HomeMy WebLinkAbout092616_ca04615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
Consent Agenda
July 29, 2016
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
Anna McEnery, Developmental Disabilities
DATE:
SUBJECT: Agenda Item - Professional Services Agreement — Skookum
Corporation, Contract Services for Group Supported Employment
Amendment 2; July 1, 2016— June 30, 2017; Additional $34,5600 for a
total of $69,120.
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 2; July 1, 2016— June 30, 2017; Additional $34,560 to amended amount of $34,560, for a total
of $69,120.
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S:
This Amendment #2 to the professional services agreement with Skookum Corporation Contract Services for
Group Supported Employment falls under Vocational Services as part of the Developmental Disabilities
Agreement with DSHS. This amendment #2 adds $34,560.00 dollars to the contract's amended amount
(Amendment #1 signed July 11, 2016) of $34,560.00 for a total of $69,120.00. Amendment #2 also extends
the term of the agreement, which ended June 30, 2016, to provide services July 1, 2016 through June 30,
2017. All other terms of the agreement signed November 2, 2015 remain unchanged.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
The amendment adds $34,560.00 of funding for a total of $69,120; and extends the term of the agreement
July 1, 2016 through June 30, 2017. 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.
Community Health Environmental Health
Developmental Disabilities Water Quality
360-385-9400 360-385-9444
360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487
RECOMMENDATION:
JCPH management request approval of the Professional Services Agreement with Skookum Corporation
Contract Services for Group Supported Employment Amendment 2; July 1, 2016— June 30, 2017; Additional
$34,560 for a total of $69,120.
REVIEWS Y:
f
Orley, C un Administrator Date
Contract Amendment #2
Between
Skookum Corporation
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Skookum Corporation (Subcontractor) and Jefferson County (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.
The term of the above referenced agreement ends June 30, 2017.
2. The Subcontractor will continue to provide Group Employment Services; these are
individualized services necessary to help persons with developmental 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.
Subcontractor shall receive $60.00 per unit for Group Employment Services. One UNIT of
Group Employment service is defined as one (1) "HOUR" of direct service or assigned
service level to one eligible client. An "HOUR" is at least fifty (50) minutes of direct service;
(partial hour to the quarter may be recorded); ten (10) minutes of every "HOUR" of direct
service or assigned service level to one eligible client can be used for documentation and/or
meeting times. A minimum of four (4) hours of work a day is required.
4. Subcontractor's contract will be increased by $34,560.00 in funding for services rendered
during the term of July 1, 2015 through June 30, 2017. Total compensation under this
Agreement shall not exceed $69,120.00 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 12016
0
, Chairman
Jefferson Board of County Commissioners
B~
Ryan Wiese, Contracts Manager
Skookum Corporation
Contract Amendment #1
Between
Skookum Corporation
And
Jefferson County Public Health
NV14FREAS, Skookum Corporation (Stibcontractor) and Jeff'ersoii Col.,inty (County) entered into an
tigreernent on July 1, 2015 for Professi(mal Seivices 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.
The term of the above referenced agreement ends June 30, 2016.
2. The Subcontractor will continue to provide GroufIn
,'ploynicnt Services; these are
P -
individualized services necessary to help persons with developmental 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. shall receive $60.00 per unit ror (11-0111) Ell, .110)110"t Services. One UNITol'
Sabcowractoi I
Group Fmployment service is defiiied as oris (1) IIIIOUI�" of direct service or assigned
service. lcTMvel to caaae elm dip l client.An".110'UIZ"isalleast filly (50) 111ilILACS ot'direct service;
(partial hour to the qUafler may be recorded); ten (10) minutes ofe\,,ery "I IOUR" of direct
service or assigned ser -\,,ice level to one eligible client can be used for docuinenlatioi-i and/or
meeting times. A minimum of four (4) hours of work a day is required.
4. Subcon-tractors contract will be increased by $720.00 in funding for services rendcred
during the terYn of July 1, 2015 through June 30, 2016. Total compensation under- diis
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 thisdayof 2016
By:
Chairman
Jefferson Board of County Commissioners
By:
Ryan Wiese, Cl.mitracts N 'I Va
Skookum Corporation
roved as to form
SUBCONTRACT FOR PROFESSIONAL SERVICES AGREEMENT
GROUP SUPPORTED EMPLOYMENT
_......... _.�._...._......................................Between"°...._. �.....m.
JEFFERSON COUNTY HEALTH & HUMAN SERVICES
And
SKOOKUM CORPORATION
'I''lais aagreerncnt is m adc and entered into betweerr ,)efl6son County Public I-leaallh (COUNTY) and Skookum Contrarcl
Services (SUBCONTRACTOR)forprovision�.@outlrr.r lg'rapersonsrtr developmental risararlulesin
lcfrrson COUNTY, `1°Ie terof this ape-eenrid isl0y12l15through lone 30, 206"I'17"s Coritrat nty I'l
terminated by either paarly uport 60 days wvritien laotice. Termiraation of this Contract shall not con.„tilute a 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 inforination 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 RAC":.1 CSR is reulidred provide backgromid checks, pursuant to RCW 43 X33 830-m 45, RCW
7+1,15.0 30, and Chapter- .388-06 WAC, which state, that any prospective err:rplc)yee or volunteer who will or
may li avc unsupervised accc s;s to a vulnersrl:rle person with a devcloprncntal disability in the course of his or
her cniployment, or involvement with the husiness or orlM inizatkln, must have a background/criminal history
clearance before they have unsupervised access. The I';)STIS Barcklolround Check Central Unit (BCCU) must
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 StGrtc riuring the Iasi, thr-c°c years, and wlro will or may have unsul.xi—vised aaccc.ss to a
vulnenible person w idi a develolrrnentasl disability in the course of his or her employment,„ or involvement
with the, business or org,all izt'ttion, ntrust Iaauve <an RB.l I irrgerprini Check before they have unsuperwdsed
access and before prospective employer begins Working, 1'he DS1IS Background Check Central Urrit
(BCCU) must be utilized to obtain background clearance.
