HomeMy WebLinkAboutAgenda - 06-08-2004-5xORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 8, 2004
Action Agenda
Item No.j - X
SUBJECT: Home and Community Care Block Grant for Older Adults -Funding FY 2004-2005
DEPARTMENT: County Manager
PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Funding Plan
INFORMATION CONTACT:
Gwen Harvey, Assistant Manager
Jerry Passmore, Director, Dept. on Aging
TELEPHONE NUMBERS:
Hillsborough 245-2300
Chapel Hill 968-4501
Durham 688-7331
Mebane 336-227-2031
PURPOSE: To approve the recommended Home and Community Care Block Grant For Older
Adults Funding Plan for FY 2004 - 2005.
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 (.IOCGA) to administer programs for low-
income minority elderly and rural elderly.
The Block Grant requires the Board of Commissioners to approve the recommended funding
plan. The recommended funding for FY 2004-2005 is $427,956. This amount represents a
decrease of $1,816 from the 2003-2004 Block Grant award of $429,772. The Home and
Community Care Technical Advisory Committee composed of representative from DSS,
JOCCA, the Department on Aging, and the County Manager's Office met and reviewed the plan
on March 31, 2004 and supported the continuation of current outreach and services delivery.
The Advisory Board on Aging also reviewed the Committee's plan on May 12, 2004 and
recommended approval. The recommended Funding Plan is attached.
FINANCIAL IMPACT: The Home and Community Care Block Grant far FY 2004- 2005
provides for a total of $427,956 to support aging services in Orange County. The ten percent
required County match is available within currently budgeted funds.
RECOMMENDATION(S): The Manager recommends that the Board approve the 2004-2005
Home and Community Care Block Grant Funding Plan in the amount of $427,956 and authorize
the Chair to sign grant documents
Home and Community Care Block Grant Funding
Comparison for FY 2003-2004 and FY 2004-2005
Programs Block Grant Proposed Block
Funding Grant Funding
FY-2003-2004 FY 2004-2005
JOCCA
Congregate Nutrition
JOCCA has six Congregate Meal Sites located in $103,716 $103,716
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
Program, and information and referral. Projected #
Persons to be Served: 400
DSS
In-Home Aid Services $ 34,599 $34,599
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 ervision. Projected # Persons to be Served: 10
Aging
Senior Center Operations $ 86,877 $ 85,061
Grant funds pay a portion of the salaries of the
Facility Managers at the three multi-purpose Senior
Centers operated by the Department on Aging.
Projected # Persons to be Served: 2600
Transportation
Daily Fixed route transportation is provided for $ 73,394 $ 73,394
seniors to attend activities at the four Centers and
two community centers that house the .IOCCA
Nutrition Programs sites in Orange County.
Projected # Persons to be Served: 150
Home and Community Care Block Grant Funding
Comparison for FY 2003-2004 and FY 2004-2005
Programs Block Grant Proposed Block
Funding Grant Funding
FY 2003-2004 FY 2004-2005
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.
Projected # Persons to be Served: 135
In-Home Aid Respite
Provide temporary relief for unpaid caregivers of $ 78,849 $ 78,849
individuals who cannot be left alone. In-home aid
services are provided through service agreements
with one or more licensed provider agencies.
Projected # Persons to be Served: 45
Adult Day Care $ 9,054 $ 9,054
Provide temporary relief for unpaid caregivers of
individuals who can benefit from assistance and
supervision in a community facility setting.
Projected # Persons to be Served: 4
undu licated ; 319 da s of service.
Total $429,772 $427,956
4
DOA -730
(Rev, Z/04)
Home and Community Care Block Grant for Otder Adults
County Funding Plan
Identification ofAgency or Office with Lead Responsibility for County Funding Plan
County Orange July 1, 2004 through .Tune 30, 2005
The agency or office with lead responsibility for planning and coordinating the County
Funding Plan recommends tlvs funding plan to the Board of Commissioners as a
coordinated means to utilize community-based resources in the delivery of
comprehensive aging services to older adults and their families.
Orange Count~Manager's Office
(Name ofagency/office with lead responsibility
(date)
John Link Jr.
