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THIS AGREEMENT, entered into this _____ day of _______________ , 20_____, by and between the COUNTY OF SAN MATEO, hereinafter called "County," and THE WOMEN’S RECOVERY ASSOCIATION, TRACEY’S PLACE OF HOPE, hereinafter called "Contractor";
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W I T N E S S E T H:
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WHEREAS, pursuant to Government Code, Section 31000, County may contract with independent contractors for the furnishing of such services to or for County or any Department thereof;
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WHEREAS, it is necessary and desirable that Contractor be retained for the purpose of performing the professional services for the Human Services Agency, Children and Family Services Division, hereinafter described, provision of, dual diagnosis facility for adolescent girls with mental health and substance abuse.
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NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIES HERETO AS FOLLOWS:
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1.
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Exhibits
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The following exhibits are attached hereto and incorporated by reference herein:
Exhibit A: Program Description
Exhibit B: Scope of Work
Exhibit C: Payment Schedule
Exhibit D: Monitoring Procedures
Exhibit E: Compliance with Section 504
Exhibit F: Equal Benefits Compliance Declaration Form
Exhibit G: Child Abuse Prevention and Reporting
Exhibit H: Fingerprinting Certification Form
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2.
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Services to be performed by Contractor
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In consideration of the payments set forth herein and in Exhibit “C,” Contractor shall perform services for County in accordance with the terms, conditions and specifications set forth herein and in Exhibit “B.”
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3.
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Payments
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In consideration of the services provided by Contractor in accordance with all terms, conditions and specifications set forth herein and in Exhibit "B," County shall make payment to Contractor based on the rates and in the manner specified in Exhibit "C." The County reserves the right to withhold payment if the County determines that the quantity or quality of the work performed is unacceptable. In no event shall the County’s total fiscal obligation under this Agreement exceed FOUR HUNDRED SEVENTY SEVEN THOUSAND FOUR HUNDRED FIVE DOLLARS, ($477,405).
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4.
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Term and Termination
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Subject to compliance with all terms and conditions, the term of this Agreement shall be from July 1, 2008 through June 30, 2011.
This Agreement may be terminated by Contractor, the Director of the Human Services Agency or her designee at any time without a requirement of good cause upon thirty (30) days’ written notice to the other party.
In the event of termination, all finished or unfinished documents, data, studies, maps, photographs, reports, and materials (hereafter referred to as materials) prepared by Contractor under this Agreement shall become the property of the County and shall be promptly delivered to the County. Upon termination, the Contractor may make and retain a copy of such materials. Subject to availability of funding, Contractor shall be entitled to receive payment for work/services provided prior to termination of the Agreement. Such payment shall be that portion of the full payment which is determined by comparing the work/services completed to the work/services required by the Agreement.
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5.
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Availability of Funds
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The County may terminate this Agreement or a portion of the services referenced in the Attachments and Exhibits based upon unavailability of Federal, State, or County funds, by providing written notice to Contractor as soon as is reasonably possible after the county learns of said unavailability of outside funding.
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6.
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Relationship of Parties
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Contractor agrees and understands that the work/services performed under this Agreement are performed as an independent Contractor and not as an employee of the County and that Contractor acquires none of the rights, privileges, powers, or advantages of County employees.
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7.
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Hold Harmless
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Contractor shall indemnify and save harmless County, its officers, agents, employees, and servants from all claims, suits, or actions of every name, kind, and description, brought for, or on account of: (A) injuries to or death of any person, including Contractor, or (B) damage to any property of any kind whatsoever and to whomsoever belonging, (C) any sanctions, penalties, or claims of damages resulting from Contractor’s failure to comply with the requirements set forth in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and all Federal regulations promulgated thereunder, as amended, or (D) any other loss or cost, including but not limited to that caused by the concurrent active or passive negligence of County, its officers, agents, employees, or servants, resulting from the performance of any work required of Contractor or payments made pursuant to this Agreement, provided that this shall not apply to injuries or damage for which County has been found in a court of competent jurisdiction to be solely liable by reason of its own negligence or willful misconduct.
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The duty of Contractor to indemnify and save harmless as set forth herein, shall include the duty to defend as set forth in Section 2778 of the California Civil Code.
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8.
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Assignability and Subcontracting
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Contractor shall not assign this Agreement or any portion thereof to a third party or subcontract with a third party to provide services required by contractor under this Agreement without the prior written consent of County. Any such assignment or subcontract without the County’s prior written consent shall give County the right to automatically and immediately terminate this Agreement.
