Citrus Health Network, Inc. Agreementa a~
y/Sj~>-
~~ ~~~
c7~
AGREEMENT BETWEEN THE CITY OF MIAMI BEACH
AND CITRUS HEALTH NETWORK, INC., A FLORIDA CORPORATION,
FOR MEDICALLY-SUPPORTED SHELTER SERVICES
t~+~~~~~dAl
THIS AGREEMENT made and entered into this 1st day of October, 2007, by and
between the CITY OF MIAMI BEACH, FLORIDA (hereinafter referred to as City),
having its principal offices at 1700 Convention Center Drive, Miami Beach, Florida,
33139, and CITRUS HEALTH NETWORK, INC., a Florida Corporation, (hereinafter
referred to as Contractor), whose address is 4175 West 20th Avenue, Hialeah, Florida,
33012.
SECTION 1
1.1 DEFINITIONS
Agreement: This Agreement between the City and Contractor.
City Manager: The Chief Administrative Officer of the City.
Contractor: For the purposes of this Agreement, Contractor shall be deemed to
be an independent contractor, and not an agent or employee of the
City.
Services: All services, work and actions by the Contractor performed
pursuant to or undertaken under this Agreement, as described in
Section 2 and Exhibits "A" and "B," attached hereto.
Compensation: Amount paid to the Contractor to cover the costs of the Services.
Risk Manager: The Risk Manager of the City, with offices at 1700 Convention
Center Drive, Third Floor, Miami Beach, Florida 33139, telephone
number (305) 673-7000, Ext. 6435, and fax number (305) 673-
7023.
1
SECTION 2
SCOPE OF WORK
The scope of work to be performed by Contractor is set forth in Exhibits "A" and "B,"
each entitled "Scope of Services" (Services).
SECTION 3
COMPENSATION
3.1 FIXED FEE
For the Term of this Agreement, the City agrees to pay funds allocated to Contractor,
equal to $65.00 per bed, per day, for a maximum of two (2) beds, totaling a maximum
of Forty-seven Thousand Four Hundred and Fifty Dollars ($47,450), to be used by
Contractor to provide Medically-Supported Emergency Shelter Services, as set forth
in Exhibit "A," "Core Functions of Temporary Care Facilities" and set forth in Exhibit
~,8~,
3.2 INVOICING
Contractor shall submit an invoice, which includes a description of the Services
provided, including the number of beds provided, and a copy of the latest Monthly
Progress Report as generated through the Homeless Management Information
System.
3.3 METHOD OF PAYMENT
Payments shall be made within thirty (30) days of the date of invoice, in a manner
satisfactory to and as approved and received by the City. Contractor shall mail all
invoices to:
City of Miami Beach
Office of Community Services
Attn: Ingrid Usaga
1700 Convention Center Drive
Miami Beach, Florida 33139
With copies to:
City of Miami Beach
Neighborhood Services Department
Attn: Vivian P. Guzman
1700 Convention Center Drive
Miami Beach, Florida 33139
2
SECTION 4
GENERAL PROVISIONS
4.1 RESPONSIBILITY OF THE CONSULTANT
With respect to the performance of the Services, the Consultant shall exercise
that degree of skill, care, efficiency and diligence normally exercised by recognized
professionals with respect to the performance of comparable Services. In its
performance of the Services, the Consultant shall comply with all applicable laws,
ordinances, and regulations of the City, Miami-Dade County, the State of Florida, and
the federal government, as applicable.
4.2 PUBLIC ENTITY CRIMES
A State of Florida Form PUR 7068, Sworn Statement under Section 287.133(3)(a)
Florida Statute on Public Entity Crimes shall be filed with the City's Procurement
Division, prior to commencement of the Services herein.
4.3 DURATION AND EXTENT OF AGREEMENT (TERM)
The term of this Agreement shall commence upon execution of this Agreement by all
parties hereto, and shall terminate on September 30, 2008, with an option for the
City, at its sole discretion, to renew for an additional two (2) one-year terms.
4.4 [INTENTIONALLY OMITTED]
4.5 INDEMNIFICATION
Contractor agrees to indemnify and hold harmless the City of Miami Beach and its
officers, employees and agents, from and against any and all actions, claims,
liabilities, losses, and expenses, including, but not limited to, attorneys' fees, for
personal, economic or bodily injury, wrongful death, loss of or damage to property, at
law or in equity, which may arise or be alleged to have arisen from the negligent acts,
errors, omissions or other wrongful conduct of the Contractor, its employees, agents,
sub-consultants, or any other person or entity acting under Consultant's control, in
connection with the Contractor's performance of the Services pursuant to this
Agreement; and to that extent, the Contractor shall pay all such claims and losses
and shall pay all such costs and judgments which may issue from any lawsuit arising
from such claims and losses, and shall pay all costs and attorneys' fees expended by
the City in the defense of such claims and losses, including appeals.