(Type name and title of signatory agent)
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DOA-73.3
(Itev. 2/04)
Home and Commnnity Care Block Grant for Older Adults
County Funding Plan
July 1, 2004 through Jnne .30, 2005
Methodology to Address Service Needs ofLow-hrcome Minority Elderly
(Older Americans Act, Section .306(a)(4)(A)(ii)
Community Service Provider ~-~r~-r°=~ L'O~ ~0~~ r~3~~~J~c~~--J
County~Qll~--;~
The Older Americans Ack 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 ouheach and service
delivery methodologies that will ensure that this target population is adequately served
and conform with specific objectives established by the Area Agency on Aging, far
providing services to low income minority individuals. Additional pages may be used as
necessary.
DOA-734
(revised 2/04)
July 1, 2004 through June 30, 2005
Home and Community Care Block Grant for Older Adults
Community Service Provider
Standard Assurances
1fi,~,,..- uj, ~„r,v,~ ~~/~.~,r.,~agrees to provide services tluough the Home and
(Na e of Provider)
Community Caze Block Grant, as specified on the Provider Services Summary (DOA-7.32) in
accordance with the following:
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 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,
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 oflow-income minority elderly will be addressed in the
manner specified on the MethodoloQV to Address Service Needs of Low-Income
Minority Elderly format, (DOA-7.3.3).
3. The following service authorization activities will be carved out in conjunction with
all services provided through the Block 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 shazing/voluntaryeontributions policies with eligible clients.
4. All licenses, permits, bands, and insurance necessary for carrying out Block Grant
Services will be maintained by the community service provider and any contracted
DOA-734
(revised 2/04)
providers.
5, As specified in 45 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 Care Block Grant Manual for Community Service
Providers, dated February 17, 1997,
7. Community service providers are responsible for providing or arranging for the
provision of required local match, as specified on the Provider Services Swmnarv,
(DOA-7.32). Local match shall be expended simultaneously with Block Grant
funding.
8. Providers expending $300,000 or more in federal financial assistance through the
Home and Community Care Block Grant, or in combination with other federal funding
shall receive an annual independent audit which meets the requirements of the
Division of Aging Program Audit Guide for Aging Services, applicable North Cazolina
General Statutes and Local Government Commission requirements, and OMB Circular
A-1.3.3. For-profit community service providers shall have an annual compliance audit
which meets the requirements of A-1.33. The audit shall be performed within nine (9)
months of the close of the provider's fiscal year. LTpon completion of the audit, non-
profit and for-profit providers shall provide a copy of the audit report and any opinion
letter simultaneously to the County and the Area Agency, Federal funds will not
reimburse the cost of a single audit if the total of all federal funds expended by the
provider is less than $300,000
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
DOA-7.34
(revised 2/04)
10, Providers In-Home Aide, Home Health, Housing and Home Improvement, and Adult
Day Care or Adult Day Health Care shall sign and return the attached assurance to the
area 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,
-~~1 ~ G~ 5~/J~~
Authorized Signature) (Date)
11
Standard Assurance to Comply with Older Americans Act
Requirements Regarding Client Rights
for
Agencies Providing In-Home Services through the
Home 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 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 Care
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 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 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 participate;
-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:-~/r~~-~~
Name of Agency Admini/strat~o-r: ~t/a-~~--~ i= os..~e~ - -- _
Signature: C~~ ~ Date: 5 ~G~
(Please retur thi orm to your Area Agency on Aging and retain a copy for your files.)
iz
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13
DOA-733
(Rev,. 2/04)
Home and Community Care Block Grant for Older Adults
County Funding Plan
July 1, 2004 through June 30, 2005
Methodology to Address Service Needs ofLow-Income Minority Elderly
(Older Arnericans Act, Section .306(a)(4)(A)(ii)
Community Service Provider Orange County De~tment on Aging
County Orange
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 Surnmary (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 on 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 yeazs 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 four JOCCA-operated senior meal sites, providing
facility space and access services in these locations, Fixed transportation routes aze
operated for those who reside outside the municipal bus service area. The
Information 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 three senior centers,
with scholazships available for 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 and inserted in the Saturday
edition of the Chapel Hill Herald with a distribution of approximately 25,000
households in Orange County.
