HomeMy WebLinkAbout090814_ca03Consent Agenda
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street o Port Townsend o Washington o 98368
www.jeffersoncountypublichealth.org
August 13, 2014
JEFFERSON C�OUNVY-'-
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: jean Baldwin, Director
DATE:
SUBJECT: Agenda Item - Professional Services Agreement - Skookum Contract
Services for Group Supported Employment; July 1, 2014 -
June 30, 2015; $34,560
Jefferson County Public Health, Developmental Disabilities Division, is requesting Board approval of the
Professional Services Agreement — Skookum Contract Services for Group Supported Employment;
July 1, 2014— June 30, 2015; $34,560
A 'GOALS/PRO'S and COWS:
This professional services agreement with Skookum Contract Services for Group Supported Employment
falls under vocational Services as part of the Developmental Disabilities Agreement with DSHS. This
agreement serves as part of an individual's pathway to jobs in typical community employment by providing
supervised employment and training in an integrated community business or industry setting for adults with
severe or profound developmental disabilities. Group Supported Employment Services are designed to meet
specific needs of individuals based on personal preferences and individualized goals and outcomes. This
contract will support program clients in Group Employment Services, for the purpose of experiencing
community jobsites through mentoring, observations, and/or onsite experience. Training will be arranged in
order to teach clients concepts such as attendance, task completion, and problem solving for safety, with
the goal to transition clients to Supported Employment services as soon as resources, support systems, and
technology are available to aid individuals in gaining individual employment in the community. The
agreement provides for services for training, support, and placement for up to four program clients striving
for 20 hours per week.
COMMUNITY HEALTH ENVIRONMENTAL HEALTH
DEVELOPMENTAL DISABILITIES �PUBLIC HE A LTH WATER QUALITY
MAIN: (360) 385-94DO ALWAYS WORKING FOR A SAFER AND MAIN: (360) 385-9444
FAX: (360) 385-9401 HEALTHIER COMMUNITY FAX: (360) 379-4487
Consent Agenda
F'I'SCAL LIM PACT I COSTBENEFIT ANALYSIS:
The agreement provides for funding not to exceed $34,560. The provider shall be compensated at the rate
of $60-00 per unit defined as one hour of direct service to one client. One hour of direct service is defined
as one or more hours of paid productive work, training, or paid time off—such as holiday—per client in one
24-hour period. All funding for vocational services is through Developmental Disabilities Administration with:
DSHS and is identified in the budget.
(RECOMMENDATION.
JCPH management request approval of the Professional Services Agreement with Skookum Contract Services
for Group Supported Employment; July 1, 2014 –June 30, 2015; $34,560.00.
Date
sl/(1017
SUBCONTRACT FOR PROFESSIONAL SERVICES AGREEMENT
GROUP SUPPORTED EMPLOYMENT
Between
JEFFERSON COUNTY HEALTH & HUMAN SERVICES
And
SKOOKUM CORPORATION
This agreement is made and entered into between Jefferson County Public Health (COUNTY) and Skookum Contract
Services (SUBCONTRACTOR) for provision of Supported Employment to persons with developmental disabilities in
Jefferson COUNTY The term of this agreement is July 1, 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:
(1) Group Supported Employment Services - Evaluation, employment, training and supervision of adults with
disabilities who are earning wages per Exhibit A - Statement of Work.
(2) Program management.
B. OBLIGATIONS
SUBCONTRACTOR shall fulfill the following obligations:
(1) SUBCONTRACTOR shall comply with all state and federal requirements regarding the confidentiality of
client records. Client information is not disclosable to the public. Information acquired pursuant to RCW
71A,14.070 requires a signed Release of Information or a signed Oath of Confidentiality Form.
(2) SUBCONTRACTOR is required pursuant to RCW 43.43.830-845, to insure that and implement a process
whereby any prospective employee, who will or may have unsupervised access to a person with a
developmental disability, in the course of his or her employment, or involvement with the business or
organization, must have a Washington State Patrol Criminal (W.S.P.) Background Check. This background
check must occur before employment begins.
(3) SUBCONTRACTOR is required pursuant to RCW 74.15, to insure that and implement a process whereby if
any prospective employee, who has not resided in Washington State during the last three years, and who will
or may have unsupervised access to a person with a developmental disability, in the course of his or her
employment, or involvement with the business or organization, must have a F.B.I. Fingerprint Check, This
fingerprint check must occur before employment begins,
(4) SUBCONTRACTOR is required, to repeat the W.S.P. Criminal Background Check for Staff every three
years. The W.S. P. Criminal Background Check and the F.B.I. Fingerprint Check must go through the
Background Check Central Unit Office within DSHS in Olympia in accordance with RCW 43.43.830-845
and RCW 74-15.030.
(5) SUBCONTRACTOR shall comply with all state and federal requirements under RCW 7434, 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 HOBS 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.
