Loading...
HomeMy WebLinkAboutAgenda - 01-16-2002 - 8g t ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Me sing Dale: January 18,2002 .Action Agenda Item No. SUBJECT: Family Caregiver Support Program Contractwkh THangleJ Council of Governments (TJCOG) DEPARTMENT: Aging PUBLIC HEARING: (YIN) ' N ATTACHMENT(S): INFORMATION CONTACT: Contract Jerry M. Passmore, Director, eat 2007 Program and Budget Florence Soltye Aging Board Chair TELEPHONE NUMBERS Hillsborough 7324181 Chapel Hill 9684501 Durham 688-7331 Mebane 336.227-2031 PURPOSE: To seek authonzabon to enter into a contract with TJCOG —Area Agency on Aging for$39,256 to provide Family Caregiver Support Services. BACKGROUND: Of the top 20 Master Aging Plan's issues/objectives, three address the need for caregiver and family support services. Goal IIIA-c3 recommendetl the implementation of an adult day care program to provide relief to caregivers and Goal I WA-b3 recommendetl the implementation of a heavy house cleaning service. The BOCC already have taken action on both of these initiatives. However, Goal IIIA-bi recommended providing assistance 0 familieslcaregivers by expanding in-home respite care services. The attached Orange County Respite Plan approved by the TJCOG -Area Agency on Aging meets the needs of caregivers who have different types of caregiving situations. The plan to be implemented by the Orange County Department on Aging covers four areas: (1)Volunteer In-home Respite—expanded use of volunteers by"A Helping Hand% a non-prolrt agency that has a volunteer-based home service; (2) Group Respite—a one-clay-a-week pilot group respite pmgrem at the NorthskJe Senior Center provided in cooperation with JOCCA, DSS. Junior League, Orange Public Transportation, and others; (3)Institutional Respite Relief Program—contract with local long term care institutions to provide temporary relief to caregivers for overnight and 24 hour care obligations; and (4) In-Home Respite requiring Personal Care—use of a professional such as a certified nursing assistant to provide relief for the caregiver who is assisting an elderly person with extreme personal care needs(incon5nence, etc.) beyond the training and appropriateness of a volunteer. The Master Aging Plan Steering CnmmMee was reconvened in November to help develop the respite plan, and the Orange County Advisory Board on Aging reviewed the plan in December and recommended Its approval. z FINANCIAL IMPACT: The total cost to provide the Respi Program outlined above is$39,256. The Department on Aging anticipates receiving $30,120 (about A percent of the total)from TJCOG to off-set the total cost. The Department will cover the required County match of 23 percent ($6,136) by providing in two ways— (1) in-kind contributions such as office apace and staff supervision and (2) a $3,000 grant hom the Triangle United Way. RECOMMENDATION(S): The Manager recommends that the RoaN authorize the Chair to sign the contract to provide family caregiver support services. CONTRACT FOR SERVICES PROVIDED FOR TINDER TITLE ATE OF 11113 OLDER AMERICANS ACT (NC FAMILY CAREGIVER SUPPORT PROGRMA7 THIS .AGREEMENT, entered into as of this 5W day of December,2001,by and between Orange County/[Orange County Department on Aging] (hereinafter referred to as the"Agency')and the Triangle J Connell of Govemmondn/Ares Agency on Aging,@ucivafter craned to as the"Area Agency"} WITNESSETHTHAT: WHEREAS, The Area Agency wishes to have performed and the Agency wishes to provide certain aging ervicus In connection with activities Induced in part by Older Amcrcros Act grant funds provided to The Area Agency fiom the United Slates Department of Health and Humor Services though the Nmth Carolina Division of Aging; NOW TIIERFFORE, in consideration of the pm uses, and mutoal covenants and agreements hereldaftes cOVmined,thepartics hereto agree as fellows: 1. Employment of the Agency, The Area Agency hereby agrees m engage the Agency and the Agency hereby agrees to perform the services hereinafter set Ionia in accordance with the terms and conditions contained herein. 21 Sense of Services. The Agency shall provide Family Caregiver Support services to caregivers coring for individuals who are 60 years of age or older (and all for grandparents caring for grandehildfen under the age or nautical)residing in Orange County. All services are to be performed in accordance with the Agamcy.s Caregiver Support Plod submitted to the Area Agency, me terms of which are ncorporated herein by refnenec. In addition,the Agency agrees w perform services in full compliance with NC Family Caregiver Support Program requirements. 