The Contractor's obligation under this Subsection shall not include the obligation to
indemnify the City of Miami Beach and its officers, employees and agents, from and
against any actions or claims which arise or are alleged to have arisen from negligent
acts or omissions or other wrongful conduct of the City and its officers, employees
and agents. The parties each agree to give the other party prompt notice of any
claim coming to its knowledge that in any way directly or indirectly affects the other
party.
4.6 TERMINATION, SUSPENSION AND SANCTIONS
4.6.1 Termination for Cause
If the Contractor shall fail to fulfill in a timely manner, or otherwise
violate any of the covenants, agreements, or stipulations material to this
Agreement, the City shall thereupon have the right to terminate the
Services then remaining to be performed. Prior to exercising its option
to terminate for cause, the City shall notify the Contractor of its violation
of the particular terms of this Agreement and shall grant Contractor
seven (7) days to cure such default. If such default remains uncured
after seven (7) days, the City, upon three (3) days' notice to Contractor,
may terminate this Agreement and the City shall be fully discharged
from any and all liabilities, duties and terms arising out of/or by virtue of
this Agreement.
Notwithstanding the above, the Contractor shall not be relieved of
liability to the City for damages sustained by the City by any breach of
the Agreement by the Contractor. The City, at its sole option and
discretion, shall additionally be entitled to bring any and all
legal/equitable actions that it deems to be in its best interest in order to
enforce the City's right and remedies against the defaulting party. The
City shall be entitled to recover all costs of such actions, including
reasonable attorneys' fees.
4.6.2 Termination for Convenience of City
The City may also, for its convenience and without cause, terminate the
Services then remaining to be performed at any time during the term
hereof by giving written notice to Contractor of such termination, which
shall become effective five (5) days following receipt by the Contractor
of the written termination notice. In that event, all finished or unfinished
documents and other materials, as described in Section 2 and in
Exhibits "A" and "B" shall be properly assembled and delivered to the
City, at Contractor's sole cost and expense. If the Agreement is
terminated by the City as provided in this subsection, Contractor shall
be paid for any Services satisfactorily performed, as determined by the
City at its sole discretion, up to the date of termination.
4.6.3 Termination for Insolvency
The City also reserves the right to terminate the remaining Services to
be performed in the event the Contractor is placed either in voluntary
or involuntary bankruptcy or makes an assignment for the benefit of
creditors. In such event, the right and obligations for the parties shall
be the same as provided for in Section 4.6.2.
4
4.6.4 Sanctions for Noncompliance with Nondiscrimination Provisions
In the event of the Contractor's noncompliance with the
nondiscrimination provisions of this Agreement, as applicable, the City
shall impose such sanctions as the City or the State of Florida may
determine to be appropriate, including but not limited to, withholding of
payments to the Contractor under the Agreement until the Contractor
complies, and/or cancellation, termination or suspension of the
Services and/or the Agreement. In the event the City cancels or
terminates the Services pursuant to this Subsection the rights and
obligations of the parties shall be the same as provided in Section
4.6.2.
4.7 CHANGES AND ADDITIONS
No change/addition and/or amendment to the Agreement shall be valid
unless memorialized in writing and executed by the duly authorized
representatives of the City and Contractor.
4.8 TERMINATION FOR LACK OF FUNDS
4.8.1 It is expressly understood and agreed by the parties hereto that
monies to be used by Contractor, as contemplated by this Agreement,
may originate from City of Miami Beach Resort Tax, the City's General
Fund, and/or funds from the U.S. Department of Housing and Urban
Development (HUD), and must be implemented in full compliance with
all applicable City, County, State of Florida, and Federal (including but
not limited to HUD) rules and regulations. It is expressly understood
and agreed that in the event of curtailment or non-production of said
funds, and/or the financial sources necessary to continue to pay the
Contractor all or any portions of the funds contemplated herein will not
be available, then this Agreement will thereby terminate effective as of
the time that it is determined by the City Manager, in his sole
discretion and judgment, that said funds are no longer available. In the
event of such determination, the Contractor agrees that it will not look
to, nor seek to hold liable, the City, nor any individual member of the
City Commission and/or City Administration thereof personally, for the
performance of this Agreement and the parties hereto shall be
released from further liability each to the other under the terms of this
Agreement.
4.8.2 The Contractor agrees to comply with all applicable City, County,
State, and Federal laws, ordinances, and regulations as they may
apply to program administration and to carry out each activity in
compliance with the laws and regulations as described in 24 CFR 576,
as same may be amended from time to time. It shall be Contractor's
5
sole and absolute responsibility to continually familiarize itself with any
and all such applicable regulations, laws, and/or ordinances.
4.9 CONFORMITY TO HUD REGULATIONS
The Contractor agrees to abide by guidelines set forth by the U.S.
