HomeMy WebLinkAboutAgreement A-17-073-1.pdfCOUNTY OF FRESNO
Fresno, CA
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AMENDMENT I TO AGREEMENT
THIS AMENDMENT, hereinafter referred to as Amendment I, is made and entered into
this__________ day of __________________, 2018, by and between the COUNTY OF FRESNO, a
Political Subdivision of the State of California, hereinafter referred to as “COUNTY,” and each
contractor listed in Revised Exhibit A “Contractors List”, attached hereto and by this reference
incorporated herein,, collectively hereinafter referred to as “CONTRACTORS”, and such additional
CONTRACTORS as may, from time to time during the term of this Agreement, be added by the
COUNTY. .
WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
No. A-17-073, effective March 7, 2017, hereinafter referred to as “COUNTY Agreement”, to provide
Psychosocial Assessment to Resource Family Approval households; and
WHEREAS, the parties desire to amend the Agreement regarding changes as stated below.
NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
hereinafter set forth, the sufficiency of which is acknowledged, the parties agree as follows:
1.That existing COUNTY Agreement beginning on Page Two (2), Section One (1), Line
Five (5), with the word “The” and ending on Line Six (6) with the word “RESPONSIBILITIES” be
deleted in its entirety and the following inserted in its place:
“The COUNTY shall be responsible for services as set forth in the “Summary of Services”, as
identified in Revised Exhibit B, under the Heading COUNTY RESPONSIBILITY.”
2.That existing COUNTY Agreement beginning on Page Two (2), Section Two (2), Line
Fifteen (15), with the word “This” and ending on Line Sixteen (16) with the number “2018” be deleted
in its entirety and the following inserted in its place:
“This Agreement shall become effective March 7, 2017, and shall terminate on June 30, 2019.
This Agreement may be extended for two (2) additional consecutive twelve (12) month periods
upon the written approval of both parties no later than thirty (30) days prior to the first day of
the next twelve month extension period. The DSS Director, or designee, is authorized to execute
such written approval on behalf of COUNTY based on CONTRACTOR’s satisfactory
performance.”
17th April
Agreement No. 17-073-1
COUNTY OF FRESNO
Fresno, CA
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3.That existing COUNTY Agreement beginning on Page Three (3), Section Four (4), Line
Nineteen (19), with the word “The” and ending on Page Four (4), Line Four (4) with the number
($1,987,500)” be deleted in its entirety and the following inserted in its place:
“The COUNTY agrees to pay the CONTRACTORS and the CONTRACTORS agree to receive
compensation as follows: One Thousand Five Hundred Thirty and No/100 Dollars ($1,530.00)
per Psychosocial Assessment of an English speaker and One Thousand Eight Hundred Thirty
and No/100 Dollars ($1,830.00) per Psychosocial Assessment of a non-English speaker.
Payment shall be made once a completed Psychosocial Assessment has been submitted to the
COUNTY. In no event shall compensation for services performed under this Agreement by all
CONTRACTORS collectively from March 7, 2017 through June 30, 2017 be in excess of Five
Hundred Ninety-Six Thousand Two Hundred Fifty and No/100 Dollars ($596,250.00). For each
subsequent twelve (12) month period of this Agreement, in no event shall compensation for
services performed under this Agreement by all CONTRACTORS collectively be in excess of
One Million Three Hundred Ninety-One Thousand Two Hundred Fifty and No/100 Dollars
($1,391,250.00). In no event shall compensation for services performed under this Agreement
by all CONTRACTORS collectively during the term of this Agreement be in excess of Six
Million One Hundred Sixty One Thousand Two Hundred Fifty and No/100 Dollars
($6,161,250).”
4.That existing COUNTY Agreement beginning on Page Eleven (11), Section Seventeen
(17), Line Eleven (11), with the word “All” and ending on Page Eleven (11), Line Nineteen (19) with
the word “misdemeanor” be deleted in its entirety and the following inserted in its place:
“All services performed by CONTRACTOR under this Agreement shall be in strict
conformance with all applicable Federal, State of California, and/or local laws and regulations
relating to confidentiality including, but not limited to: California Welfare and Institutions
Code Sections 10850 and 14100.2; the CDSS Manual of Policies and Procedures, Division 19-
0000; and the California Department of Health Care Services (DHCS) Medi-Cal Eligibility
Procedures Manual, Section 2H. In addition, all services performed by CONTRACTOR under
this Agreement shall also be in conformance with the Medi-Cal Data Privacy and Security
COUNTY OF FRESNO
Fresno, CA
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Agreement between the California DHCS and the County of Fresno (hereinafter referred to as
“the Medi-Cal Data Agreement”) that is then in effect, which is by this reference incorporated
herein. The current Medi-Cal Data Agreement is available upon request or can be viewed at:
http://www.co.fresno.ca.us/MediCalPrivacy/. The purpose of this section is to assure that all
applications and records concerning program recipients shall be kept confidential and shall not
be opened to examination, publicized, disclosed, or used for any purpose not directly connected
with the administration of the program. CONTRACTOR shall inform all of its employees,
agents, officers, and subcontractors of this provision; and that any person knowingly and
intentionally violating this provision is guilty of a misdemeanor.”
