HomeMy WebLinkAbout072114_ca12Consent Agenda
JEFFERSON COUNTY PUBLIC FIE ALTH
o�
615 Sheridan Street o Port Townsend Washington o 98368
V. www.jeffersoncountypublichealth.org
June 24, 2014,
11114 9 9 4 oz;���
1z I fg-r),
At REQUEST
TO: Board of County Commissioners I
Philip Morley,. County AdministratcD
FROM: Jean Baldwin, Director
DATE:
SuB3ECT: Agenda Item — Professional Services Agreement with Concerned
Citizens for Community Access; July 1, 2014 — June 30, 2015; $19,440.
STATEMENT OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division, requests Board approval of the
Professional Services Agreement with Concerned Citizens for Community Access; July 1, 2014 —
June 30, 2015; $191440.
ANALYSIS I r5TRATEGIC GOALS/PRO'S and COWS:
Community Access services are designed for people with developmental disabilities who have retired or are
in post employment and need assistance to address services in the community. Services provided in this
contract will assist individuals with participation in activities, events, organizations, and/or to 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 of providing options in order to
experience opportunities that increase socialization, support systems, and personal independence through
community, social, recreational, commercial, and or volunteer activities. This agreement provides for up to
four program, clients.
Jefferson County Public Health contracts with providers once per year; Providers are chosen via a formal
RFQ process that occurs every four years, as per DDA 2011 mandate.
DISC A L
'M A T 8
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T he provider shall co pensa ed at the ra te 0 0
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0 per unit as defined as one or more hour of
direct
service 0 r a s 5 i g n d service responsibility to eligible client. The budget reflects revenue and expense fo
r
this vender, he agreement i s a 5 u bc 0 n tr a ct f u n d d t hrough the biennial agreement with the DSHS
Departme,t of Developmental Disabilities contract.
Cg%4MUNIfY HEALIH PUBLIC HEALTH �.WRONMENTAI- HEALTH
-WAL DJSA,311!�&s WATER QUAIJ FY
-OPM� AWAY S FOR A SAFFN AND VIA N� (360),38S-944,j
MAMAIN HEALTHIER COMMUNITY I`AX 1 � 60) 379 -4,1 % 7
�\X � �3�0) �WI-9401
Consent Agenda
END MM
,RECOM
:Q—A—TI–QN--:
JCPH management request approval of the Professional Services Agreement with Concerned Citizens for
Community Access; July 1, 2-014 – June 30, 2015; $19,440.
REVIEWED BY:
�aw
P Marie unty A4MIOW tor Date
(Routed to all Public Health Managers)
Concerried Citizens Community Access Contract 2014-2015
Page I of 15
SUBCONTRACT FOR PROFESSIONAL SERVICES o
COMMUNITY ACCESS SERVICES
Agreement Between
JEFFERSON COUNTY PUBLIC HEALTH
And
CONCERNED CITIZENS
This agreement is made and entered into between Jefferson COUNTY Public Health (COUNTY) and Concerned
Citizens (SUBCONTRACTOR) for provision of Community Access Services to persons with developmental
disabilities in Jefferson COUNTY. The terra of this agreement is June 1, 2014 through June 30, 2015. Either party
upon 60 days written notice may terminate this Contract. 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:
Community Access Services - opportunities to build relationships, to contribute and to feel a sense of
belonging to the community, to access generic resources with peers without disabilities and volunteer
opportunities in order to enhance versatility, individualized education/self-advocacy skill development
necessary for new tasks in order to address growth and interaction needs of eligible persons per Exhibit A -
Statement ofWork.
(2) Program management,
U. OBLIGATIONS
SUBCONTRACTOR shall fulfill the following obligations:
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,, that any prospective employee, who will
or may have unsupervised access to a person with a developmental disability in the course of his or her
employment or involvement with the business or organization, must have a Washington State Patrol Criminal
(W,S.P.) Background Check,
(3) SUBCONTRACTOR is required pursuant to RCW 74,15, that if any prospective employee, who has not
resided ill Washington state during the last three years, and who will or may have unsupervised access to a
person with a developmental disability in the course of his or her employment or involvement with the
business or organization, must have a F.B.I. Fingerprint Check. This fingerprint check must occur before
employment begins working.
