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DocuSign Envelope ID:6640lB51-89A1-4507-BCA8-FE809341297F <br /> ATTACHMENT a - <br /> OUTCOMES AND REPORTING <br /> Orange County Department of Social Services and Orange County Department on Aging <br /> By signing and submitting this document,the Contractor certifies that it agrees to the following: <br /> 1. The Contractor agrees to participate in program, fiscal and administrative monitoring and/or audits, <br /> making records and staff time available to Federal, State,and County staff. <br /> 2. The Contractor agrees to take necessary steps for corrective action,as negotiated within a corrective <br /> action plan, far any items found to be out of compliance with Federal, State,and County laws,regulations, <br /> standards and/or terms of the Contract. <br /> 3. The Contractor agrees that continuation of and/or renewal of this Contract is contingent on meeting the <br /> following requirements. The Contractor agrees to: <br /> A. Allow the County to complete the assessment of each client. The County will complete an In- <br /> Home Aide Service Plan as part of the assessment. The County will provide the In-Home Aide <br /> Service Plan to the Contractor prior to the start of service. The County will update the In-Home <br /> Aide Service Plan as needed. <br /> B. Provide employees to perform in-home services for the County's clients,at the level,amount <br /> and frequency specified by the social worker in the In-Home Aide Service Plan. <br /> C. Assure that employees meet the competency requirements for the level(s)of service provided. <br /> The Contractor will provide verification,upon request,that the selected employee has been <br /> properly licensed and trained and is qualified to perform assigned tasks. <br /> D. Select and assign qualified employees to clients according to the clients' needs and the <br /> employees' abilities and experience. The Contractor agrees to honor requests made by the <br /> County for a change in assignment. <br /> E. Fulfill all employer financial obligations. <br /> F. In a timely manner,provide the County with information on significant changes in the clients' <br /> conditions or situations. <br /> G. Assure that the client is treated with dignity and respect, assist in protecting the client's assets <br /> and possessions, and assure confidentiality of client's circumstances. <br /> H. Allow aides to provide transportation,within reason, for both medical and personal reasons. <br /> I. Provide care at Level II as appropriate to the needs of the client. <br /> J. Complete,for employees serving Level II clients,at least a quarterly on site visit to the home of <br /> at least one client the employee is serving. <br /> K. Maintain all financial and program records for a period of three years from the date of final <br /> payment under this agreement for inspection by the County,the Area Agency on Aging and the <br /> Comptroller General of the United States,or any of their duly authorized representatives. If any <br /> claim, litigation,negotiation,audit or other action involving the Contractor's records has been <br /> started before the expiration of the three-year period,the records must be retained until <br /> completion of the action and resolution of all issues that arise from it. <br /> L. Monthly contact and annual on-site visits with the County. The Contractor agrees to client <br /> contact per Home and Community Care Block Grant guidelines for frequency of required aide <br /> supervision by RN, competency testing,and document provision including: <br /> a. A supervisory on site home visit by RN within the first calendar week of an aide <br /> assignment to observe the work of the aide. <br /> Outcomes (06/04) Page l of 3 <br />