HomeMy WebLinkAbout092313_ca07JEFFERSON COUNTY PUBLIC HEALTH Consent Agenda
615 Sheridan Street o Port Townsend o Washington o 98368
www.jeffersoncountypublichealth.org
August 15, 2013
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Jean Baldwin, Director
DATE: Se0eM6e -,r 2L31 2013
SUBJECT: Agenda Item - Professional Services Agreement - Skookum Contract
Services for Group Supported Employment; July 1, 2013 -
June 30, 2014; $31,000
STATEMENT OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division, is requesting Board approval of the
Professional Services Agreement — Skookum Contract Services for Group Supported Employment;
July 1, 2013— June 30, 2014; $31,000
ANALYSIS/ STRATEGIC GOALS /PRO'S and CON'S:
This professional services agreement with Skookum Contract Services for Group Supported Employment
falls under Vocational Services as part of the Developmental Disabilities Agreement with DSHS. This
agreement serves as part of an individual's pathway to jobs in a typical community employment and
provides for supervised employment and training in an integrated community business or industry setting
for adults with severe or profound developmental disabilities. Group Supported Employment Services are
designed to meet specific needs of individuals based on personal preferences and individualized goals and
outcomes. This will support program clients in Group Employment Services with the purpose of
experiencing community job sites through mentoring, observations and /or onsite experience. Training will
be arranged in order to teach clients concepts such as attendance, task completion, and problem solving for
safety, with the goal to transition clients to Supported Employment services as soon as resources, support
systems and technology are available to aid individuals to gain individual employment in the community.
The agreement provides for services for training, support, and placement for up to four program clients
striving for 20 hours per week.
COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH
DEVELOPMENTAL DISABILITIES WATER QUALITY
MAIN: (360) 385 -9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360) 385 -9444
FAX: (360) 385 -9401 HEALTHIER COMMIIHITY FAX: (360) 379 -4487
Consent Agenda
FISCAL IMPACT /COST BENEFIT ANALYSIS:
The agreement provides for funding not to exceed $31,000. The provider shall be compensated at the rate
of $60.00 per unit defined as one hour of direct service to one client. One hour of direct service is defined
as one or more hours of paid productive work, training or paid time off such as holiday, per client in a one
24 -hour period. All funding for vocational services is through the Developmental Disabilities with DSHS and
is identified in the budget.
RECOMMENDATION:
JCPH management request approval of the Professional Services Agreement — Skookum Contract Services
for Group Supported Employment; July 1, 2013 —June 30, 2014; $31,000
REVIEWED BY:
Phili Morley, C un Administrato
(Routed to all Public Health Managers)
Date
SUBCONTRACT FOR PROFESSIONAL SERVICES AGREEMENT
GROUP SUPPORTED EMPLOYMENT
Between
JEFFERSON COUNTY HEALTH & HUMAN SERVICES
And
SKOOKUM CONTRACT SERVICES
This agreement is made and entered into between Jefferson County Public Health (COUNTY) and Skookum Contract
Services (SUBCONTRACTOR) for provision of Supported Employment to persons with developmental disabilities in
Jefferson COUNTY. The term of this agreement is July 1, 2013 through June 30, 2014. This Contract may be
terminated by either party upon 60 days written notice. Termination 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) Group Supported Employment Services - Evaluation, employment, training and supervision of adults with
disabilities who are earning wages per Exhibit A - Statement of Work.
(2) Program management.
B. OBLIGATIONS
SUBCONTRACTOR shall fulfill the following obligations:
(1) SUBCONTRACTOR shall comply with all state and federal requirements regarding the confidentiality of
client records. Client information is not disclosable to the public. Information acquired pursuant to RCW
7 IA. 14.070 requires a signed Release of Information or a signed Oath of Confidentiality Form.
(2) SUBCONTRACTOR is required pursuant to RCW 43.43.830 -845, to insure that and implement a process
whereby 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. This background
check must occur before employment begins.
(3) SUBCONTRACTOR is required pursuant to RCW 74.15, to insure that and implement a process whereby 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.
(4) SUBCONTRACTOR is required, to repeat the W.S.P. Criminal Background Check for Staff 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 in accordance with RCW 43.43.830 -845
and RCW 74.15.030.
(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; WACs: 388 -828 DDA Assessment; 388 -845 Home and Community Based Waivers; Definitions
0001; Criteria for HCBS Services 0030, Basic Waiver Services 0205; Basic Plus Waiver Services 0210;
Core Waiver Services 0215; Community Protection Waiver Services 0220; 0600 -0610 Community Access
Service; Supported Employment Service 2100.
Skookum GRP Employment Contract 2013 -2014 1
(6) SUBCONTRACTOR shall comply with the following DDD Policies: 3.01 Client Service Plans, , 4.11,
County Services for Working Age Adults, 5.01 Criminal History Background Checks and Safeguarding
Personal Information, 5.02 Necessary Supplemental Accommodation (NSA), 5.03 Client Complaints, 5.05
Limited English Proficiency (LEP) Clients, 5.06 Client Rights, 5.13 Protections From Abuse, 5.14 Positive
Behavior Support, 5.15 Use of Restrictive Procedures, 6.08 Mandatory Reporting Requirements for
Employment and Day Program Services Providers, 6.13 Employment /Day Program Provider
Qualifications, 9.07 Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome
(AIDS), 12.01 Incident Management, 13.04 DRW Access Agreement and the 1992 County Guidelines.