Skoc)kutn GRP 1-;jnploynient Contract 2014-2015
Page 1 Of 17
(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 Lirnited English Proficiency (LEP) Clients; 5.06
Client Rights-, 5.13 Protections From Abuse; 5.14 Positive Behavior Support; 5.15 Use of Restrictive
Procedures; 6.08 Mandatory Reporting Requirements for Employment and Day Program Services
Providers; 6.13 Employment/Day Program Provider Qualifications; 9.07 Human Immunodeficiency Virus
(HIV) and Acquired Immune Deficiency Syndrome (AIDS); 12,01 Incident Management; 13,04 DRW
Access Agreement and the 1992 County Guidelines.
(7) DRW Access Agreement with DDA, assures that the COUNTY and SUBCONTRACTORS have reviewed
the Access Agreement. The Agreement covers DRW,s access to individuals with developmental
disabilities, clients, programs and records, outreach activities, authority to investigate allegations of abuse,
neglect, other miscellaneous matters and is binding for all providers of DDA contracted services,
(8) SUBCONTRACTOR shall have written policies regarding sexual harassment and non-discrimination. Said
policies must guarantee human/civil rights, regarding a person's right to privacy; regarding safeguarding
personal information and abuse of participants; regarding agency medication procedures; regarding
respectful staff -to- participant interactions (i.e.: including a person's right to be treated with dignity and
respect and free of abuse).
(9) SUBCONTRACTOR shall assure that participants, in accordance with Necessary Supplemental
Accommodation (NSA), Policy 5.02, have been informed of their rights; what services and benefits may be
expected from the program;, the program's expectations of them; and, if necessary, shall assure that the
participant's family, guardian or advocate is also informed.
(10) SUBCONTRACTOR shall have a grievance policy that:
• negotiates conflicts and advises participants of grievance procedures
• is explained to participants and others in accordance with the NSA, 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.
1) SUBCONTRACTOR shall obtain and retain in the clients' files signed proof of client's and/or farnily'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,
(13) SUBCONTRACTOR shall update Client Intake Forms every 6 months during the Client Review meeting,
(14) SUBCONTRACTOR shall assure that potential conflict of interest, real or apparent, will not arise. Such a
conflict will arise when: The employee, officer or agent, any member of immediate family, Guardian /
decision maker, or an organization which employs or is about to employ any of the above has financial or
,other interest in the client(s).
(15) SUBCONTRACTOR shall have adequate staffing ratios and patterns to maintain quality and safety,
(16) 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.
C,
Skooktim GRP Employment Contract 2014-2015
Page 2 of 17
(17) Incidents involving injury, health, or safety issues are immediately reported to DDA Central Office and the
County (reference: DDA Policy 6.08, Mandatory Reporting Requirements for Employment and Day
Program Services Providers)-
(18) Incident reports are tracked and analyzed for potential trends and patterns.
(19) Current emergency contact and medical information (medications, diet, allergies, etc.) needed during the
hours of service is readily available for each participant.
(20) If SUBCONTRACTOR is found to have a substantiated finding of abuse, neglect, abandonment, or
financial exploitation, they shall comply with the following APS guidelines:
Upon receiving documentation of a substantiated finding of abuse, neglect, exploitation, or abandonment
from APS, the regional 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 contracted provider is required to:
a. Document the steps the SUBCONTRACTOR has taken to protect the vulnerable
person(s) immediately-, and
b. Submit a corrective action plan, if needed, to the COUNTY within 10
working days.
2. The COUNTY will respond to the steps taken and the sufficiency of the proposed corrective action plan
within 10 working days. If the corrective action is not accepted the plan will be returned to the provider for
correction and an amended plan will be required within 5 working days.
3. Once accepted, the COUNTY will send the corrective action plan to DDA for final approval. DDA
regional staff will respond within 10 working days as to plan sufficiency and whether any additional
information is needed. The region will send a copy to Central Office.
4. COUNTY and its SUBCONTRACTORS are mandated reporters of abuse and neglect under RCW
74,34,020, Abuse of Vulnerable Adults (1), and must comply with reporting requirements described in
RCW 74.34.035,,040 and Chapter 26.44 RCW, Abuse of Children, If the COUNTY is notified by DSHS
that a subcontractor staff member is cited or on the registry for a substantiated finding, then that associated
staff will be prohibited from providing services under this contract.
(21) SUBCONTRACTOR is required to maintain the following minimum organizational capacity in order to meet
the performance standards set forth in this agreement. Failure or inability of SUBCONTRACTOR to meet
any or all of these minimum capacity requirements, as determined solely by COUNTY, may be cause for
termination of this agreement as provided herein.
(a) A_ccreditatioty, SUBCONTRACTOR must be able to demonstrate conformance to Commission on
Accreditation of Rehabilitation Facilities (CART) standards for quality assurance and CARF
accreditation.
(b) CLonfidentiafity: The SUBCONTRACTOR shall protect and maintain all Confidential Information gained
by reason of the Program Agreement against unauthorized use, access, disclosure, modification or loss.
This duty requires the County to employ reasonable security measures, which includes restricting access
to Confidential Information by:
(1) Allowing access to staff that have an authorized business requirement to view the Confidential
Information.
(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) Use a trusted System.
