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HomeMy WebLinkAbout020413_ca03Consent ~A+~erlda v~gn?+ ~o `~ ~TEF`FLRS[]l~r~ ~'[]TJ~TTY .~UBLIG HE~iLT~I ~y~~ i an Street 4 P rt T ,~,„" 61 ~ Sher d o ownsend Q Washington o 983fi8 www.jeffiersoncouritypu blichealth.org [7ecet~~ber 21, ~s:)1 ]~F'~EF~S~N Cfll9NT1( ~~C~ARi] C3F Ct~U'NTY C(~Mh~~SSIUNE~S AGENQA RIE[~UEST T[]. Hoard of Cvlunty Cvrt~r>rtissivr~ers ~'hilip Morley, County Ad~rrtinistratvr FRC)I~I: Jean Baldwjn, D%rectar nATI~: ~ E'-~~'..AC'~Y'~f ~-~- i cX~ ~~ StJB3'llrCT: Agenda ~terrt - Professic~nai Servjces Agreement with Skaakum Contract Services far ~ammunty Access; Jantaary 1, 2a13 - June 3[~, x[)113; $1~,~80 sTATEM~~NT ~F ~ssu~: Jefferson County Public i-lealth, Develapmenta6 aisabii~~ities Division, requests Baaa~d approval ofi the Pro~f1essioynal (S,elvices Agre(]erryne7nt7with SolCaokum Contract services for Community Access, Ja7i IL7~a~y 1, ~.C1~~ - ~Une ~il, GLYl J, ~, ~3~ ANALYSYS 5T~RATEG~C GQ~t~S IPRQ"5 and CCEN'S Community Access services are designed far people with developmenta9 disabilities who have retired or are i~n past ernployrx~er7t and need assistance to address services in the corrrrnunty. Services provided in this contract will. assist individuals with participation in activities, events, and organizations andlor tv volunteer in the local community in ways similar to others of retirement age. Community Access services provide special assistance, advocacy, individualized education, and activities with the goal ofi providing options in order to experience opportunities that increase socialization, support systems, and personal independence through comrTtunity, social, recreational, commercjal, and or volunteer activities. This agreement provides ft~r one program client. ll'~GA'L ~NIPACT CL)ST BENEE~T ANALYSTS. The provider shall be compensated at the rate ref $343.tJ0 .per unit as defined as +une or rotors i~our of direct service ar assigned service responsit~ility to one eligible client. The agreement is a subcontract funded through the biennia~i agreement with the DSl-i5 Department of Developmental Disabilities contract, C©MMUNITY HEALTH ~UBL~C IdEALTH ENVhRO}NMENTAL HEALTH ~3EVEL[7PMENTAI~ DISABILITIES WATER QUALITY MAIN: (35fl) 385-44007 ALWAYS 1fNOFtFtIN F~hR A SAFER AND MAIN: (360} 385-9444 FAX: (36Oj 885-9401 HEALTHIER COMlwUHITY FAX: (364 379-4487 (~ClS~~('.llt 11,~tf1~i~B ~tECC7i'~ M EN DATIC31~ ~CPH management request ap~rovai of the Professional Services Agreement with Professional Services Agreement wroth 5kookum Contract services for Community Access; .~anuary 1, ~a13 - 3une 30, 2g~.3; X1,080 REViEWE© BY:. ~~ r,.-~7 ~; ~_" .-- ; ~ ~ ~` r ~ liip Morley,' my Ad~rt6nistra r ~~ ~~ ~~te {Routed to all Public HealtF~ ~a~agers~ SURC(7N~'RA~CT E013 PR~p'F.SSIUNAI~ SERVCCIJS C[111~I~t]hITY ACCESS SP1tVICE5 Agreement 'Betw'een JEPFERS~N C(-fl]N`l"'Y Pi.JBGIC HEALTI-1 And SK~O}CC~IYT C(1NTRA(:T S>~R~'~ICES This agreement is made and entered inter betww~een Jeti=ersan CC3UJ`1~CY Public health (CC)UN'l'Y} and Skaakurn Contract Ser~vices (SUSCC31~1TRAC'1`E]R} for provision of Camr-nunity Access Services to persons v~~ith dea'elapinz3~ta1 disabilities in JefFerson CC~UwVTY, The term of this agreement is January l; 2{}13 through Jtanc 3a, 2UY3, E;itkrer pai~y upon ~~ days wvritten notice may terminate this Contract `l'crrrtinatian of this Contract shall not carrstitute a br~eaclr. It is Agreed Sekween Bath Parties as lamed Heresn as Frt[lows: A. PR~ItF 5SIC7NAL SFR'V1C'I:S Professional services to be provided by SC]9~CON~'R,ACTC)R shall include: (1} Carnrnunity Access Services -Opportunities to build relationships, to ctrntribarte and to feel a scrrse o[' be[trnging to the community, to access generic resources with peers vvit[rout disabilities ar~d volunteer apportutrities in order to enlrarrce versatility, individuaii~ed educatian~selt-advocacy` skilY develaprnerrt trecessarv far neww~ tasks in order to address grawvth and. interaction needs af' eligible persons per Inhibit :A. - Staternent of Work.. ~2} Pragrat~r management. s, al~c,I~~ATIONs SUI3CON~'RAC'I'C7R shall fulfill the f'aliawingabligations: (1} SUl3CC)I~TRACTOR shall comply with all state and federal requirements regarding the confidentiality' a[• client records. Client. infarn~aticrn is not disclosable to the public. lnformatian aequired pursuant to RC4~'' 71 A. ] ~.E17€t r€;quires a signed Release of fnfarmation err a signed C7atlr of Confidentiality Farm. (?) SUf3CObt'1"RACTC]R is required pursttatrt to ftCW' d3.~3.83U-8~5, that any prospective enlplc}yee, wwha wvill ar may Iravc unsupervised access to a person with a developmental disability, in the cattrse crf' his ar 9rer employment, ar involvement vw'ith the business or arganizatian, must have a Washington State Patrol Criminal (W.S.P.} 13ackgrotrnd Check. (} S~If3CQ1gTftAC3'OR is required pursuant to RCW 7,15, that if any praspective enrplayee, who has not resided in ~v'aslringtan State during the Irist three years, arrd who wvili ar Wray have ur7supervised access to a person with a developmental disability', in the catDrse of his or [rcr employment, ar invalvemerrt wvitlr the busin€ss ar organization, must have a F.B.I, Fingerprint Check. This fingerprint check rrrust occur before ernplayment begins wvarking. (~} SIJBCON"-[`RACT[7R is required, to repeat. the W.S.P, Crimirra! Sackgraund Check for Staff' every three years. "1`he W.S. ['. Criminal Background C:Ireck acrd tl~e F.F3.1. Fingerprint Check must go t[arc?ugh the i~ackgraund Cheek Central Unit t)ftice wwithin DSiiS in {)lyrnpia in accordarree with RC4~J ~3.J3.83fl-fi4 and RC1~J 7~1. l5.[f3[}. €~} Sl]BCUN"TRAC1"OR shat[ comply' wvit[r a!I state and federal requirements under RCW 7.34, H' [ruse o1' Vuhrerrble Adults, RCi~ ?5.44, Abuse; of Children, the 44'ACs: 275-2? 17ivisiorr af~ f~evclaprrrental I3isabilities Services Kules; ?~J5-24 General Safety & Health, 295-5? General [3ccupational Health Standards the [?C?U Policies: 3.D1 Client Service Plarrs, ~.t]I Crimrnal }lista9~y~ Background Clrccks arrtl Safeguarding Persarral lirf'armatian, 5.[12 Necessary' Supplemental Accamanadatiorr (b1S.