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9.
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Insurance
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The Contractor shall not commence work or be required to commence work under this Agreement unless and until all insurance required under this paragraph has been obtained and such insurance has been approved by Risk Management, and Contractor shall use diligence to obtain such issuance and to obtain such approval. The Contractor shall furnish the Department/Division with certificates of insurance evidencing the required coverage, and there shall be a specific contractual liability endorsement extending the Contractor's coverage to include the contractual liability assumed by the Contractor pursuant to this Agreement. These certificates shall specify or be endorsed to provide that thirty (30) days' notice must be given, in writing, to the Department/Division of any pending change in the limits of liability or of any cancellation or modification of the policy.
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(1)
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Worker's Compensation and Employer's Liability Insurance The Contractor shall have in effect during the entire life of this Agreement Workers' Compensation and Employer's Liability Insurance providing full statutory coverage. In signing this Agreement, the Contractor certifies, as required by Section 1861 of the California Labor Code, that it is aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions of the Code, and I will comply with such provisions before commencing the performance of the work of this Agreement.
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(2)
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Liability Insurance The Contractor shall take out and maintain during the life of this Agreement such Bodily Injury Liability and Property Damage Liability Insurance as shall protect him/her while performing work covered by this Agreement from any and all claims for damages for bodily injury, including accidental death, as well as any and all claims for property damage which may arise from contractors operations under this Agreement, whether such operations be by himself/herself or by any sub-contractor or by anyone directly or indirectly employed by either of them. Such insurance shall be combined single limit bodily injury and property damage for each occurrence and shall be not less than the amount specified below.
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Such insurance shall include:
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(a)
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Comprehensive General Liability . . . . . . . . . . . . . . . . . .
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$1,000,000
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(b)
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Motor Vehicle Liability Insurance . . . . . . . . . . . . . . . . . .
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$1,000,000
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(c)
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Professional Liability . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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$1,000,000
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County and its officers, agents, employees and servants shall be named as additional insured on any such policies of insurance, which shall also contain a provision that the insurance afforded thereby to the County, its officers, agents, employees and servants shall be primary insurance to the full limits of liability of the policy, and that if the County or its officers and employees have other insurance against the loss covered by such a policy, such other insurance shall be excess insurance only.
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In the event of the breach of any provision of this section, or in the event any notice is received which indicates any required insurance coverage will be diminished or canceled, the County of San Mateo at its option, may, notwithstanding any other provision of this Agreement to the contrary, immediately declare a material breach of this Agreement and suspend all further work pursuant to this Agreement.
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10.
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Compliance with laws; payment of Permits/Licenses
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All services to be performed by Contractor pursuant to this Agreement shall be performed in accordance with all applicable Federal, State, County, and municipal laws, including, but not limited to, Health Insurance Portability and Accountability Act of 1996 (HIPAA) and all Federal regulations promulgated thereunder, as amended, and the Americans with Disabilities Act of 1990, as amended, and Section 504 of the Rehabilitation Act of 1973, as amended and attached hereto and incorporated by reference herein as Attachment “I,” which prohibits discrimination on the basis of handicap in programs and activities receiving any Federal or County financial assistance. Such services shall also be performed in accordance with all applicable ordinances and regulations, including, but not limited to, appropriate licensure, certification regulations, provisions pertaining to confidentiality of records, and applicable quality assurance regulations.
In the event of a conflict between the terms of this agreement and State, Federal, County, or municipal law or regulations, the requirements of the applicable law will take precedence over the requirements set forth in this Agreement.
Contractor will timely and accurately complete, sign, and submit all necessary documentation of compliance.
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11.
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Non-Discrimination
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A.
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Section 504 applies only to Contractor who are providing services to members of the public. Contractor shall comply with § 504 of the Rehabilitation Act of 1973, which provides that no otherwise qualified handicapped individual shall, solely by reason of a disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination in the performance of this Agreement.
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B.
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General non-discrimination. No person shall, on the grounds of race, color, religion, ancestry, gender, age (over 40), national origin, medical condition (cancer), physical or mental disability, sexual orientation, pregnancy, childbirth or related medical condition, marital status, or political affiliation be denied any benefits or subject to discrimination under this Agreement.
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C.
