REQUEST FOR PROPOSAL-Community Crisis Home Fiscal Year Extended Deadline to April 1, 5:00 p.m.

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REQUEST FOR PROPOSAL-Community Crisis Home Fiscal Year 2018-2019 Extended Deadline to April 1, 2019 @ 5:00 p.m. North Bay Regional Center (NBRC) is a community- based, private non-profit corporation that is funded by the State of California to serve people with developmental disabilities as required by the Lanterman Developmental Disabilities Act. North Bay Regional Center is one of 21 Regional Centers throughout California serving individuals and their families who reside within Napa, Solano, and Sonoma Counties. NBRC receives funds from the Department of Developmental Services (DDS) to develop a Community Placement Plan (CPP)/Community Resource Development Plan (CRDP). NBRC is happy to announce its FY 2018-2019 CPP/CRDP has been approved by DDS to award startup funds for the following projects below: 1. Community Crisis Home Residential Provider Funding ONLY- CPP project (1819-11) The goal of the FY 2018-2019 CPP/CRDP is to offer services in the community by developing specialized services including Residential, Day Programs, Clinical and Specialty Services for individuals in the community and those who may be in a locked mental health facility and those who may be at risk for admission to an institutional setting. The philosophy of the CPP/CRDP is consistent with the 1999 Olmstead decision that determined that the state shall eliminate unnecessary segregation of persons with disabilities and ensure that they receive services in the most integrated setting appropriate to meet their needs. BE SURE TO REVIEW ALL DEADLINE DATES NO EXCEPTIONS WILL BE GRANTED! Proposals submitted after the indicated deadline will not be considered RFP Instructions and important dates are attached to this announcement. QUESTIONS: Please see TECHINICAL BRIEFING dates. You may also email: shawanc@nbrc.net or call 707-256-1187. NBRC and DDS reserve the right to withdraw this RFP and/or disqualify any proposal which does not adhere to the RFP guidelines. All funding dependent on approval by the Department of Developmental Services A Program of North Bay Developmental Services, Inc. Under Contract with the State of California Promoting Opportunities Supporting Choices www.nbrc.net

NBRC RFP CPP 2018-2019 DEFINITION PAGE: CCH: Community Crisis Home CCL: Community Care Licensing DSS: Department of Social Services; CCL is a department of DSS DDS: Department of Developmental Services Housing Developer Organization (HDO) North Bay Regional Center will contract with an established non-profit housing agency to develop permanent housing through the Buy It Once Model, where HDO s purchase residential properties that will be used exclusively by Regional Center consumers in perpetuity. SERVICE PROVIDERS: NBRC will contract with Service Providers to provide residential care in the home owned by the Housing Developer Organizations (HDO). A Program of North Bay Developmental Services, Inc. Under Contract with the State of California Promoting Opportunities Supporting Choices www.nbrc.net

NBRC RFP INSTRUCTIONS The following must be submitted in order to be considered a complete application packet: Application Packet Guidelines: All Application Packets must be complete for consideration by the RFP Review Committee. Any application that does not adhere to the format guidelines or informational content will not proceed in the screening process. Submit 15 collated and stapled RFP proposal packets to the NBRC Napa office located at: 610 Airpark Road Napa, CA 94558 RFP packets can be submitted beginning March 25, 2019 to April 1, 2019 RFP packets can be mailed or hand delivered to 610 Airpark Road, Napa, CA RFP packets that are faxed or emailed will not be accepted. All fill in forms are available electronically at https://nbrc.net/service-providers/resource-needs-requests-forproposals/ Application Packet Checklist: 1. Cover Sheet (one page maximum; please use attached form) 2. Project Description (maximum of three pages) a) Name of administrator b) Name/titles of consultants and how they will be used c) Description of services to be provided d) Where and how the services will be provided e) Unique features of the program f) Description of how consumers will benefit g) Timetable of objectives to start services 3. Budget Information (please use attached forms and/ or online monthly excel budget sheet ) a) Start-up Budget b) Monthly Budget 4. Proposed Weekly Staff Schedule (please use attached form also available electronically) a) For residential facilities only 5. Applicant(s) Information Resumes with detailed description of experience with target population (e.g. types/service levels of programs and position in each program). Please include resumes of applicant(s), administrator(s), and consultants. Please do not attach copies of awards, certificates of training or degrees. 6. Supplemental Narrative: Please address both points below in one page (this page is not counted towards the 3 page limit requirement on your project description) Supplemental Narrative Required for: Residential Providers a) What plans do you have in place to balance the future project(s) with NBRC and your current job and/or existing responsibilities? (maximum 1 page) b) Please provide a statement to address your ability to meet Community Care Licensing fiscal requirements. Please use attached Financial Statement Form. c) List of all regional center vendored services including location, type of service and vendor numbers.

