HomeMy WebLinkAboutAgenda - 06-05-2001-8jORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 5, 2001
Action Agenda
Item No. g ;
SUBJECT: Home and Community_ Care Block Grant
DEPARTMENT: County Manager PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Funding Plan
INFORMATION CONTACT:
Jeny Passmore, ext. 2009
Corintha Barber, ext 2300
TELEPHONE NUMBERS;
Hillsborough 732-8181
Chapel HIII 9fi8~501
Durham 688-7331
Meban® 33fi-227-2031
PURPOSE: To approve the Home and Community Care Block Grant Funding Plan..
BACKGROUND: The State Department of Human Resources established the Home and
Community Care Block Grant in July 1, 1992. The grant did not create new funding streams,
but combined funds appropriated to the Department on Aging, Department of Social Services,
and Joint Orange Chatham Community Action Agency, (JOCCA) to administer programs for
senior citizens.
The block grant requires the Board of Commissioner; to approve the recommended funding
plan. The recommended funding for the 2001-2002 year is $404,812. The amount is $10,834
more than 2000-2001 grant amount of $393,978. The Home and Community Care Technical
Advisory Committee reviewed the plan on April 4, 2001 and supported the continual of current
funding levels with the additional of $10,834 to be allocated for Day Care Services. The
Advisory Board on Aging also reviewed the committee's plan on May 11, 2001 and
recommended the approval. The Funding Plan is attached.
FINANCIAL IMPACT: The Home and Community Care Block Grant to the County will increase
$10,834 for fiscal year 2001-2002.
RECOMMENDATION(S): The Manager recommends that the Board approve the 2001-2002
Home and Community Care Block Grant Funding Plan and. authorize the Chair to sign grant
documents.
Home and Community Care Block Grant Funding
Comparison for FY 2000-2001 and FY 2001-2002
Programs Block Grant Proposed Block
Funding Grant Funding
FY-2000-2001 FY 2001-2002
JOCCA
Congregate Nutrition
JOCCA has six Congregate Meal Sites located in $105,395 $105,395
Orange County. A site manager is located at each
site and is responsible for the daily operation of
nutrition programs and meals. There are also
three coordinators of services responsible for the
coordination, outreach, referral and provision of
services to low-income families and individuals.
These services include, but are not limited to
weatherization, housing rehabilitation assistance,
financial emergency assistance, .Older Workers
Pro ram, and information and referral.
DSS
In-Home Aid S®rvices $ 34,477 $ 34,477
Home and Community Block Grant enables low-
income, minority individuals to defer or prevent
institutionalization by providing quality services to
meet basic needs. These services include the
performance of essential home management and
personal care tasks rendered under guidance and
su envision.
Aging
Senior Center Operations $ 56,777 $ 56,777
Grant funds pay a portion of the salaries of the
Facility Managers at the four multi-purpose Senior
Centers o erated b the De artment on A in .
Transportation
Daily Fixed route transporkation is provided for $ 73,397 $ 73,397
seniors to attend activities at the four Centers and
two community centers that house the JOCCA
Nutrition Programs sites in Orange County.
Home and Community Care Block Grant Funding -
Comparison for FY 2000-2001 and FY 2001-2002
Programs Block Grant Proposed Block
Funding Grant Funding
FY 2000-2001 FY 2001-2002
Information and Case Assistance
Assist seniors and their families in accessing $ 43,283 $ 43,283
information about relevant issues, such as health
insurance and benefits; work with individuals who
have had a change in health status to arrange the
array of services that will allow them to continue to
live in their own homes as long as possible.
In-Home Aid ResQite
Provide temporary relief for unpaid caregivers of $ 80,649 $ 80,649
individuals who cannot be left alone. In-home aid
services are provided through service agreements
with one or more licensed provider agencies.
Adult Day Care 0 $ 10,834
Provide temporary relief for unpaid caregivers of
dividuals who can benefit from assistance and
su envision in a communi facili settin .
Total $393,978 $404,812
4
DOA -730
(Rev. 3/00)
Home and Community Care Block Grant for Older Adults
Caanty Fending Plan
Identification of Agency or Office with Lead Responsibility for Courrty Funding Plan
'County _ o,~~,~~ .„,,,.. July 1, 2001 tbrvugh June 30, 2002
,The agency or office with lead responsibility for planning and coordinating the County
Funding Plan recommends this funding plan to the Soard of Connnissioners as a
~~ coordinated means to utilize community-Uased resources in the delivery of comprehensive
~, aging services to older adults aad their farmlies.
