Request for Proposal CPP/CRDP: Enhanced Behavioral Support Home(s) (EBSH

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Request for Proposal for CPP/CRDP: Enhanced Behavioral Support Home(s) (“EBSH”): FY 2019-2020
Published Date: 06/18/2019
Closing date extended to 07/15/19 5:00pm PST; All Hyperlinks Now Active

The Community Services Department of the North Los Angeles County Regional Center (“NLACRC”), has received approval for Community Residential Development Plan (“CRDP”) funding by the Department of Developmental Services (DDS) for fiscal year 2019-2020. NLACRC seeking proposal submissions for acquiring and developing assessable homes in the community, owned by housing development organization (either a non-profit NPO or for profit HDO, entity) for the use of individuals needing enhanced behavioral support services that will meet the needs of individuals exiting a developmental center or at risk of being placed into a developmental center. Enhanced Behavioral Support Homes will meet the needs of consumers with complex behavioral support needs who are difficult to serve in the community, who are currently in more restrictive placements and/or have repeatedly failed in previous placements. All interested applicants must have a physical business office located within NLACRC’s catchment area.

Housing Development Organizations

Grant funds will be available for the acquisition of (2) of the (4) projects listed below (Projects 3 and 4). Grant funding for renovating the home is available for modifications required to meet the support needs of the individuals referred, and to meet the licensing standards that will apply to the residents referred. To ensure that homes developed using CRDP funds are always available for use by individuals served by North Los Angeles County Regional Center, real estate deed restriction and restrictive covenants are required for each property purchased with these funds by the Housing Development Organization (HDO). These deed restrictions and restrictive covenants must place specific limitations on the use of the property. Each property will be developed in accordance with the Fiscal Year 2019-2020 Community Placement Plan Housing Guidelines issued by the State of California, Department of Developmental Services. (A copy of these guidelines will be provided upon request).

This HDO may hold the properties as a for profit, non-profit corporation, limited partnership or limited liability corporation. Renovation of the property must be supervised by, and is the responsibility of the HDO. Renovation plans must be developed for the HDO by a licensed architect and implemented by a licensed, bonded contractor, and the plans approved by NLACRC prior to an application for construction permits. The property will be leased to a residential service provider who will provide care and supervision to the residents. The selected residential service provider as well as regional center staff will be available to the HDO/architect/building contractor for development team meetings and technical assistance regarding the needs for the individuals referred as well as the requirements of Community Care Licensing. Property must be convertible to meet the standards of licensing by the Department of Social Services of the State of California, Community Care Licensing Division. Property ownership and management will be separate and distinct from the provision of services and supports.

All applicants must demonstrate that they possess the necessary relevant professional experience and organizational capacity to create and sustain high quality, effective, long-term services that are responsive to the needs of the individual.

Note: These projects DO have startup funds associated with them. RFP projects are considered critically needed services. However, per regulation, we must inform you that pursuant to Title 17 section 54322, (d) (10) Regional Centers cannot guarantee referrals.

An Informational Meeting to answer questions about this RFP will be held on Tuesday, July 2, 2019 at 1:30pm at NLACRC’s Chatsworth office, 1st Floor Conference Room (CR143).

Providers interested in responding to this RFP may download a complete copy of the RFP and Proposal Writing Guidelines from the NLACRC’s website at www.nlacrc.org. Copies of the RFP will also be available at the Informational Meeting. Attendance at the Informational Meeting is not required for those who wish to apply, but is strongly recommended. The deadline for submission of proposals is July 15, 2019 (5:00pm PST).

PROJECT #1: Enhanced Behavioral Support Home (EBSH)

Antelope Valley (IP-NLACRC-1819-10)
(2-Bed EBSH)
Start Up: $150,000.00

Project 1 is for a single-family home located in the Antelope Valley, formerly licensed as a Specialized Residential Facility. This EBSH will serve a maximum of two (2) adults and provide 24-hour non-medical care to individuals with developmental disabilities who are difficult to serve in the community, who are currently in more restrictive placements and/or have repeatedly failed in previous placements. The individuals require enhanced behavioral supports, staffing, and supervision in a homelike setting. The services and supports provided by an EBSH would address individuals with severe behavior problems and/or psychiatric comorbidities. Services and supports would include individualized staffing, supervision, facilities characteristics and other individualized services and supports which are beyond what is typically available in other community-based adult residential facilities or group homes. Additionally, the enhanced behavioral supports and services serve individuals in a community setting rather than an institution. Although the individuals to be served in an EBSH have highly complex presentations, the environment should emulate a home like setting.

PROJECT #2: Enhanced Behavioral Support Home (EBSH)

Antelope Valley (IP-NLACRC-1819-10)
(3-Bed EBSH)
Start Up: $150,000.00

Project 2 is for a single-family home located in the Antelope Valley, formerly licensed as a Specialized Residential Facility. This EBSH will serve a maximum of three (3) children/youth and provide 24-hour non-medical care to individuals with developmental disabilities who are difficult to serve in the community, who are currently in more restrictive placements, and/or have repeatedly failed in previous placements. The individuals require enhanced behavioral supports, staffing, and supervision in a homelike setting. The services and supports provided by the EBSH would address individuals with severe behavior problems and/or psychiatric comorbidities. Services and supports would include individualized staffing, supervision, facilities characteristics and other individualized services and supports which are beyond what is typically available in other community-based adult residential facilities or group homes to serve individuals in a community setting rather than an institution. Although, the individuals to be served in an EBSH have highly complex presentations, the environment should emulate a home like setting.