~}, 5.U3 Client 51;a[z~rasn- Cca~nme3nit} Ac;:tss 2Jd Complaints, x.{15 9~imiteti );nglish Prafsciency {LI;P} Clients, S.ab Client Rights, 5.13 Protections From Abuse, 5.14 Positirre 8ehaviar Suppcsrt, 5.15 Use ref Restrictive Procedures, 6.i1$ Mandatory Reporting Regrairements far Empiay'ment anti f]ay Program Services Providers, 6.13 ErrrplaymentlL)ay Fragrant Provider Qualificatiarts, L).~7 1-irimar~ lmmunadefsciency Virus {HIV} and Acquired immune []efficiency Syndrome {AIDS}, 1?.Ol lncidcnt Management, 13.{14 f]RW Access Agreement and the 192 Cotrnty Guidelines. (6} SU(3CONTRACTOR shall have written policies regarding; sexual harassment and non-discrimination {said paiicies trust guarantee hurnanlcivil rights}, a person's right to privacy, safeguarding persona! infarrrratiart abuse of participants, agency medication procedure, respectful staff t~>-participant interactions, {i.e.: including a person's right to be treated with dignity and respect and free o1'abuse}. {7} SU13C.(7NTRA(:TOR shall assure that participants in accordance with Necessary Supplententa9 Accommodation [R15A), Policy 5.f12, have been informed of their rights, w"hat services arrd benefits ntay be expected from the program, the prabram's expectations of diem, and if necessary, she!! assure that the par-ticipant"s farrtily, guardian ar advocate is also inf~orrr~ed. ($y SLJI3CC]NTRAC'fOR shall have a grievance policy that: • negotiates conflicts and advises participants af` grievance procedures, is explained to participants and others in accordance ~w"ith the NSA, f7DL7 Pol'acy j.U2, • prohibits retaliat"son far using the grievance praeess, includes a non retal'oatian statement, • assure that advocates are available and encourages participants to bring advocates to help negotiate, • includes a mediatiart process that promotes the use of someone who is urtaffectcd by the otttcame iI~ conflicts, remain unresolved {a f]1~C7 Base Resource Manager may be included as an alternative option} c& • htcltrdes a praeess far tracking. and reporti3tg grievances. {y} SU13C:Oi'dTRACTOR shall obtain arrd retain in the clients' files signed proof of cliestt's aotd.'ar family's review of all palrcies, provider expectation and receipt of nfarrtratian about services and benefits tct he provided by the pragrarn. The signed proof' required by this. section shall lac revie~~~ed and r•enc:wed 4~'itl, new dacuntentatiar2 an rant less ihas~ an annual basis, { 1 tl} SUBCONTRACTOR will encourage participant involvement in policy dev'elapment. {1 1 } SUBCON"I'RACTCIR shall update Client lntake Forms every b months during the Client Rew~ieev meeting. (! 2} SLIBCC]N'fRAC`fOR shall assure that potential conflict of interest real or apparent evil9 rat arise. Stash a conflict ~~'ill arise when: The employee, officer or agent, any member crf immediate faratily, ~Guar~diasl decision maker, ar an organization, which errtploys, (rr is about to ernplay, eery of the above, has financial ar other interest in the cliertt(s}. { 13} SUI3CON"TRACTOR shall have adequate staffing ratios and pattengs to maintain quality and safety, {14} All services for parsons with developmental disabilities must be provided with atterttiart to their healsla and saferr~. S[Jf3CONI"RAC"l OR shal9 corrrply tivith all applicable federal, state and local tire, Itcaltlt and safety regulations. (I 5} lncidents involving injury. Itealth car safety issues are ir~tmcdiately reported tct 1JI]fJ Central Office grad the County' {reference I:7f7D Policy G.f18. ;t fctntlutcrry, Ide~r~r•trr~~ Fi'ec]rrrr•€rrrtrral,c fcrr f~m~fn}-rrrent RrncC Duty F'rn~r•crrn Services f rowi~'ers). L~U17 Criteria far an E~~ahratian System rage 3 of 6 3uly 1, 2t? 1?. (16} Incident reports are tracked and artalyled far potential trends and patterns. { 17} Current erttergency contact arrd medical information {medications, diet, allergies, etc.} needed during the hears of service is readily available for each participant. Ska~c~!~som~ Cca~zm~iruty ,~.ceess 2Q] 3 (I 8} if S~lJl3C~DNTRAC"1`DR is found to have a substantiated finding u#• clause, neglect, abandanrncnt or financial explaitatiarr they shall comply with the following APS guideiiraes: • C]pean receiving dacurnentation of a substantiated Eroding of abuse, neglect, exploitation ar abandonrrrent from Al'S, the regional DDD oftrce wil! send a capy of the Al'S substantiation report to the CQUNiTY within one working day. • Upon receiving documentation of a substantiated finding of abuse, the CC)D~`I'Y will send a letter to the SUf3['C3N l•RAC"l•C?R vocational!day program provider ~~~ithin one vw°orking da}'. I . 'flee SL4f~CC]N'fRAC: l'UR is required to: a. Document the steps tl~e agency' has taken to protect tl~e vulnerable personks} immediately; and b. Submit a connective actiors plan, if needed, to the CC?Llr~TY within i[} working days. 2. "fhe C©lJ~+l'TY ~a~ill respond to the steps taken and the sufficiency a#" the proposed corrective actican plan within ItI vvarkirEg days. If the corrective action is not accepted, the plan evil] be returl~ed to the provider for correction and an amended plan will be required within 5 working days. Once accepted, the CQIJNTY will send the Carr°ective action plan to DDD for final approval, Dl}l] regiana! staff wil! respond as to plan sufficiency and whether any additional irEfarmatiort is neeclcd within 1 ~ working days. '1"he region will send a capy to Central OffFCe. 4. Cflf;NTY ans4 its S11BC()NTIZAC"T~ClRS are mandated reporters of abuse and neglect under Rt:'rrG' 7~.3~t.{}24, ~fhrase ~f•f'ulnercra5de.