Skookkini GRP Ernployllient Contract 2014-2015
Page 3 of 17
(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) Se its containing Confidential Information via Trusted System.
1 Zn
(1) To the extent allowed by law, at the end of the Program Agreement tent►, or when no longer
needed, the parties shall return Confidential Information or certify in writing the destruction of
Confidential Information upon written request by the other party.
(2) Paper documents with Confidential Information may be recycled through a contracted firm,
provided the contract with the recycler specifics that the confidentiality of information 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) Equal_ Acq s . ss� SUBCONTRACTOR will assure equal access to persons who do not speak or have a
e
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) SUBCONTRACTOR will maintain an
administrative/organizational structure that clearly defines responsibilities; systems and personnel to
maintain accounting records that accurately reflect all program revenues and expenditures; prepare
monthly statements of activity (ADSA Reports); maintain appropriate client service records and
progress reports; and track key program performance indicators.
Participants, SUBCONTRACTOR has a commitment to support integration of individuals with
developmental disabilities with people who are not disabled and has involved participants with
developmental disabilities in policy development.
(g) Rartnersh 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 the Schools,
(h) Performance Plan: SUBCONTRACTOR has a written performance plan that describes its mission,
program objectives, expected outcomes, and describes how and when objectives will be accomplished;
and will assure that the plan is evaluated at least biennially with revisions based on actual performance.
(i) Qualified Staff SUBCONTRACTOR will provide adequate, qualified staff with skills and experience
in evaluation, training, supervision, counseling and support of adults with developmental disabilities
who are carning 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.
0) 5af
SW, SUBCONTRACTOR will provide evidence that it employs safety protection based on the
environment in which the participant is working or receiving services,
(k) Employment opacity: SUBCONTRACTOR will maintain business operations, exclusive of this
agreement, sufficient to provide jobs for up to 3 Group Supported Employment program clients of at least
16 hours per week each (including paid holidays, sick leave, vacation, etc., as applicable) based on
prevailing community wages, and for I Group Supported Employment program client of at least 8 hours
per week (including paid holidays, sick leave, vacation, etc., as applicable).
(22) SUBCONTRACTOR shall provide a Group Employment/Vocational Client Plan and/or Person Centered
planning/profiles delineating individual skills and needs within 30 days of the beginning of services on all
program clients. The SUBCONTRACTOR shall use the new Employment Program Plan Report Form (see
Attachment A) for Group Employment/Vocational Client Plans.
(23) Group Employment /Vocational Client Plans will include:
I information that identifies and addresses the individualized goal and support needs for each
I
participant, The plan should be developed by the provider in collaboration with the Case Resource
Manager, participant, and his or her family (the team).
SkookLIM G Eniployment Contract 2014-2015
Page 4 of 17
2. Initial plans will be completed within 60 days from date of service authorization and must be
signed by the participant and/or his or her guardian, if any.
3. Copies of the initial and subsequent revised plans will be distributed as appropriate to all team
members.
4. Plans will be reviewed and signed annually,
(24) Group Employment/Vocational Client Plans will also include the information listed below:
a) Current date
b) Timeline for the plan
c) Client's name' first and last
d) Client ADSA ID
c) Employment goal
f) Preferred (job type) the individual wishes to obtain or maintain
g) The preferred wage /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
m) Identification of other accommodations, adaptive equipment, and/or supports critical to achieve
employment goal.
(25) Six month progress reports describing the progress made towards achieving client's goal will be provided
by the service provider to the Case Resource Manager, participant, and/or guardian, if any, within 30 days
following the six-month period.
(26) All services for persons with developmental disabilities must be provided with attention to their health and
safety. SUBCONTRACTOR shall comply with all applicable federal, state and local fire, health and safety
regulations.
(27) SUBCONTRACTOR shall contact COUNTY and DSHS/DDA 60 days prior to any decrease in a client's
employment hours.
(28) 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 harm or potential harm.
The initial report may be done via documented telephone calls to the COUNTY Coordinator.
The SUBCONTRACTOR shall submit a written follow-up report within 10 days to the
COUNTY Coordinator. The report to the COUNTY Coordinator may be submitted by email,
facsimile (FAX) to 360-385-9410, or by mail to Jefferson COUNTY Public Health, 615
Sheridan St., Port Townsend, WA 98368.
serious and emergent incidents shall be handled in accordance with DSlJS/DDA Policy
12,0 1, Incident Management.
(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 Order.
(30) Within 30 days of the effective date of this agreement and at least semi-annually thereafter,
SUBCONTRACTOR will provide (a) company (b) program financial reports to COUNTY, including all
Z�l
Skookum GRP Eniployincni Contrael 2014-2015
Page 5 of 17
revenues and expenses ���S����T�ina��mc�|��m*m����of
funds provided under this agreement,
(31) Independent Audit/Review will be submitted uouonl|y to dbc Jefferson
COUNTY D1) COUNTY Coordinator Iothe following manner:
SUBCONTRACTOR nbaU acquire ufinancial audit byuo independent auditing firm to determine mia
minimum the fiscal integrity of the financial transactions and reports of the SUBCONTRACTOR. Copies
of the audit and management letter shall be submitted to the Jefferson COUNTY Public Health Department
I)Z>Program n/ic6im 6 months nfthe end ofthe SUBCONTRACTOR'S fiscal year.