Start-up Costs for Projects #3 and #4 below will be awarded in Fiscal Year 19-20

PROJECT #3: HDO for an Enhanced Behavioral Support Home (EBSH)

San Fernando Valley NLACRC 1819-1
(3 Bed EBSH)
HDO: Acquisition:
$400,000.00
Renovation:
$400,000.00

This EBSH will serve a maximum of three (3) adults and provide 24-hour non-medical care to individuals with developmental disabilities who are difficult to serve in the community, who are currently in more restrictive placements, and/or have repeatedly failed in previous placements. The individuals require enhanced behavioral supports, staffing, and supervision in a homelike setting. The services and supports provided by the EBSH would address individuals with severe behavior problems and/or psychiatric comorbidities. Services and supports would include individualized staffing, supervision, facilities characteristics and other individualized services and supports which are beyond what is typically available in other community-based adult residential facilities or group homes to serve individuals in a community setting rather than an institution. Although, the individuals to be served in an EBSH have highly complex presentations, the environment should emulate a home like setting. Award for this project is contingent upon awarding an HDO.

PROJECT #4: HDO for an Enhanced Behavioral Support Home (EBSH)

San Fernando Valley NLACRC 1819-2
(3 Bed EBSH)
HDO: Acquisition:
$400,000.00
Renovation:
$400,000.00

This EBSH will serve a maximum of three (3) adults and provide 24-hour non-medical care to individuals with developmental disabilities who are difficult to serve in the community, who are currently in more restrictive placements, and/or have repeatedly failed in previous placements. The individuals require enhanced behavioral supports, staffing, and supervision in a homelike setting. The services and supports provided by the EBSH would address individuals with severe behavior problems and/or psychiatric comorbidities. Services and supports would include individualized staffing, supervision, facilities characteristics and other individualized services and supports which are beyond what is typically available in other community-based adult residential facilities or group homes to serve individuals in a community setting rather than an institution. Although, the individuals to be served in an EBSH have highly complex presentations, the environment should emulate a home like setting. Award for this project is contingent upon awarding an HDO.

SUBMISSION OF PROPOSALS

All proposals must conform to the attached Proposal Writing Guidelines and Content Requirements. The applicant must submit the completed proposal plus fourteen (14) copies (15 total copies) to NLACRC by the deadline date outlined in the first section of these guidelines for each proposal. No fax or email copies will be accepted. The proposals must be complete, typewritten, collated, and page numbered. Hand delivered proposals must be left with the receptionist at the NLACRC Chatsworth office. No proposals will be accepted after the deadline of July 15, 2019 (5:00pm PST). Proposals must be addressed to:

North Los Angeles County Regional Center
c/o: Lisa Mayti: Resource Development Supervisor
9200 Oakdale Avenue, Suite 100
Chatsworth, CA 91311

DEADLINE FOR SUBMISSION OF PROPOSALS:

July 15, 2019 (5:00pm PST)

RESERVATION OF RIGHTS:

NLACRC reserves the right to request or negotiate changes in a proposal, to accept all or part of a proposal, or to reject any or all proposals. NLACRC reserves the right to withdraw this Request for Proposal (RFP) and/or any item within the RFP at any time without notice. NLACRC reserves the right to disqualify any proposal which does not adhere to the RFP guidelines. This specialized RFP is being offered at the discretion of NLACRC.

Definition of Terms from the California Code of Regulations, Title 17, Division 2, Chapter 3, Subchapter 24. Enhanced Behavioral Supports Homes.

"Enhanced Behavioral Services and Supports" is the additional staffing, supervision, and supports that are needed to address a consumer's challenging behaviors that are beyond what is available in a typical community living arrangement.

"Enhanced Behavioral Supports Home” is an adult residential facility or a group home certified by the State Department of Developmental Services (DDS) and licensed by the State Department of Social Services (DSS) that provides 24-hour non-medical care to individuals with developmental disabilities who require enhanced behavioral supports, staffing, and supervision in a homelike setting, as defined in Section 4684.80 of the Welfare and Institutions Code. Enhanced Behavioral Supports Home shall have a maximum capacity of four.

"Individual Behavior Supports Plan"are plans that identifies and documents the behavior and intensive support and service needs of a consumer, details the strategies to be employed and services to be provided to address those needs, and includes the entity responsible for providing those services and timelines for when each identified individual behavior support will commence. (Refer to Section 59054 of the Title 17 Regulations for detailed requirements of the individual behavioral supports plan).