Department of Housing and Urban Development for the administration and
implementation of the Emergency Shelter Grants (ESG) Program, including
all applicable federal regulations as they may apply to program
administration and to carry out each activity in compliance with the laws and
regulations as described in 24 CFR 576. The Contractor shall comply with
the requirements and standards of: 24 CFR 85 (codified pursuant to OMB
circular No. A-102); OMB Circular No. A-87; OMB Circular No. A-122; OMB
Circular A-110 (implemented as 24 CFR part 84); and/or the related ESG
provision as they relate to the acceptance and use of Emergency Shelter
Grant amounts, as applicable. The Contractor agrees to comply with all of
the provisions of 24 CFR 576.57. In this regard, the Contractor agrees that
duly authorized representatives of the U.S. Department of Housing and
Urban Development shall have access to any books, documents, papers and
records of the Contractor that are directly pertinent to this Agreement for the
purpose of making audits, examinations, excerpts and transcriptions.
4.10 AUDIT AND INSPECTIONS
With 24-hour written notice, the City and/or such representatives as the City
may deem to act on its behalf, may, during normal business hours, audit, and
examine any and all contracts, invoices, materials, payrolls, records of
personnel, conditions of employment, and other data relating to all matters
covered by this Agreement. Contractor shall maintain any and all records
necessary to document compliance with the provisions of this Agreement.
4.11 ACCESS TO RECORDS
Contractor agrees to allow access during normal business hours to all
financial records to the City, and/or such authorized representatives as it may
deem to act on its behalf, and agrees to provide such assistance as may be
necessary to facilitate financial audit by the City or its representatives when
deemed necessary to insure compliance with applicable accounting and
financial standards. Contractor shall allow access during normal business
hours to all other records, forms, files, and documents which have been
generated in performance of this Agreement, to those personnel as may be
designated by the City.
6
4.12 ASSIGNMENT, TRANSFER OR SUBCONTRACTING
The Contractor shall not subcontract, assign, or transfer any work under this
Agreement without the prior written consent of the City.
4.13 SUB-CONTRACTORS
The Contractor shall be liable for the Contractor's services, responsibilities
and liabilities under this Agreement and the services, responsibilities and
liabilities of sub-contractors, and any other person or entity acting under the
direction or controls of the Contractor. When the term "Contractor" is used in
this Agreement, it shall be deemed to include any sub-contractors and any
other person or entity acting under the direction or control of Contractor. All
sub-contractors must be approved of in writing prior to their engagement by
Contractor.
4.14 EQUAL EMPLOYMENT OPPORTUNITY
In connection with the performance of this Agreement, the Contractor shall
not discriminate against any employee or applicant for employment because
of race, color, religion, ancestry, sex, age, and national origin, place of birth,
marital status, or physical handicap. The Contractor shall take affirmative
action to ensure that applicants are employed and that employees are
treated during their employment without regard to their race, color, religion,
ancestry, sex, age, national origin, place of birth, marital status, disability, or
sexual orientation, as applicable.
4.15 CONFLICT OF INTEREST
The Contractor agrees to adhere to and be governed by the Metropolitan
Miami-Dade County Conflict of Interest Ordinance (No. 72-82), as amended;
and by the City of Miami Beach Charter and Code, which are incorporated by
reference herein as if fully set forth herein, in connection with the Agreement
conditions hereunder.
The Contractor covenants that it presently has no interest and shall not
acquire any interest, direct or indirectly which should conflict in any manner
or degree with the performance of the Services. The Contractor further
covenants that in the performance of this Agreement, no person having any
such interest shall knowingly be employed by the Consultant. No member of
or delegate to the Congress of the United States shall be admitted to any
share or part of this Agreement or to any benefits arising there from.
7
4.16 PATENT RIGHTS; COPYRIGHTS; CONFIDENTIAL FINDINGS
Any patentable result arising out of this Agreement, as well as all information,
design specifications, processes, data and findings, shall be made available
to the City for public use.
No reports, other documents, articles or devices produced in whole or in part
under this Agreement shall be the subject of any application for copyright or
patent by or on behalf of the Contractor or its employees or subcontractors.
4.17 NOTICES
All notices and communications relating to the day-to-day activities shall be
exchanged between the project manager appointed by the Contractor and
the program coordinator designated by the City, who shall be the Homeless
Program Coordinator, Office of Community Services. The Contractor's
project manager shall be designated promptly upon commencement of
Services.
All other notices and communications in writing required or permitted
hereunder may be delivered personally to the representatives of the
Contractor and the City listed below or may be mailed by registered mail.
Until changed by notice in writing, all such notices and communications shall
be addressed as follows:
TO CONTRACTOR:
Citrus Health Network, Inc.
Attn: Manny Sarria
4175 West 20th Avenue
Hialeah, Florida 33012
(786)853-4006
TO CITY:
City of Miami Beach
Attn: Hilda Fernandez/Office of the City Manager
1700 Convention Center Drive
Miami Beach, Florida 33139
(305) 673-7077
WITH COPIES TO:
Neighborhood Services Department
Attn: Vivian P. Guzman
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
8
4.18 GOVERNING LAW AND EXCLUSIVE VENUE
This Agreement shall be governed by, and construed in accordance with, the
laws of the State of Florida, both substantive and remedial, without regard to
principles of conflict of laws. The exclusive venue for any litigation arising out
of the Agreement shall be Miami-Dade County, Florida, if in state court, and
the U.S. District Court, Southern District of Florida, if in federal court.