The SUBCONTRACTOR shall provide an independent audit wf the entire organization which:
(n) |o performed hyam independent Certified Public Accountant, the Washington State
Auditor's Office, or another entity the COUNTY and the Subcontractor mutually approve.
(b) Provides stu1omemuo consistent with the guidelines of Reporting for Other Non-Profit
Organizations &lCP& SOP 78-l0.and ix performed im accordance with generally accepted
Auditing standards and with Federal Standards for Audit *fGovernmental 0r8uoizutimu' Programs,
Activities, and Functions, and meeting all requirements of ()BM Circular f\-133 or f\'128, an
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 umuplcm6un. The audit nomu< be
accomplished by documentation indicating the SUBCONTRACTOR'S Board of Directors has
reviewed the audit.
(32) If the Developmental Disabilities Program Coordinator finds indications of pmoobml non-compliance
during the contract monitoring process or learns that the SUBCONTRACTOR is oum ofuomp|imocc 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 im writing ofthe potential non-compliance and an agreeable solution iureached
within five (5)days.
(b) Official Notification: If the 6ufboaal notification does not result in resolution, the o0ficim6
notification of possible non-compliance mestablish x date, within five (5) working days of
notification, when representatives nf the COUNTY and the SUBCONTRACTOR shall meet mdiscuss
areas oy contention and attempt /o resolve the issues,
(c) Written Summary: Within five (5) working days uf such official notification the COUNTY will
provide the SUBCONTRACTOR a written summary of the areas ufnon-compliance by certified mail,
Notice shall he sent to the address identified iu the Agreement,
(d) Discussion: Within twenty (20) days oy the date ofthe written eunmrom?.0 discussion between
COUNTY and SUBCONTRACTOR shall be conducted to resolve areas of non-cornpliance or
potential non-compliance.
(e) Should the above procedures fail ^o resolve the compliance issue, the parties will obtain the
services of the Peninsula Dispute Resolution Center, oz another agreed upon resource, and shall share
equally io any retainer fees nr other costs ofservices. Ifuw agreement ju reached, the mediator's
decision in the matter will be binding on all parties, except that in no event will the COUNTY honor u
6ouociol determination that is greater than the funds allowed the scope of this Agreement.
(33) For five }eozo following the end date wf this agreement, SUBCONTRACTOR will maintain client records and
books, rmzmnde, documents, reports and other evidence of uucnumdug pc000dmm and practices, which
sufficiently and properly reflect all direct and indirect expenditures of funds provided under this agreement,
8xuok"muxpEmn|ormoo, Contract 20/+z0|5
pugt6mrl7
Client records shall minimally include statement of client goals, documentation of training provided, training
hours, routine progress notes and biannual summary progress toward meeting client goals.
C,
(34) SUBCONTRACTOR shall make available for inspection, review or audit by COUNTY DD Coordinator at all
reasonable times: all client records; and all documents, reports and other data applicable to this agreement,
(35) SUBCONTRACTOR shall provide COUNTY with a copy of a signed DSHS Provider Agreement within 30
days or 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
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.
(37) Subcontractors receiving reimbursement on a fee for service basis may be reimbursed, at the discretion of
the COUNTY, for any temporary closure or substantial non-attendance necessitated by natural causes,
disasters, State/COUNTY trainings such as the Ellensburg conference, or mechanical failure above and
beyond the control of the Contactor. Federal XIX funds may not be used for this purpose.
C. REIMBURSEMENTS
(1) For said services rendered under this agreement, COUNTY shall reimburse SUBCONTRACTOR on a unit
rate basis, as follows: ill be paid $60.00 per UNIT assigned
(a) Group Supported Employment: SUBCONTRACTOR w
Service Responsibility of regular Program Service, as defined in Exhibit A Statement of Work,
(b) One UNIT is defined as one HOUR of direct service to one eligible client. One HOUR of direct
service is defined as one (1) or more hours of paid productive work, paid on-the-job training, or paid
time off (such as routine holiday, vacation and sick leave) in one 24-hour period. A minimum of four
(4) hours of work a day is required. The Client must work a minimum of four (4) hours a day to bill
the COUNTY for an HOUR.
(2) SUBCONTRACTOR will bill COUNTY on a monthly basis, on or before the 5th day of the month, for units
of service provided under this agreement during the preceding month. SUBCONTRACTOR will submit a
Monthly DDA Services Report (ADSA) computer form for its billings. At no time shall the invoices for
reimbursement be submitted more than 60 calendar days following the last day of the month for which the
services were provided.
(3) COUNTY may, at its option, withhold reimbursement for any month for which required reports have not
been received or are not accurate and/or complete or for contractual non-compliance issues.
(4) Total reimbursements for the fiscal year of 2014-2015 to SUBCONTRACTOR by COUNTY under this
contract shall not exceed $34,560.00 in completion of these projects without express written amendment by
both parties to this Agreement.