3. Them of ' rt The se s of be Agency we m commence no later dom December 5,2001 add shall be undertaken and pur nAgency in such sequence as to assure their expeditious completion on or befom the end of the contract period, hil2002. 4. Container Adminia rd The contract administrator for the Area Agency shall be David Maser, Area Agency on Aging Director. 'Elie contract administrator for the Agency shall be Tom Pmts, Executive Director of the Moore Cowry Depawen[ of Aging. It is understood and agreed fast the administrator for the Agency shall represent the Agency in the performance of this concert The Agency shall notify The Area Agency 9 the administration changes during the contract period 5. Compensation and Method f payment The Agenry shall he compensated for the work and services actually performed ender this contract by payments m be made monthly by the Aroa Agency. However, me real compensation and reimbursementto he paid the Agency under ibis contract shell nor exceed the m of$30,120 in gran[funds_The trams set foM in this sportiness for payment are contingent upon receipt of grind funds from the North Carolina Division of Aging. 6. Rc mbursemen[ of Service Costs. The Agency will report to the Area Agency on Aging,on a monthly basis, and in the form specified by the Area Agency, the allowable expenditures to be reimbursed under this condor- The amount of allow able expev&tares mgvHldJ will be reduced by die amount of program income resolved for the service for the month reported. The amount of reimbursement due the Agency will he got➢of the remainder which represent;the grant share of costs reported for the starlet. 6 resources under this agreement, the Agency bomy agrees to secure and contribute to the service local cash matching resources of not less than twentypercent(20%)of the total service cosy. In no case shall the local match directly or indirectly consist of federal funds from any source nor may any of the funds paid the Agency hereunder be used In match my other federal or arm funds. 8. Agency Personnel.The Agency repoesenta that it has or will secure all personnel required to perform the services provided for under this contract. Such personnel shall not be employees of the Area Agency, nor shall such personnel have been employees of the Area Agency during any time within the twelve (12) month period Immediately prior to the date of this contract, except with the express written commit of the Area Agency's Director. The Agency shall procure a fidelity bond for all persons authorized to receive or disburse Pmject funds. Agemys personml having access to property or Nnds belonging m any clients served under this contract should also be bonded in an amount of at least $1o,000. Public agencies shaLL procure a public employees' raldtful podormanm blanket bond. Nom governmental agencies shall procure either a blanket fidelity bond or name schedule Fidelity bond. The band limit for persona authorized to receive and disburse grant funds shall be at least rite amount of wmpenaauon detailed In paragraph 5 or$100,000,whichever is less. R. Approval of Subcontract Assigerangrov, The Agency shall not resign all or any portion of its interest in this contact. Any purchase of services with Purely Caregiver Support grant funds shall be carried out in accordance with die Procurement and contracting policy of the Agency or, where applicable,dam Area Agency, which dean' not conflict with procurement and contracting requirements contained in 45 CPR 92.36. 10. Review and Cuord'nation. To ensure adequate review and evaluation of the work, and proper nmtination amorm inlnrested parties, the Area Agency shall he kept fully informed concerning the progress of the work and services to be performed hereunder. The Area Agency's staff will conduct scheduled on-site assessments and may also make unannounced visits for the purpose of evaluating the Agency's ware. 11. Acc_ountiny, The Agency shall maintain complete accounting records sufficient to document receipts and expenditures of gent and metchivg funds under this agrccmen . All accounting records should be maintained in accordwce with the North Carolinaincal Csovemm rm Budget and Fiscal Control Act. 11 jas amnions. Authorized representatives of the Area Agency and the NoM Grolim Division of Aging may at any reasonable dams review and inspect the program activides and data eollectedpursuan[to his contract Ab reports and computations Prepared by or for the Agency shall be made available m authorized representatives of rise Area Agency and the North CaroMa Division of Aging for retirement and review at my reasonable times in the Agency's office. Approval and acceptance of such mazwial shall not relieve the Agency of its professional obligation to comet, at its expense,any Boors found in the work. 