(7) DRW Access Agreement with DDA, assures that the COUNTY and SUBCONTRACTORS have reviewed
the Access Agreement. The Agreement covers DRW's access to individuals with developmental
disabilities, clients, programs and records, outreach activities, authority to investigate allegations of abuse,
neglect, other miscellaneous matters and is binding for all providers of DDA contracted services.
(8) SUBCONTRACTOR shall have written policies regarding; sexual harassment and non - discrimination (said
policies must guarantee humanlcivil rights), a person's right to privacy, safeguarding personal information
abuse of participants, agency medication procedure, respectful staff -to- participant interactions, (i.e.:
including a person's right to be treated with dignity and respect and free of abuse).
(9) SUBCONTRACTOR shall assure that participants in accordance with Necessary Supplemental
Accommodation (NSA), Policy 5.02, have been informed of their rights, what services and benefits may be
expected from the program, the program's expectations of them, and if necessary, shall assure that the
participant's family, guardian or advocate is also informed.
(10) SUBCONTRACTOR shall have a grievance policy that:
• negotiates conflicts and advises participants of grievance procedures,
• is explained to participants and others in accordance with the NSA, DDD Policy 5.02,
• prohibits retaliation for using the grievance process,
• includes a non retaliation statement,
• assure that advocates are available and encourages participants to bring advocates to help negotiate,
• includes a mediation process that promotes the use of someone who is unaffected by the outcome if
conflicts, remain unresolved (a DDD Case Resource Manager may be included as an alternative
option) &
includes a process for tracking and reporting grievances.
(11) SUBCONTRACTOR shall obtain and retain in the clients' files signed proof of client's and/or family's
review of all policies, provider expectation and receipt of information about services and benefits to be
provided by the program. The signed proof required by this section shall be reviewed and renewed with
new documentation on not less than an annual basis.
(12) SUBCONTRACTOR will encourage participant involvement in policy development.
(13) SUBCONTRACTOR shall update Client Intake Forms every 6 months during the Client Review meeting.
(14) SUBCONTRACTOR shall assure that potential conflict of interest real or apparent will not arise. Such a
conflict will arise when: The employee, officer or agent, any member of immediate family, Guardian /
decision maker, or an organization which employs, or is about to employ, any of the above, has financial or
other interest in the client(s).
(15) SUBCONTRACTOR shall have adequate staffing ratios and patterns to maintain quality and safety.
(16) Alt services for persons with developmental disabilities must be provided with attention to their health and
safety. SUBCONTRACTOR shall comply with all applicable federal, state and local fire, health and safety
regulations.
Skookum GRP Employment Contract 2013 -2014
(17) Incidents involving injury, health or safety issues are immediately reported to DDD Central Office and the
County (reference DDD Policy 6.08, Mandatory Reporting Requirements for Employment and Day
Program Services Providers).
(18) Incident reports are tracked and analyzed for potential trends and patterns.
(19) Current emergency contact and medical information (medications, diet, allergies, etc.) needed during the
hours of service is readily available for each participant.
(20) 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.
1. The contracted provider is required to:
a. Document the steps the Subcontractor 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 final approval. DDD
regional staff will respond as to plan sufficiency and whether any additional information is needed within
10 working days. The region will send a copy to Central Office.
4. COUNTY and its SUBCONTRACTORS are mandated reporters of abuse and neglect under RCW
74.34.020, Abuse of Vulnerable Adults (1), and must comply with reporting requirements described in
RCW 74.34.035, 040 and Chapter 26.44 RCW, Abuse of Children. If the COUNTY is notified by DSHS
that a subcontractor staff member is cited or on the registry for a substantiated finding then that associated
staff will be prohibited from providing services under this contract.
(21) SUBCONTRACTOR is required to maintain the following minimum organizational capacity in order to meet
the performance standards set forth in this agreement. Failure or inability of SUBCONTRACTOR to meet
any or all of these minimum capacity requirements, as determined solely by COUNTY, may be cause for
termination of this agreement as provided herein.
(a) Accreditation: SUBCONTRACTOR must be able to demonstrate conformance to Commission on
Accreditation of Rehabilitation Facilities (CARF) standards for quality assurance and CARF
accreditation.
(b) Confidentiality: The SUBCONTRACTOR shall protect and maintain all Confidential Information gained
by reason of the Program Agreement against unauthorized use, access, disclosure, modification or loss.
This duty requires the County to employ reasonable security measures, which includes restricting access
to Confidential Information by:
(1) Allowing access to staff that have an authorized business requirement to view the Confidential
Information.
Skookum GRP Employment Contract 2013 -2014
(2) Physically securing any computers, documents, or other media containing Confidential
Information.
