HomeMy WebLinkAboutS Aging - Respite Care Providers A Helping Hand~iy'F ~-mil-ate
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Orange County
• Department on Aging
Vendor Agreement
Companionship Agencies
This Vendor Agreement is entered into this 1st day of July 2007 between A Helping Hand, hereinafter
known as the Vendor, and Orange County on behalf of the Department on Aging, hereinafter known as
the Department. The period and duration of.the Agreement shall be from July 1, 2007 to June 30, 2008.
WITNESSETH:
WHEREAS, the Department desires to engage the Vendor to render certain services, hereinafter
described, now therefore the parties hereto mutually agree as follows:
1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT:
1. To determine eligibility of prospective clients for in-home respite services through the Vendor in
accordance with pre-determined guidelines.
2. To make all decisions regarding who is served and what services are offered and in what manner
to each client is referred to services.
3. To provide to the Vendor for each client referred screening information and a service
authorization, describing total amount, duration and frequency of service requested.
• 4. To conduct for each client taken into service at least an annual reassessment, and quarterly
reviews, which includes questions about their satisfaction with services and whether they were
given an opportunity to cost share.
5. To submit new service authorizations for any client case in which Orange County has approved a
change in services.
6. To be flexible regarding how many clients are referred at one time.
7. To amend this agreement as needed at any time to ensure that Orange County is in compliance
with the National Family Caregiver Support Program and to provide notice of such amendments
as quickly as practical to the Vendor.
2) THE VENDOR HEREBY AGREES:
1. To provide staff members who have been interviewed and screened by the vendor.
2. To follow the guidelines as outlined by the Area Agency on Aging for the National Family
Caregiver Support Program.
3. To have an adequate number of staff members available to work throughout Orange County.
4. To staff each referred case within ten working days of the authorization date specified on the
• service authorization form provided for each client by the Department, if possible, based on
staff availability.
5. To maintain services once staffed over the service period stipulated by the Department.
• 6. To provide consistent staff assignment over the service period stipulated by the Department.
7. To provide services in two-hour minimum periods of service time, as specified in the service
authorization.
8. To provide weekly timesheets, signed by the client or responsible party, the aide, and the
agency supervisor, which show the allocated weekly hours and the actual billable hours, time
frame of service provided, and type of services provided.
9. To provide monthly billing reports for each client. If timesheets are not provided, if tasks are
not recorded, if timesheets do not include required signatures, or if plans of care are not noted
and explained, the corresponding bills will not be paid.
10. To provide upon request a written analysis of services provided since the beginning of the
fiscal year, including total hours of service for each clients, dates of services provided to each
client, and.explanations for any discrepancies between services requested and provided.
11. To make every effort to promptly communicate by phone to the Department's Eldercare In
Home Care Coordinator any staff changes, interruptions in services, or problems with clients'
services.
12. To maintain appropriate client and personnel files at the Vendor's licensed office, and to
ensure that such records that fully disclose the extent of the service provided to recipients are
kept for three years from the first service date for each client and are available for inspection.
• 13. To make every effort to help clients understand the relationship between the Vendor and the
Department in providing in-home services to them.
14. To inform clients at least the afternoon before services are expected if there is to be any
change in the time or duration of their services.
15. To under no circumstances ask clients referred to you by the Department about their
economic status, or in any way attempt to recruit new clients from the Department's client
pool.
16. To keep confidential any information about a client, which is shared by the Department or the
client. Such information shall be shared only among other Department and Vendor staffwho
need to know in order to coordinate, manage, or deliver services to the client.
17. To provide to each client or responsible party a copy of their plan of care, a copy of their
rights, and any other documentation as necessary to ensure they are informed about what
duties they should expect the volunteer/staff assigned to them to perform.
18. To consult with Department staff prior to making referrals for other services or making
changes in any services provided to clients receiving service through this agreement.
19. To be available to meet with the Department staff at their request to discuss service
provision.