~fdult.s (l}, and must comply with reporting requirements described in RCW '~~3.3~.t135, Q~4 and Chapter 26.4w1 RCGV, r~htr.se ofChilclr~ra, if the CC~IiV`l'Y is notified by C7SHS drat a subcontractor staff member is cited or an the registry for a strbstantialed finding then that associated staff will be prohibited frarn providing services under this contract. (19} SL1l3CDT~ITRAC~I-C7R is required to maintain the following minimum argani~ational capacity in order to meet the perfor-nrance standards set Earth in this agreernem. l°ailure ar inability of SL1fiCfJN'I,RACT[JR to Enact any ar all al• these tninirt~uErr capacity requirements, as determined safely by CC7lJh+"fY, may be cause Icrr termination of dais arcement as provided htreirt. {a3 Accreditation: SUFiCC7lvl~l•RAC'~'DR roust be able to demonstrate confcarmanee to Carnmrssiosr aEE Accreditation of Rehabilitation Facilities (CARE} standards tar duality assurance and C'Altl• accreditation. (b} dual Access: SU[3C[7I•I'fRACTC3R will assures egtEal access to persons ~vha do oat speak ar have a limited ability to speak, read, or write Irnghsh weld enough to uE~derstand and communicate ef'fectivcly (reference I)T7D 'policy 5.fl5, Lirrrrtecf ~.ngli~~l~ Prcafi~:'ic.~+t {CE1'1 C'fierrts}. (c} Firranci~i and T'ro~ram l1~ar3a~emcnt: An administrative'organir_ational structure that clearly defines respansibilitit;s. Systems arrcl persarlnel tc>; Eaintain acecaunting records that accurately reflect al] program revenues and expenditures; prepare monthly statements of activity (ADSA Reports}; main4airr appropriate Client service records and' progress reports; and track. key program performance indicators (d} Particr~atals_: S~BCt]NTRAC'l'C)R has a eommitrnent to support integration of individuals with developmental disabilities with people ~vha arc oat disabled and has involved participants w~~ith developmental disabilities •sn pahcy development. (e} Partnershrtas;_ S[JF3C(3N'l RACTQR has a history of working cooperatively with comrrrunit}-based argani~atroE~s including Employers, other Agencies, the CC31JN"fY C7D Program, tl~e Dvisiaat of Vocational Rehabilitation {I]VR} and 5chaols, (I] Perfarrn~nce I'1a~: A written pert-armance plan ~m~hich describes its mission, pralram al7.aectives. expected autcarnes, how and when objectives lviil 6e accomplished; and that the plan is evaluated at least bienniall}' and revised based on actual performance. Skuor:uEa~- f'c~tnEnuri+ty Access 2(313 y (~} f~ualifred Staff: SLJ13C01~1TRAC7"C71t will provide adequate, qualified staf#'with shills and experience in evaluation, training, supervision, counseling and support afadults with developmental disabilities vvho are earning wages, per the attached Statement of W'ark. St~BCONTRACT`C}FL will assure that all direct service staff are trained and that training is dacumertted, St_~I3CC)N']'I~ACTOR will provide Ct3>J~iTY with infarrnation regarding staff qut~lificatians open regrrest. (h} Safes SUI~CC}N"]'RACT©1Z wil9 provide evidence that it er~nploys safety pratectian based an the enviromnent that the participant is working or receiving services in. ~2f1} S&JBC(7a•1'1`I~ACTC7R shall provide a Community Access Individual 1'ragram Plan and!or Ferran Centered planninglprofiles deiineatia~g individual skills and needs within .i(3 days of the beginning ol'serwices un aI] program clients. The St1BCONTItAC"l-rJlt shall use tlae new ~;carrarnuniry Access Flan Depart l~orrn, (see Attaehrnent A} for Individual Program flans. (21 } The Conzanunity Access Deport Plans will include; l . 1nlormation that identil"ies and addresses the individualized goal and support needs for each participant, ~. Plans must consider indiaiduali7atian, integration, and safety and should be developed by the provider in collaboration tv~ith the Case Resource Manager,. participant and his or her farniiy {the team}. 3. Initial plans will be completed within fi© days from date of service authorization and ~'nust be signed by the participant andior his ar her guardian iC<~ny. 4. Cap"ves of tlae initial and subsequent revised plans will be distributed as appropriate to all team members.. 5. flans will be reviewed and signed annually, ~?~} "I~he Community Access Report Plans w,~ill also include the information issted below: a} Current date; Time line far the Plan b} Client's name first and last; ~) Client Af7SA 1[]: d} The client's skills, gifts, interests, and prefen•cd activities. e} `l'he C.ornmtm ity Access goal. 7"he goal need to relate to one or more aI` the following (per the County Guidelines}: f} Identify integrated community places ~vhere the individual's interest, culture, talent, and gifts can be contributed and shared with others vvitl~ similar interests. g) ]dentify clubs, associations, and organizations where The individtal can be a member and have decision making capacities. h} Identify opportunities where the individtal can contribute to the carnmtrnity doing new and interesting things ar things the individual enjo_y~s. i} Building and strengthening relittinnshrps between fara~ily members and merrrbers of the local community v~~ha are not paid to be with the. person. J} `t'he Support Intensity Scale (51S} subscale that most relates to the gaai (Community living; Lifelong leanzing; Errtployment; Health & Safety; Social; and Protection ~. advocacy};. k} Measurable strategies .action steps and suppt;ris} to meet the :oat. 1} Identiteca[ion of persons andiar entities available to assist the individual in reaching his or her long-term goal. m} ldentilication of other acccrmmodatians, adaptive equipr~ient and,`or conditions critical to achieve the goal. (?3} Six rrtanth progress reports describing the progress made ta~~~ards achieving client's gaai will be provided by the service provider to the Case Ctesaurce Manager, participant, and'ar guardian if any w•itltiitt 3U days fallowing the six month period. (?4} The SL1I3C®N'TI~ACT(7R s17a19 report any injury or accident. which requires more than simple tprst aid. ztatd any extraordinary incident that requires intervention by the SlJI3CC~tq`f'R.ACTDR, first to the f}SHSi'17f]i) Case Ntanager I'ar the individual involy^ed and then to the C:'E)UN`l'"t' Coordinator. 't`his includes serious physical or emotional harm ar potential harm. 5~7c~ku~tr- Comtsiaar~iiy nc~cesti 2fl 13 The initial report may be done through documented telephone calls to the CC]UN1`Y Coordinator,. The SU~3CCDNTRACTf3R shall submit a written fallo+v-rap report within 1() days to the COUlJTY Coordinator. The report to the C~LINTY Coordinator may be subrrritted by email. facsimile {FAX) to 3ba-385-c3~{71 ar by' mail to 9effcrsan CC]L]N'-`Y Public Health fi 1 Sheridan Fort Townsend, WA 983G8. Serious and emergent incidents shall be handled in accordance with [~S}-15.