(3) When transporting six (6) to one hundred forty nine (149) records containing Confidential
Information, outside a Secure Area, do one or more of the following as appropriate:
(a) Using a trusted System.
(b) Encrypt the Confidential Information, including:
(i) Email and/or email attachments
(ii) Confidential information when it is stored on portable devices or media,
including but not limited to laptop computers and flash memory devices.
(c) Send Paper documents containing Confidential Information via Trusted System.
(1) To the extent allowed by law, at the end of the Program Agreement term, or when no longer
needed, the parties shall return Confidential Information or certify in writing the destruction of
Confidential Information upon written request by the other party.
(2) Paper documents with Confidential Information may be recycled through a contracted firm,
provided the contract with the recycler specifics that the confidentiality of information with be
protected, and the information destroyed through the recycling process. Paper documents
containing Confidential Information requiring special handling (e.g. protected health
information) must be destroyed through shredding, pulping or incineration.
(3) The compromise or potential compromise of Confidential Information must be reported to the
COUNTY within five (5) business days of discovery of breaches of less than 500 person's
protected data- The parties must take actions to mitigate the risk and loss and comply with any
notification or other requirements imposed by law.
(d) Equal Access SUBCONTRACTOR will assures equal access to persons who do not speak or have a
limited ability to speak, read, or write English well enough to understand and communicate effectively
(reference DDA Policy 5.05, Limited English Proficient (LEP) Clients).
(e) Financial and Program Management: An administrative /organizational structure that clearly defines
responsibilities. Systems and personnel to: maintain accounting records that accurately reflect all
program revenues and expenditures; prepare monthly statements of activity (ADSA Reports); maintain
appropriate Client service records and progress reports; and track key program performance indicators
(f) 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.
(g) Partnerships: SUBCONTRACTOR has a history of working cooperatively with community -based
organizations including Employers, other Agencies, the COUNTY DD Program, the Division of
Vocational Rehabilitation (DVR) and Schools.
(h) Performance Plan: 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.
(i) Qualified Staff: SUBCONTRACTOR will provide adequate, qualified staff with skills and experience
in evaluation, training, supervision, counseling and support of adults with developmental disabilities
who are earning wages, per the attached Statement of Work. SUBCONTRACTOR will assure that all
direct service staff are trained and that training is documented. SUBCONTRACTOR will provide
COUNTY with information regarding staff qualifications upon request.
Skookum GRP Employment Contract 2013 -2014 4
(j) Safety: SUBCONTRACTOR will provide evidence that it employs safety protection based on the
environment that the participant is working or receiving services in.
(k) Employment Capacity: Business operations, exclusive of this agreement, sufficient to provide jobs for up
to 3 Group Supported Employment program clients of at least 16 hours per week each (including paid
holidays, sick leave, vacation, etc., as applicable) based on prevailing community wages & for 1 Group
Supported Employment program client of at least S hours per week (including paid holidays, sick leave,
vacation, ect., as applicable).
(22) SUBCONTRACTOR shall provide a Group Employment /Vocational Client Plan and/or Person Centered
planning/profiles delineating individual skills and needs within 30 days of the beginning of services on all
program clients. The SUBCONTRACTOR shall use the new Employment Program Plan Report Form, (see
Attachment A) for Group Employment/Vocational Client Plans.
(23) Group Employment/Vocational Client Plans will include:
1. Information that identifies and addresses the individualized goal and support needs for each
participant and should be developed by the provider in collaboration with the Case Resource
Manager, participant and his or her family (the team).
2. Initial plans will be completed within 60 days from date of service authorization and must be
signed by the participant and/or his or her guardian if any.
3. Copies of the initial and subsequent revised plans will be distributed as appropriate to all team
members.
4. Plans will be reviewed and signed annually.
(24) Group Employment/Vocational Client Plans will also include the information listed below:
a) Current date;
b) Time line for the plan
c) Client's name first and last;
d) Client ADSA ID;
e) Employment goal;
I) preferred (job type) the individual wishes to obtain or maintain;
g) g. The preferred wages /salary the individual wishes to earn;
h) h. The number of hours the individual's prefers to work;
i) The preferred work shift;
j) The individual's skills, gifts, interests and preferred activities;
k) Measurable strategies (action steps and supports) to meet the employment goal.
1) Identification of persons and /or entities (such as family, Division of Vocational Rehabilitation)
available to assist the client in reaching his/her employment goal.
m) Identification of other accommodations, adaptive equipment and /or supports critical to achieve
employment goal.
(25) Six month progress reports describing the progress made towards achieving client's goal will be provided
by the service provider to the Case Resource Manager, participant, and/or guardian if any within 30 days
following the six month period.
(26) All services for persons with developmental disabilities must be provided with attention to the health and
safety of such persons. SUBCONTRACTOR shall comply with all applicable federal, state and local fire,
health and safety regulations.