• The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and
employees from and against any and all loss, cost, damages, expense and liability caused by the failure of
2
the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by
an accident or other occurrence causing bodily injury, including death, sickness, products or services
• rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and
to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability
caused by the negligent acts or omissions of the County in performance of obligations under this
agreement.
The Department will reimburse A Helping Hand at the rate below:
All services performed ......................................... Not to ezceed $13.50
•
•
This agreement may be extended for an additional period if mutually agreed to by both parties. The
Department may immediately suspend this Agreement for violations by the Vendor of the rules or
regulations agreed to herein.
ORANGE COUNTY
Date
~~ ~~
A HELPING HAND
By:
Authorized igna re
Title
Date
"This instrument has been pre-audited in the manner required by the Local Government Budget
and Fiscal ontrol Act."
~3/ ~
Ken Chavious Date
Finance Director
3
~D
Orange County
Department on Aging
• ~ Vendor Agreement
This Vendor Agreement is entered into this 1st day of July 2007 between Charles House, hereinafter
known as the Vendor, and Orange County on behalf of the Department on Aging, hereinafter known as
the Department. The period and duration of the Agreement shall be from July 1, 2007 to June 30, 2008.
WITNESSETH:
WHEREAS, the Department desires to engage the Vendor to render certain services, hereinafter
described, now therefore the parties hereto mutually agree as follows:
1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT:
1. To determine eligibility of prospective clients for institutional respite services through the Vendor
in accordance with pre-determined guidelines.
2. To make all decisions regarding who is served and what services are offered and in what manner
to each client is referred to services.
3. To provide to the Vendor for each client referred screening information and a service
authorization, describing total amount, duration and frequency of service requested.
4. To conduct for each client taken into service at least an annual reassessment, and quarterly
reviews, which includes questions about their satisfaction with services and whether they were
given an opportunity to cost share.
5. To submit new service authorizations for any client case in which Orange County has approved a
change in services.
6. To be flexible regarding how many clients are referred at one time.
7. To amend this agreement as needed at any time to ensure that Orange County is in compliance
with the National Family Caregiver Support Program and to provide notice of such amendments
as quickly as practical to the Vendor.
2) THE VENDOR HEREBY AGREES:
1. To provide staff members who have been interviewed and screened by the vendor.
2. To follow the guidelines as outlined by the Area Agency on Aging for the National Family
Caregiver Support Program.
3. To have an adequate number of staff members available.
4. To maintain services once staffed over the service period stipulated by the Department.
5. To provide consistent staff assignment over the service period stipulated by the Department.
• 6. To provide monthly bills with dates attended for each client.
To make every effort to promptly communicate by phone to the Department's Aging
Transitions In Home Care Coordinator any interruptions in services or problems with clients'
services.
8. To maintain appropriate client and personnel files at the Vendor's licensed office, and to
ensure that such records fully disclose the extent of the service provided to recipients are kept
for three years from the first service date for each client and are available for inspection.
To under no circumstances ask clients referred to you by the Department about their
economic status.
10. To keep confidential any information about a client, which is shared by the Department or the
client. Such information shall be shared only among other Department and Vendor staff who
need to know in order to coordinate, manage, or deliver services to the client.
11. To consult with Department staff prior to making referrals for other services or making
changes in any services provided to clients receiving service through this agreement.
12. To be available to meet with the Department staff at their request to discuss service
provision.
The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and
employees from and against any and all loss, cost, damages, expense and liability caused by the failure of
the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by
an accident or other occurrence causing bodily injury, including death, sickness, products or services
rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and
to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability
. caused by the negligent acts or omissions of the County in performance of obligations under this
agreement.
The Department will reimburse Charles House at the rate below:
Full Day Attendance: $43 Half Day Attendance: $27
This agreement may be extended for an additional period if mutually agreed to by both parties. The
Department may immediately suspend this Agreement for violations by the Vendor of the rules or
regulations agreed to herein.