~ DDD Policy 12.t} l lncident Management. (?5} 1~lithin 3D days of the effective date of this agreement and at least semi-annually thereafter, SU>~CQNd"RACTt~R Guilt provide (a} carrtpany; {b} pragratn financial reports. to CtJL1N"I'Y, incl'udin~w. all revenues and expenses generated by SUBCt~NTRACTC)R„ in sufficient detail' to demonstrate il~e uses of funds provided tn~der this agreement. {2r;} Make available fpr inspection, review or audit by Ct~UN"fY DD Coordinator at all reasonable times: all work sites, all Client recards~, records on praductivity~ and L'lient wages; and all dtrcurrrents, reports and' other data applicable to this agreement. `T'he CQl.;9NTY shal9 rnanitar services delivered and conduct at least ogre e~rj-site visit with SUBCC}TJ"I'RACT(~R dtrring the period of this biennsurn to assure compliance with the DDD State Work (Jrder. (?7} AUDIT R~IREMFTJTS. Independent Audit will be submitted annually to the Jefferson CC]tJN"1 Y DD Cf]UTJ"}`~` Coordinator in the following spanner: The SUI~CaNTIiACTDR shall acquire a financial audit by an independent auditing firm to deterrrrine at a miniTpun~ the frscal irstegrity of the financial transactions and reports of the 5erbcantractor. L`opies of floe audit and ranagement loiter shall be submitted to the Jet`fersan C{3L]N"1"'Y Public Health Department within b months of the end of the Subcontractor's fiscal year. The SLJBCf7hlTRACTC]R shall provide an independent audit crf the entire organicaticrn which: (a} is performed b}~ an independent Certified Public Accountant, the Washington State .Auditor's C7ftice, or anntlter entit}+, which the CC)IJNTY and the Subcontractor rrlu4ually agreed upon. {b} Provides statements consistent ~~~ith the guidelines of Reporting for C}ther ;Jon-Prc3fit ~3rganiratians AlL'PA SC3P 18-1~, and is performed in accordance with gerrerafly accepted auditing standards and with Federal Standards f`ar Audit of Gavernrnental Oryaniaations, Programs, Activities, and 1=ul~ctions, and meeting all regrxirements of C7BM Circular ,A-133 or A- 128, as applicable. fc} .l"lie Subcontractor shall submit one { i }copy of the audit and/or the stnninary and the management Teter directly to the CC)UN'fY immediately upon corppketior~. "fhe audit must be accornplish~d by tl«cun~c:ntatitsn indicating the Subcontractor"s Board of 13irectars has revie~vc:d the audit. {?8} if the []evelapmental Disabilities F'ragrarn C;oardinatar fia~ds indications of;potcntial nan- carnpliance during the contract manitarin'g process ar learns that the Contractor is out of compliance w'silt eery of flee terms ar conditions of this ccaratract, the fallowing process Guilt tae pursued: (a} Informal TJotifrcation: Informal process. wherein the COt1NTY Caardinator alerts the Contractor in .writing of tine ,potential non-compliance and are agreeable solution is reached ~vitlrin ten { lEl} days.. (b} C)fftcial TJotifieatian: lfthe informal narifrcation does pat result in resolution, the official notification crf possible nora~conrpliance to establislr a date, wvithin ten { I t?} working days of notification, when representatives oftlie CO[?NTY and the Contractor sl~al9 meet to discuss areas of contention and attempt to resolve the issues,. Skc~€~kum- Commuoiiry rl~iess 2013 (c} Written Suznrnary: within ten (10} working days ofsucta affcial raatifrcatian, tlae C(,7L;iNTY avill provide the Contractor a written summary aft~he areas afnoza~compliance by certified rrzail. Notice shall be sent to the address ideaatitied in the Agreemezat- {d} Discussion: Within twenty {20} days of the date ofthe written summary, a discussion between C~C}iJNTY and Cozatractor shall be conducted eta resolve areas ofnon-compliance or potentia@ non- compliance. {e) Sh~auld the above procedures fat! to resolve tlae compliance issue, the parties will obtain the services al' the Peninsula Dispute Resolution Center, or another agreed upon resource, and shall share egaually in any retainer fees or other casts of services.. If na agreement is reached, the mediator's decision in the zrzatter will be binding an all parties, except that in no event va'ill the COUN't•Y honor a financial determination that is greater than the t'unds allowed floe scope of this Agreement. {29} For tive years following the end date ofi'this agreeraaezat, Sl1BCONTItAC"1'[?R avi@1 maintain C@ient reeards and books, reeards, dacurl}cots, reports and other evidence of accounting prac~:dures and practices, whic@a sufticicntly and properly reflect all direct acrd indirect expenditures of funds provided under dais agreement. Client reeards shall minitaaally include statezraent of Client goals, documentation of training provided, traznraas~ hours, routine progress notes and semiannual summary progress toavard meeting Client goals. (30} SUf3CC?N'TRAC`f'QR will provide CC]UNTY avith Adult Community Access Plans {or Person Centered Plan'}'rofile), client goals and a summary of progress towards meeting those gaols on a bi-annual basis. {31) Make available far inspection„ review ar audit by Cf~UNTY 171 C:oordinatar at a!I reasonable times: all. client records; and all docurrzents, reports and gather data applicable tea this agreerraent. {32} SU[3CC]'NTRAC'1'~R shal9 provide C©UN'T•Y with a cagy of a signed [7SHS Provider Agreement vwithin 3d3 days of the effective date of tkzis agreement. ( ~;} SlJ[3CC)NTRACT~R agrees Fo ass@gn to COUialTY its Medicaid t3illiz3g Rights for services to Clients eliw;ible tinder Title X1X programs. 1,G''ritten documentation shal@ be available to CO1JN~"Y c}n rr:cltscst. li• StsBCL7NTRAC'1'C7R contracts direct@y avith DSIiS to provide covered services under Title X1X, CC}tiN @.Y agrees that funding intended for tfaose Clients shall be excluded [Tam this agreement It Sl1l~C ONT'~IZ.nC l't>lZ coma-acxs directly with Social Security to provide covered services under a PASS•!1R14'k=~, C Ot~N'fY agrees that funding intended for those Clients shall be excluded front this agreement, C. REIMiiURS~MFl~1TS (1) For said services rendered under this agreement, COUNTY shall reimburse SLJl~CC7N`1'RACTDR X30.00 per unit of service, as defined in Exhibit A, 5tatenaent of Work. (?) SUSC.