4.19 INSURANCE REQUIREMENTS
The Contractor shall not commence any work pursuant to this Agreement until
all insurance required under this Section has been obtained and such
insurance has been approved by the City's Risk Manager. The Contractor
shall maintain and carry in full force during the term of this Agreement the
following insurance:
a. Workers Compensation & Employers Liability as required pursuant to
Florida Statute, and Employers Liability at a minimum of $1,000,000.
b. Thirty (30) days written notice of cancellation or substantial
modification in the insurance coverage must be given to the City's Risk
Manager by the Contractor and his insurance company.
c. The insurance must be furnished by insurance companies authorized
to do business in the State of Florida and approved by the City's Risk
Manager.
d. Original certificates of insurance for the above coverage must be
submitted to the City's Risk Manager for approval prior to any work
commencing. These certificates will be kept on file in the Office of the
Risk Manager, Third Floor, City Hall.
e. The Contractor is responsible for obtaining and submitting all
insurance certificates for its sob-contractors.
All insurance policies must be issued by companies authorized to do business
under the laws of the State of Florida. The companies must be rated no less
than "B+" as to management and not less than "Class IV" as to strength by the
latest edition of Best's Insurance Guide, published by A.M. Best Company,
Oldwick, New Jersey, or its equivalent, subject to the approval of the City's
Risk Manager.
Compliance with the foregoing requirements shall not relieve the Contractor of
liabilities and obligations under this Section or under any other portion of this
Agreement, and the City shall have the right to obtain from the Contractor
specimen copies of the insurance policies in the event that submitted
certificates of insurance are inadequate to ascertain compliance with required
coverage.
4.20 ENTIRETY OF AGREEMENT
9
This writing and the Scope of Services in Exhibits "A" and "B" embody the
entire Agreement and understanding between the parties hereto, and there are
no agreements and understandings, oral or written with reference to the
subject matter hereof that are not merged herein and superseded hereby. To
the extent that any term in the Scope of Services is inconsistent with this
Agreement, this Agreement shall prevail.
4.21 LIMITATION OF CITY'S LIABILITY
The City desires to enter into this Agreement only if in so doing the City can place a
limit on the City's liability for any cause of action for money damages due to an
alleged breach by the City of this Agreement, so that its liability for any such breach
never exceeds the sum of $47,450 plus any legal fees and costs associated with
enforcing the contract. Contractor hereby expresses its willingness to enter into this
Agreement with Contractor's recovery from the City for any damage action for
breach of contract to be limited to a maximum amount of $47,450 plus any legal
fees and costs associated with enforcing the contract.
Accordingly, and notwithstanding any other term or condition of this Agreement,
Contractor hereby agrees that the City shall not be liable to the Contractor for
damages in an amount in excess of $47,450 plus any legal fees and costs
associated with enforcing the contract for any action or claim for breach of contract
arising out of the performance or non-performance of any obligations imposed upon
the City by this Agreement. Nothing contained in this paragraph or elsewhere in this
Agreement is in any way intended to be a waiver of the limitation placed upon the
City's liability as set forth in Section 768.28, Florida Statutes.
10
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to
be executed by their appropriate officials, as of the date first entered above.
FOR CITY:
CITY OF MIAMI BEACH, FLORIDA
ATTEST:
By: ~ ~ _
City Clerk City Mana
FOR CONSULTANT: Citrus Health Network, Inc., A Florida Corporation
ATTEST:
~'~`~/
retary
Print Name
Corporate Seal
APPROVED AS TO
FORM & LANGUAGE
& F EXECUTION
6~
omey ate
~~
11
Print Name
EXHIBIT "A"
SCOPE OF SERVICES
Medically-Supported Emergency Shelter Services
for Miami Beach Clients
The Contractor agrees to provide a minimum of two (2) guaranteed, medically
supported emergency care beds per day (seven days a week) for homeless
individuals referred by the City of Miami Beach Neighborhood Services Department/
Office of Community Services beginning October 1, 2007. The provider agrees to
provide emergency housing and wrap around medical, psychiatric and case
management services tailored to achieving permanent housing.
Emergency beds include the following elements that must be incorporated in the
delivery of services under this Agreement:
1. Clients will be referred exclusively by the City of Miami Beach Neighborhood
Services Department/ Office of Community Services.
2. Clients will receive an intake assessment, psychiatric consult and physical
examination within 72 hours of referral.
3. Clients will receive bilingual case management services with an emphasis on
obtaining stability, entitlements, and housing, this includes:
a. Development of a Services Plan and documentation of contacts.
b. Following up on in-house medical and psychiatric appointments.
c. Referrals for specialized health, substance abuse, mental health
screening and treatment will be made for clients based on need or
their request.
d. Referral to Benefits Specialist to implement SOAR techniques for
application of Social Security benefits.
e. Referral to other entitlement agencies including, but not limited to,
VA, Food Stamps.., and Medicaid.
f. Referral to educational and vocational training.
g. Referral to permanent housing
h. Requisition of needs such as toiletries, and clothing.