"Individual Behavior Supports Team" are individuals who contribute to the development, revision and monitoring of the Individual Behavior Supports Plan for consumers residing in an Enhanced Behavioral Supports Home. The teams shall, at a minimum, be composed of all four of the following individuals: (1) Consumer and, where appropriate, his or her conservator or authorized representative; (2) Regional center service coordinator and other regional center representatives, as necessary; (3) Licensee's qualified behavior modification professional; (4) Enhanced Behavioral Supports Home administrator; (5) Regional center clients' rights advocate, unless the consumer objects on his or her own behalf to participation by the clients' rights advocate; (6) any other individuals deemed necessary by the consumer, or where applicable, his or her conservator or authorized representative, if any, for developing a comprehensive and effective individual behavior supports plan.

“Planning Team" refers to the planning team defined in subdivision G) of Section 4512 of the Welfare and Institutions Code, which develops and reviews a consumer's IPP through the planning process described in Sections 4646 and 4646.5 of Welfare and Institutions Code.

"Qualified Behavior Modification Professional" (QBMP) is an individual with a minimum two years of experience in designing, supervising, and implementing behavior modification services and who is one of the following: (1) An Assistant Behavior Analyst certified by the National Behavior Analyst Certification Board as a Certified Assistant Behavior Analyst; (2) A Behavior Analyst certified by the National Behavior Analyst Certification Board as a Certified Behavior Analyst; (3) A Licensed Clinical Social Worker, pursuant to Sections 4996-4998.5 of the Business and Professions Code; (4) A Licensed Marriage and Family Therapist, pursuant to Sections 4980-4984.7 of the Business and Professions Code; (5) A psychologist, licensed by the California Board of Psychology; or (6) A licensed professional with California licensure, which permits the design of behavior modification intervention services.

"Registered Behavior Technician" (RBT) is an individual who is recognized by the National Behavior Analyst Certification Board as a certified Registered Behavior Technician.

The Enhanced Behavioral Supports Home for adults will be licensed for no more than four non-ambulatory beds by the Department of Social Services of the State of California as an Adult Residential Facility (ARF). Each resident must have their own room. A certificate of program plan approval issued by DDS shall be a condition of licensure for the Enhanced Behavioral Supports Home. An Enhanced Behavioral Supports Home must have an operable automatic fire sprinkler system approved by the State Fire Marshal or local fire department as a condition of certification. DDS may decertify any Enhanced Behavioral Supports Home that does not comply with program requirements. Upon decertification of an Enhanced Behavioral Supports Home, DSS shall revoke the license of the Enhanced Behavioral Supports Home that has been decertified.

The Department of Developmental Services established a rate methodology for Enhanced Behavioral Supports Home that includes a Facility Component (Service Code 900) and an Individualized Services and Supports Component (service code 901) based on each consumer's needs as determined through an individual program plan process.

For the facility rate, the service provider selected shall submit DDS form DS 6023 to the regional center for review and written approval. The facility rate may not exceed the maximum rate of reimbursement to be determined by the DDS. The monthly facility rate is pro­rated by the licensed capacity of the facility. Portions not funded by a consumer placement are paid through the contract between the selected provider and the regional center. Prior to the facility reaching licensed capacity, the facility rate is paid based on the licensed capacity of the facility, with vacancies funded through the contract. At six months from the initial placement in the facility, and at each subsequent 30 days, the vendor and regional center shall meet to determine if the portion of the facility rate funded through the contract due to the unfilled beds will continue. Once the facility reaches maximum capacity, the facility rate is paid based on the licensed capacity of the facility, despite temporary consumer absences or subsequent temporary vacancies, with vacancies funded through the contract. "Temporary vacancy'' here means a vacancy of 60 days or fewer. At 60 days of temporary vacancy, and at each subsequent 30 days, the vendor and regional center shall meet to determine if the portion of the facility rate funded through the contract due to the temporary vacancy will continue. The established facility rate is prorated for a partial month of service when a consumer is discharged from the facility.

In regard to the individual rate, the service provider selected shall submit the completed DDS form DS 6024 as to the regional center for review and written approval prior to a consumer's admission to the Enhanced Behavioral Supports Home. A consumer's Individual Behavior Supports Team shall review the consumer's individual costs within 60 days of initial placement, and at least annually thereafter, and submit an updated DDS form DS 6024 to the regional center within 30 days, for review and written approval. The monthly individual rate may not exceed the maximum rate of reimbursement to be determined by DDS. When a consumer is temporarily absent from the facility 14 days or less per month, the individual rate may be paid by the regional center for the full month. When the consumer's temporary absence is due to the need for inpatient care in a health facility, the regional center may continue to pay the established individual rate as long as no other consumer occupies the vacancy created by the consumer's temporary absence or until the individual behavior supports team has determined that the consumer will not return to the facility. Individualized services and supports funded by the regional center during a consumer's temporary absence shall be approved by the regional center director and shall only be approved in 14-day increments.

Awardee will need to operate a minimum of three years. Applicants must adopt a non-reject policy toward consumers who meet the entrance criteria referred for services and a commitment for modifying supports to ensure continued stability.

The interested parties are invited to submit a proposal to NLACRC in accordance with the specifications contained in this Request for Proposal (RFP) for the development and operation of the facility.

Start-up funded is awarded with the intent of defraying the cost to develop new services. Therefore, commitments in the form of hard (dollar) and/or soft (in-kind) contributions are necessary for each applicant receiving an award. Selection will be based on the proposal which best meets the desired elements of this RFP.