-'C]NTRACTC7R avi@1 bill CC)UNTY on a monthly basis, on or before the ~rh day of thr month, f'or units of service provided under this ~greeznent during the preceding month. Sl!13C:C)NTTtACT©R va~ill subsaait dz Montialy 17DD Services ktcpat-t (ADSA} form for its billings. At na time shall the invoices far reimburse~aaent be submitted more Haan b0 calendar days follaaving floe last day of the month for which the services a+~'czt: pravided. (} CCYlNTY navy, at its option, avithhold reimbursement far any' month for avlaich reyuircd reports have not been received or are not accurate andlor c€anaplete. {~) Total reimbursements for the fiscal year of 2012-201v to SLJI3CC)N`l'12AC'l~[71i. by' COUNTY under this contract shall not exceed S1,Q~{l in completion ot`these services aa•ithaut express written amendment signed 6y both parties to this Agreement. This total reimbursement includes any amendment avitlain the fiscal year o!' 2012-2013. Skc~u'riuro C cnt~rttrrniry ,lcccs~ 2d)13 D. Ml<SC~I..LAN>~D~.]S { 1 } Pursuant to WAC 275, DSHS Division aF Qevelapmental Disabilities (DDD} shall determine individual eligibi-ity of persons far services delivered under this agreement. DDD shall notify= CflUN"1'Y of persar~s autharired far services reimbursed under this agreement. Qnly persons referred to CflUN'rY by I]DI3 shal- be eligible for services reimbursed under this agreerrrent. The SUBCON'T'1tACTflR shall not sublet ar ass~.~n anv of the services covered by this ACiRF:E.MENT without the express written canser~t afi'the C:flUN 11'. y Assignment dues not include print'sng ar other customary reimbursable expenses that may be pravidecl in an ACTREIy'MENT. (2} `fhe SUBCflN-['RACTflR'S relation to the CC)UI~ITY shall be at all times as an independent SUBCflNTRACT(]R and any of all employees of the SUBCC~N'T~RACTflR or other pc:rscans engaged in the performance of any' work or service required of the SUBCCDN"1`RACTC7R under this ,AGREEIv~EN~- shall be considered emplayees of the SU13CflNTRAC'T-C3R only and any claims that may arise an behall'oF or against said emp-oy=ees sltal- be the sale ob-igatian and responsibility of the SUI3CflNTRACI'~C7R, {3} 'The SUBC:flNTRAC'i'flR shall not sublet ar assign any of the services covered by this ,h(;REE1vlLN~- ~,~,=ithotrt the express written consent afthe CQUN"1"Y. Assignment does nob include printing or other customary reimbursable expenses that may' be provided in an AGRII~MFT~1T. {4} T'he 5l~BCUNTRACTflR shal- obtain and keep in farce during the terms of the ACREEiv1ENT', ar as otherwise required, tl~t; falloF~irag insurance with companies or through sources approved by the State Insurance Cornrnissianer pursuant to RCW 48:fl5: {a} Worker"s carnpensation and employer's liability insurance as required by the State of Washington. (b} Catnnjercial Autamabile l.iabi-ity or Business Use Insurance providing bodily in-jtny and property= damage liability coverage ft~r all awned and non-awned vehicles assigned to car ~ESeci irr the performance of the w~=ork far a combined single limit aT nat. less thaoa 51,0[1t7.Q6U eaela occurrence w=ith the C'C]UNTY Warned as an additional insured in connection k~=itl~ tl3e SUBCC]N"1"RAC'-~C?li`S performance oI` the contract.. {c} General Commercial Liability Insurance in sn amount not less than a single limit of one million dollars {`61,0(TO,~t?U.(lt}) per occurrence and a aggregate of not 9ess than two {?} tines the occurrence amount (52,4®t},tlflt7.tJt} minimum} far bodily injury, includin death and property damage, unless a greater amount is sped-ied in the contract specifications. '1.,he insurance coverage shall contain no hmitatians on the scope of tl3e protection provided and include the fallow=ing minimum coverage: { 1 } E3road Farm Property Damage, ~•th no ernp-ayee exclusion; {2) Personal Injury Liability, including extended bodily injury; {3} Broad Farm ContractuallCa~nmercial Liability - including completed operations;. (4) Premises - Operations Liability (~'I~CCj; {5} Independent Contractors and 5ubcantractors; {fa} Blanket Contractual Liability. {5} All employees ar subcarairactors of S[1BC{3NTRAC'T'(Jlt tikha are required to be professionally certified by the State in the perfanrrance of"services under tltis agreement sh~tli maintain prolessianal liability insurance in the amount of not Itss than one million dollars [$l,Qtlf},{}{)t}}. ls~ na ease shall such prolessiana- 1sability to third parties be limited in Lrny way. {fs} -# slral! be the respansibi-ity of-the SUBCO'l~-TRA~'"I-C)E~ to insure that any and all persons engaged in the pcrfarmanc.e of any ~=ork ar service required caf the SUBCt)NT'12AC`I'[7R under this AGRI T h11N"l ,shall comply ww'ith tl~e same insurance requirenYents that SUBCf)N`1"RAC'T'flR is required to meet. Skouku~i3- C`urnmunHr} ~1~cess 2613 {7} C'aiiure on the part of the SUBCONTRACTOR to maintain the insurance as required sl-rall constitute a material breach of contract upon which the COUNTY may, of#e~r ~ivin~ five ~~•arkin~ days notice to the 5Ut3CON°PRACTOR to correct the breach, immediately terminate the contract ar, at its discretion, procure ar renew sucia insurance and pay any and ail premiums in connection there~With, with any sums so expended to be repaid to the COUNTY on demand, or at the sale discretion t?f the COUNTY, ©ff set against ftrncls due the SUBCON'1`RAC'f~OR from the COUNTY, {8} Al'l cast far insurance shall be considered incidental to and included in the unit contract prices and no additional payment wil9 be made. {y} ~':xcepting the Workers Compensation insurance and any prafirssianal Viability insurance secrared by the SUBCONTRACTOR, the COUNTY wily be named an all certificates of insurance as an additional insured.. The SL9BCONTRAC"f'OR shall furnish the COUNTY with verification of insurance and endorsements required by this AGREEMENT. The C()1.1NTY reserves the right to require complete, certified copies al' all required insurance policies at any time. {i[~j All insurance shall be obtained from an insurance company authorized to do business in the State of Washington. The SUBCONTRAC'1 