HomeMy WebLinkAbout092616_ca05ae�son
Public Hesalth
615 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: o �v C ?ZI(O'
SUBJECT: Agenda Item — Professional Services Agreement — Skookum
Corporation Contract Services for Individual Employment and Individual
Technical Assistance Amendment 2; July 1, 2016 — June 30, 2017;
Additional $150,100 to amended amount of 138,491.57, for a total of
$288,591.75
STATEMENT OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division is requesting Board approval of the
Professional Services Agreement — Skookum Contract Services for Individual Employment and Individual
Technical Assistance Amendment 2; July 1, 2016 — June 30, 2017; Additional $150,100 to amended amount
of $138,491.57, for a total of $288,591.75
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S:
This Amendment to the professional services agreement with Skookum for Individual Supported
Employment and Technical Assistance adds $150,100 to the agreement's amended amount of $138,491.75
for a total of $288,591.75. This agreement was amended in June of 2015 to increase funding by $6,206.57.
The Amendment #2 not only adds funding but also extends the term of the original agreement, which
expired June 30, 2016, to contract services for the year July 1, 2016 through June 30, 2017. All other terms
of the original agreement with its Amendment #1 remain unchanged. The agreement falls under Vocational
Services as part of the Developmental Disabilities agreement with DSHS.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
Amendment #2 to the Skookum Individual Employment and Technical Assistance agreement provides
$150,100 of additional funding for a total of $288,591.75 to the amended agreement that expired June 30,
2016. Amendment #2 adds additional funding to pay for services from July 1, 2016 through June 30, 2017.
All other terms and conditions of the agreement remain unchanged. All funding for vocational services is
throug!- ,q �WpLqqrlental Disabilities Administration with DSHS and is identified in the budget. ental Health
nviro en
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 — Skookum Contract Services
for Individual Employment and Individual Technical Assistance Amendment 2; July 1, 2016 — June 30, 2017;
Additional $150,100 for a total of $288,591.75.
REVIEWED BY:
Philip {Pilo , O un inisrator
Date
Contract Amendment 92
Between
Skookum Corporation
And
Jefferson County Public Health
Developmental Disabilities Program
WIII+�aREAS, Skookum ::"orporation (Sr.rbco nt actor) and .le l lb,�rson County (County) critered into an
ugree;r�ncrrt on July 1, 2015 for Professiowd Services to be provided in connection with the provision of
Individual Supported Employment and/or Individualized Technical Assistance 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:
The term of the above referenced agreement ends June 30, 2017.
2. The Subcontractor will continue to provide Individual Employment Services; these are
individualized services necessary to help persons with developmental disabilities obtain
and continue integrated employment in the general workforce at or above the state's
minimum wage. These services may include intake, discovery, assessment, job
marketing & development, job placement, coaching/supports, job replacement, worksite
job training, development of natural supports, and follow -along to maintain a job & and
record keeping
3. Subcontractor shall receive $65.00 per unit for Individual Supported Employment Services.
One UNIT of Individual Employment/Individualized Technical Assistance service is defined
as one (1) "H011R" of direct service or assigned service level to one eligible client. An
"HOUR" is at least filly (50) minutes of direct service, (p,-rr lial hour to the gtiarter 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
4. Subcontractor's contract will be increased by $150,100.00 in funding for services
rendered during the term of July 1, 2015 through June 30, 2017. Total compensation
under this Agreement shall not exceed $288,591.75 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 1 2016
, Chairman
Jefferson Board of County Commissioners
By.
Ryan Wiese, Contracts Manager
Skookum Corporation
Conti -act Amendment 91
Between
Skookum Corporation
And
Jefferson County Public Health
WHEREAS, Skookuni Corporation (Subcontractor) and Jejje
,l-soll C011TIly (((ninty') entered into an
agrectneilt ora July 1, 2015 for 1-1rolessional Services 1() be provide(I ill collijection with flie provision of
Inclividoal Stipported l"'inployrnerit and/or Iiidividi.ializecl'l"celillic',iI Assislatice 1() Pel's011s 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:
The term of the above referenced agreement ends June 30, 2016.
2. The Subcontractor will continue to provide Individual Finployinent Services; these .are
ii-idividualized services necessary'10 help persons, with developmenial disabilities obtain
and continue integrated employment in the general workforce at or above the state's
mininwin \vagc. I-Ijese services may inclLide intake, discovery, assessillent, job
m,ar1<etmg& developmen'tjob placeineiit, coaching/supportsjob replacement, woil<silc
job training, (levelopinent of natural supports, aiid foil ()W_.,jl (,)Ilg to ajob & and.
record keeping
3. Subcontractor shall receive $65.00 per unit f,`6rlt1divid(,,cA1 Sr,lpported EmplovilleDt Scrviccs.
0rie TJN1T()f'lndividual Employment/Indi vid izedTeellilical Assistance service is defilled
as one ( 1) "1 101,YR" ol direct service or assigned service lcvcµl to one eligi
OUR" ble client. Ali
"His at least filly (50) inhwites of direct service; houi-I o tile (JU,'Ifter ilia.), be
recorded); ten (10) rninloes of every "H( UIZ" (j, (�jjrect service or issigried service level to
one eligible client can be used for documentation and/or meeting times
4. Stibcon'tractor's contrael will be iiicreast,xi by $6,206 75 in .11,1111ding for services 1°erlcicrcd
diii-ing, tile terill of'Jilly 1,"2015 through Jtine 30, 2016, Total conipensatioll 1.illder this
Agreement shall iiot exceed $138„491.75 wilhoul express written arnert(finellt signed by
both parties.
5. All other terms and conditions of the agreement will remain the same.
Dated this.Lday of 2016
_J
arm OnI
By
Jefferson Board of County Commissioners
By;
Wiese, Contracts Manager
Skookurn Corporation
SUL IqTRACT FOR PROFESSIONAL SERVIk
INDIVIDUA L EMPi,,ON'MENT AND INDIV _ TEC
JINICA1,2�'S,LJS — NCTI
Agreement Between
JEFFERSON COUNTY PUBLIC HEALTH
AND
SKOOKUM CONTRACT SERVICES
This a(yreellicill is 1-11ade and entered into between .Leff ikon (_,,,oullty public Health (C'OUNTY) and SkookuIll Colltract
C,
Services (SI K,'ONTRACTOR) for provision of Individwil Supported l nrlaloyrrre.rrt 10 1)ffsons With Developmental
Disabifit ies in jefferson County. The terin of this ag,yeellicilt is july 1, 2015 1hrougl) lune 30, 2016 "I'llis Conn act may
be tortninated by cillier party upon 60 days written notice. Termination of dais Contract sliall not constio,ite to 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) "individual Supported Emll) loynient", or "IE". services are a pall of 'ill individual's p;,Ithway, to
employllient, are Wilored to individual needs, interests, abilifles, and ptonjoic career development.
1 hese
are individualized services necessary to help persons With dcveJ(:)pnleliial dis-abihiies ObUlill and continue
integrated einployntent in the general workforce at or above the Male's 1:11illililuln wa-PIc- T'hese services
may include intake, discovery, assessillent,job niarketbig, & developillent, job placement, job replacenlent,
worksite job tn'lining coaching/supports, development oftiatural supports, and follow -along and record
keeping per Exhibit A — Statement of Work,
.1 —
(2) "Individualized Technical Assistance" or "ITA'" : services are a part ofan indivjdu�,,l's pathway to
individual employment. The service of assessment and consullalioll (ill ordcr to identify and address existing
barriers to employment) may be provided by the employment provider, or to the enll-,)loyvl0nt Provider. "I'llis is
in addition to supports received through supported clnployll,letlt scjvices or pt,e-vocatjonal wrvices for
individuals who have not yet achieved their employment goal I'ler Exlffl),LtA of —WOrk,
(3) Program management.
