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HomeMy WebLinkAbout2016-586-E Finance - Senior Care of Orange County, Inc. - Outside Agency Performance Agreement DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT,made and entered into the first day of July 2016, ("Effective Date")by and between the County of Orange, a political subdivision of the State of North Carolina, 200 South Cameron Street, Hillsborough, North Carolina, 27278, ("County") and Senior Care of Orange County, Inc, a not-for-profit corporation, located at 105 Meadowland Drive, Hillsborough,NC 27278 ("Provider"). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners; NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Senior Care of Orange County, Inc agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2016 to June 30, 2017. 2. Scope of Services. a. Provider will provide services, as outlined in the attached Outside Agency Funding Application and any amendments or revision thereto which is attached as Exhibit"A" and incorporated by reference, to the residents of Orange County. The Scope of Services and the Program Budget may be different from the original application based on County appropriation; however, any revisions or amendments to this Agreement must be approved in writing by the County and attached to this Agreement as Exhibit B. b. The Provider shall be solely responsible for the means, methods, techniques, sequence, safety program and procedures necessary to properly and fully complete the work set forth in the Scope of Services. 3. Funding. a. The County agrees to appropriate for the provision of services described in Exhibit A, Scope of Services and more particularly described in the Revised Program Budget, the maximum sum of 30000. b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in four equal installments in the amount of $7,500. The first payment is contingent upon receipt of the agency's performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County's obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. (Senior Care of Orange County,Inc) Orange County Outside Agency Performance Agreement Revised 8/2016 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. f. The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 —December 31; January 1 —March 31 and April 1 - June 30. Reports are due on January 13,April 14, and July 14 of the program fiscal year. b. Provider agrees to allow the County to inspect its financial books and records, which document costs of those services,upon reasonable notice during normal working hours. 5. Termination. a. In the event of any of the circumstances set forth below (hereinafter referred to as "default"), the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above, the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance, incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws, regulations, or stated public policy. b. In the event of default by the Provider, the county may elect to terminate this Agreement, in whole or in part and/or require the Provider to repay the funds within ten(10)business days from written notice of default. The County may (but shall not be required to) grant the Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County's remedies in law or in equity. (Senior Care of Orange County,Inc) Orange County Outside Agency Performance Agreement Rev. 8/16 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 c. Notwithstanding the foregoing, either party may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused funds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be unjustified shall be deemed a termination for convenience. 6. Insurance. a. General Requirements. The Provider shall purchase and maintain, during the period of performance of this Agreement, insurance: i. Worker's Compensation. For protection from claims under workers' or workmen's compensation acts; ii. Comprehensive General Liability Insurance covering claims arising out of or relating to bodily injury, including bodily injury, sickness, disease or death of any of the Consultant's employees or any other person and to real and personal property including loss of use resulting thereof; iii. Comprehensive Automobile Liability Insurance, including hired and non-owned vehicles, if any, covering personal injury or death, and property damage; and iv. Professional Liability Insurance, covering personal injury,bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Consultant or his agents, consultants and employees. b. Limits of Coverage: Minimum limits of insurance coverage shall be as follows: INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE • Worker's Compensation Limits for Coverage A- Statutory State NC& Coverage B -Employers Liability $500,000 each accident, disease policy limit and disease each employee • Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate • Automobile Liability $500,000 Combined Single Limit • Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate c. All insurance policies (with the exception of Worker's Compensation and Professional Liability)required under this Agreement shall name the County as an additional insured party and as a certificate holder. Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough,NC 27278 d. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. (Senior Care of Orange County,Inc) Orange County Outside Agency Performance Agreement Rev. 8/16 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 7. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. 8. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. 9. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other party without prior written consent from the County. 10. Assignment. The Provider shall not assign this Agreement, including the rights to payment, to any other party without the prior written consent of the County. 11. Indemnification. Provider agrees to defend, indemnify, and hold harmless the County, for all loss, liability, claims or expense (including reasonable attorney's fees) arising from bodily injury, including death or property damage, to any person or persons caused in whole or in part by the negligence or willful misconduct of the Provider, except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this section to require Provider to indemnify the County to the extent permitted under North Carolina law. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. 12. Non-Appropriation. This Agreement is subject to the availability of funds to purchase the specified services and may be terminated at any time if such funds become unavailable. 13. Non-Discrimination. Provider agrees as part of consideration of the granting of funds by Orange County the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. 14. Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies if funds to pursue the same goal. The County's living wage is $ 13.15 per hour. To the extent possible, Orange County recommends that Senior Care of Orange County, Inc provide a living wage to its employees. 15. Notice. The Parties hereto agree and understand that written notice, mailed or delivered, to the last known address shall constitute sufficient notice to the County and the Provider. All notices required and/or made pursuant to this Agreement to be given to the County and the Provides shall be in writing and mailed to the party addressed as follows: (Senior Care of Orange County,Inc) Orange County Outside Agency Performance Agreement Rev. 8/16 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 County: Finance&Administrative Services Provider: Senior Care of Orange County, Orange County Inc Post Office Box 8181 105 Meadowland Drive Hillsborough,NC 27278 Hillsborough,NC 27278 16. E ntire Agreement. This Agreement, including any referenced attachments, constitutes the entire Agreement between the parties and shall supersede, replace or nullify any and all prior Agreements of understandings; written or oral, relating to the matters set forth herein, and any such prior Agreements or understandings shall have no force or affect whatsoever on this Agreement. The County and Provider have read this Agreement and agree to be bound by all of its terms, and further agree that this Agreement constitutes the complete and exclusive statement of the Agreement between the County and Provider. 17. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular part, term or provision held to be invalid. a. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer pursuant to G.S. 147-86.58. 18. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF,the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below. For and R-, 111 ;aJ1he Provider U _ 10/26/2016 -052B65BB443... For and Date E ifrjhOrange County Government 6lA,Uttt, tka" tt-IrStt 10/26/2016 0617_924E75 F477 Bonnie Hammersley, County Manager Date (Senior Care of Orange County,Inc) Orange County Outside Agency Performance Agreement Rev. 8/16 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 ATTACHMENT "A" Orange County Certifications—FY 2016-17 Outside Agency Performance Agreement Chief Contact,Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name, title,residential address;phone and email address and if possible, fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing,with the name, physical address,mailing address and if possible,phone, fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not,please explain on a separate sheet of paper. Alignment with Organization's Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. DocuSigned by: Di rector 10/26/2016 Certified by: LFlRO5?Bfi5BR44 3 Title: Date: (Provider's Signature) (Senior Care of Orange County,Inc) Orange County Outside Agency Performance Agreement Rev. 8/16 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 Exhibit A Provider's Outside Agency Application APPLICATION SUBMITTAL CHECKLIST FOR OFFICE USE ONLY Received By Agency Senior Care of Orange County; Inc Date/Time I Complete Y/N Program(s) Florence Gray Soltys Adult Day Health Program Section For CDBG & HOME - Subsection HUD Regulations 1. Cover Page a. XIII Applicant Contact Information b. X[11 Project/Program Contact Information C. XLI Funding Requests Identified d. XIII Signed Application Cover Page 2. Agency a. Xrl Agency's Years in operation 24 CFR 570.506, Information - b. XE Agency's Purpose/Mission 570.507, 570.610; 24 CFR Parts 84 or 85 c. XI—I Agency's Types of Services Provided d. Xri Agency's Experience e. XLI Other Pertinent Information 3. Program/ a. XL] Type of Application and Program Identified 24 CFR 570.200(a), Project b. XL Summary of Program 570.201-570. 208, Information - c. XE] Description of Identified Need 507.503 (for each d. xfl Description of Population to be Served program/ e. XL Activity Manager and Location Description project for f. XEI Activity Implementation Timeline which funding is requested) g. XIII Agency Collaboration h. XIII Describe Impact of Reduced/No Allocation I. XIII Other Pertinent Information j. XE Complete Target Population/Beneficiary Chart k. XIII Complete Schedule of Positions I. XE Signed Conflict of Interest Disclosure m. XL Complete Work Statement ilPage DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION 24 CFR 570.200(a), 4. Financial (for Program Budget Worksheet and Detail should reflect 570.201-570. 208, each expenses for the entire program and ALL sources of 507.503 program/ funding. 24 CFR 570.506, project for 570.507, 570.601, which funding a. Xn Program Budget Worksheet 570.602, 570.607(b), is requested) b. X111 Program Budget Detail 570.611 24 CFR c. xri Cost Per Unit 570.502-570.504, d. XI] Agency Operating Budget Worksheet 570.506, 570.507, 570.610; 24 CFR Parts 84 or 85, and OMB Circulars A-87 or A- 122; Treasury Circular 1075 5. Supplemental A. n Part A: CDBG & HOME Sections (as B. El Part B: Construction/Rehab applicable) 6. Attachments a, Lii Audit: Organizations receiving $300,000 or more OMB Circular A-133 in Federal financial assistance, and/or organizations with more than $500,000 of receipts and expenditures in a fiscal year, must secure an audit. b. Xr1 IRS Federal Form 990 c. xn NC Solicitation License d. xn IRS Federal Tax-Exemption Letter e. xn Certificate of Insurance f. xi List of Board of Directors 24 CFR Parts 84 or 85 g. xn Articles of Incorporation/Bylaws 24 CFR 570.208, h. gi Authorization to Request Funds 570.500(c), 570.611 L Xn Authorized official designation j. 41111 3-R Fee Verification Main Application 1/25/2016 12:26:51 PM Page 2 of 21 DocuSign Envelope ID:4FFDF545 e8C1-4Aer~^0A5-400050A30357 I A - continued Provider's Outside Agency Application MAIN APPLICATION . 1. COVER PAGE (Each program requires a separate application.) a) Applicant Contact Information Applicant Organization's Legal Name: Senior Care of Orange County; Inc. Applicant Organization's Physical Address: 105 Meadowland Drive; HiUnbonough, NC 27278 Applicant Organization's Mailing Address: 105 Meadowland Drive; Hi||sb0n}UOh, N(} 27278 Applicant Organization's Web Address: vvvvvv.so|h/oodu|tdoyheolth.n[g Executive Director: Alvonia Baldwin Telephone Number: 913'245'2017 E'Mai|; m|ba|dvvinaoronAecnuntyncAov DUNS Number: 123760520 (Dun & Bradstreet, Inc. provides this number at no charge, and it is required for Federal funding recipients.) b) Project/Program Contact Information Project/Program Name: Florence Gray Soltys Adult Day Health Program Project/Program Primary Contact and Title: Alvonia Baldwin, Executive Director Telephone Number: 919-245-2017 E'Mai|: o|bgldvvinaorengacuuntync.gov c) Funding Request Identification Total P ject/Program Cost: $33.500 Total Amount of Funds Requested: $33.500 Proposed Use of Funds Requested (2-3 Line Maximum): Funding towards this one of a kind dual model; Adult Day Care and Adult Day Health Program in Orange County will provide participant scholarships for clients in need of a program that may be limited to the affordabili Caregiver respite is needed due to the severely frail elderly and adults with special needs; program operational support with purchase of program supplies, snacks, personnel and community resources for the continued sustainability of the program and as a partnership with the county towards meeting the goals of the Master Aging Plan of Orange County. Since 2011-2016; The Orange County amount has included up to$25,000 in participant meal credits which continue to help wigntficumtKy. Below is not a reflection of the meal credit amount. The in-kind donation is still needed for tbe /nculm. ($53,000ir,oimWunt6cmaawUwKox'OnanAmC000tv). Please check all types, sources, and amounts of funding being requested. You must submit an application package for each funding source, *The Particip ating Jurisdiction resetves the right to fund projects from any funding source, subject to eligibility and funding constraints. [— [— CDBGNon-{�onatruotion (CH) $ . Grant .