(7r~T^ ~~n1-~j~,~~cr cr (~ fins
(Name of agency/office with lead responsibility
John Link r Jr _ ~ Man~a~?.~. _ _. _ _ ___
(Type name and title of signatory agent)
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DOA-733
(Rev. 1/00)
Home and Community Care Block Grant for Older Adults
County Funding Plan
Methodology to Address Service Needs ofLow-Income Minority Elderly
(Older Americans Act, Section 306(a)(5)(A)(ii))
Community Service Provider Orange County Dept. of Social Services
County_ _ orange ,_,,,_, July 1, 2000 through June 30, 2001
The Older Americans Act requires that the service provider attempt to provide services to
low-income minority individuals in accordance to their need for aging services. The
community service provider shall specify haw the service needs of low income minority
elderly will be met through the services identified on the Provider Services Summary
(DOA-732). This narrative shall address outreach and service delivery methodologies
that will ensure that this target population is adequately served and conform with specific
objectives established by the Area Agency an Aging, for providing services to low
income minority individuals. Additional pages may be used as necessary.
DQA-734
(revised 1/99)
July 1, 2000 through June 30, 2001
Home and Carrlmunity Care Block Grant for Older Adults
Community Service Provider
Standard Assurances
s t }r- ~ P ~,.t ~, ~ s ~ ~-,i,, a i s ~ rte; ~ s to provide services through the Home and
(Name of Provider)
Community Care Block Grant, as specified on the Provider Services Summary (DOA-732)
in accordance with the following:
1. Services shall be provided in accordance with requirements set forth in:
a) The County Funding Plan; '
b) The Division of Aging Home and Community Care Block Grant Procedures
Manual for Community Service Providers; and
c) The Division of Aging Services Standards Manual, Volumes Y through TV.
Community service providers shall monitor any contracts with providers of Block
Grant services and take appropriate measures to ensure that services are provided in
accordancc with the aforementioned documents.
2. Priority shall be given to providing services to those older persons with the greatest
economic or social needs, with particular attention to low-income minority
individuals. The service needs of low-income minority elderly will be addressed in
the manner specified on the Methodol to Address Service Needs of Low-into e
Min9rity Elderly format; (DOA-733).
3. The following service authorization activities will be carried aut~ in conjunction with
all services provided through the Block Grant:
a) F_]igibility determination;
b) Client intake/registration;
c} Client assessment/reassessments and quarterly visits, as appropriate;
d) Determining the amount of services to be received by the client; and
e) Reviewing cost sharing/voluntary contributions policies with eligible clients.
A17 i;..d..wsn .s...r.:~w 7...x.7- _~'~ ~---'---- ------- -- r--- -- ~ r. r n
Standard Assurance to Comply with Dlder Americans Act
Requirements Regarding Client Rights
for.
Agencies Providing In-Home Services through the
Home and Community Care Block Grant for Older Adults
9
As a provider of one or more of the services listed below, our
agency agrees to notify all Home and Community Care Block Grant '
clients receiving any of the below -listed services provided by
this agency of the their rights as a service recipient. Services
included in this assurance include:
-In-Home Aide
-home Care (home health
-Housing and Home Improvement
• '-Adult Day Care or Adult Day Health Gare
Notification will include, at a minimum, an oral review of the
information-outlined below as well as providing each service
recipient with a copy of the information in written forr-~. In
addition, providers of in-home services will establish a procedure
to document that client rights information has been discussed with
in-home services clients (e.q. copy of signed Client Bill of
Rights statement).
Client Rights information to be communicated to service recipients
will include, at a minimum, the right to:
-be fully informed, in advance, about each in-home
. service to be provided and any change in service(s)
that may affect the well-being of the participant;
-participate in planning and changing any in-home service
provided unless the client is adjud3.cated incompetent;
-voice a grievance with respect to service that is or fails
to be provided, without discrimination or reprisal as a
result of voicing a grievance;-
-confidentiality of records relating to t~~e individual;
-have property treated With respect; and
-be fully informed both orally and in writing, in advance
of receiving an in-home service, of the individual's rights
and obligations.
Client Rights will be distributed to, and discussed with, each new
client receiving one or more of the above listed services prior to
the on-set of service. For all existing clients, the above
information will be provided no later than the next regularly
scheduled service reassessment.
Agency Name: ervices
Name of Agency Admini trator: Martin Whitt
~ '
Signature: ~_ ~ ~ ,~~ ~~~~ ,_, Date: .5 0
(Please return the this form to your Area Agency on Aging a:zd
retain a copy for your files.)