(5) SUBCONTRACTOR is required to repeat the bauckground/criniinal bistor�y clearance for 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 '"TOR shall comply, as inandated reporters under RCW 74.34.020 (11), with all state and
federal requircinents under RCW 74.34.0.35, .040 Abuse and neglect'. of Vulnerable Adults; RCW 26.44,
Skookum GRP Employment Contract 2015-2016
Page 1 of 17
Abuse of Children; the vACs: 275-26 Division of Developmental Diz,uoilities Set -vices Rules; 296-24
General Safety & Health; 296-62 General Occupational Health Standards; WACs: 398-828 Developmental
Disabilities Administration, (DDA) Assessment; 388-845 Home and Community Based Waivers;
Definitions 0001; Criteria for HOBS 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) S[JJ,3C'ON'l`RAC'l`0R. sh�,,fll comply with the J611mving Developritental Disabilities Administration, (DDA)
Pohcies. 3.01 Client Service Hans; 5.01 Criminal llil,;wry 13ac1<grourjd (,"hecks and Sk.ifeguardinp, Perm',inal
Information; 5.02 Necessary Supplemental Accommodation (NSA); 5,03 Client Complaints; 5.05 Limited
English Proficiency (LEP) Clients; 5,06 Client Rights; 5.13 lly(�)tcctjons 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.
(8) SUBCONTRACTOR shall comply with the following referenced documents found at DDA Internet site
,I it 1,0/ww wds I us.wa.gov/d dalcou tit y-bes - under "Counties":
(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 Aj,,,,rcement. The Access Agreement covers DRW's access to individuals with
developmental disabililic-s, 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) ST_JB(_,',ONTRAC'['OR shall have written p0h6CS T'Cg,Wdilltll SCMIA harassment and 11on-discriniinadon (,.mid
policies must guarantee hollian/civil rights); rep " arding a pep�ojjls, right io, privacy, regarding sa fegcarding
z
personal information and abuse of participwits; regal%jilig Igency rnedicadon procedurc, regarding
respedful inten."tclions including a pej.sojj,s 1-ig)if 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 prograrn's expectations of thern; 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 mediation process that promotes the use of s-orneone who is unaffected by the outcome if
conflicts rernain unresolved (a DDA Case Resource Manager may be included as an alternative option)
• 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 expectation, and receipt of information about services and betlefils to be
provided by the program. "I'lie signed proof required by this seedon shall be reviewed and renemed, with
new documentation, annually.
Skookum GRP Employment Contract 2015-2016
Page 2 of' 17
(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, oflacer or agent, any mcranprcn• 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 coml,aly 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 CC` TJNTY ,:pond all SUBCONTRACTORS are, mandated reporters under RCW 74.34.020(11). All
parties must comply will) reporting requirements described in RCW 74.34.035, 040 and Chapter 26.44 and
nnist adhere to DDA Policy, 6,08 MaMalory Reporting R,eglarrerneants tn'nr` j.-Anlrloyment and Day Progriam
Service Providers. All service provider cmployces, C01'11180ors, and vteltarnteers arc mans atony reporter's and
anlnst n'eporl every incidentofolnscrved, reported, or suspna c cd abuse, ienrprop+mr lase of rost:raaint, neglect„
self neglect, personal or financial exploilation, aabaradonnnew and/or rnistna..�atnICint o'fcliellts.
(22) COUNTY, who perform on-site evaluations of subcontractor work sites, will promptly report to DSHS per
DDA Policy 5.13, Protection fi•oln Abuse: Mandatory Reporting, if:
(1) 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 71A.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 minimum organizational capacity in order to meet
the prerfllarmance standards set forth in this agreemerxl.. Failure or inability of Sl„1CONTRACTOR to meet
any or all of these minimum capacity requirements, as determined solely by COUNTY, may be cause for
termination of this agreement as provided herein.
(a) Accreditation: SUBCONTRACTOR must be able to demonstrate conformance to Commission on
Accreditation of Rehabilitation Facilities (CARF) standards for quality assurance and CARF
accreditation.
(b)i sena l ratr al%per 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 rnc°ast.eres, 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) W'}°even transporting six (6) to one hundred foray nine (149) records containing Confidential
hifon enation outside a Secure Area do one or more; of the following as <appropriate:
(a) Use a trusted System
Skookum GRP Employment Contract 2015-2016
(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) Nf*nflllgas.!documems containing Confidential Information via Trusted System.
(1) To the extent allowed by law, at the end of the Program A preei iilent term, or when no longer
needed, the parties shall return Confidential Information os- certify in writing the destruclion of
Confidential Information upon written request by the other pinly
(2) Paper documents with Confidential Inforn-wion inay be recycl(.,"d through a Contracted fol -In'
provided the contract with the recycler specifies limit flie confidenti;,flity of inrolIM0011 will be
protected and the information destroyed flirf,)ugh the recychiv", Pj�occss. Paper docurnerils
containing Confidential Information requiritqn special handlhlg (e g. P"Otc0cd )IC"11111
inforinalion) must be destroyed throi,igh shredding
,, prjjping, or incineration.