B. OBLIGATIONS
SUBCONTRACTOR shall fulfill the following obligations:
Ilding tile Identiality of
(1) SUBCONTRACT'OR shall comply with all slaw and 1ederal re(loireinclits re97, - colill
Client records. Client hif"orniation is not disclosable, to the public;.. Infi)rIllation acquired pursuant to RCW
71A. 14.070 requires a signed Release of Information or a signed 0211,l ()i'(10111-jclentjeflity Forin.
(2) SUBCONTRACTOR is required provide backp "W 43.43.830-8,15, RCW
,,round chuks, PID,sl1aill to RC
74.15.030, and Chapter 388-06 WAC, which state that any prospective enIP1031cc 0"Whilltee" who will or ll')ay'
have unsupervised access to a vulnerable person Nvith a tic velopoWW',11 disability ill tile course of 'i's or her
employment, or involvement with the business or organi7alion, 1,111,1.q have a background/crimilial history
clearance before they have unsupervised access. J'lie IDSHS Background (7heck Central UIlk (BCCI ) must
be utilized to obtain background clearance.
(3) If SUBCONTRACTOR reviews the application and elects to hire or retain all individual after receiving
notice that the applicant has a conviction for all 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) SLJB(,,',ONTRA(,`,"OR is required pupsuirlt to R( W 74, 15.030,, that if zany prospective C1111110Yce W110 Inas not
an(j who will or rilay llavc 1,11 Is,, 1,,)cl,vised iccess to a
resided in Washingkin State during (lie last three years, ,
vulnerable person with a (level opmenta I disability ill tile course of his or her employ went, or involvement with
the business or organization, must have an F.B.I. Fingerprint Check before they have unsupervised access and
before prospective empl begins working. The DSHS Background Cl- Central Unit (BCCU) must be
utilized to obtain background clearance.
(5) SUBCONTRACTOR is required to repeat the background/criminal history 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 shall comply, as mandated reporters under RCW 74.34.020 (11), with all state and federal
requirements under RCW 74.34M5, .040 Abuse and neglect of Vulnerable Adults; RCW 26.44, 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 Horne 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) sluffl comply with the following Developinental Disabiliks Adniinisli,afion, (DDA)
Poljcies3.01 Chew Service Plans; 5.01 Crhninal 1100i -y Backpound Checks and SafeguardingPersonal
Information; 5,02 Necessary Supplementil Accoilm,iodation (NSA); 5,03 (,,.jicnt coiliplaint.q; 5.05 Lirriiled
English Proficiency (LEP) Clients; 5.06 Client Rights; 5.13 Protections From Abuse; 5.14 Positive Behavior
Suppotl' 5.15 L;sr�,,, ofReslrictive Procedures; 6.08 Mandatory Reporting Requirements for EmIfloymeni and
D,"Iy Prograrn Services Providers; 6,13 Eniployment/Day PI-091-Mli Provider Qtiafifications; 9,07 Human
Immunodeficiency Virus (MV) and Acquired hilmulle Deficiency Sylldrome (AIDS); 12,01 Incidt!-,ilt
Management; 13 ),04 DRW Access Agreement, and the 1992 County Guidelines.
0 t�
(8) SUBCONTRACTOR shall comply with the following referenced documents found at DDA Internet site
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 Agreement covers DIM's access to individuals with
developmental disabililics, to clients, to prograrns 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) SU B(',ONTRA( ' 'TOR shrill have written policies regarding sexual harassment and non-discrimination (sald
policies must guarantee huniau/civil righls)- regarding" a person's light to pjjv,,jcy, i-cg�ardhig safeguarding
personal inform"-Ition and abuse ofliartfcipanis; regarding apency Illedicalion procedure; regarding respectful
staff-10-parliciparil interaclions (i.e.: including a person's J , ght Io be treated with dignity and respect Irce of'
abuse).
(11) SUBCONTRACTOR shall assure diat participants, in accordance with Necessary Supplemental
Accommodation (NSA) Policy 5.02, have been in for of their rights; what services and benefits inkly 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 staternent
SKOOKUM JE/ITA Contract 2015-2016
Page 2 of 19
• assure ]hat available anal c:;n(ornZapCS panic ip"'amts to laril" vocaaes to he'll) neftotrat.c
• inckides a ancdiaaflon proccs that promotes the use of" son°reonea wlaca is a.rrasaff^ctcd by the outcome if
coraflicts remain unresolved (Qa TAII)A Resource Maaa,artcr aaaa)l lac. inclutRA as an aalte.rraative option)
• includes a process for tracking and reporting grievances
(13) SI.iB(.1 ')N°1 RAt_.,T0R shall obdain and retain ria the client's" tiles signed proof of elicaat.`,» and/or family's
review Riad` all policies, prcwider eNpectaation, and receipt of informgation about services and bcnefits tam, lie
provided by the pr ograraa. The. sif;
(b) SL, )NTRACTOR shall protect and maintain all idential Information gained by
reason of the Program Agreement against unauthorized use, access, disclosure, modification or loss. This
duty requires the COUNTY to employ reasonable security measures, which includes restricting access to
Confidential Information by:
(1) Allowing access to staff that have an authorized business requirement to view the Confidential
Information.
(2) Physically securing any computers, documents, or other media containing Confidential
Information.
(3) When transporting six (6) to one hundred forty nine (149) records containing Confidential
Information outside a Secure Area do one or more of the following as appropriate:
(a) Use a trusted System
(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) docilmerits containing Confidential Information via Trusted System.
(1) To the ement allowed by 1,aw, at the end of the Program Al.!,mcment term, or when no lonper
needed, the parties shall return Confidlential Information ol, cerfily in writing the destruction of
Confidential Information upon written reques� by clic otherparty.
(2) Paper documents with Confidential Infill-niation may be recycled thro"911 a contracled firm.,
provided the contract with the recycicr specilles 'le
jjl,,jt the confidentiality of "611 I
protected and the information destroyed thio Z'
j'jgjj the recycliji,, process. Paper docunlews
containing Confidential Information requiring special liaodhng (e,g. proteclodluualth informadon)
must be destroyed through shredding, pulping or incineration.
(3) The cornprornise or potential compromise of Confidential Infon-nation must be reported to the
DS] IS (7onlAct desig'TUIICCJ On this F'rogram Agreement withill five (5) business days of
discovery for breaches of less than one hundred fifty (1 5()) pel-solls, protected data, and one
(1) business day of discovery 01"j),caelles of, ()Vcr oj,rc 111111dred 1"My (150) pen sons' 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) nt nail Access: SUBCONTRACTOR will assures eqwal access to persoris who do not speak or have a
limited abifity to sl)eal<, read, or write English well enough to undcrstarld and corm-nunicalle effectively
(reference: DDA Policy 5.05, Litnited English Proficient (LEP) ('10,11s),
(e) inp-elli-ellL: SLJ13CONT'RACTOR will maintain an
-'Ma— 411-111
strkicture illal clearly defines responsibilities; systenis and personnel to
maintain accounting records iha( accurately refled alf progyaln revenues and expendilures; prepare
monthly suttcmerlts ofacfiviiy (ADSA Deports); rijaintaillargilrola clielit servicerecords and progress
reports; and track key program performance indicators.
,i r t i c i 1. Lrji L1, �s S U 13 CONTRACTOR has a commitment to suppOri integration of individuals with
developriwntal disabilities with people who are not disabled and has involved participants with
developmental disabilities in policy development,
(g) I)Aqnqnshi)s: SUBCONTRAC TOR has a history of working cooperatively with c0l"Munity-based
organizations including Employers, other Agencies, the COUNTY L)D Program, the Division of
Vocational Rehabilitation (DVR), and the Schools.
