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Consent Agenda
June 21, 2016
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
TO:
FROM:
DATE:
SUBJECT:
AGENDA REQUEST
Board of County Commissioners
Philip Morley,, County Administrator
Vicki Kirkpatrick, Director
Anna McEnery, Developmental Disabilities
Agenda Itern — Professional Services Agreemen�— Skookum Contract
Services for Group Supported Employment Amendment 1; July 1,
2015— June 30, 2016; Additional $740.00 for a total of $34,560.
STATEMENT OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division, is requesting Board approval of the
Professional Services Agreement — Skookum Contract Services for Group Supported Employment
Amendment 1; July 1, 2015— June 30, 2016; Additional $740.00 for a total of $34,560.
ANALYSIS Z STRATEGIC GOALS PRO'S and COWS:
This Amendment to the 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 amendment adds $740.00 dollars to the contract's original amount of $33,840.00 for a total
of $34,560.00 The 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. Jefferson County Public Health has shared Data Security
Requirement with Information Services and is in compliance with DSHS requirements.
Jefferson County Public Health contracts with providers once per year; Providers are chosen via a formal
RFQ process that occurs every four years, as per DDA 2011 mandate.
CornmunNy Health Environmental Health
Developmental Disabilffles Water Quality
360-385-9400 360-335-9444
360.-385.-9401 (f) Always working for a safer and healthier community (f) 360-379-4487
FISCAL PACT CCAST BENEF T A�ALYSIS'..
The amendment adds $740.00 of funding for a total of $34,560. All other terms and conditions of the
agreement remain unchanged The agency agreement with the Department of Social and Health Services for
Developmental Disabilities Administration, (DDA) #1563-45217 Department of Developmental Disabilities
contract, and is identified in the budget.
R ECO E RATIO
JCPH management request approval of the Professional Services Agreementpith Skookum Contract Services
for Group Supported Employment amendment 1; July 1, 2015 —June 30, 2016; Additional $740.00 for a total
of $34,560.00.
REVIEWED BY:
Philip rANey, Cool "dministrator µ� D __...
ate
Contract Amendment 41
Between
Skookum Corporation
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Skookum Corporation (Subcontractor) and J01'erson ("ounty (County) entered into an
agreement on July 1, 2015 for Professional Services to be provided in connection with the provision of
Group Supported Employment to Persons with Developmental Disabilities in Jefferson County.
WHEREAS, the parties desire to amend the terms of that agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
1. The term of the above referenced agreement ends June 30, 2016.
2. ]"lie Subcontractor will con(inue to provide Grotip [",niployrne"t Services; the e ' s are
individualized services necessary to fielp persons wifli develol,,)rnet�ilal to be involved in
paid, productive employment at locations or in businesses that provide employment or
training for individuals with disabilities at or above the state's minimum wage. These
services may include intake, discovery, assessment, job placement, coaching/supports,
job replacement, worksite job training, development of natural supports, and follow -
along to maintain a job & and record keeping.
3. receive $60.00 per unit for Group Ernployine'll Services, One'UNTF of
(,'rot.ip J�inploynicnl service is clefined as one (1) 111-101)'I'Z" cel" direct service or assigned
service level to one eligible client, An 110L11Z" isat least fifty (50) minutes ol"direct service;
(partial hour to the quarter may be recorded); ten (10) minutes a every 111-10UI�" of direct
service or assigned service level to one eligible client can be used I"or doCUITIentatioli and/or
meeting times. A minimum of four (4) hours of work a day is required.
4. Subcon tractor" s contract will be increased by $720.00 in funding for services rendered
durii-ig the term of July 1, 2015 through June 30, 2016. Total compensation under this
Agreement shall not exceed $34,560.00 without express written amendment signed by
both parties.
5. All other terms and conditions of the agreement will remain the same.
Dated this day of�ww 2016
By:
, Chairman
Jefferson Board of County Commissioners
By:
Ryan Wiese, Contracts Manager
Skookum Corporation
IBM
SUBCONTRACT FOR PROFESSIONAL SERVICES AGREEMENT
GROUP SUPPORTED I�� IP1.OYMEN'T
_mm..._...m_..................._-_ Between ....�._._
JEFFERSON COUNTY HEALTH & HUMAN SERVICES
And
SKOOKUM CORPORATION
This agreeone^nt is anardew and entered into bdatwec.n Jefferson Co�ttnty Public 1lealth ((O�JNTV) and Skool ulli Conit'act,
Set -vices (Sl.lBf. ONTRA(, l"()R) dear provision ol`Sul.rp�e'iud I:ml, loyment. to l:aersonswith developmental disabilities in
lefRl .rson ('(SUN"l"ro". The terraa of thus aagree,nrent is .lady 1, 2015 through Junc: 311, 2016, This Contract: may be
tc^.rragiaaaatee� 17y, eitl°oeaw 1. urt � upaaaa 60 elr ys Ja ltte�rt nd tie'ce, Termination of'tllis (�"daa°r act shall not constitute R breach.
It is agreed Upon by 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 infonnation 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 provide background checks, pursrrarat to RCW 43.43.830-845, RCW
74.15.030, and Chapter 388-06 WAC, which stale 'llaat ally prospective crrrployce or volunteer who will or
raaay have unsupervised access to as vulnerable person with a developraaenta'l disability in the course ofhis or
her employment, or involvement with then business or organization, must have a background/criminal hisiory
clearance before they have unsupervised access. The I.)S'I IS Background Check ("Ientral Unit (BCCU) n" uM
be utilized to obtain background clearance.
(3) if SUBCONTRACTOR reviews the application and elects to hire or retain an individual after receiving
notice that the applicant has a conviction for an offense that would disqualify the applicant from having
unsupervised access to vulnerable adults as defined in Chapter 74.34 RCW, then DDA shall deny payment
for any subsequent services rendered by the disqualified individual provider.
(4) 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
vulnerable person with a developmental disability in the course of his or her cra'rhrloynicnt, or irrvolveinent
with the business or organization, must have an F.B.I. Fingerprint Check before they have unsupervised
access and before prospective employer begins working. The DSHS Background Check Central Unit
(BCCU) must be utilized to obtain background clearance.