(3) The coniprornise or pokmtial compyolilise of Confidential Information must be reported to the
DS1 IS ('onlau( i1esiomacd on this Program a1 g'
iceinent %vfthjn five (5) bushiess day, of
discovery for brear,lyes of less than one hundred fifty (150) pel-sons' protected data, and one
(I ) [nisioess (J�ay ofdiscovery of bi-eaches of over One hundred fifty (150) persons' protected
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) L:,qual Access; SUBCON"J"RACTOR will assures equal access to persons who do not sjicak or have a
limited ability to speak, read, or Nvrite English well enough to understand and communicate effectively
(reference: DDA Policy 5.05, Limited English Proficient (3wnfs).
(e) 1juanciaI ,,ind- . Prop'TA'll!" allagqql�llj� SUBCONTRACTOR will maintain an
,idiiiiiiistrative/oig,,atiizi.,ilioTiaiI stri'ictln-e th"'It clearly defines responsibilities; syslems and personnel to
niaiwain accounting records ffi,,lt accurately reflect all prograrn revenues and expcn(fitures,- prepare,
njoliffily gaten,icnts of activity (ADSA 1�eporis); niaintain rlpj�iropri,,ile Chctlt N01vice 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) t) LtLwrAi_y , SUBCONTRACTOR has a history of working cooperatively with conimullily-based
organizations including Employers, other Agencies, the COUNTY J)D Program, the Division of
Vocational Rehabilitation (DVR), and the Schools.
(11) Perforniance 111'all: SUBCONTRACTOR has a written performance plan that describes its mission,
pro �,'lan IN I '�j , k c (i . ves, expected outcomes, and describes ]low and x,,,jlelj (tji'Ge,,ctives will be accomplished;
al'u] will assure the: plan is evaluated at least biennially will, j°evisjons based on, adual perfol"I'Mce,
0�
(i) jgternal ("oral Sys!'gpls, SUBCONTRA( TOR has sufficielit policies and procedures ft.,n- emablislunent
and narciwwite,rarwrre.c ofadequate intcrnal control systems. SLJBCONTRACTOIv will "lainUAill Wl"itle" Policy
procedural manuals for information systerns, personnel, and accounting/finance in sufficient detail such
th'al operations Call C010,ii'llle ShOUld staffing change or prolorq.,,ed absences occur.
0) QLm I i f J e ' d - Sui - f'J" SUB(,'ONTRACTOI� will provide adequate, qualifie(,j staffwitil skills and expericrice
ill ev�llualioll, training, sul.-)crvision, counseling and suppoiq of a(ItiDs wilh, developmental disabilities
who are earninj.!, w.,q,,cs, lata the attached Staternent of Work, SI-WC'0N'l'RA(-,,'rOR will assure that all
direct service staff are trained, and that training is docurnented. SUBCONTRACTOR will provide
COUNTY with information regarding staff qualifications upon request.
(k) Safe . SUBCONTRACTOR will provide evidence that it employs safety protection based on the
environment in which the participant is working or receiving services.
(1) Employment _andjly sel . s must adhere to the Home and Community Based settings (HCBS)
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
settings; and
Sk,00kL1111 GRP Employment Contract 2015-2016
(d) The setting facilitates individual choice regarding services and supports, and who provides
them
(in)3'.m,lAmattt;i t"ilLaciiy: SUBCONTRACTOR will maintain business operations, exclusive of this
ag,,rc°emera, sullicienl to provide jobs for 'up to 3 Group Suppotwd Eluploynicnt program clients ofat least
16 hours per eereek each (incl riding paid holidays, sick leave.,cie., as applicable) based on
prevailing cormunity wages, and for 1 Group Supported Employinent progr'arn clicrpt O W le;rst 8 11c.rr11's
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 family (the tearer).
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.
(26) Group Employtnent/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 1D
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, gifts, interests and preferred activities
k) Measurable strategies (action steps and supports) to meet the employment. go,rl
1) Idenlaircation of persons and/or entities (such as flinily, Division tr�C Vocational Rehabilitation)
av,,i lable to assist the client in retching his/leer enlployinei'at goal
m) identification of whear accoirrmodations, adaptive equrplinero, 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 parsons with developiricnial disabilities must be provided with attention to their health and
safety. SUBCONTRACTOR shall comply with all applicable federal, state and local fire, healih, 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 Sl_1BCONTRCTOR shall report any injury or accident that requires rtl()rc 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,
Skookum GRP Employment Contract 2015-2016
Page 5 of 17
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 DSHS/DDA Policy
12.01, Incident Management.
(3 I) 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 wagp; and all documents, reports and other data
applicable to this agreement, The COUNTY shall monitor scar -vices 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.
(32) Wilhin 30 days of the cffa,ctivc date of this agT-cellient and at least semi-allnually t1lereafter,
SUBC0NTRA(,TOR will provide (a) company (h) pj,oj"!,j,,,,jljj fijjajjcjaj to COUNTY, includin!', all
revellites and expCnses generated by SUBCONTRACTOR, in sufficient detail to demonstrale, Ille uses of'
funds provided under this agreement,
(33) R
,'Q 1.,1 ULI
- M [`' I , 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 nionage public fund: in c0l"ThMIce Will' Gcllen'ffly
Accepted Accounting Principles "GAAP". An agency, for-profit or non-prOfit, s010 "ecelves 111 excess Of,
$100,000 in DDA funds during its fiscal year from the Counly, SNIM plovj(,je ('cf-lified Public Accountant
reviewed or audited financial statements within nine mondis subsequent to the close ofthe
fiscal year. Copies of the audit and management letter shall lie subinitted to the Jefferson COLKI"Y Public
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) Provides matements consistent with the guidelines of Reportitig
, for Other Non. -Profit (.fir g'atlizalions
AICPA SOP 78-10, and is perforrned, in accor&ii ice will") generally ;1ccepted auditing still i(lards and
with 1ederal Standards for Audit of Governulental 0rgsjjljz,,jtjojjs, Programs, Activities, and
Functions, and rneeling all retltrircrnerrts ol"013M Circuku- A- 114 or A-128, as applicable.