(h) U31-forniance Plow SUBCONTRACTOR has a written performance Iflan that describes its mission,
prograni ob ' iwives, expected outcomes, and describes how and when objectives will be accomplished;
and will ;issure the plan is evahiated at least biennially with revisions based earl actual pei-forlylance.
(i) jilternal Control -S -�'ueins: SIJJ3CONTRAC7,T(.)R has sufficient policics find procedures f()l establishment
and mainmiance ofdequite interjual control systellis. SUBCONTfW"FOR will IM'AillUlin Writtell Policy
procedural manuals for information systems, personnel, and accounting/finance in sufficient detail such
that opel'alions call Continue slimdd staffing,, chinge or prolonged absences occUr.
Qp�jlified Staff, SUBCONTRACTOR will provide adequale, qualified malt with skills and experience
ill evalualion, trahling, Supervision, Counseling and supp()1-1 (if;tdults with developmental disabilifles
who are earning wages, per 1110 anched Slawnlent of'Work. SUBCONTRACTOR will assure thud all
direct service staff are trained, and that training is documented. SUBCONTRACTOR will provide
COUNTY with information regarding staff qualifications upon request.
SKOOKUM IE/ITA Contract 2015-2016
Page 4 of 19
(k) Sifl` ty SUBCONTRAC . will provide evidence that it employs safety pi tion based on the environment
in which the participant is working or receiving services.
(1) ,l _lrlp l_>yr�sr rr1 rAI,s1 t1<t !m er epic es. must adhere to the Home 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 settings;
and
(d) The setting facilitates individual choice regarding services and supports, and who provides them.
(25) SUBCONTRACTOR shall provide an Individual Employrnent/Vocational Client Plan and/or Person
Centered planning/profiles delineating individual skills and needs within 30 days of the beginning of ser vices
on all program clients. The SUBCONTRACTOR shall use the new Employment Program Plan Report Form
for Individual Employment/Vocational Client Plans.
(26) Individual 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 oo, laer 'family (the team).
2. Inid al plans will be completed within 60 days from date of service authorization and must be
signed by the participant and/Gar 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.
(27) Individual 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
0 Preferred (job type) the individual wishes to obtain or maintain
g) The preferred wages /salary the individual wishes to earn
h) The number of hours the individual prefers to work
i) The preferred work shift
j) The individual's skills, gifts, interests, and preferred activities
k) Mt,arsur;able strategies (action steps <and supports) to meet the employment goal.
1) Iden ificastion of persons and/or entities (such as family, Division of Vocaflonaal 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
(28) 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.
(29) All services for persons with developrnental disabilities must be provided with, attention to their health and
sarllAy. SUBCONTRACTOR shall comply with all applicable federaal, state and local fire, health and safety
regulations.
(30) The SUBCONTRACTOR shall report any injury or accident that requires more than simple first aid, and any
extratord'irratr,y 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.
SKOOKUM 1C/ITA Contract 2015-2016
Page 5 of 19
The initial report may be done via documented telephone calls to the COUNTY Coordinator.
The SUBCONTRACTOR shall submit a written follow-up report within 10 days to the
COUNTY Coordinator. The report to the COUNTY Coordinator may be submitted by email,
facsimile (FAX) to 360-385-940, or by mail to Jefferson County Public Health 615 Sheridan
Port Townsend, WA 98368.
Serious and emergent incidents shall be handled in accordance with DSHS/DDA Policy 12.01,
Incident Management.
(31) Within 30 days of' the eff6clive date of this agreeinent and at least semi-arl"WillY 0lercafter,
SUBC'ONTRAC'VOR will provide (a) company (b) prograin Teports to 0.)UNTY, incluchng all
rovenoesarid expenses generated by SUMONTRACTOR, ill soffickml dotail 10 (jem(,,)jlsirate the uses of tinds
provided under this agreement.
(32) Make available for inspection, review, or audit by COUNTY DD Coordinator at all reasonable times: all work
sites; all client records; records on productivity sand client wages; 1,ind all documents, reports, and other data
applicable to this agycetneut. The COUNTY shall lrloniwr services delivered, and condticI al, least one on-site
visit with SUBCONTRACTOR during the period of the contract to assure compliance with the DDA State
Work Order.
(33) AM—A E"N'l ."S. 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 manage Public furrrd, in compli'ance with Generally
Accepted Accounting Principles "GAAP". An agency, 16r -profit ornoll-prOf-A, who receives ill excess or
$100,000 in DDA funds during its fiscal year from the C',OL1111y, shall 1wovide Certified Public Accouniant
reviewed or audited financial statements within nine months subseqiww to the close Ofthe sUbc011traCtor's
fiscal year. Copies of the audit and management letter shall be su'billitted to the Jefferson (11OUN'TY 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) Providesstatenients consistent with the guiMines of"Repol-tirig for Other Non -Profit Or ganizatiorls
AR TA SOP 78-10, and is performed hi accordance with j,!,enCraj1y accepted auditing, slandu-ds ai)d
with )-`cdo�A Sian(hards for Audit of Governmental Orgajjjzsjjjojls, Programs, Activities, and
Functions, and meeting all requirements of OBM Circular A-1313 or A-128, as applicable.
(c) The SUBCONTRACTOR shall s6mit [wcl (2) copies oftllC Mldil and/or Ille slirrimary and the
managellient letter direcfly to tile COUNTY irriniecliz,,11ely up ']'Ile audit olusl lacoll (,t),jjjpjejjojj�
accomplishcd by documentation indicating the SLJI'3CONTRAC1'(.)WS Board of'Directors has
reviewed the audit.
4) If the Developmental Disabilities Program Coordinator finds indications of potential non-compliance during
the contract monitoring process or learns that the SUBCONTRACTOR is out of compliance with any of the
terms or conditions of this contract, the following process will be pursued:
(a) Informal Notification: Informal process wherein the COUNTY Coordinator alerts the
SUBCONTRACTOR in writing of the potential non-compliance and an agreeable solution is reached
within ten (10) days.
(b) Official Notification: If the inforl-nal notification does not result in resolution, the official notification
of possible non-cornpliance to establish a date, within ten (10) working days of notification, when
representatives of the COUNTY and the SUBCONTRACTOR shall meet to discuss areas of
contention and attempt to resolve the issues.
SKOOKUM IE/ITA Contract 2015-2016
Page 6 of 19
(c) Written Summary: in ten (10) working days of such official note ion, the COUNTY will
provide the SUBCONTRACTOR a written summary of the areas of non-compliance by certified rnail.
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 theabove procedures flail to resolve the comp°ah jr,ce rsF�u;re, the pn�a?�rtics will obtain tlae services of
the lleflirlsula Dispute Resolution f,entca", or arlother agreed upon resource, aund shall share cguarlly in
any retainer fees or ollrer- costs ofservines. If no agreement is reached, t:he'rn"rcc]i wtc'al°"s dcc'is,iorn rrn the
matter will be binding on kill paart:ics, a_uep,l�.l ilia( in no event will the t�,..ounsy 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
¢suffi-Jently and lruoperly reflect all direct ,unci] indirect expnendiiures of funds lwovided under this agreement.
Chent records shall n6iflinaal'ly include strateune.�nt cifclient goals, documentaflol5 of'trrnirrint provided, training
hours, routine progress notes and semi -ani ilia] surnunnrary ofprogress towvard rnecting client goals.
(36) SUBCONTRACTOR, will provide COI,INTY with Irndividuzal Employment Plans (or Person Centered
Plan/Profile), client goals, and a summary of progress toward meeting those goals on a biannual basis.
(37) SUBCO'N RA1 "I OR will makc available for inspection, review, or audit by COUNTY DD Coordinvrtuar at all
revasoraaable times. all client records,, and all docuunnc 11s, reprorls and, other ,111plicaale to this agreement.