(5) SUIIC ONTRACTOR is required to repeat the background/criminal history clearance fc)r all employees or
volunteers who will or may have unsupervised -access to a vulnerable person with a developmental disability
in the course of his or her employment, or involvement with the business or organization, every three years.
The DSHS Background Check Central Unit (BCCU) must be utilized to obtain background clearance in
accordance with RCW 43.43.830-845, RCW 74.15.030 and Chapter 388-06 WAC.
(6) SUBCONTRACTOR shall comply, as mandated reporters under RCW 74.34.020 (11), with all state and
federal requirements under RCW 74.34.035, .040 Abuse and neglect of Vulnerable Adults; RCW 26.44,
Skookum GRP Employment Contract 2015-2016
Page I of 17
Abuse of Children; the WACs: 275-26 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 0200; Basic Plus Waiver
Services 0210; Core Waiver Services 0215; Community Protection Waiver Services 0220; 0600-0610
Community Access Service; Supported Employment Service 2100.
(7) SUBCONTRACTOR shall con-1ply with the J'i)]IoMng Develol1r11ental Disabili0es Administ1716011, (DDA)
PoHcies: 3,01 Client Service Plans; 5.01 Criminal History Mackground 'hecks and SaIegUAVdiIIg I'ClUT1111
lnformaiion; 5,02 Necessary SuppCcmental Accommodaflon (NSA); 5.03 Client Complaints; 5.05 Litnited
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 Mand,ai(,°5ry Reporting Requirements for
Employment and Day Program Services Providers; 6.13 Employment/Day Program Provider
Qualifications; 9.07 Human Ininiunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome
(AIDS); 12.01 Incident Management; 13.04 DRW Access Agreement, and the 1992 County Guidelines.
(8) SUBCONTRACTOR shall comply with the following referenced documents found at DDA Internet site
a(iiccs under "Counties":
(1) DDA Policy 4.11, County Services for Working Age Adults;
(2) WAC 388-850, WAC 388-828, WAC 388-845-0001, 0030, 0205,0210, 0215, 0220, 0600-0610,
1200-1210, 1400-1410, 2100, 2110;
(3) Criteria for Evaluation;
(9) The DRW Access Agreement with DDA, assures that the COUNTY and SUBCONTRACTORS have
reviewed the Access Agreement. The Access Agreeirient 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.
(10) SUBCONTRACTOR shall have writlen policies regarding sexual harassInclit and (said
policies must guarantee human/civil rights); regarding as pers(,,jjIs right to privacy, regarding safeguarding
IVI-5011al iIIf0J'I7Iatj0TI aTid abuse of pM,,mtcipants; regarding agency medication procedUre, I-c1lal'ding
respecil-61 interactions (i.c,: inclutlijig a pcj�sorj's right to be treated with dignity and
respect free of abuse).
(11) 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.
(12) 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 wediation process that promotes the use of someone %A�Jjo is urlaffected by the i,,)wcorne if
conflicts remain unresolved (a DDA Case Resource Manager may be included as an alternative option)
LI
0 includes a process for tracking and reporting grievances
(13) SUBCONTRACTOR shall obtain and retain in the clients' files signed proof of client's and/or family's
review of all policies, provider exI,,)ectation, and receipt of information about set -vices and 1,)cnefils to be
provided by the program. The signed proof required by this ;,ection shall be reviewed and renewed, with
new documentation, annually.
Skookuni GRP Employment Contract 2015-2016
0.9�
(14) SUBCONTRACTOR will encourage participant involvement in policy development.
(15) SUBCONTRACTOR shall update Client Intake Forms every 6 months during the Client Review meeting.
(16) 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).
(17) SUBCONTRACTOR shall have adequate staffing ratios and patterns to maintain quality and safety.
(18) 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.
(19) SUBCONTRACTOR shall track and analyze incident reports for potential trends and patterns.
(20) Current emergency contact and medical information (medications, diet, allergies, etc.) needed during the
hours of service is readily available for each participant.
(21) The COUNTY and all SUBCONTRACTORS are mandated reporters under RCW 74.34.020(11). All
parties must comply with reporting requirements described in RCW 74.34.035, 040 and Chapter 26.44 and
must adhere to DDA Policy, 6.08 Mandatory Reporting Requirements for Employment and Day Program
Service Providers. All service provider employees, contractors, and volunteers are mandatory reporters and
must report every incident of observed, reported, or suspected abuse, improper use of restraint, neglect,
self-neglect, personal or financial exploitation, abandonment and/or mistreatment of clients.
(22) COUNTY, who perform on-site evaluations of subcontractor work sites, will promptly report to DSHS per
DDA Policy 5.13, Protection from Abuse: Mandatory Reporting, if.-
They
f:They have reasonable cause to believe that abandonment, abuse, financial exploitation or
neglect (as defined in RCW 74.34.020) of a person who has a developmental disability (as
defined in RCW 7IA. 10.020) has occurred, and,
(2) If they have reason to suspect that sexual or physical assault of such a person has occurred,
they shall also immediately report to the appropriate law enforcement agency.
(23) SUBCONTRACTOR is required to maintain the following rninimum 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) Aq�r,;cd.itrtiror :' SUBCONTRACTOR must be able to demonstrate conformance to Commission on
Accreditation of Rehabilitation Facilities (CARE) standards for quality assurance and CARF
accreditation.
(b) Cg1j,ficte rrlr rlst�yr SUBCONTRACTOR shall protect and maintain all Confidential Infonnation 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 Systern
Skookutn GRP Employment Contract 2015-2016
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) (1_411�,r. (110C. t'lliD ei ills, containing Confidential Information via Trusted System.
(1) To the I I extent allowed by law, at dic end of the Program Api-eenlent terin, or when no longer
needed, the parties shall return Confidential Inforrnaflon ol, certify in writing the destruction of
Confidential Information upon written request by the other pn i.y. d
(2) Paper documents with Confidenti,,ll may be recycled 1111-CA1911 a c0111T.Acte fi
provided the contract with the recycler SI)ecifics drat, the cojjjjdejjti,,,jjity (if" illfiji-Iliation will be
protected and the information desti.()v(d tjjr0tjjjj the recycling pl,oc�ess. Paper docuillents
containing Confidential Information requiring special handling (c,g, protected heahl
inj"ormalion) must be destroyed through shredding, plIlping, or incincraijon.
