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Agenda 01/08/2019 Item #16D 601/08/2019 EXECUTIVE SUMMARY Recommendation to approve an Agreement with Omega Health Services, LLC d/b/a Omega Care Services pursuant to the Board of County Commissioner’s (Board) previous award under Request for Proposal (RFP) #18-7470, Services for Seniors. OBJECTIVE: To approve an Agreement allowing for the provision of comprehensive in-home and out of home services to the elderly in Collier County. CONSIDERATION: Collier County’s Services for Seniors Program has been providing support services to Collier County’s frail elderly for the past thirty (30) years through the Community Care for the Elderly (CCE), Home Care for the Elderly (HCE) and the Alzheimer’s Disease Initiative (ADI) programs. The Collier County Services for Seniors Program is a comprehensive program offered to qualified seniors age sixty (60) and older, who need services to prevent, decrease, or delay premature or inappropriate expensive placement in nursing homes or other institutions. Collier County, as the lead agency, is required to enter into contractual agreements with area service providers to administer homemaking, personal care, respite, chore adult day care, nursing, escort, companion, shopping assistant, and emergency alert response services. Annually, services provided to program participants have cost approximately $550,000. The cost of services is reimbursed through agreements between Collier County and the Area Agency on Aging for Southwest Florida, Inc. d/b/a Senior Choices of Southwest Florida. At its December 11, 2018 meeting, the Board approved the award of RFP #18-7470, Services for Seniors, to eight (8) vendors, including Omega Health Services, LLC d/b/a Omega Care Services (See Agenda Item #16D13, attached). Omega Health Services was unable to produce the requisite Certificate of Insurance in time for the December 2018 meeting, so staff informed the Board it would bring back the Agreement with Omega separately when it became available. The insurance requirements have now been satisfied and staff is asking that the Board approve and authorize the Chair to execute the attached Agreement. The attached agreement is the same as the agreements the Board approved at its December 11, 2018 meeting; and provides for an initial three (3) year contract period, with the option of three (3) additional one (1) year renewal periods, consistent with the period of the grant funds awarded. FISCAL IMPACT: Funds for vendor services and supplies are available in Human Services Grant fund (707) for the CCE, ADI, and HCE projects 33560, 33558, and 33562. GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this Executive Summary. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. -SRT RECOMMENDATION: To approve and authorize the Chair to execute the attached Agreement with Omega Health Services, LLC d/b/a Omega Care Services under RFP #18-7470, Services for Services. Prepared By: Wendy Klopf, Grant Coordinator, Community & Human Services Division 16.D.6 Packet Pg. 1373 01/08/2019 ATTACHMENT(S) 1. 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (PDF) 2. 18-7470 Omega Health Services Insurance (PDF) 3. 18-7470 Solicitation (PDF) 4. (linked) 18-7470 Omega Health Proposal (PDF) 5. 18-7470 Final Ranking (PDF) 6. 18-7470 Addendum #1 (DOC) 16.D.6 Packet Pg. 1374 01/08/2019 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.6 Doc ID: 7591 Item Summary: Recommendation to approve an Agreement with Omega Health Services, LLC d/b/a Omega Care Services pursuant to the Board of County Commissioner’s (Board) previous award under Request for Proposal (RFP) #18-7470, Services for Seniors. Meeting Date: 01/08/2019 Prepared by: Title: Operations Coordinator – Community & Human Services Name: Wendy Klopf 12/17/2018 10:41 AM Submitted by: Title: Manager - Federal/State Grants Operation – Community & Human Services Name: Kristi Sonntag 12/17/2018 10:41 AM Approved By: Review: Community & Human Services Kristi Sonntag CHS Review Completed 12/17/2018 12:09 PM Procurement Services Opal Vann Level 1 Purchasing Gatekeeper Completed 12/17/2018 12:56 PM Procurement Services Sandra Herrera Additional Reviewer Completed 12/17/2018 1:58 PM Procurement Services Swainson Hall Additional Reviewer Completed 12/17/2018 4:04 PM Procurement Services Ted Coyman Additional Reviewer Completed 12/17/2018 5:26 PM Community & Human Services Maggie Lopez Additional Reviewer Completed 12/18/2018 5:15 PM Public Services Department Kimberley Grant Level 1 Reviewer Completed 12/18/2018 5:19 PM Procurement Services Viviana Giarimoustas Additional Reviewer Completed 12/19/2018 9:14 AM Public Services Department Todd Henry Level 1 Division Reviewer Completed 12/19/2018 10:05 AM Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 12/19/2018 11:33 AM County Attorney's Office Scott Teach Level 2 Attorney Review Completed 12/20/2018 2:24 PM Grants Erica Robinson Level 2 Grants Review Completed 12/20/2018 2:34 PM Office of Management and Budget Laura Wells Level 3 OMB Gatekeeper Review Completed 12/20/2018 4:25 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 12/21/2018 8:51 AM County Attorney's Office Emily Pepin CAO Preview Completed 12/21/2018 3:50 PM Budget and Management Office Ed Finn Additional Reviewer Completed 12/26/2018 12:21 PM 16.D.6 Packet Pg. 1375 01/08/2019 Grants Therese Stanley Additional Reviewer Completed 12/27/2018 8:39 AM County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 12/27/2018 3:23 PM Board of County Commissioners MaryJo Brock Meeting Pending 01/08/2019 9:00 AM 16.D.6 Packet Pg. 1376 16.D.6.aPacket Pg. 1377Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1378Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1379Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1380Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1381Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1382Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1383Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1384Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1385Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1386Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1387Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.a Packet Pg. 1388 Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1389Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1390Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1391Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1392Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1393Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1394Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1395Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1396Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1397Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1398Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1399Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1400Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1401Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1402Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1403Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1404Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1405Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1406Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 16.D.6.aPacket Pg. 1407Attachment: 18-7470 OmegaHealth-dba-OmegaCare_Contract_VendorSigned (7591 : RFP-7470 Omega) 121031201A THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICiES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSIJRED provisions or be endorsed lf SUBROGATION lS WAIVEO, subject lo the terms and conditions oI the policy, certain policies may requi.e an endorsement A statement on this certiticate does not confer righls to the certiricate holder in lieu of such endorsement(s). lnsuranceHubAgency, LLC 1720 Lakes Parkway GA 30043 AshLey Hemphil (77O) 497-1240 \774) 814-7187 ahemphili@insurancehub.com IN SURER(S) A FFOROING COVERAGE tNsuRERA. Certain lJndeMriters at Lloyds of London INSURED Omega Heallh Serv ces 592Mhshiag10n 51 FL 33321 rNsuRER B. Progressive Express lns Co 10193 CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBER: CL18T 2310068COVERAGES REVISION NUMBER: THIS IS"TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO EELOW HAVE BEEN ISSUED TO THE INSURED NAMEO AEOVE FOR THE POLICY PERIOD INDICATED, NOTWTHSTANDING ANY REQI.]IREIVIENT, TERI'I OR CONDLTJON OF ANY CONTRACT OR OTHER DOCUi,IENT WTH RESPECT TO \A,tI]CH THIS CERTIFICATE MAY AE ISSUED OR IVIAY PERTAIN, THE INSURANCE AFFOROEO BY THE POLICIES OESCR]BEO HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONSANO CONDITIONS OF SUCH POLICIES. LIMITS SHOVIIiIMAY HAVE EEEN REOUCED BY PA]O CLAIMS COMMERCIAL GENERAL LIABIL]TY ffi o""r" GEN LAGGREGATE LIMITAPPL ES PER: JECT LCC GAH,32882 181130 '1113012019 s 1,000 000 s 50 000 MEO EXP lanv ore De.so.)s lo,ooo PERSONAL &AOV INJURY $ 1000,000 GENERALAGGREGATE $ 2 000,000 s 2 000,000 Employee Benefits s B AUIOMOBILE LIABILITY IIRE0 AL]TOS ONLY SCBEOULED NON.OW\EO 08418054 0 1'1130t2414 11t34t2019 COMBINEO SINGLE LIMIT $ 1 000 000 AOOILY TNJURY (Per persd ) BOOILY INJURY (Per acc'dent) 3 llnderinsu€d motorisl s 1.000 000 EXCESSUAB CLA MgMAOE EACH @CURRENCE s OED RETENT ON $ WORKERS COMPEI'ISATION ANO EMPLOYERS' L]ABILITY ANY PROPR ETOR/PAR-TNER/EXECUTIVE OFFICER/MEMBER EXCLUOED? OESCRIPTION OF OPERATIONS bd@ STATUTE oTrl E L EACI]ACC DENT EL O S€ASE. EA EMPLOYEE Prolessional Liability GAH,32882 181130 11l3Al2A1A 1113012A19 Per C aim Aggregat€ $1,000,000 $3 000,000 DESCRIPTION OF OPERATICN S / LOCATIOiIS / VEHICLES (ACORD 101, Addtion.l Reoarls Sch.dule, hay bo .nached if hoe spac. is EquirEd ) Collier County Eoard of Count Commissioners, OR, Board ofCounty Commlssioners in Collier County, OR, Collier County Govemment, OR, Collier County incllded as an additional insured under the caplioned Commercia GeneralLiablity andAutofirobile Liablity Policies on a primary and non'contributory bass if and to the extent requred by wrltten contract CERTIFICATE HOLDER CANCELLATION Collier County Board of County Commissioners 3295 TamiamiTrall E. Nap es FL 34112 SHOTJLOANYOF THEABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRAT]ON DATE THEREOF, NOTICE WLL BE OELIVERED IN ACCOROANCE WITH THE POLICY PROVISIONS, AUTHORiZED REPRFSENTATiVF Auyaal O 1988-2015 ACORD CORPORATION. A righrs reserved. The ACORD name and logo are registered marks ofACORDACORD 25 (2016/03) 1113412018 16.D.6.b Packet Pg. 1408 Attachment: 18-7470 Omega Health Services Insurance (7591 : RFP-7470 Omega) COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS REQUEST FOR PROPOSAL (RFP) FOR Services for Seniors SOLICITATION NO.: 18-7470 VIVIANA GIARIMOUSTAS, PROCUREMENT STRATEGIST PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-8375 Viviana.Giarimoustas@colliercountyfl.gov (Email) This solicitation document is prepared in a Microsoft Word format (Rev 8/7/2017). Any alterations to this document made by the Vendor may be grounds for rejection of proposal, cancellation of any subsequent award, or any other legal remedies available to the Collier County Government. 16.D.6.c Packet Pg. 1409 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) SOLICITATION PUBLIC NOTICE REQUEST FOR PROPOSAL (RFP) NUMBER: 18-7470 PROJECT TITLE: SERVICES FOR SENIORS DUE DATE: 11/7/2018 10:00 AM EST PLACE OF RFP OPENING: PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FL 34112 All proposals shall be submitted online via the Collier County Procurement Services Division Online Bidding System: https://www.bidsync.com/bidsync-cas/ INTRODUCTION As requested by the Community and Human Services Division (hereinafter, the “Division”), the Collier County Board of County Commissioners Procurement Services Division (hereinafter, “County”) has issued this Request for Proposal (hereinafter, “RFP”) with the intent of obtaining proposals from interested and qualified vendors in accordance with the terms, conditions and specifications stated or attached. The vendor, at a minimum, must achieve the requirements of the Specifications or Scope of Work stated. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Procurement Ordinance. Historically, County departments have spent approximately $11 million dollars over five (5) years; however, this may not be indicative of future buying patterns. BACKGROUND The purpose of this solicitation is to secure vendors for the provision of home and community-based services, to be delivered to persons sixty years and older under Older American’s Act (OAA), Community Care for the Elderly (CCE) and Health Care for the Elderly (HCE), and to qualified persons eighteen years or older under Alzheimer’s Disease Initiative (ADI), within the geographic area of Collier County. Unless otherwise stated, minimum hours of availability are 7:00 am to 5:00 p.m. Monday through Saturday, with the exception of federal and state holidays. Respite services and emergency services must be available 24 hours/day, 365 days/year if needed. Definitions, standards, and requirements of these services are included in the Department of Elder Affairs’ Home and Community- Based Services Handbook (DOEA Handbook) link below: http://elderaffairs.state.fl.us/doea/nois.php TERM OF CONTRACT The contract term, if an award(s) is/are made is intended to be for three (3) years with three (3) one (1) year renewal options. Prices shall remain firm for the initial term of this contract. Surcharges will not be accepted in conjunction with this contract, and such charges should be incorporated into the pricing structure. The County Manager, or designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred eighty (180) days. The County Manager, or designee, shall give the Contractor written notice of the County's intention to extend the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. DETAILED SCOPE OF WORK Those interested in providing the services detailed below must adhere to all requirements in this RFP, in addition to maintaining adherence with the guidelines set forth by the current DOEA Handbook. Lack of knowledge of all requirements of a service listed in the proposal SHALL NOT relieve the provider of liability and obligations under the agreement. Collier County Community & Human Services (CHS) shall lead all service authorization and coordination. In an effort to comply with the requirements of the OAA, ADI, CCE and HCE Programs, clients entering the service system will be assessed and prioritized by CHS. Upon determination of the service level to be provided, the CHS will offer the client a listing of service vendors for the specific service(s) outlined within their care plan. 16.D.6.c Packet Pg. 1410 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) The client will be encouraged to pick a service provider of their choice and have the option of interviewing potential service providers. Should the client not have a preference, CHS will select a service provider from the centralized provider list, using a rotation basis (rotating to the next vendor on the list). In this manner, all service providers will be equally treated unless the client has a preference. CHS shall not endorse one service provider over another. Upon the determination of the service, the service levels, and the selected vendor, CHS will contact the vendor agency, and authorize the service, number of hours, and frequency. In keeping with the state policy of client choice of service providers, Collier County does not guarantee a minimum or maximum number of clients that will be referred, nor a minimum or maximum number of service hours that will be requested during the contract period. Should a client later indicate dissatisfaction with the chosen service provider, they will again be offered their choice of provider. CHS shall send the agreed-upon Service Authorization to the chosen provider. These “service authorizations” or “service orders” must contain necessary client information, such as street address, telephone number, and services or items needed, as well as the name and telephone number of the CHS case manager authorizing the service. In order to meet client needs, some services may be required outside of normal office hours (8:00 AM to 5:00 PM, Monday - Friday). CHS reserves the right to request adding additional service providers throughout the resultant agreement period. The County may do so through a competitive and publicly announced selection process, which shall be coordinated through the County’s Procurement Department. Services shall be provided in the manner described in the most current DOEA manual and outlined herein. Should funding for additional Senior Services be identified the County reserves the right to add to the resultant agreements the services, descriptions, rates, etc. by way of a contract addendum. Services covered by this agreement include, but are not limited to: 1. Adult Day Care: A program of therapeutic social and health activities and services provided to adults who have functional impairments, in a protective environment that provides as non-institutional an environment as possible. 2. Chore: Performance of routine house or yard tasks including such jobs as seasonal cleaning, yard work, lifting and moving furniture, appliances, or heavy objects, household repairs which do not require a permit or specialist, and household maintenance. 3. Enhanced Chore: This service is beyond the scope of chore due to the level of service needed. The service includes a more intensified, thorough cleaning to address more demanding circumstances. 4. Homemaking: Specific home management duties including housekeeping, laundry, cleaning refrigerators, clothing repair, minor home repairs, assistance with budgeting and paying bills, client transportation, meal planning and preparation, shopping assistance, and routine house-hold activities by a trained homemaker. 5. Personal Care: Assistance with eating, dressing, personal hygiene and other activities of daily living. This service may include assistance with meal preparation, housekeeping chores such as bed making, dusting, and vacuuming incidental to the care furnished or essential to the health and welfare of the individual. Personal care can include accompanying the client to clinics, physician office visits, or trips for the purpose of health care provided that the client does not require special medical transportation. Personal care can also include shopping assistance to purchase food, clothing, and other items needed for the client’s personal care needs. 6. In Home Respite: Relief or rest for a primary caregiver from the constant/continued supervision, companionship, therapeutic and/or personal care, of a functionally impaired older person for a specified period of time. 7. Skilled Nursing: Part-time or intermittent nursing care administered to an individual by a licensed practical nurse, registered nurse, or advanced registered nurse practitioner, in the client’s place of residence, pursuant to a care plan approved by a licensed physician. 