4. Contractor will provide a monthly client progress report to the City which will
include services/referrals provided to clients placed in emergency care beds
by the City.
5. Clients will receive temporary housing that includes:
a. Air conditioned room with a personal bed and private area.
b. At least three prepared meals daily.
c. Supervision 24 hours a day, seven days a week.
6. Bed list information will be entered into Service Point and updated daily during
business hours.
7. Clients will be placed in emergency care beds for a period not to exceed 90
days. Requests for extensions beyond the 90 days must be submitted in
12
advance to the City for approval.
8. Contractor retains the right to immediately dismiss clients who fail to adhere to
contractor's rules or regulations. The contractor must notify the City in writing
of such dismissals within 24 hours of termination and provide an incident
report.
9. Contractor will provide a quarterly progress report (see attached example) and
submit it to the City no later than the tenth of April, July, October, and January
for the three months prior.
10. The City reserves the right to conduct periodic audits of client files to ensure
adherence to service benchmarks.
13
EXHIBIT "B"
"SCOPE OF SERVICES"
Core Functions of Temporary Care Facilities
The Mission and Purpose of temporary care facilities is to provide emergency
housing and care to individuals in dire need, including, but not limited to,
assessment, case management, linkage and referral to supportive services and
housing opportunities within the Continuum of Care and community-at-large.
Core Functions: Temporary care facilities shall provide the following core functions to
their clients:
• Emergency Housing, including clothing, meals, and initial health screening for
communicable diseases.
• Comprehensive Assessment of current social, health (including mental health
and substance use/abuse), and employment/education conditions.
• Development of Individualized Continuum of Care Plans describing a client's
needs for supportive services, establishing aservice/referral plan and outlining
the client's personal goals towards attaining residential, financial and personal
stability and self-sufficiency.
• Linkage/Referral to internal and external supportive services including, but not
limited to, benefit programs, in-patient or out-patient mental health or
substance abuse treatment or support groups, education/vocational
opportunities, job counseling, training and placement, child care and legal
services, and transportation.
• Outplacement to appropriate housing opportunities in the Primary or Advanced
Care levels of the Continuum of Care, in the Dade County community or in the
local affordable housing market.
General Standards -Program Environment
Residents
Homeless individuals and families served by temporary care facilities shall be
accorded dignity and respect. A grievance procedure providing for fair notice
and hearing shall be made known and available to clients by which to seek
redress in the event that a~ client has a grievance regarding the operation of
the temporary care facility or should a client believe that he or she has been
unfairly accused of a rule infraction, or in the event of a decision by the
temporary care provider to refuse or terminate services to the client.
Temporary care facilities shall demonstrate sensitivity to clients' primary
language and cultural background.
14
Clients have both privileges and responsibilities relating to their stay at the
temporary care facility which shall be set forth in a ResidentlClient Agreement
that each client must sign upon admission to the temporary care facility.
Safe Environment:
All temporary care facilities shall establish and enforce house rules governing use of
alcohol, illegal use of controlled substances, fighting, violent and/or inappropriate
behavior for the purpose of protecting the health and safety of clients and staff.
Temporary Care Facility Staff:
Temporary care facility administrators shall ensure that facility staff have the
qualifications, proper training and .supervision necessary and appropriate to the job
function(s) with which such staff members are entrusted.
Non-Discrimination In The Provision Of Housing And Services:
There shall be no discrimination on the basis of race, color, gender, sexual
orientation, disability, religion, or national origin in the provision of emergency
housing and services to clients by temporary care providers. No religious practice or
affiliation requirement shall be imposed upon clients or prospective clients.
Coordination, Cooperation and Integration:
Each Temporary Care Provider shall work closely and cooperatively with the Dade
County Homeless Trust, the OAP Program and OAP Program Providers, all other
Trust-funded providers as well as other community-based service providers to
homeless individuals and families.
Provision Of Emergency Housing:
Housing:
Length of Stay: Length of stay shall be determined by the temporary care
facility, consistent with the .Dade County Community Homeless Plan goals for
emergency care - to encourage the client's attainment of long-term self-
sufficiency through the optimal utilization of housing and services offered
through the Continuum of Care's Primary and Advanced stages of care.
Clients are expected to reside at temporary care facilities for a short period of
time (i.e. seven (7) to sixty (60) days). Extension of a maximum length of stay,
set by the temporary care. facility, shall be made on a case-by-case basis,
predicated on the client's demonstrated commitment to the goals established
by the client with the assistance of case management in his or her
individualized Continuum of Care Plan.
Violations of temporary care facilities house rules may be grounds for
terminating a client's length of stay and/or privilege of re-admission. Separate
Sleeping Quarters and Personal Hygiene Facilities: Separate sleeping
quarters and personal hygiene facilities shall be maintained for (a) single male
adults; (b) single female adults and (c) families.
