HomeMy WebLinkAbout080414_ca02Consent Agenda
JEFFERSON COUNTY PUBLIcHEALTH
615 Sheridan Street o Port Townsend o Washington o 98368
www.jeffersoncountypubliichealth.org
July 2, 2014
JEFFERSON COUNTY
OARD OF COUNTY COMMISSIONERS
ilk
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley,, County Administrator
FROM: lean Baldwin, Director
DATE:
SUB3ECT: Agenda Item — Professional Services Agreement — Skookum Contract
Services for Individual Employment and Individual Technical
Assistance; July 1, 2014 — June 30, 2015; $139,009-00
STATEMENT DF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division is requesting Boardl approval of the
Professional Services Agreement — Skookum Contract Services for Individual Employment and Individual
Technical Assistance; July 1, 2014 —.Tune 30, 2015; $139,009.00
AN G—OALSIPRO'S and COWS:
The professional services agreement with Skookum for Individual Supported Employment falls under
Vocational Services as part of the Developmental Disabilities agreement with DSHS. This agreement
provides for the placement of clients from the developmental disabilities community into traditional
employment settings at work sites, or in job training. The placement may also include vocational counseling
and job analysis to assist in identification of work objectives and the job process, locating a suitable
community job for the worker; initial placement and post hire training of the employee, employer, and or
co-workers at the employment site, job restructuring and work site modifications; supporting the worker,
employer, and other interested persons -- parents, unions, others to develop natural workplace supports to
ensure stability on the job; and to assist the worker in obtaining other services as necessary for continued
employment; feedback to the worker, county and DD field services regarding progress and/or problems.
Follow-along services are included that provide for a safety-net service of support, counseling, job analysis,
and supported training to the worker, employer, and other interested parties (parents, unions, etc).
The client will be supported by assessment and consultation services to better identify and address barriers
to employment. Jefferson County Public Health contracts with providers once per year; Providers are
chosen via a formal RFQ process timi-occurs every four years, as per DDA 2011 mandate.
COMMUNITY HEALTH PUIBLIC HEALTH ENVIRONMENTAL HEALTH
DEVELOPMENTAL DISABILITIES AtWATS WORKING FOR A SAFER AND WATER QUALITY
MAIN: {360) 385-9400 MAIN: (360) 385-9444
FAX: (360) 385-9401 HEALTHIER COMMUNITY FAX: (360) 379-4487
Consent Agenda
FISCAL IMPACT f COST BENEFIT ANALYSIS:
This agreement provides, for funding not to exceed $139,009.00. The provider shall be compensated at the
rate of $65.00 per unit defined as 50 minutes of direct service, characterized as placement, replacement,
and follow-along services and/or the service of assessment and consultation. All funding for vocational
services is through the Developmental Disabilities Administration with DSHS and is identified in the budget.
R E C )—M—M—E—N _QA T I LAM ":
JCPH management request app roval of the Professional Services Agreement — Skookum Contract Services
for Individual Employment and Individual Technical Assistance; July 1, 2014 — June 30, 2015; $139,009.00.
R E V I—E—W—EA i
Philip Morley
, Coun Administr tor Date
(Routed to all Public Health Managers)
SUBCONTRACT FOR PROFESSIONAL SERVICES
INDIVIDUAL EMPLOYMENT AND INDIVIDIA TECHNICAL ASSISTANCE
Agreement Between
JEFFERSON COUNTY PUBLIC HEALTH
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 Individual Supported Employment to Persons with Developmental
Disabilities in Jefferson County. The term of this agreement is July 1, 2014 through June 30, 2015. 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:
"Individual Supported Employment" or I'M": services are a part of an individual's pathway to
employment and are tailored to individual needs, interests, abilities, and promote career development.
These are individualized services necessary to help persons with developmental disabilities obtain and
continue integrated employment in the general workforce at or above the state's minimum wage. These
services may include intake, discovery, assessment, job marketing & development, job placement,
coach in g/s upports, job replacement, worksite job training, development of natural supports, and follow-
along to maintain a job & and record keeping per Exhibit A — Statement of Work.
(2) ,Individualized Technical Assistance" or "ITA": services are a part of an individual's pathway to
individual employment. The service of assessment and consultation (in order to identify and address existing
barriers to employment) may be provided by the employment provider, or to the employment provider. This is
in addition to supports received through supported employment services or pre-vocational services for
individuals who have not yet achieved their employment goal per Exhibit A — Statement of Work.
(3) 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
71 A. 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 74.15.030, that if any prospective employee who has not
resided in Washington State during the last three years, and who will or may have unsupervised access to a
person with a developmental disability in the course of his or her employment, or involvement with the
business or organization, must have a F.B.I. Fingerprint Check, This fingerprint check must occur before
employment begins working.
(4) SUBCONTRACTOR is required to repeat the W.S.P. Criminal Background Check for Staff every three years.
,rhe W,s. P. Criminal Background Check and the 17.131 Fingerprint Check must go through the Background
Check Central Unit office within DS14S 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 tinder 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 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 Service; Supported Employment Service 2100.