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Equal employment opportunity. Contractor shall ensure equal employment opportunity based on objective standards of recruitment, classification, selection, promotion, compensation, performance evaluation, and management relations for all employees under this Agreement. Contractor’s equal employment policies shall be made available to County of San Mateo upon request.
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D.
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Violation of Non-discrimination provisions. Violation of the non-discrimination provisions of this Agreement shall be considered a breach of this Agreement and subject the Contractor to penalties, to be determined by the County Manager, including but not limited to
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i)
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termination of this Agreement;
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ii)
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disqualification of the Contractor from bidding on or being awarded a County contract for a period of up to 3 years;
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iii)
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liquidated damages of $2,500 per violation;
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iv)
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imposition of other appropriate contractual and civil remedies and sanctions, as determined by the County Manager.
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To effectuate the provisions of this section, the County Manager shall have the authority to examine Contractor’s employment records with respect to compliance with this paragraph and/or to set off all or any portion of the amount described in this paragraph against amounts due to Contractor under the Contract or any other Contract between Contractor and County.
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Contractor shall report to the County Manager the filing by any person in any court of any complaint of discrimination or the filing by any person of any and all charges with the Equal Employment Opportunity Commission, the Fair Employment and Housing Commission or any other entity charged with the investigation of allegations within 30 days of such filing, provided that within such 30 days such entity has not notified Contractor that such charges are dismissed or otherwise unfounded. Such notification shall include the name of the complainant, a copy of such complaint, and a description of the circumstance. Contractor shall provide County with a copy of their response to the Complaint when filed.
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E.
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Compliance with Equal Benefits Ordinance - With respect to the provision of employee benefits, Contractor shall comply with the County Ordinance which prohibits contractors from discriminating in the provision of employee benefits between an employee with a domestic partner and an employee with a spouse.
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F. E.
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The Contractor shall comply fully with the non-discrimination requirements required by 41 CFR 60-741.5(a), which is incorporated herein as if fully set forth.
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12.
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Compliance with Contractor Employee Jury Service Ordinance
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Contractor shall comply with the County Ordinance with respect to provision of jury duty pay to employees and have and adhere to a written policy that provides that its employees shall receive from the contractor, on an annual basis, no less than five days of regular pay for actual jury service in San Mateo County. The policy may provide that employees deposit any fees received for such jury service with the contractor or that the contractor deduct from the employees’ regular pay the fees received for jury service.
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13.
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Retention of Records, Right to Monitor and Audit
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(a) Contractor shall maintain all required records for three (3) years after the County makes final payment and all other pending matters are closed, and shall be subject to the examination and/or audit of the County, a Federal grantor agency, and the State of California.
(b) Reporting and Record Keeping: Contractor shall comply with all program and fiscal reporting requirements set forth by appropriate Federal, State and local agencies, and as required by the County.
(c) Contractor agrees to provide to County, to any Federal or State department having monitoring or review authority, to County's authorized representatives, and/or their appropriate audit agencies upon reasonable notice, access to and the right to examine all records and documents necessary to determine compliance with relevant Federal, State, and local statutes, rules and regulations, and this Agreement, and to evaluate the quality, appropriateness and timeliness of services performed.
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14.
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Merger Clause
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This Agreement, including the Exhibits attached hereto and incorporated herein by reference, constitutes the sole Agreement of the parties hereto and correctly states the rights, duties, and obligations of each party as of this document's date. Any prior agreement, promises, negotiations, or representations between the parties not expressly stated in this document are not binding. All subsequent modifications shall be in writing and signed by the parties.
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15.
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Controlling Law
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The validity of this Agreement and of its terms or provisions, as well as the rights and duties of the parties hereunder, the interpretation, and performance of this Agreement shall be governed by the laws of the State of California.
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16.
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Notices
Any notice, request, demand, or other communication required or permitted hereunder shall be deemed to be properly given when deposited in the United State mail, postage prepaid, or when deposited with a public telegraph company for transmittal, charges prepaid, addressed to:
Pravin Patel, Human Services Manager
Linda Carlson, Executive Director
Women’s Recovery Association
1450 Chapin Avenue, 1st floor
Burlingame, CA 94010
650.348.6603
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IN WITNESS WHEREOF, the parties hereto, by their duly authorized representatives, have affixed their hands.