(5) Client services shall not be reimbursed under this agreement when the same services are paid for under the
Rehabilitation Act of 1973 (DVR), P.L. 94-142 (Public Education), or are being funded under PASSARWE.
Skookum GRP [-,,niploynient Contract 2014-2015
Page 7 of 17
D. MISCELLANEOUS
(1) Pursuant to WAC 2715, DS11S Developmental. Disabilities Administration (DDA) shall determine individual
eligibility of persons for services delivered under this agreement. DDA shalt 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 as an 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 RC 48:05:
(a) Worker's compensation and employer's liability insurance as required by the State of Washington
(b) Commercial Automobile Liability or Business Use Insurance providing bodily injury and property
damage liability coverage for all owned and non-owned vehicles assigned to or used in the
performance of the work for a combined single limit of not less than $1,000,000 each occurrence
with the COUNTY named as an additional insured in connection with the SUBCONTRACTOR'S
performance of the contract.
(c) General Commercial Liability Insurance in an amount not less than a single limit of one million
dollars ($1,000,000.00) per occurrence and a aggregate of not less than two (2) times the
occurrence amount ($2,000,000.00 minimum) for bodily injury, including death and property
damage, unless a greater amount is specified in the contract specifications. The insurance
coverage shall contain no limitations on the scope of the protection provided and include the
following, minimum coverage:
1) Broad Form Property Darnage, 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
(6) All employees or subcontractors of SUBCONTRACTOR who are required to be professionally certified by
the State in the performance of services under this agreement shall maintain distinct and valid professional
liability insurance in the amount of not less than one million dollars ($1,000,000). In no case shall such
professional liability to third parties be limited in any way.
(7) it shall be the responsibility of the SUBCONTRACTOR to insure that any and all persons engaged in the
performance of any work or service required of the SUBCONTRACTOR under this Agreement, shall
comply with the same insurance requirements that SUBCONTRACTOR is required to meet.
SkOOk-LIM GRP Employment �Contract 20 14 -2015
Page 8 of' 17
(8) Failure on the part of the SUBCONTRACTOR to maintain the insurance as required shall constitute a
material breach of contract upon which the COUNTY may, after giving five working days notice to the
SUBCONTRACTOR to correct the breach, immediately terminate the contract or, at its discretion, procure
or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended
to be repaid to the COUNTY on demand, or at the sole discretion of the COUNTY, offset against funds due
the SUBCONTRACTOR from the COUNTY.
(9) All cost for insurance shall be considered incidental to and included in the unit contract prices and no
additional payment will be made.
(10) Excepting the Workers Compensation insurance and any professional liability insurance secured by the
SUBCONTRACTOR, the COUNTY will be named on all certificates of insurance as an additional insured.
The SUBCONTRACTOR shall furnish the COUNTY with verification of insurance and endorsements
required by this Agreement. The COUNTY reserves the right to require complete, certified copies of all
required insurance policies at any time.
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. Any
insurance self-insured retention, deductible, or risk retention maintained, or participated in, by the
COUNTY shall be excess and shall be non-contributory to the insurance policies provided by the
SUBCONTRACTOR in order to comply with the insurance requirements of this subcontract. All policies
provided by the SUBCONTRACTOR in order to comply with the insurance requirements of this
Subcontract 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
(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, its agents, representatives, or employees' 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) 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.
(17) 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
Skookuni GRP rmployinent Contract 2014-2015
Page 9 of 17
under, constitutes an infringement of any copyright, patent, trademark, trade name, or other-wise 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 RC. The SUBCONTRACTOR recognizes that this waiver was
specifically entered into pursuant to provisions of RC 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 Department of Social and
Health Services the 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,
(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
third-party subcontractor must agree to be bound by all tenns and obligations found in this agreement.
ADOPTED THIS day of
By:
John Austin, Chairman
Jefferson County Board of Commissioners
By: . . ....
Deputy/Clerk of the Board
ON1,Y.
APPR �El) AJT'O
By�
Jefferson COUKI Prosecuting rney
Skookurn GRP Ernp I oyment Conu act 20 14-2015
Page 10 of 17
EXHIBIT A
STATEMENT OF WORK
GROUP SUPPORTED EMPLOYMENT SERVICES
1. WORK STATEMENT
SUBCON'rRACTOR shall provide Group Supported Employment services as described hereinafter.
SUBCONTRACTOR shall be reimbursed for such services on a unit of service basis pursuant to Section C.,
Reimbursements of this contract.
It. PROGRAM DESCRIPTION
A. Goals
I To provide work training and work opportunities for adults with severe or profound developmental
disabilities whom, due to the severity of the disability and lack of resources, are not presently able to
access other employment models.
2 To provide Group Supported Employment Services that are designed to meet specific needs of the
individual based on personal preferences and individualized goals and outcomes.
3. To improve the cost-benefit of Group Supported Employment Services by increasing the average
worker benefit ratio and compared to the average monthly cost per person.
