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Home My WebLink Aboutbocc.con.099.2014 RESERVED �� --�--u c.� � _ � `� _ZD � �, Licensed Provider Fiswl Agreement Pitkin County Health and Human Services PROVIDER#:78935 PO Box 660 Eagle, CO 81631 - � � Ear1y Leaming.Center ��E��VEq Aspen�CO 8161i;ch St �� A� �� 4j1i�i.�HUMAN SERVICES . � This Agreement is entered into and between Pilkin County, herein referred to as"�epartmenY'and Eariv Leamina Center,herein referred to as`provider who wilfprovide child care at the following address: . 215 North Garmisch St Ascen. CO 81611.This Agreement shall be in effect from 74 to 2128/2077. � ProviderAgreesto: � . 9. Maintain a valid child pre license as required by Colorado Statute and conform to all applicable Sfate;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 Report to the county if the provider's license has been revoked,suspended, or denied within three(3)calendar deys of receiving notification,a recwery will be established of all payment� made as of the effective date of closure. 3.. Allow pa2nts immediate access t0 the child(ren)in care. . � 4. Accept reterrais for child care without discrimination with regard to race, color, national origin, age,sex, religion, or physical or manisl handicap. : . _ - 5. Pmvide dtildren with adequate food, shelter and resL � . � � 6. Mainfain as sVictly wnfldentlal ali information conceming childrEn and their families. � - , � 7. Protect children irom a6use/neglec[and repoR any suspeetetl child abuse antl neglect to the Department . 8. Holtl the Colorado�epartment af Human Services antl fhe State of Colorado harmless for eny loss or actions caused by the performance of this Agreemenk . , 9. Provider shall offer free,ag�appropriate attematives to valuntary activiti¢s. 10. Provitle child care at the facility address 1(sted above and ensure that care is pmvided only by[he pereon or business listed above. Pravide care for chiltlren underthis agreement only if authorized by the Department fn advance. 11. Sign the ahild care Fiscal Agreement antl all ather county or state required fortns. Develop an � individualized.care plan (of Children with additional child care needs. � � 12. Notify the Department of unexplained,frequent antllor consistent absences within ten(1D) calenaar days of an established pattem. 13. Provitlers are requiretl to wllect the full parental fee each month. Parentai fiees are due to lhe . provider hom the parent or adult caretaker at the beginning of the month. Report ncn-payment vf parental fees no later than the last day of the month for whlch they have not been received. 14. Maintain proof of ageappropnate immunizations for the children in the provider's care, if required by county policy. immunization records shall be obtainetl froftt parEnts o�aduR Caretekere eithCr at the time of admisslon or wtthin thirty(30)calendar days of the date of admission and shan be updaled annually. For children whose parents or adult caretakers object to immunizations on fellglous g�0U1ftl5 0�fo�Chlld2n whose medical conditian contreindicates.immunization, providers shall maintain a statement in the child's file signed by the parent or atluR caretaker stating the reason for not immunizing. 15. Shall not eharge the wunUes more than the esfablished pnvate pay rates and keep the Department informed of changes in the private pay rates within ten(10)days o}the change. Attach a copy of the current charge policies on rates,transportation,activiry, registretion fees antl payment policies. Allowable rates and other associated charges shall be in accordanr,�with State' Rules for Colorado Child Cere Assisfance Program.The provider is subject fo recovery if the reportetl private pay rates are lower than Ne agreeA upon county reimbursement rates established in this Fispl Agreement. CG/1P licereetl Provitler Fisral Apreement(Rev.09l2011) 1 of 3 16: Shall not charge parents or atlult caretakers rates in excess of those agreed upon in the Fiscal Agreement(this includes the agreed upOn f0gl5tfation,activity and t�dttSpOrtation fees if the � � county pays these fePS). The rete in the Fiscal Agreement is the maximum allowable rate of � reimbursement for ttie care provided and includes any portion far which the parent or atlult caretaker is responsible. 17. The provitler understands that they must attend a county face-to-face training before the provider � will receive a Point-0fService(POS)device.The provider is requiretl to use the POS devica to record attendance and bill for care provided. 18. Meintain a lend-based phone service to ensure that the POS berminal is able to submit attentlance information to the Department for payment on a weekly basis. 19. Provider is responsible to ensure the parent or adult caretaker swipes hislher prd lo check the child(ren)into and out of care daily for attendance tracking and payment. Mlssetl checK-In and check-out swipes may be updated within nine(9)tlays of the da[e of service.The Department tloes not guarantee payment to the Provider if the authorization stetus on the POS device Is 'pending,"'denied,"or'not authorized.° If ihe child care is not authorized, the parent or atlult wretaker shall be responsible for payment and the Department shall not be heid liable. 20. Provider is responsible to contact Affiliatetl Computer Service, Inc(ACS)at 1-877-779-1932 if the Point of Service(Pp5)terminal stops workinp tor any reason for houbleshooting or repair. 21. IF the provider stops caring for children under the Colorado Child Care AssiStance Program they shall contact ACS to request a self-address postage paid relum label to assist in retuming the - POS tlevice. If the POS device is not retumed within thirty(30)days and in good shape(allowing fnr normal wear and tear)to ACS a recovery will be establishedfor the cost of replacement for tfie POS device which is$365. 