(c) 'rhe SUBCON]"RACTOR shall submil Two (2) topics oftheatldit ajjcj/(ir tile suaimary and the
I
1MV18cocillent letter direcily to tare COL)
e NTY huniedialely 11poll coltililetion. The audit Trittst be
accom 11 plished by documentation indicating the SUBCON]"RAC"I"OR'S Board Of Dir-ectors 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
L,
any of the terms or conditions of this contract, the following process will be pursued:
(a) Informal Notification: Informal process wherein the COUNTY Coordinator alerts the
SUBCONTRACTOR in writing of the potential non-compliance and an agreeable solution is reached
within five (5) days.
(b) Official Notification: If the informal notification does not result in resolution, the official
notification of possible non-compliance to establish a date, within five (5) working days of
notification, when representatives of the COUNTY and the SUBCONTRACTOR shall meet to discuss
greas of contention and attempt to resolve the issues.
Skookum GRP Employment Contract 2015-2016
(c) Written Summary: Within five (5) working days of"sic], official nunficat.iora tlue C''Cat.JNTY will
provide the St I(X"ON'i"RACTOR a written summary of Elic areas of non-compliance by cel-tified 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, tale parties will obtain the
services of the Peninsula Dispute Resolution C "e"t°1ter, oa' araa�rth+:u Iug„r°c �.cl tap.�tzn resottrce, Lind shall share
equally in any retainer fees or other costs of services. 11' no aur„rcenae ntis reached, tl,w m ediatIo''s
decision in the matter will be binding on all laart:ia�s, ex.
, 1Li tluat in 110 event will tile. fa�.)UN'1Y laonoirl.
financial determination that is greater than the funds allowed thaw” scripc of dais Agreement,
ement•
(35) For six years following the end date of this agreement, SUl'�CON"1'RAC`"I"OR will maintain client records and
books, records, documents, reports and other evidence 01, race"otuuitinl�„ procedures and practices, which
aufliciently and properly reflect all direct and indirect expenditures of frnatls provided under this agreement.
Client records shall minimally include statement of`elieaut alt,ac.taaulaalutatioil of irtaining provided, training
hours, roulune progress notes and send -annual sunVtlTiu11"y ofpa'tigT-cy; lowiard meeting client, goal:a..
(36) SUBCON I RAC':lTOR shall make av,ailal;ile for inspection review, or audit by COUNTY DD Coordinator at
all reasonable males: 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
(lays 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 proffr°rams. Written documentation shall be available to COUNTY on request. If
SUBCONTRACTOR contracts direcily with DSHS to provide covered services under Tille XIX, COUNTY
agrees that funding intended for those clients shall be excluded from this agreement. If SUBCONTRAC"FOR
contracts directly with Social Security to provide covered services under a PASS/IRWE, COUNTY agrees
that funding intended for those clients shall be excluded f-orn this agreement.
(39) Subcontractors receiving reirribursernent on a fee for service basis may be reimbursed, at the discretion of
the COUNTY, for any ternporary 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)usaail ,Sarl)pcar°led and lflynlent: SUBC ONTI' AC TOR will be paid ' 60,00 per I_INI"1" assigned
Service Responsibility of regular Prograri, S(,rvaaa., as alt tnresl Itl 1 xhibut A Statement of Work.
(b). One UNIT is defined as one HOUR of direct service to 011e eligil,)le client. One HOLM of direct
service is defined as one (1) or more hours ofpaid productive work, paid oat
thc�-poll tr aatr�ir�up; orp�ttia'I
time off (such as routine holiday, vacation ansa sick: leave) in one 24-hour period. A rninimu"tun of 'four
(4) hours of work a day is required. The Chent ;;lust. work as naillin,11ja11 of four (4) hours a day to bill
the COUNTY for an HOUR.
(2) SUl3CON I RACT OR will twill C.'OUNTY on a irwnthly basis, tan or before the °illy daffy of the month, for units
of Service provided under this cal:Irecivaent during tine precetlrurf; month, SUBCONTRACTOR will submit sa
Monthly DDA Services Report (ADSA) coniputer form for its billings At aro tithe glial] the invoices fK
reiuraliarrsssrlueaat be submitted more than 60 calendar (lays following the last shay of the nlontli for whrich 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.
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/IRWE.
(1) DSHS Division of Developmental Disabilities (DDA) shall determine individual eligibility of persons for
services delivered under this rigrcernent. DDA shall notify (.,',OUNTY of lell',Of's unhorized f6r services
-1
reimbursed under this agreement, Only persons refeCO
rred to UNTY by DDA through a County Scrvice
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 employees (J'fhc SUBCONTRACTOR only, and any claims that may arise on behalf of or
against said cmpk )yees sh,,,fll be the s4,,fle obliga0on and responsibility of the SUBCONTRACTOR.
(3) "I"he SUBCONTRACTOR shall not sublet or assign any of" the services covered by ihis Agreement without
the express written consent of the C01)N'TY. Assignment does not include printing or other customary
reimbursable expenses that may be provided in an Agreement.