4. To support individual program clients in Group Supported Employment Services to experience
comiramity job sites through mentoring, observation and/or on site experience at least four times a
year.
5. When appropriate to provide the service of assessment and consultation in order to identify and
address existing barriers to employment for individuals who have not yet achieved their employment
goal through consulting and assessment. (This is in addition to supports received through Supported
Employment services or Group Employment services for individuals who have not yet achieved their
employment goal).
6. To transition program clients to Supported Employment services as soon as resources, support
systems, and/or technology are available or adequate to aid these individuals to obtain individual
employment in the community.
7. Clients in an Employment program will be supported to work towards a living wage. A living wage
is the amount needed to enable an individual to meet or exceed his or her living expenses. Clients
should average twenty (20) hours of work per week or eighty-six hours per month.
Definitions
B. Definitions
1. Group. 5.qpprte l Employment Services are:
• training and supervision of adults with severe developmental disabilities who are involved in
paid, productive employment at locations or in businesses that provide employment or training
for individuals with disabilities
• training, job modifications, and job related support for persons with severe developmental
disabilities to productively perform available work
• supplemental training required in a job situation to develop skills required for new tasks and to
enhance versatility-, and
Skookuol GRP t:jilployment Colitiact 2014-2Ot5
Page 11 of 17
• providing a service provided for the most severely developmentally disabled adults until
resources, support systems, and)or technology are available or adequate to aid these individuals
to obtain competitive employment
2, hMtoyment JS defined as paid productive work, paid., on-the-job training, and paid time off (such as
routine holiday, vacation, and sick leave). Employment may be: fu - 11-time ' average weekly work of
40 hours for an individual, part-tim , average weekly work of 20 hours to 40 hours for an individual,
or; gthT, average weekly work of less than 20 hours for an individual,
C. Program Requirements
1, SUBCONTRACTOR will provide Group Supported Employment services for up to 4 program clients who
are authorized for service by DSHS/DDA and have been approved by COUNTY. SUBCONTRACTOR
shall attempt to transition program clients to Individual Employment placements.
2. SUBCONTRACTOR will support Clients in an employment program to work towards a living wage. A
living wage is the amount needed to enable an individual to meet or exceed his or her living expenses.
Clients should strive to average twenty (20,) hours work per week or eighty-six (86) hours per month, The
amount of service a client receives will be based on his/her demonstrated need and acuity level,
3. In the event that SUBCONTRACTOR determines that Group Supported Employment Services are no longer
appropriate for any client, SUBCONTRACTOR will notify the DDA Case Manager and the COUNTY of the
basis for its determination and recommend that the client be terminated from service and/or authorized for an
alternative service. SUBCONTRACTOR will provide written documentation of the reason(s) for its
recommendation, which may include:
(a) Client is working at a level of productivity that no longer requires continuous
training
(b) Health and safety considerations
(c) Client no longer desires employment, the available employment option(s) or the program
services
(d) Client desires a community job placement
Recommendations for ten-nination or transfer will be reviewed by DDA Case Manager and COUNTY as
appropriate. DDA Case Manager will notify SUBCONTRACTOR of its decision to support
SUBCONTRACTOR'S recommendation. If approved, COUNTY will work with SUBCONTRACTOR to
facilitate the development of a transition plan and schedule. The transition plan will be developed in
consultation with the client, DDA case management, SUBCONTRACTOR, family members, and other
service providers as applicable.
5. Worker wages shall be commensurate with the local industry accepted norms and comply with applicable
Federal Department of Labor standards.
6. The SUBCONTRACTOR will clearly communicate to the Client and the COUNTY, prior to bet, amning
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 Clients DDA IS,P 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,
Skookum GRP Eulployment Cojilract 2014-2015
Page 12 of 17
SUBCONTRACTOR shall provide a Group Employment/Vocational Client Plan delineating individual
skills experiences, preferences, strengths, support needs, skills and goals and objectives within 30 days of
the beginning of services for the client in order to promote Community Employment, The
beginning
will use the new Employment Plan Report Form, (see Attachment B). (Minimum
Employment/Vocational Client Plan elements are outlined in the reference document called "Criteria for
Evaluation" available on the DDA website.)
8. SUBCONTRACTOR will provide a copy of the Group Employment/Vocational Client Plan to the Client,
their CRM's, Guardian, the COUNTY, and others as appropriate.
SUBCONTRACTOR must ensure that documentation and data collected or training reflects the
Group Employment[Vocational Client Plan; 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 must be outlined in a Client's Vocational Plan.
10, SUBCONTRACTOR must ensure that Job coaching and supervision of program clients will be based on
goals established in a Group Employment/Vocational Client Plan, Client goals, training provided and
progress toward meeting goals shall be documented in each client record.
11. SUBCONTRACTOR will submit to the COUNTY and DDA Case Management Semi-Annual Progress
Reports on each Client. The SUBCONTRACTOR will use the new Employment Plan Report Form, (see
Attachment A) to report on the semi-annual progress of the client.
