HomeMy WebLinkAbout2381 - Snohomish County - Agreement - Senior CenterExhibit A
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 1 of 3
EXHIBIT A
SPECIFIC TERMS AND CONDITIONS
SENIOR CENTERS
I. DOCUMENTS INCORPORATED BY REFERENCE
In performing the services under this Contract, the Agency shall comply with the
Senior Center Standards and Self-Assessment Workbook: Guidelines for Practice,
1990 Edition, National Council on the Aging, incorporated by reference and
maintained on file at Snohomish County Human Services Long Term Care &
Aging, hereinafter referred to as “County.”
II. REPORTING REQUIREMENTS
The Agency shall submit required reports (electronic submission preferred) on a
format supplied or approved by the County. The County may withhold payment
until receipt of overdue reports.
Report Titles Due Date
Senior Center Quarterly Report:
Unduplicated Participants, Volunteer
Hours and Large Events
15th of the month following the
reporting quarter
2021 Opioid Education Outreach Report January 31, 2022
All regularly published and mailed senior
center newsletters, brochures, and other
documents that detail programs/services
When printed and/or published
III. HOURS OF SERVICE
The Agency shall be open and provide services during normal business hours of
10:00 a.m. through 3:00 p.m. Monday through Friday.
IV. REIMBURSEMENT
In addition to the Reimbursement Procedures in Section XXXII of the Basic Terms
and Conditions agreement, the Agency shall submit monthly requests for
reimbursement based on program expenses and be accompanied by monthly
expenditure reports showing line item expenditures corresponding to the attached
Exhibit C, Contract Budget or amended Exhibit C.
Exhibit A
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 2 of 3
V. TRAINING REQUIREMENTS
The Agency shall establish a training plan for all employees performing services
under this Contract. The plan shall provide for orientation of new employees and
ongoing in-service training for continuing employees. The training must be
provided by qualified persons and will include either formal training sessions or on-
the-job training. The dates and topics of training received shall be documented in
a central file or in the personnel files of all employees who have received the
training.
VI. EMERGENCY PROCEDURES
A. The Agency shall establish written procedures to be followed in the event a
client becomes ill or is injured while at the Agency senior center or if staff is at
the client’s home. The plan must be thoroughly explained to staff and
volunteers.
B. The Agency shall have a plan for serving clients during periods when normal
services may be disrupted. Disruption to normal services may include
earthquakes, floods, snowstorms, and other natural disasters. Particular
attention should be made for those clients who are most at risk.
1. When services are delivered at the Agency senior center, the plan will
include contact information for high-risk clients, a list of emergency services,
and stores of emergency provisions.
2. When services are delivered off site, the plan will include contact
information for high-risk clients.
VII. CLIENT GRIEVANCE PROCEDURES
Written information regarding Grievance Procedures shall be posted in the Agency
senior center in a location readily visible to clients.
VIII. INTERAGENCY COORDINATION
The Agency shall identify agencies with whom it has regular relationships and
whose activities provide a substantial impact upon the delivery of services under
this Contract. The Agency shall negotiate and execute working agreements with
these agencies to assure coordinated services and appropriate referral
procedures.
IX. STAFF REQUIREMENTS
The Agency shall retain sufficient qualified staff (paid or volunteer) to perform the
following services:
Exhibit A
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 3 of 3
A. Administration and staff supervision;
B. Accounting;
C. Clerical services; and
D. Custodial services.
X. NONDISCRIMINATION
In addition to the provisions contained in Section XVII of the Basic Terms and
Conditions agreement referenced on the Contract face page, the following terms
apply:
The Agency and any subagencies shall comply with International Building Code
Requirements for Barrier-Free Accessibility, WAC 51-50-005, as amended. The
Agency and subagencies shall provide barrier-free access to and egress
procedures from facilities, meeting places, and structures that will enable the use
of all programs and services for the disabled community.
XI. MONITORING AND EVALUATION
The Agency shall cooperate with the County in monitoring activities of senior
center operations annually or as deemed appropriate by the County.
XII. ENTIRE AGREEMENT
This Contract, including all documents attached to or incorporated by reference,
contains all the terms and conditions agreed upon by the parties. No other
understandings or representations, oral or otherwise, regarding the subject matter
of this Contract, shall be deemed to exist or bind the parties.