(4) SUBCONTRACTOR is required, to repeat the W.S.P. Criminal Background Check 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 DSI-IS in Olympia in accordance with RCW 4143,830-845
and RCW 74.15.030,
Concerned Citizens Community Access Contract 2014-2015
Page 2 of 15
1�
(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 Developmental Disabilities
Administration Services Rules-, 296-24 General Safety & Health; 296-62 General Occupational Health
Standards; WACs: 388-828 Developmental Disabilities Administration, (DDA) Assessment; 388-845 -
Home and Community Based Waivers; Definitions 0001; Criteria for HCBS Services 0030; Basic Waiver
Services 0205; Basic Plus Waiver Services 0210; Core Waiver Services 0215; Community Protection
Waiver Services 0220; 0600 -0610 Community Access Set-vice, Supported Employment Service 2100.
(6) SUBCONTRACTOR shall comply with the following Developmental Disabilities Administration, (DDA
Policies: 3.01 Client Service Plans; 5.01 Criminal History Background Checks and Safeguarding Personal
Information; 5.02 Necessary Supplemental Accommodation (NSA); 5.03 Client Complaints; 5.05 Limited
English Proficiency (LEP) Clients; 5.06 Client Rights; 5.13 Protections From Abuse; 5,14 Positive
Behavior support; 5,15 Use of Restrictive Procedures; 6,08 Mandatory Reporting Requirements for
Employment and Day Program Services Providers; 6.13 Employment/Day Program Provider
Qualifications; 9.07 Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome
(AIDS); 12-01 Incident Management; 13.04 DRW Access Agreement; and the 1992 County Guidelines.
(7) SUBCONTRACTOR shall have written policies regarding; sexual harassment and non-discrimination (said
policies must guarantee human/civil rights), a person's right to privacy, safeguarding personal information
abuse of participants, agency medication procedure, respectful staff-to-participant interactions, (i.e.:
including a person's right to be treated with dignity and respect and free of abuse).
(8) 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.
(9) 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, DDA 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 DDA Case Resource Manager may be included as an alternative
option)
includes a process for tracking and reporting grievances
(10) 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, annually,
SUBCONTRACTOR will encourage participant involvement in policy development,
(12) SUBCONTRACTOR shalt update Client Intake Forms every 6 months during the Client Review meeting
(13) SUBCONTRACTOR shall assure potential conflict of interest, real or apparent, will not arise. Such a
conflict will arise when the employee, officer or agent, any immediate family member, Guardian / decision
maker, or an organization that employs or is about to employ any of the above has financial or other
interest in the client(s).
(14) SUBCONTRACTOR shall have adequate staffing ratios and patterns to maintain quality and safety.
Concerned Citizens Community Access Contract 2014-2015
Page 3 of 15
(15) All services for persons with developmental disabilities must be provided with attention to their health and
safety. SUBCONTRACTOR shall comply with all applicable federal, state and local fire, health, and
safety rcgulations�
(16) Incidents involving injury, health or safety issues are immediately reported to DDA Central Office and the
County (reference: DDA Policy 6.08, Mandatory Reporting Requireinentsfor Employment and Day
prograin Services Providers, DDA Criteria for an Evaluation System Page 3 of 6 July 1, 2012),
(17) Incident reports are tracked and analyzed for potential trends and patterns,
(18) Current emergency contact and medical information (medications, diet, allergies, etc.) needed during the
hours of service is readily available for each participant.
(19) 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 DDA 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 SUBCONTRACTOR is required to:
a. Document the steps the agency has taken to protect the vulnerable
person(s) immediately; and
b. Submit a corrective action plan, if needed, to the COUNTY within 10
working days.
2. The COUNTY will respond to the steps taken and the sufficiency of the proposed corrective action
plan within 10 working days. If the corrective action is not accepted, the plan will be returned to the
provider for correction and an amended plan will be required within 5 working days.
3. Once accepted, the COUNTY will send the corrective action plan to DDA for final approval. DDA
regional staff will respond as to the plan's sufficiency, and whether or not 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 7434,035, 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.
(20) 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) Accreditatioly, SUBCONTRACTOR must be able to demonstrate conformance to Commission on
Accreditation of Rehabilitation Facilities (CARP) standards for quality assurance and CART
accreditation,
(b) Confjdentiali : 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:
Concerned Citizens Community Access Contract 2014-2015
Page 4 of 15
(1) Allowing access to staff that have an authorized business requirement to view the Confidential
Information.
(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 P
e r d ocu m e
n ' s containing
Confidential I n fo
rm
a 'io n
via
T
rusted Sy
stem.
1 T 0 the extent allowed b y law, at the end 0 the Program Agreement
term, or when en no longer
needed, the parties shall return Con fI de ntial Information or certify in writing the destruction of
Confidential Information upon written en req uest �y the other party.