15
Quality of Housing: Temporary care facilities shall maintain safe, clean and
sanitary conditions and .opportunity to safe keep papers, documents and
valuables. Beds, pillows and bed coverings (e.g. sheets and blankets) shall be
clean and sanitary (e.g. free of infestation).
Personal Hygiene Facilities: Personal hygiene facilities shall be made
available to each client. Such personal hygiene facilities shall be kept clean
and sanitary and maintained in operable working condition at all times, subject
to periodic temporary interruptions due to maintenance or repair.
Resident Participation in General Housekeeping: Clients may be required
to participate in the general housekeeping of the temporary care facility.
Meal Standards:
Provision of Meals: Clients shall
one of which must be a hot meal.
Meal Standard: All meals served
compliance with standards and/o
local public authority responsible
meals at residential facilities.
be provided a minimum of two meals a day,
shall be nutritionally sound
r regulations adopted and/
for the regulation of facili
Clothing Standards:
and balanced in
~r issued by the
ies which serve
Provision of Clothing: Temporary care facilities shall assist clients in
obtaining at least two sets,gf appropriate clothing (both under and outerwear)
and shoes. Appropriate clothing in the instance of underwear and socks shall
mean new or previously unused items.
Donated Clothing: Donated clothing must be washed/sanitized prior to
distribution to clients.
Health Screenings:
Immediate Health Screening: To reduce risk of harm to other clients and
staff, temporary care facilities shall arrange for health screenings for
communicable, air-borne diseases, such as tuberculosis, within thirty-six (36)
hours of the client's entry into the facility. Clients determined to pose a direct
threat to the health of others shall be quarantined and referred for appropriate
medical treatment.
Full Medical Assessment and Evaluation: Temporary care facilities shall
arrange for a full medical assessment and evaluation (i.e. complete physical)
for each client within seventy-two (72) hours of the client's entry into the
facility.
Facilities Standards And Licensing/Certification:
• Temporary Care Facilities in General: Temporary care facilities shall comply
with all local and state ordinances, regulations and laws governing residential
16
facilities and secure necessary licensing as may be required under such local
or state law.
Food Preparation and/or Dining Facilities: Food preparation and/or dining
facilities located at temporary care facilities must comply with all local and
state ordinances, regulations and laws governing facilities which serve meals
to the public in a residential facility or otherwise. Temporary care facilities must
secure necessary licensing or certification as may be required by the local
public authority responsible for the regulation of facilities which serve meals to
the public.
Environmental/Structural Controls and Procedures to Prevent/Control
Spread of Communicable Diseases: Temporary care facilities shall comply
with all local and state ordinances, regulations and laws governing the
prevention and/or control of the spread of communicable, air-borne diseases
within residential facilities which may include the implementation of structural
or environmental measures and quarantining, notification and health screening
procedures.
Temporary Care Case Management:
Case Management Services In General:
• The Mission and Purpose: of temporary care facilities is emergency housing
and care. The case management function at temporary care facilities shall be
one of assessment, advocacy and linkage as opposed to treatment due to the
short stay of clients. Assisting the client in obtaining needed housing and
services shall be the essential function of the temporary care facility.
• The Primary Purpose of Case Management Services: is to integrate
various internal and external service components into a coherent constellation
of services tailored to meet the unique needs of individuals. Case
Management shall be concerned with service coordination and problem
solving in an attempt to insure appropriate service provision and continuity.
• Partnerships: The temporary care facility shall develop partnerships with
government, not-for-profit and community-based agencies or organizations or
programs to coordinate and provide services to its clients.
• Case Managers: The case manager shall be responsible for producing a
comprehensive assessment of the client's current social, health (including
mental health and substance use/abuse) and education/employment
conditions and needs. The case manager shall play a major role in assisting
the resident in the development and implementation of a Continuum of Care
Plan which will enable the client to successfully achieve his or her personal
goals and objectives by addressing unmet needs.
Client Rapport: Development of a rapport between the client and his or her
case manager, establishing trust and familiarity, is deemed integral to
establishing an effective case management service plan and a realistic, client-
developed Continuum of Care Plan.
Scope of Case Management Services: The scope of case management
services provided shall be client directed.
17
Core Case Management Functions
Core Functions of a temporary care facilities case management program shall be:
• Assessment - a thorough evaluation detailing the client's current and potential
strengths, weaknesses, service needs and appropriate resources to meet the
service needs.
• Planning -the development of a holistic service plan with each client,
containing service goals and appropriate timeliness.
• Linkage/Brokerage -the .process of referring or transferring clients to all
required internal and external services.
• Monitoring -the continuous evaluation of the client's progress, leading to
reassessment and development of new service plans, linkages, or other
dispositions as indicated.
• Advocacy -interceding on behalf of a client or group of clients to assure
access to needed services and/ or resources.
Areas of Case Management Intervention should include but are not limited to:
• Service Planning.
