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Certified by: _______________________ Title: __________________________ Date: ____________ <br /> (Provider’s Signature) <br /> <br /> <br />EXHIBIT “B” <br /> <br />Scope of Services – FY 2023-24 <br />Outside Agency Performance Agreement <br /> <br />Agency Name: Charles House Association <br />Program Name: Charles House Daytime Eldercare Program <br />Funding Award: 25,000 <br /> <br />Outline how the agency will spend Orange County’s funding award. <br />Program Services <br />Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2024. <br /> The Daytime Eldercare Program at Charles House is therapeutic social engagement for elders with <br />physical and/or cognitive challenges. Enrollment in the program also provides much-needed respite <br />to family caregivers. <br /> <br /> <br /> <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 within <br />that measure’s description or for an earlier performance measure. <br />Performance Measures Anticipated <br />Results <br />50% of enrolled families in the funding year will have the capacity to continue providing <br />care in the home and not require, or delay, residential care placement for their <br />participant/ enrolled family member <br /> <br />Over 80% of families will report in the annual evaluation survey satisfaction with the <br />Charles House program and will report positive effects of the program for their enrolled <br />family members, such as improvement in their participant/enrollee’s behavior, emotional <br />status, physical and/or cognitive functioning. <br /> <br />Program State Certification <br /> <br /> <br /> <br />Expense Description Amount <br />Personnel <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: A7CE3DDE-BE6D-4EA9-B2BA-639EBDC41DE7