(2) Paper documents with Confidential Informa ion may be recycled through a contracted firm,
provided the contract with t he recyc er specifics khat the confidentiality of information will 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 persons,
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) Egual -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 _Procnam-- ManagemcnV, SUBCONTRACTOR will maintain an
) Financi
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.
Y�� 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) pagnershi s: 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.
Performance Plan: SUBCONTRACTOR will have a written performance plan that describes its
mission, program objectives, expected outcomes, and describes how and when objectives will be
accomplished; and will assure the plan is evaluated at least biennially with revisions based on actual
performance,
Qualificd Staff: SUBCONTRACTOR will provide adequate, qualified staff witli 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.
Safe , SUBCONTRACTOR will provide evidence that it employs safety protection based on the
environment in which the participant is working or receiving services.
(21) S1-JBCONTF_ACT0R shall provide a Community Access Individual Program Plan and/or Person Centered
planning /profiles delineating individual skills and needs plans within 30 days of the beginning of services
on all program clients. The SUBCONTRACTOR shall use the new Community Access Plan Report Form,
(see Attachment A) for individual Program Plans.
4
Concerned Citizens Community Access Contract 2014-2015
Page 5 of 15
(22) The community Access Report Plans will include:
1. Information that identifies and addresses the individualized goal and support needs for each
participant.
2. Plans must consider individualization, integration, and safety and should be developed by the
provider in collaboration with the Case Resource Manager, participant, and his or her family (the
team).
3. 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.
4. Copies of the initial and subsequent revised plans will be distributed as appropriate to all team
members.
9, plans will be reviewed and signed annually.
(23) The community Access Report Plans will also include the information listed below:
a) Current date: timeline for the Plan
b) Client's name: first and last
c) Client ADSA ID
d) The client's skills, gifts, interests, and preferred activities
e) The Community Access goal, The goal need to relate to one or more of the following (per
COLNIFYIS Guidelines): culture, talent, and
i. Identify integrated community places where the individual's interest„
gifts can be contributed and shared with others with similar interests
ii. Identify clubs, associations, and organizations where the individual can be a member and
have decision-making capacities
iii. Identify opportunities where the individual can contribute to the community by
participating in new and interesting activities or activities the individual enjoys
iv. Building and strengthening relationships between family members and members of the
local community, who are not paid to be with the person
v. The support Intensity Scale (SIS) subscale that most relates to the goal (Community
Living, Lifelong Learning, Employment, Health & Safety, Social, and Protection &
advocacy)
vi. Measurable strategies (action steps and supports) to meet the goal
vii. Identification of persons and/or entities available to assist the individual in reaching his
or her long-term goal
viii. identification of other accommodations, adaptive equipment, and/or conditions critical to
achieve the goal
(24) 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,
(25) The sUBCONTRACTOR shall report any injury or accident that requires more than simple first aid, and
any extraordinary incident that requires intervention by the SUBCONTRACTOR to the DSHS/DDA Case
Manager for the individual involved, and then report the injury, accident, or extraordinary incident to the
COUNTY Coordinator. This includes serious physical or emotional harm or potential harm.
1. The initial report to the COUNTY may be done via documented telephone calls to the
COUNTY Coordinator.
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 360-385-9401, or by mail to Jefferson COUNTY Public Health 615
Sheridan port Townsend, WA 98368.
3, Serious and emergent incidents shall be handled in accordance with DSHS/DDA Policy
12,01, incident Management.
Concerned Citizens Community Access Contract 20]4-2Dl5
Page 6 of IS
(26) Within 30 days of the effective date of this agreement and at least semi-annually tbereufter,
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,
(27) Make available for inspection, review, or audit hy COUNTY UD Coordinator mt all reasonable times: all work
sites; all client records; records on productivity and client wages; and all documents, reports, and other data
uppl�cxh\c�ud`i agreement. The COUNTY pbuOouomdmrservices de6vcn�,and conduct oUemu one on-site
^ --~Tl�\C%'OR during the pohodof this biumn�m1wmn�oocompOoncxw�b�eI)Z)A.St�e
vinh�vkbSO��U�
Work Orden
DodopxnJe� Aod�vvJ|be submitted annually to�e Jefferson COUNTY DD AUDIT RE )QIREMENTS. COUNTY Coordinator ��
im the following manner:
The SUBCONTRACTOR shall acquire m financial audit 6ymm independent auditing firm to determine xtu
minimum the fiouulintegrity 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 Department
within 6 months of the end wf the SUBCONTRACTOR'S fiscal year,
shall provide audit organization which:
'The SUBCONTRACTOR nm^ ,^�"r^�~^, _
(a) Iy performed hymu independent Certified Public Accountant,
the Washington State
Auditor's office, or another entity the COUNTY and the SUBCONTRACTOR mutually uu\\y apyrove.