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COUNTY OF SAN MATEO
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By:
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Adrienne J. Tissier, President
Board of Supervisors, San Mateo County
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Date:
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ATTEST:
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By:
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Clerk of Said Board
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WOMEN’S RECOVERY ASSOCIATION
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Linda Carlson, Executive Director
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Contractor’s Signature
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Date:
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WOMEN’S RECOVERY ASSOCIATION
Tracey’s Place of Hope
Program Description
July 1, 2008 through June 30, 2011
A. Program Purpose
The purpose of the program is to provide a safe and stable residential environment and gender-specific treatment services for female youth with co-occurring mental health and substance abuse issues. The treatment services will concurrently address mental illness and substance abuse addiction. This integrated treatment approach has proven to be more effective in working with youth with a dual diagnosis. In addition to the treatment services which can be provided directly or through partnerships, a constellation of support services will be provided by the selected contractor to prepare the youth for placement in a lower level of care, family reunification, or successful emancipation after completion of the services.
This program will allow a higher percentage of San Mateo County youth to be placed in the county and keep them closer to family members and their community as well as to return youth from out-of-county placement to transition into San Mateo County’s Transitional Housing and Placement Program.
The program will adhere to a “no reject, no eject” philosophy, meaning the program may not reject a referral from County staff nor eject any resident unless there is an agreement with County staff to do so.
B. Program Goals
1. Understand the multiple treatment needs of this population and their cultural
context. Also, provide residents with immediate and long-term benefits such as food, shelter, clothing, medical services, social, recreational opportunities and other needed services. To heighten cultural sensitivity and awareness to residents’ cultural needs, staff should receive cultural sensitivity training.
2. Enable young people who are placed in the program to assume increasing responsibility for mastering various behavioral tasks in order to acquire social and personal living skills. Contractor program staff shall model appropriate behavior and provide consistent feedback to the residents regarding their daily interactions in a variety of environments e.g., home, school, community. Additionally, the program shall provide residents with activities intended to develop independent living skills. Activities may include resume writing, finding an apartment, seeking a compatible roommate, developing job interviewing skills, financial management, completing their age-appropriate education, obtaining their G.E.D. and visiting area businesses. Other community resources may be used, e.g., mentor programs, job placement services, and vocational training programs, as indicated in the Needs and Services Plan developed with County staff.
3. Collaborate with youth’s County staff and their respective agencies to consistently evaluate and respond to the presenting and ongoing mental health and substance abuse treatment needs of youth. The assigned County Social Worker or Probation Officer will develop an individualized Needs and Services Plan in cooperation with residents, their placement workers and parents, if available, and other individuals significant to the youth’s success.
The Contractor will coordinate clinical services, e.g., individual and group therapy and any clinical consultation, when indicated. This cooperative endeavor seeks to reduce rates of recidivism and future placement failure among this population.
4. Assist County staff, whenever possible, to reunite residents with their families. In the assessment phase, careful consideration is given to the resources required to address family issues. In this context, a family may participate in structured opportunities that can renew confidence to be reunited with their child. This goal is facilitated by a family partnering to support their child’s efforts to improve her life within the treatment program and their participation in scheduled events, e.g., parenting classes, multi-family group counseling, and family counseling to accomplish this end.
II. POPULATION TO BE SERVED
The program will serve female youth ages 14-19 who have serious mental health problems as well as substance abuse issues who are either Dependents (300 WIC) and/or Wards (602 WIC) of the San Mateo County Juvenile Court. Youth who are 13 years of age may be accepted under certain conditions.
III. REFERRAL PROCESS
San Mateo County Children and Family Services (CFS), San Mateo County Juvenile Probation Department (Probation) and San Mateo County Behavioral Health and Recovery Services (BHRS) will make all referrals to the program. Youth will be identified and approved for referral through San Mateo County’s Interagency Placement Review Board. Referrals cannot be rejected and must be accepted for placement in the program.
Length of stay will be dependent upon the youth’s individual needs and situation. On average, youth will be in placement three to six months prior to step down. Progress towards transitioning to a lower level of placement will be reviewed at three month intervals. Discharge plans will be developed collaboratively involving the youth, family, program staff and the San Mateo County Children and Youth System of Care (CYSOC) partners.
EXHIBIT B
WOMEN’S RECOVERY ASSOCIATION
Tracey’s Place of Hope
Scope of Work
July 1, 2008 through June 30, 2011
Contractor will provide, to the satisfaction of the Director of CFS or her designee, services as follows:
I. Residential Care and Supervision
§ Provide shelter and personal care services for up to six (6) female youth.