PURPOSE & SCOPE

The selected service provider will be required to develop and operate an Enhanced Behavioral Supports Home for no more than four adults with developmental disabilities who require intensive services and supports due to challenging behaviors that cannot be managed in community setting without the availability of enhanced behavioral services and supports, and who are now in more restrictive living arrangements, including the state developmental center, locked mental health facility, or are at risk of institutionalization. The home will be located within the NLACRC catchment area as indicated in the attached. In addition, the home will be located in a typical residential neighborhood having enough indoor and outdoor space for resident activities.

ENHANCED BEHAVIORAL HOME SPECIFICATIONS

Serving individuals with developmental disabilities who require intensive services and supports due to challenging behaviors that cannot be managed in a community setting without the availability of enhanced behavioral services and supports, and who are now in, or at risk of placement in, more restrictive living arrangements, including a state developmental center or locked mental health facility. The following specifications are required:

  • Private bedroom for each consumer (no more than 4 consumers)
  • A home with a fenced yard
  • Highly structured program services, including night component with at least one awake staff
  • Providing assistance to consumers in accessing mental health resources, medical resources, other generic resources, or community treatment groups.
  • The home administrator, licensee's qualified behavior modification professional, the regional center service coordinator, and other regional center representatives, as necessary, the consumer and his or her authorized representatives are required to comprise the Individual Behavior Supports
  • Team meetings and contribute to the individual behavior supports plan.
  • The regional center Clients Rights Advocate will participate in the Individual Behavior Supports Team meeting unless the consumer objects on his or her own behalf to participation by the Clients' Rights Advocate.
  • The regional center will conduct at least quarterly quality assurance visits using a format prescribed by DDS in addition to a minimum of quarterly face-to-face, onsite case management visits with each consumer.
  • A regional center qualified behavior modification professional shall visit with or without notice, the consumer, in person, at least monthly in the Enhanced Behavioral Supports Home, or more frequently if specified in the consumer's individual behavior supports plan.
  • DDS shall conduct onsite visits to all the Enhanced Behavioral Support Homes at least every six months.
  • The administrator is responsible for coordinating the development and subsequent updating of each consumer's Individual Behavior Supports Plan.
  • The initial behavior supports plan shall be developed within one week of the consumer's admission. The Individual Behavior Supports Team members shall provide their input for inclusion in the Individual Behavior Supports Plan within 30 days of the consumer's admission, review the plan monthly and provide updated information as necessary.
  • The Individual Behavior Supports Plan must be function-based, evidence-based, and target functionally equivalent replacement behaviors. Refer to Section 59054 for detailed requirements of Individual Behavior Supports Plan.
  • Prior to vendorization, the vendoring regional center and the vendor shall execute a contract (service agreement)
  • An Enhanced Behavioral Supports Home must have an operable automatic fire sprinkler system approved by the State Fire Marshal or local fire department as condition of certification.
  • Required State Developmental Center Transition Program participation is facilitated by the Regional Center State Developmental Center Liaison and the Regional Resource Development Project at State Developmental Center.
  • The selected service provider needs to coordinate and collaborate with the Regional Resource Development Project which will introduce the State Developmental Center Transition Team.
  • The State Developmental Center Transition Team is composed of at the minimum of a physician, psychologist, and direct care staff who are most familiar with the consumers.

PERSONNEL QUALIFICATIONS

ADMINISTRATOR: Have a minimum of two years of prior experience providing direct care or supervision to individuals with developmental disabilities; and be one of the following: (A) A Registered Behavior Technician (B) A licensed psychiatric technician (C) A qualified Behavior Modification Professional. Have possession of ARF Administrator certification, DSP I, DSP II, & NLACRC Residential Services Orientation certificates prior to provision of services to consumers.

DIRECT CARE LEAD STAFF: Have one-year prior experience providing direct care or supervision to individuals with developmental disabilities; and become a Registered Behavior Technician within 60 days of initial employment; or, be either: (A) A licensed psychiatric technician; or (B) A Qualified Behavior Modification Professional.

DIRECT CARE STAFF (DSP): Have six months prior experience providing direct care or supervision to individuals with developmental disabilities; and become a registered Behavior Technician within twelve months of initial employment. Have familiarity with charting, medication administration and side effects, collection of behavioral data, and positive behavior support. The DSP will have the ability to speak English and at least one DSP on duty will have the ability to speak the primary language of consumers. Direct care staff should possess skills and expertise to effectively manage assaultive behaviors and implement restricted health care plans, if indicated.

Consultant Hours: The administrator shall assign a qualified behavior modification professional to each consumer. A minimum of 6 hours per month of behavior consultation, which includes review, implementation, and training of direct care staff on behavior assessments and behavior interventions must be provided to each consumer by a Qualified Behavior Modification Professional. This time must be documented in the consumer file.

In addition to the hours required above, the facility administrator shall ensure provision of a minimum of 6 consultant hours per month per consumer, which must be appropriate to meet individual consumer service needs.