Exhibit B
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 1 of 2
EXHIBIT B
STATEMENT OF WORK
SENIOR CENTERS
I. SERVICE DEFINITION
The Agency shall operate or provide for the operation of a senior center. A senior
center is a community facility where Snohomish County residents, age 55 and
over, come together for services and participate in activities that reflect their
experience and interests, enhance their dignity, support their independence and
encourage involvement in and with the senior center and the community.
II. MINIMUM SERVICE REQUIREMENTS
The Agency shall meet the minimum service requirements described below:
A. Reports
The Agency shall promptly submit all required reporting forms completed in
prescribed detail on the dates set forth in Exhibit A, Specific Terms and
Conditions. The County may withhold payment until receipt of overdue reports.
B. Unduplicated Participants
The Agency shall provide programs, services and activities to a minimum of
250 unduplicated participants per year. An unduplicated participant is an
eligible participant who is counted only once during a funding year without
regard to how many direct services and activities the participant engages in.
C. Quarterly Reports
The Agency shall submit Quarterly Reports, in a report form supplied by the
County, that document verifiable unduplicated participant data and total
volunteer hours for the quarter. To be eligible as a participant, a person must
be a Snohomish County resident, aged 55 or older, who has signed in and
participated in a center-sponsored activity and for whom the Agency has a
name, date of birth and/or age, and address. The Agency shall also report data
for large and/or special events held at the senior center.
Exhibit B
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 2 of 2
D. Opioid Education Outreach Activities
In collaboration with the County, the Agency shall promote public awareness
of opioid educational trainings and/or presentations to senior center members
and the community. Opioid educational trainings and/or presentations shall be
provided or approved by the County and shall take place virtually using Zoom
or another video conferencing platform.
1. The Agency shall, at a minimum, deliver the following opioid education
outreach activities:
a. Messaging of scheduled trainings and/or presentations in senior center
newsletters, flyers, website, email, etc. The County shall notify the
Agency of scheduled training and/or presentation opportunities.
b. Publish opioid abuse prevention curriculum provided by the County in
the Agency’s senior center newsletter or other publications approved by
the County two (2) times during the Contract period.
2. Opioid Education Outreach Report
The Agency shall maintain documentation of outreach activities delivered
and submit electronically in a report form supplied by the County no later
than January 31, 2022.
E. Snohomish County Senior Center Standards
The Agency shall organize and operate the senior center in compliance with
the attached Exhibit M, Snohomish County Senior Center Standards, which are
derived from the National Council on Aging and National Institute of Senior
Centers accreditation standards.
F. Council on Aging Senior Center Committee
The Agency shall send a representative to scheduled Council on Aging Senior
Center Committee meetings.
AGENCY NAME:
1/1/2021 to 12/31/2021
AMOUNT AMENDMENT TOTAL AMOUNT
7,500$ 7,500$
7,500$ 7,500
-
-
-
-
15,000$ -$ 15,000$
MATCHING RESOURCES:
TOTAL MATCHING RESOURCES: -$
%N/A AMOUNT:
OTHER PROGRAM RESOURCES (Identify):
AMOUNT
TOTAL OTHER RESOURCES: -$
REVENUE SOURCE FUNDING PERIOD
EXHIBIT C
CONTRACT BUDGET - COST REIMBURSEMENT
SENIOR CENTERS
CONTRACT PERIOD:
FUNDS AWARDED UNDER CONTRACT:
City of Marysville / Ken Baxter Community Center
County General Revenue 1/1/2021 - 12/31/2021
1/10th of 1% Sales Tax 1/1/2021 - 12/31/2021
N/A
SOURCE FUNDING PERIOD
MATCH REQUIREMENTS FOR CONTRACT:
TOTAL FUNDS AWARDED:
Exhibit C
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 1 of 4
