HomeMy WebLinkAbout297823 this__17_th__day of ___:_:Ar:_:pr_:_:_il ,2018,by and between the COUNTY OF FRESNO,a
Agreement No.17-073-1
1 AMENDMENT I TO AGREEMENT
2 THIS AMENDMENT,hereinafter referred to as Amendment I,is made and entered into
4 Political Subdivision of the State of California,hereinafter referred to as "COUNTY,"and each
5 contractor listed in Revised Exhibit A "Contractors List",attached hereto and by this reference
6 incorporated herein"collectively hereinafter referred to as "CONTRACTORS",and such additional
7 CONTRACTORS as may,from time to time during the term of this Agreement,be added by the
8 COUNTY ..
9 WHEREAS,the parties entered into that certain Agreement,identified as COUNTY Agreement
10 No.A-17-073,effective March 7,2017,hereinafter referred to as "COUNTY Agreement",to provide
11 Psychosocial Assessment to Resource Family Approval households;and
12 WHEREAS,the parties desire to amend the Agreement regarding changes as stated below.
13 NOW,THEREFORE,in consideration of their mutual promises,covenants and conditions,
14 hereinafter set forth,the sufficiency of which is acknowledged,the parties agree as follows:
15 1.That existing COUNTY Agreement beginning on Page Two (2),Section One (1),Line
16 Five (5),with the word "The"and ending on Line Six (6)with the word "RESPONSIBILITIES"be
1 7 deleted in its entirety and the following inserted in its place:
18 "The COUNTY shall be responsible for services as set forth in the "Summary of Services",as
19 identified in Revised Exhibit B,under the Heading COUNTY RESPONSIBILITY."
20 2.That existing COUNTY Agreement beginning on Page Two (2),Section Two (2),Line
21 Fifteen (15),with the word "This"and ending on Line Sixteen (16)with the number "2018"be deleted
2 2 in its entirety and the following inserted in its place:
23 "This Agreement shall become effective March 7,2017,and shall terminate on June 30,2019.
24 This Agreement may be extended for two (2)additional consecutive twelve (12)month periods
25 upon the written approval of both parties no later than thirty (30)days prior to the first day of
26 the next twelve month extension period.The DSS Director,or designee,is authorized to execute
27 such written approval on behalf of COUNTY based on CONTRACTOR's satisfactory
2 8 performance."
-1 -COUN1Y OF FRESNO
Fresno,CA
1 3.That existing COUNTY Agreement beginning on Page Three (3),Section Four (4),Line
2 Nineteen (19),with the word "The"and ending on Page Four (4),Line Four (4)with the number
3 ($1,987,500)"be deleted in its entirety and the following inserted in its place:
4 "The COUNTY agrees to pay the CONTRACTORS and the CONTRACTORS agree to receive
5 compensation as follows:One Thousand Five Hundred Thirty and No/100 Dollars ($1,530.00)
6 per Psychosocial Assessment of an English speaker and One Thousand Eight Hundred Thirty
7 and No/100 Dollars ($1,830.00)per Psychosocial Assessment of a non-English speaker.
8 Payment shall be made once a completed Psychosocial Assessment has been submitted to the
9 COUNTY.In no event shall compensation for services performed under this Agreement by all
10 CONTRACTORS collectively from March 7,2017 through June 30,2017 be in excess of Five
11 Hundred Ninety-Six Thousand Two Hundred Fifty and Noll 00 Dollars ($596,250.00).For each
12 subsequent twelve (12)month period of this Agreement,in no event shall compensation for
13 services performed under this Agreement by all CONTRACTORS collectively be in excess of
14 One Million Three Hundred Ninety-One Thousand Two Hundred Fifty and No/1 00 Dollars
15 ($1,391,250.00).In no event shall compensation for services performed under this Agreement
16 by all CONTRACTORS collectively during the term of this Agreement be in excess of Six
17 Million One Hundred Sixty One Thousand Two Hundred Fifty and No/100 Dollars
18 ($6,161,250)."
19 4.That existing COUNTY Agreement beginning on Page Eleven (11),Section Seventeen
20 (17),Line Eleven (11),with the word "All"and ending on Page Eleven (11),Line Nineteen (19)with
21 the word "misdemeanor"be deleted in its entirety and the following inserted in its place:
22 "All services performed by CONTRACTOR under this Agreement shall be in strict
23 conformance with all applicable Federal,State of California,and/or local laws and regulations
24 relating to confidentiality including,but not limited to:California Welfare and Institutions
25 Code Sections 10850 and 14100.2;the CDSS Manual of Policies and Procedures,Division 19-
26 0000;and the California Department of Health Care Services (DHCS)Medi-Cal Eligibility
27 Procedures Manual,Section 2H.In addition,all services performed by CONTRACTOR under
28 this Agreement shall also be in conformance with the Medi-Cal Data Privacy and Security
-2 -COUNTY OF FRESNO
Fresno,CA
10 5.