8. Emergency Alert Response Services: Emergency alert/response service is defined as a community based electronic surveillance service which monitors the frail homebound elder by means of an electronic communication link with a response center. 9. Specialized Medical Equipment, Services, and Supplies: Adaptive devices, controls, appliances, or services, which enable individuals to increase their ability to perform activities of daily living and repair of such services which may include: dentures, walkers, reaching devices, bedside commodes, telephone amplifiers, touch lamps, adaptive eating equipment, glasses, hearing aids, and other mechanical or non-mechanical, electronic, and non-electronic adaptive devices. Supplies may include such things as adult briefs, bed pads, oxygen or nutritional supplements. 10. Facility Respite: 24-hour care in a State of Florida Licensed Nursing home. 11. Establish protocols for contacting CHS Case Managers in emergency or unusual circumstances and include the documentation requirements (oral and written) in the Service Provider Application. 16.D.6.c Packet Pg. 1411 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) 12. Provide disaster response protocols, plans and services: In the event of a natural disaster (hurricane, tropical storm, tornado, flood, heat wave, etc.), the provider will have staff available to serve those clients in critical need of services, as designated by the CHS Case Managers. 13. Establish a client grievance process: Each service provider agency must have a policy addressing client grievances and/or complaints. 14. Establish and provide staff training: All services provided with funding from DOEA require service delivery personnel to have general pre-service orientation and training specific to the service being provided. Lead Agencies are responsible for provision of the pre-service training (on program and billing requirements, in particular) for all paid staff, volunteer staff and assigned staff of service providers. Pre-service orientation also must include: • An overview of the aging process • An overview of the aging network • Communication techniques with the elderly • Observation of abuse, neglect, exploitation and incident reporting • Local agency service procedures and protocol • Client confidentiality. NOTE: All “hands-on” service personnel must receive training emphasizing the necessity of Universal Precautions. Home Health Aides must have documentation of successful completion of 40 hours required training, and CNAs must have on file a copy of their State of Florida certification. In-service training hours and topics are to be provided at the discretion of the service provider agency and shall meet state requirements. 15. Compile and report program service delivery statistics and other data as identified by CHS. This may be required to be provided in an electronic format at the choosing of CHS. These are reported to the Area Agency on Aging and Department of Elder Affairs in accordance with the reporting requirements developed by the Department. Lead agencies are responsible for entry of data in the Client Information and Registration Tracking System (CIRTS), which generates payment to the service provider agency. Therefore, service provider agencies are required to provide Lead Agencies with correct and timely service data to comply with these requirements. Timely submission is no later than noon on Wednesday of the week following the week services are performed (service week defined as Monday through Sunday). 16. Maintain complete and accurate records: Service delivery logs, at a minimum, must be legible and contain the name of client, type/s of services and date/s and hour/s of delivery. The client/caregiver must sign the log at the time of each service visit. The service worker must sign and date the log upon completion, and submit it to the service provider agency. Provide complete, clear and accurate invoices: Weekly invoices, which may be required to be provided electronically in a system provided by CHS, must be submitted by noon on the Wednesday following the week that the service was provided and shall include service provided. The service week is defined as Monday through Sunday. Monthly reporting requirements for CIRTS dictate that all client and service data for the previous month to be entered into CIRTS by the 10th day of the month. Collier County “Services for Seniors” will coordinate with vendors to determine due dates for invoices. This will insure compliance with DOEA reporting requirements. Failure to record or report units of service will result in nonpayment (or delayed payment) for such services. Data required on weekly invoices and weekly timesheets include: • Vendor name • Vendor address • Vendor telephone number • Client name • Service Provider employee who delivered the service(s) • Services ordered and services delivered date • Number of service hours, cost per hour and total cost • Person preparing the report and the date it was prepared • Weekly timesheets signed and dated by the client and Service Provider employee • Additional information as determined by CHS 17. Prepare for annual on-site compliance audits by CHS or members of the Collier County staff as directed by the CHS or grant requirements REQUEST FOR PROPOSAL (RFP) PROCESS 1.1 The Proposers will submit a qualifications proposal which will be scored based on the criteria in Evaluation Criteria for Development of Shortlist, which will be the basis for short-listing firms. The Proposers will need to meet the minimum requirements outlined herein in order for their proposal to be evaluated and scored by the COUNTY. The COUNTY will then score rank the firms and enter into negotiations with the top ranked firm 16.D.6.c Packet Pg. 1412 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) to establish cost for the services needed. The COUNTY reserves the right to issue an invitation for oral presentations to obtain additional information after scoring and before the final ranking. With successful negotiations, a contract will be developed with the selected firm(s), based on the negotiated price and scope of services and submitted for approval by the Board of County Commissioners. 1.2 The COUNTY will use a Selection Committee in the Request for Proposal selection process. 1.3 The intent of the scoring of the proposal is for respondents to indicate their interest, relevant experience, financial capability, staffing and organizational structure. 1.4 The intent of the oral presentations, if deemed necessary, is to provide the vendors with a venue where they can conduct discussions with the Selection Committee to clarify questions and concerns before providing a final rank. 1.5 Based upon a review of these proposals, the COUNTY will rank the Proposers based on the discussion and clarifying questions on their approach and related criteria, and then negotiate in good faith an Agreement with the top ranked Proposer. 1.6 If, in the sole judgment of the COUNTY, a contract cannot be successfully negotiated with the top-ranked firm(s), negotiations with that firm will be formally terminated and negotiations shall begin with the firm ranked second. If a contract cannot be successfully negotiated with the firm ranked second, negotiations with that firm will be formally terminated and negotiations shall begin with the third ranked firm, and so on. The COUNTY reserves the right to negotiate any element of the proposals in the best interest of the COUNTY. RESPONSE FORMAT AND EVALUATION CRITERIA FOR DEVELOPMENT OF SHORTLIST: 1.7 For the development of a shortlist, this evaluation criterion will be utilized by the COUNTY’S Selection Committee to score each proposal. Proposers are encouraged to keep their submittals concise and to include a minimum of marketing materials. Proposals must address the following criteria: Evaluation Criteria Maximum Points 1. Cover Letter / Management Summary 5 Points 2. Certified Minority Business Enterprise 5 Points 3. Organizational Capabilities 20 Points 4. Financial and Human Resources Capabilities 20 Points 5. General Service Delivery 20 Points 6. Acceptance of Cost 20 Points 7. Cost of Services to the County 10 Points TOTAL POSSIBLE POINTS 100 Points Tie Breaker: In the event of a tie at final ranking, award shall be made to the proposer with the lower volume of work previously awarded. Volume of work shall be calculated based upon total dollars paid to the proposer in the twenty-four (24) months prior to the RFP submittal deadline. Payment information will be retrieved from the County’s financial system of record. The tie breaking procedure is only applied in the final ranking step of the selection process and is invoked by the Procurement Services Division Director or designee. In the event a tie still exists, selection will be determined based on random selection by the Procurement Services Director before at least three (3) witnesses. ---------------------------------------------------------------------------------------------------------------------------------------------------------- Each criterion and methodology for scoring is further described below. ***Proposals must be assembled, at minimum, in the order of the Evaluation Criteria listed or your proposal may be deemed non-responsive*** EVALUATION CRITERIA NO. 1: COVER LETTER/MANAGEMENT SUMMARY (5 Total Points) Provide a cover letter, signed by an authorized officer of the firm, indicating the underlying philosophy of the firm in providing the services stated herein. Include the name(s), telephone number(s) and email(s) of the authorized contact person(s) concerning proposal. Submission of a signed Proposal is Vendor's certification that the Vendor will accept any awards as a result of this RFP. Submit proposer’s Agency for Health Card Administration (AHCA) Certification: If certification is not provided at time of proposal submission, the firm will be deemed non-responsive. Indicate by selecting any one, or multiple services which the proposer is interested in providing to the County (descriptive information is outlined in the above scope of work. 16.D.6.c Packet Pg. 1413 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) Interested in Providing Service (Place X) Not Interested in Providing Service (Place X) Item Services 1 Adult Day Care 2 Chore 3 Chore (Enhanced) 4 Homemaking 5 Personal Care 6 Respite (In-home) 7 Skilled Nursing 8 Emergency Alert Response Services EARS 9 Specialized Medical Equipment, Services, and 10 Respite (Facility Based) EVALUATION CRITERIA NO. 2: CERTIFIED MINORITY BUSINESS ENTERPRISE (5 Total Points) Submit certification with the Florida Department of Management Service, Office of Supplier Diversity as a Certified Minority Business Enterprise. EVALUATION CRITERIA NO. 3: ORGANIZATIONAL CAPABILITIES (20 Total Points) In this tab, include five (5) References Questionnaires from clients of similar scope of services. Please include name, contact name, phone number, address and years performing. 1. The proposer has received license from Agency for Health Care Administration (AHCA). Provide evidence of license. Yes/No 2. The proposer has by-laws which describe how business will be conducted. 3. The proposer has the appropriate license for the services it intends to provide to Collier County. Provide license evidence. 4. Board members are required to sign a conflict of interest statement. 5. The proposer has a written business plan that is updated regularly. 6. Organizational Chart: Proposer has to provide a copy of the organizational chart indicating lines of authority and permanent and full-time positions. Provide evidence. 7. Total number of years that the proposer has been in business. 8. Proposer has supervisory staff on call 24 hours per day/ 365 days per year. 16.D.6.c Packet Pg. 1414 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) 9. Proposer’s Owner/Operator license has never been denied, suspended or revoked by Medicare, Medicaid, any Federal and/or any State Agency. If yes, please attach a letter or explanation. EVALUATION CRITERIA NO 4: FINANCIAL AND HUMAN RESOURCES CAPABILITIES (20 Total Points) Complete each of the items below in the format requested, and calculate the totals as indicated. Submit evidence of documentations where indicated. Proposers who do not complete in the format indicated below may be deemed non-responsive. 1. Proposer maintains daily, monthly and annual financial records of payroll, benefits, operating and capital equipment. Yes/No 2. Proposer prepares annual 1099 forms for all employees. 3. Proposer has a certified public accountant or an independent accounting/auditing firm to prepare financial records. 4. Proposer uses an accounting software product. 5. Proposer has an accounting staff produce monthly financial statements. 6. Proposer has annual audit completed. Provide copy recently completed. 7. Proposer has written recruitment policy. 8. Proposer provides criminal background check for employees on this contract. 9. Proposer conducts formal orientation for all new staff. 10. Proposer distributes written personnel policies to staff. 11. Proposer distributes written personnel policies. 12. Workman's Compensation Policy information clearly posted for staff. 13. Proposer maintains written, signed Job Descriptions. 14. Proposer’s employees are evaluated at least annually in writing. 15. Proposer has written hiring practices. 16. Proposer has written retention policies. 16.D.6.c Packet Pg. 1415 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) 17. Proposer has formal progressive disciplinary procedures. 18. Proposer has written policies regarding theft and falsification of time sheets 19. Proposer has policy to prevent fraud and formalized methods to report suspected incidents. 20. Agency has written disaster plan. 21. Proposer agrees to utilize electronic means to submit documentation, as determined by CHS, to include invoices EVALUATION CRITERIA NO 5: GENERAL SERVICE DELIVERY (20 total points) 1. Proposer maintains a formal record of in-services, available for review. Yes/No 2. Proposer maintains copies of training schedule for last year, available for review. 3. Proposer maintains sign in sheets for in-service training, available for review. 4. Proposer maintains evidence of attendance and completion in employee files. 5. Proposer has copies on file of training materials. 6. Proposer has written Quality Assurance plan. Provide plan. 7. Proposer surveys clients for satisfaction in writing at least once per year. Provide sample. 8. Proposer analyzes surveys and uses reports for transmission to administration and to employees. 9. Proposer incorporates results of Quality Assurance activities to annual plan. 10. Proposer has Quality Assurance Committee as standing subcommittee of Board 11. Proposer has written policy for reporting incidents. Provide copy and a sample of the incident report 12. Proposer has formal training for staff regarding reporting of suspected cases of abuse or neglect. 13. Proposer maintains anti-discrimination policies related to service consumer 16.D.6.c Packet Pg. 1416 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) 14. Proposer has written policy regarding consumers rights. 15. Proposer has written system for registering consumer’s complaints. 16. Proposer has written policy to follow up on consumers complaints. 17. Proposer has written description of how service is delivered from point of request through provision and termination. Provide copy. 18. Proposer has written procedures for assuring confidentiality of consumer records. EVALUATION CRITERIA NO. 6: ACCEPTANCE OF COST (20 Total Points) In this tab you will be provided a list of services needed by the County. Those services with rates, In-kind match and Cost already completed are standard rates in which you will be required to accept. Please sign as an acceptance to the rates if you deem these standard rates to be acceptable. ______________________________________ I accept the standard contract rates listed below. Item Services Grant Service Unit Cost Per Service Unit (Cost your company charges for the service) In-kind 10% Match (Grant Amount your company will be paying) Reimbursement Rate Per Unit (Amount the County will reimburse your company for a given service) 1. Skilled Nursing CCE Per Hour $40.00 $4.00 $36.00 2. Enhance Chore ADI, CCE, OAA Per Hour $40.00 $4.00 $36.00 3. Respite (In-Home) ADI, CCE, OAA Per Hour $24.11 $2.41 $21.70 4. Respite (Facility Based) ADI, CCE, OAA Daily Rate $200.00 0 $200.00 5. Personal Care ADI, CCE, OAA Per Hour $24.11 $2.41 $21.70 6. Chore ADI, CCE, OAA Per Hour $24.00 $2.40 $21.60 7. Homemaking ADI, CCE, OAA Per Hour $23.33 $2.33 $21.00 8. Adult Day Care ADI, CCE, OAA Per Hour $13.89 $1.39 $12.50 9. Emergency Alert Response ADI, CCE, OAA Per Day $1.09 $0.11 $0.98 EVALUATION CRITERIA NO. 7: COST OF SERVICES TO THE COUNTY (10 Total Points) In this tab, insert your cost for the services listed below. 16.D.6.c Packet Pg. 1417 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) Item Services Grant Service Unit Cost Per Service Unit (Cost your company charges for the service) In-kind 10% Match (Grant Amount your company will be paying) Reimbursement Rate Per Unit (Amount the County will reimburse your company for a given service) 10. Specialized Medical Equipment, Services, and Supplies ADI, CCE, OAA Per Episode VENDOR CHECKLIST ***Vendor should check off each of the following items as the necessary action is completed (please see, Form 2: Vendor Check List): The Solicitation Submittal has been signed. The Solicitation Pricing Document (Bid Schedule/Quote Schedule/Proposal Pricing/etc.) has been completed and attached. All applicable forms have been signed and included, along with licenses to complete the requirements of the project. Any addenda have been signed and included. Affidavit for Claiming Status as a Local Business, if applicable. Division of Corporations - Florida Department of State – http://dos.myflorida.com/sunbiz/ (If work performed in the State). E-Verify/Immigration Affidavit (Memorandum of Understanding). 16.D.6.c Packet Pg. 1418 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.A FEDERAL CONTRACT PROVISIONS   FCP-1 FEDERAL UNITED STATE DEPARTMENT OF AGING AND FLORIDA DEPARTMENT OF ELDER AFFAIRS The supplemental conditions contained in this section are intended to cooperate with, to supplement, and to modify the general conditions and other specifications. In cases of disagreement with any other section of this contract, the Supplemental Conditions shall govern. Contractor means an entity that receives a contract. The services performed by the awarded Contractor shall be in compliance with the provisions of 45 Code of Federal Regulations (CFR) 75 and/or 45 CFR Part 92, 2 CFR Part 200 and other applicable regulations. It shall be the awarded Contractor’s responsibility to acquire and utilize the necessary manuals and guidelines that apply to the work required to complete this project. In general, 1) The contractor (including all subcontractors) must insert these contract provisions in each lower tier contracts ( e.g. subcontract or sub-agreement); 2) The contractor (or subcontractor) must incorporate the applicable requirements of these contract provisions by reference for work done under any purchase orders, rental agreements and other agreements for supplies or services; 3) The prime contractor is responsible for compliance with these contract provisions by any subcontractor, lower-tier subcontractor or service provider. 