FUND SOURCE FUND SOURCEFUND SOURCEFUND SOURCEFUND SOURCEFUND SOURCECounty General Revenue1/10th of 1% Sales TaxSalaries/Wages 7,500$ 7,500$ 15,000$ Benefits- Supplies/Minor Equip.- Prof. Services- Postage- Telephone- Mileage/Fares- Meals- Lodging- Advertising- Leases/Rentals- Insurance- Utilities- Repairs/Maint.- Client Flex Funds- Client Rent- Printing- Dues/Subscrip.- Regis./Tuition- Machinery/Equip.- Administration - Indirect- Occupancy- Miscellaneous- Misc. Construction- Acquisition- Relocation- - TOTAL 7,500$ 7,500$ -$ -$ -$ -$ 15,000$ -$ -$ EXPENDITURES CATEGORYTOTALMATCHING RESOURCESOTHER RESOURCESExhibit CA-21-75-03-200City of Marysville / Ken Baxter Community CenterPage 2 of 4
AMOUNT 15,000$ 15,000$ TOTALEXPENDITURE NARRATIVESalaries/WagesNARRATIVE (provide justification describing each category supported with funds awarded under this contract) See Salaries-Wages Detail.CATEGORYExhibit CA-21-75-03-200City of Marysville / Ken Baxter Community CenterPage 3 of 4
POSITION FUND SOURCE
% OF TIME
TO FUND
SOURCE
TOTAL MONTHLY
MONTHLY
CHARGE TO
FUND SOURCE
# OF
MONTHS
TOTAL CHARGE
TO FUND
SOURCE
Community Center
Manager
Revenue,
1/10th of 1%
Sales Tax 100.00% $1,250 $1,250 12.00 $15,000
TOTAL: $15,000
NOTE: Above figures may reflect rounding
DETAIL SALARIES / WAGES
Exhibit C
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 4 of 4
Exhibit I
A-21-75-03-200
City of Marysville/Ken Baxter Community Center
Page 1 of 2
EXHIBIT I
MAJOR INCIDENT REPORTING POLICIES AND PROCEDURES
SENIOR CENTERS
I. POLICY
A. The Agency must report suspected abuse, abandonment, neglect, self-
neglect, exploitation and financial exploitation of vulnerable adults or children
immediately to DSHS Adult Protective Services (APS) at 866-221-4909 or
Child Protective Services (CPS) at 866-363-4276 per RCW 74.34 and RCW
26.44.
If the person you suspect is being abused or neglected is living in a nursing
home, assisted living facility, or adult family home, call the DSHS Complaint
Resolution Unit Hotline at 800-562-6078 or submit an online report.
B. The Agency must report major incidents as outlined below to the County, in
addition to any other mandated reporting authorities, within one business day
from when the Agency becomes aware of the incident. When personal safety
is at stake, reporting should occur as soon as the safety of all persons is
assured and all necessary emergency measures have been taken. This refers
specifically to County contracted services.
1. Death, disappearance, or significant injury requiring hospital admission of
a client when suspicious or unusual;
2. Major disruption of a County contracted service;
3. Any event involving known media interest or litigation;
4. Any violent act to include rape or sexual assault, as defined in RCW
71.05.020 and RCW 9.94A.030, or any homicide or attempted homicide
committed by a client or Agency staff;
5. Confidential data loss that would potentially compromise the security or
privacy of confidential information held by the County or the Agency;
6. Any breach or loss of client data in accordance with HIPAA regulations;
and
7. Credible allegations of fraud committed against the Agency by staff or
volunteers.
Exhibit I
A-21-75-03-200
City of Marysville/Ken Baxter Community Center
Page 2 of 2
C. If the County becomes aware of major incidents as described in Section I. B.,
which may not be known by the Agency, the County will report the incident to
the Agency’s management within one business day of when the County
becomes aware of the incident.
D. Each Agency must distribute the Major Incident Reporting Policies and
Procedures to all of its employees.
II. PROCEDURES
A. Agencies will establish a written policy on procedures to follow in reporting
major incidents to the County, with clearly delineated chain of command.
B. Major incidents as described in Section I.B. must be reported by phone or
email to the LTCA supervisor or County division manager. The report must
include the following:
1. A description of the issue;
2. Relevant background;
3. Agency actions or recommendations; and
4. Follow up if needed to close out the issue.
Exhibit M
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 1 of 4
EXHIBIT M
SNOHOMISH COUNTY
SENIOR CENTER STANDARDS
I. PURPOSE
A senior center shall:
A. Present a mission statement consistent with the National Council on Aging
(NCOA) and National Institute of Senior Centers (NISC) senior center definition
and philosophy.
B. Use a written planning document with goals, objectives, and action plans based
on its mission.