(6) SUBCONTRACTOR shall comply with the following Developmental Disabilities Administration, (DDA)
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) 'The DRW Access Agreement with DDA, assures that the COUNTY and SUBCONTRACTORS have
reviewed the Access Agreement, The Access Agreement covers DRWs access to individuals with
developmental disabilities, to clients, to programs and records, to outreach activities, to authority to
investigate allegations of abuse, neglect, and other miscellaneous matters, and it 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 human/civil rights); regarding a person's right to privacy, regarding safeguarding
personal information and abuse of participants; regarding agency medication procedure; regarding
respectful staff -to-participant interactions (i.e.: including a person's right to be treated with dignity and
respect 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, DDA Policy 5.02
a, 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
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.
(12) SUBCONTRACTOR will encourage participant involvement in policy development.
( l 3) SUBCONTRACTOR shall update Client Intake Forms every 6 months during the Client Review meeting.
(14) 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 member of immediate family, 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),
(15) SUBCONTRACTOR shall have adequate staffing ratios and patterns to maintain quality and safety.
SKOOKUM JETFA Contract 2014-2015
Page 2 of 18
(16) All services for persons with developmental disabilities must be provided with attention mtheir health and
safety. SUBCONTRACTOR ubu|| comply with all applicable federal, state and local fire, health, and
safety regulations.
(17) Incidents involving, injury, heahh, or safety issues are immediately reported m DD& Central Office and the
County (reference: DD&9wlicy6.O8, Mandatory Reporting 8uJrironruvts/o, Employment and Day
Program Services Prmv/oe/r).
(18) Incident reports are tracked and analyzed for potential trends and patterns.
{1y) Current emergency contact and medical information (medications, diet, allergies, etz.) needed during the
hours wf service im 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 ABS guidelines:
i*�o ducoro�otu1i000fusab�an1im1edfiudio�wfuhqac u��}mm �xp|*i�y�oo or abandonment
� 0�omz��» & ' " "
from A9S,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.
l
The SUBCONTRACTOR is required to:
u. Document the steps the SUBCONTRACTOR has taken to protect the vulnerable
person(s) immediately; and
b. Submit u corrective action plan, if needed, mthe county vvhbio 10
working days.
2 , The COUNTY will respond to the steps taken and the sufficiency ofthe 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 un amended plan will bo required within 5 working days.
3 Once accepted, the COUNTY will send the 000e,tivouobooplan uo0UA �ofinal upprovui UD��
' regional ^ft'Ulruspnoduucmtheploo"nnufGciemuy,mmd�vhuhenc000«moyaJdi6oma}iotormutimmim
needed, within l0 working days, The region will send m copy m Central Office.
4 . COUNTY and its SUBCONTRACTORS are mandated reporters of abuse and neglect under ����
7434020, Abuse g/Po/nero6/mAdubx(l). and nuuatconup|yvpid6rcpmtiogvogu�omentudescribed im
' -VV74J4�035,A40audC6untcr26.44DCVV,A8uxwofC6j�ren. [f the C0UNT`�io notified hyDSX�8
^~~ a��0�0Y4�D��CT0K`Sotuffm:mberinciteduronrhen:gin�yk`raxu6utauci�ed �odiog`then that
--'
umsuciatedstaff member will h e prohibited fromproviJiogsorvioeenndcrt6iu contract,
(21) SUBCONTRACTOR is required to maintain the following minirnurn organizational capacity in order to meet
the performance standards set forth in this agreement. PuOurc or inability of SUBCONTRACTOR to meet
any or all of these minimum capacity requirements, as determined solely by COUNTY, may hecause for
termination of this agreement um provided herein.
(a) Accrqditatiow. SU o+°`^"=~'"~ must be able to demonstrate conformance m Commission on
Accreditation of Rehabilitation Facilities (CARF) standards for guuUzy ummunanuc and C&RF
accreditation.
SUBCONTRACTOR shall pro�/zand maintain all m
Confidential lmGomnioog�ueJ6y
``' mu����000cno�aootun�m�o�z�duacmoeuna�iudoyun:nuo8iGus�imomrUouuT6im
r�aaoow/mcrro�� . , . ' �
duty requires, the COUNTY to employ reasonable security measures, which includes restricting access to
Confidential Information by:
�����6�� u�6�������� �v�wUeCo�d�d�
(\) Allowing access uo �q�r�/uzu
Information-
(2) Physically securing any computers, Jmoumcnou, or other media containing Confidential
lo6mnzmiun.
SKD0KDaxl2/�rA Contract zo|*-zO|5
Page }vf|8
o������b��c forty nine o��n�g C�U�n�\
8) When transporting =^ `~
information outside a Secure Area do one or more of the following as appropriate:
trusted (a) � 0m�a ot u System
Od Encrypt the Cmzfidemtia\Information, including
(|) Email mnd/o�r email attachments
(ii) Confidential |oGuona*imm when it is uund on pumah|c devices or vuodiu
including but not limited tw laptop computers and flash memory devices
(c) 5end pa er documents containing Confidential Infonnation 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 Inforination 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 specifies that 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
infonnation) must be destroyed through shredding, pulping, or incineration.
