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DocuSign Envelope ID: D04FOC3D- 1C80- 4E9C- AF06- 1741EB6CCB39 <br />ATTACEEVMNT B <br />SCOPE OF WORK <br />Orange County Department of Social Services and Orange County Department on Aging <br />Federal Tax Id. or SSN 46- 4414176 <br />Contract # 68 -2037 <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: KAH Care. L.L.C. dba Right at Home <br />2. If dierent from Contract Administrator Information in General Contract: <br />Address <br />Telephone Number: Fax Number: _ _ Email: <br />3. Name of Program (s): In -Home Services <br />4. Status: ( ) Public ( ) Private, Not for Profit (X) Private, For Profit <br />5. Contractor's Financial Reporting Year July 1, 2018 through .Tune 30, 2419 _ <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): _The <br />Contractor will provide em to ees to perform in -home services for the De artment of Social <br />Services' clients and the De artment on A in 's clients at the level amount and frequency <br />specified by the social worker in the In-Home Aide Services Plan (SIS Code 042). The <br />Contractor will provide Level II Hoene Management and Level 11 Personal Care. The Contractor <br />is required to meet all ;goals and outcomes listed in Attachment N. _ <br />C. Rate per unit of Service (define the unit): <br />1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) <br />A maximum allowable rate of $22.74 /hour, of which the Contractor trust pay the In <br />Home Aide at least the Coup 's Living Wage (currently 14.25 per/hr). The County has <br />increased the standard fixed rate to compensate Contractor for any amount above Federal <br />Minimum _W ag. <br />e <br />2. Negotiated County Rate. <br />D. Number of units to be provided: <br />E. Details of Billing process and Time Frames: The Coup will reimburse the Contractor for <br />services described in this contract up to the budgetaU limits of the contract allotment. The <br />County will reimburse the Contractor at a rate of $22.74/hour for approved services provided. For <br />reimbursement the Contractor must sub_ mit an original and two copies of an invoice by the fifth <br />of the month for the preceding month's expenditures to the designated County Administrator. All <br />invoices for the provision of services to the Department of Social Services shall be submitted to <br />the Administrator for said Department All invoices for the provision of services to the <br />Contract -Scope of Work (06104) Page Iof 2 <br />