[— Loan ▪ [|DBG Construction (CH) F- Grant -- Loan L MO��E {}MD{} � Grant Loan F- HOME Other [l Grant -1 Loan X Human Services: X Carrboro $1,500 X Chapel Hill $2,000 X Orange County $30,000 Main Application 1/25/2016 12:26:51 PM Page 3 of 2 1 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION d) To the best of my knowledge and belief all information and data in this application is true and current. The document has been duly authorized by the governing board of the applicant. Signature: Executive Director Date 7.21/267 Signature: A . foard Chairperson Date • Main Application 1/20/2016 4:50:36 PM Page 4 of 21 DocuSign Envelope ID:4FFDF545 e8C1-4Aer~^0A5-400050A30357 I A - continued Provider's Outside Agency Application MAIN APPLICATION 2. AGENCY INFORMATION • Please provide the following information about your agency (Limit of 2 pages total): a.Years in Operation: The program began offering services on March 28, 2004, and through 2016 has served 251 participants and their caregivers. The County of Commissioners passed a resolution of a name change to The Florence Gray Soltys Adult Day Health Program on April 20,2010. Date of Incorporation: Senior Care of Orange County, Inc. was incorporated in March, 2004. b. Agency's Purpose/Mission The mission of the Florence Gray Soltys Adult Day Health Program remains the same, by providing social and health services to frail, disabled and isolated adults 18 years and older with special needs that will benefit from Adult Day Health programs. Stimulating activities, enriching programs, provision of nutritious meals and snacks as well as rehabilitative services are offered. The program also provides respite and education for family members and cure8ivora. The primary goal is to prevent or delay the onset of institutionalization of participants. The vision of Senior Care of Orange County, Inc. is to advocate, establish and operate programs that provide services for frail or disabled older adults to remain in their homes with their family as long as possible. The 65 and older adult is the fastest growing population segment. c. Types of Services the Agency Provides The Florence Gray Soltys Adult Day Health Program is a therapeutic, health-focused program for adults and xcuioothaioDe/avoddyofuervioesivabooue'}ikeneKiugtba1iuopuoiioom7:30mooto5:30pnu`Mooday- Friday. The relocation of the program,to a new and larger location in close relation with the Oi'ange County Department on Aging has helped significantly. The need of this program is growing rapidly as more seniors age in place with various diagnosis ranging from, but not limited to dementia, Parkinson's and diabetes. The existing space allows more opportunities for families to feel reassured of the care and safety that their loved one receives. From year to year, the number of participants enrolled in the program continues to grow, Currently the program is averaging 24 participants per day, with a capacity for tip to 29 per day. Main Application 1/25/2016 12:26:51 PM Page 5 of 2 1 DocuSign Envelope ID:4FFDF545 e8C1-4Aer~^0A5-400050A30357 I A - continued Provider's Outside Agency Application MAIN APPLICATION d. Agency's Experience with Similar Programs as the Funding Request Through the years, we have made great efforts and will continue to collaborate with the recruitment process to assist participants from the Department of Social Services (Medicaid CAP/DA) and the Veteran's Administration who will fmancially support the participants with low incomes and/or medical needs to utilize the Day Health Program as an option to in-home care services. This option may also help with the social interaction of each and every participant enrolled in the program. We will reapply for the Home Community Care Block Grant from Triangle J Council of Governments for continued funding to help support days of coverage for Adult Day Care and Health finding options. e. Other Pertinent Agency Information In 2003, Central Orange Adult Day Health Program (formally) was under the auspicious of the Orange County Department on Aging. In 2004,the program assumed a non-profit 501 c-3 status under the Governing Board of Senior Care of Orange County; Inc. Through the years the operation remained adjacent to the Central Orange Senior Center and was licensed for 10 participants per day. As the need in the county continued to grow,the program later expanded to hold a license of 29 participants per day on February 4, 2009 as a partnership with the county to continue to work towards meeting the goals of the Master Aging Plan of Orange County. The Senior Care Board continues to work toward building stronger relationships with the Veteran's Administration Community referral program, and establishing a partnership with the local Veterans Affairs Office, Discharge Planners at the local Hospitals to aid in the referral program. Additional In-kind support still remains from Carol Woods Retirement Community with a representative which serves on the Senior Care Board of Directors. Additional In-kind support still remains from Carol Woods Retirement Community with a representative which serves on the Senior Care Board of Directors. Efforts continue to recruit participants from the Department of Social Services(Medicaid CAP/DA) and the Veteran's Administration who will financially support the participants with low incomes and to encourage them to utilize the Day Health Program as an option to home care. The program will reapply for the Home Community Care Block Grant from Triangle J Council of Governments. We have established the Florence Gray Soltys Memorial Scholarship fund where individuals can donate throughout the year. The way we generate this fund is through newsletters, postings on our website, direct mail lists,e-mail lists, phone lists, etc. We will also seek in kind gifts and work diligently on fundraising, which will help develop these funding sources into a long-term support of the programs. Main Application 1/25/2016 12:26:51 PM Page 6 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION Page left Blank Intentionally Main Application 1/25/2016 12:26:51 PM Page 7 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 I A - continued Provider's Outside Agency Application MAIN APPLICATION 3. PROJECT/PROGRAM INFORMATION Agency & Program Name: Senior Care of Orange County; Inc. Florence Gray Soltys Adult Day Health Program As you complete your application, complete only those sections that pertain to the type of application you are submitting. The application is divided into several sections and not all sections apply to every project. Every applicant MUST complete the main application. a) Check the type of funding request for this application package submittal and complete the application and supplemental application sections as specified below: X Human Services (Main Application Only) AH Non-Construction (Main Application Only) AH Construction —(Main Application AND Part B) • AHDR Non-Construction (Main Application Only) n AHDR Construction — (Main Application AND Part B) I I CDBG Non-Construction — (Main Application AND Part A) El CDBG Construction — (Main Application AND Part A AND Part B) El HOME CHDO Set-aside — (Main Application AND Part A) n HOME Other —(Main Application AND Parts A AND Part B) Indicate the type of program for which you are requesting funding: Disabled Public Housing Program Category Youth Adult Elderly (not Neighborhoods/Resid elderly) ents Education Health and Nutrition X X X Job Training Sports and Arts Activities Pre-School Activities After-School Activities Mentoring Transportation Housing Other: Please specify Adult Day Care/Health Program _ X X X Program/Project Description (Label your responses as outlined below; not to exceed 3 pages.) Please provide the following information about the proposed program/project: b) Summarize the program services proposed and how the program will address the chosen Town/County priority? This is a request to continue with the financial support provided to the Florence Gray Soltys Adult Day Health Program under the auspices of Senior Care of Orange County, Inc. This program originally started by the County Department on Aging as a major Master Aging Plan Main Application 1/25/2016 12:26:51 PM Page 8 of 21 DocuSign Envelope ID:4FFDF545 e8C1-4Aer~^0A5-400050A30357 I A - continued Provider's Outside Agency Application MAIN APPLICATION funded initiative. County and Town funds are critical for the continuation of this one of a kind program that serves the severely frail elderly and adults with special needs in Orange County. We have seen growth from residents of Chapel Hill and Carrboro needing Adult Day Health services since 2014. The program expanded on February 4, 2009 as a partnership with the