2017-476-E Finance - Charles House Association - Outside Agency Performance Agreement

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DocuSign Envelope ID:8E4BA2A0-F8F0-406A-A380-E6C66CCD78B4 EXHIBIT "B" Scope of Services— FY 2017-18 Outside Agency Performance Agreement Agency Name: CIIARLES HOUSE ASSOCIATION Program Name: DAYTIME ELDERCARE PROGRAM Funding Award: $22,500 Outline how the agency will spend Orange County's funding award. Expense Description Amount Personnel support; payroll $22,,500 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2018. « The Daytime Eldercare Program provides therapeutic social engagement, care and activity for elders and respite for their family caregivers. Family Caregiver Support:The Charles House Daytime Program supports family caregivers by offering respite from the ongoing concerns of caring for a loved one and by supporting the best functioning of their loved ones through. participation in the therapeutic program Enriching the lives of elders, enhancing well-being and supporting functioning: • The relationship Charles House maintains with enrolled families is the basis for the collaboration in caring. The daytime program works to support a variety of functioning abilities for participants: including self-esteem, gross and fine motor skills, social skills, verbal skills, ambulation, memory and reminiscence, activities of daily living. Maintain Program Standards: o Program administration assures that all aspects of the program are in compliance with the state rules for annual certification Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County, only(all Towns and municipalities).If you use percentages,you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results 50% of enrolled families in the funding year will have the capacity to continue providing care in the home and not require, or delay, residential care placement for their partici ant/enrolled family member. Over 75% of families will report in the annual evaluation survey satisfaction with the Charles House program and will report positive effects of the program for their enrolled family members, such as improvement in their participant/enrollee's behavior, emotional status, physical and/or cognitive functioning (While the annual caregiver survey is a good tool for measuring qualitative standards of the program, state licensure is also a measurable marker.) Charles House Association will continue to surpass the NC Standards and maintain state certification to operate as an adult day rogram. DocuSigned by: PAUL . Executive Di rector $/31/2017 lob 6F 8 e 5F6 4BB_. Certified by i , 4. :' 'a Title: e toe Date: 1-7 5. 17 (Provider's Signature)