(3) The compromise or potential compromise of Confidential Inforination 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) _E� �ual Ac�cess: 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),.
pro in M in
ims C un ree r s a ' ur t fleet rarn revenues and expenditures; prepare
I in thly s t in 11 g 0 r c iv ity -por s maintain appropriate client service records and
arfi6pAniK SUBCONTRACT R ion of individuals with
developmental disabilities with people who are not disabled and has involved participants with
developmental disabilities in policy development.
(g) P 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 the Schools.
(h) f�erformancc P14-t)1 SUBCONTRACTOR has a written performance plan that describes its mission,
program objectives, expected outcornes, 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.
(i) Qualified _staff, SUBCONTRAcl-OR 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.
5ALet-y� SUBCONTRACTOR will provide evidence that it employs safety protection based on the
environment in which the participant is working or receiving services,
(22) SUBCONTRACTOR shall provide an Individual Client Plan and/or Person
Centered planning/pr0flics 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 Forrn (see Attachment A) for Individual Employment/Vocational Client Plans.
(23) Individual Employment/Vocational Client Plans will include:
| lotonuu:on
i that identifies and addresses the individualized goal and support needs for each
participant. The plan should be developed by the provider in collaboration with the Case Resource
Manager, participant, and his or her family (the mxm).
2, Initial plans will be completed within 60 days frorn date of service authorization and must be
signed by the participant and/or his or her guardian, if any,
3. Copies uf the initial and subsequent revised plans will be distributed uy appropriate in all team
members.
4� Plans will hc reviewed and signed annually.
eKw»uuxx/s/xTxco^ttactm|^'zm/5
puo*4^r/x
(24) Individual ErnploymentNocational Client Plans will also include the information listed below:
a)
Current date
b)
Timeline for the plan
c)
Client's name: first and last
d)
Client ADS ID
e)
Employment goal
f)
Preferred (job type) the individual wishes to obtain or maintain
g)
The preferred wages /salary the individual wishes to earn
h)
The number of hours the individual 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
rn)
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 their health and
safety. SUBCONTRACTOR shall comply with all applicable federal, state and local fire, health and safety
regulations.
(27) 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 to the COUNTY Coordinator. This includes serious physical
or emotional Kann or potential harm.
The initial report 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 360-38,5-940, 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,
(28) W0in 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 a
(29) 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 DDA State
Work Orden
(30) AUDIT R.FQULR_E_MEN!15, Independent Audit will be submitted annually to the Jefferson COUNTY DD
COUNTY Coordinator in the following manner:
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 I lealth Department
within 9 months of the end of the SUBCONTRACTOR'S fiscal year.
SKOOKUM 1E/1TA Contract 2014-2015
Page 5 of 18
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 the COUNTY and the SUBCONTRACTOR mutually approve.
(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 -1.33 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 learns that the SUBCONTRACTOR is out of compliance with
any of the terms or conditions of this contract, the following process will be pursued:
(a) Informal Notification', Informal process wherein the COUNTY Coordinator alerts the
SUBCONTRACTOR in writing of the potential non-compliance and an agreeable solution is reached
within ten (10) 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 ten (10) 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.
(c) Written Summary: Within ten (10) 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
CouN,I,Y 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, ej u � t 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 property 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 of progress toward meeting client goals.
(33) SUBCONTRACTOR will provide COUNTY with Individual Employment Plans (or Person Centered
Plan/Profile), client goals, and a summary of progress toward meeting those goals on a biannual basis.
(34) SUBCONTRACTOR will 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.
(35) SUBCONTRACTOR shall provide COUNTY with a copy of a signed DSHS Provider Agreement within 30
days of the effective date of this agreement.
(36) 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
SKOOKUM 1E/1TA Conti-act 2014-2015
Page 6 of 18
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 reirnburse SUBCONTRACTOR on a unit
rate basis as follows:
L loyment/Indivi.�dua�lize�d.TectuiticaI Assistance 'Services: SUBCONTRACTOR will be
(a) Individual Em
S65.00 per unit assigned Service Responsibility of regular Program Service as defined in
Exhibit A, Statement of Work.
(2) SUBCONTRACTOR will bill COUNTY monthly in arrears and on a monthly basis, on or before the 5th day
of the month, for units of service provided under this agreement. SUBCONTRACTOR will submit a Monthly
DDA services Report (ASDA) 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 without COUNTY approval.
(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 fiscal year 2014-2015 to SUBCONTRACTOR by COUNTY under this contract
shall not exceed $139,009-00 in completion of these services without express written amendment signed by
both parties to this Agreement.
(5) SUBONTRACTOR will access Division of Vocational Rehabilitation (DVR) funding as a resource. 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
Pursuant to WAC 275, DSHS Division of Developmental Disabilities (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.
(2) The SUBCONTRACTOR's relation to the COUNTY shall at all times be that of independent
SUBCONTRACTOR. 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.