Assumptions and Agreements Proposals will not be returned to the submitter. NBRC reserves the right to dismiss any proposal if it does not meet the criteria established in this RFP. Applicants applying to more than one project must submit separate proposals for each project. RFP Q&A Information Technical Briefing Meeting Explanation of RFP Process and Timelines Techinical Briefing Presentation Available Electronically on website https://nbrc.net/service-providers/resource-needs-requests-for-proposals/ If you are selected for an interview Announcement of those proposals moving to interview phase: Qualifying applicants will be contacted and invited in to interview on selected interview dates listed below. Interviews Interviews will be held in the NBRC Napa office on the following dates: April 5 th Interview times begin @ 10:00am and will be scheduled throughout the day *Please SAVE THE above DATES *If you are scheduled for an interview please be prepared to accept your selected interview appointment Selection Notification Week of April 15 th, 2019 A Program of North Bay Developmental Services, Inc. Under Contract with the State of California Promoting Opportunities Supporting Choices www.nbrc.net

EVALUATION OF PROPOSALS Proposals will be evaluated and graded on a scoring system by a committee consisting of individuals who do not have a conflict of interest with the projects. The committee may include individuals supported by North Bay Regional Center (NBRC) and members of their family, NBRC staff or board members and employees of the California State Council on Developmental Disabilities or the Department of Developmental Services. The scoring of proposals will be based on the providers ability to appropriately address: 1. The administrator and consultant s successful record of providing services for at least two years with the target population. 2. Organizational structure demonstrates the ability to closely develop and administer services within the local area. 3. Proposed service corresponds to the needs identified in the Request for Proposals and to the population to be served. Entry criteria are specified and demonstrate an awareness of the needs of the target population. 4. Skills to be taught to consumers are explicitly stated. Curriculum content and methods promote community integration and increased independence for consumers. A commitment to individualized programming is evident. 5. Programming/ teaching methods are clearly identified, clinically sound, and reflect consumer choice. 6. Timetable of objectives clearly identifies the steps involved in obtaining licensure, certification and vendorization, as needed. Objectives of the proposal are in sequence, measurable, time-limited, and achievable within one year of being awarded the project. 7. Objectives of proposal are time limited, achievable within one year of award and : Projected start-up budget is specific and realistic. On-going operating costs are explicit and realistic. Board members and employees of regional centers are prohibited from submitting proposals. Refer to Title 17 regulations, Section 54314 for a complete list of ineligible applicants. Application Package(s) will only be accepted At the Napa Office : Accepting RFP packages March 25 st 2019 through April 1, 2019 by 5pm North Bay Regional Center 610 AirPark Road Napa, Ca 94558 ATTN: Resource Development

North Bay Regional Center 2018/2019 Community Placement Plan Request for Proposal Project:1819-11 Community Crisis Home Service Provider: To provide residential care to individuals ages 18-59 years Service Area: Solano County Number Served: 5 persons, ambulatory and non-ambulatory (private rooms) Start-up Funding: $175,000 Reimbursement rate: Rates Negotiable SERVICE PROVIDER: The expectation is that this service provider will: Have an administrator with expertise in working with individuals with developmental disabilities who have severe behavior challenges and is knowledgeable with crisis intervention strategies for deescalating aggressive behaviors. Provide a highly structured environment to serve individuals with developmental disabilities with challenging behaviors needs; e.g. self- injury, physical aggression, property destruction verbal outbursts, and elopement. Provide 24-hour care to individuals served by the regional center who require intensive services and supports due to challenging behaviors that need the supports from community crisis services Be able to stabilize individuals with challenging needs and assist in transitioning to a less restrictive environment. Hire and retain skilled staff with understanding of population and who communicate effectively with residents, service professionals and members of the community. Direct care staff to be paid competitive wages. Emphasize person-centered planning, community access and normalization, including vocational opportunities. Access generic resources in the community. Provide services for individuals transitioning from Porterville Developmental Center, locked facilities and jail. Develop positive relationships with NBRC, day programs, and community resources. Coordinate and supervise a team of specialized consultants including, but not limited to, a psychologist, BCBA, psychiatrist, nutritionist, recreational therapist, occupational therapist, and MFT. Utilize consultants in the home such as group therapy on a regular basis. Be vendored by North Bay Regional Center for an Community Crisis Home Provide services in the site established by the Housing Developer Organization (HDO). Adhere to CCH regulations California Code of Regulations Title 17 Division 2 Chapter 3 Subchapter 23 Articles 1-11 including Welfare Institution Codes Be licensed by Community Care Licensing, a division of the Department of Social Services (DSS) and certified by the Department of Developmental Services as an Community Crisis Home **Property for project has already been purchased and renovated by a HDO **