II. COMMUNITY
A senior center shall:
A. Participate in cooperative community planning, establish service delivery
arrangements with other community partners, and serve as a focal point in the
community.
B. Provide information and referral services at the senior center.
III. GOVERNANCE
A. A senior center shall be organized to create effective relationships among
participants, staff, governing structure, and the community in order to achieve the
senior center’s mission, goals and objectives.
B. A senior center's governing structure shall be organized to operate efficiently and
effectively.
C. The governing structure shall have written documents that define and establish
procedures for the following (must have a minimum of 8):
1. Qualifications for membership in the governing structure;
2. Election and tenure of office;
3. Specification of officers' duties;
4. Regular and special meetings;
Exhibit M
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 2 of 4
5. Committees;
6. Parliamentary procedures for the conduct of meetings;
7. Quorums;
8. Recording of minutes;
9. Amending of written documents;
10. Securing of funds; and
11. Dissolution of the organization (if needed).
D. The governing structure shall perform or delegate the following responsibilities:
1. Hold regular meetings and make minutes available to interested individuals;
2. Formulate, and regularly review, senior center mission, goals and objectives;
3. Establish policies and procedures and maintain standards of operation;
4. Regularly evaluate senior center’s activities and services;
5. Adopt and implement an annual budget, receive financial reports, make
contracts, and arrange for an annual independent audit per the Basic Terms
and Conditions, Section XXXIV, Audit Requirements;
6. Employ a chief administrative person and delegate authority to that person for
management of daily affairs in accordance with center policies and
procedures;
7. Secure physical facilities;
8. Coordinate senior center’s program with other agencies to ensure provision of
adequate services for older adults in the community;
9. Plan and carry out public information activities; and
10. Establish a participant organization and, if possible, arrange for its
representation on the governing structure.
E. Committees have clearly defined responsibilities. They consist of designated
members who regularly meet, document minutes, and make them available to
the governing structure and other members of the senior center.
Exhibit M
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 3 of 4
IV. ADMINISTRATION AND HUMAN RESOURCES
The senior center shall have clear administrative and human resources policies and
procedures in place that contribute to the effective management of its operation. It
shall be staffed by qualified personnel, paid and volunteer, capable of implementing
its programs.
V. PROGRAM PLANNING
A. As part of a comprehensive community strategy to meet the needs of older
adults, senior centers offer services and activities within a senior center, outside
the center, and link participants with resources offered by other agencies. Senior
center programs consist of a variety of individual and group services and
activities that include, but are not limited to, the following:
1. Health and wellness;
2. Arts and humanities programming;
3. Intergenerational programs and activities;
4. Employment assistance;
5. Information and referral services;
6. Social and recreational activities;
7. Transportation services;
8. Volunteer and civic engagement opportunities;
9. Educational opportunities;
10. Financial and benefits assistance; and
11. Meal and nutrition programs.
B. Senior centers shall provide a minimum of twelve (12) different programs and
activities. Programs and activities must be provided in at least six (6) different
categories listed above. The same program/activity may not be used for multiple
categories.
VI. EVALUATION
A. The senior center shall have appropriate and adequate arrangements to evaluate
and report on operations and programs on a regular basis.
Exhibit M
A-21-75-03-200
City of Marysville / Ken Baxter Community Center
Page 4 of 4
B. The senior center shall demonstrate an understanding and implementation of
evaluations to seek outcome-based measurements.
VII. FISCAL MANAGEMENT
The senior center shall practice sound fiscal planning and management, financial
record keeping, and reporting including:
A. Preparation and publishing of an annual budget document;
B. The senior center’s budget, accounting, and financial reporting practices conform
to an appropriate and accepted accounting standard; and
C. Liability insurance coverage for assets, staff, participants, volunteers, and
governing structure.
VIII. RECORDS AND REPORTS
A. The senior center shall keep complete records required to operate, plan, and
review its programs including:
1. Standardized participant records;
2. Program records and reports on services and activities; and
3. Confidentiality policy limiting access to certain records and files.
B. The senior center shall regularly prepare and circulate reports to inform its
governing structure, participants, staff, funders, and the public about all aspects
of its operation, program, and services.
IX. FACILITY
A. A senior center shall make use of facilities that promote effective program
operation and provide for the health, safety, and comfort of participants, staff,
and community.
B. A senior center provides barrier-free access in accordance with applicable laws.