10
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DOA-733
(Rev. 1/O1)
Home and Community Care Block Grant far Qlder Adults
County Funding Plan
Methodology to Address Service Needs ofLow-Income Minority Elderly
(Older Americans Act, Section 306(a)(5)(A)(ii)
Community Service Provider: Orange County Department on Aging
County: Orange July 1, 2001 through June 30, 2002
The Older Americans Act requires that the service provider attempt to provide services to
low-income minority individuals in accordance to their need for aging services. The
community service provider shall specify how the service needs oflow-income minority
elderly and rural elderly will be met through the services identified on the Provider
Services Summary (DOA-732). This narrative shall address outreach and service
delivery methodologies that will ensure that this target population is adequately served
and conform with specific objectives established by the Area Agency an Aging, for
providing services to low income minority individuals. Additional pages maybe used as
necessary.
The Orange County Department on Aging, while providing services to any County
resident sixty years and older, makes special efforts to reach those individuals who are
low-income minority and rural elderly. The Department accomplishes this through the
following methods:
• Coordinate services through the five JOCCA-operated senior meal sites, providing
facility space and access services in these locations. Fixed transportation routes are
operated for those who reside outside the municipal bus service azea and bus passes
are made available for low-income seniors in Chapel Hill and Carrboro. The
Information and Referral Specialist makes monthly visits to each of the meal sites to
remind participants of the services available and assist individuals in accessing
resources to meet their needs.
• Provide low and no-cost programs and activities at each of the four senior centers,
with scholarships available far those activities that have a fee attached. These
offerings are advertised in the free departmental bi-monthly publication, the Senior
Times. The Senior Times is distributed at the centers, mailed to the participants'
homes, and inserted in the Sunday edition of the Chapel Hill Herald with a
distribution of approximately 25,000 households in Orange County.
• Work closely with the Department of Social Services to assure that in-home and
institutional respite care services aze targeted to those lo~-r-income individuals who
could benefit.
1z
• Make presentations to church groups in rural Orange County to inform residents of
services for seniors and to promote volunteerism through the Friend-to-Friend
Program.
• Use UNC-CH students to provide outreach to targeted neighborhoods, which affords
students the opportunity to gain valuable experience in community outreach while
maximizing outreach funding.,
• Continue the extensive publicity campaign to make Orange County senior citizens
aware that all of the resources available to them regardless of their geographic
location. This includes distributing Eldercare Community Resource Guides to rural
civic and church groups. ~e~. oaio9ioi
13
Standard Assurance to Comply With Older Americans Act
Requirements Regarding Client Rights
for
Agencies Providing In-Home Services through the
Some and Community Care Block Grant for Older Adults
As a provider of one or more of the services listed below, our
agency agrees to notify all Home and Community Care Black Grant
clients receiving any of the below -listed services provided by
this agency of the their rights as a service recipient. Services
included in this assurance include:
-In-Home Aide
Home Care (home health)
-Housing and Home Improvement .
-Adult Day Care or Adult Day Health Gare
Notification will include, at a minimum, an oral review of the
information.outlined below as well as pro riding each service
recipient with a copy of the information in written form. In
addition, providers of in-home services will establish a procedure
to document that client rights information has been discussed with
in-home services clients (e.g. copy of signed Client Bill of
Rights statement). .
Client Rights information to be communicat6d to service recipients
will include, at .a minimum, the right to:
-be fully informed, in advance, about each in-home
service to be provided and any change in service(s)
that may affect the well-being of the participant;
-participate in planning and changing any in-home service
provided unless the client is adjudicated incompetent;
-voice a grievance with respect to service that is or fails
to be provided, without discrimination ar reprisal as a
result of voicing a grievance;
-confidentiality of records relating to tl~e individua?;
-have property treated with respect; and
-be fully informed both orally and in writing, in advance
of receiving an in-home service, of the individual's rights
and obligations.
Client Rights will be distributed to, and discussed with, each .new
client receiving, one or more of the above listed services prior to
the on-set of service. For all existing clients, the above
information sill be provided no later than the next regularly
scheduled service reassessment.
Agency Name: __ Orange County~~j- ~,_Qn Acring
Name of Agency Administrator: Derr M. Passmore
Signature: ~ar~~. ___ Date: a~
(Please return the this farm to your Area Agency an Aginc and
retain a copy for your files.)