QR shall submit a verification of insurance as outVined hert;in 4v'Pthln 14 days of the execution of this AGREEMENT to the COLON"1'Y. Ali insurance policies obtained by the SI.JBCON`TRAC:I'OR shall be primary to any egraivaVeni or applicable policies held by the COI.JNTY~Aii insurance policies obtained by the SIJBCON'I"RACTflR shall include a waiver of subrogation rights. {1 i} The COUN'T'Y will pay no progress payments under Section C until the SUBCONT'itACT'Ol2 has lolly complied with this section, This remedy is not excltasive, and the COL]NTY may take such other action as is available to them unnder other provisions of this AGREEMENT, or otherwise in law. {]Zj Nothing in the foregoing, insurance requirements shall prevent the COUNTY, at its option, from additionally requesting that tine SUBCC)1VTRAC"1'OR deliver to the COUNTY an executed ht}nd as security for the faithful performance of this contract and for payment of all obligations of the SUf3C:ON'f'RAC'1'()it. q 13} The SUBCONTRACTOR shall comply with all ~`ederaV, State, and local laws and ordinances applicable to the work to be done under this AGRI:;C:Mk:N`l`. This AGREEMENT shall be interpreted and construed ia7 accord with the laws of the State of Washington and venue shall 'he an Jefferson COUNTY, WA. {l~} The SUBCONTRACTOf'`, by signature to this Agreement, certifies that the SUBC:ON`I~RAC'1°C3R is 3~c}t presently debarred, suspended, proposed for delaarrner~t, declared irPeVigible, or voluntarily excluded Tram participating in this Agreement nr any Agreement by any Fed'erai department or agency. 'T'he SUBCONTRAC:~IAi~R also agrees to include the above. retltrirement to ail subcontracts into which it enters. {i ~) `The SUBCC3N'fRAC"l°OR shall comply with tine ti4"A State l~epartPxPent of~ l.,abar aid Industries 1~'iinimum Wage :Act, RCW 44.d~, acknowledging persons with disabilities participating in fob assessments arc not considered employees. { l6} The S4J BCOIti°'I`RAC"1~C1R shall indemnify and bald the COUNTY, and their officers employees, and agents haranless from and shall process and defend at its own expense, including all casts, attan~ey fees and expenses relating thereto, all clainPS, demands, or suits at law or equity arising in wiaole or in part, directly ar indirectly, frown the StJI~CON~RACTOIt'S ~~egligence ar breach of any of its obligations under this AC,Rf_.1ME:.N~g_; provided that noticing herein shaPi require a SUI3CON'1°RAC'f'OR tct irPdemnify flee COUNTY against and hold harmlc;ss floe COUN'$`Y from claims, demands or suits based solely upon the conduct of the C:OUNT4'. their afficers, employees and agents, and provided further ti~at if the claims ar suits are caPrsed by or result frown the concuP~ent negligence of: {aj tl~e SCJBCO?v`f~ZACT'OR'S agents or employees; and, {bj floe COUNTY, its affrcers, employees and agt:nts, this iaPdemnity provision with respect to { I j claims or suits based upon such negligence, and,~or {2j the casts to the COtJN"I"Y of defending such claims and suits, etc., shall be valid and enf'areeabie only to the extant of the SLJI3CON'TRAC~3'OR'S negligence or the ne~.;iigence of the SUBCflN"l'RACTCIR'S agents ar ti~Pplayees. { 1 Tj CVaims against the COL~N'TY shall include,. but oat be limited to assertions that tale use and transfer of'any saft~vare, boalc, document, report, film, tape, or sound reproduction of material of an}~ kind, delivered there under, constitutes an infringement ofany copyright, patent, trademark, trade name, c5r atl~erwisc results in an unfair trade practice or an unlawful restraint of competition. Skc~cikl~att- Cam3ttunily Actiess 2013 (1.8} The SUBCC,INTRAC~I'OR specifically assumes potential liability tar actions brought against the CC7UN't"Y by SU~CONTItACTOK'S employees, including,. all other persons enbaged in the performance of any worCC car service rewired of the SU1300N'1`ftAC"I'Olz under this AGRI;F,MF:NT and, safely far the purpose of this indemnification and defense, the SU'~CONTRACTOR specifically waives any immunity under the state industrial insurance law, Title 5 I ROW. The 5L]BOC)N'C'1tAC'I'Ol~ recognizes that thin waiver w'as specifscally entered into pursuant to provisions of ttCW x.24.1 t 5 and was subject of mutual negotiation. {1 R} SUBC;ONTI~ACTOR shall not discriminate against any person presenting themselves for services based on race. religion, color, sex, age or national origin. {2{}) COUNTY reserves the right to terminate this. contract in w°hole or in part, 4+~ithout prior written notice, in the event that expected or actual funding from tl7e t~epartrnent of :social and I-lealtls Services Division of t]cvelopmental Disabilities is withdrawn, reduced, or limited in any way after the effective date of this agreement. In the went. of'termination under this clause, COUNTY shall be liable only for payment for services rendered prior to the effective data of termination. {21 } 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 OOtIN~'Y. If the COUNTY agrees in writing chat ail or a portion of this Contract may be subcontracted to a khird-party, then any contract ar agreernerat between the contractor and a third-party subcontractor crust contain all provisions ofthis contract and the subcontractor rrrust agree ko be !:round by all tenrrs and obligations found in kris agreement. A~3t)~'TEI~'f'H!S day of , 2(113. By; Johns ley: ~y: ward af'Comcnissioner Je~f`43'olvcn, f'residcnt Skoolturl~ Contract Services Attest, Clerk of the t3oard 3 a~~3 AFf'It~VFd~ A r:TO F~Rl~"l ONLY: a ~ ,~ ~ V, r' ~ ~ ~ ~ ~~~~ ,lefferson County Clvil Deputy Pros~ting Attorney 5~11(1r~4!!]7• C'omn3El SllY)' ~~ICC.CSS ~rj 0 F.x}~tf~r~r A romrnur~eT~ Acc~~s wc~~Ix sTAT~r~frs~T SUl3C~NTRAC 1 OR shall prov'sde tdoinmunity Access services for program clients as described hereinafter. 5Uf3~©}~`f'RACTGf~. shall be reimbursed for such services on a unit of service basis, pursuant to section }~., E~eirrabursements, of this contract. ~~. ~'Rt)GRAM 1}E5G'RIPTIi)N ,~. !?rngrana Goals Transfer or reduction of specialized supports as a result of increased persoraai indc:ps;ndencc ae}d'r~r con~snttn ity support. systems. ? Frequent opportunities to participate in camntunity social, recreational, commercial, and,'or volunteerlcontribution activities also utilired by peerslcornmunity rnernbers without disabilities, ~. Assisting ir7dividuals to participate in activities that protnate individualized skis! development, independent lining and comt~unit}~ integration. 