(3) The conlprornise or po(ential comprolnise of idential Informal ion must be reported to the
DSHS C, on(aci. desi
gnated on this Program Agreenlent 'Alfthill Five (5) business day.s
o
discover;y, for breaches ('of less than olle hundred fifty (150) persons' protected data, and one
(1) business day ol,discovery of breaches of"over one hundred fifly (150) persons' proiected
data. The parties must also take actions to mitigate the risk of loss and comply with any
notification or other requirements imposed by law.
(d) Fxj" ual Access- SU13CONTRAC."FOR will assures eqwfl access to persons who do not speak or have a
limited ability to speak, ruid, or write English well enough to undei'suind and communicate effectively
(reference: DDA 'Policy 5.05, Linfiled Eriglish Proficient (LEP) Clients),
(C) tjnanci"'d and JPr -og aull 11 S U13 COM"RAC pOR will maintain an
structure'time (-,,Jearjy def l,lesrcaap systerns and pers-onne) to
in.dillain ac.counlinp, records that accurmely reflect all prograin rcvenues aud expenditures; prepare
monthly statemews of activity (A.DSA Reports), nuiin taijr client service records and
progress reports; and track key pro -ram performance indicators.
SUBCONTRAC'I"OR has a commitment to support integration of individuals with
developmental disabilities willi people who are not disabled and has involved participants with
developmental disabilities in policy development.
(g) 11 itu - cooperatively with community-based
w _gj,� hips: SUBCONTRM71701� has a hist(,)jy of working cooper,
() Z� -M1.111 - Agencies, the COUNTY DD Program, the Division of
, roanizations including Employers, other
Vocational Rehabilitation (DVR), and the Schools.
(h) flerf"onnance Plan: SUBCONTRACTOR has a written performance plan that describes its inission,
p,ro, 7 limn obJectives, expected outcomes, and describes how and when objectives will be accollipl i shed;
and will assure ihe plan is cvalknited at least 11 1 -fo
iejjjji�jj�y NA�itjj revisions based oil actual pel - rnlance.
(i) julernal Control Systeli.s,_,, SUBCOM"RAC"F'OR has, stifficielit poficieand procedures for establishment
and rmaintemance of adequate internal control syslems. SI.JBCONTRACTOR will rnaintain written policy
procedural manuals for hil'ormaliun systems, personnel, and accountinj Ill sufficient detail such
than Operations call Continue should staffing change or prok,)nged absenc-,cs Occur.
0) Qgalified Siafl" SUBCON'l RACT()R will provide.adequate, qualified stafl"Nvith sldlls and expel1ence
ill evaluation, training, supervision, counsefin'o, and suppol (jillis wil,l) developmental disabilities
J`OR will assure that all
who ,ire.C<irjllng wages, per (Ile ,,Atachcd Statement of Work, S(J13CONTRAC"
direct service staff are trained, and that training is documented. SUBCONTRACTOR will provide
M JNTY with inIbrination regarding staff qualifications upon request.
(k) Smpjj�Ly' : SUBCONTRACTOR will provide evidence that it employs safety protection based on the
environment in which the participant is working or receiving services.
(1) Employment, and...chiy servicxs� must adhere to the Horne and Community Based settings (HOBS)
requirements of 42CFR 441 530(a)(1), including that:
(a) The setting is integrated in the greater community and supports individuals to have full access
to the greater community;
(b) Ensures the individual receives services in the community to the same degree of access as
individuals not receiving Medicaid HCBS;
(c) The setting provides opportunities to seek employment and work in competitive integrated
.settin2s, and
Sk00k'LJ111 GRP Employment Contract 2015-2016
Page 4 of 17
(d) The setting facilitates individual choice regarding services and supports, and who provides
them.
(m) SUBCONTRACTOR will maintain business operations, exclusive of this
agrecinent, sufficient to provide jobs for up to 3 Group Supported EAnl°rloyment 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 1 Group Supported Employment program client of at least 8 hours
per week (including paid holidays, sick leave, vacation, etc., as applicable).
(24) 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.
(25) Group Employment/Vocational Client Plans will include:
1. Information 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 11 -unity (the tea m).
2. Initial plans will be completed within 60 days frorn date of service authorization and must be
signed by the part icipant acrd/or his or her guardian, if any,
3. Copies of the inifial and subscquent revised plans will be distributed as appropriate to all team
members.
4. Plans will be reviewed and signed annually.
(26) 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
e) 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, interests and preferred activities
k) MNIsurable strategies (action steps and supports) to meet the employrnr.nt fwoal
1) Identrfic:aation of persons and/or entities (such as farnily, Division of Voce°ationail 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.
(27) 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.
(28) 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.
(29) SUBCONTRACTOR shall contact COUNTY and DSHS/DDA 60 days prior to any decrease in a client's
employment hours.
(30) The SUBCONTRCTOR 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 DSI-TS/DDA, Case
Marraager 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.
Skool<um GRP Employment Contract 2015-2016
Page 5 of 17
2. The SUBCONTRACTOR shall submit a written follow-up report within 10 days to the
COUNTY Coordinator. Tile report to the COUNTY Coordinator may be submitted by email,
facsimile (FAX) to 360-385-9410, or by mail to Jefferson COUNTY Public Health, 615
Sheridan St., Port Townsend, WA 98368.
3. Serious and emergent incidents shall be handled in accordance with DSHS/DDA Policy
12.01, Incident Management.
(31) 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 wttgn„es; and all documents, reports and other data
applicable to this agreement, The COUNT)l shall monitor services delivered, and r:,trrlduct at least one on-site
visit with SUBCONTRACTOR during the period of the contract to assure compliance with the DDA State
Work Order.
(32) Within 30 days of the effective date of this <a ,reenaent grad at least semi-annually t`hcrcafICT,
SUBCONTRACTOR will provide (a) d-tanapany (b) programa financial ac�al�ar:ar-ts to C0[JN°`Y, including„ �al'l.
revem.ies and expenses gericsr�ated by SUBC�ONTI�Af."'lO, in sufficient derail to dednonstrate 9�lat uses of
funds provided under this agreement.