GRAN COUNTY
By:
Authorized Signature
Title ~ D
Date
CHARLES HOUSE
By: ~~~ ~tPi~--
Authorized Signature
~K~tGtTivE ~i~~70K-
Title
Date 7• t~'. 0 ~j
"This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act." L~~
Ken Chavious Date
Finance Director
2
•
Orange County
Department on Aging
Vendor Agreement
~~ ~°~ -~~
This Vendor Agreement is entered into this 1st day of July 2007 between Central Orange Adult Day
Health Care, hereinafter known as the Vendor, and Orange County on behalf of the Department on
Aging, hereinafter known as the Department. The period and duration of the Agreement shall be from
July 1, 2007 to June 30, 2008. ,
WITNESSETH:
WHEREAS, the Department desires to engage the Vendor to render certain services, hereinafter
described, now therefore the parties hereto mutually agree as follows:
1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT:
1. To determine eligibility of prospective clients for institutional respite services through the Vendor
in accordance with pre-determined guidelines.
2. To make all decisions regarding who is served and what services are offered and in what manner
to each client is referred to services.
3. To provide to the Vendor for each client referred screening information and a service
authorization, describing total amount, duration and frequency of service requested.
4. To conduct for each client taken into service at least an annual reassessment, and quarterly
• reviews, which includes questions about their satisfaction with services and whether they were
given an opportunity to cost share.
5. To submit new service authorizations for any client case in which Orange County has approved a
change in services.
6. To be flexible regarding how many clients are referred at one time.
7. To amend this agreement as needed at any time to ensure that Orange County is in compliance
with the National Family Caregiver Support Program and to provide notice of such amendments
as quickly as practical to the Vendor.
2) THE VENDOR HEREBY AGREES:
To provide staff members who have been interviewed and screened by the vendor.
To follow the guidelines as outlined by the Area Agency on Aging for the National Family
Caregiver Support Program.
To have an adequate number of staff members available.
4. To maintain services once staffed over the service period stipulated by the Department.
5. To provide consistent staff assignment over the service period stipulated by the Department.
• 6. To provide monthly bills with dates attended for each client.
' 7. To make every effort to promptly communicate by phone to the Department's Aging
Transitions In Home Care Coordinator any interruptions in services or problems with clients'
services.
8. To maintain appropriate client and personnel files at the Vendor's licensed office, and to
ensure that such records fully disclose the extent of the service provided to recipients are kept
for three years from the first service date for each client and are available for inspection.
9. To under no circumstances ask clients referred to you by the Department about their
economic status.
10. To keep confidential any information about a client, which is shared by the Department or the
client. Such information shall be shared only among other Department and Vendor staffwho
need to know in order to coordinate, manage, or deliver services to the client.
11. To consult with Department staff prior to making referrals for other services or making
changes in any services provided to clients receiving service through this agreement.
12. To be available to meet with the Department staff at their request to discuss service
provision.
The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and
employees from and against any and all loss, cost, damages, expense and liability caused by the failure of
the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by
an accident or other occurrence causing bodily injury, including death, sickness, products or services
rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and
to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability
caused by the negligent acts or omissions of the County in performance of obligations under this
• agreement.
The Department will reimburse Central Orange Adult Day Health Care at the rate below:
Full Day Attendance: $43 Half Day Attendance: $27
This agreement may be extended for an additional period if mutually agreed to by both parties. The
Department may immediately suspend this Agreement for violations by the Vendor of the rules or
regulations agreed to herein.
Title
Date ~ /l,~
CENTRAL ORANGE ADULT DAY
HEALTH CENTER
By.
Au orized Signatu
D .
Title
Date S. ~ . O ~-
"This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act."
~ ~ ~~ ~~
Ken Chavious, Finance Director Date
2
ORANGE COUNTY
Orange County
Department on Aging
Vendor Agreement
/fAFG ~a~~
~o
This Vendor Agreement is entered into this 1st day of July 2007 between Home Helpers, hereinafter
known as the Vendor, and Orange County on behalf of the Department on Aging, hereinafter known as
the Department. The period and duration of the Agreement shall be from July 1, 2007 to June 30, 2008.