county to continue to work towards meeting the goals of the Master Aging Plan of Oratige County. The request for funding from each participating jurisdiction is a huge priority with helping to prolong and/or prevent institutionalization. This would allow the individual to age in place within their home and community as statistics show that adults are living longer. This program will continue to provide quality of care; with dignity and respect to all individuals in which we serve ages 18 and up. (Please note that the crverage age is 80 years old.) c) Describe the local need or problem to be addressed in relation to the Consolidated Plan or other community priorities (i.e. Council/Board Goals). Cite local data to support the need for this program and the population being served. Not applicable to our Agency d) Describe the population to be served or the area to benefit and indicate how you will identify beneficiaries. The population being served is more of the adults ages 65 and older. The need of this program is growing rapidly as more seniors age in place with various diagnosis ranging from,but not limited to dementia, Parkinson's disease, CVA and Diabetes. The existing space continues to allow more opportunities for families to feel reassured of the care and safety that their loved one receives with health monitoring by registered nurses, contracts with occupational and physical therapy services, certified nursing assistants to aid and assist in ADL care (activities of daily living), along with a social worker and activities staff to ensure that physical, social emotional and cognitive domains are being met. From year to year,the numbers enrolled continues to grow. Currently the program is averaging 24 participants per day, which allows for part-time and full-time enrollment with a licenses capacity for up to 29 on any given day. Affordability along with flexibility in participant's schedules helps to determine and identify funding for qualifying individuals. A weekly attendance and revenue form is used to track participants under an additional and/or supplemental funding source. e) Who specifically will carry out the activities and in what location will they be carried out? The Florence Gray Soltys Adult Day Health Program; operated by Senior Care of Orange County; Inc.; is a therapeutic,health-focused program model for adults and seniors which offers a variety of services in a home-like setting based in the community. The hours of operation are from 7:30um to 5:30pm" Monday- Friday. As a team effort,the interdisciplinary team will specifically carry out daily day health services at the Soltys Adult Day Health Program. f) Describe specifically the period over which the activities will be carried out, the frequency with which the activities will be carried out, and the frequency with which services will be delivered. Include an implementation timeline. The activities carried out for providing funding for adult day health services and continued program operations will transpire through the July |`2Di0-]uuoJ0, 20l7 fiscal year. The funding will help the continuation of services for families in need of Adult Day Health programming and additional days as needed along with program operations that would include but not limited to medical,office and activity supplies, some food cost with am and pm snacks,training(i.e. staff development on a quarterly basis and new staff orientation.) The services for the participants would vary on each individual need base. (i.e. one—two days per week, short-term and/or long- term.) g) Provide a bulleted list of other agencies, if any, with which your agency coordinateo/co||ab#ratemto accomplish or enhance the Projected Results in the Program(s) to be funded. For each, give specific examples of the coordinated/collaborative efforts. Main Application 1/25/2016 12:26:51 PM Page 9 of 2 1 DocuSign Envelope ID:4FFDF545 e8C1-4Aer~^0A5-400050A30357 I A - continued Provider's Outside Agency Application MAIN APPLICATION • Continued collaboration with the Vet mnu` Admbdxtroiioo (bompkWbaoodiuI}urbuno,NC). We have a VA contract that is negotiated each year. This continues to become a stronger referral base for us as we focus on our Aging Veterans in the community. • We also work closely with the Department on Aging- Eldercare Respite Program; support for caregivers needing services for their loved ones. This funding source offers Day Health services as an alternative to a couple of hours per day of in home aid services. This also allows the client to remain connected with the community through socialization with their peers. • Collaborate with NC Alzheimer's Association which is ongoing through resources for staff and caregivers and at times are able to temporally provide short-term funding based on certain diagnosis and financial needs. • Contract with a community based physical and occupational therapy organization. • We continue to seek volunteers throughout the community—often being met through our relationship with other human service agencies (i.e. Central Orange Senior Center, Seymour Center and other non- profit and for profit agencies and member organizations). • We periodically work with interns in various human service fields provided through UNC Hospital and the University(i.e. occupational therapy, social work, and nursing students.) * We have a continued relationship with the Orange County Department of Social Services and the Health Department in monitoring our program for quality assurance to maintain state certification. * Continued support with Triangle J of Governments with the Home and Community Care Block Grant (HCCBG)funding for adults 65 and older in need of Adult Day Health Services. This funding is used to provide a day (unit) of service for qualified individuals that meet the criteria. h) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended. If funding was a reduced allocation; hopefully the program would continue to serve as many participants and their families as possible which may reduce the daily average of individuals enrolled in the program due to limited funding sources. We would hate to fathom if funding was not awarded. If this scenario were to happen to Orange Counties one of a kind Adult Day Health model;this would be a huge impact for all the families that we serve. This unique program is committed to the health and well being of adults with physical and mental impairments that come along with the aging process. As Orange County continues to grow, with the new UNC hospital and new residential communities this shows a need of Adult Day Health services. Again, this program is able to provide a safe, stimulating, friendly environment to meet the quality of life for frail individuals that may need a bit more of structure in their day to day activities along with health care monitoring. Funding not awarded would also impact working caregivers and veterans of Orange County. Working caregivers may need to retire early or leave a position to care for their loved ones and with the Veterans,unable to provide the contracted services for the men and women that have served our country due to the lack of financial sustainability. Our program fees are based on a sliding scale of the individual in need of our program. This program was designed to meet the needs of all families that we serve. Majority of our population about 90% have at least a dementia diagnosis which is growing rapidly in this age group and the need for Adult Day Health services. Without the towns and County support, our program would be very difficult for the program to continue for more than one or possibly two years. Please consider the continuation of funding to help out our Orange County Residents. The Orange County Aging profile shows by 2034, the over age 60` 65 and 85 population will increase by 76.2%, 109%and 167%respectively. The