FOR DEVELOPMENTALLY DISABLED PERSONS, INC.
South Central Los Angeles Regional Center
Unfunded Request for Proposals (RFP) Announcement
Fiscal Year 2015-2016
Project #1
3-4 Bed Non-Ambulatory Specialized Residential Facility for
Consumers with Diabetes and/or Similar Medical Conditions
Project #2
3-4 Bed Ambulatory Specialized Residential Facility for
Consumers with Diabetes and/or Similar Medical Conditions
INSTRUCTIONS AND FORMS
Written Proposals Due: Monday, October 5, 2015 by 4:30pm
South Central Los Angeles Regional Center
Unfunded Request for Proposals (RFP) Announcement
Fiscal Year 2015-2016
Overview
South Central Los Angeles Regional Center (SCLARC) is requesting proposals from interested parties to develop and operate a three or four bed, specialized adult residential facility. The home will accommodate three to four consumers (male or female) with mild to moderate mental retardation and diabetes and/or similar medical conditions that do not require intense nursing supervision (similar to an ICF-DDN). Consumers exhibit inappropriate behaviors related to being noncompliant with the lifestyle requirements necessary to manage their diabetes or similar medical condition. The individuals require structured environment and close staff supervision.
All 3 beds must be wheelchair accessible and sound proofed. Consumers exhibit physical aggression, self-injurious behavior (SIB) and some may be wheelchair dependent, have gait or mobility issues. All require a very structured environment and constant staff supervision.
The ongoing reimbursement will be negotiated, based on the applicant’s budget and median rate limitations. The rate accommodates the following requirements:
· The facility will provide individual bedrooms for each consumer.
· During awake hours staffing will include at least 1 LVN per shift.
· The staffing level during awake hours will be as follows:
o 1 consumer in placement- 1 direct care LVN
o 2 consumers in placement- 1 direct care LVN
o 3 consumers in placement- 1 direct care LVN and 1 direct support person
o 4 consumers in placement- 1 direct care LVN and 2 direct support persons
· The staffing level during overnight hours will be as follows:
o 1-2 consumers in placement- 1 awake direct support person
o 3-4 consumers in placement- 2 awake direct support persons
· RN consultant hours that will exceed the typical 4I requirement.
The applicant chosen for this development must agree to accept consumers identified by SCLARC for placements into this home.
Applicant Eligibility and Minimum Service Requirements
· Applicants must be in good standing. Applicants with a history of deficiencies issued by a licensing agency, corrective actions issued by the regional center or similar actions taken by a placement or oversight agency may not be considered for this development.
· Applicants must have at least 3 years- experience as a regional center vendor or facility administrator, operating a level 4I or specialized adult residential facility serving consumers with significant maladaptive behavioral and health care issues.
· Applicants must have an identified administrator with a minimum of 3 years-experience working with the target population in a licensed residential setting. This individual must have a current administrator’s certificate from Community Care Licensing and have completed the Direct Support Professional Training year one and two course work (challenge tests cannot be accepted). The individual must also be PCMA, CPI or PRO-ACT certified. If the individual has not completed SCLARC’s residential services orientation, they must enroll in the January 2016 class.
· The administrator is required to be present at the facility a minimum of 20 hours per week. At least 75% of this time must be when consumers are present in the home.
· The administrator must not oversee more than 10 facility beds at any location.
· Applicants must have an identified behavior management consultant. This individual must be a BCBA with the appropriate national certification. If an individual other than a BCBA is used, he/she must have completed twelve semester units in applied behavior analysis and possess a valid license as a psychologist, a clinical social worker, licensed marriage and family therapist, or licensed professional whose California licensure permits the design and/or implementation of behavior modification intervention services. The behavior management consultant identified by the applicant, must be the actual individual providing direct services to the consumers. This function cannot be assigned to a behavioral assistant.
· The behavior management consultant must have a minimum of 3 years experience designing and implementing behavior modification intervention services to consumers with significant behavioral issues, medical conditions and mild to moderate mental retardation.