(38) SUBCONTRACTOR shall provide COUNTY with a copy of a signed DSHS Provider Agreement within 30
days of the effective date of this agreement.
(39) SUBCONTRACTOR agrees to assign to COUNTY its Medicaid Billing, Rights for services to clients eligible
under Title XIX programs. Wr rtten documentation shall be available to CO'UN I`Y on request. If
SUBCONTRACTOR contracts directly witlu I.)$]IS to provide covered services under Brae XIX, COUNTY
agrt cs that funding! intended for those clietits sh,rll be excluded from this ,agrec.mtsrrt, If SUBCONTRACTOR
cotatraacts directly with Socia'] Security to provide covered services under a PASS/1RWE, COUNTY agrees that
funding intended for those clients shall be excluded fi-orn this agreement.
C. REIMBURSEMENTS
(1) For said services rendered under this a � n' "Trent, COUNTY shaalI reirnbut se SUBCO'NTRACTOR oral a unit rate
basis as follows: P-) r
tt
�SUBCONTRACTOR �ill re(a) 1.unnlwl�ryrrIrvren�_tvC5cno
paid per unit assigned Service Responsibilityof regMaar Prog,r-ana Service as t1efined ill Exhibit.
A, Statement of Work.
(2) SUBCONTRACTOR will bill COUNTY monthly in an -ears and on a monthly basis, on or before the 5th day
ofthe month, for units of service provided under this agreement. SUBCONTRACTOR C'.:1R will subannit a Monthly
I'DDA Services Report (ASDA) form for its billings. At no time shall the invoices for reimbursement be
submitted more than 60 calendar days following the last day of the month for which the services were provided
without COUNTY approval.
(3) COUNTY may, at its option, withhold reimbursement for any month for which required reports have not
been received, or are not accurate and/or complete, or for contractual non-compliance issues.
(4) Total reirnburrsements for fiscal )ear 2015-2016 to SUBCONTRACTOR by COUNTY under this contract shall
not exceed $'1:32,25'5.00 in conal,-detion of these services without express written amendment signed by both
parties to this Agreement.
SKOOKUM IE/ITA Contract 2015-2016
Page 7 of 19
(5) SUBONTRACTOR wil ess Division of Vocational Rehabilitation (E funding as a resource. Client
services shall not be reimbursed under this agreement when the same services are paid for under the
Rehabilitation Act of 1973, DVR, P.L. 94-142 (Public Education), or are being funded under PASS/IRWE.
D. MISCELLANEOUS
(1) DSHS Division of Developmental Disabilities (DDA) shall determine individual eligibility of persons for
services dehvei�ed under this �,igreernent. DDA shall notify CDUNI''Y of persons authorized for services
reimbursed under this agreement. Only persons Wf+�rred to C01IM'N' by DDA t1jr(jugh 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 enq)Joyces ofthe SUBCONTRAC"I"OR only, and any claims that may ajjse on behalf of or
against said employccs shall be the sole obligation and responsibility of the SUBCON'TRAM"'OR.
(3) The SUBCONTRACTOR shall not sublet or assign any of the services covered by this Agreement without
the express written consent of the COUNTY. Assignment does not include printing or other customary
reimbursable expenses that may be provided in all Agreement.
(4) The SUBCONTRACTOR, by signature to this Agreement, certifies that the SUBCONTRACTOR is not
presently debarred, suspended, proposed for deban-nent, declared ineligible, or voluntarily excluded fi-orn
participaling in this Agreement, or any Agrcernent by any Federal department or agevicy. The
1�
SUBCONTRACTOR also agrees to include the above requirement to all subcontraels into which it enters.
(5) The SUBCONTIWTOR will not discriminale against any person in the performance of
services under ihis Agreement or in the selection and rotention of employees or
procurement of materials or supplies on the basis of age, sex, marital status, sexual orientation, religion,
creed, race, color, national origin, honorably discharged veteran or military status, or the presence of any
sensory, mental, or physical disability or the use of a trained dog guide or service animal by a person with a
disability, unless based upon a bona fide occupational qualification.
(6) "T"he SUBCONTRACTOR shall ol%ain and keep in force during the terms of the Agreen,=t, or as
wherwise required, the following instirance. with companies or through sources aliproved 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
darnage 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 narned as an additional insured in connection with the SUBCONTRACTOR'S
performance of the contract.
(c) General Commercial Liability Insurance in an amount not less than a single limit of one million
dollars ($1,000,000.00) per occurrence and a aggregate of not less than two (2) thries the
occurrence amount ($2,000,000.00 minimum) for bodily injury, including death and property
damage, unless a greater amount is specified in the contract specifications. The insurance
coverage shall contain no limitations on the scope of the protection provided and include the
following minimum coverage:
(1) Broad Forin 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
(7) 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
SKOOKUM 1E/1TA Contract 2015-2016
Page 8 of 19
in the amount of not les_ n one million dollars ($1,000,000). hi no ca_ tall such professional liability
to third parties be limited in any way.
(8) 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.
(9) Failure on the part of the SUBCONTRACTOR to maintain the insurance as required shall constitute a
material lireae:lr of contract aipriii rvlritlr t.l°rc;COUNTY iirray, Mte-r° p*ivprrff five iaorl irrg days ricatice tothe
St pB ON 1'.R.AC 1"OR to Correct the breach himiediately lcrininate the conlra t or, at its discretion, procure
or renew such insurance and pay any and all premitniis in criarrieetia'rra Ilicrmea vil.lr with ally surras so expended
to be repaid to the COUNTY on demand, or at the sole discretion of the COUNTY, offset against funds due
the SUBCONTRACTOR from the COUNTY.
(10) All cost for insurance shall be considered incidental to and included in the unit contract prices and no
additional payment will be made.
(11) Excepting, the Worlwrs Cirnpensation insurance and any professional liability insurance secured by file
SUS "ONTRA<: 1`OR, the COUNTY will be named on all certificates of insurance as an additional insured.
The SUBCONTRACTOR shall furnish the COUNTY with verification of insurance and endorsements
required by this Agreement. The COUNTY reserves the right to require complete, certified copies of all
required insurance policies at any time.
(12) All insunince shall be obtained fi-om an insurance company authorized to do business in tlreState of
Washington. The SUB C,ONTRAC 1'Old 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
SUBCON"FRACC'I"OR shall be prinrary to any equivalent or applicable policies held by the COUNTY. All
insurance policies obtained by the SU'13CONTRACTOR shall include a waiver of subrogation rights. Any
insuraric:ee, self-insured r.r.tenflon, deductible or risk rcaterrirrin 11.1,rintained, or parlicppaled in, by the. COUNTY
shall be excessand shall be non-contributmy to the insrrratice piirlic,iers provided by the S't..f�p.3CONTRAS TOR
in order to comply with fire insurance requirenient.s of` this Subcontract. A11 policies provided by the
SUBCONTRACTOR in order to comply with the insurance requirements of this Subcontract must be
endorsed to show this primary coverage.
(13) 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 theta under other provisions of this Agreement, or otherwise in law.
(14) Nothrrrf Kiri the foregoing insurance requirements shall prevent the COUNTY', at its option„ from additionally
requesting that the SLMC0'NTRACTOR deliver to the COIJNTY an e�xccu'led bond as security for the faithful
performance of this contract and for payment of all obligations of the SUBCONTRACTOR.
(15) The S1.J13tI:ONTRAC°TOR shall comply with all Fc,rler'a°r,l, State, and lc;rcarl laws and ordinances applicable to
the work to be done tinder this Agreement. This Agreement shall be rate rprete.d and construed in accord
with the laws of the State of Washington and venue shall be in Jefferson COUNTY, WA.