(27) The Subcontractor shall report any injury or accident, which requires more than simple first aid, and any
extraordinary incident that requires intervention by the Subcontractor, first to the DSHS /DDD Case
Manager for the individual involved and then to the COUNTY Coordinator. This includes serious physical
or emotional harm or potential harm.
The initial report may be done through documented telephone calls to the COUNTY
Coordinator.
Skookum GRP Employment Contract 2013 -2014
2. The Subcontractor shall submit a written follow -up report within 10 days to the COUNTY
Coordinator. The report to the COUNTY Coordinator may be submitted by email, facsimile
(FAX) to 360 - 385 -9410 or by mail to Jefferson COUNTY Public Health, 615 Sheridan St.,
Port Townsend, WA 98368.
3. Serious and emergent incidents shall be handled in accordance with DSHS /DDD Policy 12.01
Incident Management.
(28) 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.
(29) Within 30 days of the effective date of this agreement and at least semi - annually thereafter,
SUBCONTRACTOR will provide (a) company; (b) program financial reports to COUNTY, including all
revenues and expenses generated by SUBCONTRACTOR, in sufficient detail to demonstrate the uses of
funds provided under this agreement.
(30) AUDIT REQUIREMENTS. Independent Audit/Review will be submitted annually to the Jefferson
COUNTY DD COUNTY Coordinator in the following manner:
The Subcontractor shall acquire a financial audit by an independent auditing firm to determine 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 Public Health, DD Program
within 6 months of the end of the Subcontractor's fiscal year.
The Subcontractor shall provide an independent audit of the entire organization which:
(a) Is performed by an independent Certified Public Accountant, the Washington State
Auditor's Office, or another entity, which the COUNTY and the Subcontractor mutually agree
upon.
(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 -133 or A -128, as
applicable.
(c) The Subcontractor shall submit two (2) copies of the audit and/or the summary and the
management letter directly to the COUNTY immediately upon completion. The audit must be
accomplished by documentation indicating the Subcontractor's Board of Directors has reviewed the
audit.
(31) If the Developmental Disabilities Program Coordinator finds indications of potential non - compliance
during the contract monitoring process or teams that the Contractor 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: If the informal notification does not result in resolution, the official notification
of possible non - compliance to establish a date, within five (5) working days of notification, when
representatives of the COUNTY and the SUBCONTRACTOR shall meet to discuss areas of
contention and attempt to resolve the issues.
Skookum GRP Employment Contract 2013 -2014
(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.
(32) For five years following the end date of this agreement, SUBCONTRACTOR will maintain client records and
books, records, documents, reports and other evidence of accounting procedures and practices, which
sufficiently and properly reflect all direct and indirect expenditures of funds provided under this agreement.
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.
(33) SUBCONTRACTOR shall 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.
(34) SUBCONTRACTOR shall provide COUNTY with a copy of a signed DSHS Provider Agreement within 30
days of the effective date of this agreement.
(35) 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.
(36) Subcontractors receiving reimbursement on a fee for service basis may be reimbursed, at the discretion of
the COUNTY, for any temporary closure or substantial non - attendance necessitated by natural causes,
disasters, State /COUNTY trainings such as the Ellensburg conference, or mechanical failure above and
beyond the control of the Contactor. Federal XIX funds may not be used for this purpose.
C. REIMBURSEMENTS
(1) For said services rendered under this agreement, COUNTY shall reimburse SUBCONTRACTOR on a unit
rate basis, as follows:
(a) Group Supported Employment: SUBCONTRACTOR will be paid $60.00 per UNIT assigned
Service Responsibility of regular Program Service, as defined in Exhibit A Statement of Work.
(b) One UNIT is defined as one HOUR of direct service to one eligible client. One HOUR of direct
service is defined as one (1) or more hours of paid productive work, paid on-the-job training, or paid
time off (such as routine holiday, vacation and sick leave) in one 24 -hour period. A minimum of four
(4) hours of work a day is required. The Client must work a minimum of four (4) hours a day to bill
the COUNTY for an HOUR.
(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) computer 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.
Skookum GRP Employment Contract 2013 -2014
(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 or for contractual non compliance issues.
(4) Total reimbursements for the fiscal year of 2012 -2013 to SUBCONTRACTOR by COUNTY under this
contract shall not exceed $31,000.00 in completion of these projects without express written amendment by
both patties 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 PASS/IRWE.
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.
(2) The SUBCONTRACTOR's relation to the COUNTY shall be at all times as an independent Subcontractor,
and any and 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, 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.
(5) The SUBCONTRACTOR shall obtain and keep in force during the terms of the AGREEMENT, or as
otherwise required, the following insurance with companies or through sources approved by the State
Insurance Commissioner pursuant to RCW 48:05:
(a) Worker's compensation and employer's liability insurance as required by the State of Washington.
(b) Commercial Automobile Liability or Business Use Insurance providing bodily injury and property
damage liability coverage for all owned and non -owned vehicles assigned to or used in the
performance of the work for a combined single limit of not less than $1,000,000 each occurrence
with the COUNTY named as an additional insured in connection with the SUBCONTRACTOR'S
performance of the contract.