14
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DOA-733
(Rev. 1/01)
Home and Community Block Grant for Older Adults
County Fundwg Plan
Methodology to Address Service Needs ofLow-Income Minority Elderly
(Older Americans Act, Section 306 (ax5)(Axii)
Community service Provider: Joint Orange-Chatham Community Action
County: Orange July 1, 2001 through June 30, 2002
The Older Americans Act requires that that the service provider attempt to provide services to low-
Incomeminority individuals in accordance to their need for aging services. The community service
provider shall specify how the service needs of low-income minority elderly will be met through the
services identified on the Provider Services Summary (DOA-732). This narrative shall address
outreach and service methodologies that will ensure that this target population is adequately.servexl and
conform with specific objectives established by the Area Agency on Aging, for providing services to
low income minority individuals. Additional pages nay be used as necessary.
The Joint Orange-Chatham Community Action, Inc. (JOCCA) was established in 1966 and built on a
foundation of citizen participation with constituents from all walks of life: poor and rich; black and
white; public and non-public. The agency is dedicated to serving the needs of all very low and low-
income residents of Orange and Chatham counties. The Agency's mission is "to help people help
themselves" and attain a status of financial independence through self-help initiatives. JOCCA is a
vital part of lives of thousands of very low and low-income residents and plays a salient part in their
everyday existence.. Ta meet the needs of clients, JOCCA relies on the coordinated efforts and
partnerships with other human service agencies, the private sector, local governments and private
foundations
16
The Nutrition and Aging Director and Coordinator of Services aze responsible for the day-to day
Supervision of the Congregate Meals in Orange County. In cooperative agreements with the
Orange County Department on Aging, UNC School of Nursing, local Health and Recreation
Departments, Cooperative Extension, North State Legal Services, Durham Technical
Community College, and the N.C. Division of Aging, JOCCA is able to provide but nat limited
to the following program services to its participants:
Creative Arts and Crafts including Games
Nutrition/Health Education Classes
Assessments of Vital Signs
Preliminary Health Screening-e.g. Blood Pressure and Diabetic Checks
Legal Services
Adult Basic Services (ABE)
General Equivalency Diploma (GED)
Annual May Day Programs
Health Fairs
Crime Prevention Workshops
Rape Prevention Workshops
Transportation to Congregate Nutrition Sites
Shopping and Recreational Trips
The Congregate Nutrition Luncheon Program is advertised in the local newspapers. JOCCA's
brochures aze also disseminated through out the service delivery area. Announcements aze
also made at all interagency meetings about the luncheon program.
Referrals for program participation are received from cognate human service agencies,
community residents, local community churches, civic organizations and current program
participants.
Priority consideration for service (s) will be given to older individuals who exemplify the
geatest socioeconomic need; special attention will be given to low-income minority
Individuals. The following priority system will be utilized.
(1) Highest priority will be given to the abused, neglected and /or exploited and for wham
the service is needed as identified by DSS;
(2) Individuals at risk of abuse, neglect and/or exploitation;
(3) Individuals who do not have a care provider or another responsible party to assist with care;
(4) Individuals who experience impairment in performance of daily living.
1~
JOCCA has [6] Congregate Meal Sites located in Orange County. In 2000 we served
33,812 meals to 517 unduplicated participants. A site manager is located at each site and is
responsible for the daily operation of nutrition programs and meals. There are also [3 }
Coordinator of Services who are mainly responsible for the coordination, outreach, referral and
and provision of services to low-income families and individuals. These services include but are
not limited to: Weatherization, Emergency Assistance, Title V Older Worker's Program, and
Information and Referral.
In conclusion, JOCCA relies heavily on interagenry coordination, cooperation and resource
mobilization and/or fund leveraging. During the past year, there has been a significant increase
in the demand for services, especially from the `working poor". In order to continue to meet
this demand, JOCCA must intensify its resource mobilization efforts through the solicitation
of funds from federal, state, local and private sources; intensify its utilization of volunteers;
and enhance its fundraising efforts.
DOA-73~ ~g
(revised 1/Ol)
July 1, 2001 through June 30, 2002
Home and Community Care Block Grant for Older Adults
Commtunity Service Provider
Standard Assurances
Joint Orange Chatham Communit~Action agrees to provide services through the Home and
(Name of Provider)
Community, Care Block Grant, as specified oa the Provider Services Swnmary_ (DOA-732)
in accordance with the following:
1. Services shall. be provided in accordance with requixements set forth in:
a) The County Funding Plan;
b) The Division of Aging Home and Community Care Block Grant Procedures
Manual far Community Service Providers; and
c) The Division of Aging Services Standards Manual, Volumes I through IV.
Community service providers shall monitor any contracts with providers of Block
Grant services and take appropriate measures to ensure that services are provided in
accordance with the aforementioned documents.