(3) 3) Al. TD (xil,TMD)I�f M1=N 1 � Independent Audit will be submitted annually to the Jefferson COUNTY DD
COUNTY Coordinator in the following manner:
SUBCONTRACTOR must be able to account for and raa.ar-rd.ig,c public: fund's ill col,npliance wills Generally
Accepted Accounting Principles "GAAP". An agency, liar -profit or non-profit, who receives rrr excess of$100,000 in DDA funds during its fiscal year fi-om the County, shall provide C'erti'fied lrtiblic Accountant
reviewed or audited financial statements within nine months subsea lent to'thc Close of tile subc.onlractor's
fiscal year. Copies of the audit and management letter shall be st.rl�nnitied to than Jefferson COUNTY Pubfic
Health Department within 9 months of the end of the SUBCONTRACTOR'S fiscal year.
The SUBCONTRACTOR shall provide an independent audit of the entire organization which:
(a) Is performed by an independent Certified Public Accountant, the Washington State
Auditor's Office, or another entity the COUNTY and the SUBCONTRACTOR mutually approve.
(b) 11rovides statements consistent with lire guidelines of Reporting for Other Non-profit Organizal ions
AIC PA SOP 78-10„ rrnd is perfornled ill ac,coa(Jar.nce with generally accepted .auditing standards and
with Federal Standards for Audit of'Governmaenf rl Organizations, Programs, Activities, dared
Functions, and arae*eting all require.naems crfO13M Circulaam- A-133 or' A-128, ars applicable.
(c) The St,➢K'.' NTRACTOR shall tap
allsubmit two (2) ctc°s ofthe audit, and/or the sulnnrai-�y nand the
rna�anaagenaent leacr° directly to lila upaora completiom The audit must be,
aaccompIistied by documentation indicating the SUBCONTRACTOR'S R. C:"TOT'S T- oaard of Dirce(o s has
reviewed the audit.
(34) 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 five (5) days.
(b) Official Notification: If the informal notification does not result in resolution, the official
notification of possible non comph,,incca to establish a date, within five (5) "Parking days of
notification, when representatives of the COI.,INTY and the SUBCONTRAC:°I'OR shall meet to discuss
areas of contention and attempt to resolve the issues.
Skookum GRP Employment Contract 2015-2016
(c) Written Summary: Within five (5) working days of such official notification the COUNTY will
provide the SUBCONTRACTOR a written summary of the areas of non-compliance by certified mail.
Notice shall be sent to the address identified in the Agreement.
(d) Discussion: Within twenty (20) days of the date of the written summary, a discussion between
COUNTY and SUBCONTRACTOR shall be conducted to resolve areas of non-compliance or
potential non-compliance.
(e) Should the above procedures fail to resolve the compliance issue, the parties will obtain the
services of the Peninsula I:Asput�e Resolution Center, or another agreed upon resource, and shall share
equally in any retainer fees or other costs of services. If no agreement is reached, the mediator's
decision in the matter will be binding on all parties, except that in no event will the COUNTY honor a
financial determination that is greater than the funds allowed the scope of this Agreement.
(35) For six years following the end date of this agreement, SUBCONTRACTOR will maintain client records and
books, records, documents, reports and other evidence of accounting procedures and practices, which
sufficiently and properly reflect all direct and indirect expenditures of funds provided under this agreement.
Client records shall minimally include statement of client goals, documentation of t gaining provided, training
hours, routine progress notes and semi-annual summary of progress toward meeting client goals.
(36) SUBCONTRACTOR shall (Hake 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.
(37) SUBCONTRACTOR shall provide COUNTY with a copy of a signed DSHS Provider Agreement within 30
days of the effective date of this agreement.
(38) SUBCONTRACTOR agrees to assign to COUNTY its Medicaid Billing Rights for services to clients eligible
under Title XIX programs. Written documentation shall be available to COUNTY on request. If
SUBCONTRACTOR contracts directly with DSHS to provide covered services under Title XIX, COUNTY
agrees that funding intended for those clients shall be excluded from this agreement. If SUBCONTRACTOR
contracts directly with Social Security to provide covered services under a PASS/IRWE, COUNTY agrees
that funding intended for those clients shall be excluded fi-om this agreement.
(39) Subcontractors receiving reimbursement on a fee for service basis may be reimbursed, at the discretion of
the COUNTY, for any temporary closure or substantial non-attendance necessitated by natural causes,
disasters, State/COUNTY trainings such as the Ellensburg conference, or mechanical failure above and
beyond the control of the Contactor. Federal XIX funds may not be used for this purpose.
C. REIMBURSEMENTS
(1) For said services rendered under this agreement, COUNTY shall reimburse SUBCONTRACTOR on a unit
rate basis, as follows:
(a)ra'ml SUBCONTRACTOR will be paid $60.00 per UNIT assigned
Service Responsibility of regular- Program Service, as defined in Exhibit A Statement of Work.
(b), One UNIT is defined as one HOUR of direct service to one eligible client. One HOUR of direct
service is defined as one (1) or more hours of paid productive work, paid on-the-job training, or paid
tinnc off (such as routine holiday, vacatlon nand sick leave) in one 24-hour per'iod. A minimum of four
(4) hours of work a day is required. The Client must work a rninirnum of four (4) hours a day to bill
the COUNTY for an HOUR.
(2) Sl_I1. CONTRAL:.'l OR will bill COUN'1'11 on Baa monthly basis, on or before the 5th day of the month, for units
of service provided under this agreTrnent during, the preceding month. SUBCONTRACTOR will submit a
Montldy LPDA Services Report (AI.ISA) cornputer lbrm for its billings. At no tisnc shall thcinvoices for
reirnbursernent 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 fol- any month for which required reports have not
been received or are not accurate and/or complete or for contractual non-compliance issues.
Skookum GRP Employment Contract 2015-2016
Page 7 of 17
(4) Total reimbursements for the fiscal year of 2015-2016 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 PASS/IRVVE.
