Orange County NC Website
DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 <br /> EXHIBIT `B" <br /> Scope of Services—FY 2016-17 <br /> Outside Agency Performance Agreement <br /> Agency Name: Senior Care of Orange County, Inc <br /> Funding Award: $30,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Personnel—Salaries 30,000 <br /> Programmatic Expenses—Supplies,Transportation, Staff Development,and Outreach <br /> Program Services <br /> For assistance with this or the following section, please reference the Exhibit A instructions and example, located within the <br /> contract and reporting memorandum. Outline the major activities the agency will employ to attain the Anticipated Outcomes <br /> below,by June 30,2016. <br /> • To conitnue to provide a therapuetic health model focus to the participants by promoting <br /> independence,wellness, socialization and emotional well being in a community based setting. <br /> • Provide additional respite support services and resources for the families that we serve through <br /> quarterly trainings and inservices. <br /> • To support the conitnuation of additional program supplies when census increases. <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 <br /> within that measure's description or for an earlier performance measure. <br /> Performance Measures Anticipated <br /> Results <br /> Provide financial community resources to participants 85 % <br /> Prevent families from resulting in institutionalization 15 % <br /> FL:e:Signed u by: <br /> Director 10/26/2016 <br /> Certified by: _ Title: Date: <br /> 60,52B65B6443... <br /> (Provider's Signature) <br />