Demographer of the Division of Aging and Adult Services of the NC Department of Health and Human Services provided this data. (see included in the pertinent information section (i) of this application) i) Include any other pertinent information. • A 2 page document on"North Carolina is Aging!";prepared by Swarna Reddy, NC DAAS, l)ece///be/'2O1J • Two informational brochures about The Florence Gray Soltys Adult Day Health Program. Main Application 1/25/2016 12:26:51 PM Page 1 0 of 21 DocuSign Envelope ID:4FFDF545 e8C1-4Aer~^0A5-400050A30357 i A - continued Provider's Outside Agency Application MAIN APPLICATION 0 Quarterly Caregiver Newsletters for the families that we serve and prospective families. Program/Project Information C. Complete the Target Population and Program Beneficiary Demographics Chart D. Complete the Schedule of Positions Chart for Program Staff E. Disclosure of Potential Conflicts of Interested must be signed F. Complete the Work Statement Chart to describe the work to be performed, and be sure to attach copies of all data collection tools that will be used to verify achievement of program goals and objectives. Describe who will be responsible for monitoring progress. Information to Complete j.) Target Population Complete the following tables to the best of your ability. Show numbers of participants and percentages, as applicable, in each category. Please indicate whether this project/program will serve: X Persons 111 Households - Units Program: Program Beneficiary Demographics Actual Estimated Projected 2014'15 201546 2016-17 Gender Male 46 48 50 Female 36 38 42 Total 82 86 92 Of the fema|eo, how many are single- female Head of Households (Omit for Human Services) n/a n/a n/a Ethnicity African-American 24 25 30 American Indian or Alaska Native 2 1 3 Asian 2 4 5 Caucasian 54 54 50 Native Hawaiian or other Pacific Islander 0 0 1 Other 0 2 3 Total 82 88 92 Of the above, how many Hispanic/Latino 0 2 3 Of the above, how many non- H|opanio/LaUno 82 84 89 Total 82 86 92 Agm'` ��'` ``'^ ` 0-5 years 6-18 years Main Application 1/25/2016 12:26:51 PM Page 1 1 of 2 1 DocuSign Envelope ID:4FFDF545 e8C1-4Aer~^0A5-400050A30357 i A - continued Provider's Outside Agency Application MAIN APPLICATION 19-50 years 2 1 1 51-61 years 2 6 8 62+ years 78 79 83 Total 82 86 92 �Geographic Location �'` `'' � �`'`' ' �` Durham City Durham County 8 8 8 Carrboro 5 6 7 Chapel Hill 9 12 13 Chapel Hill Public Housing Residents Orange County 53 54 56 Raleigh 1 1 1 Wake County & Other Counties- Alamance & Person 6 5 7 Total 82 86 92 nco ' foll sr ``�``� ([ i }-S �!���``��|�'.`��`'{'!�, `'�`� ```� < 3UY6 Area Median Income 25 27 28 31-50% Area Median Income 36 35 37 51-80% Area Median Income 17 19 22 > 80% Area Median Income 4 5 5 Total 82 80 92 Special Needs (Omit for HS) Elderly(Over 62) 78 80 85 Disabled (not elderly) 4 6 7 Homeless People with HIV/Aids Total 82 86 92 Main Application 1/25/2016 12:26:51 PM Page 2 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION CDBG & HOME ONLY - Area Benefit Activities (Infrastructure and Public Facilities) Street Census Tract Block Group Total Persons #LMI Persons 2015 Area Median Family income Limits U.S. Department of Housing & Urban Development (HUD) 2015 Area Median Family Income Limits Effective March 15, 2015 Income 1 2 3 4 5 6 7 8 Level person people people people people people people people 30% AMI $14,150 $16,200 $20,090 $24,250 $28,410 $32,570 $36,730 $40,890 50% AMI $23,600 $27,000 $30,350 $33,700 $36,400 $39,100 $41,800 $44,500 80% AMI $37,750 $43,150 $48,550 $53,900 $58,250 $62,550 $66,850 $71,150 100% AMI $47,188 $53,938 $60,688 $67,375 $72,813 $78,188 $83,563 $88,937 115%AMI $54,266 $62,028 $69,791 $77,481 $83,734 $89,916 $96,097 $102,278 http://www.huduser.org/portal/datasets/i1/1115/FY2015 IL nc.pdf Main Application 1/25/2016 12:26:51 PM Page 1 3 of 2 1 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 [ A - continued Provider's Outside Agency Application MAIN APPLICATION k) Schedule of Positions Please include program staff positions followed by volunteer positions; these financial figures should match the personnel figures in your Agency Comparative Budget Excel Form. Similar positions can be combined. (i.e., 8 Occupational Therapists can be inserted as one line item). If provided indicate: lox Position Titles FTE* % Actual Estimated Projected °A Total rztirement Vacant Staff+ - Plan (H) Health Plan Program Director 180 1.0 64,888 64,888 64,888 n/m Office Manager 1.00 .75 n/a 28,000 28,000 n/a Registered Nurses 1.00 1.0 38,000 38,000 38,000 n/a Certified Nursing Assistants 3.50 I50 81,850 81,050 81,050 n/a Activity Coordinator 1.00 1.0 17,000 17,000 17,000 nia Social Worker .50 .50 28/000 23,000 23/000 n/a $223,938 $251,938 $251,938 Notes: = Similar positions can be combined: i.e. 8 Occupational Therapists can be inserted as one line item. • ^" Full Time Equivalent staff will be noted as 1.00; half time as .50; quarter time as .25, etc. • + Denotes the percentage of staff time involved with this program. o Calculate a Full Time Equivalent for all recorded volunteer hours using the following: Total Volunteer Hours=Volunteer FTE 1,960 Main Application 1125/2016 12:26:51 PM Page 14 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION I.) DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST Are any of the Board Members or employees of the agency which will be carrying out this project, or members of their immediate families, or their business associates: YES NO a) Employees of or closely related to employees of the Town of Chapel Hill, Orange County, Carrboro, or Hillsborough? X b) Members of or closely related to members of the governing bodies of Chapel Hill, Carrboro, Hillsborough, or Orange County? X c) Current beneficiaries of the project/program for which funds are requested? LI X d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the project ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any grant awarded. Signature: V9///& Executive Director Date Signature: f tc_0, /MO //21/4_0/ ard Chairperson Date Main Application 1/20/2016 4:53:03 PM Page 1 5 of 2 1 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION m.) Work Statement This form is used to document program activities, program goals, performance measures, and actual results. (Add more rows as needed) If this is a new program, you will only document the projected information. • Program Activities should outline major activities the agency implements to accomplish its program goals. e Program Goal should explain what the program is trying to achieve/accomplish. Goals are statements about what the program should accomplish. SMART Goals o Performance Measures describe how you will evaluate the degree in which you achieved the stated goals. o Actual Program Results use program results to indicate the actual measureable achievement of goals. If goals were not met, please explain. Actual Estimated Projected 2014-15 2015-16 2016-17 Program Activity 1 Program Goal Maintain Adult Day Health Maintain Adult Day Health Maintain Adult Day Health 1 "I -I I I III -# I • II-I -I Increase marketing Peilormance Measures Strategies Increase marketing Strategies Increase marketing Strategies Program Results Monthly Marketing resulted in Monthly Marketing resulted in an Monthly Marketing resulted in an .1 I 0-I I I I • II-# ". ". 