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<br />Lutheran Family Services in the Carolinas <br /> <br />ATTACHMENT B - Scope of Work <br /> <br />Federal Tax Id. or SSN 561286323 <br />Contract # <br /> <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Lutheran Family Services in the Carolinas <br />2. If different from Contract Administrator Information in General Contract: <br />Address <br /> <br />Telephone Number: (704)940-3324 Fax Number: (704) 334-8815 <br />Emait pat.covington@lfscarolinas.org <br />Name of Program (s): Lutheran Family Services in the Carolinas <br />4. Status: () Public ( x ) Private, Not for Profit () Private, For Profit <br />5. Contractor's Financial Reporting Year July 1,2006 through June 30, 2007 <br /> <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): <br /> <br />Lutheran Family Services in the Carolinas shall maintain one around-the-clock home in <br />Concord, North Carolina for the sole and exclusive use of Cabarrus County Department <br />of Social Services, he~einafter referred to as CCDSS. The home shall provide adequate <br />care and supervision for not more than six (6) children at all times. CCDSS may place <br />such children in the home as CCDSS, in its sole discretion, deems advisable. Lutheran <br />Family Services in the Carolinas shall provide room, board, adequate house parent staff <br />supervision, routine school supplies, and allowances for the children placed in the home. <br />Lutheran Family Services in the Carolinas shall provide transportation for each child to <br />and from school, to medical appointments, and mental health appointments and shall <br />remain with them at said appointments. Lutheran Family Services in the Carolinas will <br />schedule a physical e~am for each child within seven (7) days of admission. Lutheran <br />Family Services in the Carolinas will meet with the school at each child's enrollment to <br />discuss his educational plan and will review this plan with the school each month. <br />Lutheran Family Services in the Carolinas will provide written documentation to CCDSS <br />upon request, conduct regular Plan of Care meetings regarding each child in the home, <br />and conduct generic meetings with CCDSS as requested to discuss the overall services <br />being provided. <br /> <br />SIS code will be 109. <br /> <br />C. Rate per unit of Service (define the unit): <br /> <br />1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) <br /> <br />Contract-Scope of Work (06/04) <br /> <br />Page lof2 <br /> <br />F-10 <br />