Orange County NC Website
EXHIBIT "A" <br /> Scope of Services—FY 2014- 15 <br /> Outside Agency Performance Agreement <br /> Agency Name: Charles House Association <br /> Program Name: Charles House: Daytime Eldercare Center <br /> Funding Award: $15,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Personnel: payroll and salary expense $15,000 <br /> Program Services <br /> For assistance with this or the following section,please reference the Exhibit A instructions and example,located within the contract <br /> and reporting memorandum.Outline the major activities the agency will employ to attain the Anticipated Outcomes below,by June <br /> 30,2015. <br /> • The daytime eldercare center is operated M-F, 7:30 to 5:30.Approximately 50 caregiving families <br /> are enrolled in the program, utilizing the 22 participant openings each day. The therapeutic <br /> activities program helps participants to maintain high levels of functioning, social engagement, <br /> self-esteem and supports family caregivers with respite and caregiver support services. <br /> Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange <br /> County,only(all Towns and municipalities).If you use percentages,you must also provide the total number of participants within <br /> that measure's description or for an earlier performance measure. <br /> Performance Measures Anticipated Results <br /> • 50% of enrolled families in the funding year will have the capacity to continue <br /> providing care in the home and not require, or delay, residential ca <br /> • Over 50%of families will report in the annual evaluation survey satisfaction <br /> with the Charles House program and will report positive effects of the <br /> • Charles House Association will continue to surpass the NC Standards and <br /> maintain state certification tooperate as an adult day care program. <br /> Certified by: fa4a 4W, Title: cr'z, � Di�2tw7 Date: ,ZU <br /> (Provider's Signature) <br />