North Bay Regional Center 2018/2019 Community Placement Plan Request for Proposal COVER SHEET Project Number/ Description Contact Name: Address: Email Address: Contact Number: Fax Number:

Start-Up Budget Available electronically https://nbrc.net/service-providers/resource-needs-requests-for-proposals/ START UP BUDGET PROJECT NAME: LINE ITEMS PROPOSED AMOUNT TO SPEND PROGRAM SUPPLIES AND $ EQUIPEMENT/ FURNISHING RENT $ STAFF TRAINING $ CONSULTING $ VAN LEASE DEPOSIT $ INSURANCE $ $ $ $ $ TOTAL PROGRAM AMOUNT $

Negotiated Rate Residential Facility - 4 Bed Monthly Costs Staff Salaries DIRECT SERVICES Hourly Rate Staffing Schedule hours Average weeks in a month 4.33 4.33 4.33 Budget Staff Salaries Total $0 Employer Payroll Taxes - Federal Social Security 6.20% Medicare 1.45% FUTA (Federal Unemployment Tax) 0.60% Employer Payroll Taxes - State SUI (CA State Unemployment Ins.) 3.40% SDI (CA State Disability Ins.) 1.00% ETT (CA Employment Training Tax) 0.10% Mandatory Sick leave 2.00% Workers Compensation Workers Compensation Insurance Relief Factor - Percentage Vacation Leave, coverage, etc. Benefits Health Dental Retirement Other Staffing Costs Direct Service Staff Training ¹ Direct Staff Recruitment Costs (advertising, background checks, etc.) Other ² Total Staffing Costs $0 Consultant Fees Total Consulting fees $0 Transportation for lease of facility van; participants medical appointments; community outing; fuel; etc.) (exclude transportation to day programs) Insurance General Liability Vehicle Other (detail type in Explanation column) Lease/ Other Property Related Costs (direct service related only) Lease/Mortgage Cost Utilities (gas, electricity, water, sewer) License Renewal Costs Miscellaneous Expenses Household and Program Supplies Medical Equipment and Supplies Dietary (groceries, cooking supplies, specialized diets, etc.) Communication (cell phones, pagers, etc. - direct service only)

License Renwal Costs Miscellaneous Expenses Household and Program Supplies Medical Equipment and Supplies Dietary (groceries, cooking supplies, specialized diets, etc.) Communication (cell phones, pagers, etc. - direct service only) Other ³ TOTAL PROGRAM COSTS $0 Administrative Costs Repair & Maintenance Accounting Services HR and Payroll Services Office Supplies Janitorial/Landscaping Staff Travel/Fuel (non direct service) Subscriptions TOTAL ADMINISTRATIVE COSTS $0.00 Total Costs $0.00 Budget Narrative Explanation of Direct Service Staffing Training costs and calculation: Explanation of Other Staffing costs and calculation: Explanation of Other Miscellaneous costs and calculation: Explanation of Other Administrative costs and calculation: Explanation of Consultant fees (available electronically https://nbrc.net/service-providers/resource-needs-requests-for-proposals/)

Financial Statement (available electronically https://nbrc.net/service-providers/resource-needs-requests-for-proposals/) Name: Current Assets Cash in Banks $ Accounts Receivable $ Notes Receivable $ Equipment / Vehicles $ Inventories $ Deposits / Prepaid Expenses $ Life Insurance (Cash Value) $ Investment Securities (Stocks and Bonds) $ Fixed Assets Building and or / Structures $ Long Term Investments $ Potential Judgments and Liens $ Current Liabilities Accounts Payable $ Notes Payable (Current Portion) $ Taxes Payable $ Long- Term Liabilities $ Notes/ Contracts $ Real estate Mortgages $ Other Income, Wages, Revenues from other Sources (Specify) $ Line of Credit Amount Available $