(1) DSHS Division of Developmental Disabilities (DDA) shall determine individual eligibility of persons for
services delivered under this agreement. DDA shallCOU
notify NTY of persons authorized for services
reimbursed under this agreement. only t-cferred to COIJNTY by DDA thr()ugh a County Service
Authorization, (CSA) 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 cillifloyces of1he SUBC()NTRAC70R only, and any claims that may arise on behalf of or
against said eiriployees shall be the sole obligation and responsibility of the SU13('()'NI RACTOR.
(3) T'he SUBCONTRACTOR shall not sublet or assign any of the services covered by this Agreement WiIh011t
the express written consent of the COUNTY. Assignment does not include printing or other clistolnary
reirnbursable expenses that may be provided in an Agreement.
(4) The SUBC()NTRACA`01"�, by signature to this Agreement, certliuesthaw the S1J13CONTRACTOR is not
presently debarred, suslicTided, prol)osed for debatinent, declared ineligible, Or v(,,1Jtl111srily excluded from.
[i,,j ri i c i I it i ii p, yin th is A gr cc ni c it t, or arty, Ag ree i n el it by a I I y I �'cd c ra I d epart i n e ri I err ap"cl I Cy. "They
StMCONTRACTOR also aV',,reeS to inellide 11,le al)ove requil,,cillent ter all subcontracts into which it enters.
(5) The SUBCONTRACTOR shall obtain and keel) in force during the to rnis of the Agreement, or as
otherwise required, the following inslil,,n1cc with companies or through sources approved by the State
Insurance Commissioner pursuant to RCV 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 ilijury and property
dais age 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 agf,;regkt1e of not less than two (2) times the
occurrence amount ($2,000,000,00 minimum) bodily injury, including death and property
damage, unless a greater aniount is specified in the contract specifications. The insurance
coverage shall contain no limitations on the scope (,lfthe prWedion provided nand include the
following minimum coverage:
(1) Broad Form Property Damage, with no employee exclusion
(2) Personal Injury Liability, including extended bodily injury
(3) Broad Form Contractual/Corninercial Liability - including completed operations
(4) Premises - Operations Liability (M&C)
(5) Independent Contractors and Subcontractors
(6) Blanket Contractual Liability
SkookLI11) GRP Employment Contract 2015-2016
(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 of not less than one million dollars ($1,000,000). In no case shall such professional liability
to third parties be limited in any way.
(7) It shall be the responsibility of the SUBCONTRACTOR to insure that any and all persons engaged in the
performance of any work or service required of the SUBCONTRACTOR under this Agreement, shall
comply with the same insurance requirements that SUBCONTRACTOR is required to meet.
(8) Failure on the part of the SUBCONTRACTOR to maintain the insurance as required shall constitute a
material breach of contract upon which the COUNTY may, after giving five working days notice to the
I
SUBC"0N"'l'RAC.'TOR to correct dic breach, immediately terminate the contract or, at its discretion, procure
or renew such insurance and pay any t'.ind all premiums in connection therewith, with any sums so expended
to be repaid to the COUNTY on dernand, or at the sole discretion of the COUNTY, offset against funds due
the SUBCONTRACTOR from the COUNTY.
(9) All insurance costs shall be considered incidental to and included in the unit contract prices and no
additional payment will be made. Upon failure of the SUBCONTRACTOR to maintain insurance as
required, the COUNTY may withhold compensation otherwise due and owing to the SUBCONTRACTOR.
(10) Excepting the "orkcrs Compens.ation insurance and any professional liability insurance secured by the
SUBCON'FRACTOR, the COIJNTY 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.
1) All insurance shall be obtained from an insurance col,rily,111y 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
SI-MCONTRACTOR shall be primary to any equivalent (,)I- applicable policies held by the COUNTY. All
insurance policies obtained b ' y the SUBCONTRACTOR shall include a waiver of subrogation rights. Any
third -party liability coverage provided to the County by its 111cliflVi-ship and pailicipation in rr Ch, 48.62
risk Pool shall be excess and shall be non -contributor -y to tlic illsill,alicc policies provided by the
SUI X'ON TRACTOR in order to comply rVith the insurance requirements of thus Subcontract. All policies
provided by the SUBCONTRACTOR in order to cornply 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
addilionally requesting th,,,,il 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 lawsand ordinances applicable to
the work to be done under this Agreement. This Agreement shall 1,1 ac
4� :41 c iiitcypreted and construed in cord
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
han-niess fi-orn and shall process and defend at its own expense, including all costs, ailonicy fees and expenses
relating thereto, all claims, demands, or suits at law or equity arising in whole or in pail, directly or indirectly,
frown the SUBCONTRAC"'ro wS negligence or breach ofany of its obligations under this Agreement;
provided that nothing herein shall require a St-113CONTRAC]"OR to indemnify the COUNTY against and
hold harmless the COUNTY from claims, demands or suits based solely upon the conduct of the COUNTY,
SkookL1111 GRP Employment Contract 2015-2016
Page 9 of 17
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 S1,113CONTRAC1'OWS qgenls or employces; and, (b) the COL)NTY, its officers, elfll)l0ycC8
and 1fle,
, ills, this indclllllity provi"'Jon With respect to (1) cllillis or suils Nvised upoll such negligence,
and/or (2) ihe costs to dw COUNTY of defending such claims and sitils, shall be valid and
enforceable only k) the exicni of the SUBCON]"RACT(')wS negligence or the 11cVfigCTIce Ofthe
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 Illatexial ofany kind, delivered there
under, constitutes am infringement of any copyright, patent, trademark, Irade nainc, or otherwise results in an
unfair trade practice or an unlawful restraint of competition.
(18) The SUBCONTRACTOR specifically assumes potenti,jj ii,11)ility for actions byt)u'ght act anlr,t Clic C',OLYWY by
SUBCONTRACTOR'S employees, including all other persons engaged in the perfiirmance of ,lily work or-
service
rservice required of the SUBCONTRACTOR under this Agreement and, solclY ]or 111c PUIPOse cif this.
indemnification and defense, the SUBCONTRACTOR specifically waives -Mly iinnitmity under t1w state
industrial insurance law, Title 51 RCW. The SUBCONI'RACTOR reco�',nizes thill this Mfivcr W8s
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 thernselves for services based on
race, religion, color, sex, age, or national origin.