6.
That all references to Exhibit A shall be changed to read "Revised Exhibit A".
That all references to Exhibit B shall be changed to read "Revised Exhibit B"attached
1 Agreement between the California DHCS and the County of Fresno (hereinafter referred to as
2 "the Medi-Cal Data Agreement")that is then in effect,which is by this reference incorporated
3 herein.The current Medi-Cal Data Agreement is available upon request or can be viewed at:
4 http://www.co.fresno.ca.us/MediCaIPrivacy/.The purpose of this section is to assure that all
5 applications and records concerning program recipients shall be kept confidential and shall not
6 be opened to examination,publicized,disclosed,or used for any purpose not directly connected
7 with the administration ofthe program.CONTRACTOR shall inform all of its employees,
8 agents,officers,and subcontractors of this provision;and that any person knowingly and
9 intentionally violating this provision is guilty of a misdemeanor."
11
12 hereto and incorporated herein by reference.
13 The Agreement,as hereby amended,is ratified and continued.All provisions,terms,covenants,
14 conditions and promises contained in the Agreement and not amended herein shall remain in full force
15 and effect.This Amendment I shall become effective July 1,2018.
16 III
17 III
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19 III
20 III
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22 III
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24 III
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27 III
28 III
-3 -COUNTY OF FRESNO
Fresno,CA
1
2
Bernice E.Seidel
Clerk of the Board of Supervisors
County of Fresno,State of California
EXECUTED AND EFFECTIVE as of the date first above setforth.
3 COUNTY OF FRESNO
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airperson of the
rvisors of the
County of Fresno
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11 ATTEST:
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By:~AD.·'~
Deputy
FOR ACCOUTING USE ONLY:
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21 Fund/Subclass:0001110000
Organization:5610700 I
Account/Program:787022
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24 PLEASE SEE ADDITIONAL
25 SIGNATURE PAGES ATTACHED
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-4 -COUN1Y OF FRESNO
Fresno,CA
1 RESOURCE FAMILY APPROVAL ASSESSMENT CONTRACTOR:
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IN WITNESS WHEREOF,the parties hereto have executed this Agreement this3
4 of ___:_A__.Ip_ri_',2018.
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6 NAME OF ORGANIZATION:Aspiranet
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BY-¥-~_·~_.__
11 Print Name --L&_-(.~/'I(Q.~:""::'~:__:JJ1)~....!..:Id.::..::~:::..:'1+-_
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Title Cz:O
Chairman of the Board,or President,
or any Vice President or Owner,or Director14
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18 Print Name ~R E\~eR...--__~_~_
19 eFt)Title -:--:-_
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or Chief
or any Chief Accountant,or any Assistant
Treasurer
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Date s_·_Z_v~·l~B;-_
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25 Mailing Address:1320 E.Shaw Ave,Suite 140,Fresno,CA 93710
Contact:Vernon Brown,Chief Executive Officer
Telephone:(650)866-4080
Email address:vbrown@aspiranet.org
Service Site Address:1320 E.Shaw Ave,Suite 140,Fresno,CA 93710
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17th day
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COUNTY OF FRESNO
Fresno,CA
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1 RESOURCE FAMILY APPROVAL ASSESSMENT CONTRACTOR:
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3 IN WITNESS WHEREOF,the parties hereto have executed this Agreement this 17th day
4 of __A-,-p_ri_1 ,2018.
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6 NAME OF ORGANIZATION:Family Connections Christian Adoptions
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Print Name ':)'-11){(r\o \\
Title Get u-bv£,J)lcecinc
Chairman of the Board,or President,
or any Vice President or Owner,or Director
Date 3··1(:'(0
18 Print Name L liy\a 6oaje.
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Title Se.c.~
Secretary (of Corp or ~n),or any Assistant
Secretary,or Chief Financial Officer,or Chief
or any Chief Accountant,or any Assistant
Treasurer
Date :',-;'f -I b--------------------------------
Mailing Address:1120 Tully Road,Modesto,CA 95350
Contact:Wayne Mott,Executive Officer
Telephone:(209)524-8844
Email address:waynemott@}fcadoptions.org
Service Site Address:1120 Tully Road,Modesto,CA 95350
-6-
COUNTY OF FRESNO
Fresno,C;\
1 RESOURCE FAMILY APPROVAL ASSESSMENT CONTRACTOR:
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3 IN WITNESS WHEREOF,the parties hereto have executed this Agreement this 17th day
4 of ____;_A..;,;;p;.;..;ri.;.._1 ,2018.