16.D.6.c Packet Pg. 1419 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.A FEDERAL CONTRACT PROVISIONS   FCP-2 FEDERAL CONTRACT PROVISIONS Administrative, contractual, or legal remedies (Ref. 41 U.S.C. 1908, 2 CFR § 200 Appendix II (A) Unless otherwise provided in this contract, all claims, counter-claims, disputes and other matters in question between the local government and the contractor, arising out of or relating to this contract, or the breach of it, will be decided by arbitration, if the parties mutually agree, or in a Florida court of competent jurisdiction.  Access to Records and Reports (Reference: 2 CFR § 200.333, 2 CFR § 200.336) The contractor/vendor agrees to maintain all books, records, accounts and reports required under this contract for a period of not less than three years after the date of termination or expiration of this contract, except in the event of litigation or settlement of claims arising from the performance of this contract, in which case the Contractor agrees to maintain same until the Purchaser, the Grantor Administrator, the Comptroller General, or any of their duly authorized representatives, have disposed of all such litigation, appeals, claims or exceptions related thereto. Furthermore, the County shall maintain written policies and procedures for  computer system backup and recovery and shall have the same requirement of its Contractors.  No Government Obligation to Third Parties - The Federal Government is not a party to this contract and is not subject to any obligations or liabilities to the non-Federal entity, contractor, or any other party pertaining to any matter resulting from the contract.” Program Fraud and False or Fraudulent Statements of Related Acts The contractor acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False Claims and Statements) applies to the contractor’s actions pertaining to this contract.” Clean Air and Federal Water Pollution Control Acts (Reference: 2 CFR § 200 Appendix II (G)) Contracts and subgrants of amounts in excess of $150,000 shall contain a provision that requires the Contractor or recipient to comply with all applicable standards, orders, or requirements issued pursuant to the Clean Air Act (42 U.S.C. 7401–7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251–1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Energy Policy and Conservation Act - (Reference 2 CFR § 200 Appendix II (H) The contractor shall comply with any mandatory standards and policies relating to energy efficiency which are contained in the F l o r i d a state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871, 42 U.S.C Section 6201) Debarment and Suspension (Reference 2 CFR § 200 Appendix II (I) Contract awards that exceed the small purchase threshold and certain other contract awards shall not be made to parties listed on the government wide Excluded Parties List System in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1986 Comp., p. 189) and 12689 (3 CFR Part 1989 Comp., p. 235), ‘‘Debarment and Suspension.’’ The Excluded Parties List System in SAM contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. The successful bidder, by administering each lower tier subcontract that exceeds $25,000 as a “covered transaction”, must verify each lower tier participant of a “covered transaction” under the project is not presently debarred or otherwise disqualified from participation in this federally assisted project.   Byrd Anti-Lobbying Amendment (31 U.S.C. 1352) (Reference 2 CFR § 200 Appendix II (J) Vendors must certify it will not and has not used Federal appropriated funds have been paid or will be paid, by or to any person or organization for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the 16.D.6.c Packet Pg. 1420 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.A FEDERAL CONTRACT PROVISIONS   FCP-3 making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. The certification includes any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Procurement of Recovered Materials (Reference 2 CFR § 200.322) Contractor and subcontractor agree to comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act, and the regulatory provisions of 40 CFR Part 247. (1) In the performance of this contract, the Contractor shall make maximum use of products containing recovered materials that are EPA designated items unless the product cannot be acquired (i) Competitively within a timeframe providing for compliance with the contract performance schedule; (ii) Meeting contract performance requirements; or (iii) At a reasonable price. (2) Information about this requirement is available at EPA's Comprehensive Procurement Guidelines web site, http://www.epa.gov/. The list of EPA-designate items is available at https://www.epa.gov/smm/comprehensive‐procurement‐guideline‐cpg‐program.  Diversity (Reference 2 CFR § 200.321) The County is dedicated to fostering the continued development and economic growth of small, minority-, women-, and service-disabled veteran business enterprises. All contracting and subcontracting opportunities afforded by this solicitation/contract are strongly encouraged to contribute as both Contractors and Sub-Contractors. Firms may be required to submit documentation addressing diversity and describing the efforts being made to encourage the participation of small, minority-, women-, and service-disabled veteran business enterprises. Information on Certified Minority Business Enterprises (CMBE) and Certified Service-Disabled Veteran Business Enterprises (CSDVBE) is available from the Office of Supplier Diversity at: http://dms.myflorida.com/other_programs/office_of_supplier_diversity_osd/    Termination for Cause and Convenience See County’s Standard Terms and Conditions. Nondiscrimination-Civil Rights Compliance The Contractor will 1. not discriminate against any person in the provision of services or benefits under this contract or in employment because of age, race, religion, color, disability, national origin, marital status or sex in compliance with state and federal law and regulations. 2. Assumes others with whom it arranges to provide services or benefits in connection with any of its programs and activities are not discriminating against clients or employees because of age, race, religion, color, disability, national origin, marital status or sex. And 3. Assures others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above statutes, regulations, guidelines, and standards. Computer Use and Social Media Policy The Florida Department of Elder Affairs has implemented a Social Media Policy, in addition to its Computer Use Policy, which applies to all employees, contracted employees, consultants, OPS and volunteers, including all personnel affiliated with third parties, such as, but not limited to, contractors and subcontractors. Any entity that uses the Department’s computer resource systems must comply with the Department’s policy regarding social media. Social Media includes, but is not limited to blogs, podcasts, discussion forums, Wikis, RSS feeds, video sharing, social networks like MySpace, Facebook and Twitter, as well as content sharing networks such as flickr and YouTube. This policy is available on the Department’s website at: http://elderaffairs.state.fl.us/doea/financial.php STATE CONTRACT PROVISIONS Discriminatory Vendors List In accordance with Section 287.134, Florida Statutes, an entity or affiliate who has been placed on the discriminatory vendor list may not submit a bid on a contract to provide any goods or services to a public 16.D.6.c Packet Pg. 1421 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.A FEDERAL CONTRACT PROVISIONS   FCP-4 entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity. Inspector General Cooperation The Parties agree to comply with Section 20.055(5), Florida Statutes, for the inspector general to have access to any records, data and other information deemed necessary to carry out his or her duties and incorporate into all subcontracts the obligation to comply with Section 20.055(5), Florida Statutes. Equal Employment Opportunity The Contractor shall not discriminate against any employee or applicant for employment because of race, age, creed, color, sex or national origin. The Agency will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, age, creed, color, sex, or national origin. Such action shall include, but not be limited to, the following: Employment upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. Contractors must insert a similar provision in all subcontracts, except subcontracts for standard commercial supplies or raw materials. Interest of Members of Congress No member of or delegate to the Congress of the United States shall be admitted to any share or part of this contract or to any benefit arising therefrom. Interest of Public Officials No member, officer, or employee of the public body or of a local public body during his tenure or for two years thereafter shall have any interest, direct or indirect, in this contract or the proceeds thereof. For purposes of this provision, public body shall include municipalities and other political subdivisions of States; and public corporations, boards, and commissions established under the laws of any State. Interest of Public Officials No member, officer, or employee of the MPO or of a local public body during his tenure or for two years thereafter shall have any interest, direct or indirect, in this contract or the proceeds thereof. Lobbying No funds received pursuant to this Agreement may be expended for lobbying the Legislature, the judicial branch or a state agency. EVerify Vendors/Contractors/Subcontractors: 1. shall utilize the U.S. Department of Homeland Security's E-Verify system to verity the employment eligibility of all new employees hired by the Vendor/Contractor during the term of the contract; and 2. shall expressly require any subcontractors performing work or providing services pursuant to the state contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term. 16.D.6.c Packet Pg. 1422 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES   GCA - 1   GRANT CERTIFICATIONS AND ASSURANCES THE FOLLOWING DOCUMENTS NEED TO BE RETURNED WITH SOLICIATION DOCUMENTS BY DEADLINE TO BE CONSIDERED RESPONSIVE 1. Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions 2. Certification regarding Lobbying 3. Conflict of Interest 4. Anticipated DBE, M/WBE or VETERAN Participation Statement 5. Opportunity List for Commodities and Contractual Services and Professional Consultant Services 6. Acknowledgement of Grant Terms and Conditions 7. Scrutinized Companies Certification 16.D.6.c Packet Pg. 1423 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES   GCA - 2   COLLIER COUNTY Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (l)(b) of this certification; and (d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. __________________________ ________________________________________ Name Project Name __________________________ ________________________________________ Title Project Number __________________________ ________________________________________ Firm Tax ID Number ________________________________________ DUNS Number _________________________________________________________________________ Street Address, City, State, Zip __________________________________ Signature 16.D.6.c Packet Pg. 1424 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES   GCA - 3   COLLIER COUNTY Certification Regarding Lobbying The undersigned certifies, to the best of his or her knowledge, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form- LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The Contractor, __________________________, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 11.062, Florida Statutes., apply to this certification and disclosure, if any. Signature of Contractor's Authorized Official Name of Authorized Official and Title Date 16.D.6.c Packet Pg. 1425 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES   GCA - 4   COLLIER COUNTY Conflict of Interest Certification _______________________ Collier County Solicitation No. I, ________________________________________, hereby certify that to the best of my knowledge, neither I nor my spouse, dependent child, general partner, or any organization for which I am serving as an officer, director, trustee, general partner or employee, or any person or organization with whom I am negotiating or have an arrangement concerning prospective employment has a financial interest in this matter. I further certify to the best of my knowledge that this matter will not affect the financial interests of any member of my household. Also, to the best of my knowledge, no member of my household; no relative with whom I have a close relationship; no one with whom my spouse, parent or dependent child has or seeks employment; and no organization with which I am seeking a business relationship nor which I now serve actively or have served within the last year are parties or represent a party to the matter. I also acknowledge my responsibility to disclose the acquisition of any financial or personal interest as described above that would be affected by the matter, and to disclose any interest I, or anyone noted above, has in any person or organization that does become involved in, or is affected at a later date by, the conduct of this matter. Name Signature Position Date Privacy Act Statement Title I of the Ethics in Government Act of 1978 (5 U.S.C. App.), Executive Order 12674 and 5 CFR Part 2634, Subpart I require the reporting of this information. The primary use of the information on this form is for review by officials of The Justice Department to determine compliance with applicable federal conflict of interest laws and regulations. Additional disclosures of the information on this report may be made: (1) to a federal, state or local law enforcement agency if the Justice Department becomes aware of a violation or potential violation of law or regulations; (2) to a court or party in a court or federal administrative proceeding if the government is a party or in order to comply with a judge-issued subpoena; (3) to a source when necessary to obtain information relevant to a conflict of interest investigation or decision; (4) to the National Archives and Records Administration or the General Services Administration in records management inspections; (5) to the Office of Management and Budget during legislative coordination on private relief legislation; and (6) in response to a request for discovery or for the appearance of a witness in a judicial or administrative proceeding, if the information is relevant to the subject matter. This confidential certification will not be disclosed to any requesting person unless authorized by law. See also the OGE/GOVT-2 executive branch-wide Privacy Act system of records. 16.D.6.c Packet Pg. 1426 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES   GCA - 5   16.D.6.c Packet Pg. 1427 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES   GCA - 6   16.D.6.c Packet Pg. 1428 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES   GCA - 7   COLLIER COUNTY Acknowledgement of Terms, Conditions and Grant Clauses   Flow Down of Terms and Conditions from the Grant Agreement Subcontracts: If the vendor subcontracts any of the work required under this Agreement, a copy of the signed subcontract must be available to the Department for review and approval. The vendor agrees to include in the subcontract that (1) the subcontractor is bound by the terms of this Agreement, (ii) the subcontractor is bound by all applicable state and federal laws and regulations, and (iii) the subcontractor shall hold the Department and Recipient harmless against all claims of whatever nature arising out of the subcontractor’s performance of work under this Agreement, to the extent allowed and required by law. The recipient shall document in the quarterly report the subcontractor’s progress in performing its work under this agreement. For each subcontract, the Recipient shall provide a written statement to the Department as to whether the subcontractor is a minority vendor as defined in Section 288.703, Fla. Stat. Certification On behalf of my firm, I acknowledge, and agree to perform all of the specifications and grant requirements identified in this solicitation document(s). Vendor/Contractor Name ______________________________ Date __________________ Authorized Signature ___________________________________________________________ Address _____________________________________________________________________ Solicitation/Contract # ____________________________ 16.D.6.c Packet Pg. 1429 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES   GCA - 8   COLLIER COUNTY Scrutinized Companies Certification The undersigned (Vendor/ Contractor) certifies, to the best of his or her knowledge and belief, that it is not listed on the  Scrutinized Companies with Activities in Sudan List,  Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, and/or  Scrutinized Companies with Activities in Israel List (eff. 10.1.2016), pursuant to Section 215.473, F.S. The subcontractor further agrees the County may immediately terminate this contract for cause if the vendor/contractor is found to have submitted a false certification or is placed on the Scrutinized Companies list during the term of the contract. Name of Authorized Official Title Signature of Vendor/Contractor's Authorized Official Date 16.D.6.c Packet Pg. 1430 Attachment: 18-7470 Solicitation (7591 : RFP-7470 Omega) www.omegahealthservices.org​ Ph: 786-304-8483 E: ​info@omegahealthservices.org​ 7130 W McNab Rd, Tamarac FL, 33321 NPI: ​1265920094 Tax ID: 82-5284470 November 1st,, 2018 Cover Letter RE: Collier County Board of Commissioners RFP- Services for Seniors Solicitation NO: 18-7470 Dear Sir/ Madam: Omega Health Services LLC, is pleased to submit its proposal to the Collier County Board of Commissioners in response to the above-referenced Request for Proposal (RFP) to provide care to seniors of home and community-based services. Omega Health Services (dba: Omega Care Services) is a licensed Homemaker and Companion agency within Tamarac FL. As a new start-up company, OHS provides care to a diverse client population, who are seniors 55 yrs and older, individuals with