4. Activities that provide ind'oviduais with opportunities to develop personal relationships ~~ ith othc~-s in their local communities and to learn., to practice and apply life skills that promotes greater independence and cornrnuniky inclusion. ~. ®eveloprnent ofsocial contacts, friendships, and support systems with people without disabilities, b. Frequent outings, can an individual basis away fratTa their hcaone setting. 7. An opportunity to acquire supplemental training in a voiunteer.'~ob situation ko enhance versatility and individualized education,`self=adv'ocaey skill development necessary for ne~v tasks. in order to address growth and intrractian needs. E~. De~rritivns Comrrrunty Access is: • an opportunity to experience choice, power, and status in tine conaraatnrity • an opportunih• to build relationships, to contribtate and to feel a sense of belonging to the co n1 tr1 tin 1 tV • opportunities to learn, to practice and apply life skills that promotes Treater independence and cotrtrrrttnity inclusian • an opportunity to access generic resources with peers t+~ithout disabilities • an opportunity to access voftrs~teer opportunities in order to enhance versatilit}~ • an oppornrnity for self advocacy and skill development fir- nevv~ tasks and to cnntributc: to the. community Skcrraku9~- ~~rtimanEtg ~evess 2t~~ i e, Prograrrr Requirerraerats l . SL)gCC7NTRACTQR shall provide Community Access Services. These services, as defined in Sectron 11.8 above. Z. St~BCDN`l"Rr'1C'1'OR shall provide an Individual Program Plan andlc~r Person Centered pianraing;`pratiles delineating individual skills and needs within ~0 days ot'the beginning of services on all program clients. The S[Jli3C®T~1TR~ICTDR will ust: the new C:on~rnranity Access Plan Report Form.,. (see Attachment A} & will serve as an aid ire matching program clients to appropriate services in the community and as a transition tool Inwards the advancement of the individual's increased personal independence in the camrrrunity, an opportunity to build relationships, to contribute. and to feel a sense of belonging to tl}~ cun~rrrunity, while accessing volunteer opportunities in order to enhance versatility and develops skills necessary for new tasks. 3. SllQCf7NTRACTC3R shall schedule asix-month revieav afineetings for all pragrant participants. The revieav shall include an ass~:ssment of the need far continued carnnzunity access services and an evaluation of Ilse Individual Program plan goals and objectives in the farm of a Sergi-Annual Progress Report. The 5Uf3CQl'~1TRACT~1~ shall use the neav Corramunity Access Plan Report 1=`orm, {see Attachrrsent A) to repast on the semiannual progress of the client. 4_ 'The Semi-Annual Cornntunit}~ Access flan Report shall der~nonstrate the irnplernentation strtrtegy, client goals and hoav the individual is advancing towards meeting the outcomes of their goals,. training provided and a written symopsis shovv~ing progress toward rnceting objectives or a description of the reasons far any shortfall cctncer•ning the outco~ncs elnd proposed actions tar correction. 5. COUNTY shall receive the dates for the 6-rrronth reviews 'For program Clients ono n`rontlt before the required meetings. (~. SLI~CCI`l'TRACT~R will submit to the C~OL~I~1TY, 1~17~ Case Tvlanagemcnt, Residential Prnwider, ParentiGuardan a Serrri-Arrntral Corntnunity Access Plan 'Report Faun on each Cliestt. 7. l'I~e 5t113CaiJTRACTCIR avill rase the new Camrnunity~ Access Report Form, (see Attachment ~^+) to report on the semi-annual progress of the client. g, The frequency of'the report for this contractual period vvill be one every six (6} months after tl~e initial plan, the due date will be January tl~rru Juste ?f112, duo July 1st 2U 13. 9. Services shall promote the use of natural sripporis, which means persanal associations and relationships t;;~pically developer) in the cornrntrnity that enhance the quality and security of lice liar people, including but not limited to friendships reflecting the diversity of the neighborl~trad and the community, associations with fellow students in community classes and associations developed through participation in clubs, organizations and civic activities. lfl. Services shall provide support to those. individuals wishing to seek volunteer activities; such as using public transportation, assisting vvit9~ referrals to the appropriate agencies arrd ether agreed upon vocationally related goals in preparation for volunteering. 1 I . -fhe Provider shall provide coordination of activities to develop a diverse schedule of activities based an the Client's needs and interests as connected to their lndividual Program plan. 1?. The Pravirler shall assess and document in the Cornmuraity Access Plan Report Forrn Birch participant's transportation needs. `t"he F~rovider shall assist each participant to access public or specialized transportation for same activities sponsored as a part of C`omrnranity Access services. It is expected that public or specialized transportation aa~ill be utilised, except as detailed ia~ the transportation plan. "f'he cost of transportation is included in the fee for service thLrt a Pr-ovider receives. Skcmkum- C'rnumeo~ity :hc~ess ZU9 3 I1 13. Program participants must be autPtarized for service by the Division of Develapntental Disabilities (DDD) and referred to the CQLFN°f'Y, @4. SIJBC[7NTRACTQR must ensure there is a Iegal requirement and a clear delineation far staff yraalifications and proof of background criminal history clearance in accardarrce tiw-itlt RCVv° 43.43.830-I345 and RC W 74.15-030 on all staff. 