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6 NAME OF ORGANIZATION:Golden State Family Services
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BY ~~__
Print Name _..:_K..:..../_',_S...:..t7....:..,.·_I'\.,___::W__!...;tJ~1.,_V_DW _
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Title __A-_0_"Ir_YlIS_·ir__U-_to_._r _
Chairman of the Board,or President,
or any Vice President or Owner,or Director
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Date til/re/1.-15,~Olrg
ByQ<mCC'~
Print Name &1(t mc,c('-¬ --e!!J
Title CFU
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or Chief
or any Chief Accountant,or any Assistant
Treasurer
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Mailing Address:PO Box 130,Kingsburg,CA 93631
Contact:Kristin Withdrow,Adoptions Administrator/Program Director
Telephone:(559)389-0685
Email address:kristinn@gsfs.org
Service Site Address:4253 North Valentine Ave,Fresno,CA 93722.28
-7 -
COUNTY OF FRESNO
Fresno,CA
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1 RESOURCE F AMIL Y APPROVAL ASSESSMENT CONTRACTOR:
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IN WITNESS WHEREOF,the parties hereto have executed this Agreement this 17th day3
4 of __.:A:....:Jpc..:.r:.:_il ,2018.
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6 NAME OF ORGANIZATION:Koinonia Family Services
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Print Name Sam Golden
Title Executive Director
Chairman of the Board,or President,
or any Vice President or Owner,or Director
Date3/19/2018
By W/h!.~
Print Name Deena Spann
Title Accounting Director
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or Chief
or any Chief Accountant,or any Assistant
Treasurer
Date 3/19/20 18
Mailing Address:PO Box 1403,Loomis,CA 95650
Contact:Sam Golden,Executive Director
Telephone:(916)652-5802
Email address:contracts@kfh.org
Service Site Address:1551 East Shaw Ave,Ste.103,Fresno,CA 93711
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COUNTI'OF FRESNO
Fresno,CJ\
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cou TY OF'FRESNO
Fresno,CA
1 RESOURCE F AMIL Y APPROVAL ASSESSMENT CONTRACTOR:
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IN WITNESS WHEREOF,the parties hereto have executed this Agreementthis3
4 of __A;_pr_il ,20IS.
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6 NAME OF ORGANIZATION:North Star Family Center
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Title Q(t:-~(J ("4
Chairman of the Board,or President,
or any Vice President or Owner,or Director
Date__?2~\----,q..._._\D....:.,__
By __
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Title 5:f(.t2~~~~rAf27
Secretary (ofCorp~),or any Assistant /
Secretary,or Chief Financial Officer,or Chief
or any Chief Accountant,or any Assistant
Treasurer
Date 05,/q~/y--~~£_---~~--------
Mailing Address:6760 N.West Ave.,Suite 101,Fresno,CA 93711
Contact:Mary Dela Torre,Chief Executive Officer
Telephone:(559)226-2273
Email address:mary@northstarfamilycenter.org
Service Site Address:6760 N.West Ave.,Suite 101,Fresno,CA 93711
17th day
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1 RESOURCE FAMIL Y APPROVAL ASSESSMENT CONTRACTOR:
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3 IN WITNESS WHEREOF,the parties hereto have executed this Agreement this 17th day
4 of April ,2018.
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6 NAME OF ORGANIZATION:Prornesa Behavioral Health
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9 By
Print Name k'?CA..\"Ak~::iAM±
Title ~Cu::>
Cairrnan of the Board,or President,
or any Vice President or Owner,or Director
Date 0 ./\\..\....\'l--------------~~--------------
BY __~~~li~4~.!~~/>~1~---------
18 Prin t N arne _--""'£:....!.i=-LJ.::....=.!..-'-rJ::..___:Z.""---'Vi'-7"_;_;G::...!..~=--_
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Title FlrJ~N0i...Pi flJt..tIl-Q/L
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or Chief
or any Chief Accountant,or any Assistant
Treasurer
Date __3/1--'l_,_t__L_\..:..__t 6 _
Mailing Address:7120 N.Marks Ave.,Suite 110,Fresno,CA 93711
Contact:Lisa Weigant,Chief Executive Officer
Telephone:(559)439-5437
Email address:lweigant@promesabehavioral.org
Service Site Address:7120 N.Marks Ave.,Suite 110,Fresno,CA 93711
-10 -
COUNTY OF FRESNO
Fresno,CA
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1 RESOURCE FAMILY APPROVAL ASSESSMENT CONTRACTOR:
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IN WITNESS WHEREOF,the parties hereto have executed this Agreement this 17th3
4 of __;A:....:D=r..:..:_il ,2018.