(20) COIJNTY reserves the right to terminate this contract in whole or in pal 1, without prior written notice, in the
event that Wntr,'IdUal terrns are not fulfilled, or ifexpeoed or actual funding 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 ten-nination.
(21) No porlion of this contract may be assigned orsubconlraded to ally other individual, fine, or entity wilhout
the express and prior written approval of COUNTY, I f the COUNTY agrecS in writing that all or a portio, 11 of
this Contract may be subcontracted to a third -,party, then any contract or agreernent between the
SUBCONTRAC]"OR and a third -pally subcontractor must contain all provisions of this Agreement and the
third -party subcontractor must agree to be bound by all terms and obligations found in this agreement.
L' Z�
ADOPTED THIS day of 201S.
By: . . . . . ................
David Sullivan, dial', Timor
Jefferson County Board of Commissioners
By.-
.. .......... . .
Deputy/Clerk ot',I)Ihe Board
AP E±1A
," I -ORM ONLY(
By:
Jefferson COUNTY rosmutirifd' Att (,y
By:
anage,
'
Skookurn Contract Services
Skookum GRP Employment Contract 2015-2016
Page 10 of 17
EXHIBIT A
STATEMENT OF WORK
GROUP SUPPORTED EMPLOYMENT SERVICES
I. WORK STATEMENT
SUBCONTRACTOR shall provide (]roup Supported I-.rliployment services as described hereinafter.
SUBCONTRACTOR shell be reimbursed for such serviceson a unit of service basis pursuant to Section C.,
Reimbursements of this contract.
II. PROGRAM DESCRIPTION
A. Goals
l , To provide work training and work opportunities for adults with severe or profound developmental
disabilities whore, 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 rneet specific needs of the
individual based on personal preferences and individualized goals and outcornes.
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 1.'-rraployine nt Services to experience
community job sites through mentoring, observation and/or on site experience at least four 0111c.s 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 transhicn prograar�n clients to Supported l;rnployment services as soon as resources, stapport
systems, and/or technology are available or adequate to aid these individuals to obtain individual
employment in the community.
T Clients in an Employment prograrn will be supported to work towards a living wage. A living wage
is the amount needed to enable an individual to rneet or exceed his or her living expenses. Clients
should average twenty (20) hours of work per week or eighty-six hours per month.
B. Definitions
B. Definitions
; rtarrla prlriaor ,c� H rrI] _l ayaaacot.t..Scryi.cgs are:
• tna,'dning 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
• supplernental training required in a job situation to develop skills required for new tasks and to
enhance versatility; and
Skookum GRP Employment Contract 2015-2016
Page I 1 of 17
• providing a service provided for the 111()si severely dcvclopnienT,,,1JJy disabled adults until
resources, support system's, and/or technolo,,?'y are available or adequate to aid these individuals,
to obtain competitive employment
Lit is defined zas paid productive wm,k, 11, i(l, 011-1he-jol) 1,1-,qj1fl11g, and paid fime off(such as
IcIlt l)e� jjjl.1i111c �Iveragc weekly Nvork of'
routine holiday, vacation, and sick leaw,)� EmplOy"
4cmrs(average
or aindvida; INii-HiTe, .pe weekly wo�k of'20 s to 40 hours f(IrMl individual,
or
h6
; (other, average weeklyiulwork ofnlessjthan 20 hours for an individual.
C. Program Requirements
SUBCON`HRACTOR will provide Group Supported FinploymcnI services for up to 4 program clients who
are authorized for service by DSJISIP DA and have been approved by COUNTY. SUBCONTRACTOR
shall attempt to transition program clients to Individual Employment placements.
SUBCONTRACTOfl will support Clients in an employment J.'Worl-,11-arn to WMA, tolvards a living wage. A
living wage is the amount needed to enable an individual to mect 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 demonstrawd need and acuity level.
3. In 0w evoni that SUBCONTRA(I'TOR &Acrul i lies that Group Sullpf),le(] Einploymeill ScrviccS are 110 1011Per
appropri,ilc forany cheril, will notify the DDA c�jsc N4anaiger and the C'OUNTY ofthe
basis for iis deterinhiation and recommend that the chent be terininMCd fn-ojji service and/or authorized for ail
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 Manzwer will notify SUBCONT10CT(')R of its decision to support
SUBCONTRACT()R'S recommendation. If approved, COUNTY will work with SUBCONTRAC]"OR to
facilitate die &.welopment of a transition plan and schedule. The ti-ansition plan will be developed in
consultation with the client, DDA case management, SUBCONTRACTOR, family members, and other
service providers as applicable.
4. Worker wages shall be commensurate with the local industry accepted norms and comply with applicable
Federal Department of Labor standards.
5, 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 Clients DDA ISP is the driver for service. The CMIS County Service
Authorization and the updated Planned Rates information will not exceed the Client's
DDA ISP.
(b)The amount of service the Client receives should match with the CMIS County
Service Authorization and updated Planned Rates information.
Skookum GRP Employment Contract 2015-2016
Page 12 of 17
6. SUBCONTRACTOR shall provide a Group Employinent/'Voc,GrtoOcW11 t.l'iera'I 1"laua elcluaaaaatival individual
skills experiences, preferences, strengths, support need%, si illi" gaud gcaals ','And objectives within 30 daays of
the beginning of services for the client in order to promote (' o nuauanity l,naployaauewnt. 1 lie
SUBCONTRACTOR will use the new Employment Plan Repot For'n', (see Alt,,whillent I1) (Mluuinll"I
Employment/Vocational Client Plan elements are outlined ill the refe� rencc docuuu'ueaat called °"f niter°ia fe'ul'
Evaluation" available on the DDA website.)
7. SUBCONTRACTOR will provide a copy of the Group Elnployment/Vocational Client Plan to the Client,
their CRM's, Guardian, the COUNTY, and others as appropriate.
8. Sl IBCON I RAcTOR must ensnare that doculnenlation and data collected ear reflects the.
t:;iaoup 1 oaalaleayuracuat/Vocatitataaul ]rent Plaru„ that
tile clocunueuataat:ion shows how it leas identified and
addressed supl.acaul needs ofeaucll participant by denionstratinffy methods four providing scrvac.cs based on
individual needs must be outlined in a Client's Vocational Plan.