(16) The SUBCONTRACTOR shall comply with the WA State Department of Laborand Industries Minimum Wage
Act, RCW 49.46, acknowledging persons with disabilities particrp.rating in job assessments are not considered
employees.
(17) The SUBCONTRACTOR shall indemnify and hold the COUNTY, ;arid ll)eir-ciffrcer-s errrprloyees, and ligents
harmless from and shall process and defend at its own expense, inc.ludIno aril Costs„ attorney 1"c es aarid c> pcta",esa:,
relating thereto, all claims, demands, or suits at law or equity arising 'iia whole car in part, directly or inchreetly,
from the SUBCONTRACTOR'S negligence or breach of any of its obligations undo- this Agreement;
provided that nothing herein shall require a SUBCONTRACTOR to i°ncl 7riiify tlae Cf:Jl..1NTY appi st -and
p" g q a
hold laarri�i�iless the: COUNTY front claims, demands or suits based solei upon the conduct o'f"tlie COUNTY,
their officers, employees andagents, and provided further that if the claims or suits are caused by or result
from the concurrent negligence of:
(a) the SUBCONTRACTOR'S sir„ants or employc°ea„; and, (b) the COUN"1.'Y„ its officers, eraipliryees
arrd agents, t:hi, indemriity provision wish respect to (1) c laain°rs or suits basedupon such ncgliPeFice,
ands/or (2) the costs to the. C,OUN 1°"t" ofdcTMfendinsr, snclr claims and suits, etc.., sh,31l be vatlid ,, cl
SKOOKUM iE/ITA Contract 2015-2016
Page 9 of 19
enforceable on. the extent of the SUBCONTRACTOR'S neg] e or the negligence of the
SUBCONTRACTOR'S agents or employees,
(18) Claims against the COUNTY shall include, but not be limited to assertions that the use and transfer of any
software, book, docurnent, report, film, tape, or sound reproduction of nia(crial of any kind, delivered there
under, constitute , � -in inf sults in an
, i-ingement of any copyright, patent, trademark, track! name, or otherwise re,
unfair trade practice or an unlawful restraint of competition.
(19) The SUBCONTRACTOR specifically assumes p0tCDtiRl liability foracjiorls b1-ou,;11t,,lgailist the COUN]"Y by
SUBCONTRACTOR'S employees, including all other persons engaped in the performaixx of"any work or
service required of the SUBCONTRACTOR under this Agreement and, solely for the I)III-I)OW Ofthis
indemnification and defense, the SUBCONTRACTOR, specifically Avaives any illinjuniiy under the state
industrial insurance law, Title 51 RCW. The SUBCONI"RACTOR recol,)wave r warts
specifically entered into pursuant to provisions of RCW 4.24.1 15 and was subject of mutual negotiation.
(20) ( OUNTY reserves the right to terillinale this conh""ict in whole ()i- irl P311, WithOL11 prior written notice,, ill thO,
event that coilln"Aclual ler in% Ire not. fulfilled, or il"expecied oracfiiad funding fi-mil the DepartincntofSocjtd
and I lealth Serviecs Division ofDcvelopnicnl,fl DisabijitieF, is wilhi11awn, roduced, or litnited in ally may after
the effective date of this agreement. In the event of termination under- this clause, COUNTY shall be liable
only for payment for services rendered prior to the effective date of termination.
(21) No portion of this contract may be assigned or subcontracted to army other individual, firm, or entity without
the express and prior written approval of COUNTY. if the C0UN"IY aprecs in writing that all or a portion of
thin Contract rniy be subcontracted to a thirdparly, then any conlract or agreement between the
SM3CONT1 ACTOR and a third -party subconiractor must contain all provisions of this Agi,eemcnt and the
third -party subcontractor must agree to be bound by all terms and obligations found in this agreement.
�f�l I bLe,;– 2015
ADOPTED THIS Zle—day ofLY�!V'�'-
Al
/ " BY:
By:—-
David 'd1W I
'I ' C 1,"dn'Mliu
Jefferson Board of County Commissioners Skookili'll Contract Services
."5
By:_
�._.
�rr
A sl, Clerk of the,card, 7
AIIIIR "WED AS TO l'OT M ONLY:
R
By:
Jefferson County Prosecuting Atto
SKOOKUM IE/ITA Contract 2015-2016
Page 10 of 19
EXHIBIT A
STATEMENT OF WORK
INDIVIDUAL SUPPORTED EMPLOYMENT/INDIVIDUALIZED TECHNICAL ASSISTANCE
WORK STATEMENT
SUBCONTI�.AC'1'OR shall provide Individual Supported Einployine'll Set,vices/Iiidividualized']'CchnicaI Assistance for
program clients its described hereinafter. SUB ("ONTRA ('1"0 R shal I be reimbursed for such services on a unit of'service
basis pursuant to Section C., Reimbursements of this contract.
PROGRAM DESCRIPTION
A. Program Goals:
To support and strengthen Skookurn's capacity to provide quality, cost effective individual supported
employment services.
To assure that businesses employing individuals with developmental disabilities in Jefferson County
will meet the Fiiiployment Quality lndjct,itors from the C()unty Guidelines as adopted by the D.D.
Advisory Board.
3. To provide employment services that are designed to meet specific needs of individuals based on
personal preferences and individualized goals and outcomes.
4. To provide appropriate job matching and neccssai-y vocation31 suppoa-t services to assure that program
clients ll1aced in individual con-inninity jobs maintain colitilithOus C111ployment for at ]mist one year.
7 F
5. J'(�i provide Pathway to I ' 'Inploynient ]'],,in a (liscovely process, detailed action
,stcps/lialieflncs that vvill serve as a transition tool towards the advancement Of the individwal's
pathw,ny and as an aid in the iil11)l(,,n1c1l121tio11 0f' 111,itching prograin clients to a ppropri ate
employment services in the community.
6. When appropriate, to provide fissessment and consultation, ill order to iclentify and address existing
barriers to employment ibr individuals who have not yet a,lchicvc(j tljcir° C,111llloylT1ent goal, through
Consulting and assessalent. (This is in addition to -suppOTIS received Supported T"inploymenA
services or Group 1,-,,n'ip1oyillent services for individuals who havc 1101 )fel 8chicve(l their employment
goal).
7. Clients in an Employment program will be supported to work toward a living wage, A living wage is
the amount needed to enable an individual to meet or exceed his or her living eNpenses. Clients should
average twenty (20) hours of corm-nunity work per week or eighty-six hours per month.
8. To identify ""ettings Illat isolate people from the, broadcl- coiriniunilY 01' that]suave the effect of
isolming, individuals fj'oili the broader corill"111114 ofindividuals, who do not receive Medicaid 1-1 CB
Services. Clients will not access (hese settings becauge they care IM-Cst"'Wd 1101, to be honle and
community-based.
B. Definitions
l'i di d I p pj?lqy a traditional einpiloyer/omployeI vi uaI jwn� is an individual job in the commun ity wlwrerel a tio nsh i .. exists (i.e. person is hired, paid, and supervised by the ellllllo)�cr), and is perf'orilled at
locations that are typical employment sites for non -disabled persons, (]lot in bUsi"1Cs8e% or locations
where the primary purpose is to provide employment or work for individuals with disabilities),
Individual Employment is for those who have not traditionally held col-opetitive.jobs or who have had
interrupted or intermittent employment as a result ofa severe disability, and is for people with severe
disabilities who need intensive and/or extended support services to perform work in the community.