(b) Provide statements consistent with the guidelines of Reporting for Other Noo'ProfiiOrganizations
AICPA SOP 78-10, and is performed in accordance with generally accepted auditing standards
and with Federal Standards for Audit wt Governmental Organizations, Programs, Activities, and
Functions, and meeting all requirements of OBM Circular A-1 33 or A-I 28, as applicable.
(c) The SUBCONTRACTOR shall submit one (1) copy of the audit and/or the summary and the
��d����e�����io�n���c�.�eo�o��
management
accomplished by documentation indicating the SUBCONTRACTOR'S Board mf Directors has
reviewed the audit.
(2$) If the [)ovolwpmontu| Disabilities Program Coordinator finds indications of pu&mo1bal non-compliance
during the contract monitoring process nrlemmy that the SUBCONTRACTOR is out or compliance: with
any mf tile terms or conditions of this contract, the following process will be pursued:
(a) !n8mmna|N/tidoo1iou: Informal process wherein the COUNTY Coordinator olertothe
SUBCONTRACTOR in writing of the potential non-compliance and an agreeable solution is
reached within ten (10)days.
(h) official Notification: if the fofonnuXoodficutiwu does not result io resolution, the official
notification of possible non-cornpliance to establish a date, within ten (10) working days of
notification, when representatives ^f the COUNTY and the SUBCONTRACTOR shall meet to
discuss areas ofcontention and attempt 0» resolve the issues.
(o) Written Summary: within ten (U0) working days nf such official notification, the COUNTY will
provide the SUBCONTRACTOR u written summary of the areas of non-compliance by certified
mail, Notice shall be sent uo the address identified in the Agreement.
(d) Discussion: Within twenty (20) days of the date of the written summary, odieousoiou 6etvveom
COUNTY and SUBCONTRACTOR shall be conducted to resolve areas of non-compliance wn
poteudu|mum-comp\iuvoe.
(c) Should the above procedures fail tu resolve the compliance issue, the parties will obtain the
services wf the Peninsulu Dispute Keoo|udom � ��ot� or another m��cm6 upon resource, and shall
share equally in any retainer �uaormhmrcmu1aofservices. If no agreement is reached, the
Concerned Citizens Community Access Contract 2014-2015
Page 7 of 15
mediator's decision in the matter will be binding on all parties, except that in no event will the
COUNTY honor a financial determination that is greater than the funds allowed in the scope of
this Agreement.
(30) 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 semi-annual summary progress toward meeting client goals.
(31) SUBCONTRACTOR will provide COUNTY with Adult Community Access Plans (or Person Centered
PlanfProfile), client goals, and a summary of progress towards meeting those goals on a bi-annual basis.
(32) 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.
(33) SUBCONTRACTOR shall provide COUNTY with a copy of a signed DSHS Provider Agreement within 30
days of the effective date of this agreement.
(34) 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 PASSARWE, COUNTY agrees
that funding intended for those clients shall be excluded from this agreement.
C. REIMBURSEMENTS
For said services rendered under this agreement, COUNTY shall reimburse SUBCONTRACTOR $30.00 per
unit of service, as defined in Exhibit A, Statement of Work.
(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 DDA services Report (ADSA) form for its billings. At no time shall the invoices for reimbursement
be submitted more than 60 calendar days following the last day of the month for which the services were
provided,
(3) COUNTY may, at its option, withhold reimbursement for any month for which required reports have not
been received or are inaccurate and/or complete.
(4) Total reimbursements for the fiscal year of 2014-2015 to SUBCONTRACTOR by COUNTY under this
contract shall not exceed $19,440 in completion of these services without express written amendment signed
by both parties to this Agreement. This total reimbursement includes any amendment within the fiscal year of
20114-2015,
D. MISCELLANEOUS
Pursuant to WAC 275, DS14S Developmental Disabilities Administration (DDA) shall determine individual
eligibility of persons for services delivered under this agreement. DDA shall notify COUNTY of persons
authorized for services reimbursed under this agreement. only persons referred to COUNTY by DDA shall
be eligible for services reimbursed under this agreement. The SUBCONTRACTOR shall not sublet or assign
any of the services covered by this AGREEMFNT without the express written consent of the COUNTY.
Assignment does not include printing or other customary reimbursable expenses that may be provided in an
AGREEMENT.