9. SUBCONTRACTOR must ensure that .lob coaching and supervision of program clients will bebused on
goals es ablished in as Group l ;laajaloyurucaat/Voc aaticarlal Client Plan. Client goals, training provided and
proaaue^ss toward mecting goals shall be documented in each client record.
10. SUBCONTRACTOR will submit to the COUNTY and DDA Case Managerncnt Sen"ti-Annual M) rens
Repom on each Client. The SUBCONTRACTOR OR an"i'll use the new Employment; plaaua Report Foran, (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 cvcu'y six (6) ononths after the initial
plan, July through December 2014 with the report due on January 2nd of2015„ tlae: second due date will be
January thru June 2015, due July 151 2015.
12. The Sermi-Annual Progress Reports will show Vocational Client goals, training provided and a written
synopsis sholvini progress towaartl mecting o)toecflves or a description of the; reasons for any shodfall
couuccrnini." the outcomes and proposed actions for correction.
13. SUBCONTRACTOR shall schedule a review meeting every 6 anonth,s fou` all program participants. "hire,
review shall incluue;ie an assessimm of the need for contlnued Groul�,u 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.
14. COUNTY shall receive the dates for the 6-month reviews for program Clients one month before the required
meetings.
15. Subsequent to review meetings, the SUB CO'N I RACTI'OR will submit a copy of the updated Semi-Annual
Prooress Reports to the Client, the DDA case manager, the COUNTY Coordinator, and Residential
Support Staff, Parent or Guardian.
16. SUBCONTRACTOR shall document time studies and competitive bidding procedures with regard to all third
party contracts that provide funding for employment of program clients.
IT The Sl.J13CONTRAC"FOR will clearly colnmunicarte to t:lac COUNTY and the client prior to beginning.
a'acrvice, or an 1wn thele is an unexpected change in flue aaaaaxinauauaa service hours per month the client can expect
to receive, and service cluaangcs will not Occur until the client laas received proper notification from 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.
(b) The amount of service hours the client receives should match the County Service Authorization
and Planned Rates information.
Skookum GRP Employment Contract 2015-2016
Page 13 of 17
18. SUBCONTI"FACTOR must ensure that every Client file has a craJ:ry of DDA aIuthorizakion WId
referral (CSA), a copy of the participant's Individual Habilitation Plan (ICFAIR), cheril's Individual
Service Plan, Plan of Care, and/or Individual Support Plan (JACBS Waivers) and/or the COUNTY
authorization/individual service agreement plan, as applicable.
I. III it they av 11 C a
19. SLJl3C,0'NTRACT0R must ensure Hmt all Incident I1eports are relained ill Che files, "
policy to retain records at least 5 years; that emergency Contact ajl(j lyte(lical (Inedicalions, diet,
allergies, etc.) needed and during the hours of' service i", available for cach pard6paill oil the fllcc 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.
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, SUBCONTAA(A'OR will filcifilate
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.
21. SUBCONTRACTOR mmst ensue, there is a lcgal requirement and a clear deline'aflors for staff'
qw,ifificalions ai)d proof'of background criminal history clearance in accordance with SUBCONTRACTOR
is required pursuant to RCW 43.43.830-815 RCC 74,15 030, and Chapter 388-06 WAC on all staff,
22. SUBCONTRACTOR shall submit a written Program Staff Training Plan to COUNTY for approval or
disapproval within 30 days of the effective date of this Aprecnient, semi-annually thereafter or wherl
reorganization occurs, Nvhich minimally hICILKICS SUBCONTRACTOR'S procedure to train new direct
service staff. The training, must include
0 DDA Policies & Competencies (see Section C-Nurnber 22-25)
0 RCW's & WAC's referenced (page I & 2 of the County Contract, Section B. Obligations)
a Agency policies & procedures
0 Skills on how to instruct/teach Clients
0 Skills on how to docurnent data collection, daily/weekly notes & 6 month reports in Client files
a Skills on how to write Group Ei-npl(,,,iyituent/Vocai,tioiiaI Cliew Plans and/or Person Centered Plans
(creatin,c, 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 chart pertaining to prograrn staff
• SUBCONTRACTOR's is required to send five direct service staff to a rninirnum of 16 hours of
workshops, trainings, and /or ca,aali rcarces about developmental disabililies and employinent, for a
total of 80 hours. Should S1.)I'W,7ONTRACT0R fail to acccss, trainings lor ('lirect 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)
23. SUBCONTRACTOR will provide COUNTY with infonnation regarding staff qualifications and documented
training's every six (6) months.
24. 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 oi-
older are ned in the l'ollowing DDA Policies P ior 10_14/aAil I ivith (7 ADA Iraining
APS J�eporiirig I�equirements, Cliell, coll1jdellt i�l lity, ekti-rellt iI1cijvi(J1,iI instruction and Action
Steps/Vocational Plans for each Client will, wholn (lie eiriployce works, DDA Flolicy 4.1 1
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.
SkookLlm GRP Employment Contract 2015-2016
Page 14 of 17
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, M/il ain o ,r rrr rrr/r r SUBCONTRA(FOR uru.nst: ensure that direct service staff received
trahling and are knuowiedge=dale in the following areas: Overview of DDA Policies including: DDA Policy
3.111 Service Plans, DDA llohcy 5.013 C'mlienrt Complaints, DDA Policy 5.17 Physical Inte ventio ll
Techniques, DEM policy 6. 13 Employnnent/Day 111-0901711 a l,"rovider 4, �ualifi6llions, DDA Policy 13.04
DRW Access Agreeirlent, MDA policy 15,03 C�ornmaaality'Pr tecttora Standards for I�jnploymell 0)ay
Programs and all reporting requirements related to these DDA Policies.
... <. � - r .1 — r L� l „ rived
27. Cra n�rn arrdr rac/lanra vl °dr/c:rbllrlrr Irc,11c I r rn� areas: 19 rrcr4^,r ar nrskilll�dr veloi mint, DDA tPolicy y5,02
p
Necessary s uhrplenielrt�al�Accommod;ation DDA Policy .`x.14 Paaw�r1ive B hav�roar Support, DDA 1 olicy 5.15
Use of Resir-iclive Procedures, E)DA Policy 9.07 1 H and AID'S and pl-ograarn Skill l)evelopnrent.