11 The frequency of the report for this contractual period will be one every six (6) months after the initial
plan, July through December 2014 with the report due on January 2nd of 2015, the second due date will be
January thru June 2015, due July 1" 2015,
13. The Semi-Annual Progress Reports will show Vocational Client goals, training provided and a written
synopsis showing progress toward meeting objectives or a description of the reasons for any shortfall
concerning the outcomes and proposed actions for correction.
14. SUBCONTRACTOR shall schedule a review meeting every 6 months for all program participants. The
review shall include an assessment of the need for continued Group Employment Services and an evaluation
and update of the Group Employment/Vocational Client Plan's goals and objectives. The
SUBCONTRACTOR shall use the new Employment Plan Report Form, (see attachment B) to report on the
semi-annual progress of the client.
15. COUNTY shall receive the dates for the 6-month reviews for program Clients one month before the required
meetings.
16. Subsequent to review meetings, the SUBCONTRACTOR will submit a copy of the updated Semi-Annual
Progress Reports to the Client, the DDA case manager, the COUNTY Coordinator, and Residential
Support Staff, Parent or Guardian.
17. SUBCONTRACTOR shall document time studies and competitive bidding procedures with regard to all third
party contracts that provide funding for employment of program clients.
Z�
18 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 frown DDA.
(a) 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.
Skookwn GRP F111ployllient Contract 2014-2015
Page 13 of 17
(b) The amount of service hours the client receives should match the County Service Authorization
and98noncd Rates information.
18, SUBCONTRACTOR must ensure that every Client file has u copy ofUDAClient authorization and
rcfesJ(CSA),ocopy of the participant's Individual Habilitation Plan (ICF/MR), client's Individual
Service Plan, Plan of Care, and/or Individual Support p]no (11CB3 Waivers) and/or tbo COUNTY
authorization/individual service agreement plan, as applicable.
19. SUBCONTRACTOR must ensure that all Incident Reports are retained in Client files; cha�they have u
policy to retain records at least 5 years; that emergency contact and medical information (medications, diet,
allergies, etc.) needed and during the hours of service is available for each participant on the face sheet of
the Client file; that the emergency and contact information in updated yearly, or when oeoded� and that
services are provided in ummtucul orintegrated environment or there is u goal uo achieve dbm.
20. Recommendations for program participant's termination in Group Employment or transfer to another
Individual Employment agency must be authorized the DDA Case Manager, and will be reviewed in
consultation with the Client, the COUNTY and others as appropriate. SUBCONTRACTOR will facilitate
the development ofm transition plan and schedule. The transition plan will be developed in consultation
with the client, DC)/tcase management, COUNT Y, family members and other service providers as
applicable and within l0 working days wf SUBCONTRACTOR'S recommendation,
21. SUBCONTRACTOR must ensure there ium legal requirement and m clear delineation for staff
guaW6ouzious and proof of background criminal history clearance io accordance with BiCVV43,41830'845
and RCW74.l5~03Qoo all staff
22, SUBCONTRACTOR shall submit uwritten Program Staff Training Plan mCOUNTY for approval or
disapproval within 30 days, of the effective date of this Agreement, semi-annually thereafter or when
reorganization occurs, which minimally includes SUBCONTRACTOR'S procedure m train new direct
service staff. The training must include
� DD& Policies & Competencies (see Section C-Nmmher22'25)
w RC\V'sJL $VAC'y referenced (puge ] &2 o[ the County Contract, Section B. Obligations)
�
Agency policies .&procedures
o
Skills on how ouinstruct/teach Clients
w
Skills oo how *o document data collection, daily/weekly notes & 6 month reports bn Client files
�
Skills on how to write Group EmploymentNocational Client Plans and/or Person Centered Plans
(creating Client vocational gou\s/utjood*es)
w
SUB CONTRA CT0R'u plan tp provide staff that are skilled iu applying training techniques to
enhance the work related skills of program clients
w F{B levels, job descriptions, and organization chart pertaining tn program staff
� SDBC8NT&&CTUD^*is required to mend five direct service staff tuaminimum ofl6 hours of
workshops, troimimAs` and /or conferences about developmental disabilities and employment, [ba
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 o total mF$5,2O0)
23, SVQCONT8AC?T)R will provide COUNTY with information regarding staff qualifications and documented
training's every six (6)months.
24. SUBCONTRACTOR must umuuce that new staff are iotomucd specifically of all agency
policies/procedures and have documentation that assures all direct service staff 18years of age or
older are trained in the to}Xon/iu& DT)A Policies . 4DA ,ruining,
ApS Reporting Requirements, Client cnn8dcmiol[|y' Cnocot individual instruction and Action
&,opn/Vmcuzioowl Plans for each Client with whom the omploycc works, E/DA Policy 4.{1
9yurkiu� Age Adult (adult services only), 0D/\ Policy 5.06' Client Rights, L>/}A Policy 5.13'
Protection from A6oam� Mandatory Reporting, DDA Policy 12A1 Incident Management.
