WA ST Dept of Social and Health Services DSHS 6/1/2017

Special Terms and Conditions r. "Unusual Incidents" means a change in circumstances or events that concern a client's safety or well being. These may include, but are not limited to the following examples: an increased frequency, intensity, or duration of any medical conditions;, adverse reactions to medication, severe behavioral incidents that are unlike the client's ordinary behavior, severe injury, running away, physical or verbal abuse to themselves or others, etc. 24. Purpose. The purpose of respite care is to provide intermittent relief for persons providing care for individuals eligible for DDD services, on either an emergency or planned basis, to assist a client to remain in the least restrictive environment. 25. Contractor Qualifications. a. The Contractor shall be licensed, registered, and certified as is required by law. b. Community settings providing respite care must meet the regulations governing their business or activity. c. Contractors offered services must be published on website and include; (1) Identified number of service hours being provided in your program/class/event including days/date and start and end time; (2) Identify activities that will occur during program/class/event; and (3) Published Fee schedule. d. 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. 26. 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 to 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) Ensure that the respite care is provided in the specific Community Setting and Respite services DSHS Central Contract Services 1803LP DDD Respite in Community Settings(5-6-11) Page 11