· Applicant’s behavior management consultant must provide services at no less than four (4) hours per consumer, per month.
· Applicants must have an identified registered nurse consultant, with a minimum of 2 years experience working with persons with developmental disabilities. The minimum number of consultant hours per month will be individualized to each consumer’s needs, but will average a minimum of 8 hours per month per consumer.
· Applicants must have an identified registered dietitian who is familiar with providing services to diabetics.
· Applicants must identify community medical and health care resources as soon as the location of the property is identified. This includes an endocrinologist, neurologist, psychiatrist, and general practitioner. Applicant must submit written confirmation that each has admitting privileges at a local hospital.
· Direct support professionals must have a minimum of 2 years experience providing services to persons with developmental disabilities with significant behaviors and medical conditions. These individuals must also have a high school diploma or equivalent. Each shift must be staffed with at least 1 LVN.
· All staff must be PCMA, PRO-ACT or CPI trained before they are allowed to work with consumers in the facility. Staffing must be in place on the date the facility becomes operational.
· Direct care staff must meet the Direct Support Professional Training year one requirement prior to employment. LVNs not meeting the requirement must begin the course work within 45 days of hire.
· Direct support professionals must be paid a minimum of 150% of the State’s pending minimum wage. Applicant’s LVNs will be funded at the MediCal rate.
· Applicants will be required to operate a structured living environment with constant consumer supervision. Consumers will not be allowed in the community without staff supervision unless it is indicated in the consumer’s IPP.
· Some consumers may not be able to participate in a traditional day program. The applicant must be prepared to provide structured activities during hours the consumer would normally be at a community based day program. Applicants should consider this periodic additional staffing requirement in their initial ongoing budget because additional funding may not be available once the facility becomes operational.
· Applicants must make arrangements for supplemental services to be provided to the consumers.
· Applicants will be required to have a scale for measuring weight that is appropriate for the target population. For example, if the consumer is wheel chair dependent, have gait/mobility issues etc., a scale for measuring a non-ambulatory consumer’s weight will be required.
· Applicants must have a gradual dose reduction plan in place for psychotropic medications.
· Applicants must have a written plan to address all of the compliance requirements associated with the drug Clozaril. This includes contracting with a medical service provider that provides in-home services for the weekly blood monitoring.
· Applicants must have a written shift transition procedure which will allow for a 10 to 15 minute overlap so off-going and on-coming staff at every shift will be informed about important behaviors and/or medical issues. Applicants will account for the overtime costs in the initial ongoing budget.
· SCLARC’s quality assurance staff will conduct facility monitoring visits on a semi-annual basis.
· A vehicle that can accommodate the transportation needs of the consumers must be assigned to the facility.
· Direct support professionals must be trained to safely escort consumers to outside services and programs and address behavioral issues that may occur in the van.
· The applicant is required to accept the consumers SCLARC identifies for placement. The applicant must commit to modifying services and supports to address any challenges encountered. Issuing a 30 day termination notice is not acceptable unless a full ID team meeting is held and the team agrees that the placement is not appropriate, and SCLARC gives approval for the service termination.
· Each consumer will have their own bedroom, with a full or queen size bed. The individuals will be involved in choosing their own décor.
· Applicants are asked to be prepared to begin providing direct services to consumers by
January 1, 2017.
Applicants Ineligible
The following agencies or individuals are not eligible:
· The State of California, its officers or its employees;
· A Regional Center, its employees, or their immediate family members;
· Area Board members, their employees or their immediate family members;
· Any applicants with a conflict of interest with either its board members or employees.
Proposal Submission
· The Proposal will not be considered for review if it is received after the 10/5/15 deadline.
· Three (3) copies of the proposal are due on 10/5/15 at 4:30 p.m.
· The contact person for this project is Monica Mahon. She can be reached at .