13. Maintenance of Retards. The Agency shall maintain all financial and program records for a period of Thee (3) years from the date of final payment under this concoct, for inspection by The Area Agency, the Nash Carolina Division of Aging, and the Compo-ollm Gempl of the United States, or any of their drily authorized representative¢. If any litigation,claim, negotiation, audit or other action involving the Agencys records his been started before the expiration of the three-yew period, the meet& must be retained until completion of the scion and resolution of all issues which arise from it. 14. Cormilismai with R of no Area Agency. United S Delmrsimpt of Halh and A Services and NO. Carolina DivisionofA ' The Agencyagreesthmitlsfullycog mtofthemles regulations validly promulgated submquent to the execution of hie agreement 5 15. Data to he Furnished to he Agency. All information which is existing, readily available to be Area Agency without cast and reasonably necessary, as determined by the Area Agencys staff, for the performance of Ws contract by the AgcKy shall be famished to he Agency without charge by to Area Agcucy, The Area Agency, its agents and employees, shall fully cooperate with the Agency in he performance of meAgeneys obligations under this contras[ 16. RI Gas in Documents Mas iau and Data produced. Agency agrees but at he discretion of the Ares Agency,all Marc and other data prepared by or for it under be terra of this contmct shall be delivered h, become and remain,he property of The Arca Agency upon termination or completion of he work. Both the Area Agency and the Agency &bull have he right to use same without teaniction or limited on and without compensation to the ether. For the purposes of this contrach "data includes soared recordings,or other graphic representations,said works of similar nature. No reports or other documents; produced in whole or in part under his contract shall he me subject of on application for copyright by or on behalf of the Agency. 17. Mrsutlfeaz on of Document All reports. and other documents completed as part of his contract Shah bear on title pages of such report,or document the following laoand: "Prepared by(Anenev Namel under contract with Triangle I Council of Govemtnents/Arco Agency on Aging". The date (month and ear)in which me document was prepared and source or giant funds shall ako be shown. 18, Interest of Agent: . The Agency revenants bar rubber the Agency nor its agents or employees presently has an interest, nor shall acquire an limiest direct or indirect, which conflicts in my macaw or degree wit the performance of its service hereunder, or which world prevem, or tend to prevent, the satufaaory,perfomuv= of me Agencys a ce hereunder in an impartial and unbiased he Agency fuller covensom mad in the performance of his contract no person having any such interest shall be employed by the Agency.as an agent,subcontractor or otberwise. 19. Interest of Members of The Area Agency and Others. No officer, member or employee of he Area Agency, and no public official of any local govemmern which is affected in any way by the Project who execensess say Wooden or responsibilities in the review or approval of the Project or my component part thereof, shall participate in any decisions relating to this connaet which may affect his peround interest or he marpest of my corporation, partnership or associatian in which he is, directly or indirredy, interested,nor shall any such person have any interest,abut or indirect,in this contract or he proceeds arising therefrom. 20, Officials Not to Britoil No insi of or ddcgate h the Congress of the United Smma of America or he General Assembly of he State of North Carolina, resident Commissioner or employee of he United States Goverment or me Nosh Carolina State Goverment, shall be entitled to any share or part of this cuntr ct or day benefits to Grim homfrom. 21. Probbiman Against Use of Funds to influence Legislation No part of my funds under tids Agreement shall be used to pay the salary or expenses of any employ= or sent acting on behalf or me Agency to engage in any activity designed to influence legislation or appropriations pending before C ..mere. 22. Equal Emolovment O000 amity and Americans Wit Disabilities Act Compliance. The Agency shall comply with he requhemenfs of this paragraph. No contractor, employee, or applicant for employment shall be, discriminated against because or race, rnlnr hm-ear w1wina see "v.anrnml,nnalmmn Th, /v......nid] rrmh,aim Tid,W of fn,fivil 6 assuce that subcontractors and applicants selected for employment are treated during employment without restful to their race, color, handicap, religion, age, sex, or national odgm. Such