(c) General Commercial Liability Insurance in an amount not less than a single limit of one million
dollars ($1,000,000.00) per occurrence and 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.
Skookum GRP Employment Contract 2013 -2014
(6) 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 distinct and valid 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.
(7) 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 of the SUBCONTRACTOR under this AGREEMENT, shall
comply with the same insurance requirements that SUBCONTRACTOR is required to meet.
(8) Failure on the part of the SUBCONTRACTOR to maintain the insurance as required shall constitute a
material breach of contract upon which the COUNTY may, after giving five working days notice to the
SUBCONTRACTOR to correct the breach, immediately terminate the contract or, at its discretion, procure
or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended
to be repaid to the COUNTY on demand, or at the sole discretion of the COUNTY, off set against funds
due the SUBCONTRACTOR from the COUNTY.
(9) All cost for insurance shall be considered incidental to and included in the unit contract prices and no
additional payment will be made.
(10) Excepting the Workers Compensation insurance and any professional liability insurance secured by the
SUBCONTRACTOR, the COUNTY will be named on all certificates of insurance as an additional insured.
The SUBCONTRACTOR shall furnish the COUNTY with verification of insurance and endorsements
required by this AGREEMENT. The COUNTY reserves the right to require complete, certified copies of
all required insurance policies at any time.
(11) All insurance shall be obtained from an insurance company authorized to do business in the State of
Washington. The SUBCONTRACTOR shall submit a verification of insurance as outlined herein within
14 days of the execution of this AGREEMENT to the COUNTY. All insurance policies obtained by the
SUBCONTRACTOR shall be primary to any equivalent or applicable policies held by the COUNTY„All
insurance policies obtained by the SUBCONTRACTOR shall include a waiver of subrogation rights.
(12) Insurance policies and additional named insured endorsements obtained for the SUBCONTRACTOR shall
provide primary insurance coverage and also be non - contributory. Any insurance, self - insured retention,
deductible or risk retention maintained or participated in by the County shall be excess and not contributory
to such insurance policies. All SUBCONTRACTOR'S liability insurance policies must be endorsed to
show this primary coverage.
(13) The COUNTY will pay no progress payments under Section C until the SUBCONTRACTOR has fully
complied with this section. This remedy is not exclusive; and the COUNTY may take such other action as
is available to them under other provisions of this AGREEMENT, or otherwise in law.
(14) Nothing in the foregoing insurance requirements shall prevent the COUNTY, at its option, from
additionally requesting that the SUBCONTRACTOR deliver to the COUNTY an executed bond as security
for the faithful performance of this contract and for payment of all obligations of the SUBCONTRACTOR.
(15) The SUBCONTRACTOR shall comply with all Federal, State, and local laws and ordinances applicable to
the work to be done under this AGREEMENT. This AGREEMENT shall be interpreted and construed in
accord with the laws of the State of Washington and venue shall be in Jefferson COUNTY, WA
(16) The SUBCONTRACTOR shall comply with the WA State Department of Labor and Industries Minimum
Wage Act, RCW 49.46, acknowledging persons with disabilities participating in job assessments are not
considered employees.
(17) The SUBCONTRACTOR shall 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 negligence or breach of any of its obligations under this AGREEMENT of the SUBCONTRACTOR
or its agents, representatives or employees, 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:
Skookum GRP Employment Contract 2013 -2014 9
(18)
(19)
(20)
(21)
(22)
(a) 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.
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.
The SUBCONTRACTOR specifically assumes potential liability for actions brought against the COUNTY by
SUBCONTRACTOR'S employees, including all other persons engaged in the performance of any work or
service required of the SUBCONTRACTOR under this AGREEMENT and, solely for the purpose of this
indemnification and defense, the SUBCONTRACTOR specifically waives any immunity under the state
industrial insurance law, Title 51 RCW. The SUBCONTRACTOR recognizes that this waiver was
specifically entered into pursuant to provisions of RCW 4.24.115 and was subject of mutual negotiation.
SUBCONTRACTOR shall not discriminate against any person presenting themselves for services based on
race, religion, color, sex, age or national origin.
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 Department of Social and Health Services the 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.
No portion of this contract may be assigned or subcontracted to any other individual, firm, or entity without
the express and prior written approval of COUNTY. If the COUNTY agrees in writing that all or a portion of
this Contract may be subcontracted to a third -party, then any contract or agreement between the contractor and
a third -parry subcontractor must contain all provisions of this contract and the subcontractor must agree to be
bound by all terms and obligations found in this agreement.
ADOPTED THIS day of 2013
By:
Jo ustm, lairm
fe n Board UNTY Commissioners proved 8H t ryn 0Y
By:
ta z/� ersm
Je olven, President David Alvarez, Chid' A
Skookum Contract Services
By:
Attest: Clerk of the Board
Skookum GRP Employment Contract 2013 -2014 10
EXHIBIT A
STATEMENT OF WORK
GROUP SUPPORTED EMPLOYMENT SERVICES
I. WORK STATEMENT
SUBCONTRACTOR shall provide Group Supported Employment 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. Goals
1. To provide work training and work opportunities for adults with severe or profound developmental
disabilities whom, due to the severity of the disability and lack of resources, are not presently able to
access other employment models.