2. Priority shall be given to providing services to those older persons with the greatest
economic or social needs, witl: parr;cular atte~±ion to low-income nunority
individuals. The service needs of low-income minority elderly and rural elderly will
be addressed in the mariner specified on the Methodolo to Address Service Needs
of Low-Income Minori Elderl and Rural Elderl format, (DOA-733).
3. The fallowing service authorization activities .will be carried out in conjunction with
all services provided through the Black Grant:
a) Eligibility determination;
b) Client intake/registration;
c) Client assessment/reassessments and quarterly visits, as appropriate;
d) Determining the amount of services to be received by the client; and
e) Reviewing cost sharing/voluntary contributions policies with eligible clients.
4. All licenses, permits, bonds,, and insurance necessary for carrying out Block Grant
19
DOA-734
(revised 1/00)
providers.
S. As specified in 4S CFR 92.36(b)(11), community service providers shall have
procedures for settling all contractual and administrative issues arising out of
procurement of services through the Block Grant. Community service providers
shall have procedures governing the evaluation of bids for services and procedures
through which bidders and contracted providers may appeal or dispute a decision
made by the community service provider.
6. Applicant/Client appeals shall be addressed as specified in Section 7 of the Division
of Aging Home and Community Caze Block Grant Manual for Community Service
Providers, dated 7uly 1, 1992. .
7. Community service providers are responsible for providing or arranging for the
prevision of required local match, as specified on the Provider Services Summary,
(DOA-732). Local match shall be expended simultaneously with Black Grant
funding.
8. An annual independent audit which meets the requirements of the Division of Aging
Program Audit Guide for Aging Services, applicable North Carolina General
Statutes and Local Government Commission requirements, and OMB Circulaz A-
128 or 133 shall be performed. For.-profit community service providers shall have
an annual compliance audit which meets the requirements of A-133. The audit shall
be performed within six (~ months of the close of the provider's fiscal yeaz. Upon
completion of the audit, a copy of the audit report and any opinion letter shall be
simultaneously provided to the County and the Area Agency.
Nul~: Audit requirements are subject to revision. The Division of Aging will notify - - -
providers when state audit policy is revised.
9. Compliance with Equal Employment.Opportunity and Americans With Disabilities
Act requirements, as specified in paragraph fourteen (14) of the Agreement for the
Provision of County A~in~~Based Services (DOA-735) shall be maintained.
10. Providers In Home Aide, Home Health, Housing and Home Improvement, and
Adult Day Caze or Adult Day Health Caze shall sign and return the. attached
assurance to the azea agency on aging indicating that recipients of these services
have been informed of their client rights, as required in Section 314 of the 1992
Amendments to the Older Americans Act.
~ /o
(Authorized Signature)
2U
Standard Assurance to Comply t~-ith Older Americans Act
Requirements Regarding Client Rights
for
Agencies Providing In-Horne Services through the
Home and Community Care Block Grant far Older Adults
As a provider of one or more of the services listed below, our
agency agrees to notify all Rome and Community Care Block Grant.
clients receiving any of the below -listed services provided by
this agency of the their rights as a service recipient. Services
included in this assurance include:
-In-Home Aide
-Home Care (home health)
-Housing and Home Improvement
. '-Adult Day Care or Adult Day Health Gare
Notification wili~include, at a minimum, an oral review of the
infarrnation,outlined below as weal as providing each service
recipient with a copy of the information in written form. In
addition, providers c'h'in-home services will establish a procedure
'to document that client rights information has been discussed with
in-home services clients (e.g. copy of signed Client Bill of
Rights statement). ~ ~ _
Client Rights information to be communicated to service recipients
.will include, at .a minimum, the right to:
-be fully informed, in advance, about each in-home
. service to be provided and any change in service(s)
that may affect the well-being of the participant;
-participate in planning and changing any in-home service
provided unless the client is adjudicated incompetent;
-voice a grievance with respect to service that is .or fails
to be provided, without discrimination or reprisal as a
result of voicing a grievance;'
-confidentiality of records relating to the individual;
-have property treated with respect; and
-be fully informed both orally and in writing, in advance
of receiving an in=home service, of the individual's rights
and obligations.
Client Rights will be distributed to, and discussed with, each new
client receiving one or more of the above listed services prior to
the on-set of service. For all existing clients, the above
information will be provided no later than the next regularly
scheduled service reassessment.
Agency Name; Joint Oran a Chatham Communit Action
Name of Age dmi istrator: Sandra R. Sanchez
Signature: Date: A ri1 12, 2001
(Please recur a th"s-fto your Area Agency on Aging and
retain a copy fcr your files.)