§ Be responsible for the care, safety and supervision of the residents at all times.
§ Provide a predictable and supportive residential structure that allows clients to build a meaningful and positive peer community and develop appropriate attachments and relationships to trusted adults.
§ Provide a physically safe, secure and well-maintained facility with care and supervision that is compliant with Community Care Licensing requirements to maintain a State Foster Care Rate Level 12 and consistent with California Alcohol and Drug Program’s “Youth Treatment Guidelines.”
§ On site staff: Whenever the clients are awake and in the facility (not when they’re in school), two residential staff are always on site or supervising the clients. If on an outing in the community, the ratio is three clients to one staff. This includes the afternoons (2 pm to 6 pm), evenings (6 pm to 11 pm) and weekends (9 am to 12 am). During the overnights (11 pm to 7 am), there is one awake staff. During the weekdays from 10 am to 6 pm, the Operations Manager, Social Worker, Program Administrator and Program Director may also be on site.
§ Supervision Structure: There is a weekly mandatory staff meeting that is attended by residential staff, the Operations Manager, and Social Worker. The staff meeting is facilitated by both the Program Director and Program Administrator. Each residential staff member also receives regular individual supervision from the Program Administrator, which varies based on the amount of contact with the clients and their need for support and/or guidance in their work. The Program Director supervises the Administrator, Social Worker, Operations Manager and Continuing Care Coordinator. In addition, the clinical team (Director, Administrator, Social Worker, and Continuing Care Coordinator) receives individual supervision and group consultation on a weekly basis.
§ Hire and retain a culturally responsive treatment team, with staff members that are reflective of the clients’ varied cultural identities and understand that each client’s experience of her culture, race/ethnicity, language, sexuality, gender and religion inform and even modify treatment goals.
§ Provide medication support and management such as aadministering medications and ensuring the continuity of medications to residents.
§ Coordinate psychiatric, medical and dental services.
§ Provide structured recreational and recovery related activities as well as opportunities for practicing newly acquired life skills such as budgeting, shopping, using public transportation, etc.
§ Provide transportation to and from school, Independent Living Skills Program (ILP) classes, appointments, ancilliary treatment programs, and other activities in compliance with the Transitional Independent Living Plan (TILP). Support adjustment to self-transportation when appropriate and consistent with client’s treatment plan.
II. Treatment Planning and Provision of Therapeutic Services
§ Develop individualized and comprehensive treatment and discharge planning, which includes a range of services, activities and approaches.
§ Develop individual and specialized group treatment focusing on multiple recovery-related issues (Community Building, Relapse Prevention, Seeking Safety, etc.).
§ Implement an intensive behavioral management program that is both consistent and stength-based. Clients progress through a phase system that is based on definable goals; are allowed the opportunity to improve problematic behavior before receiving a consequence; and are rewarded through daily incentive points for their adherence to the program structure and for being a positive community member.
§ Work with County Mental Health regarding the Therapeutic Behavior (TBS) Program and Wrap-around Program.
§ Provide an integrated family program with both counseling and visitation. Any trusted adults (mentors, sponsors, CASA workers, etc), family members or friends are included in the client’s treatment as much as is possible and appropriate. Family therapy is provided in both English and Spanish
§ Provide crisis intervention and management of high risk behaviors (with 24 hour on-call availability) – including running away, self-mutilation, saubstance abuse, relapse, relationship or family violence, suicidality, etc.
§ Provide a nutrition and health program that provides increased physical fitness activities, individual nutrition consultation with a contracted dietician, meal planning and nutritional training for residential staff
III. Intensive Case Management and Collaboration
§ Develop individualized needs and services plans and transitional plans jointly with CFS and Probation including attending Team-based Case Planning meetings.
§ Assess each clients’ case management needs based on strengths and challenges; demonstrated abilities; stated interests and goals; level of functioning (in the milieu, treatment, school, with family and in the community); cognitive and emotional capacity; relational style; psychosocial history and presenting problems.
§ Develop collaborative relationships to provide additional integrated substance abuse and mental health treatment services which focus on joint treatment planning, psychiatric, behavioral and therapeutic interventions and overall continuity of care.
§ Participate in the GIRLS Program/Girls’ Camp Multi-Disciplinary Treatment Team, which includes weekly meetings, daily contacts with Probation Officers, Social Workers, and other treatment providers, twice monthly court appearances and meetings in the judge’s chambers.