Staff Training Plan: On-site Orientation-Within the first 40 hours of employment, the administrator shall ensure that direct care staff complete a minimum of 32 hours of on-site orientation. Refer to Section 59063 for the required training topics. Staff who have not completed the on­ site training must work under the supervision of a fully trained direct care lead staff.

Emergency intervention training - In addition to the on-site orientation, the administrator shall ensure that direct care staff receive a minimum of 16 hours of emergency intervention training, which includes the techniques the licensee will use to prevent injury and maintain safety regarding consumers who are a danger to self or others and must emphasize positive behavioral supports and techniques that are alternatives to physical restraints, pursuant to Title 22, Sections 85322, 85365 and 89965(i). A direct care staff person may not implement restraints prior to successfully completing the emergency intervention training. Direct care staff's emergency intervention training is required to be renewed annually.

All staff including the administrator shall complete the competency-based trainings, segments I and II and pass the competency tests.

Continuing Education - a minimum of 20 hours of continuing education on an annual basis covering, but not limited to, the subjects specified in Section 59063 (a), on-site orientation. The administrator shall require additional continuing education, as necessary, to ensure the continued health and safety of each consumer. CPR and First Aid certification shall be current at all times and CPR certification must be renewed annually.

RESIDENT PROFILE

  • Adults, male and female
  • Diagnoses of mild to profound intellectual mental disability
  • May have dual diagnosis (developmental disability and mental illness) Autism Spectrum Disorder
  • Ambulatory or non-ambulatory
  • May require physical restraints during behavioral outbursts May require 2:1 staffing
  • May have assaultive behaviors resulting injury to others
  • May have severe self-injurious behaviors requiring medical attention May require Health Restricted Health Care Plan

Medical - Stable conditions including but not limited to seizure disorder, diabetes insulin dependence, assistance with monitoring glucose levels, g-tube dependent, weight monitoring, and vitamin supplemental intake regimes.

Mental Health - dual diagnosis (intellectual disability and mental illness), including depression, anxiety disorder, psychotic disorder, obsessive compulsive disorder, neurotic disorder.

Self-Help - capable to perform some of self-help skills with assistance. However, consumers may not be cooperative, or allow staff to perform activities of daily living.

Significant History/Services - may have an array of behavior challenges including the following behaviors: inappropriate sexual behaviors, physical aggression, frequent psychiatric hospitalizations, AWOL, severe self-injurious behaviors, property destruction, and disruptive sleep patterns.

Consumers identified for an Enhanced Behavioral Supports Home may have history of placement at mental health institution(s), out-of-state placement(s) or unsuccessful placements in Level 41 ARFs and SRFs.

History of physical aggression (running into others, head butting others, hitting, pushing, kicking and scratching others), self-injurious behavior (biting, throwing self against hard surfaces, more severe forms of SIB), and lack of safety awareness. Both physical aggression and self-injurious behavior may cause severe physical injury which requires a physician's attention to the consumer or to others.

Recreational/Leisure - The identified vendor shall provide opportunities for structured, supervised leisure activities to promote socially appropriate behavior and release frustration and tension. Opportunities for water usage as a therapeutic venue (pool, jacuzzi) will be provided by the vendor if it is determined by the planning team to be beneficial and preferable.

Supports Needed -

  • Behavioral intervention services, Socialization skills and interpersonal relationship training, Community inclusion services, crisis intervention, day programming, dietary services, support of consumers that are employed, recreation/leisure activities, and consistent medical services.
  • 2:1 staffing during programming hours if needed Advocacy services
  • Development and implementation of restricted health care plans, as necessary, and as specified in Title 22 Community Care Licensing Regulations.
  • Acquisition and maintenance of adaptive equipment, if necessary

Day Opportunities

  • Consumer(s) may be without a regional center funded day program for indefinite period of time depending on consumer choice and preference, or due to behavioral challenges.
  • A wide variety of community integration activities to include support of consumers in vocational services.
  • Provide appropriate approved services throughout the day when the consumer(s) chooses not to attend day program(s), or is not accepted into a day program, or an appropriate day program is not available.
  • Center-based or community-based component depending on consumer preference. Mental health day treatment service if appropriate.
  • May require close supervision while out in the community.

The Enhanced Behavioral Supports Home shall exceed the minimum requirements of a Residential Facility Service Level 41 pursuant to Sections 56004 and 56013 of Title 17 Regulations, and shall meet all applicable regulations contained in Welfare and Institutions Code, Section 4648.1, (c) (2) & (3); Division 2, Title 17 of the California Code of Regulations (CCR); and Division 6, Title 22 CCR. The selected service provider is required to abide by the Residential Services and Quality Assurance Regulations in Title 17, Division 2, Chapter 3, Subchapter 4. Sections 56001 to 56003, 56018 to 56033, 56040 to 56057; Subchapter 6. Section 56917; and Subchapter 24. Sections 59050 to 59072 as they apply to the operation, reporting, access, payment and monitoring requirements for residential facilities.

VENDORIZATION PROCESS

Vendorization is the process for identification, selection, and utilization of service providers based on the qualifications and other requirements necessary in order to provide services to consumers. The vendorization process allows regional centers to verify, prior to the provision of services to consumers, that an applicant meets all of the requirements and standards specified in regulations and statutes.