senior shall Include, but not be limited to the following: employment, opposing, demotions, or registers; mui[ment o commitment advertising; layoffs or terminations; rases of pay or other forms of ompensadov[ election for training including apprenticeship; and participation in recreational and educational activities. - The Agency rertitius that it presently has in effect an affirmative action program. The Agency agrees m post in a conspicuous place available m employees and applicants for employment, dealers setting form the provisions of Ws von-iigcrimination clause. The Agency shall in all solicitations or advertidemenis for subcontractors or employees placed by or on behalf of the Agency,state that the Agency is w "Equal Opportunity Employer. The Agency shall make no distinction because of rude,color,handicap,religion,sex Orr bound origin in providing to eligible individuals any services or other bents under projects intended in whole or in part with foods provided under this conduct. (This provision excludes age since these foods are allocated to owes only older persons by design and by law.) The Agency shall comply, and assures compliance by any contractor or subgramee receiving funds though this Agreement with the Americans With Disabilities Act of 1990, and with requirements contained in applicable federal regulations, guidelines entl roles to ensure a policy of mntlisaironatlen fm servim recipients, employees and applicants for employment The Agency agrees to comply with such guidelines as the Area Agency or the North Canadian Division of Aging may issue to implement the calumnious Of mis pamgmph. 23. Audit If the Agency expends a total of$300,000 or more from all federal sources,as defined in Ob® Circular A-133 (effective July 1, 1bud, the Agency agrees to have an proud independent audit which meets the requhemeals of the Division of Aging Program Audit Guide for Aging Services, applicable North Carolina Gcaeml Stations send Neal Government Commlasnn requirements, and OM Circular A-133 and OMB Circular A-87 or A-122. The audit is to be completed within six ((s) months of the close of me Agency's fiscal year.. Upon Completion of the audit, the Agency shall deliver to the Area Agency a copy of the audit and any opinion letter and management lever. H the Agency receives federal homing in an amount less than the$300,000 threahuld,she Agency may be subject to fiscal monitoring, as deemed devereary by the Area Agency and the Nand Carolina Department of Health and Human Services. For providers expending less than 3300,010 in state fmanclal assistance aweEk as of July 1, 1997, audit and reporting provisions established by G.S. I43-0.1 and State Audit Advisory No. 2 Qevised flcmber, 1999) .shall apply. The Agency agrees m submit to any additional review and document requests deemed necessary by the Area Agency, the State of North Caroline, or the pricing Government in accordance with provisions of the Single Audit Act The Agency fuller agrees that At pertinent fro nchn records shall be made available for copying upon request by the State or Federal Governments,m their agents 2a, q n' / _ Resolufun and D'sallowcd Casts. it is fuller understood that the Agency is responsible to The Area Agency for clarifying any audit exceptions that may aria from sty assessment Agency single m financial audio,in audits conducted by the State o Fcdeml Governments. la the event the Area Agency or the North Carolina Department of Health and Human Services disallows any expenditures of grant funds made by the Agency for any reason the Agency shall promptly reimburse such funds to me Area Agency. The Area Agency may also withhold future payments under this or any other contract with the Agency until me audit executions ate cleared. 25. Ind. The Agency agrees to indemnify and save business the Area Agency, its agents and employees from and summit any and all logs,cost damages, expense and liability caused by the failure 26, tom. The Area Agency may require changes in the work and services which the Agency is to perform hereunder. Such changes, including any increase or demeam in the amount of the Agency's compensation, which are mutually agreed upon by and between the Area Agency and the Agency, shall be incantational in written amendments to this contact. 