WITNESSETH:
WHEREAS, the Department desires to engage the Vendor to render certain technical and professional
services, hereinafter described, now therefore the parties hereto mutually agree as follows:
1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT:
1. To determine eligibility of prospective clients .for in-home aide services in accordance with
federal and state guidelines.
2. To make all decisions regarding who is served and what services are offered and in what
manner to each- client referred.
3. To provide to the Vendor for each client referred screening information and a service
authorization describing total amount, duration and frequency of aide service requested, and
directions to the client's home, whenever possible.
4. To conduct for each client taken into service at least an annual reassessment, and quarterly
reviews, which includes questions about their satisfaction with services and whether they were
• given an opportunity to cost shaze.
5. To submit new service authorizations for any client case in which Orange County has
approved a change in services.
6. To monitor the Vendor if warranted at least yearly to ensure compliance with N.C.
Division of Aging In-home Aide service standards and with this agreement.
7. To be flexible regazding how many clients are referred at one time.
8. To amend this agreement as needed at any time to ensure that Orange County is in
compliance with the N.C. Division of Aging In-Home Aide service standards, and to provide
notice of such amendments as quickly as practicable to the Vendor.
2) THE VENDOR HEREBY AGREES:
1. To provide Nursing Assistants (NA1 or NA2), certified by the N.C. Division of Facility Services,
to level 2 and Leve13 clients referred by the Department. With the approval of the Eldercare
Supervisor, clients with Level 1 only (Home Management) care needs may be staffed by
employees who are not certified nursing assistants.
2. To have an adequate number of aides hired and available to work in Orange County on the date
this agreement is signed.
3. To staff each referred case within ten working days of the authorization date specified on the
• service authorization form provided for each client by the Department.
• . 4. To staff Adult Protective Services cases within five working days of authorization.
5. To maintain services once staffed over the service period stipulated by the Department.
• 6. To provide consistent aide assignment over the service period stipulated by the Department.
7. To provide services in two-hour minimum periods of service time, as specified in the service
authorization.
8. To provide weekly timesheets, signed by the client or responsible party, the aide, and the aide
supervisor, which show the allocated weekly hours and the actual billable hours, time frame of
service provided, and type of services provided.
9. To provide weekly billing reports for each client, explaining variances in schedules and variances
in the plan of care. If timesheets are not provided, if tasks are not recorded, if timesheets do not
include required signatures, or if variances in schedules and/or plans of care are not noted and
explained, the corresponding bills will not be paid.
10. To provide upon request a written analysis of services provided since the beginning of the fiscal
year, including total hours of service for each client, dates of services provided to each client, and
explanations for any discrepancies between services requested and provided.
11. To make every effort to promptly communicate by phone to the Department's Eldercare
Supervisor any aide changes, interruptions in aide services, or problems with clients'
services.
12. To maintain appropriate client and personnel files at the Vendor's licensed office, and to ensure
that such records that fully disclose the extent of the service provided to recipients are kept for
• three years from the first service date for each client and are available for inspection.
13. To make every effort to help clients understand the relationship, between the Vendor and the
Department in providing in-home aide services to them.
14. To inform clients at least the afternoon before services are expected if there is to be any change
in the time or duration of their. services.
15. To under no circumstances ask clients referred to you by the Department about their
economic status, or in any way attempt to recruit new clients from the Department's client pool.
16. To keep confidential any information about a client, which is shared by the Department or the
client. Such information shall be shared only among other Department and Vendor staff who
need to know in order to coordinate, manage, or deliver services to the client.
17. To conduct a thorough assessment and create a plan of care of each client referred ,using the
assessment and plan of care tools provided by or approved by the Department, and to provide to
the Department copies of those once completed.
18. To provide to each client or responsible party a copy of their plan of care, a copy of their rights,
and any other documentation as necessary to ensure they are informed about what duties they
should expect the aide assigned to them to perform.
19. To consult with Department staffprior to making referrals for other services or making changes
in any services provided to clients receiving service through this agreement.
• 20. To submit a bill weekly for services rendered, payable within 30 days of receipt.
21. To be available to meet with the Department staff at their request to discuss service
provision.