disabilities, including those diagnosed with autism, Spina Bifida, cerebral palsy, and more. Our team is composed of qualified and experienced staff, who are bilingual in English, Spanish and Creole. Each staff member on our team has been in the field for over four years; they are competent and passionate about making a difference in the lives of others. Lastly, our management team’ primary goal is to provide the finest coordinated care possible. OHS recognizes the need for HCBS in the state of Florida, as it is estimated that total population aged 65 and over is forecast to represent 24.1 percent by 2030; and that 51 of Florida’s 67 counties has exceeded the US percent of population 65 years and older; this includes Collier County. Our mission is to provide high quality, client-centered and affordable Home Care services to seniors; which will assist them to lead dignified and independent lives. Their needs are carefully assessed, understood and met through the selective assignment of a qualified, trustworthy and compassionate personnel. Omega Health Services LLC, seeks to improve the overall well-being of seniors in Collier County by: ●Assistance with daily tasks- helping clients with everything from cooking, cleaning, feeding, and more ●Open Lines of Communication- by having a confidant, they can share their thoughts, feelings, and opinions ● Sense of Security- We will give every individual and family members a peace of mind knowing that someone is always there. ● General Comfort- Our companions offer general comfort and friendship that can lift our clients’ spirits. ●Homemaker - takes the responsibility for how the household runs, how it is organized, daily routines and chores and the health and well-being of the family. We have seen measurable success by performing client surveys, safety and functional housing assessments, client centered care, and performance effectiveness. We believe in the integrated model approach to care, and understand the importance of home and community based programs, which should be cost effective, culturally responsive, and have familiarity. We appreciate you for taking an interest in reviewing our application, and can certainly vouch that OHS will be the chosen provider to assist ALL clients we serve to Live their Best Lives. On behalf of Omega Health Services, thank you for giving us the opportunity to respond to this RFP and we look forward to a mutually rewarding partnership. Sincerely, Agnes Saint Preux _______________________________ Agnes Saint Preux, MHSA Administrator Executive Summary I.Our Mission Omega Health Services LLc offers high quality, client-centered and affordable home care services to seniors and adults with disabilities; which will assist them to lead dignified and independent lives. It is our utmost goal that all clients served live their best lives possible. We ensure this philosophy of care by : ●Making accessible a range of direct service providers who are culturally diverse, experienced, and compassionate about the needs of their clients ●Providing good communication and a effective​ care plan transitions​ between providers ●Focusing on the total health care needs of the consumer ●Communicating clear and simple information that patients can understand II. The Company and Management Omega Health Services LLC is located the City of Tamarac, in Broward County Florida. The company formed from a volunteer service to seniors at their church who required daily living assistance. During that time, the owners witnessed and researched the need for home and community based services to those affected by disabilities and age. The company is owned by Agnes Saint Preux and Mirline Omega, both owners have an extensive knowledge in Long Term care management, and nursing 1. Agnes Saint Preux - ​MHSA | ​​Administrator Ms. Saint Preux is a current graduate student at Florida International University with a focus in Health Service Administration, and a certificate in Healthcare Risk Management & Patient Safety. She is in charge of the administrative aspect of the company along with the creation of work and shift schedules for direct care providers, keeping and organizing records of the facility’s services, managing , controlling, coordinating, and supervising the fiscal activities of the agency, payroll, contract preparation, and client intake. 2. ​Mirline Omega, BSN, RN | ​​Clinical Director / Co-Owner Mrs. Omega-Richard oversees all of our non-medical operations within the organization, along with, delivery and client outcomes, to ensure that care meets the patients needs, monitor and take reasonable steps to ensure: a. Patient rights are exercised. b. compliance with applicable Federal, State and Local laws and training. c. Compliance with established policies and procedures. d. Compliance with the patient’s plan of care. She has been practicing as a licensed healthcare professional for over 5 years and will oversee all of our skilled nursing services in 2019. 3. ​Direct Service Provider​​s - Contracted Staff Provide utmost respect for all persons and their families in all interactions. Have knowledge of senior care, and developmental disabilities. Participate in the development & implementation of Individual Treatment Plan. Provide in home & community support. 1. Adherence to the objectives & methods in the Plan of Care (POC). 2. Adherence to the safety plan. 4. Maintain accurate up-to-date daily progress notes and reports in a timely manner. 5. Provide transportation as needed, as indicated in the POC, ensuring safety at all times. 6. Carry out all other duties and responsibilities as assigned. III. Our Services Our senior companion care and homemaker services include, but are not limited to: ●Caring companionship and conversation ●Help with hobbies ○Scrapbooking ○Artistic pursuits ○Playing games ○Gardening ○Sports & news ○General shopping and errand ●Transportation ○Doctor visits ○Religious services ○Community events ○Visiting family and friends ●Assistance with pet care ●Reminder services (medications, dates, routines, etc.) ●Meal preparation ●Light housekeeping ●Errands ○Prescription pickup ○Dry cleaning ●Grocery shopping ●Home safety evaluation Chore Services include: Deep Cleaning Services ●Kitchens ●Bathrooms ●Floors ●Any hard to reach area Assistance with Transitions ●Downsizing ●Packing and unpacking ●Organizing before and after a move Home Organizing ●Kitchens and pantries ●Closets ●Basements and garages ●Bedrooms and bathrooms Window Washing ●First floor inside and out ●Inside ● on any floor Flexible Care​​ - Our companion/homemaker care service options are flexible and customizable according to your specific situation, whether you are traveling, or will remain at home, we provide the exact services that will give your family member the companionship they require. We work with you to determine a personal, customized care plan, whether you need assistance 24/7 or just a few hours a day, our office is here to help. IV. The Market Research shows that global home care services market is expected to record a year-over-year growth rate of 9.9%.Some factors driving the growth of the global home care services market are the increase in healthcare expenditures,increase in adoption of home care services, government/private/public funding for home care services,and well-developed infrastructure with wide-ranging services.Also,the rising number of elderly and individuals suffering from disabilities,and the high dependency ratio of elderly over the younger population is likely to fuel the home care services market over 2018–2026. V. Our Competitive Advantages While there are currently many businesses offering Homemaker and Companion Services in Florida, Omega Health Services marketing strategy is to emphasize the quality of care we provide (“Living Your Best Life”) and the availability of our services. Families who we have serviced in the past can guarantee that they will come home to find happy, friendly and experienced companions. Some of our other competitive advantages are : 1.Caregiver Quality 2.Exceptional Customer Experiences 3.Personal Relationships 4.Organizational Relationships 5.Relationship Selling 6.Branding 7.Specialized Programs and Services 8.Telemedicine Video Calls View current license information at: Floridahealthfinder.gov REGISTRATION #: 235520 CERTIFICATE #: 25307 State of Florida AGENCY FOR HEALTH CARE ADMINISTRATION DIVISION OF HEALTH QUALITY ASSURANCE Homemaker And Companion Services REGISTERED This is to confirm that OMEGA HEALTH SERVICES LLC has complied with Chapter 400, Part III, rules of the State of Florida and is authorized to operate the following: OMEGA CARE SERVICES 7130 W Mcnab Rd Tamarac, FL 33321 in the following counties: BROWARD Homemaker & Companion Services are prohibited from providing any hands-on personal care services. EFFECTIVE DATE: 08/08/2018 EXPIRATION DATE: 08/07/2020 Deputy Secretary, Division of Health Quality Assurance RICK SCOTT GOVERNOR JUSTIN M. SENIOR SECRETARY Facebook.com/AHCAFlorida Youtube.com/AHCAFlorida Twitter.com/AHCA_FL SlideShare.net/AHCAFlorida 2727 Mahan Drive  MS#33 Tallahassee, FL 32308 AHCA.MyFlorida.com August 8, 2018 Agnes Saint-Preux, Administrator File Number: 39970485 Omega Care Services License Number: 235520 5921 Washington St #120 Hollywood, FL 33023 Provider Type: Homemaker And Companion Services RE: 7130 W Mcnab Rd, Tamarac Dear Administrator: The enclosed Homemaker And Companion Services license with license number 235520 and certificate number 25307 is issued for the above provider effective August 8, 2018 through August 7, 2020. The license is being issued for: approval of the initial application. Review your certificate thoroughly to ensure that all information is correct and consistent with your records. If errors are noted, please contact the Home Care Unit. If we may be of further assistance, please contact me by phone at (850) 412 -4316 or by email at Jerome.Preston@ahca.myflorida.com. Sincerely, Jerome Preston Home Care Unit Division of Health Quality Assurance   AGNES SAINT-PREUX, MSHSA asain032@fiu.edu 5921 Washington St. Apt 120 Hollywood, FL 33023 786​304​8483 Goal-driven, experienced, and dedicated Healthcare professional soon to complete a Master of Science degree with an emphasis in Healthcare administration and holds a B.S. degree in Public Administration. With more than 2-years related, hands-on experience in a fast-paced and time sensitive healthcare industry. Adaptable leader and administrator accustomed to managing numerous employees, and training initiatives. Keeping abreast of increasingly complex regulatory environments, provides quality customer service initiatives for clients, and staff CORE STRENGTHS : ​​Foster Teamwork, Interpersonal Awareness, Personnel Development Strategic Guidance, Decisive Thoroughness, Quality-Oriented, Insurance/ Billing, Dispute Resolution, Policy Management, Contract Management Employment Experiences Omega Health Services LLC. | Administrator / Director June 2018 - PRESENT| Tamarac, FL ●Monitor budgets and prepare reports ●Maintain medical and staff records ●Track medical and office supplies stock ●Update patient health records, including admissions and insurance data ●Create work schedules for staff members ●Keep records of expenses and suggest ways to minimize costs ●Answer queries from doctors, nurses and patients ●Liaise with medical staff to identify efficiencies in the facility’s operations ●Ensure compliance with current healthcare regulations Omega Behavioral Consulting Inc. | Executive Assistant / Behavior Assistant April 2017 - PRESENT| Tamarac, FL ●Insurance Eligibility/Verification ●General Administrative Duties (scheduling, inventory, payroll, office management) ●Hiring Manager ●Marketing ●Procurement ( office supplies, supplier research and selection ) ●Research (Programs for children with Autism, ADHD, Aspergers, office functionality) ●Data collection procedures for Applied Behavior Analysis ●Implementation of skill acquisition and behavior reduction interventions ●Managed day-to-day office activities: establishing priorities, troubleshooting, patient scheduling, and insurance filing ●Supervised and delegated responsibilities, as appropriate, to office personnel/volunteers ●Provided strong communication serving as key point of contact and facilitated responses for     inquiries and data requested from both internal and external customers. ●Created policy and procedures to be distributed to the department and new hires. ●Strong business management, technical, human resource, problem solving and decision making skills ●Build work teams, collaboration, and accountability that consistently exceed goals for productivity, efficiency, and quality of operations. Make recommendations to business associations, staff personnel, and management on identified opportunities for policy, procedure and process improvement ●Implemented training and incentive programs to enhance performance, quality and efficiency to improve morale, satisfaction, customer service and profitability. ● South Florida CARES Mentoring Movement | Recruitment Director & Executive Assistant June 2014 - June 2017| Miami FL ●Compliance Administrator for Kellogg Grant Funding ●Public speaking events ●Event Planning (Philanthrofest, Recruitment Mixers, Art Basel Annual Youth Brunch) ●Volunteer recruitment ●Social Media Coordinator ●Management ●Group Mentoring to at-risk youth in Miami-Dade & Broward County Public Schools Law Office of Criminal Conflict & Civil Regional Counsel | Legal Assistant / Clerk | Miami, FL November 2010 – February 2014 ●Prepare correspondence and type legal documents ●Maintain complex docket systems to track legal filing deadlines, ●Create spreadsheets; index and update pleadings and discovery binders ●Schedule depositions ●Communicate with attorneys, experts, opposing counsel, vendors, etc Department of Children & Families | Clerk Typist Specialist June 2008​ - January 2009 | Miami, FL ●Compile and compute data ●Organizes and updates computer files and databases ●Prepares office and departmental reports ●Furnishes the public with general information and advice in regards to the Department’s policies, procedures and services. Education Florida International University Master of Science- Health Service Administration | Present Florida International University Bachelors of Arts- Public Administration, Degree completed Aug 2017     Miami Dade College Associate of Arts, Degree completed, May 2015 Dr. Michael Krop Senior High High School Diploma Skills ●Bilingual (Haitian Creole) ●Excellent interpersonal skills ●Team player ●Proactive, solution seeker ●Performs well under pressure ●Proficient computer skills ●Geographic Information Systems ●Mind Mapping ●Management Volunteer/ Fellowship Experiences Tabernacle of Glory | Children’s Ministry Sunday School Teacher March 2016 - Present | North Miami, FL Starbucks In-Store Recruitment | Recruitment Director March 2016 - June 2017 | Miami, FL Superfriends ​ CARES Youth Program @ Williams Park October 2015 - June 2017 ​| Miami, FL Sant La Haitian Neighborhood Center | Fellowship Program for Haitian Professionals June 2015 - April 2016 | North Miami, FL His House Children’s Home| Tutor June 2007​ - January 2008 ​ | Miami, FL Certifications: CPR and AED Grant Writer - Certificate of Completion | November 2018 References Available upon request     AGNES SAINT-PREUX asain032@fiu.edu 5921 Washington St. Apt 120 Hollywood, FL 33023 786​304​8483 Greetings Sir or Madame: My name is Agnes Saint-Preux and I am writing to express interest for the applied position within your company/organization. I possess over three years of experience in clerical/administrative work. I hold strong interpersonal skills that have helped me form relationships with many community members. My communication, management and organization skills in event planning have prepared me both personally and professionally for my next employment endeavor. I have a solid reputation as an independent worker who takes initiative to get the job done. I believe that my experience and skills makes me a top candidate for the position you are hoping to fill. I look forward to hearing from you to further discuss this exciting opportunity. I am available for an interview at your earliest convenience, please contact me via phone or email to arrange a suitable time. Thank you for your consideration! Sincerely Agnes Saint Preux   JOB DESCRIPTION- Caregiver (Homemaker/Companion/Housekeeper/Shopper) Position Description: A Caregiver is a non-licensed member of the home care team who assists the client with the tasks of daily living as outlined in a written care plan that is established by a Supervisor and is kept in the client's home. The Administrator and Client Service Supervisor supervise caregivers. Qualifications: 1. A Caregiver must have a satisfactory work record, with experience as a caregiver preferred. Aventas must be able to verify three work or personal references, and caregiver must complete the agency’s employment process. 2. Must be at least 18 years of age. 3. High School diploma or equivalent preferred. 4. Must be physically able to perform the duties of the position. 5. Must exhibit mature, responsible behavior, and understand the need for patient confidentiality. Must be able to communicate with client and carry out instructions. 6. Must be able to read, write, understand and speak English. 7. Must be able to follow direction and accurately report to the Administrator any change in client’s condition. 8. Must maintain current credentials, including CPR, 1st Aide, TB Test, Physical and Fingerprint Clearance Card. Must attend ongoing training when offered. 9. Must have available reliable transportation to and from assignments. May be approved to drive client and/or run errands. Duties: The duties of a Caregiver may include, but are not limited to the following: 1. Planning and preparing meals and snacks according to specific dietary requirements of the client. Wash dishes and clean kitchen. 2. Maintaining a safe, clean and healthy environment through light housekeeping including changing bed linens, dusting and vacuuming, cleaning bathroom, and doing laundry. 3. Providing companionship and stimulation for the client including reading, walks, etc.; accompanying the client to doctors or other appointments. 4. Grocery shopping or other errands when needed. 5. Performing other housekeeping tasks as indicated in the care plan. 6. Participating in in-service education programs. Employee May Not: 1. Administer or pour medication as mandated by law. 2. Cut the fingernails or toenails of any patient. 3. Perform any personal care for the patient including toileting, hair care, oral hygiene, bathing and grooming. 4. Assist with ambulation when patient uses mechanical aids such as a walker. DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 04-23-2018 Employer Identification Number: 82-5284470 Form: SS-4 Number of this notice: CP 575 B OMEGA HEALTH SERVICES LLC AGNES SAINT PREUX MBR 5921 WASHINGTON ST APT 120 For assistance you may call us at: HOLLYWOOD, FL 33023 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 82-5284470. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1065 03/15/2019 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. (IRS USE ONLY) 575B 04-23-2018 OMEG B 9999999999 SS-4 IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is OMEG. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. Keep this part for your records. CP 575 B (Rev. 7-2007) ---------------------------------------------------------------------------------------------- Return this part with any correspondence so we may identify your account. Please CP 575 B correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 04-23-2018 ( ) - EMPLOYER IDENTIFICATION NUMBER: 82-5284470 _____________________ _________________ FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE OMEGA HEALTH SERVICES LLC CINCINNATI OH 45999-0023 AGNES SAINT PREUX MBR 5921 WASHINGTON ST APT 120 HOLLYWOOD, FL 33023 INCIDENT REPORT EMPLOYEE: Return this COMPLETED FORM to your SUPERVISOR as soon as possible. Name of Person Involved: __________________________________________ Address: ______________________________________________________________ Phone Number: ____________________ Age: ___ DOB: _______ Sex: M ____ F ____ Patient#: _________________________ Date of Incident: ___ Time: ___ am/pm Exact Location of Incident: __________________________________________ Check Type of Accident:Check: ●Clerical/Data Entry _____Patient ●Communications _____ Employee x Transfer (Non ambulatory)_____ Visitor ●Result reporting _____ Volunteer ●Safety _____ Other ●Medical Device Failure ●Policy/Procedural Violations ●Adverse Drug Reaction ●Vehicle Accident ●Needlestick ●Exposure to Hazardous Substance ●Medication Error (Wrong: Route, Dosage, Medication, Schedule) EMPLOYEE:​​ Stephanie Moore Involved ___ yes _____ no Were they doing their regular job duties: ____ yes _____ no Observed by employee: yes___ no __ Hire Date: _____ Position: _ Situation observed only by employee: yes__ no ___ Employee Classification: ______________________________ Protective Equipment being used: ____ yes _____ no If not used, Why: _______ Description of Incident/Complaint (Who, What, Where, How, Why, Include sequence of events, personnel involved, body part injured, reason incident occurred) (If medication error include brand name, manufacturer, dosage) (Use additional form if necessary) Actions Taken by Staff Members: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Witness Name: ​_____________​​____________ Phone Number: _​___________​​___ Address: ___________________________________ Witness Name: ___________________Phone Number: _________________ Address: _​____________________________________________________ MEDICAL FOLLOW-UP:​​ Was Medical Attention Sought: __​_​​_ yes _____ no Treatment Refused: _____ yes ​__​​__ no First Treatment Date: ​__​​____________ Treating Physician: ​_​​__________________ _ Phone Number: ​______________​​______ Address: ​___ _____________________________________________ First Day Off Work: ______________________ Return to Work Date: _______________ Duties Restricted: _____ yes ___ no Explain:________________________________________ INCIDENT/COMPLAINT REPORT Incident Reported By: _​ _​​______ Date: _________ Supervisor Notified: ___ yes _____ no Date: _​_​​____ Time: ____ Name of Supervisor: _____________________________________ Signature and Title of Person Preparing Report: __________________ Date: _________ Supervisor Comments: ___​__________________________________________________ Corrective Action Taken/Follow-Up:​​ (Things that have been or will be taken to prevent recurrence) ______________________________________________________________________________ _____________________________________________________________________________ Administrator Signature: ________________________________ Date: ______ Supervisor Signature: _______________________________Date: _____ I understand the information above will be used by my employer to help determine liability for injury. I acknowledge that the above statements are true and accurate representation of the requested information. Employee Signature: ___​__​​_______________________ Date: ________ Minority Business Certification Omega Health Services LLC 11/01/2018 11/01/2020 [42] Omega Health Services LLC Direct Care Provider Companion Direct Care provider Homemaker Direct Care Provider Chore Mirline Omega Clinical Director Agnes Saint Preux Owner/Administrator Mirline Omega Owner/ Chief Financial Officer Personal Disaster Plan Name: ________________________ Address: ____________________________________________ Ph#: ______________________ Roommate(s): ___________________________________________ Emergency Contact/Relationship/Ph.# ________________________ This Personal Disaster Plan should be updated annually, or as living situations change. Most recent update: ________________________ Copies of Disaster plan to be provided to: ______ Consumer ______ Provider ______ Case Worker/Manager ______Other ____________________________ PLAN A:​​ My Personal Plan to Shelter in Place:​​ My first choice will always be to shelter in my own home unless County Emergency Management mandates evacuation, or the emergency situation makes me feel that I may not be safe if I remain in my home. This is my plan to shelter in place: ●I have the following supplies reserved in my home for emergencies: ●3-day supply of water (1 gal/day for each person in my home; water replaced every 6 mos.) ●3-day supply of nonperishable food that requires little/no cooking and little/no water to prepare. ● Battery-operated radio and extra batteries. ●Flashlight for each person in the home and extra batteries. ●First aid kit with bandages, cleansing agent, antiseptic, gloves, sunscreen, over-the-counter meds, etc. ●Sanitary supplies including toilet paper, hand sanitizer, bleach, personal hygiene items, garbage bags. ●Duct tape, pre-cut plastic sheeting to cover ducts and all openings in interior room designated for shelter in event of a chemical or biological threat. ●Other tools/supplies: disposable cups, plates and utensils; multipurpose utility tool; hand held can-opener; whistle; matches/lighter; rain gear; complete change of clean dry clothing; bedding/sleeping bag; charged cell phone and charger; cash; pet supplies; games, books, entertainment supplies. ●In the event of a potential disaster, the contact information of the person who will help me fill my prescriptions to obtain at least a two-week supply is: Name: ______________________________ Phone: ___________________ ●I have a waterproof container that has copies of my identification, emergency contact information, insurance papers, list/proof of valuables; evacuation communicator, disaster plan, updated medical and prescription information, bank and credit card information, Social Security information and other important documents. ●I will notify my employer about where I am. ●I am dependent on the following special dietary supplies, durable medical equipment and/or consumable medical supplies: ___________________________________________________________________________ ___________________________________________________________________________ __________________________________________________________________________________ ____________________________________________________________________ 1 | Page Personal Disaster Plan ●I will use the following interior space in my home to shelter in the event of a tornado, chemical or biological threat or similar emergency: ____________________________ ●I have a generator. _____Yes. _____ No. It will run the following in my home (appliances, etc.): _____________________________________________________________________________ ●The contact information of the person who helps me to ensure that all the above has been completed, all equipment is in working order, and that all personal information is current on a quarterly basis is: Name: ____________________ Phone: ___________________ ●If I need assistance as I shelter in my home, this person(s) will remain with me in my home: Name: ____________________ Phone: ___________________ PLAN B:​​ My Personal Plan When I Must Evacuate My Home:​​ If I must evacuate my home during an emergency or disaster, I am prepared to follow this plan: ●Please see “Go Kit” on ​page 3. ●Please see “Pets” on ​page​​ ​4. ●I will evacuate to one of these locations if I can evacuate within the area: ●First Choice Name: _______________ Address: ________________ Phone Number: _____________ ●Second Choice: If circumstances prevent me from evacuating to my first choice, I will evacuate to Name: _______________ Address: ________________ Phone Number: _____________ ●I have transportation arranged to get to both my first and second choices for both of my in-area and out-of-area evacuation destinations. The contact information for the person who has committed to assisting me in evacuating is: Name: ______________________________ Phone: ___________________ ●I am dependent on the following special dietary supplies, durable medical equipment and/or consumable medical supplies: ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________ ● If I need assistance when I evacuate, this person(s) will remain with me for the duration of my evacuation: Name: ______________________________ Phone: ___________________ PLAN C:​​ My Personal Plan If I Must Go to a Shelter or Medical Facility:​​ I understand that shelters operated by County Emergency Management and the Health Department are available but should only be used as a last resort and as a back-up to My Personal Sheltering Plans A and B. Note: Shelters may be crowded, noisy, lack privacy and may be especially challenging for persons with behavioral health needs. However, if circumstances make it necessary for me to go to a shelter or medical facility; this is my plan: ●I have determined what type of shelter or medical facility that I will need to go to (a general population shelter, a special needs shelter, or a medical facility.) ●This person helped me determine where l need to go: 2 | Page Personal Disaster Plan Name: ______________________________ Phone: ___________________ ●I am dependent on the following special dietary supplies, durable medical equipment and/or consumable medical supplies: ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________ ●Transportation: I have identified how I will get to my designated shelter. ●I will need to use transportation arranged and provided by County Emergency Management and have confirmed this with them. ●I will be transported by this person/company: Name: _______________ Address: ________________ Phone Number: _____________ General Population Shelter ●I will be able to go to a general population shelter because I do not need the type of care and supervision that is provided in a special needs shelter. ●The name and location of the general population shelter that I will go to is: Name: _______________ Address: ________________ Phone Number: _____________ Special Needs Shelter ●I will need to go to a ​special needs shelter​​ because I need electricity for life supporting medical equipment, or basic nursing care, or oxygen therapy, or observation/monitoring by a healthcare professional, or assistance with medication and no one to assist me, or a chronic condition that requires assistance from a healthcare professional, or special medical requirements that do not require hospitalization or another special need that cannot be accommodated in a general population shelter. ●I understand that there are eligibility criteria that I must meet to have access to a special needs shelter. I have submitted pre-registration to my County Emergency Management if I need or suspect I may need to shelter in either a special needs shelter or a medical facility or if I need transportation to evacuate to a shelter. ●This person submitted my pre-registration on this date: Name: _____________________Phone: __________________Date: ____/____/______ ●I received confirmation from my County Emergency Management regarding my pre-registration shelter assignment. ​Yes​​ ____ or ​No​​____ ●The County Emergency Management has assigned the following special needs shelter or medical facility address as follows: Name: ________________ Address: ___________________ Phone Number: _________________ ●I will need to use transportation arranged and provided by County Emergency Management and have confirmed this with them. ●I will be transported by this person/company: Name: _______________ Address: ________________ Phone Number: _____________ 3 | Page Personal Disaster Plan ●If I evacuate to a special needs shelter, this person(s) will remain with me for the duration of my evacuation: Name: ___________________ Phone Number: _____________ Medical Facility ●I will need to go to a medical facility because my special medical requirements exceed what can be provided in a special needs shelter. The contact information of the facility is: ●Name: ___________________ Address: ___________________ Phone Number: _____________ “Go Kit” ●I have an easy-to-carry "Go Kit" prepared that contains or can be readily packed to contain the following supplies that I have reserved in my home and will take with me to the shelter: at least a two week supply of meds; Items required for special diet; a 3-day supply of water and non-perishable food and snacks; personal hygiene essentials; first aid kit; battery-operated radio and extra batteries; flashlight and extra batteries; cash; cell phone and charger; bedding/sleeping bag; at least one complete change of clean dry clothing; glasses; hearing aids; durable and consumable medical supplies; waterproof container that has copies of all of my important documents; multipurpose utility tool; whistle; matches/lighter; rain gear; games, books, entertainment supplies. ●This person will help make sure my "Go Kit" is readied if I need to go to a shelter: Name: _______________ Phone Number: _____________ Pets/Service Animals ●I have a plan for my pet(s). My pet will either go to the designated pet shelter in my county or I have arranged for this person/veterinarian to take care of my pet(s) for me: Name: ___________________ Address: ___________________ Phone Number: _____________ ● My pet(s)'s supplies and papers will be sent along with my pets. ●I have a Service Animal. It is this kind of an animal ______________________ and it performs the following services for me: _____________________________________________________. My personal Commitment to Disaster Preparedness: ●I understand that I have a personal responsibility for disaster preparedness and I am committed to working in a proactive manner with County Emergency Management and the people who support me to follow my Personal Plan for Disaster Preparedness. ●I have received information about my personal responsibility for preparing for all types of disasters including hurricanes, tornadoes, wildfires, earthquakes, floods, chemical and biological spills/ attacks, nuclear power accidents, terrorist attacks, etc. ●I review/practice/drill on this plan with this person _________________ on at least an annual basis. ●I will contact: Name_______ ____________________ at one of these numbers: ___________________ or __________________ about my location in any type of emergency, 4 | Page Personal Disaster Plan within 2 hours or as soon as possible to report on my location and health/safety status and needs. ______________________________ Consumer Signature/Date _____________________________ Case Manager Signature/Date ___________________________________________________________ Legal Representative Signature/Date Provider Signature/Date 5 | Page Personal Disaster Plan Name: ________________________ Address: ____________________________________________ Ph#: ______________________ Roommate(s): ___________________________________________ Emergency Contact/Relationship/Ph.# ________________________ This Personal Disaster Plan should be updated annually, or as living situations change. Most recent update: ________________________ Copies of Disaster plan to be provided to: ______ Consumer ______ Provider ______ Case Worker/Manager ______Other ____________________________ PLAN A:​​ My Personal Plan to Shelter in Place:​​ My first choice will always be to shelter in my own home unless County Emergency Management mandates evacuation, or the emergency situation makes me feel that I may not be safe if I remain in my home. This is my plan to shelter in place: ●I have the following supplies reserved in my home for emergencies: ●3-day supply of water (1 gal/day for each person in my home; water replaced every 6 mos.) ●3-day supply of nonperishable food that requires little/no cooking and little/no water to prepare. ● Battery-operated radio and extra batteries. ●Flashlight for each person in the home and extra batteries. ●First aid kit with bandages, cleansing agent, antiseptic, gloves, sunscreen, over-the-counter meds, etc. ●Sanitary supplies including toilet paper, hand sanitizer, bleach, personal hygiene items, garbage bags. ●Duct tape, pre-cut plastic sheeting to cover ducts and all openings in interior room designated for shelter in event of a chemical or biological threat. ●Other tools/supplies: disposable cups, plates and utensils; multipurpose utility tool; hand held can-opener; whistle; matches/lighter; rain gear; complete change of clean dry clothing; bedding/sleeping bag; charged cell phone and charger; cash; pet supplies; games, books, entertainment supplies. ●In the event of a potential disaster, the contact information of the person who will help me fill my prescriptions to obtain at least a two-week supply is: Name: ______________________________ Phone: ___________________ ●I have a waterproof container that has copies of my identification, emergency contact information, insurance papers, list/proof of valuables; evacuation communicator, disaster plan, updated medical and prescription information, bank and credit card information, Social Security information and other important documents. ●I will notify my employer about where I am. ●I am dependent on the following special dietary supplies, durable medical equipment and/or consumable medical supplies: ___________________________________________________________________________ ___________________________________________________________________________ __________________________________________________________________________________ ____________________________________________________________________ 1 | Page Personal Disaster Plan ●I will use the following interior space in my home to shelter in the event of a tornado, chemical or biological threat or similar emergency: ____________________________ ●I have a generator. _____Yes. _____ No. It will run the following in my home (appliances, etc.): _____________________________________________________________________________ ●The contact information of the person who helps me to ensure that all the above has been completed, all equipment is in working order, and that all personal information is current on a quarterly basis is: Name: ____________________ Phone: ___________________ ●If I need assistance as I shelter in my home, this person(s) will remain with me in my home: Name: ____________________ Phone: ___________________ PLAN B:​​ My Personal Plan When I Must Evacuate My Home:​​ If I must evacuate my home during an emergency or disaster, I am prepared to follow this plan: ●Please see “Go Kit” on ​page 3. ●Please see “Pets” on ​page​​ ​4. ●I will evacuate to one of these locations if I can evacuate within the area: ●First Choice Name: _______________ Address: ________________ Phone Number: _____________ ●Second Choice: If circumstances prevent me from evacuating to my first choice, I will evacuate to Name: _______________ Address: ________________ Phone Number: _____________ ●I have transportation arranged to get to both my first and second choices for both of my in-area and out-of-area evacuation destinations. The contact information for the person who has committed to assisting me in evacuating is: Name: ______________________________ Phone: ___________________ ●I am dependent on the following special dietary supplies, durable medical equipment and/or consumable medical supplies: ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________ ● If I need assistance when I evacuate, this person(s) will remain with me for the duration of my evacuation: Name: ______________________________ Phone: ___________________ PLAN C:​​ My Personal Plan If I Must Go to a Shelter or Medical Facility:​​ I understand that shelters operated by County Emergency Management and the Health Department are available but should only be used as a last resort and as a back-up to My Personal Sheltering Plans A and B. Note: Shelters may be crowded, noisy, lack privacy and may be especially challenging for persons with behavioral health needs. However, if circumstances make it necessary for me to go to a shelter or medical facility; this is my plan: ●I have determined what type of shelter or medical facility that I will need to go to (a general population shelter, a special needs shelter, or a medical facility.) ●This person helped me determine where l need to go: 2 | Page Personal Disaster Plan Name: ______________________________ Phone: ___________________ ●I am dependent on the following special dietary supplies, durable medical equipment and/or consumable medical supplies: ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________ ●Transportation: I have identified how I will get to my designated shelter. ●I will need to use transportation arranged and provided by County Emergency Management and have confirmed this with them. ●I will be transported by this person/company: Name: _______________ Address: ________________ Phone Number: _____________ General Population Shelter ●I will be able to go to a general population shelter because I do not need the type of care and supervision that is provided in a special needs shelter. ●The name and location of the general population shelter that I will go to is: Name: _______________ Address: ________________ Phone Number: _____________ Special Needs Shelter ●I will need to go to a ​special needs shelter​​ because I need electricity for life supporting medical equipment, or basic nursing care, or oxygen therapy, or observation/monitoring by a healthcare professional, or assistance with medication and no one to assist me, or a chronic condition that requires assistance from a healthcare professional, or special medical requirements that do not require hospitalization or another special need that cannot be accommodated in a general population shelter. ●I understand that there are eligibility criteria that I must meet to have access to a special needs shelter. I have submitted pre-registration to my County Emergency Management if I need or suspect I may need to shelter in either a special needs shelter or a medical facility or if I need transportation to evacuate to a shelter. ●This person submitted my pre-registration on this date: Name: _____________________Phone: __________________Date: ____/____/______ ●I received confirmation from my County Emergency Management regarding my pre-registration shelter assignment. ​Yes​​ ____ or ​No​​____ ●The County Emergency Management has assigned the following special needs shelter or medical facility address as follows: Name: ________________ Address: ___________________ Phone Number: _________________ ●I will need to use transportation arranged and provided by County Emergency Management and have confirmed this with them. ●I will be transported by this person/company: Name: _______________ Address: ________________ Phone Number: _____________ 3 | Page Personal Disaster Plan ●If I evacuate to a special needs shelter, this person(s) will remain with me for the duration of my evacuation: Name: ___________________ Phone Number: _____________ Medical Facility ●I will need to go to a medical facility because my special medical requirements exceed what can be provided in a special needs shelter. The contact information of the facility is: ●Name: ___________________ Address: ___________________ Phone Number: _____________ “Go Kit” ●I have an easy-to-carry "Go Kit" prepared that contains or can be readily packed to contain the following supplies that I have reserved in my home and will take with me to the shelter: at least a two week supply of meds; Items required for special diet; a 3-day supply of water and non-perishable food and snacks; personal hygiene essentials; first aid kit; battery-operated radio and extra batteries; flashlight and extra batteries; cash; cell phone and charger; bedding/sleeping bag; at least one complete change of clean dry clothing; glasses; hearing aids; durable and consumable medical supplies; waterproof container that has copies of all of my important documents; multipurpose utility tool; whistle; matches/lighter; rain gear; games, books, entertainment supplies. ●This person will help make sure my "Go Kit" is readied if I need to go to a shelter: Name: _______________ Phone Number: _____________ Pets/Service Animals ●I have a plan for my pet(s). My pet will either go to the designated pet shelter in my county or I have arranged for this person/veterinarian to take care of my pet(s) for me: Name: ___________________ Address: ___________________ Phone Number: _____________ ● My pet(s)'s supplies and papers will be sent along with my pets. ●I have a Service Animal. It is this kind of an animal ______________________ and it performs the following services for me: _____________________________________________________. My personal Commitment to Disaster Preparedness: ●I understand that I have a personal responsibility for disaster preparedness and I am committed to working in a proactive manner with County Emergency Management and the people who support me to follow my Personal Plan for Disaster Preparedness. ●I have received information about my personal responsibility for preparing for all types of disasters including hurricanes, tornadoes, wildfires, earthquakes, floods, chemical and biological spills/ attacks, nuclear power accidents, terrorist attacks, etc. ●I review/practice/drill on this plan with this person _________________ on at least an annual basis. ●I will contact: Name_______ ____________________ at one of these numbers: ___________________ or __________________ about my location in any type of emergency, 4 | Page Personal Disaster Plan within 2 hours or as soon as possible to report on my location and health/safety status and needs. ______________________________ Consumer Signature/Date _____________________________ Case Manager Signature/Date ___________________________________________________________ Legal Representative Signature/Date Provider Signature/Date 5 | Page Table of Contents Quality Management POLICIES Quality Management Plan 4.1 Incident Reports 4.2 Patient/Family Perception of Care 4.3 Conducting the Quality Management Program 4.4 Compliance Program 4.5 FORMS/ATTACHMENTS Client /Family Perception of Care Survey Tool 4.3A Client Family Perception of Care QM Data Collection and Analysis Summary 4.3B Client Record Audit 4.4A Quarterly Patient Record Audit 4.4B Quarterly Audit Corrective Action Plan 4.4C Omega Health Services LLC THIS PAGE WAS LEFT BLANK INTENTIONALLY PARTS OF THIS PLAN WILL BE IMPLEMENTED IN MARCH OF 2019 Omega Health Services LLC Quality Management (QM) Plan ______________________ POLICY Omega Health Services develops implements and maintains an effective, ongoing, organization wide quality assessment and performance management program. OHS measures, analyzes and track quality indicators, including adverse client events, and other aspects of performance that enables the organization to assess processes of care, efforts to address priorities for improved quality of care and patient safety, and that all improvement actions are evaluated for effectiveness. ______________________ PURPOSE To continuously collect and analyze data to improve the OHS performance of consumer care and other processes, specifically as follows: ●Continuously improve processes of client care/services as well as outcomes of care. ●Communicate information to all staff members. ●Use a systematic approach to problem identification and resolution. ●Conform to all applicable federal/state rules/regulations as well as home care standards. ______________________ REFERENCE Health Facilities and Emergency Medical Services Division, 6 CCR 1011-1, Standards for Hospitals and Health Facilities, Chapter XXVI – Home Care Agencies Registration Requirements for Homemaker & Companion Services Providers, Chapter 59A-8.025 Health Care Licensing Procedures Chapter 59A-35 ______________________ DEFINITION Omega Health Services shall establish a quality management program appropriate to the size and type of agency that evaluates the quality of patient services, care and safety, and that complies with the requirements set forth in 6 CCR 1011, Chapter II, and section 3.1. ______________________ GOALS/OBJECTIVES ●To collect and analyze data to improve identified processes within the Agency. Omega Health Services LLC ●To educate and involve appropriate staff in quality management (QM) activities. ●To collect and analyze data to improve identified processes of patient care/services as well as outcomes of patient care, leadership and managerial processes, as indicated. ●To establish mechanisms to reprioritize QM activities in response to unusual and/or urgent events. ●To allocate adequate resources for QM. ●To create and maintain information systems (manual and/or computer) to support the collecting, managing and analyzing of data needed to facilitate ongoing QM. ●To endeavor to meet the needs/expectations of staff, patients, families, and caregivers, physicians, referral sources, third party providers, community agencies, federal and state agencies. ●To apply principles and tools of QM to all aspects of the organization. ______________________ SCOPE OF CARE 1.Types of clients served​: all seniors and individuals with disabilities regardless of race, sex, [age], religion, disability, national origin, sexual preference or whether the patient has an advance directive; patients residing in Agency’s service area. 2.Services provided​: The Agency primarily serves clients that live within the geographic area requiring the following care: ●Homemaker, Companion and Chore Services ●Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy and Medical Social Services. ​(effective 2019) ●All skilled services are provided under the orders of a licensed physician. ●Service limitations: ​(effective 2019) o The Agency does not provide the following services at this time: geriatric or hospice services.​(effective 2019) 3.Types of practitioners providing care:​(effective 2019) ●Skilled Nurses ●Physical Therapists ●Occupational Therapists ●Speech Therapists ●Therapy assistants ●Medical Social Workers, Licensed Clinical Social Workers ●Home Health Aids ●Direct Service Providers 4.Sites and times of care provision​: Administrative office hours are from 9:00 am to 6:00 pm, Monday through Friday. Services can be rendered 24 hours a day/every day. Omega Health Services LLC Service is rendered as agreed upon by the Agency representative and the client and or the client representative, at the client’s place of residence. 5.Ongoing​: Continuous and periodic collection and assessment of data. Assessment of such data enables areas of potential problems to be identified and indicates data that should be collected and assessed in order to identify whether a problem exists The following areas should be considered within the plan: ●Program objectives. ●All consumer care disciplines. ●Description of how the plan of care will be administered and coordinated. ●Methodology for monitoring and evaluating the quality of care. ●Priorities for resolution of problems. ●Monitoring to determine effectiveness of action. ●Oversight responsibility report to governing body. ●Documentation of the review of its own program. ______________________ CONFIDENTIALITY Confidentiality will be maintained in all QM activities and meetings. Client or staff data contained in QM reports will be identified by client initials, member ID or staff identification numbers only. QM reports will not be available to unauthorized persons and will be maintained in strict confidence in the Agency’s office. __________________________________ RESPONSIBILITY/ACCOUNTABILITY 1.The Management Team is ultimately responsible for QM and implementation of the QM plan. 2.Administrative responsibility for the QM plan is delegated to the Administrator, who, in turn, assigns certain QM activities to other staff members. The Administrator will be responsible for: ensuring adequate resources are available, assigning adequate number of staff, allowing staff sufficient time to participate in QM activities and instituting appropriate information systems (manual and/or computer) for collecting and analyzing data. 3.The Administrator is responsible for appointing the Quality Improvement (QI) Coordinator and assigning staff to the QM team. The role of QI Coordinator will be the responsibility of the Director of Clinical Services, unless the Administrator designates an alternate staff member. The QM team will be responsible for coordinating all QM activities, reviewing collection of data, analyzing data, assisting staff in developing QM design or improvement Omega Health Services LLC activities, planning actions, collecting data and analyzing the effectiveness of action and implementing effective actions. 4.The QM team will meet bi-annually and will share in reporting to the Administrator and Clinical Director. Results will also be communicated by the QM team to staff, including contract staff. The QM team will meet at least quarterly to aggregate data and will prepare and the action plans for improvement. ___________________________________ PROBLEM SOLVING METHODOLOGY OHS will utilize the PDCA (Plan-Do-Check-Act) model for problem solving methodology and QM. ______________________ DESIGN/REDESIGN The Agency will strive to design new processes and redesign old processes as needed. Design/redesign will be based on: ●Omega Health Service’s mission, vision and plan. ●Needs/expectations of client staff and others. ●Up-to-date sources of information (i.e., publications, practice guidelines or trainings). ●Performance of processes and outcomes in other organizations, e.g., reference databases. ______________________ DATA COLLECTION 1.Data collection will include established priorities for improvement, including: ●Referral/intake ●Insurance verification, as applicable ●Scheduling ●Service delivery process: Consumer care and compliance ●Satisfaction surveys ●Grievance and complaint reporting/resolution ●Medication errors​ ​(effective 2019) ●Infection control​ ​(effective 2019) ●Clinical Record and Utilization review ●Medical records: documentation, timely filing ●Personnel recruitment ●Staff orientation, training and competency evaluation ●Staff in-servicing Omega Health Services LLC ●Annual Performance Evaluations ●Payroll ●Billing and Collection ●Review of ethical issues ●Monitor all service/care provided under a contract or agreement 2.Data collection may include: ●High risk processes: patients are placed at risk of serious consequences or deprived of care if care is not provided correctly, not provided when indicated or provided when not indicated. ●High volume processes: care/service/process occurs frequently or affects large numbers of patients/staff. ●Problem prone processes: care/service/process tends to produce problems for patients or staff. 3.Data collection asks these questions in prioritizing process: ●Is the process, function or service consistent with the Agency's mission, vision and plan? ●Has our Agency listened to customer and staff ideas about a well-designed process, function or service? ●What industry information is available to assist us in decision making and comparative analysis? 4.Data collection includes developing QM indicators, criteria or performance levels for each major function or process determined to be improved. Data collection will be ongoing and frequency will be determined by the process improvement activity and the QM team. 5.Sources of information from which data may be collected include (but are not limited to): ●Home visits. ●Client records. ●Client/caregiver interviews. ●Staff interviews. ●Policies/procedures. ●Incident/Grievance/Complaint/Infection reports. ●Staffing patterns. ●Supervisory visit observation. ●Peer review. ●Client perception of care surveys. ●Review of ethical issues Omega Health Services LLC ●Staff, physician, referral source and Home Health Care CAHPS satisfaction surveys, if applicable ​(effective 2019) 6.The Agency will consider data collection about the following activities: ●Staff opinions and needs. ●Staff perceptions of risks to individuals and suggestions for improving patient safety. ●Staff willingness to report unanticipated adverse events. ●Conditions in the patient and organization environment. _____________________________ AGGREGATION AND ANALYSIS 1.The QM team will aggregate and analyze collected data, which may include detection of trends, patterns of behavior, and for an action plan to decrease occurrences. OHS will monitor at least one important aspect of the service/care provided by the Agency, at least one important administrative/operational aspect of function 2.Statistical techniques will be utilized, as appropriate, to analyze data. Such techniques help to focus the Omega Health Services attention and resources on those processes and outcomes for which more intensive analysis will be most beneficial. 