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X. D.S.$, shall also meet these additonal requirements: <br /> <br /> l) Procedures for Collecting Program Income, purchaser shall furnish envelopes. <br /> 2) Current job descriptions for each staff member involved in the service. <br /> 3) Procedures for evaluation of the service by participants (at least annually). <br /> 4) Training plan for all staff involved with service. <br /> 5) Grievance procedures for all participants. <br /> 6) Policy for termination of service. <br /> 7) policy fo~ reporting changes in participants condition. <br /> 8) Written 'plan [or how the agency will provide general and mervlce, specific <br /> information and procedures for referral. <br /> 9) Written plan and documentation of outreach activities. <br /> <br />Y. D.S.$. is required to provide the following reports to the Purchaser by the <br /> designated date of each month: <br /> <br /> 1) Completed MIS Client Registration Forms. <br /> 2) Completed requests for reimbursement. <br /> a) Requests for reimbursement shall consist of a summary sheet prepared by <br /> D.S.S. Back up documentation will be maintained at D.S.S. which consists <br /> of a signed statement by worker and participant and/or guardian, unpaid <br /> caregiver which state hours and duties of service. Cabarrus County Time <br /> Records are not sufficient. <br /> <br />9. D.S.S, agrees to meet with Purchaser one time per quarter and including necessary <br /> follow-up mssessment as in compliance with D0A and COG to evaluate Chore Service <br /> Program operation and quality of service. Meetings shall be scheduled. Ail <br /> units of service shall meet the required minimum service standards as adopted <br /> and implemented by North Carolina Division of Aging. <br /> <br />10. Ail referrals for tile direct service provision shall be referred to D.$.S. <br /> Each case will be evaluated by D.S.S. and referred appropriately to Program. <br /> <br />11. D.S.$. shall furnish the purchaser with a monthly program report and request <br /> for payment of units of service delivered. Such reports shall be furnished <br /> within 10 working days after the end of each month. A client 101 Registration <br /> Form must be submitted with reports. <br /> <br />12. D.S.S. shall encourage participants to make monthly contributions based on sliding <br /> fee scale. Contributions shall be mailed or delivered to Cabarrns County Depart- <br /> ment of Aging. No participant is denied services due to inability to contribute. <br /> <br />13. D.S.S, shall provide back-up documentation from chore workers who are related <br /> to participants which varifies employment dates. A relative for purposes of <br /> this contract are mother, father, sister, brother, daughter, son, tn-law or <br /> spouse of the preceeding. <br /> <br /> <br />