(4) "Flie IS)U13(. ONTRA0`01C, by signature to this Agrecrilelit, certifies that Ille 1:3t.111CONTRACTOR is not
prescraly debarrcd, susl)N)ded, propued for debarincut, declared ineligible, (I,v�)Jtjjitarily excluded froni,
), 1
pallicipating in this Ag,reenwrit, or any Agreement by any Federal departnient or,,,"It"cl CY. 11 Ic
SUIX"ONTRAC-l"OR also aggrecs tea niclude the above requirenicill to all subcontracts into which it enters.
(5) 1"he SUBCONTRACTOR shall obtain and keep in force during the terms of the. Agreenient, or as
otherwise required, the following insurance with companies or through SOUT'Ces approved by the State
Insurance Commissioner pursuant to RCW 48:05:
(a) Worker's compensation and employer's liability insurance as required by the State of Washington.
(b) Commercial Automobile Liability or Business Use Insurance providing bodily injury and property
damage liability coverage for all owned and non -owned vehicles assigned to or used in the
performance of the work for a combined single limit of not less than $1,000,000 each occurrence
with the COUNTY named as an additional insured in connection with the SUBCONTRACTOR'S
performance of the contract.
(c) General Commercial Liability Insurance in an amount not less than a single limit of one million
dollars ($1,000,000.(,0) per OCCUT)vnce 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 greateamountaount is specified in the contract specifications. The insurance
coverage shall contain no limitations on the scope of the protection provided and include the
following minimum coverage:
(1) Broad Form Property Damage, with no employee exclusion
(2) Personal Injury Liability, including extended bodily injury
(3) Broad Form Contractual/Commercial Liability - including completed operations
(4) Premises - Operations Liability (M&C)
(5) Independent Contractors and Subcontractors
(6) Blanket Contractual Liability
(6) All ernrp'loyees oa subcc:wrac,tors of S .il�l.t.tN"'l 1 AC"1"C',IIC who are required r,t) ]nc plcofcssiot-4lly certified by
the Staatc rrn flee, pnerforinannce cif services under flans ,n,greernent shall luanntaairn pncrfe.s'srtnnal liability insurance
in tire amount of neat less than one million doll,urs ($1,000,000). In lro curse shall sucln gnrofc•%�4„iornanl halnilit:y
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 contraact upon which the COUNTY rnay,, after giving fives working days notice to tllae
SU1.1(..ON I"I�M.,7IO�II to correct the breach, irnnniedhilely termi mate the contrarcl inn, at its discretion, procure
or renew strc.ln irr:ctrrar'rce and pay any and all p'rcrruilutns inn connectiolr Ilnercwitlr, aarit.la any srnarns so expended
to be repaid to the COUNTY on dernand, or at the sole discretion of the COUNTY, offset against funds due
the SUBCONTRACTOR frorn 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 Workers Compe'.ursation insurance and any professional liability insurance secured by the
SI-11IC.�ONTRACTOI�„,, the COUNTY will be warned on all certificates of insurance as an addition-alinsured.
The SUBCONTRACTOR shall furnish the COUNTY with verification of insurance and endorsements
required by this Agreement. The COUNTY reserves the right to require complete, certified copies of all
required insurance policies at any time.
(11) All insurance shall be obtained from an insurance company authorized to do business in the Stages of
Washington. The SUBCONTRACTOR shall submit a verification of insurance as outlined herein xvithin
14 days of the execution of this Agreement to the COUNTY. All insurance policies obtained by the
S"UM"' N 1°RAC:-TOR small be prinnrary to any equivalent lir- applicable policies held by the COUNTY. All
insurance policies obtained by the a aIJBC:ONTRACTOR shall include a waiver of subrogation rights. Any
third -party liability cover -age provided to the County by its rncranberanhip arld partic"ipatiorn rrl �a Ch. 48.62
risk Pool shall be excess and be non-corntributoly tc.a tyre nnsur-arnc;e policies provided by tale
SUBCON°l-RAC”:"l OR in order to comply with the insurance reelnirernents of this Subcontract. All policies
provided by the f (MC'ON'l RAC TOR ill order to comply with the insurance requirenncuts 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 there under- other provisions of this Agreement, or otherwise in law.
(13) Nothing in the foregoing insurance requirements shall prevent the COUNTY, at its option, fi-om
additionally requestnrnf„ that the SUBCONTR.AC`I°OI'Z. deli'v'er to the COUNTY run 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
tine 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 Minimurn
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
barrniess fi-ori and shall prroc ess °and defiend at its own expense., including all costs, attorney fees and expenses
relatarnsr„ Ihcnrelo, all clainns, demands, or suits at law cnr e(Inrity arr-isirlg, it, who're, or° in part, directly or indirccdy,
firom the SUBCON"fiRACITOR'S neglip„enc.e or breach of any of its obligUarti011s Under this Agreement
provided that nothing hervin shall require a SUBCONI'RAC..'1" OR to indeinnifV the COUNTY against and
hold harmless the COUNTY fi-om claims, demands or suits based solely upon the conduct of the COUNTY,
Skookum GRP Employment Contract 2015-2016
Page 9 of 17
their officers, employees u,id agents, and provided further that if the claims ('. quits are caused by or result
from the concurrent negligence of:
(',a) the SI)BCONTRM..."FORS <Ipc jis offlicers, eniployees
c�'nls 01' elnployecs�' "Ind, (b) flie CMINTY,
and ageills" Iflis im"Icninily provisic°m With respect 1,o (1) claiins or suils based LIPM SUCK TIVLl,ljgenc,e,
ldiq a fins and suits, ci c., sha I I be valid and
and/or (2' the ccists to ffic CC)UNTY of defei ! such ch
enf'orcea 1) le only to the extent <') F1 lie SLJ 13CO NTRA("'TOR'S negligence or the: net'hl;c;rrceO
f alae.