N 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
SKOOK➢M JETFA Contract 2014-2015
Page 7 of 1 8
of �mrkdouoomh�cd single |hodof not �o than $l�0o�V# each oc*u�enco
performance with the COQNTYuurn*d as insured in uomu� c6 unwith the S0B Cum/umu/ou "S
performance of the contract.
(c) General Commercial Liability Insurance in an amount not less than a single limit of one million
dollars ($1,B80,V00.08) per occurrence and ux��regme of not less than �vo(2)tin«euthe
occurrence amount ($2`0o0`O0UM minimum) for bodily injury, including death and property
damage, mo1mum a greater mummmt is specified in the contract specifications. The insurance
coverage shall contain no limitations on the scope of the protection provided and include the
G»Dmvviog muioimuouooveragc:
(l) Broad Form Property Damage, with mmemployee exclusion
(2) Personal Injury Liability, including extended bodily injury
Broad (3)
B d Form Contractual/Commercial Liability - including completed operations
(4) Premises ' Operations Liability (M&C)
(5) Independent Contractors and Subcontractors
(6) Blanket Cvm�ac1ou\Liability
(6) All employees or subcontractors of SUBCONTRACTOR who are required to be professionally certified by
the State in the performance of services under this agreement shall maintain professional liability insurance
in the amount o[ not less than one million dollars ($X,0A0,0OV), In no case nbaO such professional liability
to third parties bn limited in any way.
(7) � shall 6e/bemuponsi6Dhynftbe SUBCONTRACTOR tu insure that any and all persons engaged imthe
� i required otdb� �0��0NTG���?0� under ^�����momt obaD
p��fvonnnc� of any work uc o�rvu� �gm '
comply with the same insurance requirements that SUBCONTRACTOR is required to meet.
�hm�����a o h8DBONAC0Dmmnoh numa qu6sa ontuu
00 onumrk� breach of contract upon wb�b the COUNTY may, after giving �ve *uckiug �uym umt�ue »u �be
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
e,he repaid s* the COUNTY ondemand, *rmthe sole discretion of the COUNTY, offset against funds due
the SUBCONTRACTOR fi-onuthe COUNTY.
u ~
(y�
All oat for insurance xbu|l be uounidurr4 incidental to and included in the unit contract prices and no
additional payment will 6emade.
Excepting �e \�uxkeo Compensation �ourmnon 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
(l0)
(ll�
All insurance mhuQ he obtained from an insurance company authorized to do business in the State of
*9ushingtnm The SUBCONTRACTOR uhmU submit a verification of insurance as outlined herein within
14 days of the execution of this Agreement to the CODN7l/. 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 o waiver of subrogation rights, Any
insurance self-insured retention, deductible or risk retention maintained, or participated in, by the
COUNTY ybuU he excess and shall be non-contributory to the insurance policies provided by the
SUBCONTRACTOR in order »n comply with the insurance requirements vf this Subcontract. All policies
provided by the SUBCONTRACTOR in order to comply with the insurance requirements of this
Subcontract must be endorsed to mho* 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 ia 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.
uKoouuw1E/ou Contract m|*-2on
Page onfm
(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.
(15) 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.
(16) The SUBCONTRACTOR shall indemnify and hold the COUNTY, and their officers employees, and agents
harmless from and shall process and defend at its own expense, including all costs, attorney fees and expenses
relating thereto, all claims, demands, or suits at law or equity arising in whole or in part, directly or indirectly,
from the SUBCONTRACTOR'S negligence or breach of any of its obligations under this Agreement;
provided that nothing herein shall require a SUBCONTRACTOR to indemnify the COUNTY against and
hold harmless the COUNTY from claims, demands or suits based solely upon the conduct of the COUNTY,
their officers, employees and agents, and provided further that if the claims or suits are caused by or result
from the concurrent negligence of.
(a) the SUBCONTRACTOR'S agents or employees; and, (b) the COUNTY, its officers, employees and agents,
this indemnity provision with respect to (1) claims or suits based upon such negligence, and /or (2) the costs to
the COUNTY of defending such claims and suits, etc., shall be valid and enforceable only to the extent of the
SUBCONTRACTOR'S negligence or the negligence of the SUBCONTRACTOR'S agents or employees,
(1 7) 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.
(18) 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.
(19) SUBCONTRACTOR shall not discriminate against any person presenting themselves for services based on
race, religion, color, sex, age, or national origin,
(20) COUNTY reserves the right to terminate this contract in whole or in part, without prior written notice, in the
event that contractual terms are not fulfilled, or if expected or actual funding from the Department of Social
and Health Services Division of Developmental Disabilities is withdrawn, reduced, or limited in any way after
the effective date of this agreement, In the event of termination under this clause, COUNTY shall be liable
only for payment for services rendered prior to the effective date of termination,
(21) No portion of this contract may be assigned or subcontracted to any other individual, 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
SUBCONTRACTOR and a third-party subcontractor must contain all provisions of this Agreement and the
SUBCONTRACTOR must agree to be bound by all terms and obligations found in this agreement.