Page 14 mrn
25. 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
26. Within one month o em oyment: 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.
�o�ern ��t
27, Within -X In , h eni - SUBCONTRACTOR must ensure that direct service staff received
e e le following areas. P .02
. Program n the in skill development, DDA Policy 5
c Accommodation, DDA Policy 5.,4 Positive Behavior Support, DDA Policy 5.15
�t 0 10 m
training and are knowledgeable
Necessary s I menta. A
sary Supplemental Policy Use of Restrictive Procedures , DDA y 9.07 HIV and ADS and Program Skill Development.
28, SUBCONTRACTOR will have signed documentation that Staff training took place within the timelines
listed above in Section C-Number 22-25.
29, Within 30 days of the effective date of this agreement, and semi-annually thereafter, SUBCONTRACTOR
will develop and submit to COUNTY a program operating budget detailing the projected allocation of
contract funds, other sources and amounts of funding, program staffing expenses and other cost allocations.
30. Semi-annually, SUBCONTRACTOR will develop and submit to COUNTY program financial reports
reflecting the actual revenues received and expenses incurred compared to the projected program budget
submitted.
31, The SUBCONTRACTOR will on an annual basis sponsor the surveying of participants, their families, their
support networks, and their employers regarding customer satisfaction, The SUBCONTRACTOR will
design Customer/Client survey farms. The SUBCONTRACTOR must send the COUNTY copies of the
surveys received from participants, their families, their support networks and employers.
D. Performance Standards
I - The average worker wage per month will not fall below minimum wage.
2. SUBCONTRACTOR will provide sufficient income producing work to challenge the productivity of
workers and result in at least 4 hours of paid production per day per eligible client.
3. SUBCONTRACTOR shall access appropriate jobs and provide sufficient training to result in an
increase in average monthly earnings from one six-month period to the next through productivity
improvements and/or increased hours.
4, SUBCONTRACTOR will create individual client goals and provide sufficient instruction that result
in an improvement in the program client's vocational abilities, social and behavioral issues from one
six-month period to the next.
5, Workers will have variety in the work they perform and will learn behaviors and skills typical of
those required for employment in an individual job in the community.
Skot)L,jim GRP F.1,nployllielit Cmitract 2014-2015
Page 15 of ] 7
L Service Level Guidelines
Client Employment Acuity is determined through the DDA assessment. Acuity reflects
conditions typically related to the individuals disability that are not likely to change, and are
,generally not impacted by outside factors. Client acuity is determined as either "High ",
"Medium" or "Low" as defined within WAC 388-828. Other considerations are generally related
to the job or service environment, which may impact the individual's level of support, regardless
of acuity.
2 Employment Service Levels reflect Client Employment Acuity and other considerations, (see
Table One-Base Hours below); the Guidelines typically reflect direct service staff time provided
to or on behalf of the client to pursue or maintain employment. You may be eligible to receive
additional add on hours, (see Table Two, Add-On Hours below),
Short-term Employment Supports is a service that allows DDA to approve additional service
hours in addition to the amount of your employment service Base Hours and Add-On (lours for up
to three months when:
a) You are beginning a new job; or
C,
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
DDA DETERMINES YOUR EMPLOYMENT SERVICE LEXEL USING THE
FOLLOWING TABLE:
(T�ErlifYOUR THEN YOUR AND YOUR
ACUITY EMPLOYMENT EMPLOYMENT EMPLOYMENT
LEVEL STATUS SERVICE SERVICE BASE
IS: IS: LEVEL IS: HOURS PER
MONTH MAY BE;
WORKING
A
0
NONE
NOT WORKING
B
0
WORKING
C
4
LOW
-
7l
g
WORKING
E
7
MEDIUM
NO WORKING
F
9
WORKING
G
11
HIGH
NOT WORKING
H
12
,Sk,0okj11u CiRp Flllplf)ynicnt Contract 2014-2015
Page 16 of 17
TABLE TWO-Add-On Hours
Group Supported Employment reflects shared support among 8 or fewer people at a worksite.
Service level to the individual may vary depending on staffing ratios within the worksite, the
acuity of individual's served at the worksite, the number of work hours available within the
worksite and the number of additional individualized support hours provided outside of the GSE
setting to achieve integrated community employment.
6 The average statewide ratio of staff to individuals within this environment is 1:6.
7 The expectation is that all hours reported are documented specific to the client authorized and
relate to the goals and supports outlined within the client's Employment Plan.
F. Group Supported Employment Unit of Service
One UNIT of Group Supported Employment service is $60,00, One UNIT is defined as (1) one
"HOM' of direct service or assigned service level to one eligible Client. An "HOUR" is at least
fifty (50) minutes of direct service; (partial hour to the quarter may be recorded) or ASSIGNED
SERVICE LEVEL as defined above.
One "HOUR" of direct service is defined as one (1) or more hours of paid productive work, paid
on-the-job training, or paid time off (such as routine holiday, vacation and sick leave) in one 24-hour
period. A minimum of four (4) hours of work a day is required. The Client must work a minimum of
four (4) hours a day to bill the COUNTY for an HOUR.
Skoohlm GRP Employn-It Contract 2014-2015
Page 17 of 17