27. Torithation of Contract for Cause. If through any cause,the Agency shall fall m fulfill in a(unity and proper mmtner its obligations under this mngact or if the Agency has or shut; violate any of the covencere, agreements, representations or stipulations of this contract, the Area Agency shall therefore have the right to tormNate this decrease[by giving writing notice to the Agency of such demarcation and specifying the of active date thereof. In such event, 01 finished documents add other materials dedbe d or produced under this contract shat] m by option of Ne Area Agency,becorne its property.The Agency shall be entitled to receive just and equitable compensation for any work satisfactorily permanence under this contract, careful to the extent such work must be duphwted in order to complete the contract Notwithstanding me foregoing. the Agency shall not be relieved if liability to the Area Agency for damage sustained by the Area Agency by virtue of any breach of Nu contract by the Agency and the Area Agency may withhold payment of any additional sums as.security for payment of damages caused by the Agency's breach,until such time as the exact amount of do,damages insulting from such breach is determined. 28. Terminative for Convenience. The Area Agency may terminate Nis moo-act for the convenience of Nc Area Agency at any time by giving written notice to the Agency of such terminated and specifying the date thereof,no fewer than fifteen (15)days prior N the effective dabs of such termination. m that event, ffi finished or unfinished documents and other maends produced or collorted shalt,9 the option of the Area Agency, became the property of the Amu Agency. If this contract is termismad by the Area Agway, as provided in this ouragidoh, the Agency will be paid the grant mimburoeman[ percentage, described in paragraph 5, of the cereal allowable expenses that have been incurred by the Agency prior to the effective date of such comminution, less payments of compensation previously made by the Area Agency. Provided, however', if this contract is terminated because of default by the Agency the provisions of paragraph 26 hereof shall prevail 8 29. Applicable Inw. This conwact Is executed and is to he perf d in the State of North Carolina,and all questions of interpretation and construction shall be construed by the laws of such State. IN W=-SS WFiERBOF, the parties have caused thiat.agmement to be executed by in designated officials pursuant to specific n colubonc of[heir respective governing bodies or board, as of the day and year fast above written. Agency: Orange County By: Chairman,Board of Cormulsslonem Tnan Ief CouneBMOovemmenWs , Agancyon Aging,., By: Bxamtive Director Asa Agency on Aging D'vector Provision for payment of Nc musics to fall due undu this Agreement within the cannot flund year have been made by appropnation duly authorized as required by the Weal Govenlment Budget and Fiscal Cannot Act. Finance officer,9tiangle l Council of Gavemments ' 9 Orange County Proposal For National Family Caregiver Support Program Funds Submitted to Triangle JCouncil of Governments Area Agency on Aging November d 7,2007 Backgroba Triangle J Area Agency,on Aging has received National Peabody Caregiver Support Funds from the Reau[herivcon of me Older Americans Act to he distributed to all counties m Region J. The purpose of ratio funds is to support respite services for family caregivea of adults aged 60 and older which may include(1) mformatlon regarding saNces to caregivers, (2)Assistance to ampivers m accessing those services,(3)Caregiver coining,suppon groups,individual cop ekg,(4)Reapitecareand(5) SWplemmmismic6. Respiteisdefinedaspmvidinga sitter,to home or other cane location,which relieves the family/ureaid primary caregivers)of a pemeq aged 60+from direct two responsibilities for a short time. The duration can be fioma half how to several days wrier various circumstances.In a fully,developd county respite service Francis,different formins(in and out of home,short and long term,etc.)would be available to meet the needs of the differwt types of categiving situations. Orwge County has been allocated a mimrntw of$26,667 for FT2002 which includes a$5,000 local match,either cash or m-kind. Each County is responsible for establishing a work group that would prepare a respite service proposal and submit it to the Region J Aging Advisory Council for approval by December 2001. To be f rshed, proposes wwty respite plans must. (1) Serve fornily/wpaid caregivers of adults aged agent over, (2) Uve service priority to those in"greazert need:° (3) Reflect longer-term awarrncas and intention to address the particular needs of all segments of county caregivers; (4) Allow far"coat-ehming"(client caregiver given opportunity to contribute,but not actual service); (5) Represent a]awl[hc initial stage of a respite system approach that is design el b deliver more actual am ice than the federal dollars could purchase on the service market; (6) Give priority comidmition to the ut hwhion of volunteers. Qtange County Planning,Process During the FY 1999-2000,the Orange County Reard of