SKOOKUM IE/1TA Copitract 2014-2015
Page 4 of 18
By:
J,Xe, President
Skookum Contract Services
By:
Attest, Clerk of the Board
AP P VED ONLY
Il 'N
Po
By
Jefferson County Prosecufi�A AttorT ey
SKOOKUM IE/FFA Contract 2014-20 15
Page 10 of 1 8
EXHIBIT A
STATEMENT OF WORK
INDIVIDUAL SUPPORTED EMPLOYMENT /INDIVIDUALIZED TECHNICAL ASSISTANCE
1. WORK STATEMENT
SUBCONTRACTOR shall provide Individual Supported Employment Services/Individualized Technical Assistance
for program clients as described hereinafter. SUBCONTRACTOR shall be reimbursed for such services on a unit of
service basis pursuant to Section C., Reimbursements of this contract.
11'. PROGRAM DESCRIPTION
A. Program Goals:
1. To support and strengthen Skookum's capacity to provide quality, cost effective individual supported
employment services.
To assure that businesses employing individuals with developmental disabilities in Jefferson County
will meet the Employment Quality Indicators from the County Guidelines as adopted by the D.D.
Advisory Board,
1 To provide employment services that are designed to meet specific needs of individuals based on
personal preferences and individualized goals and outcomes.
4. To provide appropriate job matching and necessary vocational support services to assure that
program clients placed in individual community jobs maintain continuous employment for at least
one year.
5. To provide Pathway to Employment Plan facilitation, a discovery process, detailed action
steps/timelines that will serve as a transition too] towards the advancement of the individual's
pathway and as an aid in the implementation of matching program clients to appropriate
employment services in the community.
6. When appropriate, to provide 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).
7. Clients in an Employment program will be supported to work toward 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 community work per week or eighty-six hours per month,
B. Defilliti0"s
Individual Em-IoYmen is an individual job in the community where a traditional
P
employer/ernployee relationship exists (i.e. person is hired, paid, and supervised by the employer),
and is performed at locations that are typical employment sites for non-disabled persons, (not in
businesses or locations where the primary purpose is to provide employment or work training for
individuals with disabilities). Individual Employment is for those who have not traditionally held
competitive jobs or who have had interrupted or intermittent employment as a result of a severe
disability, and is for people with severe disabilities who need intensive andior extended support
services to perform work in the community.
Placement is defined as employment in a first job or in multiple jobs arranged by
SUBCONTRACTOR for 90 calendar days. Placements may be: full-time, average weekly work
totaling 40 hours or more; or part-time, average weekly work totaling, 12 hours to 40 hours.
SKOOKUM [EATA Contract 2014-2015
Page I I of 18
Re lam is defined as being assisted by the same SUBCONTRACTOR in any subsequent
employment (second, third, fourth job, etc.) for 90 calendar days. Employment may be full-time,
part-time, or other as defined in 13.2 above.
Placement and Re counseling and job analysis to assist in
1cation s; job development, locating a suitable
the identification
community job for the worker; initial placement and post -hire training of the supported employee,
employer and/or restructuring and worksite modifications;
sup orting the worker, persons (parents, unions, other employees,
etc.) to develop natural workplace supports an stability on the job; assisting the worker to ensure sta
obtain other services necessary for continued employment; feedback to the worker, COUNTY and to
DDA Field Services regarding progress and/or problems.
5. Follow a—long Services begin at the time of placement or replacement and may include: visiting with
the worker, the employer, and other interested parties (parents, unions, etc.) to insure stability on the
job; providing feedback to the worker, COUNTY, and to DDA Field Services regarding progress
and/or problems; counseling the worker and his/her family on vocational issues,
6. The develo ment of a Pathwa to E ment Plan that will serve as a transition tool toward the
Em I o
advancement of the individual's employment pathway and as an aid in the implementation of
matching program clients to appropriate employment services in the community,
pj�
7� nin is defined as facilitating the development of a Pathway to Employment Plan; delineating
individual vocational skills, experiences, preferences, strengths, support needs, skills, goals and
objectives, education on system navigation and the Discovery Process related to vocational skills
and capabilities.
8. Im mentation of the Action Steps that detail tasks timelines and entities responsible for leading
T.1e
to the community employment will reflect that 75% of the direct service hours with the client will
be at employment sites in the community. The amount of service a client receives will be based on
his/her demonstrated need, acuity level, and work history.
Lndiyidualized Technical Assistance services are part of an individual's pathway to individual
9� employment. The service of assessment and consultation (in order to identify and address existing
barriers to employment) may be provided by the employment provider or to the employment
provider. This is in addition to supports received through supported employment services or pre-
vocational services for individuals who have not yet achieved their employment goal.
C, Program Requirements
1, The SUBCONTRACTOR will clearly communicate to the client and the COUNTY, prior to beginning
service, 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 client's 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.
(b)The amount of service the client receives should match with the CMIS County Service
Authorization and updated Planned Rates information.
