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FY22 JCPC COMMUNITY SERV & RESTITUTION AGREEMENTDocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 WcrrAp- North Carolina Department of Public Safety Intensive Intervention - Program Agreement SECTION I A SPONSORING AGENCY AND PROGRAM INFORMATION FUNDING PERIOD: FY 21-22 DPS/JCPC FUNDING # (cont only) 865-XXXX COUNTY: New Hanover AREA: Eastern Area Multi -County: No Multi -Components No NAME OF PROGRAM: Community Service and Restitution, Level II SPONSORING AGENCY: NHC, Community Justice Services, Youth Empowerment Services SPONSORING AGENCY 320 Chestnut Street Suite 518 PHYSICAL ADDRESS: Wilmington NC 28401 SPONSORING AGENCY 320 Chestnut Street Suite 518 MAILING ADDRESS: Wilmington NC 28401 TYPE: Public (910) 798-6491 Fax: FEDERAL ID #156-600034 E-mail: jroten@nhcgov.com COMPONENT ID # NAME OF PROGRAM COMPONENT PROGRAM TYPE TOTAL COST OF EACH COMPONENT 32204 Community Service and Restitution, Level II Restitution/Community Service $ 70,112 Total cost of components: $ 70,112 Proaram Manaaer Name & Address (same person on sionature pace) Name: Jamie Roten Title: Manager, YES Mailing Address: 320 Chestnut Street, Suite 518 City: Wilmington Zip: 28401 Phone: (910) 798-6491 Fax: 1 (910) 798-7813 E-mail: jroten@nhcgov.com Contact Person (if different from program manaaer) Name: Jamie Roten Title: Manager, YES Mailing Address: 320 Chestnut Street, Suite 518 City: Wilmington Zip: 28401 Phone: (910) 798-6491 Fax: 1 (910) 798-7813 E-mail: jroten@nhcgov.com Proaram Fiscal Officer (cannot be proaram manaaer) Name: Lisa Wurtzbacher Title: Chief Financial Officer Mailing Address: 230 Government Center Drive City: Wilmington Zip: 28403 Phone: (910) 798-7187 Fax: 1 (910) 798-7410 E-mail: Iwurtzbacher@nhcgov.com Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION I B PROGRAM COMPONENT DESCRIPTION COMPONENT ID # COMPONENT INFORMATION 32204 NAME OF COMPONENT: Community Service and Restitution, Level II BRIEF DESCRIPTION: The Community Service and Restitution Level II Program provides an opportunity for juvenile court referred Level II youth to be accountable for their actions by completing community service hours in their communities and /or paying restitution to victims of their crimes, as applicable. Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION II COMPONENT STATISTICAL INFORMATION Multi -Components No Component Service Statistics PROGRAM COMPONENT INFORMATION - APPLICATION YEAR Component Name: Community Service and Restitution, Level II Component ID # 32204 What is this component's maximum client capacity at any given time? 30 Frequency of client contact per month: 8 Anticipated Average Length of Stay: 180 Days y Total Component Cost: $70,1121 - by Estimated # to be served during funding period: 35 Estimated Average Cost Per Youth: $2,003 Actual number of youth admitted FY 19-20: 0 Applies to 0 Number of admissions Juvenile Justice Referred 0% of total admissions continuation programs only. 0 Number of admissions Law Enforcement Referred 0% of total admissions 0 Number of admissions District Court Referred 0% of total admissions Form structure last revised 01/09/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION III I COMPONENT SUMMARY NAME OF COMPONENT: I Community Service and Restitution, Level II 1. Statement of the Problem: In concise terminology, describe how the program will address continuum need(s) in the county. What are the Intensive Intervention needs the program intends to address? How will the program effectively serve juveniles at different levels of involvement with juvenile justice? Describe the gap in continuum of services for the population you will serve. The Community Service and Restitution (CSR) Level II Program Component addresses a priority for JCPC funding as defined by NC General Statutes GS 1436-549: "Each County Council shall ensure that appropriate intermediate dispositional options are available and shall prioritize funding for dispositional intermediate and community -level sanctions for court adjudicated juveniles under minimum standards adopted by the Department (of Public Safety)". Intermediate dispositional options are available in New Hanover County and the CSR Level II Program has a proven track record of working with these high risk youth, as well as the organizational capacity to admit youth immediately to meet the youth's court ordered community service and/or restitution by providing youth opportunities to engage in civic, community and social responsibilities while incorporating a service learning model to reduce recidivism and delinquent behaviors. New Hanover County and the CSR Level II Program provides intermediate dispositional options appropriate to the elevated risk and needs of Level II youth in the community. The CSR Level II Program has admitted 100% of referred Level II juveniles since its inception by utilizing County resources, maintaining current partnerships and growing organizational capacity. What is needed in order to continue current programming by serving Level II higher risk youth is the continued funding of a full time staff member to sufficiently provide services for the youth court ordered community service and the increased community service hours for Level II youth as a dispositional alternative for additional community service hours up to 200 as defined by GS 713-2506-23 such as when a probation violation occurs. The Level II CSR Program, due to its low youth to staff ratio allows for the safe provision of Community Service and Restitution programming to gang involved youth and high risk youth who have a history of violent behavior or are reported to be targeted for violence. Intense service planning allows for the consideration of scheduling accommodations for youth served with multiple co-defendants or avoidance of other program participants who may be in rival gangs. The extra staffing for this program allows for 1:1 supervision of youth and the creation of individualized work settings that enable the CSR program assistant to control for factors that may pose a risk to a particular youth (avoidance of public spaces, interaction with other suspected gang members, location of where the offence occurred, avoiding exposure to high risk areas of the community). Lastly, the closure of numerous community organizations, schools, and service providers since the onset of the Covid-19 pandemic has only exasperated the need for programming and support tailored to the specific risk and needs of our youth with the most elevated criminogenic factors. 