§ Continue coordinating necessary aftercare services.
§ Maintain partnerships with community programs, and provide regular coaching and support to help sustain clients’ involvement.
§ Match client needs to community activities, organizations and mentors that have the potential for the client to sustain her participation as part of her continuing care plan.
§ Engage youth as peer mentors to incoming youth when appropriate.
§ Collaborate with County staff in developing an educational plan. Support the educational plan by ensuring that each resident is enrolled in and attends school and by reporting on the residents’ progress.
§ Provide education advocacy, intervention, communication and on-going support such as meeting with school administrators, securing tutoring services, etc.
§ Assist clients in attaining and maintaining employment through coaching, resume and application writing, transportation, and referrals to supportive services (ILP, Peninsula Works, etc.).
§ Encourage clients’ participation in San Mateo County sponsored Independent Living Skills Program (ILP) as well as other services offered by the Adolescent Services Unit, i.e., employment services, permanency services, Youth Financial Independence, mentoring (CASA), etc.
§ Plan and implement age-appropriate activities that will enhance the youth’s independent living skills such as budgeting, shopping, using public transportation, etc.
§ Facilitate participation in individual/group and recreational activities, i.e. identify at least one recreational or creative interest for the youth and engage the youth in that activity.
IV. Administration
§ Accept referrals from Children and Family Services, Probation and Behavioral Health and Recovery Services.
§ Accept only San Mateo County youth. If population falls below 70% of capacity, consult with County Program Manager/s before accepting out-of-county referrals.
§ Coordinate with Margaret J. Kemp Camp for Girls.
§ Coordinate with CFS, Probation, Mental Health and AOD for a fully integrated system of care.
§ Provide a Program Manager to supervise child care staff, ensure compliance with Community Care Licensing regulations and operate within budget agreed upon with the County.
§ Maintain a behavioral management program at a level to justify a minimum State Foster Care Level 12 Rate.
§ Include County representation in the selection of culturally diverse staff for key positions.
§ Adhere to no eject, no reject philosophy.
§ Accept all referrals from Children and Family Services, Probation and Behavioral Health and Recovery Services.
§ Provide training to all staff. All residential staff members receive 16 hours of initial training on a range of skills and policies before they begin working. The residential staff receives up to 40 hours of additional training on topics related to the provision of services (AOD issues, managing crises, cultural responsiveness, understanding symptoms of psychiatric disorders, client de-escalation, appropriate behavioral interventions, etc.) and ensuring that the program adheres to licensing regulations (dispensing medications, documentation of incidents, facility issues, etc.). All staff has access to WRA’s clinical training program as well as utilizing the trainings provided by San Mateo County HSA and BHRS. Both the Director and Administrator are required to attend 40 hours of ongoing training every two years to maintain their Administrator certificates.
V. Communication
§ Report major incidents to CFS or Probation such as AWOL, contacts with law enforcement, high risk behaviors, etc., as soon as possible but no later than 24 hours of the incident.
§ Attend CYSOC as needed, MDTs (Multi-Disciplinary Team) and TDM (Team Decision Making) meetings and other meetings as determined by County.
§ Communicate with case worker either by phone or in person regularly to discuss each youth’s progress.
§ Communicate with County staff either by phone or in person by attending weekly team meetings to discuss each youth’s progress.
§ Coordinate with Probation’s G.I.R.L.S. Program and Margaret J. Kemp Camp for Girls.
§ Coordinate with CFS, Probation, Behavioral Health and Recovery Services for a fully integrated system of care.
EXHIBIT C
WOMEN’S RECOVERY ASSOCIATION
Tracey’s Place of Hope
Payment Schedule
July 1, 2008 through June 30, 2011
In consideration of the services provided by the Contractor pursuant to his Agreement and subject to the provisions of paragraph 3 of this Agreement herein, County shall pay Contractor in the manner described below, unless otherwise specifically authorized by the CFS or her designee:
1. County shall pay Contractor monthly for actual expenditures. Costs will not exceed ONE HUNDRED FIFTY NINE THOUSAND ONE HUNDRED THIRTY FIVE DOLLARS ($159,135) per Fiscal Year. Contractor must provide detailed invoices on a format as specified by the County.
2. County may withhold all or part of Contractor’s total payment if the Director of Children and Family Services or her designee determines reasonably that Contractor has not satisfactorily performed the services described in Exhibit B.