2. if SUBCONTRACTOR is selected as the client's provider, SUBCONTRACTOR shall provide an Individual
Employment/Vocational Client Plan for client's in service delineating individual skills, experiences,
preferences, strengths, support needs, skills, and goals and objectives within 30 to 60 days of the beginning
of services for the client, in order to promote Individual Employment. (Minimum Individual
Employrnent/Vocational Client Plan elements are outlined in the reference document called "Criteria for
Evaluation" available on the DDA website.)
3. SUBCONTRACTOR will provide a copy of the Individual Employment/Vocational Client Plan to the client,
their CRM's, Guardian, the COUNTY, and others as appropriate.
SKOOK U M IE/TTA Contract 2014-2015
Page 12 of 18
Planning services shall inc�deupermmom discovery process rJu�dtnskUb,
4 �aum��yav,�uop^°�.�^^.
� capabilities, and goals; o6moouioo oosymemoavig�iom;�cOh�cd plan development; action s�pyd�a Ybmg
cu� *bo�l�-maand-`reopouwi\�ehv6bemcconuplidbm�Vutvuuku�ad�gmmmploymeutmndtbu
a�c�u. timelines, entities
implementation mf vocational services.
5 C\�mtaiuun�oz�loymucmtyrugrump/Ul6euuppm�edto*orkumv/�daYiv�g wage. /\ living wage ��e
� enable imdividua|0mmn��t�r�x000d6�orh�,|ivin�ux�uum�o Clicmushould average
�mo�nmnu�d�dnou� �uo �
twenty (20) hours of community work per week or eighty-six (86) hours per month, The amount ot service u
client receives will he based ou his/her demonstrated need, acuity level, and work history.
fails ��o�de the �u�ummmo�rufmo�Ny�m�b�m8m the c�u t�
6� if SUBCONTRACTOR }��� � o��o��ieo uo6/orReoldenda|Prnvidcrcuoowroiugtbcnui»ioomm»
COUNTY will advise the client, �� ,
and maximum number of service hours the client should be receiving and inform them of the option of
ubwoobmg another Employment Provider.
T SUBCONTRACTOR will contact all clients according to their need, and at least once a month.
m �b�&�tjvu�topmmft6elodividua|BouPloyman�\/omutioum|Cl[ontP&ovvU\bo,uvion/edhytbecboxem
Employment Provider evorybmon{ho(movncrifneoded) imurdortomaoennifitis continuing to meet the
individual's pathway m employment goals.
9 �h� A,�6un ��po of the individual Employment/Vocational Client P|mu will reflect that 75�� of the direct
� with oli�uzvvil| bo/d�mplwymcru sd�m 6ndb�cvmmmn��� The focus will be on real vvwzk
nonv�o�bouruvv � �
experience in u community setting delineating individual skiUx, experiences, pmG:remm:o, strengths, support
needs and vocational interests,
iO . SUBCONTRACTOR shall provide an Individual Employment/Vocational C}ium1 Plan for clients in
Individual Employment delineating individual mkiOo' experiences, preferences, strengths, support needs,
and goals and objectives within 30 days of the beginning of services for the client in order to promote
Individual Employment, Job coaching and supervision of program clients will be based on goals
established in an In&ividuu] Employment/Vocational Client Plan. Client goals, training provided, and
progress toward meeting goals shall bc documented ia each client record.
ll \fd�c/�x�o|udividmml5uppmuudEmploymu�tbuveo*tobzuiueJpaiderop\mymo/um*mioimuouvv«ge
� m� the SUBCONTRACTOR will ���im mlx(6)cm* *, � �
x. Review wf progress toward employment goals
b. Provide evidence mf consultation with the famih//c8emr
c ' Development ofadditional strategies with the family/client, COUNTY staff, employment support staff,
r8��tu���mmuyimcludupzo*idim�ucchmio�Xaum�otxuucchanging tnuuevvpxovidec
and the *uno manage", ,
and/or providing additional resources ao needed 10 support the individual's pursuit mfemployment, The
additional/new mnate�ie»will hedocumumed for each cUcroand kept inthe c]ient`ofi\e(a).
12 ��������c|�o�oo�����i�����U�����
� in�m�mdd���ou�powd��iodmp��wun*ix-����m��aaopou
pruvidovvi\l�mz�qu .
13 The Jieo\omuyn:qnummpauicip�e ioCummum�y'�uoeoam�ivi/ieaor the client onuy choose tw remain in
� an Employment Program. \96eorogncudmgm pu�ioip�ein the Conummnby/\cceuuservices, the client
'
shall communicate directly with his or her DDA Case Manager. The DD\ Case Manager in responsible for
authorizing Community Access services.
�U���w��D�y���0�C�e M����R�����ic�
l4 SU8CU�/xu��/v^ ,
mn6�a�n��u�daoo»b,m»ut P/o87�uRcp0000 each 6�oc The SUBCONTRACTOR xdUuse �enew
F (see At xchmeozA)mreportoo the six-month progress of the clien
Employment Plan Report
xuoouom]EoT^ Contract z0/4-2on
Page 13 of 18
15, The frequency of the Semi-Annual Progress Reports of this contractual period will be one every six (6)
months after the initial plan—July through December 2014-- with the report due on January 2, 2015. The
second will be due--January thru June 2015----on July 1, 2015,
16. The Semi-Annual Progress Reports shall demonstrate the implementation strategy and how the individual
is progressing on his/her Individual Employment/Vocational Client Plan; indicating the fulfillment of the
commitments made concerning the Action Steps of the Individual Employment/Vocational Client Plan; and
it shall describe the reasons for, if any, shortfall concerning the action steps and proposed steps for
correction.