11 -I It III Program Activity 2 Prevent and/or Delay Prevent and for Delay Prevent and for Delay Institutionalionalization Institutionalionalization Institutionalionalintion Program Goal rTesoopurrocveilti7navn:ioaflcooamarrilcuioniatynts rTesoopurrocvesidetof financial oa fl cooamitrincumniatynts To provide financial community resources to 85%of oarticivants Performance Measures Assist with supplemental Assist with supplemental funding Assist with supplemental funding .11-0 +11 I •I Program Results 25°0 of families resulted in 20%of families resulted in 15%of families resulted in I *O. .1 *zation, institutionalization Program Activity 3 Program Goal Performance Measures Program Results Program Activity 4 Program Goal Performance Measures Program Results Activity 5 Program Goal Performance Measures Program Results Main Application 1/25/2016 12:26:51 PM Page 16 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION 4. FINANCIAL INFORMATION FOR SERVICE PROGRAMS a.) Program Budget Please complete a Program Budget Excel Form for each requested program. The Program Budget should reflect only figures and amounts associated with the Program(s) for which you are seeking funding and not the total agency budget. If the program's finances experienced significant changes that you would like to explain, please use the space below. It is required that your Excel budget worksheet be embedded on the next page. You must also submit an electronic copy of the MS Excel file with your application, as a separate file. Main Application 1/25/2016 12:26:51 PM Page 17 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION Program Budget Worksheet AGENCY NAME: Senior Care of Orange County; Inc. Actual Estimated Projected Percent PROGRAM REVENUE 2014-15 2015-16 2016-17 Change Private Donations $ 150 $ 550 $ 250 -55% Program Generated Revenue (fees) $ 297,933 $ 318,951 $ 335,000 5% Local Government Grants: . Orange County $ 25,000 $ 25,000 $ 25,000 0% Town of Chapel Hill $ 750 $ 1,500 $ 1,500 0% Town of Carrboro $ 1,000 $ 1,000 $ 1,000 0% Other Local: IIIIIIII 0 Other Local: Mill.111 .111.111111111 0 Other Local: 111111M11111.111 0 If more than 3 sources,please provide a separate list. Non-Local Government Grants Triangle United Way $ 928 1311111.1M 0 State Government IIIIMIllill. 0 Federal Government 11111M110. 0 Other Grants: 11111111111111=111.11 0 Other Grants: .1 .111=11111 0 Miscellaneous/Other Revenue 111=M11 0 !lease list 3 largest rViscellanous sources: $ _ $ _ $ _ Total Program Revenue $ 325,761 $ 347,001 $ 362,750 M!! PROGRAM EXPENSES Compensation $ 295,014 $ 312,000 $ 310,000 -1% Rent&Utilities $ 1,561 $ 1,561 $ 1,561 0% Supplies&Equipment $ 13,423 $ 11,000 $ 12,500 14% Travel &Training $ 1,964 $ 1,430 $ 1,500 5% Other Expenses: $ 36,885 $ 38,000 $ 37,000 -3% Flease list 3 largest"Other Expenses": Insurance $ 20,943.00 Snacks $ 6,324.00 Copier Lease $ 3,465.00 Total Program Expenses $ 348,847 MIMI 0% SURPLUS/(DEFICIT)FOR PERIOD: I $ (23,086) $ (16,990)1 $ 189 1 1011 Main Application 1/25/2016 12:26:51 PM Page 18 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION b.) Program Budget Detail What is the cost to deliver your project/program? List each project/program element in the table below, including the cost of each element, the quantity and unit of measure, and the subtotal for each element. Where necessary, allocate costs to the use of shared space, vehicles or equipment. Example Program: Credit Counseling Class Cost Elements Cost($) Quantity/Unit of Measure Subtotal ($) Credit Counseling Teacher-in class $25 96 hours (8 hrsImth x 12 months) $2,400 Credit Counseling Teacher—class prep $25 48 hours (4hrslmth x 12 mths) $1,200 Credit Counselor—one-on-one $20 120 hours(10 hrstinth x12 mths $2,400 Materials $25 120 course packets/credit reports $3,000 Total $9,000 Complete the table below for the project/program for which you are requesting funds. Attach additional rows/pages, as needed. Program: Supplemental Funding for client enrollment and program operations Cost Elements Cost($) Quantity/Unit of measure Subtotal($) Client cost per day $44.00 -I unit/day ( 240 days) $10,560 Program Cost(supplies&personnel) $90.00 Average cost per day for operabons(253) $22,770 Total $33,330 c.) Cost per Unit Actual 2014-15 Estimated 2015-16 Projected 2016-17 Total Cost of Program $348,847 $363,991 $362,561 Total # of Units 6024 6072 6072 Cost Per Unit $57.90 $59.94 $5911 This Cost Per Unit must reflect the total program budget and the total number of program beneficiaries (households or persons) in this application and must be consistent with report submittals from previous years (if applicable). Main Application 1/25/2016 12:26:51 PM Page 19 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION cl.) Agency Operating Budget Please show all sources and amounts of funding for your entire current fiscal year. What is your agency's fiscal year? Example: July 1, 2016 through June 30, 2017. Submit operating budget in your own format. Senior Care of Orange County Inc.'s annual fiscal year is July 1, 2016 through June 30, 2017 Do not include funds that have been applied for but not yet awarded: If the total revenue is not the same amount as the budget for any fiscal year, please attach a statement explaining the deficit or surplus. It is required that your Excel budget worksheet be embedded on the next page. You must also submit an electronic copy of the MS Excel file with your application, as a separate file. Main Application 1/25/2016 12:26:51 PM Page 20 of 2 '1 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application MAIN APPLICATION Section Vl. Financial Data Operating Budget for Entire Agency AGENCY NAME: Senior Care of Orange County;Inc, Actual Estimated Projected Percent PROGRAM REVENUE 2014-15 2015-16 2016-17 Change Private Donations $ 150 $ 550 $ 250 MI Program Generated Revenue (fees) $ 297,933 $ 318,951 $ 335,000 5% Local Government Grants: Orange County $ 25,000 $ 25,000 $ 25,000 0% Town of Chapel Hill $ 750 $ 1,500 $ 1,500 0% Town of Carrboro $ 1,000 $ 1,000 $ 1,000 0% Other Local: IMME 0 Other Local: = 11=.1111111111111111111111111 0 Other Local: 0 It rnore than 3 sources,please provide a separate list. Non-Local Government Grants Triangle United Way $ 928 $ - 0 State Government IMIIIIIIIIIIIIIII 0 Federal Gmernment 0 Other Grants: 111111.11111•11111 0 Other Grants: 11.1111111111MEMMINIMII 0 Miscellaneous/Other Revenue 0 Reese list 3 largest Miscellanous sources: $ - $ _ $ - Total Program Revenue IMI $ 347,001 $ 362,750 .1111 PROGRAM EXPENSES Compensation $ 295,014 $ 312,000 $ 310,000 -1% Rent&Utilities $ 1,561 $ 1,561 $ 1,561 0% Supplies&Equipment " $ 11,000 $ 12,500 MN Travel &Training $ 1,964 $ 1,430 $ 1,500 MI Other Expenses: $ 36,885 $ 38,000 $ 37,000 MI Reese list 3 largest"Other Expenses": Insurance $ 20,943.00 • Snacks $ 6,324 00 Copier Lease $ 3,465.00 Total Program Expenses $ 348 847 $ 363 991 IIPEI 0% SURPLUS/(DEFICIT)FOR PERIOD: $ (23,086)1 $ (16,990)1 $ 189 1 iotycl Main Application 1/25/2016 12:26:51 PM Page 21 of 21 DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application Florence Gray Soltys Adult Day Health Program ("Operated 6y. Sem;ar Care of Orange Coemty, //7c) 705 fileadowland Drive Hillsborough, North Carolina 27278' • 1/ammona; Pres/de • ESperse,7 President eailferson, Treasurer Karen Daniet Secretary TeA (979)21'5,2077 Far(9W)2.95-2078' Main Application: Program/Project Description i. Other pertinent information included: Please see attached forms: • 2 page document on "North Carolina is Aging" • 2 program brochures • Caregiver's Corner Quarterly Newsletter DocuSign Envelope ID 4rror545-a8C1-4Aor~^0A5-400050A30357 [ A - continued Provider's Outside Agency Application North Carolina is ��x�^ K�� " ~~°. = = ~�~°^ ~~,." "~° .= Aging! .