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PROPOSAL <br /> Part B - Assurances <br /> YES NO <br /> 1. The Respite Care Service will be provided X <br /> in a setting other than the home. If <br /> "yes" , specify the location: <br /> 2. The applicant is currently providing and x <br /> has had years of experience in pro- <br /> viding in-home services, and is an existing <br /> public, private or proprietary agency. <br /> 3. The applicant assures that only respite X <br /> care services will be provided with <br /> project funds. <br /> 4. The applicant assures that services will be X <br /> coordinated with other agencies as appro- <br /> priate. Please describe coordination <br /> efforts: <br /> Department of Social Services will coordinate the respite <br /> care with Department on Aging through an interdepartmental <br /> Case Management Team. The Home Health Agency, Health Depart- <br /> ment would be utilized for identifying potential respite <br /> case clients and HHA as an aide provider. IFC and OCIM <br /> would be utilized as to coordinating volunteer efforts to <br /> respite care. <br /> 5. The applicant assures that the service X <br /> standards for respite care services as <br /> established by the Division of Aging and <br /> all applicable laws and regulations will, <br /> be adhered to. <br /> X <br /> 6. The applicant assures the availability <br /> of 12 1/2% cash match. <br /> 7. The applicant assures that program fees <br /> collected will be used to expand respite <br /> care services. Program fees may not be <br /> used for the required cash match. <br /> X <br /> 6. The applicant assures that some type of <br /> volunteer component will be incorporated <br /> into program operations. <br /> 17 <br />