Timeline
· Request for Proposals Announcement……………………………………….... 9/04/15
· Proposal Submission Deadline……………………………………………………….. 10/05/15
· Proposal Review and Selection………………………………………………………. 10/19/15 –10/28/15
· Executive Director Review and Approval……………………………………….. 10/28/15-11/13/15
· Vendor Notification……………………………..………………………………………..11/16/15
· Applicant Serves Consumers…………………………….…………………………... 07/01/2016
Selection Procedures
The proposals will be reviewed, scored and prioritized. Failure to follow RFP guidelines or the submission of incomplete documents will result in rejection. Scoring will be as follows:
· Organization Background and Experience……………………………………. 10
· Proposal Narrative and Program Design..…………………………………….. 50
· Implementation Plan……………………………………………………………………. 10
· Evaluation of Previous Performance (service track record)…………. 20
· Number and type of current projects throughout CA…………………… 10
Total…………………………………………………………………………………………….. 100
Rights Reservations
· SCLARC reserves the right to reject any or all proposals received as a result of this Request for Proposals or to negotiate separately with any contractor when it is determined to be in the best interest of SCLARC.
· SCLARC reserves the right to select any one of the finalists interviewed regardless of the proposal score.
· SCLARC’s decision will be final in any manner of interpretation of the RFP (Request for Proposals).
Proposal Narrative
Organization Background and Experience
1. Contact Information-name, address, email address and telephone number of applicant and for the individual to interface with SCLARC during the proposal review process.
2. Company Information- indicate whether applicant is applying as a corporation, non-profit corporation, limited partnership, or limited liability corporation. Include copies of the articles of incorporation and corporation by-laws; certificate of limited partnership and any amendments; or a copy of the limited liability company articles of incorporation and certificate of amendment (if any).
3. Proposal Author- Provide names of all parties involved in writing all or parts of the proposal.
4. Summary of applicant’s experience providing residential services to the target population.
5. Summary of applicant’s commitment to quality services. This section must address each minimum requirement and include the applicant’s “continuous quality improvement plan”.
6. List of References- provide letters of reference relevant to experience and other qualifications required to complete this or similar services.
7. List of all vendorizations with SCLARC and any other of the California Regional Centers.
Program Design
1. Statement that the facility will be ambulatory or non-ambulatory.
2. Statement of purpose.
3. Facility entrance criteria/description of consumers served. The description must be consistent with the consumer characteristics described in the RFP.
4. Description of consumers not appropriate for placement, including those who smoke.
5. Exit criteria.
6. Description of consumer services provided. Include a statement indicating who plans, conducts and assists consumers in participating in the services and activities described in this section. At a minimum, this section must include:
· Basic services
· Daily Living Skills Training
· Health Care Services
· Transportation Services
· Behavioral Services
7. Description of procedure used to develop consumer individual service plans. Include a sample of a consumer specific individual service plan (ISP) prepared in conjunction with the designated RN and behavioral consultants. Include a sample ISP for an individual with diabetes.
8. Description of the health care services provided for consumers. Include the following:
· A statement that applicant will comply with CCR Title 22 Section 80092- Requirements for Restricted Health Care Conditions.
· A statement that applicant is willing to provide the needed care for consumers who have Restricted Health Conditions;
· A statement that prior to admission the applicant will communicate with all other persons who provide care to that consumer to ensure consistency of care for the medical condition;
· A statement that the applicant will be responsible for monitoring the consumer’s ability to provide self-care for the medical condition, document any change in that ability, and inform the appropriate persons of that change; and
· A statement that should the condition of the consumer change, all staff providing care and services will complete any additional training required to meet the consumer’s new needs, as determined by the consumer’s physician or a licensed professional designated by the physician.
· Include a description of the procedure used to develop individual health condition care plans. Address the following in this section:
o that the consumer and the consumer’s authorized representative, if any, the consumer’s physician or a licensed professional designated by the physician, and the placement agency, if any, participated in the development of the plan;
o that the consumer’s physician or a licensed professional designated by the physician, will include in the plan the stability of the medical condition, the medical conditions that require services or procedures, the specific services needed, and the consumer’s ability to perform the procedures.
o that the consumer does not require 24-hour nursing care and/or monitoring;