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Home My WebLink Aboutbocc.con.093.2014 RESERVED ��c�.�--�`�C::,� � G � -- ZO l� Licensed Provider Fiscal Agreement Pitkin County Health and Human Services PROVIDER#:46707 PO Box 660 Eagle, CO 81631 Little Red School House PO BOX 6385 Snowmass Village, CO 81615 This Agreement is entered into and between Pitkin County, herein referred to as"Department"and 'tt � Red School House, herein referred to as"provider"who will provide child care al the following address: ; 4598 Owl Creek Rd. Snowmass Villaoe. CO 81615. This Agreement shall be in effect from 2 17 2 to 2/28/2017. i Provider Agrees to: � 1. Maintain a valid child care license as required by Colorado Statute and conform to all applicable i State, Federal Regulations and local law. 2. Report to the county if the provider's license has been revoked, suspended,or denied within ' three (3)calendar days of receiving nolification, a recovery will be established of all payments � made as of the effective date of closure. � 3. Allow parents immediate access to the child(ren)in care. , 4. Accept referrals for child care withoul discrimination with regard to race, color,national origin, � age,sex, religion, or physical or mental handicap. 5. Provide children with adequate food, shelter and rest. 6. Maintain as strictly confidential all information concerning children and their families. 7. Protect children from abuse/neglect and report any suspected child abuse and neglect to the Department. 8. Hold the Colorado Department of Human Services and the State of Colorado harmless for any loss or actions caused by the performance of this Agreement. 9. Provider shall offer free, age-appropriate altematives to voluntary aclivities. 10. Provide child care at lhe facility address listed above and ensure that care is provided only by the person or business listed above. Provide care for children under this agreement only if authorized by the Department in advance. 11. Sign the child care Fiscal Agreement and all other county or state required forms. Develop an individualized care plan for children with additional child care needs. 12. Notify the Department of unexplained,frequent and/or consistent absences within ten (10) calendar days of an established pattern. 13. Providers are required to collect the full parental fee each month. Parental fees are due to the provider irom the parent or adult caretaker at the beginning of the month. Report non-payment of parental fees no later than the last day of the month for which they have not been received. 14. Maintain proof of age-appropriate immunizations for lhe children in the provider's care, if required by county policy. Immunization records shall be obtained from parents or adult caretakers either at the time of admission or within thirty (30)calendar days of[he date of admission and shall be updated annually. For children whose parents or adult caretakers object to immunizations on religious grounds or for children whose medical condition contraindicates immunization, providers shall maintain a sta[ement in the child's file signed by the parent or adult raretaker stating the reason for not immunizing. 15. Shall not charge the counties more than the established private pay rates and keep the Department informed of changes in the private pay rates within ten (10)days of the change. Attach a copy of the current charge policies on retes,transportatlon, activity, registration fees and payment policies.Allowable rates and other associated charges shall be in accordance with State Rules for Colorado Child Care Assistance Program.The provider is subject to recovery if the reported private pay rates are lower than the agreed upon county reimbursement rates established in this Fiscal Agreement. CCAP Licensed Provider Fisral Agreement(Rev.09/2011) 1 of 3 16. Shall not charge parents or adult caretakers rates in excess of those agreed upon in the Fiscal Agreement(this includes the agreed upon registration, activity and transportation fees if the counly pays these fees). The rate in the Fiscal Agreement is the maximum allowable rate of reimbursement for the care provided and includes any portion for which the parent or adult caretaker is responsible. 17. The provider understands that they must attend a county face-to-face training before the provider will receive a Poinl-Of-Service(POS)device. The provider is required to use the POS device to record attendance and bill for care provided. 18. Maintain a land-based phone service to ensure that the POS terminal is able to submit attendance information to the Department for payment on a weekly basis. 19. Provider is responsible to ensure the parent or adult caretaker swipes his/her card to check the child(ren)into and out oi care daily for attendance Vacking and payment. Missed check-in and check-out swipes may be updated within nine(9)days of the date of service. The Department does not guarantee payment to the Provider if the authorization status on the POS device is "pending," "denied,"or"not authorized."If the child care is not authorized,the parent or adult caretaker shall be responsible for payment and the Department shall not be held liable. 20. Provider is responsible to contact Affiliated Computer Service, Inc(ACS)at 1-877-779-1932 if the Poinl of Service(POS)terminal stops working for any reason for troubleshooting or repair. 21. If the provider stops caring for children under the Colorado Child Care Assislance Program they shall contact ACS to request a self-address postage paid relum label to assisl in returning the POS device. If the POS device is not returned within thirty(30)days and in good shape (allowing for normal wear and tear)to ACS a recovery will be eslablished for the cost of replacement for the POS device which is$365. � 22. The provider is required to maintain sign in/out sheets for children in their care. These records shall be maintained for three years plus the current year and are lo be made available to the DeparUnent upon request. 