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 i-eproduciJon of riaterial of any kind, delivered there
under, constitutes an infringement of any copyright, patient, 1r,',idernark, trade nan-le, or otherwise results in all
unfair trade practice or an unlawful restraint of competition.
(18) The SUBCONTRACTOR specifically assumes potential lia11,)ility for- actions brought list 0)c COUNTY by
SUBCONTRACTOR'S employees, including all other persons engaged in flic J)crf0T')71al1cc of ;i1)Y w0ft Or
service required of the SUBCONTRACTOR under thk Agreement and, solely for the JIUMOSQ, ail
W 111C state
f,
indemnification and defense, the SUBCONTRACTOR, sl! cifically waives any i"I'll,A)hY tMdel
industrial insurance law, Title 51 RCW. The SUBCONTRAC"I'OR, recognizes thlt thk Waijver \�,011s
specifically entered into pursuant to provisions of RCW 4.24.115 and was subject of mutual negotiation.
(I 9) 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 patt,, without prior written notice, in the
event that coronactual terms are Trot flilfilled, or ifexpec[ed or actual funding fi�om the Depar-tment 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 portion of this contract may be assigned or subcontricIed to ;fury ol her individual, firrii, or entity without
the express and prior written approval of COUNT Y. I f i lie COUNTY agrees in writing that all or a portion of
this Contract may be subcontracted to a third -party, then any contract or agrecinent between the
SUBCONTRM',"FOR and a third -party subcontractor must cotitain all provisions of this Agreement and the
third -party subcontractor must agree to be bound by all teens and obligations found in this agreement.
ADOPTED THIS '-doy of Ak' _6 2015.
By
David Sullivan, iwrillan
Jefferson County Board of Commissioners
, 9
By:
W
. ............. . . e7lGo - -------
Deputy/Clerk of) I rd
I N %
AFIJV1',`D '�OJZM ONLY�'
\1
By:
Jefferson COUNTY Pros��,, uting xtqtol !y
B
-lets Manage,
411t, a —ccsiv�
R�y ,; Wiese, i ese, C ol
Skookurn Contract Services
Skookum GRP Employment Contract 2015-2016
Page 10 of 17
EXHIBIT A
STATEMENT OF WORK
GROUP SUPPORTED EMPLOYMENT SERVICES
1. WORK STATEMENT
SUBCONTRACTOR slmll provide Group Supported Employment services as described hereinafter.
SUBCONTRACTOR shall he reimbursed for such services on a unit of service basis, pursuant to Section C.,
Reimbursements of this contract.
II. PROGRAM DESCRIPTION
A. Goals
1. To provide work training and work opportunities for adults with severe or profound developmental
disabilities whom, due to the severity of the disability and lack of resources, are not presently able to
access other employment models.
2 To provide Group Supported Employment Services that are designed to meet specific needs of the
individual based on personal preferences and individualized goals and outcomes.
3. To improve the cost -benefit of Group Supported Employment Services by increasing the average
worker benefit ratio and compared to the average monthly cost per person.
4. To support individual program clients in Group Supported Services to experience
community job sites through mentoring, observation and/or- on site experience at least 110 ur 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 tlhrough consulting, and assessment. (This is in addition to supports received through Supported
Emplcyrnent services or Group Employment services ("or individuals rvlro have not yet achieved their
employment goal).
6. To tnansition program clients to Supported Employment ser'vjces as soon as resources, support
systems, and/or technology are available or adequate to aid these individuals to obufln individural
employment in the community.
7. Clients in an Employment program will be supported to %vork towards a living wage. A living wage
is the amount needed to envrble an individual to meet or exceed his or her living expenses. Clients
should average twenty (20) hours of work per week or eighty-six hours per month.
B. Definitions
B. Definitions
t"ireatd) Sul lac rq d 1 rlrplcr rrrcrrt; r l lce_s are:
• training and supervision of adults with severe developmental disabilities who are involved in
paid„ productive employment at locations or in businesses that provide employment or training
for individuals with disabilities
• training, job modifications, and job related support for persons with severe developmental
disabilities to productively perform available work
• supplemental training required in a job situation to develop skills required for new tasks and to
enhance versatility; and
Skookum GRP Employment Contract 2015-2016
Page I 1 of 17
0 providing a service provided for the most severely devej,,,mentally disabled adults until
resources, support systems, and/or technology are available or adequate to aid these individuals
ily
to obtain competitive employment
is defined as paid productive work, paid, on-the-job training, and paid time off (such as
D-1
routine holiday, vacation, and sick leave). Employment may be: fill ' inic, average weekly work of
40 hours for an individual; average weekly work of 20 hours to 40 hours for an individual,
or; other, average weekly work of less than 20 hours for an individual.
C. Program Requirements
1, SUBCONTkAC1'01will provide Group Supported Employment services for up to 4 program clients who
are authorized for service by IDSHS/DDA and have been apj:)roved by COUNTY. SUBCON'l 1ACTOR
shall attempt to transition program clients to Individual Employment placements.
SUBCONTRACTOR will support Cliews in an employment pro (;i':Arrl to work t(.nipards a living wmge. A
living wage is the amount needed to enable an individual to meet or exceed his oi- her living expenses.
Clients shcqdd strive to average twenty (20) hours work per weck, or eighly-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 SUBCONTRAC"F'OR determines that Group Supported E'luployn'lent Services are 110 longer
appropriale f"or any chem, SIJBCONTRACTOI� will lloffl� 111C DDA Civw Nlamagei, and flic COUNTY ofthe
basis for its determination and reconurwrid that the Client be lerminaled ("I-oivi 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 cornmunityjob placement
4. 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
SUBCONTRACTOWS 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 mernbers, 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 CMTS County
Service Authorization and updated Planned Rates information.