14
• Work closely with the Department of Social Services to assure that in-home and
institutional respite care services axe targeted to those low-income individuals who
could benefit.
• Make presentations to church groups in rural Ox~xge County to inform residents of
services for seniors and to promote volunteerism tluough 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. Rev. OS/03/04
15
DOA-734
(revised 2/04)
July 1, 2004 through June 30, 2005
IIome and Community Care Block Grant for Older Adults
Community Service Provider
Standard Assurances
Orange County Department on Aging agrees to provide services tluough the Home and
(Name of Provider)
Community Care Block Grant, as specified on the Provider Services Sununary (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 Caze Block Gtant Procedures
Marmal for 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, with particulaz attention to low-income minority
individuals. The service needs oflow-income minority elderly will be addressed in the
manner specified on the MethodoloQV to Address Service Needs ofLow-Income
Minority Elderly format, (DOA-733).
The following service authorization activities will be carried out in conjunction with
all services provided through the Block Grant:
a) Eligibility determination;
b) Client intake/registration;
c) Client assessment/reassessrnents 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.
16
DOA-7.34
(revised Z/04)
4. All licenses, permits, bonds, and insurance necessary For carrying out Block Grant
Services will be maintained by the community service provider and any contracted
providers.
5. As specified in 45 CFR 92.36(b)(11), community service providers shall have
procedures for settling all contractual and administrative issues arising out of
procurement of services tlu'ough the Block Grant. Community service providers shall
have procedures governing the evaluation of bids for services uid procedures tluough
which bidders and contracted providers may appeal or dispute a decision made by the
community service provider.
6. ApplicantlClient appeals shall be addressed as specified in Section 7 of the Division of
Aging Home and Community Care Block Grant Manual for Community Service
Providers, dated February 17, 1997.
Community service providers aze responsible for providing or arranging for the
provision of required local match, as specified on the Provider Services Summary,
(DOA-732). Local match shall be expended simultaneously with Block Grant
funding.
8. Providers expending $.300,000 or more in federal financial assistance through the
Home and Community Care Block Grant, or in combination with other federal funding
shall receive an amiual independent audit which meets the requirements of the
Division of Aging Program Audit Guide for Aging Services, applicable North Carolina
General Statutes and Local Govenunent Commission requirements, and OMB Circular
A-1.33. For-profit conununity service providers shall have an annual compliance audit
which meets the requirements of A-1.3.3.. The audit shall be performed within nine (9)
months of the close of the provider's fiscal year. Upon completion of the audit, non-
profit and for-profit providers shall provide a copy of the audit report and any opinion
letter simultaneously to the County and the Area Agency. Federal funds will not
reimburse the cost of a single audit if the total of all federal funds expended by the
provider is less than $300,000
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 ig ne-Based Services (DOA-735) shall be maintained.
17
DOA-734
(revised 2/04)
10. Providers In-Home Aide, Home Health, Housing and Home Improvement, and Adult
Day Care or Adult Day Health Care shall sign and return the attached assurance to the
area 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,
Ls
Standard Assurance to Comply with Older Americans Act
Requirements Regarding Client Rights
for
Agencies Providing In-Nome Services through the
Home and Community Care Block Grant for Older Adults
As a provider of one ar 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 Care
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 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 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 participate;
-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:__QLange_crn~nty ne n~.rsmn ~_2L$1~______-~ ______
Name of Agency Administrator: _ Jeri M. rassmore __ ______
~-
Signature:_ _ -' _ .__Date: _~ _______
(Please return th' orm o your Area Agency on Aging and ret in a copy far your files.)
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DOA-733
(Rev. 2/04)
Home and Community Care Bloclc Grant for Older Adults
County Funding Plan
July 1, 2004 through June.30, 2005
Methodology to Address Service Needs ofLow-Income Minority Elderly
(Older Americans Act, Section .306(a)(4)(A)(ii)
Community Service Provider Joint Orange-Chatham CommunitX A ~ nn rnr.
County Orange
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 on Aging, for
providing services to low income minority individuals. Additional pages may 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 ss.lient part in their everyday existence. To
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.