22. The provider ls requiretl 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 to be made available to the �epartment upon request 23. The provider may manually bill the Department for services authorized, based on counly payroll policies, that were not reimbursed automatiplly based on the POS Vansacfions. The provider shall provide sign in/out sbeets to support requests for manual payment The provitler forfetts payment far services if the original manu9l billing fom�is submitted more than sixty(60)ralendar . days�ollowing the end of the month the service period entletl. . " 24. Never keep in their possession (whether at the facility or in any othec.place)a clienYs CCAP � . � � Card. Possession of any CCAP Card(s)wiA tetminate this Fiscal Agieement end prevent the provider irom providing child care assistance services in the future with any counry in Coioratlo. 25. The provider untlerstands that if the provider commi[s fraud or an Intentionaf program violation � the providerwill be subjec!to disqualification from the Colorado Child Care Assislance Program � (CCCAP)as a provider for 12 months for the first oifense;24 months for the seeond offense and permanently for the thirtl offense. 26. The Department antl/or child care licensing shall have the authority to inspect the provider's � facility forthe presence of CGAP Ca�ds or any other suspicious hilling information. Upon discovery of these materials the provider understands either of these entities have the right to seize these materials including the CCAe Cards and/pr POS Device. 27. I understand that any averpayment will De re�overed including, but not limitetl to, inaccurete or � frautlulent billing. If at the time any overpayment is established while your fiscai agreement is active,the amount of the overpayment will be deducted 6eginning with the next child care payment ana every payment thereafter until the overpaymenf is paid in tull. If your Bsrzl � agreement is inacfive,the munty shall coflect the overpayment in accordance with standard collection p�ocedures which may include State Income Ta�c intercept. Fraudulent billing will be prasecuted. 28. The provider will be paid the rates agreed upon in this fiscal agreament listed 6elow. CCAP Licensetl Provider F'scal Apreement(Rev.09I20111 2of3 Full Time Rates � � RateT e ONWM 6M•72M �12M-78M 78M-24M 24M-30M 30M-36M a6M-SA SA R ular $71.00 $71.00 $70.00 $70.00 $fi6.46 $66.46 $63.48 50.00 PartT'une Rates RateT OM�M BM-�2M �2M-19M t8M-24M 24Nf-3oM 9DMJ6M 36MSA SA R ular $39.05 �39.05 $38,50 $38.50 $38.50 $38.50 $35.75 0.00 Prov3tle�Rights: 4. When a provitler contends that the county has not made adequate payment based on program rules for care provided,the�provider has Ne right to an infartnal cOnfe�ence wNh county sWff pursuant to 9 CCR 2503-1 at Section 39�0, (D). • Fmviders may request a conference in writing within 15 days of the date of the actlon. • This request should be addressed to the wuntydirector of the counry Department of SociaVMuman services responsible for the actbn. • Provider may request that State CCCAP staff.parGcipate in ti'�e conference. That partidpation may be by telephone conterence. • The conierence shail be held within two weeks of ihe date the request for a conterence is received by the county. � • The purpose of the conference is limtted to�scussion about the payments in dispute and the - relevant i'ule5 reg8rding payment � - � The final decision of the c0unty shall be mailed to the provider within 'IS days of the canference date. 2. A provitler may request an informal conterence it silie dispu[es the terminelion of a Fiscal AgreemenG • Providers may request a conference in writing within 15 days of the date of the action. • This request should be addressed to the county tlirector of the county Departrnent of SociaUHuman services responsible for the actiori. . The conference shall be held witFiin hvo weCks of the date the rCquest for a conference is received by the counry. • The purpose of tfie conference is limited to discussian about the termination of the fscal agreement pursuant to 9 CCR 2503-1 st SecFion 3.906, (D). • The£nal decision of the counry shall be mailed to the provider.within 16 days of the conference date. Department Agrees W: 1. Provide fac�to-face training to the provider on how to use the Point of Service(POS) device prior ta entering into a Fiscal Agreement wRh the provider. - . 2. EMer the Flsbal AgreemeM into lhe Chilqcare Automatetl Trecking System�(GHATS)within five(5) . � business days of receipt of the completed Rses�Agreament and all supporting documentetion. 3. Determine clienYs eligibility for child care services within fifteen(15)days of receiving the compiete application packet including verification. 4. Send Child Care Authorizatipn Notices to the provider within 58v0n(7)Working day9 Of th0 OepartmenPs ini6al appmval or prior to making any changes in eligibility for each child such as parental fees,authorized amount of care,added or deleted children, andlor any otner changes to child care arrangements: 5. ReimbursE thE provider for authorized ehild care(n accordance with Coloratlo Child Care Assistanee ' Program rules. Payment to the licensed provider Is the total cost of authorized care based on rates set by this qgreement minus the parentai fee. This Agreement may tie terminated by either party by giving the other party fifteen (15pdays notice. This Agreemenf may be terminated Without advance noUce if a child's health or safety is endangered, if the . provide�is unde�a nega6ve licensing action, or if the Department verifletl ihe provider posse552S any CCAP card(s). CCAP Licenaed Provider FsWI Apreetnent(RCV.09(20117 3 of 3 By signing this Agreement,the provider acknowledges receipt of i�tormatian regarding the rules and � policies of the Colarado Child Care Assistance Program. The effective date of this contract is the date that the county receives and signs fha Fiscal f�qreement The provitler shall receWe a copy of the signed Flscal Agrieement. CHILD CARE DIRECTOR or OWNER ��c� �R� aas��f AyZiharize�ep�ntative �` Dato �a�� tYY1S�Y.'� 6�1`�2� � MailingAtldrass . Uc I� �/�{./�/G.�i� City, qte, ip Phone Numbef DEPARTMENT OF SOCIAUfiUMAfV SERVICES 4 � ��Q�� a -Z�- i �( Author¢ed Represent ive � Date PO 60x 660 P,dtlress F�ale CO 81831 ��ZB•8�8 City.Stale, Zip � Phone Number CCAP�icensed ProviCer Fiscel nAreement{Rev.092911) . � 4 oi 3