All material and information provided herein is for the sole use of the applicants applying for this EBSH RFP.

In addition to the qualifications outlined in the RFP below, all applicants must demonstrate familiarity of California Code of Regulations, Title 17, general provisions and be eligible for vendorization by NLACRC. All applicants must also demonstrate that they possess the necessary relevant professional experience and organizational capacity to create and sustain the provision of this service. Further, each of the four (4) facilities described in this RFP are owned by Scioto. Interested applicants are required to provide copies of audited financial statements to demonstrate financial ability to lease one or more of these facility(s) directly from Scioto.

NLACRC invites all interested parties, meeting the qualifications described below, to review the information listed herein and submit a proposal to NLACRC for consideration. NLACRC appreciates your interest in responding to this RFP to meet the unique needs of adult consumers are in need of residential services.

A. BACKGROUND OF NLACRC:

NLACRC is a private, nonprofit corporation, which contracts with the State of California’s Department of Developmental Services (“DDS”), to provide services and supports to persons with developmental disabilities and their families in the San Fernando, Santa Clarita, and Antelope Valleys. Developmental disabilities include intellectual disabilities, epilepsy, autism, and cerebral palsy. The Internal Revenue Services (“IRS”) has established NLACRC as a 501(c)(3) corporation.

NLACRC serves nearly 27,000 consumers within its catchment area. Services and supports provided by NLACRC to our consumers include diagnostic, evaluation, case management, and early intervention services. In addition, NLACRC purchases services from over 1,000 entities or individuals in NLACRC’s catchment area. The purchased services include, but are not limited to, out-of-home residential services, community-based day programs, transportation, independent living services, supported living services, Early Start services for children under the age of 3 years, family supports, such as day care or respite, and behavioral intervention services.

NLACRC’s funding from DDS includes funding for both the operations of the regional center and the services purchased for consumers NLACRC’s allocation from DDS for fiscal year 2018-2019 is $471,915,480 of which $51,210,984 is for regional center operations and $420,704,796, is for purchase of services. NLACRC anticipates similar funding from DDS in future years.

More information regarding NLACRC and the services provided by NLACRC can be found on NLACRC’s website at www.nlacrc.org.

B. RATE OF REIMBURSEMENT

The rate of reimbursement for on-going services will vary by project. Each rate will be based on the approved enhanced services, be cost-effective, and will be based on the DDS statewide median rate methodology. See each project description for available rate and service code information.

C. START-UP FUNDING

The maximum amount of start-up funding available for each project is outlined on the first page of this RFP. It is understood that the actual cost to complete the start-up of the facility may exceed this amount. Any additional costs will be the responsibility of the applicant. Payment of claims submitted to the regional center is contingent upon the provision of acceptable documentation including, but not limited to: invoices, receipts, and cancelled checks. It is understood if the vendored ongoing service developed through the start-up contract is terminated before six (6) years of service, the Contractor shall pay back a portion of the start-up funds received for that service as follows: One sixth (1/6th) of the total start-up funds received for the service will be forgiven for each year of service, and partial years of service will be prorated to a full year. For example, if Contractor terminates service two (2) years and three (3) months from the agreed upon start date of the services, the amount to be forgiven shall be calculated as three (3) years, inclusive of rounding partial year. Therefore, in this example, three (3) years equaling 3/6th or 50% of the total start-up payment shall be due from Contractor within seven (7) business days from the last day of service provision. Contractor’s final payment for services shall not be released until repayment in full of any outstanding amount due to NLACRC resulting from termination prior to completion of six (6) years of service.

D. ELIGIBLE APPLICANTS

Both non-profit and proprietary organizations are eligible to apply. Employees of Regional Centers are not eligible to apply. Applicants must disclose any potential conflicts of interest per Title 17 Section 54500 and by completing Attachment J, the Notice of Exclusion from CalPERS Membership. Applicants, including members of the governing board, must be in good standing in regards to all services vendored with any regional center and be financially solvent.

  • APPLICANT PARTNERSHIPS AND MATERIALS SUBMITTED
    Applicants who apply as partners must have full knowledge of the proposal packet and must demonstrate commitment to the project during start-up and ongoing operations. However, if a partner’s sole purpose is to provide financial backing to the project, the financial backer need only show financial commitment. If the partner’s role is only to provide technical support (e.g., drafting the RFP response), the applicant receiving such support is responsible for all language contained in the RFP and the eventual program design.

E. SELECTION PROCEDURES:

All proposals received by the deadline will be reviewed and scored by the Proposal Screening Committee selected by NLACRC. Proposals will be reviewed for timeliness, completeness, quality, experience and fiscal stability of applicant, reasonableness of costs, ability of applicant to identify and achieve consumer outcomes, and the ability of proposed project to respond to the identified needs of NLACRC. After preliminary review and scoring, an interview with the finalists will be scheduled. Interviews will be scheduled July 23th and 25th, 2019 between 9-5 pm. The final decision of the Proposal Screening Committee shall be approved by the Executive Director, and is not subject to appeal. All applicants will receive notification of NLACRC’s decision regarding their proposal.