17. SUBCONTRACTOR shall schedule a review meeting every 6 months for all program clients. The review
meeting shall include an assessment/evaluation of the Action Steps of the Individual Employment/Vocational
Client Plan (goals and objectives), The Action Steps of the Individual Employment/Vocational Client Plan
will be updated every 6 months for all program clients.
18, COUNTY shall receive the dates for the 6-month reviews for program clients one month before the
required meetings.
19. SUBCONTRACTOR will submit a copy of the updated Action Steps of the Individual
Employment/Vocational Client Plan and progress reports to the Client, the DDA case manager, the COUNTY
Coordinator, and Residential Support Staff/ Parent or Guardian.
M SUBCONTRACTOR will submit six-month Progress Reports & updated Action Steps on each client to the
COUNTY for feedback and approval. Disregarding or lack of follow-through on this step will hold up
monthly billing and continued authorization for funding.
21, The Semi-Annual Progress Reports will show individual Employment/Vocational Client goals, training
provided, and a written synopsis demonstrating progress toward meeting objectives; or it will describe
reasons for any shortfall concerning the outcomes, and propose actions for correction.
21 SUBCONTRACTOR shall schedule a review meeting every 6 months for all program clients. The review
meeting shall include an assessment/evaluation of the Individual Employment/Vocational Client Plan's goals
and objectives. The Individual Employment/Vocational Client Plan will be updated every 6 months for all
program clients.
23. SUBCONTRACTOR will submit a copy of the updated Individual Employment/Vocational Client Plan and
progress reports to the client, the DDA case manager, the COUNTY Coordinator, and Residential Support
Staff /Parent or Guardian.
24. All clients will be contacted by SUBCONTRACTOR according to client need, and at least once a month.
25. The SUBCONTRACTOR will clearly communicate to the COUNTY and the client prior to beginning
service, or when there is an unexpected change in the maximum service hours per month the client can expect
to receive; and service changes will not occur until the client has received proper notification from DDA.
The client's DDA ISP is the driver for service. The County Service Authorization (CSA) and
updated Planned Rates information will not exceed the client's DDA ISP.
The arnount of service hours the client receives should match the County Service Authorization
and Planned Rates information.
26. SUBCONTRACTOR must ensure that every client file has a copy of DDA Client Authorization, a copy of
the participant's Individual Habilitation Plan (ICF/MR), client's Individual Service Plan, Plan of Care
and/or Individual Support Plan (HCBS Waivers) and/or the County Service Authorization/Individual
Service Agreement Plan, as applicable.
27. SUBCONTRACTOR must ensure that Client Goals and Objectives are based on a Person Centered
Plan /Action Steps or an individual Employment/Vocational Client Plan; that docurnentation and data
collected, or training reflects the Action Steps or the Individual Employment/Vocational Client Plan; and
SKOOKU M 1E11TA Contract 2014-2015
Page 14 of IS
that the documentation shows how it has identified and addressed support needs of each participant by
demonstrating methods for providing services based on individual needs that are outlined in a client's
Person Centered Plan/Action Steps or an Individual Employment/Vocational Client Plan; and has
documentation of six-month progress reports that include Client Goals/Action Steps and a summary of
progress toward meeting those goals and objectives.
28, SUBCONTRACTOR must ensure that all Incident Reports are retained in client files; that they have a
policy to retain records at least 5 years; that 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.
29. SUBCONTRACTOR will support Clients in an employment program to work toward 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 of 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.
10. Worker wages shall be commensurate with the local industry accepted norms and comply with applicable
Federal Department of Labor standards.
11. Recommendations for program participant's termination in Individual Employment or transfer into
another individual Employment agency must be authorized by the DDA Case Manager, and will be reviewed
in consultation with the COUNTY and others as appropriate. SUBCONTRACTOR will facilitate the
development of a transition plan and schedule. The transition plan will be developed in consultation with the
client, DDA case management, COUNTY, family members and other service providers as applicable and
within 10 working days of SUBCONTRACTOR'S recommendation.
32. 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.
31 SUBCONTRACTOR shall submit a written Program Staff'Training Plan to COUNTY for approval or
disapproval within 3() days of the effective date of this agreement, semi-annually thereafter or when
reorganization occurs, which minimally includes SUBCONTRACTOR's procedure to train new direct
service staff. The training ToUSt include
DDA Policies & Competencies (see Section C-Number 28 -31)
RC's & WACs referenced (page I & 2 of the County Contract, 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 Individual Employment/Vocational Client Plans and/or
Person Centered Plans (creating client vocational goals/objectives)
• SUBCONTRACTOR's plan to provide staff that are skilled in applying training
techniques to enhance the work related skills of program clients
FTE levels job descriptions and organization charts pertaining to program staff
SUBCONTRACTOR is required to send five direct service staff to a minimum of
16 hours of workshops, trainings and/or conferences about developmental
disabilities and employment, for a total of 80 hours, 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 $5,200)
34. SUBCONTRACTOR will provide COUNTY with information regarding staff qualifications and documented
training's every six (6) months.