21
The Nutrition and Aging Director and Coordinator of Services are 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
on Aging; JOCCA is able to provide but not 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 made at all interagency meetings about the luncheon program.
Referrals for program participation aze 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 greatest socioeconomic need. Special consideration is 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 whom 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 Gaze provider or another responsible party to
assist with care; and
(4) Individuals who experience impairment in performance of daily living.
zz
JOCCA has 5 Congregate Meal Sites located in Orange County, In 200.3, we served
29433 meals to 469 unduplicated participants, A site manager is located at each site
and is responsible for the daily operation of nutrition programs azld meals. There aze
also three (3) Coordinator of Services who are mainly responsible for the
coordination, outreach, referral, and provision of services oflow-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 interagency coordination, cooperation, and
resource mobilization and 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 continue its resource
mobilization efforts through the solicitation of funds from federal, state, local, and
private sources, its utilization of volunteers, and enhance fundraising efforts.
23
DOA-7.34
(revised 2/04)
July 1, 2004 through June 30, 2005
Home and Community Care Block Grant for Older Adults
Community Service Provider
Standard Assurances
To'nt Or^ngP ('hatham C~.t~-_o +~fies 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:
Services shall be provided in accordance with requirements set forth in
a) The County Funding Plan;
b) The Division of Agnig Home and Community Care Block Grant Procedures
Manual for Community Service Providers; and
c) The Division of Aging Services Standazds Manual, Volumes 1 through N.
Community service providers shall monitor any contracts with providers of Block
Grant services and take appropriate measures to ensure that services aze 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, with particulaz attention to low-income minority
individuals. The service needs of low-nrcome minority elderly will be addressed in the
manner specified on the Methodolo~y to Address Service Needs ofLow-Income
Minori Elderly format, (DOA-733).
3, The following service authorization activities will be carried out in conjunction with
all services provided through the Block 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 shazing/voluntaryconuibutions policies with eligible clients,
4. All licenses, permits, bonds, and insurance necessary for carrying out Block Grant
Services will be maintained by the community service provider and any contracted
24
DOA-7.34
(revised 2/04)
providers.
5. As specified in 45 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. ApplicantJClient appeals shall be addressed as specified in Section 7 of the Division of
Aging Home and Community Care Block Grant Manual for Community Service
Providers, dated February 17, 1997,
7. Community service providers aze responsible for providing or arranging for the
provision of required local match, as specified on the Provider Services Summary,
(DOA-732). Local match shall be expended simultaneously with Block Grant
funding.
8. Providers expending $.300,000 or more in federal financial assistance through the
Home and Community Care Block Grant, or in combination with other federal funding
shall receive 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 Circular
A-1.3.3. For-profit community service providers shall have an annual compliance audit
which meets the requirements of A-133. The audit shall be performed within nine (9)
months of the close of the provider's fiscal year. Upon completion of the audit, non-
profit and far-profit providers shall provide a copy of the audit report and any opinion
letter simultaneously to the County and the Area Agency. Federal funds will not
reimburse the cost of a single audit if the total of all federal funds expended by the
provider is less than $30Q000
9, Compliance with Equal Employment Opportunity and Americans With Disabilities
Act requirements, as specified in pazagraph fourteen (14) ofthe Agreement for the
Provision of Count~A ig ng-Based Services (DOA-735) shall be maintained,
25
DOA-734
(revised 2/04)
10. Providers Tn-Home Aide, Home Health, Housing and Home hnprovement, and Adult
Day Care or Adult Day Health Care shall sign and return the attached assurance to the
area 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.
27 /o
(Authorized Signature)
26
Standard Assurance to Comply with Older Americans Act
Requirements Regarding Client Rights
for
Agencies Providing In-Home Services through the
Home and Community Care Block Grant for Older Adults
As a provider of one ar mare of the services listed below, our agency agrees to notify all
I-lome 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 Care
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 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 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 participate;
-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 Orange:-ChathaID_ Communsty Action, Inc. _ _
Name of Agen Administrator: sands x. &anahe~ --
Signature: ~~^rreea~ _-_Date:_.~_j~_~~~-_
(Please return rs orm o y~`~~ Agency on Aging and re{a n a coo}}'Siy fo your files-)