Concerned Citizens Community Access Contract 2014 -2015
Page 8 of 15
(2) The SUBCONTRACTOR'S relation to the COUNTY shall be at all times as an independent
SUBCONTRACTOR and any or 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.
The SUBCONTRACTOR shall not sublet or assign any of the services covered by this
AGREEMENT without the express written consent of the COUNTY. Assignment does
not include printing or other customary reimbursable expenses that may be provided in
an agreement.
(4) The SUBCONTRACTOR shall obtain and keep in force during the terms of the
AGREEMENT, or as otherwise required, the following insurance with companies or
through sources approved by the State Insurance Commissioner pursuant to RCW 48:05:
(a) Worker's compensation and employer's liability insurance as required by the State of Washington,
(b) Commercial Automobile Liability or Business Use Insurance providing bodily injury and property
damage liability coverage for all owned and non-owned vehicles assigned to or used in the
performance of the work for a cornbined single limit of not less than $ 1,000,000 each occurrence
with tile COUNTY named as an additional insured in connection with the SUBCONTRACTOR'S
performance of the contract.
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 specifjcations. The insurance
coverage shall contain no limitations on the scope of the protection provided and include the
following minimum coverage:
(1) Broad Form Property Damage, with no employee exclusion
(2) Personal Injury Liability, including extended bodily injury
(3) Broad Form Contractual/Commercial Liability - including completed operations
(4) Premises - Operations Liability (M&C)
(5) Independent Contractors and Subcontractors
(6) Blanket Contractual Liability
(5) Ali employees or subcontractors of SUBCONTRACTOR who are required to be professionally certified by
the State in the performance of services under this agreement shall maintain professional liability insurance in
the amount of not less than one million dollars ($1,000,000). In no case shall such professional liability to
third parties be limited in any way.
(6) It shall be the responsibility of the SUBCONTRACTOR to insure that any and all persons engaged in the
performance of any work or service required of the SUBCONTRACTOR under this AGREEMENT, shall
comply with the same insurance requirements that SUBCONTRACTOR is required to meet.
(7) Failure on the part of the SUBCONTRACTOR to maintain the 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, offset against funds due
the SUBCONTRACTOR from the COUNTY.
Concerned Citizens Community Access Contract 2014-2015
Page 9 Of 15
All cost for insurance shall be considered incidental to and included in the unit contract prices and no
additional payment will be made.
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.
(10) All insurance shall be obtained from an insurance company authorized to do business in the State of
Washington. The SUBCONTRACTOR shall submit a verification of insurance as outlined herein within
14 days of the execution of this AGREEMENT to the COUNTY. 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.
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,
(12) 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.
(13) 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,
(14) 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.
(t 5) The SUBCONTRACTOR, by signature to this AGREEMENT, certifies that the SUBCONTRACTOR is
not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participating in this AGREEMENT or any Agreement by any Federal department or agency, The
SUBCONTRACTOR also agrees to include the above requirement to all subcontracts into which it enters.
(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, its officers, employees, and agents
harmless from, and shall process and defend at SUBCONTRACTOR'S own expense, including all costs,
attorney fees, and expenses relating thereto, all claims, demands, or suits at law or equity arising in whole or
in part, directly or indirectly, from the SUBCONTRACTOR'S negligence or breach of any of its obligations
under this AGREEMENT; provided that nothing herein shall require a SUBCONTRACTOR to indemnify the
COUNTY against and hold harmless the COUNTY from claims, demands or suits based solely upon the
conduct of the COUNTY, its officers, employees, and agents, and provided further that if the claims or suits
are caused by or result from the concurrent negligence of: (a) the SUBCONTRACTOR'S agents or
employees; and, (b) the COUNTY, its officers, employees, and agents, this indemnity provision with respect
to (1) claims or suits based upon such negligence, and/or (2) the costs to the COUNTY of defending such
claims and suits, etc., shall be valid and enforceable only to the extent of the SUBCONTRACTOR'S
negligence or the n egligence 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 intriDgement of any copyright, patent, trademark, trade name, or otherwise results in an
unfair trade practice or an unlawful restraint of competition.
Concerned Citizens Community Access Contract 2014-2015
Page 10 of 15
(19) The SUBCONTRACTOR specifically assumes potential liability for actions brought against the COUNTY by
SUBCONTRACTOR'S employees, including all other persons engaged in the performance of any work or
service required of the SUBCONTRACTOR under this AGREEMENT and, solely for the purpose of this
indemnification and defense, the SUBCONTRACTOR specifically waives any immunity under the state
industrial insurance law, Title 51 RCW. The SUBCONTRACTOR recognizes that this waiver was
specifically entered into pursuant to provisions of RCW 4.24.115 and was subject of mutual negotiation.