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6 NAME OF ORGANIZATION:Valley Teen Ranch
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Print Name Aflj_.re.~Z (.)tLJ:)S
Title __C=-C_U _
Chairman of the Board,or President,
or any Vice President or Owner,or Director
Title c_~.\e_s;.~:..'l'\C)..\I\c...'o.\(j~\(_~~
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or Chief
or any Chief Accountant,or any Assistant
Treasurer
Date __-='3rh_if.,_,_/I---,-,~,----_
Mailing Address:2610 W Shaw Lane.,Suite 105,Fresno,CA 93711
Contact:Andrea Evans,Chief Executive Officer
Telephone:(559)437-1144
Email address:andrea.evanseavalleyteenranch.org
Service Site Address:2610 W Shaw Lane.,Suite 105,Fresno,CA 93711
-11 -
c:<lliNTY OF I;RI·:SNO
Fn.:~n().C,\
day
ASPIRANET
Mailing Address:1320 E.Shaw Ave,Ste.140
Fresno,CA 93710
(559)222-4969
Contact:Chad Valorosi
Email:cvalorosi@aspiranet.org
Referral Email:cvalorosi@aspiranet.org
FAMILY CONNECTIONS CHRISTIAN ADOPTIONS
Mailing Address:1120 Tully Rd.
Modesto,CA 95350
(209)524-8844
Contact:Wayne Mott
Email:waynemott@fcadoptions.org
Referral Email:dianeniswander@fcadoptions.org
GOLDEN STATE FAMILY SERVICES
Mailing Address:P.O.Box 130
Kingsburg CA 93631
(559)389-0685
Contact:Kristin Withrow
Email:kristinn@gsfs.org
Referral Email:kristinn@gsfs.org
KOINONIA FAMILY SERVICES
Mailing Address:1551 East Shaw,Ste.103
Fresno,CA 93711
(559)230-0920
Contact:Christina J.Schmidt
Email:cschmidt@kfh.org
Referral Email:referrals@kfh.org
CONTRACTORS LIST
Revised Exhibit A
Page 1 of 1
NORTH STAR FAMILY CENTER
Mailing Address:6760 N.West Ave,Ste.101
Fresno,CA 93711
(559)226-2273
Contact:Danielle Macagba
Email:dmacagba@northstarfamilycenter.org
Referral Email:dmacagba@northstarfamilycenter.org
PROMESA BEHAVIORAL HEALTH
Mailing Address:7120 N.Marks Ave,Ste.110
Fresno,CA 93711
(559)439-5437
Contact:Lisa Weigant
Email:Iweigant@promesabehavioral.org
Referral Email:Iweigant@promesabehavioral.org
VALLEY TEEN RANCH
Mailing Address:2610 W Shaw Lane,Ste.105
Fresno,CA 93711
(559)-437-1144
Contact:Alicia Abirached
Email:Alicia.abirached@valleyteenranch.org
Referral Email:Alicia.abirached@valleyteenranch.org
Revised Exhibit B
Page 1 of4
SUMMARY OF SERVICES
SERVICE:Psychosocial Assessment for the Resource Family Approval
Program
March 7,2017-June 30,2019
July 1,2019-June 30,2020
July 1,2020-June 30,2021
CONTRACT PERIOD:
1st OPTIONAL RENEWAL:
2nd OPTIONAL RENEWAL:
PROGRAM DESCRIPTION:
The County of Fresno,Department of Social Services (DSS)has established this Master
Agreement with qualified agencies to administer the Psychosocial Assessment for the Resource
Family Approval (RFA)Program.As of January 1,2017,applicants interested in becoming a
Resource Family (foster family,relative caregivers,Non-Related Extended Family Member
(NREFM),adoptive family and/or legal guardian)must complete a Psychosocial Assessment as
part of the new RFA process.
sUMMARy OF SERVICES:
A Resource Family applicant must comply with the application qualifications and requirements.
One part of the Resource Family application qualifications and requirements is participation in a
Psychosocial Assessment,which will include a comprehensive inquiry into the applicant's
personal history,family history,and family dynamics.The CONTRACTOR shall conduct a
Psychosocial Assessment and provide a recommendation to the COUNTY for any RFA applicant
referred to CONTRACTOR.