SKOOKUM 1E/ITA Contract 2015-2016
Page 11 of 19
J"Jacen rcn I is dca as employment in a first job or in multiple job: raged by SUBCONTRACTOR
for 90 calendar days. Placements may be: full-time, average weekly work totaling 40 hours or more;
or part-time, average weekly work totaling 12 hours to 40 hours.
is defined as being assisted by the same SUBCONTRACTOR in any subsequent
employment (second, Ili ird, fourth job, etc.) for 90 calendar days. Employment maybe full-time, part-
time, or other as defined in B.2 above.
flhcenlenl and S.elyice..'s may include: vocational counseling and job analysis to assist in
tine identification of work objectives and the job inatch process,' job development, localing a suitable
community job for the worker; initial placement and pose- hire nT-,,Iinjng of the, supported empoyee,
employer and/or coworkers at the employment site; job rnwstructurirnl, and worksile modifications;
supporting the worker, employer, and other interested person, (pare'llts" unions, other ernployees, etc.)
to develop natural workplace supports and ensure, slabilily cm the job asSisthP, the worker to oblaill
other services necessary for continued employment; feedback, to dic worker, COLINTY and to DDA
Field Services regarding progress and/or problems.
5. 1,011 floral , sel-vices bepin at the tinie of placement or replacement and may include: visifln,, with
the worker, the employer, and other interested parties (parents, urjjoals, etc.) to insure stability on the
job; providing feedback to the worker, COUNTY, and to DDA Field Services regarding progress
and/or problems; counseling the worker and his/her family on vocational issues.
6. of a Pathwa that will serve as a transition tool toward the
advancement of the individual's employment pathway and as an aid in the implementation of
matching program clients to appropriate employment services in the community.
7. PIli t Jr is defined as facilitating the development of a I'Iathway to Enilfloynienl Plan; delineating
individual vocational skills, experiences, preferences, so-eng,�fh s,
support needs, skills, goals and
objectives, education on system navigation and the Discovery Process related to vocational skills
and capabilities.
8. mq of the Action Steps that detail tasks timelines and entities responsible for leading to
the community employment will reflect that 75% of the direct service hours with the client will be
at employment sites in the community. The arnount of service a client receives will be based on his/her
demonstrated need, acuity level, and work history.
9. hidividualind Technical Assistance services are part of an individual's path),vay to individual
cinploynient. 'I ho service of assessinent and consultation (in order to identil;y and address existing
borders to employment) may be provided by the empk)yrrieni, provider or to the cl-liplOY'llent provider.
This is in addition to supports rec6vc(,J through supported ell1ploynicilt services or pre -vocational
services for individuals who have not yet achieved their employment goal.
C. Program Requirements
The SUBCONTRACTOR will clearly communicate to tile client and the COUNTY, prior to beginning
service, an expected change in the maximurn service hours per month the client can expect to receive. Service
changes will not occur until the client has received proper notification from DDA.
(a)The client's DDA ISP is the driver for service. The CMIS County Service
Authorization and the updated Planned Rates information will not exceed the client's
DDA ISP.
(b)The amount of service the client receives should match with the CIS County Service
Authorization and updated Planned Rates information.
SKOOKUM IE/ITA Contract 2015-2016
Page 12 of 19
2. If SUBCONTRACTOR is selected as the client's provider, SUH(',',ONTRA(,,T(M shall pjovjklc an Individkial
Employment/Vocational Client Plan for client's in service delineating, indiviolklal Skills, experiences,
preferences, strengths, support needs, skills, and goals and t)bJectives withfil, 30 to 60 days ol'the be
V, inni ng,
of services for the client, in order to promote Individual Employrnoil, (Minfinun, Individw'd
Employment/Vocational Client Plan elements are oodinNI ill the rcf4Cncc documcnt earned "Criteria for
Evaluation" available on the DDA website.)
3. SUBCONTRACTOR will provide a copy of the Individual Employment/Vocational Client Plan to the client,
their CRM's, Guardian, the COUNTY, and others as appropriate.
4. llalhwaiys lo Dnpioynient Planning, services shall include a personal discovery process wlated to skills,
capabilities, and goals; education on syslem navio,ationI facilitated plain development; 101on steps detailing
r
steps, timelincs, ,ind entities responsible for 1he accon-lill i shn, ci it oif tasks leadillp, tsi elnp I nyownt and 'tile
implementation of vocational services.
5. Clients in an employment program will be supported to work toward a living wage. A living wage is the
ammint needed to enable an individual to neel or excee(I his or her living expenses. Clients should avciage
twenty (20) hwirs of community work per week or eighty-six (86) Itoul-s per month. The amount of service a
client receives will be based on his/her demonstrated need, acuity level, and work history.
6. If SUBCONTRACTOR fails to provide the ininimurn number of 11,C),111,11y sel-vice hours F(g 11,1c client, the
COUNTY will advise the client, Parent/Guardian, and/or Residential Provider concerning tile IllinillUm
;,ind maxiinum number of service hours the client should be receiving and infcirm thern of tile option of
choosing another Employment Provider.
7. SUBCONTRACTOR will contact all clients according to their need, and at least once a month.
8. The Action Steps ofille Individual Employment/Vocational Client Plan will be reviewed by the chosen
Employment Provider every 6 months (sooner if needed) in order to assess if it is coil ti "I'Ll i llg to Incel Ilse
individual's pathway to employment goals.
2-1
9. The Action Steps of the Individual Employment/Vocational Client Plan will reflect that 75% of the direct
service hours with the client will be at employment sites in the community. The focus will be on real work
experience in a community setting delineating individual skills, experiences, preferences, strengths, support
needs and vocational interests.
10. SUBCONTRACTOR shall provide an Individual Eiiil)loytllellt/VOcltiOTI-,,'I Client Ilan for clients'"I
Individual Employment delineating individual skills, exl'.)criences, 111'efUenccs, SIM112ths, support needs, anti
goals and objectives within 30 days of tile beginning of services for the client in order to prolnote Individual
Employment. Job coaching and supervision of program clients Will be based oil goals established ill all
Individual EmployrnentNocational Client Plan. Client goals, training provided, and progress toward
meeting goals shall be documented in each client record.
0
11. If clients in Individual Supportcd Eniployrnent have not obtained paid employment at minimum wage
within six (6) months, the SC M7ONTRACTOR will assure the COUNTY the following steps are taken:
a. Review of progress toward employment goals
b. Provide evidence of consultation with the family/client
c. Development ofadditional strategies Willi the raliffly/client, COUNTY staff, employment ,support slarl',
alld the case Illanager, stratcgics may include providing technical a,assislanceN, changing to a new provider,
and/or providing, additional resources zis nucdcd to support the individual's pursuit of cn:lploynienL The
addi(ional/new strategies will be docinnented for conch client and kept in tile client's
SKOOKUM 1E/ITA Contract 2015-2016
Page 13 of 19
12. If a Client has not obtain niployrrient after 6 months, the SUBCONTR. OR will assure. the COUNTY
that the following steps were taken:
■ Review of progress towards employment goals;
• PicMde evidence of consultation with faliffly/client; and
■ Development of additional mralegies withfarni]Y/client, contractor staff, employment staff,
and CRM, is there documentation of these strategies.
13. The client may request to participate in Community Access activities or the client may choose to remain in
all Employment Program. When requesting to participate in the Community Access services, the client
shall communicate directly with his or her DDA Case Managcr. The DDA Case Manatcr is responsible for
authorizing Community Access services.
14. SUBCONTRACTOR will submit to the COUNTY, to the DDA Case Manager, to the Residential Provider,
and Parent/Guardian a six-month Progress Report on each client. The SUBCONTRACTOR will use the new
Employment Plan Report Form to report on the, six-month progress of the client.
15. The fi-equency of the Semi -Annual Progress Reports of this contractual period will be one every six (6)
months after the initial plan—July through December 2015—with the report due oil January 2, 2016. The
second will be due—January thru June 2016—on July 1, 2016.