(20) SUBCONTRACTOR shall not discriminate against any person presenting themselves for services based on
race, religion, color, sex, age, or national origin.
(21) COUNTY reserves the right to terminate this contract in whole or in part, without prior written notice, in the
event that contractual terms are not fulfilled, or actual funding from the Department of Social and Health
Services Developmental Disabilities Administration 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,
(22) No portion of this contract may be assigned or subcontracted to any other individual, firm, or entity without
the express and prior written approval of COUNTY. If the COUNTY agrees in writing that all or a portion of
this AGREEMENT may be subcontracted to a third-party, then any contract or agreement between the
contractor and a third -party subcontractor must contain all provisions of this AGREEMENT and the third-
party subcontractor must agree to be bound by all terms and obligations found in this AGREEMENT,
ADOPTF0 THIS _9 day of 2014
By:
John Austin, Chairman
Jefferson County Board of Commissioners
BY'.
.-
Deputy /Clerk of the Board
APPRC, WED AS 1'0 FO'M ONLY:
6
By:..' AZ
jefferson COLJN 'Y Prosecuting i mey
10
By: '
4in da Middleton
Executive Director Concerned Citizens
Concerned Citizens Community Access Contract 2014-2015
Page Iyof>5
EXHIBIT A
STATEMENT OF WORK
COMMUNITY ACCESS
1. WORK STATE ME,NT
�u Community Am�� �m�� f� program u�n� � ��db� h�o�a�c
����mm�^�"""'~ ~'—' provide
SUBCONTP,ACT0RohuU be reimbursed for such services on u mz 6 of service 6xuis' pursuant to 3cu1/ mo E.,
Reimbursements, of this contract.
R. PROGRAM DESCRIPTION
A. Program �a �wm
1. Transfer or reduction wfapnciuJizc&auppomm umm result ofincreased personal independence «od6x
community support eymzmc
2 Frequent opportunities to participate in community social, rmor*mtioouL omuuouocoiul, and/or
volunteer/contribution activities also utilized hy peers/community members without disabilities.
3 � Assisting individuals to participate in activities that promote individualized skill development,
independent living, and community integration.
4 /�otiv�ieothat provide individuals `xidhoppor�nibunio develop personal ce]u�nmohipo`widz�6�s
� in their local communities and to team to practice and apply life skills that promotes greater
independence and community inclusion,
5� Development Of social contacts, friendships, and support systems with people without disabilities.
&� Frequent outings on»o individual basis away from their home setting,
? An opportunity to wuqobe supplemental training in uvo\umeerjoh mhaatimo to enhance versatility
and individualized education/self-advocacy skill development necessary for new tasks in order to
address growth and interaction needs.
B. Definitions
m an opportunity mexperience choice, power, and status in the community
� an opportunity m build relationships, tocontribute and, to feel x sense of belonging »uthe
community
m opportunities m1oum,tmpmcnicomudopph/Ufeukii|atbazpramomsgpunerindepcnJomoemnd
community inclusion
m mn opportunity tu access generic resources with peers without disabilities
m
an opportunity to access volunteer opportunities in order to enhance versatility
m
an opportunity for self advocacy and skill development for new tasks, and to contributc to the
community
a!
Concerned Citizens Community Access Contract 2014-2015
Page 12 of 15
C. Program Requirements
\ �L7�C��T��CT0�La�Vnmr�e Community Ao�am8�v�es.1hmeu�v�c�as�fincdhuSu��o
' lK3 above & are in the Community Access Billable Activities Form, (see Attachment B).
2 ' SUBCONTRACTOR shall provide ua individual Program Plan and/or Person Centered
�l delineating individual ,66Ooand needs vvbhim30 days of�ub*g�ningofservices
P�«noiu��»u �y � T6 SUBCOl�TRA[TO�(wiDuxedzeuevvComm.uoby/�oceum9lmoBepm�
vvdb mU clients, *
program
�b�b`wiUserve auuo aid imnzu�bLn&prngrunool�nt to appropriate
�»rzn(au��nao i`` and w/iUserve omm�umoidoo tool tovvocdothe advumuumo�tofthe
services in the community;
individual's increased personal independence in the community; an opportunity to build relationships;
to contribute and tv feel n sense ofbelonging tn the community, while accessing volunteer
opportunities in order to enhance versatility and develops skills necessary for new tasks.