23. The provider may manually bill the Department for services authorized, based on county payroll policies,that were not reimbursed automatically based on the POS transactions. The provider shall provide sign in/out sheels to support requesls for manual payment. The provider forfeits payment for services if the original manual billing form is submitted more than sixry(60)calendar days following the end of the month the service period ended. 24. Never keep in their possession (whether at the facility or in any other place)a clienPs CCAP ! Card. Possession of any CCAP Card(s)will terminate this Fiscal Agreement and prevent the provider from providing child care assistance services in the future with any county in Colorado. � 25. The provider underslands that if the provider commits fraud or an intentional program violation the provider will be subject to disqualification from the Colorado Child Care Assistance Program ' (CCCAP)as a provider for 12 months for the first offense; 24 months for the second offense and ! permanently for the third offense. � 26. The Department and/or child care licensing shall have the authority to inspect the provider's facility for the presence of CCAP Cards or any other suspicious billing information. Upon discovery of these materials the provider understands either of these entities have the right to , seize these malerials including the CCAP Cards and/or POS Device. ' 27. I understand that any overpayment will be recovered including, but not limited to, inaccurate or fraudulent billing. If at the time any overpayment is established while your fiscal agreement . is active,the amount of the overpaymenl will be deducted beginning with lhe next child care payment and every paymenl thereafter until the overpayment is paid in full. If your fiscal agreement is inactive, the county shall collect[he overpayment in accordance wilh standard collection procedures which may include State Income Tax inlercept. Fraudulent billing will be prosecuted. 28. The provider will be paid the retes agreed upon in this fiscal agreement listed below. CCAP Licensed Provider Fiscal Agreement(Rev.09/2011) 2 0�3 Full Time Rates Rate T e OM-6M 6M-12M 12M-18M 18M-24M 24M-30M 30M36M 36M-SA SA Re ular $0.00 $0.00 $63.13 $63.13 $63.13 $63.13 $61.13 $0.00 Part Time Rates Rate T e OM-6M 6M-12M 12M-18M 18M-24M 24M-30M 30M36M 36M-SA SA Re ular $0.00 $0.00 $38.50 $38.50 $38.50 $38.50 $35.75 $0.00 Provlder Rights: 1. When a provider contends that the county has not made adequate payment based on program rules for care provided,the provider has lhe right to an informal conference with county staff pursuant to 9 CCR 2503-1 at Section 3.910, (D). • Providers may request a conference in writing within 15 days of the date of the ac6on. This request should be addressed to the county director of the county Department of Social! Human services responsible for the action. • Provider may request that State CCCAP staff participate in the conference. That participation may be by telephone conference. • The conference shall be held within two weeks of lhe date the request for a conference is received by the county. � The purpose of the conference is limited to discussion about the payments in dispute and the relevant rules regarding payment. • The final decision of the county shall be mailed to the provider within 15 days of the oonference date. 2. A provider may request an informal conierence if s/he disputes the termination of a Fiscal Agreement. • Providers may request a conference in writing within 15 days of the date of the action. • This request should be addressed to the county director of the county Department of Social/ Human services responsible for the action. � The conference shall be held within two weeks of the date the request for a conference is received by the county. • The purpose of the conference is Ilmited to discussion about the termination of the fiscal agreement pursuant to 9 CCR 2503-1 at Section 3.906, (D). • The final decision of the county shall be mailed lo the provider within 15 days of the conference date. Department Agrees to: 1. Provide face-to-face training to the provider on how to use the Point of Service(POS)devlce prior to entering into a Fiscal Agreement with the provider. 2. Enter the Fiscal Agreement into the Childcare Automated Tracking System (CHATS)within five(5) buslness days of receipt of the completed Fiscal Agreement and all supporting documentation. 3. Determine clienPs eligibility for child care services within fikeen (15)days of receiving the complete application packet including verification. � 4. Send Child Care Authonzation Notices to the provider within seven(7)working days of the � Department's initial approval or prior to making any changes in eligibility for each child such as paren[al fees, authorized amount of care, added or deleted children, and/or any other changes to child care arrangements. i 5. Reimburse the provider for authorized child care In accordance with Colorado Child Care Assistance I Program rules. Payment to the licensed provider is the total cost of authorized care based on rates ' set by this Agreement minus the parental fee. � This Agreement may be terminated by either party by giving the olher party fifteen (15)days notice. This ' Agreement may be terminated without advance notice if a child's health or safe[y is endangered, if the provider is under a negative licensing action,or if the Department verified Ihe provider possesses any � CCAP card(s). I i CCAP Licensed Provider Fiscal Agreement(Rev.09/2011) 3 of 3 By signing this Agreement, the provider acknowledges receipt of information regarding the rules and policies of the Colorado Child Care Assistance Program.The effective dale of this conlract is the date that the county receives and signs the Fiscal Agreement. The provider shall receive a copy of the signed Fiscal AgreemenL CHILD CARE DIRECTOR or OWNER -- � � 1 d�S�ly , Auth rized resentative Date � � P.o, 6o�r lo3RS , Mailing Address � . . Snew►..ais Y� Aaa� .Co �q q23-So o. City,Slale, Zip � $�`�s Phone Number , ,n /' DEPARTMENT OF SOCIAL/HUMAN SERVICES ; �C�f V \ `�:) � � ' Authorized Represerltative �� Date � ' �O Box 660 Address Eaale.CO 81631 970.328-8888 . City,Slate, Zip Phone Number i CCAP Licensed Provider Fiscal Agreement(Rev.09/2011) 4 0(3