3. In no event shall the total exceed FOUR HUNDRED SEVENTY SEVEN THOUSAND FOUR HUNDRED FIVE ($477,405) for the term of the Agreement.
4. Invoices shall be sent to: Pravin Patel, Human Services Manager, County of San Mateo, Human Services Agency, 1487 400 Harbor Blvd., Bldg. B, Belmont, CA 94002. Payments shall be made within 30 days upon receipt of Contractor’s invoice.
5. All payments under this Agreement must directly support services specified in this Agreement.
6. Provision of services is subject to availability of State funds and acceptable program performance. In the event that the County does not receive the adequate funding from the State, the contract may be re-negotiated and/or rescinded.
7. County will give thirty (30) days prior written notice to Contractor of County's intent to withhold payment.
8. If County reasonably determines that circumstances warrant immediate action, County may withhold payment immediately, without the thirty (30) day waiting period, upon County's written notice with justification to Contractor.
EXHIBIT D
WOMEN’S RECOVERY ASSOCIATION
Tracey’s Place of Hope
Program Monitoring
July 1, 2008 through June 30, 2011
I. Contractor agrees to meet the following outcomes:
Measure 1: Maintain an average occupancy rate of 90% to ensure program viability and sustainability, with 90% of those clients being San Mateo County referrals.
Measure 2: Minimize AWOLs that lead to discharge at no more than 20%. (AWOL is defined as residents who run away and do not come back to the program.)
Measure 3: 75% of clients will complete three months or more of treatment.
Measure 4: Of the youth who successfully complete a minimum of three months of treatment, 90% will remain in a stable living environment 90 days after graduation from the program. (Stable living environment is defined as family reunification, relative placement, FFA, THP, THPPlus, Daybreak, foster home, own apartment while either in school and/or employed.)
Goal 2: The program will encourage youth to further their educational goals.
Measure 1: Of the youth who complete three months or more of treatment, 90% will demonstrate overall improvements in school performance as shown by improvement in attendance and grades. (Baseline will be attendance and grades prior to entering the program or incarceration.)
Goal 3: The program will teach youth life skills essential in attaining self-sufficiency.
Measure 1: Of the youth who complete three months or more or treatment, 90% will be engaged in at least one community activity that matched an identified interest/need.
Goal 4: The program will improve youth’s health and well-being.
Measure 1: Of the youth who complete three months or more of treatment, 90% will show an improvement in mental health as measured by the CAL LOCUS (pre and post tests).
Measure 2: Of the youth who complete three months or more of treatment, 75% will be clean and sober while in program.
Measure 3: Of the youth who complete three months or more of treatment, 90% will attend all medical and dental appointments.
II. Meet monthly with CFS and Probation to review cases, placements, unusual incident reports, etc.
III. Contractor will be responsible for submitting monthly, 6-month and year-end narrative reports.
January 31, 2009, January 31, 2010, January 31, 2011
Year-end reports and year-end financial reports are to be submitted as follows:
July 31, 2009, July 31, 2010, July 31, 2011
Reports will be submitted to: Pravin Patel, Program Manager, Human Services Agency, 400 Harbor Blvd., Bldg. B, Belmont, CA 94002.
IV. Contractor will submit to the CFS Program Manager, Pravin Patel at 400 Harbor Blvd. Bldg. B., Belmont, CA 94002, a financial audit, as soon as it becomes available.
V. County will conduct site visit during the term of the Agreement to review all aspects of program operations and review Contractor’s documentation related to case management. This site visit will be arranged in advance with WRA.
(Required only from Contractors who provide services
directly to the Public on the County's behalf.)
The undersigned (hereinafter called the "Contractor(s)") hereby agrees that it will comply with Section 504 of the Rehabilitation Act of 1973, as amended, all requirements imposed by the applicable DHHS regulation, and all guidelines and interpretations issued pursuant thereto.
The Contractor(s) gives/give this assurance in consideration of for the purpose of obtaining contracts after the date of this assurance. The Contractor(s) recognizes/recognize and agrees/agree that contracts will be extended in reliance on the representations and agreements made in this assurance. This assurance is binding on the Contractor(s), its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Contractor(s).