16. The Semi -Annual Progress Reports shall dernonsWale the implementation strategy and how the individual is
tly
rnoc,ressin- on his/her Individual Ernploymeni/Vocational Client Plan; indicating the fulfillment of the
commitments nmde concerning the Action Steps of the IndividmM Ei-npl(,iyiiielit/Voccali011a1 Clic"t F'lllw and
it shall describe Ifie reasons for, if army, shortfall concerning the action steps and proposed steps for correction.
17. SUl3CONTRACTOR shall schedule a review meeting every 6 months foj- all program clienis, (a minimum of
twice a year for every client).. The review meeting sliall include an assessineri0evaluation of the Action Steps
of the Individual Eii,rlil(,iyiitent/NxocatioiiaI Client Plan Ql,c)als and objectives). The Action Steps of the
Individual Employment/Vocational Client Plan will be updated every 6 inonths, (including at the 12 month
stage) for all program clients, will a special focus on clients who are unemployed.
18. COUNTY shall receive the dates for the 6 -month reviews for program clients one month before the
required meetings.
19. SUBCONTIZACT(Awill submit a copy of the updaed Action steps of the Individual
ErnployrnenYVoca0onal Client Plan and progress reports to the (',Iient, the DDA case manager, the COUNTY
Coordinator, and Residential Support Staff/ Parent or Guardian.
20. SUBCONTRACTOR will submit six-month Pr(,,)f3ress Reports & updated Action Steps on each client to the
COUNTY for feedback and approval, DisreDirding or lack of follow-through oil this step will hold up monthly
billing and continued authorization for funding.
21. The Semi -Annual Progress Reports will show in(jividij,11 Employmciq/Vocational Client goals, training
provided, and a writtev synopsis demonstrating prohress toward meeting olii eclives; or it will describe
reasons for any shortfall concerning the outcomes, and propose actions for correction.
22. SUB CONTRACTM shall schedule a review meeting every 6 njoiltils 1-(g rIII py()praril clients. The review
inectim", shall include an offlie IndividuaJ Employinent/Voultioll,11 Client Plan's goals
and objectives, The Individual1'�l I oyn) ell Wocatiol i -al Nall will be Updated e,\,cjy 6months for—all
prog0rarn clients.
23. SUBCONTRACTOR will submit a copy of the updated Individual Employment/Vocational Client Plan and
progress reports to the client, the DDA case manager, the COUNTY Coordinator, and Residential Support
Staff/Parent or Guardian.
24. All clients will be contacted by SUBCONTRACTOR according to client need, and at least once a month.
SKOOKUM IEATA Contract 2015-2016
Page 14 of 19
25. The SUBCONTRACTO. 11 clearly communicate to the COUNTY and ti ient prior to beginning service,
or when there is an unexpected change in the maximum service hours per month the client can expect to receive;
and service changes will not occur until the client has received proper notification from DDA.
• The client's DDA ISP is the driver for service. The County Service Authorization (CSA) and
updated Planned Rates information will not exceed the client's DDA ISP.
• The amount of service hours the client receives should match the County Service Authorization
and Planned Rates information.
26. ;St„ll3C,0N'l RAC'9"C: R nnust ensure that every client f'i'le his 1 copy of l'.)DA (:Tient. Authorization, a copy of
the participant's Indiviela.aal I labilitation Plan (1CF1MR), client's Individual Service 1'lan, NMI OrCare
af0or Individual Suplsaoil Plarn (H('IBS Waivers) and/or tlhe C.outnty Service Atttlnoa-iz..«nlit.aitl'IndividLi al
Service Agreement Plan, as applicable.
27. SUI:ICC:"t" ]'RAC]"OR must ensure that Client Goals and ObJectives are based nail a Person Centered
Plan/Action Steps or an Individi,j ill Eiii,l)loymeint/Voctatlonal Client Plan; that docunncntation and data
collected or training reflects the Action Steps or the Individual L lnplt yn1ent/Vtncazttitallda9 Nan; fudd
that the docuanent'atioan „shows how it has id+:entifted and addressed Support needs Of each paartarapuam by
demonstrating anewtht:adsTor providing services baased on individual needs that are; outlined in a client's
Person Centered Plan/Action Steps or an Individual Employment/Vocational Client Plan; and has
documentation of six-month profd,ress reports that include Client Goals/Action Steps and a summary of
progress toward meeting those goals and objectives.
28. S'UBCON I RAC::'FOR must ensure that all Incident Reports arc retained in client 1`iles; that t'hcy have a
policy to retain records at least 5 years; that eane.rg ncy contact and ntedic,al ill lrarrnnaiion (medications,
died, allergies, etc.) needed during the hours ofseavice is available for each paatacipant oil the fiace sheet of
the client file; that the emergency and contact information is updated yearly, or when needed; and that
services are provided in a natural or integrated environment or there is a goal to achieve that.
29. SUBCONTRACTOR will support Clients in an ernployane,nt programa to work toa,t,cv-d a living wage. A
living wage is the aaanoutat needed to enable an individual to anect or exceed his or her living exl'aerases.
Clients should strive to average twenty (20) hours of work per weenie or eighty-six (86) hours per month.
The amount of service a. client receives will be based on his/her demonstrated need and acuity level.
30. Worker wages shall be commensurate with the local industry accepted norms and comply with applicable
Federal Department of Labor standards.
31. For Individual Employment where the service provider is also the Client's et711afctyer,, long term ftinding will
remain available to the service provider / employer foa�° six jiloyfflis after the employee / DDA Client's date of
hire. At the end of the six month period, if the DDA Client continues to need support on the job, another
service provider who is not the ennployer of record trust provide the support unless the County issues prior
written approval for the service provider to continue to provide long-term supports if needed.
32. Recommendations for program participant's termination in Individual '1 mploymt nt of transfer into
another Individual Employment agency must be authorized by 0w DDA (,ase Manager, and will be reviewed
in consultation with the COUNTY and others as appropriate. SUBC O1"
N R.At..'`1`OR will facilitate the
development of a transition plan and schedule. The transition plan will be developed in consultation with the
client, DDA case management, COUNTY, family mcanbers and other sea vice providersas appinc.able and within
10 working days of SUBCONTRACTOR'S recommendation.
33. SUBCONTRACTOR O must ensure there is a 1c1rd rccluirement «aand a clear dclineadion for staff"
qualifications and proof'of"backg,round cHminaal lststory clew arance in accordance with SUBCONTRACTOR
is required pua•sanant to h'1C"W 43.41830-845 RCW 74.1.5.030, and Chapter 388-06 WAC on all suiff.
34. SI_ll ICON"1 RAC°T"OR shall submit a r,writtcan Prograana StaffI°raait,ing, Pl«ata to COUNTY Y for approval or
disapproval widhin 30 days of the effective, dale of this agreement, seani alrtnalally thereafter or when
reong,anizadon occurs, which minirnallyincludes SUBC(MT"RACTOR s pa(i)cedurc, to train new direct
service staff. The training must include:
SKOOKUM IE/ITA Contract 2015-2016
Page 15 of 19
• DDA Policies & Competencies (see Section C -Number 36-39)
• RCW's & WAC's as referenced on page I & 2 of the County Contract, Section B,
Obligations.
• Agency policies & procedures
• Skills on how to instruct/teach clients
• Skills on ]low to document data collection, daily/weekly notes & 6 month reports in
client files
• Skills on ]low to write Individual Employment/Vocational Client Plans and/or
Person Centered Plans (creating client vocational goals/objectives)
• SUBCONTRACTOR's plan to provide staff that are skilled in applying training
techniques to enhance the work related skills of program clients
• FTE levels job descriptions and organization charts pertaining to program staff
• SUBCONTRACTOR is required to send five direct service suaff to a minimum of
16 flours of4orkshops" trainings alld/or, conferences about developmental
disabilities and employment, jk%,]j ()180 hours. Sljoill(I SlJB('_'0NTTACTOR
f"ail to access trainings for direct scj�vicc staff'; the SU13(,,',ONTRACTM will
reimburse the COUNTY at the rate of 67.00 an hour for every hour of training not
accessed for staff (for not more than a total of $5,360)
35. SUBCONTRACTOR will provide COUNTY with information regarding staff qualifications and documented
training's every six (6) months.