3 . SUBCONTRACTOR shall schedule u six-month review of meetings for all program participants, The
review shall imuimdc an assessment of the need for continued community access services and oo
evaluation of the Individual Program plan goals and objectives io the form ufu Semi-Annual Progress
Report, The SUBCONTRACTOR shall use the new Community Access Plan RcpomF000,(uee
Attachment A.)tv report on the semi-annual progress ot the client,
4 {boS�m�Ammmm Cmm�moo�yAccess P�nAapm�shall domnno�u��e n�a�g�
� client goals, and is, advancing towards meeting the outcomes ofhiaorherAmulx;
training provided and u written synopsis showing progress toward meeting objectives mrudescription
of the reasons for any shortfall concerning the outcomes and proposed actions for correction.
5. COUNTY mhall receive the dates for the 6-morith reviews for program clients one month before the
required meetings,
0 8��CO�TKACTORvvUlsnhm�tmthe COUNTY, DD/\ Case Y�auugemont.Reside�iul9mri6er.
� Parent/Guardian Semi-Annual Community Access Plan Report Form on each client.
7 Tb�Sd�C(��TDACT0RvvUlumetbeme`wCmmmuuoity�touesyBepm�Focm,�eu/i�vuhmemt/&)to
the y^miumoou|pro&rmsnftbooii�o�
r�p*�mu � - .
8 The ��qu�noyofthe Semi-Annual 9nogzsu Reports &x this cumrnntmuJ period vvili be one every six (6) months aftcz the initial plan, July through December 2O14 with the report due ou January 2nd of
20l5. the second due date will hu Juo�u�� th ru June 2015, due July V20l5.
9 Services shall prwnmotethe use ofm�ura|suppm� which � relationships typically developed in the community that enhance the quality and security of life for
people, including friendships i�iummvvhht�Omwm���ntnim�mmouuokyciuuu/� and associations developed
community, associations .
through participation in clubs, organizations, and civic activities.
y0 Cnmmumity/\ccouascrvicosvvOlfbcueonuotivitiemt&cu�e�piouDyuxperieocedbyt6ugeoerml
�
public. Support o 1 participate in segregated activities and/or specialized activities will not bo
ruinuhuzoe6. Services will occur individually *rin u group ofro more than 2 individuals with similar
interest and needs.
�l
&urv�ucxobml\ n
�ruv�d»»oyp»tv«600eindiv�ualum/iuk1ngtouuckvmiuntcurmu6videm;ooubaepving
transportation, assisting with and other u�eedupon
pvbl�t��s�o ' ,
vocationally related goals bo preparation for volunteering.
zz
Concerned Citizens Community Access Conti-act 2014-2015
Page 13 of 15
12. The Provider shall provide coordination of activities to develop a diverse schedule of activities based
on the client's needs and interests as connected to their Individual Program plan.
13. The Provider shall assess and document in the Community Access Plan Report Form each participant's
transportation needs. The Provider shall assist each participant to access public or specialized
transportation for some activities sponsored as a part of Community Access services, It is expected that
public or specialized transportation will be utilized, except as detailed in the transportation plan. The
cost of transportation is included in the fee for service that a Provider receives.
14. Program participants must be authorized for service by the Developmental Disabilities Administration
(DDA) and referred to the COUNTY.
15, A client receiving community Access services will not receive Employment services simultaneously.
16. A client receiving Community Access services may at anytime choose to pursue work and to receive
Individual Employment services.
17, If a client is not satisfied with employment services after nine (9) months in an employment program,
(an unsuccessful job search), the client may choose Community Access services.
18. 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 RC 43.43.830-
845 and RCW 74.15-030 on all staff.
19. 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
D. -organization. Occurs, which minimally includes:
(a) SUBCONTRACTOR's procedure to train new direct service staff, training must include,
• DDA policies & Competencies (see Section C-Number 17-20)
• RCWs & 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
(b) skills on how to write Community Access Client Plans and/or Person Centered Plans (creating
client goals /objectives)
(c) SUBCONTRACTOR's plan to provide staff who are skilled in applying training techniques to
enhance the work related skills of program clients
(d) FTE levels, job descriptions, and organization chart pertaining to program staff
(e) SUBCONTRACTOR is required to send one direct service staff to a minimum of 16 hours of
workshops, trainings, and/or conferences about developmental disabilities. Should
SUBCONTRACTOR fail to access trainings for direct service staff, the SUBCONTRACTOR
will reimburse the COUNTY at the rate of 65.00 an hour for every hour of training not
accessed for staff (for not more than a total of $1,040)
20, SUBCONTRACTOR will provide COUNTY with information regarding staff qualifications and
documented training's upon request,
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Concerned Citizens Community Access Contract 2014-2015
Page 14 of 15
21. SUBCONTRACTOR must assure new staff are informed specifically of all agency policies/procedures
and have documentation that assures all direct service staff 18 years of age or older are trained in the
following DDA Policies Prior to Working with Clients: ADA training, APS Reporting Requirements,
client confidentiality, current individual instruction and Action StepsNocational Plans for each client
with whom the employee works; DDA Policy 4. 11 Working Age Adult (adult services only); DDA
Policy 5.06 Client Rights; DDA Policy 5.13 Protection from Abuse, Mandatory Reporting; DDA
Policy 12.0 Incident Management.
