2024-437-E-Social Svc-Charles House Association-adult day care

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Contract-Scope of Work (7-2008) Page 1of 2 ATTACHMENT B – Scope of Work Federal Tax Id. or SSN 58-1582881 Contract # 68-2083 A. CONTRACTOR INFORMATION 1. Contractor Agency Name: Charles House Association 2. If different from Contract Administrator Information in General Contract: Address Telephone Number: Fax Number: Email: 3. Name of Program (s): Adult Day Care 4. Status: Public Private, Not for Profit Private, For Profit 5. Contractor's Financial Reporting Year January through December B. Explanation of Services to be provided and to whom (include SIS Service Code): The North Carolina Division of Social Services (SIS) User’s Manual provides Service Codes and Definitions for the DSS 5027 and 4263. The Contractor will provide Day Care Services for Adults (SIS Code 030) to clients of the Orange County Department of Social Services (DSS) and Department on Aging (DOA). Services will be authorized via the DSS 5027 and the DOA Purchase of Service Authorization form. Such services will include: 030 – Day Care Services for Adults: Daily care means the provision of an organized program of services during the day in a community group setting for the purpose of support adults’ personal independence, and promoting their social, physical, and emotional well-being. Services must include a variety of program activities designed to meet the individual needs and interests of the participants, and referral to and assistance in using appropriate community resources. Also included are medical examinations required for individual participants for admission to day care and periodically thereafter when not otherwise available without cost, and food and food services to provide nutritional meal and snacks as appropriate to the program. Services must be provided in a home or center certified to meet State Standards for such programs. The Contractor is required to meet all goals and outcomes listed in Attachment O. C. Rate per unit of Service (define the unit): 1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) $60/day per client, of which the Contractor must pay employees at least the County’s Living Wage ($17.65 effective July 1, 2024). The County has increased the standard fixed rate to compensate the Contractor for any amount above the Federal Minimum Wage. Note: The Contractor will not be reimbursed for its initial intake assessment. 2. Negotiated County Rate. Docusign Envelope ID: 16F896C3-665C-42FC-B304-EEFEBB208803