��. The number of adults 65 and older will increase dramatically over the next 15 years. Here are a few facts: * North Carolina ranks gth nationally,both in total l population and in the number of people 65 and older � In 2025,one in five North Carolinians will be 65 and older. � Our 65 and older population will almost double in the next 20 years from 1.5tv2.5million. ^ The number of people age 85 and older will be the fastes growing segment beginning in 2030 when the oldest of 2.4 million baby hoomers near their 85:k birthday. Population Change 2OI4'2O34 VlaPge Ages :1611...1";,,, 201,0-g0340 Total 9,953,687 12,020298 20.8% 60+ 2,033,282 20.4% �lI63O37 26.3% 55.6% 65+ 1455,043�`� 14.6% 3,459532 20.5% 69.0% 85+ 169,4 13% 325,964 2.7% 92.3% Status of North Caroli i 65 and ONe 2014 Living alone 28% 28% Veterans 21% 22% Have a disability 38Y6 36% Have less than high school education 22% 20% In labor force 16% 17% Own their homes 82% 79% Income is below poverty level ` 10% 10% Income is between 100%-199%of the poverty leve 24% 22% Median household income $35,204 $37,945 4 2%of individuals 65 and over speak English less than"very well". * An estimated 20,191 people 65 and over migrated from other states and abroad to North Carolina. + 100,472 grandparents age 30 and over are responsible for grandchildren under 1Oin the state. 1.4%of them are age 65 and over. DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 [ A - continued Provider's Outside Agency Application � 20%of persons age 65 and over are members of racial or ethnic minority populations, 16%of them are African-Americans. Race d Hi i Latino Origin, 65 and older, 2014 White 81.4% 84.5% Black or African American 15.8% 8.7% American Indian and Alaska Native 0.8y6 0.5% 1.1% 3 Asian ' '8% Native Hawaiian and Other Pacific Islander 0.0% 0.1% Some other race 0.3Y6 1.5% Two or more races 0,6% 1.0% Hispanic or Latino origin(of any race 1.5%'SY6 7'3% White alone, not Hispanic or Latino 80.3% 79.1% Health Facts: * North Carolina currently(2015)has 160,000 adults 65 and over with Alzheimer's disease and this number is projected to rise to 210,000 by 2025.This disease is the fifth leading cause of death among people 65 and over. • Ofthepeop|e6Sandnvcr,amcopd|ngtothe8ehaviora| RiskFaotor Surveillance System(BRFSS)survey for 2014: o 82%had at least one chronic disease.54%of them had 2 or more chronic diseases; o Diseases of the heart(22.1%)and cancer(21.6%)were the leading causes of death; o 69%had an adult flu treatment,71%had a pneumonia shot and 36%either had shingles or the zoster vaccine; u 72%reported that they had not fallen in the past year; o 68%reported exercising in the past 30 days. Sources 1. Alzhelmer's AssocIation,2015 Altheimer's disease Facts and Figures.htto://www.aisarg/facts/ 2. North Carolina Office of State Budget and Management,population estimates and projections. http://www^sumoc.xvvitacts- ngvresWom«m'^n»icu 3. North Carolina State Center for Health Statistics,BREsS. °ww.scx`.state.ocus4ata brfss 2014 4. Census Bureau.American Community Survey,2014 one year estimate and 2010-2014 five year estimates.https:fiwww.census.govi *prepared by Swarna Reddy,NC DAAS,December 2015 2 GOP= 'lorence Quick Fa ,. Y An alternative to institutional care for adults, with space for up to 29 s Adult 'Day 4i participants. Fy Health Program Convenient hours` f operation >}s to fit the working caregiver CU 730am to v oir ' Q W � 1 * lexible scheduling av ° cable® Mind o Q Q Operated. g . h o activities troghot�the ay. ` alt a salt Program �� �f Orange co -!n J �k 1 10 L Inc. co LO Y d Service o Senior Care of Orange Coun ,Inc. ua �estYa ' eluding® 1W ing assistants, ' f 105 Meadowlands Drive, P.O. Box 818 registered nurse, activity Boor® ° sborough,NC 2727 co , °nat r and program director. OFF HIGHWAY 7 - BUSINESS LO LO SP �SP� Member of the North Carolina Ault Day Services Association. An Enriching Day Health Program W For more information or to make referral. CD Sir M (Phone) 919®245-2017 (Fax) 919-245-2018 for Adults and Se °ors U-)Misoltysaayhealth.org 0 0 Florence Gray Soltys Affordable Transportation mailable Our, Benefidial ° . s Adult Day Health Program for Orange County Residents. The lives of adults who have certain physical disabilities and/or Strongly committed tote ealt �, dementia can. be greatly a being f adults struggling enriched thorough: with e entia. The services offered ° c ude: * Exercise Music safe, friendly enviro ent , } Celli qualified nurses/therapist . . � �(z eal preparation 1®RL r v .a a Approach A 35 YL S YT r ' aregiver respite <j eznique needs of each �ocialization R �� :- participant are respected, and ,t� L :u�� actvtes their Beals for personal fulfillment F service s Y m focus on individualised are supported by. Interaction with each other, weeds 4 staff& volunteers t t:E Careful listening & responding in an adult manner Q out' ovef � Reviewing particular interests � � Specialized programs to fits Ff } LPL - *`s` ` N A® 1Ce.:I" O T�; .z. individual needs ��#... x� Recognizing srengths3t ' z lorenoe Gr caltys hardships x Enc J6 Pr' � � '•,� {,' a £ CAF,� 4 Rt � z #�t:i � -'l c �z� `v £ WE PROVIDE N�£� z 3=,-:-- t c � s O'F MIND FOR Elt-T--W- 0 R A N S" { K : f ' 3 1 Situ ` M3 �`����€ � * �aiixeoA� � � AND THEIR FAMILIES Florence Gray Solty Our program is open o civilians as well as veterans. - ADULT DAY HEALTH , W offer free PROGRAM i Y� =} # u "Promoting the Health , ' trial visit and Well being of #t The expense of attendance for , . - . our Participants F: �/eferans is subsidized b # affordable care. r ijijijig , # 6 �■ �Zyt. yi 3 Fl ' `�R1c p r = s ` t k c I F Florence Gray Soltys There is no need fora veteran to have Adult Day Health Program is strongly committed committed to the health � _ to remain home alone, or insituionaIized and well-being of Veterans with {' `£ � because of minor Health needs. physical or mental health needs. Our services to our participants can enrich and their families include: Why our program ` A safe, friendly environment a Veterans life. Qualified nurses & therapists Our participants experience comradery, o * Assistance bathing m a self fulfillment and the feeling of Nutritious Meals r I l �al � r aC giving back to the community as well .Q Caregiver respite as to each other. They are encouraged Q Socialization to follow their own interests, and >' The unique needs of each veteran to make as many choices as possible. Stimulating activities connection with the community are respected, and their goals for Our program includes: <t A focus on each individual's needs personal fulfillment are supported by: 1'o elpfulness in reching the height Exercise recreation LO of thei DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued Provider's Outside Agency Application Florence G. Soltys Adult Day Health Program 105 Meadow land Drive Hillsborough, North Carolina 27278 919-245-2017 Caregaivers Co ,, er Quarterly Newsletter January— March 2016 "Things that bothered you this week, ten years from now, look entirely different, or fifty years from now. People have themes in their lives that they like to go back to and emphasize, which are always, I think, very important to listen to." -Florence Gray Soltys - s FREE LEGAL ADVICE provided all day by the Young Lawyers Division of the NC Bar Association! Caregiver Educar, fl. 2016 Ask-A-Lawyer Dav Saturday, Feb. 6 The Young Lawyers Division of the North Carolina Bar Association(YLD NCBA) is pleased to provide free legal advice to citizens through the annual Ask-A-Lawyer Day. Ask-A-Lawyer Day 2016 will take place Saturday,Feb. 6,at 10 locations across the state.This is a public service event at which volunteer attorneys provide free legal advice to North Carolina citizens. No business relationship may be established between the volunteer attorneys and the citizens. It's all completely free. Attorneys will be on hand to answer questions in the following cities and towns: Asheville, Burlington,Burnsville,Chapel Hill, Charlotte, Durham,Greensboro, Raleigh, Wilmington and Winston-Salem. To avoid confusion,please note that this event is different than the NCEIA's 4ALL Statewide Service Day,which is conducted entirely by phone.That event is conducted annually on the first Friday in March and will he held this year on March 4. Ask-A-Lawyer Day is coordinated by the YLD's Civic Education and Community Relations Committee,which is chaired by Andrew R.Jones of Rountree Losee LLP in Wilmington. Caregiver Chat: Valuable Resource, and It's Free! Healthy Ti Thanks YLD NCBA I The Soltys Program was informed of this valuable resource being offered in our local and surrounding areas by NC-DHHS Division of Aging&Adult Services in Raleigh, NC via the Young Lawyers Division of the NC Bar Association.Their statement reads as follows: 0 0 "This is a free, in-person legal program by the Young Lawyers Division , of the NC Bar Association that will be held in 10 different locations across the state on Saturday. February 6, 2016. This is open to any North Carolina citizen of any age," • - list The list of locations and times is on the back of this News Flash. Please consider the resource. As always, I am available to discuss, in 1,woavi.wow b0,,,aid beta live irt.those stit*mktras detail, how you as a caregiver will benefit from this valuable and free wlvext our hear ts.trro corkoiotx Omr froo-Vofo&." service! 