5.That all references to Exhibit A shall be changed to read “Revised Exhibit A”.
6.That all references to Exhibit B shall be changed to read “Revised Exhibit B” attached
hereto and incorporated herein by reference.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms, covenants,
conditions and promises contained in the Agreement and not amended herein shall remain in full force
and effect. This Amendment I shall become effective July 1, 2018.
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EXECUTED AND EFFECTIVE as of the date first above set forth.
3 COUNTY OF FRESNO
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airperson of the
rvisors of the
County of Fresno
ATTEST:
Bernice E. Seidel
Clerk of the Board of Supervisors
County of Fresno, State of California
By: I:& Ao.·, ~
Deputy
FOR ACCOUTING USE ONLY:
Fund/Subclass: 0001/10000
Organization: 56107001
Account/Program: 7870
PLEASE SEE ADDITIONAL
25 SIGNATUREPAGESATTACHED
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Fresno, CA
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RESOURCE FAMILY APPROVAL ASSESSMENT CONTRACTOR:
IN WIThESS WHEREOF,the pa~ies hereto have executed this Agreement this 19th day
~of March ,2018.
5
6 NAME OF ORGANIZATION:Koinonia Family Services
9 By las I ~
Print Name Sam Golden
12 Title Executive Director
13 Chairman of the Board,or President,
14 or any Vice President or Owner,or Director
15 Date3R9/2018
16 By -.~i,L ala.
17
18 Print Name Deena Spann
19 Accounting Director20~ft~e _______________________________________
Secretary (of Corporation), or any Assistant
21 Secretary,or Chief Financial Officer,or Chief
2 or any Chief Accountant,or any Assistant2Treasurer
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25 Mailing Address:P0 Box 1403,Loomis,CA 95650
2 6 Contact:Sam Golden,Executive Director
Telephone: (916) 652-5802
27 Email address:contracts~kfh.org
28 Service Site Address:1551 East Shaw Aye,Ste.103,Fresno,CA 93711
COUNTY 01?FRESNO
Uresno,C \-8 -
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CONTRACTORS LIST
Revised Exhibit A
Page 1 of 1
ASPIRANET NORTH STAR FAMILY CENTER
Mailing Address: 1320 E. Shaw Ave, Ste. 140 Mailing Address: 6760 N. West Ave, Ste. 101
Fresno, CA 93710 Fresno, CA 93711
(559) 222-4969 (559) 226-2273
Contact: Chad Valorosi Contact: Danielle Macagba
Email: cvalorosi@aspiranet.org Email: dmacagba@northstarfamilycenter.org
Referral Email: cvalorosi@aspiranet.org Referral Email: dmacagba@northstarfamilycenter.org
FAMILY CONNECTIONS CHRISTIAN ADOPTIONS PROMESA BEHAVIORAL HEALTH
Mailing Address: 1120 Tully Rd.Mailing Address: 7120 N. Marks Ave, Ste. 110
Modesto, CA 95350 Fresno, CA 93711
(209) 524-8844 (559) 439-5437
Contact: Wayne Mott Contact: Lisa Weigant
Email: waynemott@fcadoptions.org Email: lweigant@promesabehavioral.org
Referral Email: dianeniswander@fcadoptions.org Referral Email: lweigant@promesabehavioral.org
GOLDEN STATE FAMILY SERVICES VALLEY TEEN RANCH
Mailing Address: P.O. Box 130 Mailing Address: 2610 W Shaw Lane, Ste. 105
Kingsburg CA 93631 Fresno, CA 93711
(559) 389-0685 (559)-437-1144
Contact: Kristin Withrow Contact: Alicia Abirached
Email: kristinn@gsfs.org Email: Alicia.abirached@valleyteenranch.org
Referral Email: kristinn@gsfs.org Referral Email: Alicia.abirached@valleyteenranch.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
Revised Exhibit B
Page 1 of 4
SUMMARY OF SERVICES
SERVICE: Psychosocial Assessment for the Resource Family Approval
Program
CONTRACT PERIOD: March 7, 2017—June 30, 2019
1st OPTIONAL RENEWAL: July 1, 2019—June 30, 2020
2nd OPTIONAL RENEWAL: July 1, 2020—June 30, 2021
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.gov/PG3416.htm.
2. The CONTRACTOR shall schedule interviews with RFA applicant(s) within three days of
receiving the referral.
Revised Exhibit B
Page 2 of 4
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 of 4
2. The COUNTY will identify RFA 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:
100% Psychosocial Assessments
scheduled for interviews within 3 days of
referral received by Contractor.
Timely Response Rate: The number of
Psychosocial Assessments scheduled for
interviews within 3 days of referral received by
Contractor.
Performance Measure 2: 80% Psychosocial Assessments and forms
submitted within 45 days. Assessments
with approved extension request shall be
considered timely.
Timely Submission Rate: The number of
Psychosocial Assessments and forms submitted
within 45 days.