The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and
employees from and against any and all loss, cost, damages, expense and liability caused by the failure of
the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by
an accident or other occurrence causing bodily injury, including death, sickness, products or services
rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and
to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability
caused by the negligent acts or omissions of the County in performance of obligations under this
agreement.
The Department will reimburse Home Helpers at the rates below:
Level I Home Management $ 13.50 an hour
Level II Personal Care/Home Management $ 14.40 an hour
Level III Personal Care $ 14.40 an hour
Level IV Home Management $ 14.40 an hour
•
This agreement may be extended for an additional period if mutually agreed to by both parties. The
Department may immediately suspend this Agreement for violations by the Vendor of the rules or
regulations agreed to herein.
ORANG
By~ ~/ 6'~//Zd
Authorized Signature
HOME PERS
By:
Authorized Si ture
Title `
e
Date
"This instrument has been pre-audited in the manner required by the Local Government Budget
and Fiscal Control Act."
Ken Chavious Date
Finance Director
Title
Date
•
Orange County
Department on Aging
Vendor Agreement
~~
• This Vendor Agreement is entered into this 1st day of July 2007 between Home Health Solutions,
hereinafter known as the Vendor, and Orange County on behalf of the Department on Aging, hereinafter
known as the Department. The period and duration of the Agreement shall be from July 1, 2007 to June
30, 2008.
WITNESSETH:
WHEREAS, the Department desires to engage the Vendor to render certain technical and professional
services, hereinafter described, now therefore the parties hereto mutually agree as follows:
1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT:
To determine eligibility of prospective clients for in-home aide services in accordance with
federal and state guidelines.
2. To make all decisions regarding who is served and what services are offered and in what
manner to each client referred.
3. To provide to the Vendor for each client referred screening information and a service
authorization describing total amount, duration and frequency of aide service requested, and
directions to the client's home, whenever possible.
4. To conduct for each client taken into service at least an annual reassessment, and quarterly
reviews, which includes questions about their satisfaction with services and whether they were
given an opportunity to cost share.
To submit new service authorizations for any client case in which Orange County has
approved a change in services.
6. To monitor the Vendor if warranted at least yearly to ensure compliance with N.C.
Division of Aging In-home Aide service standards and with this agreement.
7. To be flexible regarding how many clients are referred at one time.
To amend this agreement as needed at any time to ensure that Orange County is in
compliance with the N.C. Division of Aging In-Home Aide service standards, and to provide
notice of such amendments as quickly as practicable to the Vendor.
2) THE VENDOR HEREBY AGREES:
1. To provide Nursing Assistants (NA1 or NA2), certified by the N.C. Division of Facility Services,
to level 2 and Leve13 clients refereed by the Department. With the approval of the Eldercare
Supervisor, clients with Level 1 only (Home Management) care needs may be staffed by
employees who are not certified nursing assistants.
2. To have an adequate number of aides hired and available to work in Orange County on the date
this agreement is signed.
3. To staff each referred case within ten working days of the authorization date specified on the
service authorization form provided for each client by the Department.
4. To staff Adult Protective Services cases within five working days of authorization.
5. To maintain services once staffed over the service period stipulated by the Department.
6. To provide consistent aide assignment over the service period stipulated by the Department.
7. To provide services in two-hour minimum periods of service time, as specified in the service
authorization.
To provide weekly timesheets, signed by the client or responsible party, the aide, and the aide
supervisor, which show the allocated weekly hours and the actual billable hours, time frame of
service provided, and type of services provided.
9. To provide weekly billing reports for each client, explaining variances in schedules and variances
in the plan of care. If timesheets are not provided, if tasks are not recorded, if timesheets do not
include required signatures, or if variances in schedules and/or plans of care are not noted and
explained, the corresponding bills will not be paid.
10. To provide upon request a written analysis of services provided since the beginning of the fiscal
year, including total hours of service for each client, dates of services provided to each client, and
explanations for any discrepancies between services requested and provided.
11. To make every effort to promptly communicate by phone to the Department's Eldercare
Supervisor any aide changes, interruptions in aide services, or problems with clients'
services.