'fitorrifo.sa Wilder Call mel luttrgam,ratawaars-cc xv. Tamara Griffin, MSW at 919 245 2017. DocuSign Envelope ID 4FFDF545-B8C1-4ABF-A6A5-400656A36357 i A - continued Provider's Outside Florence G. Soltys Adult Day Health Program 105 Meadow land Drive Hillsborough, North Carolina 27278 919,245'2027 �����r��� �� mr ers ' C r Quarterly NeVVsletterJaDuary— March 2016 Details regarding times, locations, event coordinators and contact information follows: Asheville Location: Pack Memorial Library, 67 Haywood Street, Asheville, NC 28801 Time: 10 a.m.to 1 p.m. Event Coordinator: Shannan Barclay Tuorto Contact Information for Event Coordinator: Ingrid Friesen, P.A., 77 Church St., Asheville, NC 28801, shannanbarclay@charter.net Burlington Location: May Memorial Library, 342 S. Spring St., Burlington, NC 27215 Time: 9:30 a.m. to 12 p.m. Event Coordinator: Nick Bakatsias Contact Information for Event Coordinator: Carruthers& Roth, P.A, 23S N. Edgeworth St., Greensboro, NC 27401; njb@crlaw.com; 336-478-1121 Burnsville Location: United Community Bank, 603 E. Bypass, Burnsville, NC 28714 Time: 10 a.m. to 1 p.m. Event Coordinator: Morgan Peterson Contact Information for Event Coordinator: Roberts &Stevens, P.A., 1 West Pack Square, Suite 1100, Asheville, NC 28801, mpetenon@prOberbs-stevens.com Chapel Hill Location:Town of Chapel Hill Public Library, 100 Library Drive, Chapel Hill, NC 27514 Time: 1U am.to 1 p.m. Event Coordinator:James (Jim) Baker Contact Information for Event Coordinator: Hedrick Gardner Kincheloe & Garofalo LLP, 4131 Parklake Avenue, Suite 300, Raleigh, NC 27612,919J19.3712, 919.832.9425,jbaker@hedrickgardner.com Charlotte Location: Legal Services of Southern Piedmont, 1431 Elizabeth Avenue, Charlotte, NC 28204 Time: 10 a.m. to 1 p.m. Event Coordinator: Parker Moore Contact Information for Event Coordinator:Johnston Allison & Hord, 1065 East Morehead Street, Charlotte, NC 28204; pmoore@jahlaw.com; 704'998'2237 Durham Location: The Cookery-1101 West Chapel Hill Street, Durham, NC 27701 Time: 10 a.m. to 1 p,m. Event Coordinator: Cohn Shive Contact Information for Event Coordinator:Tharrington Smith LLP, 150 Fayetteville Street, Suite 1800, Raleigh, North Carolina 27602, 919-821-4711, cshive@tsmithlaw.com Greensboro Location: Greensboro Public Library–219 N. Church St., Greensboro, NC 27401 Time: 10 a.m.to 2 p.m. Event Coordinator:Jonathan Massell Contact Information for Event Coordinator: Nexsen Pruet, PLLC, 701 Green Valley Road, Suite 100, Greensboro, NC 27408; JMassell@nexsenpruet.com; 336'387'5159 Raleigh Location: Cameron Village Regional Library, 1A30 Clark Avenue, Raleigh, NC27605 Time: lU:30a.m.ho1:3Up.m. Event Coordinator: Laura Forrest Contact Information for Event Coordinator: Hedrick Gardner Kincheloe &Garofalo LLP, 4131 Parklake Avenue, Suite 300, Raleigh, NC27612, 919.719.S711, |fmrrext@hedrickXardner.mom Wilmington Location: Independence Mall, 3500 Oleander Drive, Wilmington, NCl84O3 Time: 11p.nn.toZp.m. Event Coordinator: Pamela Carter Contact Information for Event Coordinator: Hedrick Gardner Kincheloe & Garofalo LLP, 6770 Parker Farm Drive,Suite 300, Wilmington, NC 28405 pcarter@hedrickgardner.com Winston-Salem Location: Carver School Road Branch of Forsy h County Public Library, 4915 Lansing Drive,Winston Salem, NC 27105 Time: 10 a.m.to 12 p.m. Event Coordinator:Toni Grace Contact Information for Event Coordinator: Blanco Tackabery& Matamoros, P.A., 110 South Stratford Road, Suite 500, VVinston'Sa|em, NC271O4-4299, tjg@blancolaw.com DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 EXHIBIT `B" Scope of Services—FY 2016-17 Outside Agency Performance Agreement Agency Name: Senior Care of Orange County, Inc Funding Award: $30,000 Outline how the agency will spend Orange County's funding award. Expense Description Amount Personnel—Salaries 30,000 Programmatic Expenses—Supplies,Transportation, Staff Development,and Outreach Program Services For assistance with this or the following section, please reference the Exhibit A instructions and example, located within the contract and reporting memorandum. Outline the major activities the agency will employ to attain the Anticipated Outcomes below,by June 30,2016. • To conitnue to provide a therapuetic health model focus to the participants by promoting independence,wellness, socialization and emotional well being in a community based setting. • Provide additional respite support services and resources for the families that we serve through quarterly trainings and inservices. • To support the conitnuation of additional program supplies when census increases. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County, only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results Provide financial community resources to participants 85 % Prevent families from resulting in institutionalization 15 % FL:e:Signed u by: Director 10/26/2016 Certified by: _ Title: Date: 60,52B65B6443... (Provider's Signature) DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 Client#:955852 04SENIOCARI ACORDTM CERTIFICATE OF UAB L[TY INSURA• NCE DATE(MWDDNYYY) 9!02!2916 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTICCT NAME: BB&T Insurance Services,Inc. PHONE 888 743-2217 FAX 8888279861 (AIC,No ExI): (FUG,No): 414 Gallimore Dairy Road E-MAIL Suite F ADDRESS: Greensboro,NC 27409 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Evanston Insurance Company 35378 INSURED INSURERB:Riverport Insurance Company 36684 Senior Care of Orange County Inc Attn Day Health Cent INSURER C: INSURER D: 105 Meadowland Dr. Hillsborough,NC 27278-8181 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY FEE LTR INSR,WVD POLICY NUMBER (MMIDDNYYY) IMMIODNYYY) LIMITS A X COMMERCIAL GENERALLIABIUTY SM914951 07/13/2016 07/13/2017 EACH OCCURRENCE 51,000,000 X CLAIMS-MADE OCCUR PREMISES(Eaccccurrence) 550,060 X BIIPD Ded:5,000 MED EXP(Any one person) 55,000 PERSONAL&ADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s3,000,000 PRO- POLICY -JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE UABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) • 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED 1 RETENTION$ _ _ $ pci B WORKERS COMPENSATION NCARP305328 02/08/2016 02/0812017 X ISr.MUTE I OTH- ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YlN E.L.EACH ACCIDENT $500,000 OFFICEWMEMBEREXCLUDED? [ Yl NIA (Mandatory In NH) EL.DISEASE-EA EMPLOYEE 5500,000 If yes,describe under DESCRIPTION OF OPERATIONS below F.L.DISEASE-POLICY LIMIT $500,000 A Sexual Acts SM914951 07/13/2016 07/13/2017 $100,000 occurence Liablity $300,000 aggregate DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Professional Liability-Pol.#SM914951 Professional Liability Limit#1:1,000,000 Ded.#1:$5,000.00 Limit#2:3,000,000 Retroactive Date:July 13,2005 for GL and PRO (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1Uf>1t.Cui OO 19813-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014(01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S167622361M16521526 LRN