2. Target Population: Describe the target population, including age, and the steps taken to insure that the target population is served. Target population are Level II, delinquent and high risk male and female youth, ages 10-18 that are referred by DPS Juvenile Court Counselors for services. Selected high risk Level I adjudicated juveniles, with a medium risk or a medium needs score that require a Level II disposition, and their parents/guardians, may be referred and accepted as low priority referrals. Level III juveniles transitioning from a Youth Development Center will also be eligible. Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION III COMPONENT SUMMARY NAME OF COMPONENT: Community Service and Restitution, Level II 3. Program Goal(s): Provide a brief statement to describe the overall purpose and effect of the program. The overall purpose of the CSR Program Component for Level II higher risk youth is to facilitate juveniles completing their required court ordered community service and/or restitution successfully/satisfactorily in a timely manner while teaching, modeling and encouraging civic, community, and social responsibilities to the youth served while incorporating a service learning model to reduce recidivism and prevent delinquent behaviors. The Level II CSR Program offers individualized and intensive service planning to bolster increased skill development in a safe community setting while youth complete their court ordered community service obligations. Each youth is actively engaged in their own aftercare planning process, along with referral agencies, parents, and worksites to ensure the tailored plan best meets the risks, needs and available protective factors for that youth. Level II youth and families are provided access to free Case Management services provided by NHC CJS, aimed at meeting the entire family's needs through a holistic approach to promoting self sufficiency. Some consistent areas of focus for Case Management services are housing, healthcare access, employment assistance, coordination with school personnel, and general linkage to available community resources. Level II youth are also afforded the opportunity to participate in an 8 week Job Skills Development (JSD) component designed to prepare youth with soft skills necessary to enter the workforce. The JSD component is offered through a formal partnership with Cape Fear Community College (CFCC) and is held on the downtown campus. The Level II component has remained open, and has provided continual service to Level II youth throughout the onset, and duration, of the Covid-19 pandemic. 4. Measurable Objective(s): State in measurable terms (%) the intended effect of the program on specific undisciplined and/or delinquent behaviors. Example: anticipated reductions in court referrals, runaway behavior, disruptive behavior at school, anticipated improved school attendance and academic achievement. These objectives must include impact on participants. 70% Clients successfully/satisfactorily completing the program will have no new complaints in the 12 months following completion. 70% Clients successfully/satisfactorily completing the program will have no new adjudications in the 12 months following completion. 70% Clients will have no new complaints with an offense date after the admission date. 70% Clients will successfully or satisfactorily complete services as intended by the program design/service plan. 70% Clients will complete restitution or community service within the timeframe permitted by JCPC policy. 70% Clients will demonstrate accountability by actively participating in restitution/community service activities. 70% Clients will have no new adjudications for a complaint with an offense date after the admission date. 5. Elevated Risks and Needs: Describe how you will address one or more of the Elevated Risk and Needs of adjudicated juveniles referenced in the Intensive Intervention services Request for Proposals. Be sure to identify the specific risk and/or needs item(s) you will address. New Hanover County (NHC) had 26 youth with Level II dispositional sanctions in FY 19-20. (Data extrapolated from the NCDPS FY 2021-2022 JCPC- Endorsed Level II Dispositional Alternative Programs Request for Proposals). Also, in District 7 there were 499 "Raise the Age Complaints" in the first year following implementation of the new law. (Data Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION III I COMPONENT SUMMARY NAME OF COMPONENT: I Community Service and Restitution, Level II from the Juvenile Justice Advisory Committee, Juvenile Age Interim Report) Since March 1st of 2020, the program has served 34 youth with a level II disposition, and continued to provide services throughout the onset of the Covid-19 pandemic until now. Thus far in this fiscal year the Level II program has facilitated and supervised the completion of 798 community service hours by youth with a level II disposition. The NHC Level II program has served 299 youth on Level II probation since its inception in 2011 and has admitted 100% of youth referred by court counselors this FY. As an immediate alternative disposition for Level II juvenile offenders who violate probation, the court counselor is able to assign additional community