12. To maintain appropriate client and personnel files at the Vendor's licensed office, and to ensure
that such records that fully disclose the extent of the service provided to recipients are kept for
three years from the first service date for each client and are available for inspection.
13. To make every effort to help clients understand the relationship between the Vendor and the
Department in providing in-home aide services to them.
14. To inform clients at least the afternoon before services are expected if there is to be any change
in the time or duration of their services.
15. To under no circumstances ask clients referred to you by the Department about their
economic status, or in any way attempt to recruit new clients from the Department's client pool.
16. To keep confidential any information about a client, which is shared by the Department or the
client. Such information shall be shared only among other Department and Vendor staff who
need to know in order to coordinate, manage, or deliver services to the client.
17. To conduct a thorough assessment and create a plan of care of each client referred ,using the
assessment and plan of care tools provided by or approved by the Department, and to provide to
the Department copies of those once completed.
18. To provide to each client or responsible party a copy of their plan of care, a copy of their rights,
and any other documentation as necessary to ensure they are informed about what duties they
should expect the aide assigned to them to perform.
19. To consult with Department staffprior to making referrals for other services or making changes
. in any services provided to clients receiving service through this agreement.
20. To submit a bill weekly for services rendered, payable within 30 days of receipt.
21. To be available to meet with the Department staff at their request to discuss service
provision.
The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and
employees from and against any and all loss, cost, damages, expense and liability caused by the failure of
the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by
an accident or other occurrence causing bodily injury, including death, sickness, products or services
rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and
to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability
caused by the negligent acts or omissions of the County in performance of obligations under this
agreement.
The Department will reimburse Home Health Solutions at the rates below:
Level I Home Management $ 14.40 an hour
Level II Personal Care/Home Management $ 14.40 an hour
Level III Personal Care $ 14.40 an hour
Level IV Home Management $ 14.40 an hour
This agreement may be extended for an additional period if mutually agreed to by both parties. The
Department may immediately suspend this Agreement for violations by the Vendor of the rules or
regulations agreed to herein.
ORANG COUNTY
By:
Authoriz d Signature
i
Title
U
Date
HOM~E,HEALTH SpOL~UTIONS
Authorized ature
M~,.yaG-s~G- D~.~.c-~o~.
Title
~ ~ozlo~l
Date
"This instrument has been pre-audited in the manner required by the Local Government Budget
and Fiscal Control Act."
%~~~ ~ o
Ken Chavious Date
Finance Director
•
Orange County
Department on Aging
Vendor Agreement
~d
This Vendor Agreement is entered into this 1st day of July 2007 between Homewatch CareGivers of the
Triangle, hereinafter known as the Vendor, and Orange County on behalf of the Department on Aging,
hereinafter known as the Department. The period and duration of the Agreement shall be from July 1,
2007 to June 30, 2008.
WITNESSETH:
WHEREAS, the Department desires to engage the Vendor to render certain technical and professional
services, hereinafter described, now therefore the parties hereto mutually agree as follows:
1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT:
1. To determine eligibility of prospective clients for in-home aide services in accordance with
federal and state guidelines.
2. To make all decisions regarding who is served and what services are offered and in what
manner to each client referred.
3. To provide to the Vendor for each client referred screening information and a service
authorization describing total amount, duration and frequency of aide service requested, and
directions to the client's home, whenever possible.
4. To conduct for each client taken into service at least an annual reassessment, and quarterly
reviews, which includes questions about their satisfaction with services and whether they were
given an opportunity to cost share.
5. To submit new service authorizations for any client case in which Orange County has
approved a change in services.
6. To monitor the Vendor if warranted at least yearly to ensure compliance with N.C.
Division of Aging In-home Aide service standards and with this agreement.
7. To be flexible regarding how many clients are referred at one time.
To amend this agreement as needed at any time to ensure that Orange County is in
compliance with the N.C. Division of Aging In-Home Aide service standards, and to provide
notice of such amendments as quickly as practicable to the Vendor.