F. RESERVATION OF RIGHTS:

NLACRC reserves the right to request or negotiate changes in a proposal, to accept all or part of a proposal, or to reject any or all proposals. NLACRC may, at its sole and absolute discretion, select no provider for these services if, in its determination, no applicant is sufficiently responsive to the need. NLACRC reserves the right to withdraw this Request for Proposal (RFP) and/or any item within the RFP at any time without notice. NLACRC reserves the right to disqualify any proposal which does not adhere to the RFP guidelines. This RFP is being offered at the discretion of NLACRC. It does not commit the regional center to award any grant. Please note applicants must be in good standing with NLACRC and other Regional Centers and may be disqualified for any of the following: receipt of Correction Action Plan (CAP), Sanction or Immediate Danger findings, failure to disclose any history of deficiencies or confirmed reports of consumer abuse, previous failure to perform, or unwillingness to comply with Title 17 and NLACRC best practices.

G. COSTS FOR PROPOSAL SUBMISSION:

Applicants responding to the RFP shall bear all costs associated with the development and submission of a proposal.

H. INQUIRIES/REQUEST FOR ASSISTANCE

All additional inquiries regarding this application or requesting technical assistance for this RFP only, should be directed to Lisa Mayti LMayti@NLACRC.org. Technical assistance is limited to information on the requirements for preparation of the application packet. Applicants are expected to prepare the documentation themselves or retain someone to provide such assistance. If an applicant chooses to retain assistance from another party, the applicant must be able to thoroughly address all sections of the proposal during the interview process and/or demonstrate that the party assisting with the application will have a continuing role in the ongoing operation of the program

I. MAXIMUM RATE OF REIMBURSEMENT

The rate of reimbursement for EBSH residential services will be negotiated between the regional center and the applicant up to one of the maximum allowable rates:
Pursuant to Welfare & Institutions Code (WIC), Section 4691.9, no regional center may negotiate a rate with a new service provider, for services where rates are determined through a negotiation between the regional center and the provider, that is higher than the regional center’s median rate for the same service code and unit of service, or the statewide median rate for the same service code and unit of service, whichever is lower. The unit of service designation must conform to an existing regional center designation, or if none exists, a designation used to calculate the statewide median rate for the same service.

(Subject to DDS approval)

SUBMISSION OF PROPOSALS

Please mail 15 copies of your proposal for review to:
North Los Angeles Regional Center
c/o: Lisa Mayti
9200 Oakdale Avenue
Chatsworth California, 91311

PROPOSAL PREPARATION GUIDE

The following information is provided to assist the applicant in preparing their proposal:

  1. Attachment A: NLACRC proposal writing Guidelines
  2. Attachment B: Proposal Title Page
  3. Attachment C: Table of Contents and Proposal Requirements
  4. Attachment D: Program Design Requirements
  5. Attachment E: Vendor Application (Form DS 1890)
  6. Attachment F: Applicant/Vendor Disclosure Statement (Form DS 1891)
  7. Attachment G: Home & Community Based Services Provider Agreement
  8. Attachment H: Draft Service Provider Contract(s) - Forthcoming
  9. Attachment I: Service Provider Insurance Policy
  10. Attachment J: Cost Statement Requirements
  11. Attachment K: Statutes and Regulations
  12. Attachment L: Use of Start-Up funds
  13. Attachment M: Median Rates for Specialized Residential Facility (SRF)

J. INFORMATION TO INCLUDE IN PROPOSAL

  1. Attachment A: Proposal Title page
  2. Attachment D: Program Design Requirements
  3. Attachment E: Vendor Application (Form DS 1890)
  4. Attachment F: Applicant/Vendor Disclosure Statement (Form DS 1891)
  5. Attachment G: Home & Community Based Services Provider Agreement
  6. Attachment I: Cost Statement
  7. Organization Chart
  8. Resumes of Staff
  9. Job descriptions of all positions
  10. Three (3) references
  11. Copy of the last three (3) years of independent audit or review reports
  12. Completed IRS W-9 Form
  13. Income Tax, Profit and Lost statements, balance sheets, and independent audit report or review report for the last three (3) years

K. SELECTION TIMETABLE IS AS FOLLOWS:

  1. Information conference on Tuesday, July 02, 2019 at 1:30 p.m. NLACRC’s Chatsworth office located at 9200 Oakdale Avenue, Suite 100; Chatsworth, CA 91311
  2. Proposals due to NLACRC no later than Monday, July 15, 2019 by 5:00pm PST
  3. Interviews week of July 23-25th, 2019 from 9:00am-5:00pm
  4. Selection by July 29, 2019
  5. Present Contract for Administrative Affairs Review: Wednesday, July 31, 2019
  6. Present Contract for Board Approval: Wednesday, August 14, 2019
  7. Finalize vendorization/contract paperwork Wednesday August 28, 2019
  8. The service provider awarded contract should be executed Tuesday September 10, 2019

NLACRC PROPOSAL WRITING GUIDELINES:

The applicant is required to submit an electronic copy in a word compatible document. An application will be disqualified from consideration for failure to follow instructions, complete documents, submit required documents or meet the submission deadline. All proposals submitted must adhere to the following requirements:

  1. Use Standard size format so proposal will print out on a standard 8 ½ x 11 paper
  2. Proposal must be typed using a standard font (12).
  3. Every page must be numbered consecutively.
  4. The “Proposal Title Page” must be the first page of the proposal.
  5. The proposal must include a Table of Contents that corresponds to Content Requirements.
  6. All sections of the Content Requirements must be addressed in the proposal.