22, 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 oneself
understood
3) P'lanning methods
4) crisis Prevention and Intervention
23, Within one ino,nth of employment: SUBCONTRACTOR must ensure that direct service staff received
training and are knowledgeable in the following areas: Overview of DDA Policies including: DDA
Policy 3.01 Service Plans; DDA Policy 5,03 Client Complaints; DDA Policy 5.17 Physical
Intervention Techniques; DDA Policy 6.13 Employment/Day Program Provider Qualifications; DDA
Policy 13.04 DRW Access Agreement; DDA Policy 15.03 Community Protection Standards for
Employment/Day Programs; and all reporting requirements related to these DDA Policies,
_x mont s oLenn _ service staff received
plo
ymen!t: SUBCONTRACTOR must ensure that direct se
24� _1ithin six mont_
training and are knowledgeable in the following areas: Program skill development, DDA Policy 5.02
Necessary Supplemental Accommodation; DDA Policy 5.14 Positive Behavior Support; DDA Policy
5,15 Use of Restrictive: Procedures; DDA Policy 9,07 HIV and AIDS and Program Skill Development.
25. SUBCONTRACTOR will have signed documentation that staff training took place within the timelines
listed above in section C-Number 17-20.
26. Within 30 days of the effective date of this agreement, and annually thereafter, SUBCONTRACTOR
will develop and submit to COUNTY a Community Access program-operating budget detailing the
projected allocation of contract funds, other sources and amounts of funding, program staffing
expenses and other cost allocations. Within 30 days of the effective date of this agreement and at least
semi- annually thereafter, SUBCONTRACTOR will provide company and program operating financial
reports to COUNTY, including all revenues and expenses generated by SUBCON'rRACTOR, in
sufficient detail to demonstrate the uses of funds provided under this agreement.
27, Every 6 months, SUBCONTRACTOR will develop and submit to COUNTY, Community Access
financial reports reflecting the actual revenues received and expenses incurred compared to the
projected program budget submitted per Section C.7, along with the overall operating budget.
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Concerned. Citizens Community Access Contract 2014-2015
Page 15 of 15
D. performance Standards
1. SUBCONTRACTOR shall provide Community Access services for four program clients who are
authorized for service by DSHSIDDA and have been referred by COUNTY.
E. Service Level Guidelines
Client Acuity is determined through the DDA assessment. Acuity reflects conditions typically
related to individual disabilities that are not likely to change, and are generally not impacted by
outside factors. Client acuity is determined as ``High ", "Medium", or "Low" as defined within
WAC 388-828.
2. Service Level Guidelines reflect Client Acuity and other considerations, (see Table below); the
assigned support levels typically reflect direct service staff time Provided to or on behalf of the
client on an individual basis, to participate in age appropriate community activities similar to those
without disabilities. Allowable activities are defined in the Community Access Billable Activities,
(see Attachment B).
1 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 Community Access Plan.
ComMUNITY ACCESS- ASSIGNED SERVICE LEVEL-Monthly Support HOUR'
ACUITY LEVEL Monthly Support Hours
Level A Up to 3 hours
_ B
Level
Up to 6 hours
Level C
Up to 9 hours
Level D
Up to 12 hours
TevclE�
Level F
Up to 15 hours
Up to 18 hours
Level G
Up to 20 hours
F. Community Access Unit of Service
1. One UNIT of Community Access service is defined as one (1) or more "HOUR" of direct service or
ASSIGNED SERVICE LEVEL to one eligible client. A UNIT is defined as a "HOUR" which is at
least fifty (50) minutes of direct service; (partial hour to the quarter may be recorded), ten (10)
minutes of every "HOUR" can be used for documentation and/or meeting times.
Community Access service support hours per month will be based on the client's Community Access
Acuity Level per WAC.
3. SUBCONTRACTOR will provide a maximum of 252 units of service per fiscal year at $30.00 a unit
for up to two clients.
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