~ ilie
the State Insurance
shall not sublet or
express written consent
or other reimbursable
and
insuranc,e as
of
AutOITIobille or Insurance
coverage for all owned and non-owned vehicles
oftbe work for combined limit of not less than $l
with the COU'''Nl'Y named as, an additional insured in ,connection with the
of the
Broad Form
with no
8"road Fonn Contr.a,ctual/Comm..ercia,)
Contra,.ctors and
Blanket Contractual
to be
shall mainta.in
In no shall such
ce rt:ifi,ed
of the Subcontractor.
of the SUBCONTRACTOR to tbat all
work or of the SUBCO"N'~rRAC'T'OR under this
s,;anl.e that SUBCQ"N''''f''R",ACTOR
of the SUB(~ON'rRACTOR tomajntain
upon COU"NTY m,ay,
insunJlnce as
fivleworki
the contract or, at
in connection
sole of the
shall constitute a
notice to the
procure
funds
A II cost
additional
insurance: sha 11 be cons ide:red inc:i dentalt"oandinc luded in the unit
will b1ema.de,.
the
"additional insured.
and endorsements
certified
(1
and
the COUN'"fV will nal:ned all certificates of insurance
shan the C(}UNT'Y with veritication
l""he SUBCONTI-tACTOR reserves the
any time.
(11
All
,a.uthorized to do in the
submit verification ofinsuranc"e as outl.ined within
of the: execution of this "AGREEMENT to the COUNTY.
The COUNTY will pay no progress
with this se"ction"" "This remedy
is available to then] under other
the CO'UNTY an lexe:cutled bond
of all of the SU'BC()N'I'R..ACTO'I~,.
UBCONT'R.Ac~"rO:R
contract and fot
with all
undler this
thela'Ns of th e
laws and
AGR,EEMENT shall be
and venue shall be in
(1
this
not
or
aU subcontracts into which 'it
(I
with the WA State
persons
and their officers
own expense.~ all
i.n
20]
upon such
shall valid and
of the
(I
of RC:W
8l..1'13, Nl"~RAC:TOR shall
based on
thernselves for
.or subcontracted to other
ofC:O,UN'TY. If the COUN1'Y
t"o then any contract or
Inus t all of t.hi s
all tenus ,and found in
ADOP'TEll TllIS
da.y
201'1.
th e B,oard
EXH,lB1T A
ST A'TE,M'EI,NT OF 'WORK
CQIMMUNI'TYACCESS
Ii W'O'RK S'rA'TE'MENT
A Cii(~ess services
for such services on
prograJl1 cl ients as de scribed here in a fieT...
unit of to Secti 011
II. PRQG,R.AMDESCRIPTION
A"
Goals
"rransfer reduction of
a r"esult
2
without disabiJ idles.
of socia]
and
w'ithout disabi 1 iti es"
4.
on an individual
from their hom,e
An
and indivi
"address
in
to enhance
necessary for l1e:w in
to
ski t]
'Bi D"ello itioll S
L
to build
power, and status in the
toO contribute and to fee') sensle
. an
.'
. an
. an
. an
to the
access
resources 'with peers without disabilities
to
vol unteer
in
to
for
,and skill
audIo
c. Prograln Itequir',em,cllts
L
'R shan
Se,ction 11,8 above.
These
defined in
ski] Is
10 contribute and to fTeel a
in order to
six-rnonth re:view
of the ne:ed for continued
and
and
in the form. of a Sem.i-A.nnual
4"
The
the in i tia~
the second due: datle will be
such
and other
8..
The Provider shaJ l
on the Client's
to di verse schedu I e
connected to their Indivildual
9 l""he Provider shall and doc:ument in the Individual
needs, The Provider shaH
for sorne activities
10.
nlust authorized for service the
and referred to the COtJNTY ~
of
o i sab i I it i es
effective date of this
includes: S'UBCO'N'TRACT'ORls to.
to enhancle the skins and behaviors
and chart toO
I ]
20.]
12..
14.
in
th at are
rnust assure that informled
and have docum.entation thal ,assures all
older are trained in the :DDO Polic
APS ieut confid
Plans for ,each Client with whom
Ad servicesDDD P
Protection from Abuse: DiD'D
direct serv ilc,e staff
'Vahles that the ilities of individuals
ve Communication The
understood
methods
Prevention andlnterve:ntion
and lomake ones self
15.
dir'iect sta ff
ofDDD Polici,es
DDi'D
Standards
16..
st.aff'
DDD
of this
and submit to a
allo,cation of contract
and other ,cost allocations. of the
SlJBCONrrRACT'OR 'will
aU
of this
COJnpany
expensies genera
under this
18.
SUBCONTRA,CTOR., 'wi'~1
the actual
submitted
submit
and incurred
with the overa II
201
D"Perf(:)rm"ance Standards
1.
E.
Access Unit of Slervice
,Access
()SHSlDD and have been
up to four program
CO'UNTY.
who
L
defined on,e l) or 'tHOU'R" of direct or
to one ent U"NI~r is defi.ned anI-lOUR t'whic,h up
ASSIGNED SERVICE R"ESPONSIBILITY is defined
will
a maximum of units
per month
unit