Commissioners approved a process to develop a Master Aging Plan(M.A.P.)for Orwgc County for the period from July 2000-June 2005,The Commissiomrs' goal was" develop and implement a Master Aging Plan(M.A.P.) that would provide a comprehensive and cnmdinated delivery of commonality services to savior citizens over the life span who have different levels of Emotional capacity" To achieve this goal,the County Commissioners enabbshed a M.A.P.Task Forte in November 1999, comprised Of a Steering Comminee sued three functional subcommittees:the Well-Pit Subcommittee,the Page 1 of5 to Moderately unpaired Subcommittee and the Severely Disablsl Subcommittee. Ova ninety Orange County citizens,professionals in the aging field,and commodity service providers volunteered then time to improve to quality of life for older residents. After ten months,numerous meetings,and two public hearings,the M.AT, Task Force had identified the issues,developed goals and objectives to address them.The Task Force completed the Mason Aging Plan which was officially adopted by the Orange County Board of C iasionem(BOCC)on March 6,2001 The County Commissioners gave the County Advisory Board on Aging the responsibility to coupon the progress of the Master Aging Plan by makingnecessary annual revisions_seek fundin fierit 6omval sources and submit finding prionfies to the BOCC per approval. Thus,the proposal uas of available National Family Caregiver Support Program funds was submitted ro the Advisory Board on Aging to consider in light ofthe approved objectives m the Master Aging Plan To assist the County Aging Board in this planning process,the Master Aging Plan Steering Committee was reanimated on November 16 and 2610 serve in the role of respite care weak group.This group is comprised of approximately 20 key voteaneer and agency leaders m Orange County. p was charged with preparing a funding proposal to submit W Triangle J Ares Agency on Aging,supportive ofthe M.A.R respite care issues identifial for the moderately impaired and severely diasbled population. The 611owing respite care proposal is submidol based on this planning process. Fundine Proposal Omnge County has had a long tradition ofpmviding support to caregivers as evidence by Home and Commodity Block Grant lauds being used for in-home respite(48 hours per week)as well es iddfomutiov and assistance seance. The Orange County Department on Aging also offers megiver counseling and a operates a support group for caregivers. Of the top 20 Master Aging Plan's issuvoobjectives,three address caregivat and family support services. Goal MA as mended the implementation of day health care program W provide relief to caregisbm Good 11IA-bM3 recommended providing assistance W familiesharegivere with expanding m- home respite care and hoary house clewing service. Orange County is already implemmliog the day health care initiative and heary housing eleoilng service.Thus,Orange County Respite Plan is designed in meet the needs of caregivers who have diffident types ofcaegiving aimations.The plan to be implemented by the Orange County Department on Aging covers fox earegiving mess: (1)Volunteer W-home Respite;(2)Group Reside;(3)matimtiovd Respite;and(A) Professional m-home Respite requiring personal amt. 1. Volunteer la-house Respite Service. Under contract with the Orange County Department on Aging,"A Helping}Wrd"von-profit agency world depend its volunteer based home services to include respite care.The agency would be responsible for screening,trending,placing and supervising volunteer who would provide weekly mr home respite to camsiveri. The Department on Aging's EWeroaze Services Division as well ses the Dept.of Social Services'Adult Services Division would assess and review the needs of the caregiver families with"A Helping Heard"in asking appropriate matches and schedWwg volurrtc;e to provide the service. Priority will be given he caregivers whose family member requires fall time care. This funding will allow"A Helping Hand" Page 2 of II to expand its Faith in Action Project, forded by the Robes Wood Johnson Foundation in January,2001. Thu pryect would not only include 24 hours per week ofvohateer respite, but provide assistance with household projects and yard work to benefil caregivers. It would also include a new"Hospitality'program that invites community enhancers m bring a home waked meal to an eldttlyindividual andeiregiver. "AHelphrg Hand"agmeywoWdrcceive fiords to employs Program Coordinar for10 hoursper weekmoverseetherespite program,andavnnot,C unty-erfor10boutsperweek. "A Helping Hand"would implement the individual volunteers.Cotaty Th CARE"Progam that focuses of recruitment a quart s not welleaindividualhebar They would provide todue Depazmsevrotl Aging sher&tly report docmvmnng the vmnbm of cazogivem,hoots of service,characteristics and otherdala. Goal:To serve 45 caregiver/famtiies with a minimum of 30 volunteers receiving a minimum of 4 hours training and orientation. The contract would be for Sl I M2 and would cover the following loulfened items: Program Coordinator(salarvifnnge-I(lms/wk x 26 wks) $3,639 Volunteer Recruiter(salary/funge. 