The Contractor(s): (Check a or b)
a. ( ) employs fewer than 15 persons.
b. ( ) employs 15 or more persons and, pursuant to section 84.7 (a) of the regulation (45 C.F.R. 84.7 (a)), has designated the following person(s) to coordinate its efforts to comply with the DHHS regulation.
Name of 504 Person - Type or Print
Women’s Recovery Association
Name of Contractor(s)-Type or Print
1450 Chapin Avenue, 1st Floor
Street Address or P.O. Box
Burlingame, CA 94010
City, State, Zip Code
I certify that the above information is complete and correct to the best of my knowledge.
_______________________ __________________________________
Date Signature and Title of
Authorized Official
*Exception: DHHS regulations state that:
"If a recipient with fewer than 15 employees finds that, after consultation with a disabled person seeking its services, there is no method of complying with (the facility accessibility regulations)...other than making a significant alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person to other providers of those services that are accessible."
County of San Mateo
Contractor’s Declaration Form
I. CONTRACTOR INFORMATION
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Contractor Name:
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Women’s Recovery Association
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Phone:
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650.348.6603
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Contact Person:
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Linda Carlson
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Fax:
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650.348.0615
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Address:
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1450 Chapin Avenue
Burlingame, CA 94010
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II. EQUAL BENEFITS (check one or more boxes)
Contractors with contracts in excess of $5,000 must treat spouses and domestic partners equally as to employee benefits.
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Contractor complies with the County’s Equal Benefits Ordinance by:
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offering equal benefits to employees with spouses and employees with domestic partners.
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offering a cash equivalent payment to eligible employees in lieu of equal benefits.
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Contractor does not comply with the County’s Equal Benefits Ordinance.
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Contractor is exempt from this requirement because:
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Contractor has no employees, does not provide benefits to employees’ spouses, or the contract is for $5,000 or less.
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Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to offer equal benefits when said agreement expires.
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III. NON-DISCRIMINATION (check appropriate box)
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Finding(s) of discrimination have been issued against Contractor within the past year by the Equal Employment Opportunity Commission, Fair Employment and Housing Commission, or other investigative entity. Please see attached sheet of paper explaining the outcome(s) or remedy for the discrimination.
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No finding of discrimination has been issued in the past year against the Contractor by the Equal Employment Opportunity Commission, Fair Employment and Housing Commission, or any other entity.
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IV. EMPLOYEE JURY SERVICE (check one or more boxes)
Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County.
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Contractor complies with the County’s Employee Jury Service Ordinance.
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Contractor does not comply with the County’s Employee Jury Service Ordinance.
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Contractor is exempt from this requirement because:
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the contract is for $100,000 or less.
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Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to comply when the collective bargaining agreement expires.
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I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually.
________________________________________ ___________________________________
Signature Name
________________________________________ ___________________________________
Date Title
Child Abuse Prevention and Reporting
Contractor agrees to ensure that all known or suspected instances of child abuse or neglect are reported to a child protective agency. Contractor agrees to fully comply with the Child Abuse and Neglect Reporting Act, Cal Pen Code 11164 et seq. Contractor will ensure that all known or suspected instances of child abuse or neglect are reported to an agency (police department, sheriff’s department, county probation department if designated by the county to receive mandated reports, or the county welfare department) described in Penal Code Section 11165.9. This responsibility shall include:
A. A requirement that all employees, consultants, or agents performing services under this contract who are required by the Penal Code to report child abuse or neglect, sign a statement that he or she knows of the reporting requirement and will comply with it.
B. Establishing procedures to ensure reporting even when employees, consultants, or agents who are not required to report child abuse under the Penal Code gain knowledge of, or reasonably suspect that a child has been a victim of abuse or neglect.
C. Contractor agrees that its employees, subcontractors, assignees, volunteers, and any other persons who provide services under this contract and who will have supervisory or disciplinary power over a minor or any person under his or her care (Penal 11105.3) will be fingerprinted in order to determine whether they have a criminal history which would compromise the safety of children with whom Contractor's employees, subcontractors, assignees or volunteers have contact. All fingerprinting services will be at County's sole discretion and Contractor's sole expense.
EXHIBIT H
FINGERPRINTING CERTIFICATION FORM
Agreement with Women’s Recovery Association
For
Tracey’s Place of Hope Program
Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a criminal history which would compromise the safety of children with whom contractor=s employees, assignees and subcontractors or volunteers have contact in accordance with Paragraph 9, Child Abuse Prevention and Reporting, of this Agreement
Name (Signature)