2) THE VENDOR HEREBY AGREES:
1. To provide Nursing Assistants (NA1 or NA2), certified by the N.C. Division of Facility Services,
to level 2 and Leve13 clients referred by the Department. With the approval of the Eldercare
Supervisor, clients with Level 1 only (Home Management) care needs may be staffed by
employees who are not certified nursing assistants.
2. To have an adequate number of aides hired and available to work in Orange County on the date
this agreement is signed.
3. To staff each referred case within ten working days of the authorization date specified on the
service authorization form provided for each client by the Department.
4. To staff Adult Protective Services cases within five working days of authorization.
S. To maintain services once staffed over the service period stipulated by the Department.
6. To provide consistent aide assignment over the service period stipulated by the Department.
7. To provide services in two-hour minimum periods of service time, as specified in the service
authorization.
8. To provide weekly timesheets, signed by the client or responsible party, the aide, and the aide
supervisor, which show the allocated weekly hours and the actual billable hours, time-frame of
service provided, and type of services provided.
9. To provide weekly billing reports for each client, explaining variances in schedules and variances
in the plan of care. If timesheets are not provided, if tasks are not recorded, if timesheets do not
include required signatures, or if variances in schedules and/or plans of care are not noted and
explained, the corresponding bills will not be paid.
10. To provide upon request a written analysis of services provided since the beginning of the fiscal
year, including total hours of service for each client, dates of services provided to each client, and
explanations for any discrepancies between services requested and provided.
11. To make every effort to promptly communicate by phone to the Department's Eldercare
Supervisor any aide changes, interruptions in aide services, or problems with clients'
services.
12. To maintain appropriate client and personnel files at the Vendor's licensed office, and to ensure
that such records that fully disclose the extent of the service provided to recipients are kept for
three years from the first service date for each client and are available for inspection.
13. To make every effort to help clients understand the relationship between the Vendor and the
Department in providing in-home aide services to them.
14. To inform clients at least the afternoon before services are expected if there is to be any change
in the time or duration of their services.
15. To under no circumstances ask clients referred to you by the Department about their
economic status, or in any way attempt to recruit new clients from the Department's client pool.
16. To keep confidential any information about a client, which is shared by the Department or the
client. Such information shall be shared only among other Department and Vendor staff who
need to know in order to coordinate, manage, or deliver services to the client.
17. To conduct a thorough assessment and create a plan of care of each client referred ,using the
assessment and plan of care tools provided by or approved by the Department, and to provide to
the Department copies of those once completed.
18. To provide to each client or responsible party a copy of their plan of care, a copy of their rights,
and any other documentation as necessary to ensure they are informed about what duties they
should expect the aide assigned to them to perform.
19. To consult with Department staff prior to making referrals for other services or making changes
• in any services provided to clients receiving service through this agreement.
20. To submit a bill weekly for services rendered, payable within 30 days of receipt.
21. To be available to meet with the Department staff at their request to discuss service
provision.
The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and
employees from and against any and all loss, cost, damages, expense and liability caused by the failure of
the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by
an accident or other occurrence causing bodily injury, including death, sickness, products or services
rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and
to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability
caused by the negligent acts or omissions of the County in performance of obligations under this
agreement.
The Department will reimburse Homewatch CareGivers of the Triangle at the rates below:
Level I Home Management $ 14.40 an hour
Level II Personal Care/Home Management $ 14.40 an hour
Level III Personal Care $ 14.40 an hour
Level IV Home Management $ 14.40 an hour
ORANGE COUNTY
This agreement may be extended for an additional period if mutually agreed to by both parties. The
Department may immediately suspend this Agreement for violations by the Vendor of the rules or
regulations agreed to herein.
•
HOMEWATCH CAREGIVE
OF THE TRIANGLE
By: ~°
Authori]z''e~~d Sign e
1~/~•`-r
Title
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Date
"This instrument has been pre-audited in the manner required by the Local Government Budget
and Fiscal Control Act."
~!~ - ~ .tea
Ken Chavious Date
Finance Director
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Title '
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Date