10 hra/wk x 26 wks) 1,936 Ruelrgrtnnd checks(30 volaloors @$16each) — 460 Orientation and Training 2,100 (I 241m;sessions®$95/6-2hns sessions @$200) Office rent(two stuff) 1,350 Advertising/Promotion 500 Capicslprha ng 140 Telephone(25%use) 400 Stipends for paid companions during finds.HOtidays- 525 (Suburitote-cm¢gmey @$91hr x 951 m) M leage 250 Total $11,222 2. Group Respite Pilot Program.The Ormtge Convry Department's Eldereare Services would be rcspomible for operating a one day aweek pilot group rcapitc pmgmm az the Nodhside Senior Center. This would be done in cooperation with several agencies-JOCCA,DSS,A Helping Hand,Junior League, OPT and others. Participants would be picked at home by volunteers and smR Coal:To provide 10 full-time caregivers with 5 hours of respite per week. Method: • Use me Nommide Seinm Center as the site for group despite onedav per week-Fndays Item 9:30 AM until 2:30 PM. • Use the existing JOCCA notation most program,supplemental with stacks. • Contract with a local agency to hire an aide horn 9:00 am.to 3:00 p.m. one any per week. • Chirac existing DOA Eldercare staff to fmtmim as on site Program Manager,as outlined in the NC Division of Aging Policies and Pmecdumefor group respite. • tlliliciDepamnent on Aging staff to provide information,training and counseling to caregivers. Page 3 of 5 12 • Utilize Idirmuomt an Aging stalfto pain volunteers b provide social and recreational activities frr the program participants. • Utilize Deparmtrnl on Aging shf7to measure caregiver depression levels are caregiver satisfaction with group respite. Employ a part time cmnmunity orramismoss rrikr to must volwteers and enroll participants. Evaluation: • Use BackDepressionlaventory to Creature caregiver depression at beginning of program and again at 12 weeks into the prognm. • Meas ewegivm' sarisf mdonwiththereepiteprogambasedonawrivengnesdonnaire. Protected Corr: Agency Cerfiiledaide: $90padayx26weeks $2,340.00 Program managerArainer 8 ms @$lM6w1s(w-kiM) 53,536.00 Program Reeruiler—5 hre@S 12/26 weeks 51,680.00 Senior Center space—m-khnd ($1(0/wk x 26 wled $2,600.00 Two geriatric creditor chairs: $2,000.00 OPT transportation: S4 per day/10 clients $1,060.00 Luncheon meads: fparicipavWvolwtare-20 @3.11) $1,61800 Supplemental snacks: $20 per day x 26 weeks $ 520.00 Recreational materials: $ 60000 Educational arterials: (duphcnticn costs) $ 200.00 Promotional materials: 21M.00 Estimated total coat Total $16,334.00 3. Institutional Respite Relief PSOgam. At three eaegiving sitoelions reguve tea the caregiver must be away over night for other responsibilities or special ctic rn such mn of town directs,weddings,sickness etc. Thus,Charge County Deparmrrnt on Aging s Eldercare Services would warrant with local long term care inatimtions m provide temporary relief caregivers;for overnight and 24 hour care obligaliors. A minumma of two local providers,one in southern Orange and another in camml Orange,would be retained for this service al the skilled, intermediate at sodded living care level. Goal: To serve 10 enregivere with 3 days of insEtutional can relief. Projected Crd: *Skilled care service @ U10 per day x 30 days= S 6.100. (" Service is purchased at this level or lower depending on actual inessmem-Sb-P.ICF,or AL,J 4. In-Home Respite Requiring Personal Care. At times imhome caregivmg situations require that a profes6lovel such W a certified nursing assistant provide relief for the caregiver who Is assisting an elderly persons wide extreme personal care mends(iacontirrncc,etc)beyond the raining and appropriateness of volunteer.Therefore,Orange County Deparrineot on Aging's Eldercac Services would co react wit a local home health steady m provide relief for this special assistance for the caregiver: Page 4 of 5 13 Goal:To serve 5 caregivers with 4 hours per week with personal care respite Projeole l Cost Personal care CNA Cf$13.50 per hour x 20 hours x 20 weeks=$5,400. The hotel Respite Proposal budget is$39,256 with a local 23%match. There would be $3,000 cash and$6,136 W-klutl Department on Aging for space and staff supervision and training for the group respite program.The total budget breakdown is as follows: Federal/State - DO,120.W Local Cash - 3,000.00 Local DOA Io-kind- 613600 Tom[Budget $ 39,256.00 Page 5 of 5