CONTRACTOR RESPONSIBILITIES:
CONTRACTOR shall perform services as follows:
1.The CONTRACTOR shall comply with the RFA Program Written Directives in completing
the Psychosocial Assessment,section 6-05.To review the most recent RFA Program Written
Directives use the following link:http://www.childsworld.ca.govIPG3416.htm.
2.The CONTRACTOR shall schedule interviews with RFA applicant(s)within three days of
receiving the referral.
Revised Exhibit B
Page 2 of4
3.CONTRACTORS referred Monolingual Non-English Psychosocial Assessments shall
provide the RFA applicant(s)with services in their primary language.
4.The CONTRACTOR shall use the Structured Analysis Family Evaluation (S.A.F.E.)model,
or otherwise agreed upon assessment approved by County,and materials to administer the
Psychosocial Assessment at the applicant's Fresno County residence.
5.The CONTRACTOR shall be flexible with the applicant's availability in order to complete
the required interviews timely.
6.The CONTRACTOR will coordinate with the COUNTY to have weekly meetings to review
the Questionnaire #1 and background check summation.
7.The CONTRACTOR shall participate in monthly meetings,or as often as needed,with
COUNTY staff to discuss requirements,data reporting,policies and procedures,overall
program operations and any issues or foreseeable issues that may arise.
8.The CONTRACTOR shall complete all requirements for the Psychosocial Assessment and
submit a recommendation using the COUNTY standardized forms,S.A.F.E.1 and S.A.F.E.2
questionnaires,to the COUNTY within 45 days of receiving the referral.If CONTRACTOR
will not complete the Psychosocial Assessment within 45 days of receiving the referral,the
CONTRACTOR shall submit a request for additional time to complete the Assessment to the
COUNTY's RFA social worker.The RFA social worker has the discretion to grant more
time to complete the Assessment.Such grant of additional time shall be provided in writing
and shall specify the date upon which the Assessment is due.
9.The CONTRACTOR shall consult with COUNTY when questions or concerns arise from the
recommendations.
COUNTY RESPONSIBILITIES
The COUNTY shall perform as follows:
1.The COUNTY will refer applicants that have passed the Home Environment Assessment and
Background Check Assessment to the CONTRACTOR for a Psychosocial Assessment and
provide the CONTRACTOR with the following:application,health screen,budget
information and release of information.
Revised Exhibit B
Page 3 of4
2.The COUNTY will identify RF A Applicants that are Monolingual Non-English and refer
those applicants to CONTRACTORS that have bilingual staff.
3.The COUNTY will work concurrently with the CONTRACTOR for the next 45 days to
assist the RFA applicant in successfully completing the Psychosocial Assessment.
4.The COUNTY will provide COUNTY standardized forms to the CONTRACTOR to be used
in completing the Psychosocial Assessment.
5.The COUNTY will provide consultation to the CONTRACTOR as needed in the completing
of a Psychosocial Assessment.
6.The COUNTY will coordinate with the CONTRACTOR to have weekly meetings to review
the Questionnaire #1 and background check summation.
7.The COUNTY will on a case-by-case basis work with the CONTRACTOR on RFA
applicant needs.The COUNTY will evaluate and grant,if appropriate,CONTRACTOR
requests for more time to complete the Psychosocial Assessment.
8.The COUNTY will retain the RFA approval certificate and all documents filed in court.
9.The COUNTY staff shall monitor the CONTRACTOR'S performance to assure compliance
with the terms,conditions and specifications of the contract.
10.The COUNTY shall coordinate with the CONTRACTORS to participate in monthly
meetings,or as often as needed,to discuss requirements,data reporting,policies and
procedures,overall program operations and any issues or foreseeable issues which may arise.
Revised Exhibit B
Page 4 of 4
OUTCOMES:
Long Term Goal:Timely and quality-driven Psychosocial Assessments of families that increase
the likelihood of safe,stable and optimal placements of foster children.
The performance outcomes below are preliminary and may be modified by the Department of
Social Services.
PERFORMANCE OUTCOMES EXPECTED LEVEL OF
PERFORMANCE
Performance Measure 1:
Timely Response Rate:The number of 100%Psychosocial Assessments
Psychosocial Assessments scheduled for scheduled for interviews within 3 days of
interviews within 3 days of referral received by referral received by Contractor.
Contractor.
Performance Measure 2:80%Psychosocial Assessments and forms
Timely Submission Rate:The number of submitted within 45 days.Assessments
Psychosocial Assessments and forms submitted with approved extension request shall be
within 45 days.considered timely.