2011/06/01 Council Agenda Packet

Special Terms and Conditions 2 Care shall be provided in the residence of the client's family/relative, in the licensed residence/facility of the Contractor, or in a Community Setting. 3. Contractor Qualifications. a. The Contractor shall be licensed, registered, and certified as is required bylaw. b.. Community settings providing respite care must meet the regulations governing their business or activity. C. The Contractor agrees to undergo a criminal history background check conducted by DSHS, as required by RCW 43.20A.710. If the Contractor has employees or volunteers who will have unsupervised access to Clients in the course of performing the work under this Contract, the Contractor will conduct criminal history background checks on those employees. 4. Statement of Work. The Contractor shall provide the services and staff,:and otherwise do all things necessary for or incidental to the performance of work, as set forth below: a. Upon receipt of and in accordance with the provisions of a written service authorization form issued by DSHS the Contractor shall: (1) Provide physical assistance, support and protective supervision to the client in daily routine activities and to prevent injury to him or herself and to others; (2) Obtain information about the client's identified needs and:care requirements from the parent(s) or primary caregiver(s) and ensure that the client's needs are met while providing services; (3) Contact the client's parent or primary caregiver(s) if the Contractor has not heard from them within seven (7) days of the Contractor's receipt of the service authorization to make arrangements for specific dates and times of care; (4) Make arrangement with the primary provider of assistance for emergency medical treatment should this become a necessity (5) Maintain copies of all Social Service Payment System (SSPS) authorizations to provide services; and (6) Complete and maintain copies of the work verification records for all services provided. These records shall be kept on file by the Contractor for the duration of this Contract and thereafter for a period of 6 years and will be available to DSHS upon request for purposes of audit, monitoring and/or service verification. b. In addition to the above, the contractor may also provide as authorized the following: (1) Provide the client transportation to and from community resources and agencies; (2) Provide written progress reports as requested by a DDD Case Resource Manager or per other • DDD procedures; and c. Community Settings shall provide care that assists the client's participation in a safe manner. (See section 4.e.(3).(a)through (f) below). DSHS Central Contract Services 1735LP Agency Respite Care Interlocal(9-28-10) Page 10 27