L. EVALUATION CRITERIA

The CRPD RFP Evaluation Committee will use the criteria below to rate proposals submitted by EBSH potential providers. Each proposal shall be organized into the following six (6) sections, which are described in Attachment B, Table of Contents and Proposal Requirements. Each section will receive a maximum score as follows:

Proposal Section Maximum Score
Fiscal Responsibility 30 points
Budgets – Start-up and On-going Rate 10 points
Agency/Individual Experience and Background Agency/Individual Experience and Background
Agency Organization and Program Staffing 10 points
Start-up Activities/Objectives and Milestone 10 points
Program Design 30 points
Total Maximum Points 100

M. TIMELINE FOR DEVELOPMENT:

It is anticipated that each applicant, awarded start-up funds through this RFP, will be operating the facility(s) within one year after the contract has been executed.

N. SELECTION PROCEDURES:

All proposals received by the deadline will be reviewed and scored by the RFP Evaluation Committee established by NLACRC. The CRDP RFP Evaluation Committee shall be comprised of at least four (4) members, the majority of whom shall have experience in evaluating, procuring, or providing EBSH services. Proposals will be reviewed for completeness, experience, qualifications, fiscal stability of applicant, reasonableness of costs, and the ability of applicant to identify and achieve consumer outcomes, and the ability of the proposed project to address identified needs of NLACRC.

O. AWARD PROCESS

Upon selection of EBSH service providers, NLACRC will issue an Award Letter to the applicant selected for the provision of residential services. The award letter will provide instructions for completing the contracting process, to include the Vendor Application (Attachment E); Home & Community Based Services Provider Agreement (Attachment F); Service Provider Contract (Attachment G); and documentation of appropriate insurance. The applicant selected will be expected to complete and submit all required documentation to complete the contracting process by August 7, 2019, in order to provide NLACRC’s Board of Trustees the opportunity to review and approve the contract on August 14, 2019 so that the service provider awarded contract can be executed September 10, 2019.

P. RESERVATION OF RIGHTS:

NLACRC reserves the right to request or negotiate changes in a proposal, to accept all or part of a proposal, or to reject any or all proposals. NLACRC may, at its sole and absolute discretion, select no provider for these services if, in its determination, no applicant is sufficiently responsive to the need. NLACRC reserves the right to withdraw this Request for Proposal and/or any item within the RFP at any time without notice. NLACRC reserves the right to disqualify any proposal which does not adhere to the Request for Proposal guidelines. This Request for Proposal is being offered at the discretion of NLACRC. It does not commit the regional center to develop any project. The selection of a finalist through this Request for Proposal does not commit the regional center to refer consumers for services to the selected finalist.

Q. COSTS FOR PROPOSAL SUBMISSION:

Applicants responding to the Request for Proposal shall bear all costs associated with the development and submission of a proposal.

R. INQUIRIES/REQUEST FOR ASSISTANCE

All additional inquiries regarding the application or requesting technical assistance should be directed to:

Vendorization questions: resourcedevelopment@nlacrc.org.

Technical assistance is limited to information on the requirements for preparation of the application packet. Applicants are expected to prepare the documentation themselves or retain someone to provide such assistance. If an applicant chooses to retain assistance from another party, the applicant must be able to thoroughly address all sections of the proposal during the interview process and/or demonstrate that the party assisting with the application will have a continuing role in the ongoing operation of the program.

S. PROTEST PROCEDURE

Within thirty (30) days of selecting the applicant, NLACRC shall post on its website the intent to award notice to include the applicant selected and the contract award date. All unsuccessful applicants shall be notified by NLACRC in writing ten (10) days prior to posting the intent to award notice on NLACRC’s website. All unsuccessful applicants have the right to protest NLACRC’s notice of intent to award the contract. Unsuccessful applicants shall have ten (10) days upon receipt of intent to award notice to protest the intent to award the contract (“Protest”). If the unsuccessful applicant does not submit the written Protest within the ten (10) day period, NLACRC shall deny such Protest and the Intent to Award notice shall be deemed final. Protests shall be in writing and shall state the grounds (s) for the protest. All Protests must be mailed, emailed, or faxed to the following address:

Evelyn McOmie, Community Services Director
NLACRC
9200 Oakdale Avenue, Suite 100
Chatsworth, CA 91311
emcomie@nlacrc.org
818-756-6151

NLACRC shall take one of the following steps below, within thirty (30) days upon receipt of a written Protest:

1) Not award the contract until the protest has been withdrawn or the regional centers has resolved the protest; OR

2) Terminate the EBSH process by notifying all bidders in writing within ten (10) days after the decision to terminate the contract award process; and correct the disputed items and rebid the contract;

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