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 eitective date of this agreement, and seraai-allnuaa'lly thereafter, SUBCONTRACTOR
will develop arnd .alalrnrot to C.C)UN"I"t' a pro,rarrrw capcnatirag budget dctai'linri^t6ae lanopectcd allocation of
contract muds, other sources and amounts of fu,rndingg,'laro�� rl�l
„r°arr'r st4rllirag a slaerrses arrat�l other` cost aoc,�tticaars.
30. Semi-annually, SUBCONTRACTOR will develop and submit to COUNTY program trrlarnci�al reports
refecting the actual revenues Deceived and expenses incurred compared to the projected program budget
submitted.
31. TheSUBCONTRACTOR will ora an annual basis sponsor the stirveYfilg o] pa�ar trcll�a�rats, llreir larrrrlie.w'w, their
s�ualrlaaart mets �r rlc ,oared their c�ml layer's r'c r�rnl°clirat�.a, clrsttttaacr satistaraisarr. 'FIle 51113CONTRAC TOR will
design Cu, siomc;r/C:lient survey tc)1-rns. 'Fhe SUBC..ONTRAC!°I"OR nrust. send the t`OI..1N'fY coocs l:aftlle
surveys received from participants, their families, their support networks and employers.
D. Performance Standards
1. The average worker wage per month will not fall below minirnurn wage.
2. SUBCONTRACTOR will provide sufficient income producing work to challenge the productivity of
wor'keu's dead result in at least 4 hours of paid production per clay per eligible client.
3. SUBCONTRACTOR shall access approp6ate jobs and provide, sufficient training to result in an
incre,ase in average monthly earnings fi°om one six-month period to the, next through productivity
improvements and/or increased hours.
4. SUBCON17RAC TOR will createindividual client, goals and provide suf�0cicnt ntstrl.rction that result
in an improvement in the program client's vtacrational 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.
Skookum GRP Employment Contract 2015-2016
Page 15 of 17
E. Service Level Guidelines
t. hent l3mlfloyment Acuity is detcjtnincd throuLg0i the DDA assessment, Acuity renecls
condilions lypically relate(I to 0W individuals dk,,ibility that are not likely lochange, and are:
generally not hill-4"Icted byujq �1 mined as 61h r "fligh",
, i(le I", cl C I ient ac u it.), is d et ci c
"Mccliurn" or 1,ow" as del"ined within WAC. 388-828Other considerations nre Mk
to the job or service environment, which may impact the individual's level of support, regardless
of acuity.
2 1-;Inploynlciit Service I-evels reflect Client f-'Inploymew Acuity and other corisideraflons, (see
Table One -Base Hours below),::, t1w Guidelincs iypically rellecl direct service: shaft time provided
to or oil, behalf of' the Client to pursue or maintain Nloki may be eligible to receive
additional add on hours, (see Table Two, Add -On Hours below).
3 Short-term Employment Supports is a service that allows DDA to approve additional service
hours in addition to the amount of your employment service Base Hours and Add -On Hours for up
to three months when:
a) You are beginning a 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
DDAETERMrNES YOUR Ei����VRYL'7USING THE
FOI,LOWING
TABLE:
CLIENT
YOUR
THEN YOUR
AND YOUR
ACUITY
EMPLOYMENT
EMPLOYMENT
EMPLOYMENT
LEVEL
STATUS
SERVICE
SERVICE BASE
IS:
IS:
LEVEL IS:
HOURS PER
MONTH MAY BE:
'WORKING
1 A
0
NONE
NOT WORKING
B
0
. ....... . . ......
WORKING
C
4
LOW
A,
'4a
f
WORKING
E
7
MEDIUM7
NO
F
—7
9
WORKING
G
HIGH
. . .
NOT WORKING
.. . ............... .. --_--_11--___.- I_
H
. .. . ......
12
Skookum GRP Employment Contract 2015-2016
Page 16 of 17
TABLE TWO -Add -On Hours
DD __m..SES THE..FOLLOW
TABLE TO 0
.,AU.
ING
DETERMINE THE MAXIMUM NUMBER
OF ADD-ON HOURS YOU ARE ELIGIBLE
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
1. One UNIT of Group Supported Employment service is $60.00. One UNIT is defined as (1) one
"HOUR" of direct service or assigned service level to one eligible Client. An "HOUR" is at leas'(
fifty (50) minutes of direct service; (partial hour to the quarter may be recorded') or ASSIGNF'D
SERVICE LEVEL as defined above.
1. One `TIC:1UR" of drreci, service is defined as one (1) or nior•c hours of paid productive work, paid.
on -the -Job trainins,,, or paid tinie off(such tas r(')utine holiday, wicat:ion and sick leave) in one 24-lat'rm
l�tc^riod. A inininitim offour (4) hours of work a clay is required, The Client must work a rrdnimuni of
four- (4) hours a day to bill the COUNTY for an HOUR.
Skookum GRP Employment Contract 2015-2016
Page 17 of 17
IFOYOU MEET ONE m
YOU MA..._—�...w_.n._
Y BE
OF THE BELOW
ELIGIBLE TO
CONDITIONS AND
RECEIVE UP TO
YOUR
THE
EMPLOYMENT
FOLLOWING
LEVEL IS:
AMOUNT OF
ADD-ON
HOURS:
C
5
F
7
H
14
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
1. One UNIT of Group Supported Employment service is $60.00. One UNIT is defined as (1) one
"HOUR" of direct service or assigned service level to one eligible Client. An "HOUR" is at leas'(
fifty (50) minutes of direct service; (partial hour to the quarter may be recorded') or ASSIGNF'D
SERVICE LEVEL as defined above.
1. One `TIC:1UR" of drreci, service is defined as one (1) or nior•c hours of paid productive work, paid.
on -the -Job trainins,,, or paid tinie off(such tas r(')utine holiday, wicat:ion and sick leave) in one 24-lat'rm
l�tc^riod. A inininitim offour (4) hours of work a clay is required, The Client must work a rrdnimuni of
four- (4) hours a day to bill the COUNTY for an HOUR.
Skookum GRP Employment Contract 2015-2016
Page 17 of 17