36. SUBCONTRACTOR must assure that new staffare informed specifically of all agency policies/procedures
and have documentation that assures all direct service staff 18 years, of age or oiler are trained in the
following DDA Policies Prior o,) K'orki I iviih (7lients: ADA training, APS Reporting Requirem(',nts, Client
confidentiality, Current individual instruction and Acdon Steps/Vocational plans for catch Client with whom
the employce works, DDA Policy 4.11 Working Agc Adult (adult wt -vices only), DDA Policy 5.06, Client
Rights, DDA Policy to 13„ Proiection from Abuse: Kandatory Reporting,, DDA Policy 12.01 Incident
Management.
37. 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
38, M,'iihin� onemonth SUBCONTRACTOR must ensure that direct service staff received
training and are knowledgeable in the following areas: Overview of DDA Policies including: DDA Policy
t� 0 0
3.01 Service Plans, DDA Policy 5.03 Client Complaints, DDA Policy 5.17 Physical Intervention
Techniques, DDA Policy 6.13 Employment/Day Program Provider Qludifications, DDA Policy 13.04
DRW Access Agreement, DDA Policy 15.03 Community Protection Standards for Employment/Day
Programs and all reporting requirements related to these DDA Policies.
39. WWOi six ononth.:u'l ?m �&,)yit iy: SUBCONTRACTOR must ensure that direct service staff received
- ....... . . . . ' _ . ...... le
training and are kumvled,geaWe in the following6 areas: Program skill development, DDA Policy 5.02
Necessary Supp[eniental Accommodation, DDA Policy 5.14 Positive Behavior Support, DDA Policy 5,15
Use of Restrictive Procedures, DDA Policy 9.07 HIV and AIDS and Program Skill Development.
40. SUBCONTRACTOR will have signed docurnentation that Staff training took place within the timelines
listed above in Section C -Number 36-39.
41. Within 30 days of the effective date of this agreement, and semi-annually thereafter, SUBCONTRACTOR
will develop and submit to COL)NTY an Individual Enilfloyrnent program operating, budget detailing the
projected
jected allocation of contract Funds, other sacrad namountsd aounts of funding, programst<flfinp, expenses and
other cost allocations.
SKOOKUM 1C/ITA Contract 2015-2016
Pa -0c 16 of 19
42. Semi-annually, SUBCO] ACTOR will develop and submit to COUNT) ividual Employment program
financial reports reflecting the actual revenues received and expenses incurred compared to the projected
program budget submitted.
43. The SUBCONTRACTOR will on an annual haisis sp(itlsor the surveying of particsp.iar'ts, their families, and
tlie;sr �ul:allortnetworks acid employers i�e;l,,ardiirg (�Listottae t ;satisfaction. '['lie SUBCON'"FRACTOR 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
(1) SUBCONTRACTOR shall provide Individual Employment services that are referred for service by
DSHS/DDA and have been authorized by the COUNTY.
(a) Job development, job coaching, follow -along and replacement services as necessary
for Individual Employment Clients
(b) Individual Employment/Vocational Client Plan must contain Action Steps detailing
steps, timelines and entities responsible for the accomplishment of tasks leading to
employment
(c) Provide the minimum number of monthly service hours for the client
(d) I'n°rplement Action Steps that affirm 75% of dies direct service hours with the client will be at
employment sites in the community
(2) SUBCONTRACTOR shall provide Individualized Technical Assistance services that are referred for service
by DSHS/DDA and have been authorized by the COUNTY.
(a) A part of an individual's pathway to individwal ernployrrreut
(b) The service of assessment and consultation (in order to idertify ami address existing barriers to
employment) may be provided by the,: employrnenl provider or to the errployniC111. provider
(c) This is in addition to supports received through supported erliployrnent set -vices or pre-
vocational services for individuals when Naivenot yet achieved their ernployrraenl goarl
E. Service Level Guidelines
(1) Client Employment Acuity is determined through the DDA assessment. Acuity reflects conditions typically
related to the individual's disabilities (hat are not likely to char e, and are generally riot impacted lay outside
finclors. Client acuity is determined as either "Ilig h"" "Medil.mi"° or "Low" as defined withfii "VAI" 388-828,
01her considerations are generally related to the job or service which may impact [lie
individual's level of support, regardless of acuity.
(2) Is�mploy ment Service 1.,evc is 1-eflect Client 17niployrnent Acuity and (gee
'fable Orw-Berra. Hours below); the Guidelines 'typica'lly reflect direct scl vice staff time provided to or on
belialfoflhc client to pi.trsuc, ormaintain crnployment. You may be eligible to receive additional add on hours
(see Table Two, Add -On Hours below).
(3) Short-term Employment Supports is a service that allows 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.
SKOOKUM 1E/iTA Contract 2015-2016
Page 17 of 19
(4) The ex[woation 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 Employtncni, Plan.
iiiiiill III!� �5ili
TABLE ONE -Base Hours
DDA DETERMINES YOUR I..M11.., MI NI ,V1,11, U�ING THE
SERVICE _
FOLLOWING
TABLE:
CLIENT
YOUR
THEN YOUR
AND YOUR
ACUITY
EMPLOYMENT
EMPLOYMENT
EMPLOYMENT
LEVEL
STATUS
SERVICE
SERVICE BASE
IE:
IS:
LEVEL IS:
HOURS PER
MONTH MAY BE:
WORKING
A
0
NONE
. . ... .
.. . . .
WORKING
. ..... B __ . .....
......
0
WORKING
C
4
Low
NOT,WOJ�XJNG
0
. ....... ..
WORKING
1
7
MEDIUM
91
WORKING
G
HIGH
-NOT WORKING
H
12
TABLE TWO -Add -On Hours
DDA USES 1"Ill JOLLOWING
I'ABLE'TO
IN I r.' , M AX I M LIM N L) K3 ril~
OF ADD-ON lJOU16 YOU AR1.11 ELIGIBLE
TO RECEIVE.
..... . . . . .
IF YOU MEET ONE
. ..... . .. .......
YOU MAY BE
OF THE BELOW
ELIGIBLE TO
CONDITIONS AND
RECEIVE UP TO
YOUR
THE
EMPLOYMENT
FOLLOWING
LEVEL IS:
AMOUNT OF
ADD-ON
HOURS:
A
0
C
$
7,
5
G.
. ..... .
H
14
F. Individual Employment Unit of Service
R. One UNIT of Individual Employment/Individualized Technical Assistance service is defined as one (1)
110(.M" ol'direct service or assigned service level to One eligible clicnt. Ail "I IOUR" is at least Fifty (r0)
rilinutes o1'diT'CCt service; (partial hour tta the quarter mziy lie recor(jed); (ell (10) jilinuies ofevery 1101,M" of
direct service orassigned service level lo one cligible clienj C.atj lje lisetl J"o)jolocumentaflon and/or nlecting titles
or ASSIGNED SER , VICE LEVEL as defined in Section D, Performance Standard, Number I and 2.
2. Individual Employment service support hours will be based on the client's Individual Employment Level per
WAC.t190 cr, W
3, One UNIT of Individual Employment or Intl ividual ized Technical Assistance service is defined
as one "I IOUR" of direct service to one eligible client.
SKOOKUM 1E/1TA Contract 2015-2016
Page 19 of 19