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<br /> <br /> <br />Contract-Scope of Work (7-2008) Page 1of 2 <br />ATTACHMENT B – Scope of Work Federal Tax Id. or SSN 58-1582881 <br /> Contract # 68-2097 <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Charles House Association <br />2. If different from Contract Administrator Information in General Contract: <br />Address <br /> <br />Telephone Number: Fax Number: Email: <br />3. Name of Program (s): <br />4. Status: Public Private, Not for Profit Private, For Profit <br />5. Contractor's Financial Reporting Year January through December <br /> <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): <br /> <br />The North Carolina Division of Social Services (SIS) User’s Manual provides <br />Service Codes and Definitions for the DSS 5027 and 4263. The Contractor will <br />provide Day Care Services for Adults (SIS Code 030) to clients of the Orange <br />County Department of Social Services (DSS) and Department on Aging (DOA). <br />Services will be authorized via the DSS 5027 and the DOA Purchase of Service <br />Authorization form. Such services will include: <br /> <br />030 – Day Care Services for Adults: Daily care means the provision of an <br />organized program of services during the day in a community group setting for <br />the purpose of support adults’ personal independence, and promoting their social, <br />physical, and emotional well-being. Services must include a variety of program <br />activities designed to meet the individual needs and interests of the participants, <br />and referral to and assistance in using appropriate community resources. Also <br />included are medical examinations required for individual participants for <br />admission to day care and periodically thereafter when not otherwise available <br />without cost, and food and food services to provide nutritional meals and snacks <br />as appropriate to the program. Services must be provided in a home or center <br />certified to meet State Standards for such programs. The Contractor is required to <br />meet all goals and outcomes listed in Attachment O <br /> <br />C. Rate per unit of Service (define the unit): <br /> <br />1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) <br /> <br />$60/day per client, of which the Contractor must pay employees at least the <br />County’s Living Wage ($18.18 effective July 1, 2025). The County has increased <br />the standard fixed rate to compensate the Contractor for any amount above the <br />Federal Minimum Wage. Note: The Contractor will not be reimbursed for its <br />initial intake assessment. <br /> <br />Docusign Envelope ID: 1C9A203A-0EA3-49EF-9D03-68616A08D67A