3.When findings during the analysis of data are relevant to an individual staff member's performance, the individual is given not only sufficient opportunity to improve his/her performance, but also education to bring his/her performance to the desired level. If staff member's performance does not improve, other appropriate actions are taken. Whatever action is taken, the individual's personnel file will contain such documentation. When relevant, this information is used in evaluating the individual’s performance. _____________________________ PERFORMANCE EXPECTATION 1.For each process identified to be improved, mechanisms to identify levels, patterns or trends in that process that will trigger further evaluation of the process will be identified. 2.For each established process to be improved, the performance expectation will be determined. The frequency of data collection and analysis will be specified for each process. The QM team will analyze the data collected to pursue opportunities for improvement and identify important problems. 3.A summary of data collection, analysis, recommendations for improvement and report of cumulative findings will be prepared by the QM team. The reports are provided to the Management Team. Failure to achieve expected levels of performance will be documented and an explanation delineated to identify opportunities for improvement. Omega Health Services LLC _________________________________________ ACHIEVED AND SUSTAINED IMPROVEMENT 1.The QM team is responsible for taking appropriate action, If the performance expectation is not met, the findings will be evaluated by the QM team to determine the systematic approach for making improvement. The systematic approach will include: ●Identification of potential improvement. ●Implement identified improvement strategy. ●Analyze whether the strategy was effective. 2. OHS will conduct monitoring of a least one important aspect of the service/care provided. An important aspect of service/care reflects a dimension of activity that may be high volume (occurs frequently or affects a large number of patients), high risk (causes a risk of serious consequences if the service/care is not provided correctly), or problem-prone (has tended to cause problems for staff or clients in the past). 3. OHS will conduct monitoring of at least one important administrative/operational aspect of function or service/care of the agency. (Examples of QM activities may include, but are not limited to, monitoring compliance of conducting performance evaluations, in-service hours, or billing audits). 4.All improved processes will continue to be analyzed for a specified time to determine if QM strategic action has resulted in sustained improvement. Omega Health Services LLC Incident Reporting ______________________ POLICY Omega Health Services will identify and analyze all incidents or near miss events. ______________________ PURPOSE To identify processes for responding to incident reports. ______________________ REFERENCE Health Facilities and Emergency Medical Services Division, 6 CCR 1011-1, Standards for Hospitals and Health Facilities, Chapter XXVI – Home Care Agencies ______________________ PROCEDURE 1.Omega Health Services LLC defines​ incidents as an unintended event that disturbs normal operations. OSHA defines an incident as "an unplanned, undesired event that adversely affects completion of a task."Incidents range in severity from near misses to fatal accidents 2.For purposes of this policy, the incident reporting definition only applies to OHS patients and not to staff. However, OHS may consider significant events occurring with staff as incidents, e.g., rape, murder, or death in an automobile accident while on duty. 3.Incident Reporting for patients include: ● Unexpected recipient death. • Life threatening injury. • Any sexual activity, as described in section 393.135 F.S., between provider and a recipient regardless of consent of the recipient, incidents of nonconsensual sexual activity between recipients, or sexual activity involving a child. • The unexpected absence or unknown whereabouts, beyond one hour, of a recipient who is a minor or an adult who has been adjudicated incompetent. • Negative news media reports regarding a provider or client. • Recipient arrest for a violent criminal offense. • Verified report of abuse, neglect, exploitation, abandonment, or human trafficking. ●Major permanent loss of function or limb not present at time of admission to Agency that requires continued treatment or lifestyle change. Omega Health Services LLC ●Second or third degree burns involving twenty percent or more the body surface area of an adult patient. ●Any occurrence in which drugs intended for use by patient are diverted to use by another person. ●A development, that is, unauthorized departure, of a patient from an around -the -clock care setting resulting in death (suicide, accidental death or homicide) or major permanent loss of function. ●Any occurrence involving misappropriation of a patient’s property. This includes, misappropriation of a patient’s property means a pattern of or deliberately misplacing, exploiting, wrongfully using, either temporarily or permanently, a patient’s belongings or money without the patient’s consent. ●A patient fall that results in death or major loss of function as a direct result of injuries sustained from the fall. 4.All staff will be educated during orientation and on an ongoing basis of OHS policy. 5.OHS will identify and respond appropriately to all incidents as defined. The staff member identifying a incident must report the event immediately to the Administrator or Supervisor. Appropriate emergency services will be initiated. 6.The OHS Clinical Director and/or Administrator will initiate an intensive assessment/analysis of the incident by performing a thorough and credible root cause analysis, which will focus on systems and processes. 7.OHS will create, document and implement risk-reduction activities and a action plan. The effectiveness of system and/or process improvements will be measured and analyzed. 8. All incidents will be reported to external organizations as required by applicable federal or state law. 9.On an ongoing basis, OHS leaders will monitor published data regarding incidents in the home. Such data will be considered for improvement strategies and risk reductions within the agency. Omega Health Services LLC Client/Family Perception of Care ______________________ POLICY Omega Health Services will collect data on an ongoing basis from and families regarding their satisfaction and perceptions of care. ______________________ PURPOSE To gather information about OHS performance and to give insight about process design and functioning. ______________________ REFERENCE Health Facilities and Emergency Medical Services Division, 6 CCR 1011-1, Standards for Hospitals and Health Facilities, Chapter XXVI – Home Care Agencies Florida Regulations Chapter 59A-18 – Nurse Registries Standards and Licensing ______________________ Indicators Performance Expectations Satisfied with care provided 100% Understand Written Notice of Patient Rights 100% Was it easy to access OHS after hours/weekends for emergencies 100% Satisfied with staff that provided care 100% Satisfied with self participation in care 100% Understood plan of care 100% Agreed to changes in plan of care 100% Response to problems/complaints was timely 100% Client needs/expectations met 100% DATA SOURCES AND COLLECTION METHOD: SAMPLING Telephone and/or written survey will be conducted on an ongoing basis with current and discharged clients randomly. Survey will be conducted by the Administrator or Clinical Director. Survey interview will be conducted with the client and/or family member(s). The collective results will be tabulated and the performance expectations actually achieved for each indicator computed. Omega Health Services LLC ANALYSIS AND ACTIONS The Quality Management team are responsible for comparing the data against the established performance expectations, taking actions, analyzing the effectiveness of the actions, integrating information, problem tracking and communicating findings. All comments of the surveys will be noted and actions taken immediately, if necessary. Individual staff who receive comments on the surveys may have copies of the surveys placed in their personnel records for assistance in performance appraisal/evaluation. COMMUNICATION The results of the data collection and analysis will be collected and reported to the QM team and then to the Management Team. The staff will also receive results during staff meetings. Omega Health Services LLC CLIENT SATISFACTION SURVEY Please let us know how we are doing. Survey results will be kept confidential and will be shared with your aide and/or nurses in a statistical format and not in an individualized manner. To better serve our patients, we have a Medical Social Worker that provides resources and research assistance to families. To take this survey online visit ​ ​www​.omegahealthservices.org Scale: Agree Disagree Rate on a scale from 1 to 5, with 5 being Strongly Agree N/A 5 4 3 2 1 Omega Health Services I am pleased with my companion/homemaker/chore services. I feel safe, comfortable, and independent when I am with my aide? My aide listens and respect my needs as a client The administrative team at OHS is helpful, and listens to my needs Comments about your services: (Optional) I would appreciate a call to discuss the issues above in a confidential manner. Name:____________________________________________________________________________________ Phone Number:_____________________________________________________________________________ THANK YOU Omega Health Services LLC CLIENT/FAMILY PERCEPTION OF CARE QM Data Collection and Analysis Summary Time Period: __________________________________Sample Size: _____ Percent Scale: Agree Disagree Rate on a scale from 1 to 5, with 5 being strongly agree % 5 - 4 5 4 3 2 1 pleased w services. pleased w nursing pleased w PT pleased w OT pleased w ST Summary of comments on needs/expectations and improvements for patient safety:​________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Step #2: Was performance expectation met? Yes ____No ___ Step #3: A problem or opportunity exists to improve care/service? Yes ____No ___ If yes, explain : ___________________________________________________________________________________________ ____________________________________________________________________________________________ Step #4:Cause of problem related to: _____ Knowledge _____ Systems _____ Behavior/Performance _____ Other (specify) _________________________________________ Step #5:Recommendation for action: _____________________________________________________________________________________________ _____________________________________________________________________________________________ Step #6 : Actions to be taken/date/by whom: ____________________________ Step #7: Reported to QM committee and date? Yes ____ No ____ Date: ___________________ ______________________________________ Signature _____________________ Date Omega Health Services LLC Conducting the Quality Management Program ______________________ POLICY The Quality Management program will include all departments, disciplines, divisions and services. ______________________ PURPOSE To define additional QM requirements. ______________________ REFERENCE Health Facilities and Emergency Medical Services Division, 6 CCR 1011-1, Standards for Hospitals and Health Facilities, Chapter XXVI – Home Care Agencies Florida Regulations Chapter 59A-18 – Nurse Registries Standards and Licensing ______________________ RELATED DOCUMENTS “Patient Record Audit” and “Quarterly Patient Record Audit,” and “Quarterly Audit Performance Plan” ​forms ______________________ PROCEDURE 1.Client/Family Perception of Care Surveys ●Satisfaction surveys are e-mailed to randomly selected patients annually. ●When satisfaction surveys are submitted via email they are read and any immediate issues are addressed by the Administrator. ●Submitted surveys are reviewed annually and tallied on the Customer Satisfaction Audit. Based on the results, action items may be written on the Audit Performance Plan. ●Threshold for this area is 100%; any area that falls below 90% will be tracked. 2.Client Record Audit ●Each quarter 10% or fifteen (15) total clients charts will be reviewed using the client Record Audit tool. ●An adequate sampling of open and closed records is selected to determine the completeness of documentation ●The record audits will be tallied on the Quarterly Patient Record Audit tool. Based on the tallied results, action items may be written on the Quarterly Audit Performance Plan. ●Threshold for each area of this audit is 90%. Any area that falls below will be tracked. Omega Health Services LLC 3.Patient Complaints and/or Incidents/Occurrence and/or Infection Audit ●Quarterly the logs will be reviewed and, based on the results, action items may be written on the Quarterly Audit Performance Plan. 4.Each quality improvement activity must include the following items: ●A description of indicator(s) activities to be conducted ●Frequency of activities ●Designation of who is responsible for conducting the activities ●Methods of data collection ●Acceptable limits for findings ●Who will receive the reports ●Plans to re-evaluate if findings fail to meet acceptable limits in addition to any other activities required under state or federal laws or regulations ●Any other activities required under state or federal laws or regulations 5.A written plan of correction/activity plan is developed in response to any quality improvement activity that does not meet an acceptable threshold. The plan of correction/activity plan may identify changes in policy, procedure, or processes that will improve performance. 6.A written summary describes changes made as a part of a corrective action plan. This summary may be a separate document, or a part of the minutes of the governing body meetings, or as a part of the QM reports. Omega Health Services LLC Client Record Audit Client: __________________ Auditor Name: _________________​__ ​Audit Date ______ Requirement Met Not Met N/A Identification data. Names of next of kin/legal guardian/emergency contact with phone numbers. Name of primary caregiver(s) with phone numbers. Source of referral. Admission and discharge dates from hospital or other institution (if applicable). Hospital and emergency room records for known episodes or documentation of efforts to obtain the information. Advance directives. Names of power of attorney and/or healthcare power of attorney. Name of physician responsible for care. Diagnosis. Physician orders, including medications and dietary, treatment and activity orders. Signed release of information and other documents for protected health information. Admission and informed consent documents (including signed notice of Bill of Rights and election of Hospice services (if applicable). Assessment of the home. Medical equipment provided by the Agency or related to the care, treatment and services provided including assessment of patient and family comprehension of appropriate use and maintenance. Patient and family education and training on services or treatments and the use of equipment at the time of delivery to the home. Documentation of safety measures taken to protect the patient from harm including fall risk assessments, and documentation why any identified or planned safety measures were not implemented or continued. Diagnostic and therapeutic procedures, treatments, tests and their results where known to have occurred. Initial assessments. Ongoing assessments (if applicable). Initial written plan of care. Updated written plans of care (if applicable). Transfer summaries/records (if any) received from transferring organizations. Discharge planning and/or prognosis. Omega Health Services LLC Evidence of coordination of service/care provided by the organization with others who may be providing service/care. Referrals to and names of known home care agencies, individuals and organizations involved in the patient’s care. Patient Record Audit (continued) Requirement Met Not Met N/A Documentation of communications with the patient or authorized representative regarding care, treatment and services (phone calls, emails, etc). Signed and dated clinical notes. Copies of summary reports sent to physicians. Patient/family response to service/care provided. Discharge summary (when applicable). Omega Health Services LLC Quarterly Patient Record Audit Client: __________________ Auditor Name: _________________​__ ​Audit Date ______ Requirement Met Not Met N/A Identification data. Names of next of kin/legal guardian/emergency contact with phone numbers. Name of primary caregiver(s) with phone numbers. Source of referral. Admission and discharge dates from hospital or other institution (if applicable). Hospital and emergency room records for known episodes or documentation of efforts to obtain the information. Advance directives. Names of power of attorney and/or healthcare power of attorney. Name of physician responsible for care. Diagnosis. Physician orders, including medications and dietary, treatment and activity orders. Signed release of information and other documents for protected health information. Admission and informed consent documents (including signed notice of Bill of Rights and election of Hospice services (if applicable). Assessment of the home. Medical equipment provided by the Agency or related to the care, treatment and services provided including assessment of patient and family comprehension of appropriate use and maintenance. Patient and family education and training on services or treatments and the use of equipment at the time of delivery to the home. Documentation of safety measures taken to protect the patient from harm including fall risk assessments, and documentation why any identified or planned safety measures were not implemented or continued. Diagnostic and therapeutic procedures, treatments, tests and their results were known to have occurred. Initial assessments. Ongoing assessments (if applicable). Initial written plan of care. Updated written plans of care (if applicable). Transfer summaries/records (if any) received from transferring organizations. Discharge planning and/or prognosis. Omega Health Services LLC Evidence of coordination of service/care provided by the organization with others who may be providing service/care. Referrals to and names of known home care agencies, individuals and organizations involved in the patient’s care. Quarterly Patient Record Audit (continued) Requirement Met Not Met N/A Documentation of communications with the patient or authorized representative regarding care, treatment and services (phone calls, emails, etc). Signed and dated clinical notes. Copies of summary reports sent to physicians. Patient/family response to service/care provided. Discharge summary (when applicable). Scoring: # Met: _______ / # Applicable (Met + Not Met): _______ = Percentage: _______ Omega Health Services LLC Quarterly Audit Corrective Action Plan Qtr/Year Area of Concern Plan of Correction Steps Date Completed Outcome Omega Health Services LLC Omega Health Services LLC Compliance Program ______________________ POLICY Omega Health Services Compliance Program provides both general and specific guidance as to various internal anti-fraud and abuse controls. ______________________ PURPOSE The Compliance Program identifies and discusses numerous compliance risk areas particularly susceptible fraud, waste and abuse. ●To advance the prevention of fraud, abuse and waste in health care while simultaneously furthering the fundamental mission of the agency to provide quality care, treatment and services to patients. ●To establish a culture that promotes the prevention, detection and resolution of potential violations of laws, regulations and standards, and company policies and procedures. ●To identify and discuss potential compliance risk areas susceptible to fraud and abuse. ●To increase the likelihood of preventing, or at least identifying unlawful and unethical behavior. ●This document is a description of the agency’s Compliance Program that reflects not only policies and procedures, program activities, but also the commitment of senior management and the support of all staff, vendors and agents to make the program effective. ●The agency recognizes that although an effective compliance program may not entirely eliminate fraud, waste, and abuse, it significantly reduces the risk of unlawful, unethical, or otherwise improper conduct. OHS supports the program with financial and staffing resources, to the successful implementation of an effective Compliance Program that addresses the following elements: ●Establishment of compliance standards and procedures. o Development and distribution of written standards of conduct. o Policies and procedures that promote compliance and address areas of potential fraud, waste and abuse. ●Oversight of the compliance program by high-level personnel. o Designation of a compliance officer who reports directly to the Administrator and Governing Body of the organization o Establishment of other appropriate systems/processes such as a compliance committee. o Prompt responses to detected violations/offenses through corrective action plans. ●No discretionary authority given to individuals either known to engage in or suspected of engaging in criminal action. o Policies addressing the non-employment or retention of sanctioned individuals. Omega Health Services LLC ●Effective communication of the compliance standards and procedures to all employees and/or agents of the organization. o Development of regular, effective education and training programs. ●Monitoring, auditing and reporting systems which encourage the reporting of criminal conduct without retaliatory consequences. o Implementation of a system/process such as a hotline to report and respond to allegations of improper/illegal activities. o Adoption of policies to protect the anonymity of reporters and protect them from retaliation/retribution. -Use of audits and other evaluative techniques to monitor compliance and reduce risk in identified problem areas. ●Establishing and disseminating Agency disciplinary guidelines for failure to comply with the organization’s standards and procedures, and applicable statutes and regulations. -Use of appropriate and consistent discipline of employees and/or agents who have violated internal compliance standards, applicable statutes, regulations, or federal health care program requirements will not be tolerated. ●Appropriate response to a known violation of the compliance standards, applicable statutes, regulations, or federal health care program requirements, and development of corrective action plans to prevent and detect future violations. ______________________ REFERENCE Health Facilities and Emergency Medical Services Division, 6 CCR 1011-1, Standards for Hospitals and Health Facilities, Chapter XXVI – Home Care Agencies Florida Regulations Chapter 59A-18 – Nurse Registries Standards and Licensing http://www.cms.gov/FraudAbuseforProfs/ ______________________ POLICY/​​ PROCEDURE ●The agency’s Compliance Program is dynamic evolving process that reflects the company’s commitment to the highest standards of corporate conduct. ●The development, implementation and distribution of written policies and procedures and standards of conduct that are in compliance with applicable laws, regulations and federal health care program requirements is an integral part of the OHS Compliance Program. Omega Health Services LLC ●Agency staff and management personnel receive compliance training during orientation and at least annually, or more frequently if there are changes in applicable statutes, regulations, or federal health care program requirements. ●The Compliance Program is reviewed at least annually and more often if necessary to ensure that Agency risks are addressed appropriately and effectively. ●Copies of the Compliance Program are available to patients, referral sources and/or the general public upon request. ​Written Standards ●The Code of Ethics articulates the fundamental principles, values, standards and ethical principles that guide the company’s daily operations and provide a framework for action. ●The Code of Ethics is very clear that management and staff are expected to behave in compliance with applicable laws, regulations, standards and company policy. ●Upon hire, reference checks include verification of employment history and education. ●Criminal background investigations, and national sex registry investigations as appropriate, are conducted that search for any felony or misdemeanor on both a county and federal level. ●If deemed appropriate to the position, checks are also conducted of professional certifications and licenses and motor vehicle records. Leadership and Structure ●There is a designated Administrator is charged with oversight of the Compliance Program, who along with the OHS leadership regularly monitors the program to ensure appropriate responsiveness to the company’s compliance risks. ●The Administrator has the authority to review all documents and other information that are relevant to compliance activities, including, but not limited to, patient and billing records, contracts and any other obligations that may contain referral and payment provisions that could violate the anti-kickback statute. ●OHS Management team functions as the Compliance Committee, and advises the Administrator and assists in the implementation of the program. The Office of the Inspector General (OIG) recognizes that a home health agency/nurse registry may tailor the structure of the Compliance Committee in consideration of the size and design of the home health agency/nurse registry while endeavoring to address and accomplish the responsibilities of the Compliance Officer and Compliance Committee. As OHS grows, the Compliance Committee shall include individuals with varying responsibilities in the organization, such as operations, finance, audit, human resources, and clinical management, as well as staff and managers in key operating positions. These individuals should have significant professional experience working with billing, clinical record, and documentation and auditing principles. ●The Administrator is responsible for ensuring that a culture of compliance is sustained throughout the company, for providing strategic guidance for oversight of the processes, Omega Health Services LLC training, and implementation strategies to ensure compliance with applicable laws and regulations, and company policies. ●The Compliance Officer/ Administrator primary responsibilities include: o Overseeing and monitoring the implementation of the compliance program; o Reporting at least quarterly or more often if necessary to the OHS Management team about the implementation of the program, and assisting in establishing methods to improve the agency’s efficiency and quality of care, treatment and services, and to reduce the agency’s vulnerability to fraud, abuse, and waste; o Periodically revising the program in light of changes in OHS needs, and in applicable laws, regulations, and policies and procedures of government and private payer health plans; o Reviewing employee personnel files to ensure that they have received, read, and understood the standards of conduct; o Developing, coordinating, and participating in a multifaceted educational and training program that focuses on the elements of the compliance program, and seeks to ensure that all relevant employees and management are knowledgeable of, and comply with, pertinent federal and state standards; o Ensuring that independent contractors and agents who provide health care services to the patients of the agency or provide billing services that, are aware of the agency’s compliance program requirements, including but not limited to: coverage issues, billing and marketing. o Coordinating compliance review and monitoring activities of the OHS financial management; o Independently investigating and acting on matters related to compliance, and any resulting corrective actions relative to all departments, subcontracted providers and healthcare professionals, and any other agents if appropriate; o Monitoring the OIG website to ensure compliance with all applicable laws, regulations and OIG recommendations; and, o Continuing to monitor and evaluate the momentum of the compliance program and whether or not the goals and objectives of the program are being met. ●The agency conducts ongoing assessments/internal audits of the Compliance Program to monitor identified potential risk areas and to identify new and emerging areas of risk and to develop processes and/or systems to address those areas. Education and Training ●OHS is committed to taking all necessary and appropriate steps to communicate agency standards and procedures to all personnel and business associates. ●OHS staff are educated and trained about their legal and ethical obligations in order to be in compliance with company policy and applicable laws, regulations, and standards. Omega Health Services LLC ●Education and training is provided during orientation, at least annually, and more often if necessary. ●The content of all training is evaluated on a regular basis to ensure that the content and the training are effective. The training is updated as necessary to reflect current laws, regulations and standards. Internal Communications ●Within the agency is a commitment to a culture of open communication between staff and management. To that end, the company has adopted open-door policies, as well as confidentiality and non-retaliation policies. Procedures have been established to report incidents/issues anonymously. ●Staff is encouraged to bring workplace issues of any type to the attention of management/the Administrator without fear of retaliation or recrimination. ●Staff is encouraged to first discuss workplace issues with their immediate supervisors. If the matter is not successfully resolved, an employee may pursue the matter with the next level of management or the Compliance Officer. Responding to Violations ●Although a compliance program decreases the likelihood of unlawful and unethical behavior, DHHR-OIG recognizes that even an effective Compliance Program cannot prevent all violations. In the event that the company becomes of aware of violations of law or company policy, the issues will be promptly investigated, disciplinary action shall be taken if appropriate, and plans of correction will be implemented, if necessary, to prevent future violations. ●The Agency will not conduct business with persons or organizations that have been excluded, debarred, suspended or otherwise ineligible to participate in Federal healthcare programs. ●If an Agency employee violates the law or regulations and/or company policy, the Agency has implemented a disciplinary process that outlines the potential consequences up to and including termination that addresses these violations. ●The Agency also assesses whether identified violations may be due in part, to the structure of company policies, procedures, processes and/or systems, and if so, develops appropriate corrective plans of action to decrease the possibility of violations occurring in the future. ●If credible evidence is discovered of misconduct from any source and after reasonable inquiry the Agency has determined there is credible evidence the misconduct has possibly violated any criminal, civil, or administrative law, the Agency shall report the existence of such misconduct to the appropriate federal and state authorities and regulatory bodies within a reasonable period of time, but no more than sixty (60) days after the determination. Omega Health Services LLC ​Auditing and Monitoring ●Audits conducted at regular intervals address, but are not limited to, the Agency’s compliance with anti-kickback laws, claim processing, cost reporting, marketing, the Medicare/Medicaid Conditions of Participation, as well any areas that have been identified by OIG, any federal or state entity, or internally by the Agency itself. ●Internal audits of the Agency’s processes and systems and adherence to the Compliance Program elements are conducted at regular intervals and at least during the company annual evaluation. Reports of the audits are submitted to the Management team and analyzed to determine the necessity for improvements to be made, and if so, plans of correction are developed and implemented to improve the OHS operations. Internal audits are an integral part of the organization’s Performance Improvement program. COMPLIANCE PROGRAM EDUCATION ●Omega Health Services provides Corporate Compliance Program education to all staff during orientation, annually, and more often if necessary as indicated by changes in applicable laws, regulations, standards or guidelines or as required due to the sensitivity of the work. ●The Compliance Officer is responsible for: o Assuring that the information provided during any Compliance Program training, and information disseminated to employees and any agents of the Agency, is accurate, current and reflects applicable laws, regulations, and standards; and o Ensuring appropriate documentation of any compliance training ●All employees shall receive formal training in at least the following: o Organization Policies and Procedures; o Ethics, including the Agency’s Code of Ethics; and, o Procedures for notifying senior management of problems and concerns ●Targeted training is provided to managers, clinicians and other employees whose actions impact the claims submission process to the government and other third party payors. ●The contents of the Compliance Program training shall include, but is not limited to: o Federal, state and private payer reimbursement rules, regulations and guidelines o Organization Policies and Procedures o Anti-kickback Laws o Fraud and Abuse Laws o Prohibitions related to inducing referrals o Appropriate admission and discharge of patients o Claims development and submission process: -Confirming and prioritizing diagnosis -Accurate and appropriate coding principles Omega Health Services LLC -Physician signatures -Visit verification -Equipment/supplies verification o Documentation requirements for services rendered and items provided o Altering medical records o Misrepresenting services and/or items provided o Reporting misconduct/potential violations o Cost Reports o Waiver of Copayments/Accepting Assignment o Marketing Practices o Standards of Practice o Scope of Practice ●A variety of teaching methods may be used to present the information in a manner that is understandable to the employees. Omega Health Services LLC Department of State /Division of Corporations /Search Records /Detail By Document Number / Document Number FEI/EIN Number Date Filed Effective Date State Status Detail by Entity Name Florida Limited Liability Company OMEGA HEALTH SERVICES LLC Filing Information L18000098556 NONE 04/19/2018 04/18/2018 FL ACTIVE Principal Address 5921 WASHINGTON ST APT 120 HOLLYWOOD, FL 33023 Mailing Address 5921 WASHINGTON ST APT 120 HOLLYWOOD, FL 33023 Registered Agent Name & Address SAINT PREUX, AGNES 5921 WASHINGTON ST APT 120 HOLLYWOOD, FL 33023 Authorized Person(s) Detail Name & Address Title MGR SAINT PREUX, AGNES 5921 WASHINGTON ST APT 120 HOLLYWOOD, FL 33023 Title MGR RICHARD, MIRLINE 1600 NE 135TH ST APT 807 NORTH MIAMI, FL 33181 Title MGR DIVISION OF CORPORATIONSFlorida Department of State Page 1 of 2Detail by Entity Name 11/7/2018http://search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=Entity... ZOA EXPRESS LLC 5921 WASHINGTON ST APT 120 HOLLYWOOD, FL 33023 Annual Reports No Annual Reports Filed Document Images 04/19/2018 -- Florida Limited Liability View image in PDF format Florida Department of State, Division of Corporations Page 2 of 2Detail by Entity Name 11/7/2018http://search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=Entity... Selection Committee Final Ranking Sheet RFP #: 18-7470 Title: Services for Seniors Name of Firm Louise Blanca Wendy Dora Akiko Total Selection Committee Final Rank Marantha Home Care Inc. dba A Better Health Care 1 1 2 2 1 7 1.0000 The ADT Corporation dba ADT LLC 1 2 2 2 1 8 2.0000 Summit Home Healthcare Products 3 2 1 1 1 8 3.0000 Southern Home Care Services Inc.dba ResCare Inc.3 3 3 4 3 16 4.0000 Accu-Care Nursing Service Inc.2 4 5 6 2 19 5.0000 VIP America of Southwest Florida LLC 5 6 4 3 4 22 6.0000 Bidwell Home Care Service LLC dba Home Instead Senior Care 4 5 5 6 7 27 7.0000 Omega Health Services LLC 7 6 5 5 5 28 8.0000 Almost Family PC of SW Florida LLC 6 7 4 7 6 30 9.0000 Procurement Professional Viviana Giarimoustas Step 1: Upon direction by the Procurement professional, the individual selection committee member should provide their ranking of the proposals (from highest being number one (1) to lowest. Step 2: The procurement professional will review the mathematically calculated final rank and discuss the rank order and determine if consensus is reached. Page 1 of 1 16.D.6.e Packet Pg. 1431 Attachment: 18-7470 Final Ranking (7591 : RFP-7470 Omega) Addendum #1 Date: 10/22/18 From: Viviana Giarimoustas, Procurement Strategist To: Interested Bidders Subject: Addendum # 1 Solicitation #18-7470 Services for Seniors The following change is made to the above mentioned Collier County solicitation: A revised insurance statement has been attached. If you require additional information please post a question on the Online Bidding site or contact me at the information noted above. Please sign below and return a copy of this Addendum with your submittal for the above referenced solicitation. (Signature) Date (Name of Firm) Email: Viviana.Giarimoustas@colliergov.net Telephone: (239) 252-8375 16.D.6.f Packet Pg. 1432 Attachment: 18-7470 Addendum #1 (7591 : RFP-7470 Omega)