2 To provide Group Supported Employment Services that are designed to meet specific needs of the
individual based on personal preferences and individualized goals and outcomes.
3. To improve the cost - benefit of Group Supported Employment Services by increasing the average
worker benefit ratio and compared to the average monthly cost per person.
4. To support individual program clients in Group Supported Employment Services to experience
community job sites through mentoring, observation and/or on site experience at least four times a
year.
5. When appropriate to provide the service of assessment and consultation in order to identify and
address existing barriers to employment for individuals who have not yet achieved their employment
goal through consulting and assessment. (This is in addition to supports received through Supported
Employment services or Group Employment services for individuals who have not yet achieved their
employment goal).
6. To transition program clients to Supported Employment services as soon as resources, support
systems, and/or technology are available or adequate to aid these individuals to obtain individual
employment in the community.
7. Clients in an Employment program will be supported to work towards a living wage. A living wage
is the amount needed to enable an individual to meet or exceed his or her living expenses. Clients
should average twenty (20) hours of work per week or eighty -six hours per month.
B. Definitions
1. Group Supported Employment Services are:
training and supervision of adults with severe developmental disabilities who are involved in
paid, productive employment at locations or in businesses that provide employment or training
for individuals with disabilities;
• training, job modifications and job related support for persons with severe developmental
disabilities to productively perform available work;
supplemental training required in a job situation to develop skills required for new tasks and to
enhance versatility; and
Skookum GRP Employment Contract 2013 -20M 11
a service provided for the most severely developmentally disabled adults until resources, support
systems, and/or technology are available or adequate to aid these individuals to obtain
competitive employment.
2. Employment is defined as paid productive work, paid on-the-job training, and paid time off (such as
routine holiday, vacation and sick leave). Employment may be: full -time, average weekly work of
40 hours for an individual; part-time, average weekly work of 20 hours to 40 hours for an individual,
or; other, average weekly work of less than 20 hours for an individual.
C. Program Requirements
SUBCONTRACTOR will provide Group Supported Employment services for up to 4 program
clients who are authorized for service by DSHS/DDD and have been approved by COUNTY.
SUBCONTRACTOR shall attempt to transition program clients to Individual Employment
placements.
2. SUBCONTRACTOR will support Clients in an employment program to work towards a living
wage. A living wage is the amount needed to enable an individual to meet or exceed his or her
living expenses. Clients should strive to average twenty (20) hours work per week or eighty -six
(86) hours per month. The amount of service a client receives will be based on his/her
demonstrated need and acuity level.
3. In the event that SUBCONTRACTOR determines that Group Supported Employment Services are
no longer appropriate for any client, SUBCONTRACTOR will notify the DDD Case Manager and
the COUNTY of the basis for its determination and recommend that the client be terminated from
service and/or authorized for an alternative service. SUBCONTRACTOR will provide written
documentation of the reason(s) for its recommendation, which may include:
(a) Client is working at a level of productivity that no longer requires continuous
training;
(b) Health and safety considerations:
(c) Client no longer desires employment, the available employment option(s) or the program
services.
(d) Client desires a community job placement.
4. Recommendations for termination or transfer will be reviewed by DDD Case Manager and
COUNTY as appropriate. DDD Case Manager will notify SUBCONTRACTOR of its decision to
support SUBCONTRACTOR'S recommendation. If approved, COUNTY will work with SUB-
CONTRACTOR to facilitate the development of a transition plan and schedule. The transition plan
will be developed in consultation with the client, DDD case management, SUBCONTRACTOR,
family members and other service providers as applicable.
9. Worker wages shall be commensurate with the local industry accepted norms and comply with
applicable Federal Department of Labor standards.
6. The SUBCONTRACTOR will clearly communicate to the Client and the COUNTY, prior to
beginning service or an expected change in the maximum service hours per month, the client can
expect to receive. Service changes will not occur until the client has received proper notification
from DDA.
(a) The Clients DDA ISP is the driver for service. The CMIS County Service Authorization
and the updated Planned Rates information will not exceed the Client's DDA ISP.
Skookum GRP Employment Contract 20t3 -2014 12
(b) The amount of service the Client receives should match with the CMIS County Service
Authorization and updated Planned Rates information.
SUBCONTRACTOR shall provide a Group Employment/Vocational Client Plan 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 Community
Employment. The SUBCONTRACTOR will use the new Employment Plan Report Form, (see
Attachment B). (Minimum Employment/Vocational Client Plan elements are outlined in the
reference document called "Criteria for Evaluation" available on the DDA website.)
8. SUBCONTRACTOR will provide a copy of the Group Employment/Vocational Client Plan to the
Client, their CRM's, Guardian, the COUNTY and others as appropriate.
9. SUBCONTRACTOR must ensure that that documentation and data collected or training reflects
the Group Employment/Vocational Client Plan, 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 Vocational Plan.