• Assistance in obtaining food and clothing and transportation.
• Referrals for in- or out-patient mental health services, substance abuse
treatment, and medical services.
• Assistance in obtaining benefits.
• Referrals to self-sufficiency related programs such as adult education,
vocational training, job counseling, training and permanent placement
services, child care and legal services and transportation.
• Assistance and referral to obtain appropriate housing placement in the Primary
or Advanced Care levels of the Continuum of Care, in the Dade County
Community or in the local affordable housing market.
Multi-Disciplinary Team Concept:
Recommendation: It is recommended that temporary care providers develop a
multi-disciplinary approach towards providing care to the client to ensure a holistic
response to the client's needs. Temporary care providers are encouraged to develop
multi-disciplinary care teams, comprised of the client's case manager, a health care
worker caring for the client, and/or government or community providers directly
serving the client, that would meet to review client progress, make recommendations
and ensure successful referral to additional services and resources. Such approach
ensures effective, comprehensive, service provision as well as continuity of care as
the client is placed with other housing programs within the Continuum or in the
community.
18
Comprehensive Assessment:
^ Comprehensive Assessment Precedes Case Management Services:
Case management services shall be preceded by a comprehensive assessment
of the client's current social, health (including mental health and substance
use/abuse) and education/employment conditions. Screening for emotional
disorders and dysfunction, including substance abuse, and for other serious
mental health impediments to independence, shall be performed by, or under the
supervision of, qualified mental health or substance abuse professionals.
^ Client Rapport: Development of a rapport between the client and facility staff
responsible for the assessment function, establishing trust and familiarity, is
deemed integral to performing a thorough and accurate comprehensive
assessment of the client's needs and to establishing an effective case
management service plan and a realistic, client-developed Continuum of Care
Plan.
^ Comprehensive Assessment within 72 Hours: A comprehensive
assessment of the client's current social, health and education/employment
conditions shall commence within seventy-two (72) hours of admission of the
client to the temporary care facility.
^ Contents of Comprehensive Assessment: The comprehensive assessment
shall include treatment and referral recommendations and will form the basis for
the client's individualized Continuum of Care Plan and referral services provided
to the client. The comprehensive assessment shall be comprised of information
gathered by the OAP Program, by the Dade County Homeless Trust, at intake,
through client interviews and through medical and referral information.
Individualized Continuum Of Care Plan:
^ Client-Developed Continuum of Care Plan -Timeliness: Clients shall be
assisted in initiating an individualized Continuum of Care Plan within Twenty-four
(24) hours of the completion of their comprehensive assessment of their current
social, health and education/employment conditions and needs.
^ Client Contract: The Continuum of Care Plan is an individualized contract
based upon the participant's current state, capabilities and personal goals. The
Continuum of Care Plan shall describe the participant's needs for supportive
services and outline the steps that the participant must take in order to begin the
personal process towards residential and financial stability and self-sufficiency.
The client's signature on the Continuum of Care Plan signifies his or her
commitment to obtaining residential, financial and personal stability and self-
sufficiency.
19
^ Basis of Individualized Continuum of Care Plan: The individualized
Continuum of Care Plan shall be based on the comprehensive assessment of
client's conditions and needs, as well as case management recommendations,
and the client's personal goals and objectives. Goals and/or services sought by
the client should be consistent with those articulated by the client during initial
engagement and assessment by the Trust-coordinated Outreach, Assessment
and Placement Program.
^ Potential Needs to be reflected in Client's Goals and Objectives: The
individualized Continuum of Care Plan should address the following goals and
objectives that respond to the following potential needs: health (physical and
mental health, including substance abuse),
Client Confidentiality And Sharing of Information:
^ Client Expectation of Privacy: Temporary care facilities shall comply with all
federal and state laws and regulations governing the confidentiality of information
regarding AIDS/HIV status and medical, substance abuse or mental health
history, referral or treatment. Clients may expect a reasonable degree of privacy
with regard to information not otherwise protected from disclosure by federal or
state laws and regulations that is shared with the temporary care facility staff
members.
^ Personal Mail and Telephone Calls: Temporary care facilities shall respect
the privacy of a client's personal mail and telephone calls.
^ Exceptions to Client Confidentiality: Client information may be subject to
disclosure as provided by law including investigation by law enforcement,
probation officers, and HRS protective services related to minors or the elderly,
subject to any limitations on disclosure set forth in state or federal law, including
those laws protecting the confidentiality of information regarding AIDS/HIV status
and medical, substance abuse. or mental health history, referral or treatment.
^ Sharing of Client Information: Sharing of client information with other
providers to whom the client may be referred is necessary to ensure effective
provision of services, continuity in care, and efficient use of Continuum resources.
The necessity of sharing information with other providers shall be explained to the
client. Client information shall only be shared upon the client's written consent.
Outplacement Services:
^ Urgency: The mission and purpose of temporary care facilities is to provide
emergency housing and care, to individuals in dire need. In keeping with this
purpose, the temporary care facility should make every effort to secure an
appropriate housing placement for a client as soon as possible. Case manager
should be thinking of appropriate out-placement by the time the Continuum of
Care Plan is signed and implemented.