Sk-ookum GRP Employment Contract 2015-2016
Page 12 of 17
6. SC B('70N]"RACTOR shall provide a Group I-','Iiil)loyinent/VocatioliaI Client PkIn delineating individual
skilhi experiences, preferences, strengths, support needs, skills and goals and obJectives within 30 days of
the beginning ol'services for 1he client in order to promote conlnlunily E-InIployI110111. The
SUBCONT1W,"FOR will use the new Finployn'lent Plan Fzcl�,)oji Form, (see Attachment 13). (Minimum
Empfoynient/Vocnt ion,,fl CHent Phin elenlents are owlined in the 1 eferellce docuniclit called "Criteria for
Evaluation" available on the DDA website.)
7. 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.
8. 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.
9. SUBCONTRACTOR must ensure that Job coaching and supervision of program clients will be based on
goals established in a Group Eii,il,,)Ioyiiient/1locati(iiiaI Client Plan. Client goals, training provided and
progress toward meeting goals shall be documented in each client record.
10. 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 fbi, this contractual period will be one every six (6) months after the initial
plan, July throur, , ' h December 2014 with (lie report due on January 2nd of 2015, the second due date will be
January thru June 2015, due July V 2015.
12. The Semi -Annual Progress Reports will show Voc�ational Client goals, training, provided and a written
synopsis showing progress toward meeting objectives or a description of the reasons for any shortfall
concerning the outcornes and proposed actions for correction.
13. SUBCONTRACTOR shall schedule a review meeting every 6 nionths for all program participants. "The
review shall include an assessment of the need for conflnued Group Emj)j(,)yj,jjcni Services and an evaluation
and update of1he Group Employment/Vocational Client Plan's goals and obJectives. The
Sl.JlX,',ON*FR ACTOR shall use the new Employment Plan Report Foran, (see attachment B) to report on the
serni-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 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.
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.
17. The SUBCONTRACTOR will clearly cornmunicate to the COUNTY and the client prior to beginning
service, or when there is an unexpected change in the maximurn service hours per month the client can expect
to receive; and service changes will not occur until the client has received proper notification frorn 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.
Skookurn GRP Employment Contract 2015-2016
Page 13 of 17
18. S UBCONI'R ACTOR rnuna ensure that every Client file has a ccipy o, JDA Clici,it awhorizanon and
rei"en-al (CSA), a copy of the participant's Individual Habilitation Plan (ICF/MR), clielli's Individual
Service Plan, Plan of Care, and/or Individual Support Plan (I-ICBS Waivers) and/or the COUNTY
authorization/individual service agreement plan, as applicable.
19. SUBCONTIZACTOR Tnust ensu m that. all Incidew Reports are retailwd in files; that they have a
policy w mwin recor-ds at least 5 years- thal emerg,cncy contact rand Amedical jnft)j-plattion (inedications, dkt,
ours of is available fol�� each panjjcjpant on the face Sheet of
allerl ics, dc.) needed and during 1he 11
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 pro"I'ain participallVs in Group 1-I'lliployment or fransicr io anollm,
individual Employmel-o aoency nir,isl be awhorized the DDA Case Manalper, zIlItl will be yevieAved in
Consultation with the client, the C01,JNT)' and others as appropriate. SUBCON]10CTOJ� will facilitate
Ille (level o pme nt ofa transition plan and schedule, 'File transition plan will be developed ill 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. SUIR"ONTRAC"FOR must ensurc 11wre is a legal requfi�ement and a clear delineadon fff StIfiff
qualific.itions and proof of backgroulld criminal hi.rtory clearance in am,"n-dance %vitil, SLJ]3(' ',0NTRACTOR
is required pursuant to RCW 43,43,830-845 RC'W 74.15.0,30„ and Cfi�,,Ipj,er 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 Agreement, semi-annually thereafter or when
reorganization occurs, which minimally includes SU[l3C(JNTRA(7OR'S procedure to train new direct
service staff. The traininc, must include
a DDA Policies & Competencies (see Section C-Number 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 document data coflection, daily/weekly licAes & 6 month reports in Client files
0 Skills on how to w6tc Group Employment/Vocational Clieni Plans and/or Person Centered Plans
(cl-catiug Client vocational goals/objectives)
a SUBCONTRA( "'TOR's plan to pr(wide staff that are skilled in applying training techniques to
enhance the work related skills of program clients
0 FTE levels, job descriptions, and organization chart pertaining to program staff
a SUBCONTRACTOR's is required to send five direct service staff to a rninimum of 16 hours of
workshops, trainings, and /or coil fcrcnc es about developmental disabilities and employment, for a
total of 80 hours. Should SLJBCONTI�ACTOR fail to atccess trainings trrr direct service staff, the
SUBCONTRACTOR will reimburse the COUNTY at the rate of 65.00 an hour for every hour of
training not accessed for staff (for not more than a total of $5,200)
23. SUBCONTRACTOR will provide COUNTY with infon-nation 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 or
older are trained in lhe ffflloavmg DDA Policies wiih Cliews.: ADA training,
APS Reporling Requirernenui, Client confildentiahly, individual instruction and Action
steps/vocational l')JaTis fot- each C',fieni \vitll w1jol,11 1110 G111ployce works, DDA Policy 4,11
Working Age Adult (adult services only), DDA Policy 5.06, Client Rights, DDA Policy 5.13,
Protection frorn Abuse: Mandatory Reporting, DDA Policy 12.01 Incident Management.