10. SUBCONTRACTOR must ensure that Job coaching and supervision of program clients will be
based on goals established in a Group Employment/Vocational Client Plan. Client goals, training
provided and progress toward meeting goals shall be documented in each client record.
11. SUBCONTRACTOR will submit to the COUNTY and DDD Case Management Semi - Annual
Progress Reports on each Client. The SUBCONTRACTOR will use the new Employment Plan
Report Form, (see Attachment A) to report on the semi - annual progress of the client.
12. The frequency of the report for this contractual period will be one every six (6) months after the
initial plan, July through December 2013 with the report due on January 2nd of 2014, the second
due date will be January thru June 2014, due July 1" 2014.
13. 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.
14. SUBCONTRACTOR shall schedule a review meeting every 6 months for all program
participants. The review shall include an assessment of the need for continued Group
Employment Services and an evaluation and update of the Group Employment /Vocational Client
Plan's goals and objectives. The SUBCONTRACTOR shall use the new Employment Plan Report
Form, (see attachment B) to report on the semi - annual progress of the client.
15. COUNTY shall receive the dates for the 6 -month reviews for program Clients one month before
the required meetings.
16. Subsequent to review meetings, the SUBCONTRACTOR will submit a copy of the updated
Semi - Annual Progress Reports to the Client, the DDD case manager, the COUNTY
Coordinator and Residential Support Staff, Parent or Guardian.
17. SUBCONTRACTOR shall document time studies and competitive bidding procedures with
regard to all third party contracts that provide funding for employment of program clients.
18. The SUBCONTRACTOR will clearly communicate to the COUNTY and the client, prior to
beginning service or an unexpected change in the maximum service hours per month, the client can
expect to receive. Service changes will not occur until the client has received proper notification
from DDA.
Skookum GRP Employment Contract 2013 -2014 13
(a) The client's DDA ISP is the driver for service. The County Service Authorization (CSA) and
updated updated Planned Rates information will not exceed the client's DDA ISP.
(b) The amount of service hours the client receives should match the County Service Authorization
and Planned Rates information.
19. SUBCONTRACTOR must ensure that: every Client file has a copy of DDD Clientauthorization
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
COUNTY authorization/individual service agreement plan as applicable is in the Client file.
20. 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.
Recommendations for program participant's termination in Group Employment or transfer to
another Individual Employment agency must be authorized the DDD Case Manager, and will be
reviewed in consultation with the Client, 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.
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.
SUBCONTRACTOR shall submit a written Program Staff Training Plan to COUNTY for approval
or disapproval within 30 days of the effective date of this agreement, semi - annually
thereafter or when reorganization occurs, which minimally includes:
a) SUBCONTRACTOR's procedure to train new direct service staff, training must include,
• DDD Policies & Competencies (see Section C- Number 22 -25),
• RCW's & WAC's referenced on page I & 2 of the County Contract under Section B.
Obligations,
• agency policies & procedures,
• skills on how to instruct/teach Clients,
• skills on how to document data collection, daily /weekly notes & 6 month reports
in Client files,
• skills on how to write Group Employment/Vocational Client Plans and/or Person
Centered Plans (creating Client vocational goals /objectives).
b) SUBCONTRACTOR's plan to provide staff that are skilled in applying training
techniques to enhance the work - related skills of program clients;
c) FTE levels, job descriptions and organization chart pertaining to program staff.
d) SUBCONTRACTOR's plan to enhance staff skills through participation in at least
48 hours of annual training's, in- services, and/or workshop opportunities that are relevant
to personnel working directly with program clients.
• SUBCONTRACTOR will provide COUNTY with information regarding staff qualifications and
documented training's upon request.
Skookum GRP Employment Contract 2013 -2014 14
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 Working with Clients: ADA training,
APS Reporting Requirements, Client confidentiality, Current individual instruction and Action
Steps/Vocational 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.
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
Within one month of employment: SUBCONTRACTOR must ensure that direct service staff
received training and are knowledgeable in the following areas: Overview of DDD Policies
including: DDD Policy 3.01 Service Plans, DDD Policy 5.03 Client Complaints, DDD Policy
5.17 Physical Intervention Techniques, DDD Policy 6.13 Employment/Day Program Provider
Qualifications, DDD Policy 13.04 DRW Access Agreement, DDD Policy 15.03 Community
Protection Standards for Employment/Day Programs and all reporting requirements related to
these DDD Policies.
• 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 HIV and
AIDS and Program Skill Development.
• SUBCONTRACTOR will have signed documentation that Staff training took place within the
timelines listed above in Section C- Number 22 -25.
• 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.
• Within 30 days of the effective date of this agreement, and semi - annually thereafter,
SUBCONTRACTOR will develop and submit to COUNTY a program operating budget detailing
the projected allocation of contract funds, other sources and amounts of funding, program staffing
expenses and other cost allocations.
• Semi - annually, SUBCONTRACTOR will develop and submit to COUNTY, program financial
reports reflecting the actual revenues received and expenses incurred compared to the projected
program budget submitted.