35, 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
SKOOKUM IE/rrA contract 2014-2015
Page 15 of IS
following DDA 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 eroployee 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 12.01
incident Management.
36. 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) Planning methods
4) Crisis Prevention and Intervention
37. Within one month o em to meet: 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.
W n n SUBCONTRACTOR ensure that direct service staff received
N RA Rn
8. hy X 'o 1h ' 0 em '0 meet: 'SU following T CTO
am skill development, DDA Policy 5.02
n h area P o 'r n
knowledgeable e s. r g
ary t in tio positive Behavior Support, DDA Policy 5,15
Supplemental Accom Oda 11, DDA Policy 5.14 s re
training and a
Use
Necessary uppl A Policy 9.07 HIV and AIDS and Program Skill Development.
se of Res rictive Procedures, dures , DD
39. SUBCONTRACTOR will have signed documentation that Staff training took place within the timelines
listed above in Section C-Number 28 -31,
40, Within 30 days of the effective date of this agreement, and semi-annually thereafter, SUBCONTRACTOR
will develop and submit to COUNTY an Individual Employment program operating budget detailing the
projected allocation of contract funds, other sources and amounts of funding, program staffing expenses and
other cost allocations.
41. Semi - annually, SUBCONTRACTOR will develop and submit to COUNTY Individual Employment program
financial reports reflecting the actual revenues received and expenses incurred compared to the projected
program budget submitted,
42, 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) SUBCONTRACTOR shall provide Individual Employment services that are referred for service by
DSI-IS/DDA and have been authorized by the COUNTY.
(a) Job development, job coaching, fallow- along and rep lacernent services as necessary
for Individual Employment Clients
(b) Individual Employment/Vocational Client Plan must contain Action Steps detailing
steps, timelines and entities responsible for the accomplishment of tasks leading to
employment
(c) Provide the rninimum number of monthly service hours for the client
(d) Implement Action Steps that affirm 75% of the direct service hours with the client will be at
employment sites in the community
(2) SUBCONTRACTOR shall provide Individualized'Fechnical Assistance services that are referred for
service by DS[IS/DDA and have been authorized by the COUNTY,
(a) A part of an individual's pathway to individual ernplOyrflerlt
SKOOKU M [E/1TA Contract 2014-2015
Page 1 6 of 18
(b) The service of assessment and consultation (in order to identify and address existing barriers
to employment) may be provided by the employment provider or to the employment provider
(c) This is in addition to supports received through supported employment services or pre-
vocational services for individuals who have not yet achieved their employment goal
E, Service Level Guidelines
(1) Client Employment Acuity is determined through the DDA assessment. Acuity reflects conditions typically
related to the individual's disabilities 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 DD,A to approve additional service hours in
addition to the amount of your employment service Base flours and Add-On Hours for up to three months
when:
a) You are beginning, a new job; or
b) There is a planned or unexpected change in your job or job duties; or
C) Your current employment is at risk and short-term supports are needed to assist you in
maintaining your current job.
(4) 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).
TABLE ONE-Base Hours
DOA D[,,,TERMINES YOUR EMPLOYMENT SERVICE LEVEL USINGTHF1'
FOLLOWIN ' '['ABLE: .... . . — — ----- . ..... . .
1 CLIENT JjR THEN YOUR AND YOUR
I
ACUITY EMPLOYMENT EMPLOYMENT EMPLOYMENT
STATUS SERVICE SERVICE BASE
LEVEL
I E IS: LEVEL IS: HOURS PER.
MONTH MAY BE:
WORKING
A
0
NONE
NOT WORKING
B
0
WORKING
C
4
LOW
--p ',,7
V1,
110A
7777
WORKING
E
7
MEDIUM
NO.I
9
WOKKII*lU
CU
11
NOT WORKING
14
12
SKOOKUM ffi/rm Coiitract 2014-2015
P,age 17 of 1 9
TABLE TWO-Add-On Hours
Individual Employment Unit of Service
one UNIT of individual Employment/Individualized Technical Assistance service is defined as one (1)
IIHOUR" 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); ten (10) minutes of every "HOUR" of
direct service or assigned service level to one eligible client can be used for documentation and/or meeting
times or ASSIGNED SERVICE LEVEL as defined in Section D, Performance Standard, Number I and 2.
2. Individual Employment service support hours will be based on the client's Individual Employment Level per
WAC.
one UNIT of individual Employment or Individualized Technical Assistance service is $65,00 and is defined
as one "HOUR" of direct service to one eligible client,
SKOOKUM IE/ITA ContraQt 2014-2015
Page 18 of 18