Skookum 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. 11/i lahi opo anaonrli r a�tna�ra/i l nra n�na: 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 'I'fans, DDA Policy 5.0:3 Client (lonnplaints„ DIDA 11olicy 5.17 Physical Intervention
`techniques, DIM Policy 6.13 Eniploynient/'1)ay Progi•aam Ilrovider Oua ifications, DDA Policy 13.04
DRW Access A,greeniont, DDA Policy 15.03 Community Prolectiota Standards t'iar Enip'loyment/Day
Programs and all reporting requirements related to these DDA Policies.
27. fthM siA raraararhs,aaf m szl/,fx�3�iargvl: SUBCONTRACTOR must ensure that direct service staff received
traininag and are knowledgeable in the following areas. Prograln skill develolm
aelat, DDA Policy 5.02
Necessary Supl;aleinentaal Accornniodation, 1" DA Policy 5,14 Positive Support, DDA 11olicy 5.15
Use ofResirict.ivc Procedures, LPDA Policy 9,1.17 HIV and AIDS and Prograain 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 4ta,reenie:nat„ and serni-annually thereafter, SUBCONTRACTOR
RAC't OR
will develop and ayubinit to COU'N°`1."y a program openaating budget detailing tlie pn-eIlectcel allocation tat
craiatraact 1`annacls, oilier scalar cc,s and a�aiotiiats of 'fundinaa*, program slal'f'irtg expenses and other cost aallocations.
30. Semi-annually, SUBCONTRACTOR will develop and subunit 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 Nsis sponsor the surveying of participants their families, their
support networks, rind tlie,.ii-einployers i,egao'dinfln cus,tcauner satislhctic'arr,The SUBCONTRAC°'fOR will
design Customer/Client survey forms. The SUBCONTRACTOR must send the COUNTY copies of the
surveys received fi-om 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 incoune 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 aYverao'c 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 wadi in:alar<nvement in the progr'ain 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 perforin 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
Client Employment Acuity is determined through the DDA assessment. Acuity reflects
conditions lypically related to the individuals disability that are not likely to change,,, and are
generally not iml.xaeted by outside fadors Client acuity is determined as either "Highs",
"Mcadium" or 1ow" as defined within \VAC: 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 I gltp]oyme.nt Se nvic:e Levels reflect Cltenl )_Tilfloymemi. Acidly larud rather Corsi deratiOil s, (set'
Treble t"tpe-llase Hours below); the typically i-e.a"lect direct rkcrvice staff time provided
to or on behalf'of the client to pt.urstac or maintain cn,sploylrlellt. You may be eligible to receive
additional add on hours, (see Table Two, Add -Ori 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 I3ours
DDA DETERMINES YOUR EMPLOYMENT ENT SI lWIC.E LEVEL
� I,.:ISlNt i ".1."1111.
FOLLOWING
TABLE:
_..� ...-.
���CLIENT
..URTHEN
YO I
YOUR.._...
AND YO"..
UR
ACUITY
EMPLOYMENT
EMPLOYMENT
EMPLOYMENT
LEVEL
STATUS
SERVICE
SERVICE BASE
IS:
IS:
LEVEL IS:
HOURS PER
MONTH MAY BE:
WORKING
0
NONE
NOT WORKING
,�._.. m—...
B
-_0� -- _...�......
__ ........_...
WORKING .ma..
C —
4
LOW
, r
..E: .._...�_.:..
�.
....� ..�m.��..
WORKING_. ...�.,—
MEDIUM
NO"11 O(
9
.�._._
WORKING
_G _...._�.�..�...� .�_
l l ..�.�—...._.�—.....��
HIGH
- ---- --
- — _-
NOT WORKING
H
12
Skookum GRP Employment Contract 2015-2016
Page 16 of 17
TABLE TWO -Add -On Hours
DDA USES THE FOLLOWING TABLE TO
DETERMINE THE MAXIMUM NUMBER
OF ADD-ON HOURS YOU ARE ELIGIBLE
TO RECEIVE.
.. —__. .
T..,_..-ONE
......,IrYOU.
_Y.O.._...0....�... .... .._.__.._
MAY BE
OF THE BELOW
ELIGIBLE TO
CONDITIONS AND
RECEIVE UP TO
YOUR
THE
EMPLOYMENT
FOLLOWING
LEVEL IS:
AMOUNT OF
ADD-ON
HOURS:
A... ._..... ....�_��.....w............_.._. �..__...�.�...
JB
0
C
5
r
s
I^
7
2
H----..-_..._......_.r.w.................._............_........�
.
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 docurnented specific to the client authorized and
relate to the goals and supports outlined within the client's Employment Plan.
F. Group Supported Employment Unit of Service
1, One UNIT of Group Supported Employment service is $60.00. One UNIT is defined as (1) one
"HOUR" of direct service or assigned service level to one eligible Client. An "HOUR" is at least
fifty (50) minutes of direct service; (partial hour to the quarter may be recorded) or ASSIGNED
SERVICE LEVEL as defined above.
One ` Hi:: UIl " o! t.lrrect service is defined as one: (1) or more 11oiirs of Maid prodUctivc ,or(, paid
on-the-job 1n-aininl„ or paid dine off(such as ra� ulin�e holidtry, vacatior�t and sickl��rrve) in one 2�1-11�t'rtrx'
period. A minis ium of four (4) hours of work a day is required. "Ilse, Clien't must work a rnhiitnum of
four (4) hours a day to bill the COUNTY for an HOUR.
Skookum GRP Employment Contract 2015-2016
Page 17 of 17