20
^ Provider Relationships: Temporary care facility case managers are
expected to develop strong working relationships with primary and/or advanced
care case managers to ensure an effective planning process and smooth
transition between housing programs.
^ Effective Planning Process to Ensure Smooth Transition: The planning
process should strive to ensure that minimal disruption occurs during the
transition from one provider to another. The planning process is intended to
ensure that services provided to the client at or through referral by the temporary
care facility are maintained and that the provision of additional services are
arranged for the client prior to transfer, consistent with the client's individualized
Continuum of Care Plan.
^ Outplacement Packet: The necessity to cooperate with both the Temporary
Care Provider and the provider with whom the client has been placed in order to
ensure effective service provision and continuity of care shall be explained to the
client. Upon the written consent of the client, an outplacement packet shall be
prepared for the provider with whom the client has been placed. The
outplacement packet shall contain the client's comprehensive assessment,
Continuum of Care Plan and referral history and notes for the purpose of ensuring
continuity in service provision and in the client's commitment to his or her. goals
and objectives.
21
CITY OF MIAMI BEACH
QUATERLY PROGRESS REPORT
Agency Name
NAME AND TITLE OF PERSON COMPLETING THIS REPORT
REPORTING PERIOD
INSTRUCTIONS
PLEASE COMPLETE THIS FORM IN ITS ENTIRETY AND PROVIDE ALL
INFORMATION REQUESTED. NO ITEM SHOULD BE LEFT BLANK.
SPECIAL NEEDS POPULATIONS
Homeless Services
01 If applicable, total number of clients transferred from the previous contract year. Note: reported
for only:
02 Total number of new clients served this reporting period.
03 Total number of clients served this reporting period.
04 Total number of clients served to-date.
05 Total number of clients discharged from the program to-date.
06 Of the total number of clients discharged (question #5), what percentage were placed in permanent
housing?
07 Total number of clients eligible for appropriate entitlement benefits and enrolled in the program for at
least 1 month this reporting period.
08 Of the eligible clients in the program for at least 1 month (question #7), what percentage applied
for appropriate entitlement benefits?
09 Total number of clients with a diagnosis of substance abuse who completed treatment this reporting
period.
Page 1 of 3
SPECIAL NEEDS POPULATIONS
B Homeless Services
10 Of the clients with a diagnosis of substance abuse (question #9), what percentage completed treatment with no
alcohol /drug use during the month prior to discharge?
11 Of the clients in the program for at least 1 month (question #7), what percentage participated in the development of
their personal housing and services plan?
Page 2 of 3
SPECIAL NEEDS POPULATIONS
Homeless Services
REPORT ON PROGRAMMING PROBLEMS ENCOUNTERED THIS MONTH
(This section cannot be left blank. If no programming problems were
encountered please indicate)
IS TECHNICAL ASSISTANCE NEEDED? IF YES, PLEASE EXPLAIN
BELOW: (This section cannot be left blank. If technical assistance is not
needed, please indicate)
COMMENTS:
Date Submitted Authorized Signature & Title
Page 3 of 3
Client:
SS #
DOB:
Location:
Client Progress Report
Month:
O ID Services (State ID, SS Card, Birth Certificate, etc)
O Food Stamps
O Medicaid/Medicare
D SSI/SSDI
D Veterans Affairs
O Educational/Vocational Services
Referrals Provided O Job Developer
(7 Legal/Immigration
O Clothing
O Medical (Camillus Health Concern, Jackson Memorial, J-1 1, etc)
O Detox Services
O Crisis Services
O Housing
D Other
Food Stam s $ TANF $
Income Situation: Work Income $ Other $
SSI/SSDI $ Other $
TOTAL
Services Received: O Mental Health Services
O Medical Services
~ Substance Abuse/Treatment Services
~ Transportation/ Tokens
O Other
Staff Report
(Provide narrative of
client progress for the
month):
Date:
Staff Member:
•
rus
H~TM N~woEtK, iNC.
4175 West 20th Avenue
Hialeah, Florida 33012-5875
(305) 825-0300
(305) 825-1645 Fax
June 23, 2008
VIA HAND DELIVERY
Ms. Vivian Guzman
City of Miami Beach Homeless Program
Office of Community Services
Neighborhood Services Department
Miami Beach, FL 33139
RE: AGREEMENT BETWEEN THE CITY OF MIAMI BEACHAND CITRUS HEALTH
NETWORK, INC. FOR MEDICALLY-SUPPORTED SHELTER SERVICES.
Dear Ms. Guzman
Enclosed please find three (3) signed originals of the above mentioned agreement. Please
forward a copy of this contract for our files when it is fully executed by your office.
Thank you for your assistance and attention to this matter.
Sincerely,
Mario E. Jardon, L.C.S.W.
President & C.E.O.
MEJ/mpe
Enclosures