• 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. The SUBCONTRACTOR must
send the COUNTY copies of the surveys received from participants, their families, their support
networks and employers.
D. Performance Standards
1. The average worker wage per month will not fall below minimum wage.
Skookum GRP Employment Contract 2013 -2014 15
2. SUBCONTRACTOR will provide sufficient income producing work to challenge the productivity of
workers and result in at least 4 hours of paid production per day per eligible client.
3. SUBCONTRACTOR shall access appropriate jobs and provide sufficient training to result in an
increase in average monthly earnings from one six -month period to the next through productivity
improvements and/or increased hours.
4. SUBCONTRACTOR will create individual client goals and provide sufficient instruction that result
in an improvement in the program client's vocational abilities, social and behavioral issues from one
six -month period to the next.
5. Workers will have variety in the work they perform and will learn behaviors and skills typical of
those required for employment in an individual job in the community.
E. Service Level Guidelines
I. Client Employment Acuity is determined through the DDD assessment. Acuity reflects
conditions typically related to the individuals disability that are not likely to change, and are
generally not impacted by outside factors. Client acuity is determined as either "High ",
"Medium" or "Low" as defined within WAC 388 -828. Other considerations are generally related
to the job or service environment which may impact the individual's level of support, regardless
of acuity.
2 Employment Service Levels reflect Client Employment Acuity and other considerations, (see
Table One -Base Hours below); the Guidelines typically reflect direct service staff time provided
to or on behalf of the client to pursue or maintain employment. You may be eligible to receive
additional add on hours, (see Table Two, Add -On Hours below).
3 Short-term Employment Supports is a service that allows DDA to approve additional service
hours in addition to the amount of your employment service Base Hours and Add -On Hours for up
to three months when
a) You are beginning a newjob; or
b) There is a planned or unexpected change in yourjob orjob duties; or
C) Your current employment is at risk and short-term supports are needed to assist
you in maintaining your current job.
The expectation is that all hours reported are documented specific to the client authorized and
relate to the goals and supports outlined within the client's Individual Employment Plan.
Allowable activities are defined in the Employment Phases and Billable Activities, (see
Attachment B).
Skookum GRP Employment Contract 2013 -2014 16
TABLE ONE -Base Hours
DDA DETERMINES YOUREAfiPL(5YMgNT SERVICE LEVEL.USING T.FFE
FOLLOW TABLE:
RM E
O ADD -ON fib, S YOU AREI
TO RECEIVE -'
CLIENT
YOUR
OF THE BELOW
THEN YOUR
AND YOUR
ACUITY
EMPLOYMENT
THE
EMPLOYMENT
EMPLOYMENT
LEVEL
STATUS
SERVICE
SERVICE BASE
IE:
IS:
0
LEVEL IS:
HOURS PER
C
5
MONTH MAY BE:
5
WORKING
F =�''
A
0
NONE
NOT WORKING
12
B
0
WORKING
C
4
LOW
E'
7
WORKING
MEDIUM
.Wn Mr Rxlr cV.
u - °
°F
WORKING G 11
HIGH
I NOT WORKING H I2
TABLE TWO- Add -On Hours
DDA USES THE FOLLOWII4C. TABLE TO-
DETERNITNE T#E AXIM Uv"G0
RM E
O ADD -ON fib, S YOU AREI
TO RECEIVE -'
IF YOU MEET ONE
YOU MAY BE
OF THE BELOW
ELIGIBLE TO
CONDITIONS AND
RECEIVE UP TO
YOUR
THE
EMPLOYMENT
FOLLOWING
LEVEL IS:
AMOUNT OF
ADD -ON
HOURS:
A
0
B
0
C
5
5
E
F =�''
;
G
12
H
14
Skookum GRP Employment Contract 2013 -2014 17
5. Group Supported Employment reflects shared support amongst 8 or fewer people at a
worksite. Service level to the individual may vary depending on staffing ratios within the work
site, the acuity of individual's served at the worksite, the number of work hours available within
the worksite and the number of additional individualized support hours provided outside of the
GSE setting to achieve integrated community employment.
6. The average statewide ratio of staff to individuals within this environment is 1:6.
7. The expectation is that all hours reported are documented specific to the client authorized and
relate to the goals and supports outlined within the client's Employment Plan,
F. Group Supported Employment Unit of Service
1. One UNIT of Group Supported Employment service is $60.00. One UNIT is defined as (1) one
"HOUR" of direct service or assigned service level to one eligible Client. An "HOUR" is at least
fifty (50) minutes of direct service; (partial hour to the quarter may be recorded) or ASSIGNED
SERVICE LEVEL as defined above.
2. One "HOUR" of direct service is defined as one (1) or more hours of paid productive work, paid
on- the -job training, or paid time off (such as routine holiday, vacation and sick leave) in one 24 -hour
period. A minimum of four (4) hours of work a day is required. The Client must work a minimum of
four (4) hours a day to bill the COUNTY for an HOUR.
Skookum GRP Employment Contract 2013 -2014 18
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