15. SUI3CC7NTRAC~1'C7R shall submit a written Program Staff"l'raining Tian to C©LfNT`Y for appro~aB or disapproval within 30' days of the effective date c}f this agreerrr~nt. semi-annua@ly thcr~:<tfic r ar wwhen reorgani~atian occurs, which. rninirnally includes: [a} S1J' I3CC)N`I'RAC`l"€~R's procedure to train new• direct service staff, training mast include, • DDD Pa@icies &. Competencies [see Section C-Number i7-20}, RC W's & WAC's referenced an page I & 2 of tfte Cotrnty Carttraet under Section l3. Obligations, • agency policies & procedures„ . skills on hotiv to instructlteach Clients, • skills on haw to document data collection, dallylweekly notes & G month reports in Cliertt ~l~s, • skids an haw to write Cornmunit}' Access Client Plans andior Person C`entercd flans [creating Client goalsiobjectivcs}. [b} 5f113C~dNTRACTC3fZ"s plan tU provide staff that are skilled lit. applying training techniques to enhance the ~s~ork related skills ofprogrant clients; [c) FT L: levels, dab descriptions and organization chart pertaining to program staff. [d} S[J13CClNTRACTC3R's plan to enhance staff skills tltrough pa~-tieipatian in at least 48 borers of annual training's, in-services, and/or workshop opportunities that are relevant to personnel working directly with program clients. 16. SIJI3CGNTRACTQR will provide CUUh9"I'Y with inforrrtation regarding staff yualificatians and documented training's upon request. 17. S13C~CC~N'1`1tAC"l"CDR must assure that n~:w staff'are inforrr~ed specifically afall agent}~ policieslprocedures and have documentatiort chat assures all direct service stat'f !8 years ofa~e or older are trained in the f~tllaw•ing DDD Policies 1'r•icn~ to Yt'~rwkirt~ ~t r!!t_Clr~rrrs: r1 DA training. APS Reporting requirements, CIrent confidentiality, Current individual instruction and Action Steps. Vocational Plans far each Client with whom tlrt employee works, DDD Policy X1.1 1 Working Age Adult [adult services only}, DDD Policy x.06, Client Rights, DDD Policy 5.! •>, Protection from Abuse: Marrdator}• Reporting, Df}D Policy 12.0@ Incident lv~anagerttent. 18. 5LiI3CDN'fE~ACTC3R must ensure that ne4+~ direct service staff'dernanstrate the fallowing competencies: 1} Values that support the abilities of`individuals 2) Effective Cosrtrrro.rrtication - Tl-re ability to effectively listen and to make ont;'s self` u nderstoad ~} Planning metl7ads 4} Crisis Pre4°ention and Intervention 1R. 6'@•ithin vr7e r+aUnfla ~f enzplctt~m~nt: SCJV3C(~N1'RACT[7R must ensure that direct service staff received training and are knowledgeable in the following areas: C}vervietiv~ af` D[}D Pa@icies including: l][OD Polic}' 3.01 5er-vice Plans, DDI~ Policy 3.tJ3 C@ient Carrrplarrts, DDD Pa@@cy 5.17 Physical lntervcntion Techniques, D[)D Policy 6.13 LrraplayrnentrDay Pragrarro Provider C~ualifcations, DDD Policy 13.x4 DR4'~~' Access Agreement, DDD Policy 13.(}3 C;orttmtrnity Protection Standards far EntployenentiDay Programs and till reporting requirerttents related to these DDD Policies. Sit„r~kurn- Ctul~rnr~r7iry Ac~c~ss ~r)13 12 ~C1. YY`ithin six ms~nths of employment: Sl~l3CC3N'Y'R11CTC3R must ensure that direct service staff received training and' are knowledgeable in tl~e fallowing areas: Program skill developrrdc~xt. %7D[l Policy 5.~2 Necessary Supplemental Accarnnrtodation, DDI7 Padicy S.l~ Positive t3ehaviar 5rapprrrt, DDD Policy S.-S Use of Restrictive Procedures, DDD Policy'~.~7 HIV and AIDS and Program SkiVl laevelopment. 2l • Sl1BCONTRr'~CTC)R will have signed documentation that Staff training tank place within the tirrrelines listed above in Section £;-Nu9rber 17-2~. ~?. Within a[} days of the effective date of this agreedrdent, and annddally thereafter, SlJI3CC7NTltAC`C"f}R will develop and sdd6rnit to C:C)liN"1"Y a Cornrrsunity Access pragram- operating budget detailing the projected allocation of contract funds, other sources and an~ciunts of funding, Program staffing experses and other cost allocations. 1~'ithin .i(3 days of the effective date of this agreement and at least semi-annually thereafter, SiJBCC)NT 1ZAC"d"C3R wit! provide corrrpany and progras~d operating financial reports t© C~DIJN'TY, including all reverues and expenses generated by SUBCC}NT-tAC"l°C~l~, in sufficient detail to dcrnonstrate the uses ol'funds provided under this agreement. ?.;. Every b months, Sl9BCC)NT'RAC;TQ[~: will develop and suhinit to COUNTY. Community Access financial reports reflecting ttre actual revenues received and expenses incurred casrrpai-ed to the projected program ksdrdget subnditted per Section C.7, along with the overa@1 operating budget. [~, t'erformance 5tarddards 1, SIJBCC~NTRACTC7R shall provide Corrrrnunity Access services for one program client who is authari~ed for service lay DSI~S/DI3 and have been referred by [::~C71)NTY. E.. Service Level ~:eridelirres 1. Client Acuity is determined thradigh the DDD assessmerdt. Acuity reflects cotaditiarts typically related to the individuals disability that are not likely to change, and are generally not iilapacteci by outside factors. Client acuity is determined as "1-ligh,', .':'ulediurn" car "L.a~v„ as defined v~ ithin 44~AC 388-828. 2. Service Level Guidelines reflect Client Acuity and ether considerations, (see Table below}; iho assigned service levels typically reflect dirt~ct service staff tinge provided to ar on behalf of the client on an individual basis, to participate in age appropriate cort~mtinity activities similar to tl~crsc without disabilities. Alla~vable activities are defrned in the Community Access Billable Activities. (see Attachment B). ~. `l°he expectation is that all hours reporded are documented specific tfd the client authariced and relate ro the goals and supports outlined within the client's Corrtmunity Access Plan. [`UMMU(\t'TY ACCESS-.!#SSl(r1~J~~1) SE:kV1CE L'EVI:L HCllJltS P17fJNTHl.Y Support l-lours - -- Level A u , Up to 3 hours Level B lap to 6 hours Level C Up to ~ hadn•s . Lt:vel D Up to -? hours ~_ Level E Up to 15 hours ~._ - ---- Level F Up to l8 hours - ~~ Level G l r~p to 2tl hours Sr:oc3kutr~- Coittmunity Access 2ril i 13 F. Corrtnnurtity Access lJnit of Service Dne U~hIET of ~:.orna~ttniry llccess service is defined as «ne (F ~ ar rrtore "'IIDUI~"' of direct service or assigned service resportsibility to one eliibie Ciient. 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