service hours for the youth via court order versus being placed in secure custody. This alternative saves the county and state funds otherwise spent on housing these juveniles. The New Hanover County Juvenile Crime Prevention Council has listed the following as elevated Risk and Needs of adjudicated juveniles per the most recent local JCPC Request for Proposal: Association with other delinquent peers involved with gangs; moderate to serious behavioral problems at school; prior assaultive behavior; involvement in alcohol and substance abuse; prior referrals to juvenile court; referral to juvenile court prior to age 12 and inadequate supervision by parents/guardians. The CSR Level II component addresses the identified risk and needs across the peer, individual, family and school domains by providing priority referrals to NHC funded case management services and facilitating youth learning civic, community and social responsibility via individual mentoring and skill development in an effort to model prosocial behavior, promote responsibility/accountability and increase the youth's capacity to interact with the community in a positive way. Upon termination from the program, youth/guardian and referral sources are provided an aftercare plan outlining recommendations for participation in outside agency programming, school participation, community/vocational involvement, etc. The Level II program assistant initiates contact with outside agencies/worksites to promote participation in aftercare recommendations when requested by guardians. Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION IV I COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: I Community Service and Restitution, Level II 1. Location: List physical address(es) and describe where program services are delivered. The CSR Level II Program Component services are provided on site with DPS Court Counselors in the juvenile courthouse facility located at 138 N. Fourth Street, Wilmington, NC 28401. Administrative offices are located at 320 Chestnut Street Suite 518, Wilmington NC, 28401. Additionally, there are over 20 established Community Justice Services approved community service worksites located throughout the community where youth are placed to earn their hours. The large variety of worksites and community partners allows the CSR Level II Program to individualize the placement of Level II youth based on their specific skill set and minimizes transportation barriers. NHC CJS has a formal partnership with Cape Fear Community College (CFCC) which has provided Level II youth with access to a wide array of CFCC resources, including weekly Job Skill Development modules facilitated at the downtown campus. CFCC provides a monthly campus tour for program youth, quarterly FAFSA/admission open houses, and has established an email portal for all YES inquiries. Through structural changes within CJS and expansion funds associated with Raise The Age (RTA) the CSR Program has also deployed a mobile job lab to provide onsite services to older youth with elevated risk and needs paired with barriers to service. Lab services have been limited somewhat due to Covid-19 and are scheduled to resume in full this summer. The mobile lab will be administered in community centers, public housing facilities, partner worksites and NHC buildings. This lab will empower youth with soft skills necessary to enter the local job market and provide immersion into the rapid shift of employment resources onto electronic platforms. Lastly, the Level II program continues to leverage NHC resources to adapt to the new realities imposed by the Covid- 19 pandemic. These resources have allowed staff to provide remote, virtual and innovative service opportunities to Level II youth that will continue to evolve to ensure all Level II youth are afforded an opportunity to be successful and abstain from further involvement in the justice system. Staff have provided three weekly virtual offerings for the past year, including basic job skill development, life skills, and individualized sessions that assist youth in planning for their future and promote exploration of post -secondary educational opportunities and community development. 2. Operation: Describe the daily/weekly schedule of program operation. Monday - Friday 8:00 - 7:00 and Saturday 8:00 - 5:00 hours of operation provides flexibility needed to serve youth in accordance with child labor laws and offers appropriate times for youth to work in order to increase successful completions. Worksite locations are varied in order to be accessible for youth living in different areas of New Hanover County and operate typically from 4-7 during the week when school is in session and from 8-12/1-5 on weekends. Staff have also used innovative approaches to providing service opportunities for youth during the Covid-19 pandemic. Examples of worksite scheduling are provided below: Weekday Worksite Examples (school year) • New Hanover County Library • Warner Temple AME Zion Church • New Hanover County Schools • Open Hands Food Bank Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION IV I COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: I Community Service and Restitution, Level II • Auto Detailing at DPS office location • Cape Fear Community College • NHC Teen Court •Weekly Virtual Job Skill Courses •Virtual Life Skills Sessions Weekend Worksite Examples (year round) • New Hanover County Arboretum • Habitat for Humanity • Lords Church Garden • Coastal Therapeutic Riding Center • Community events such as the American Cancer Society Relay for Life Worksites Specific to High Risk Youth: •Individualized work at the Juvenile Court location with onsite NHC Sheriff's Deputy and availability of an onsite metal detector •NHC Library with an enclosed designated area for program use and onsite security •Lords Church Garden and Coastal Therapeutic Riding Program, both are geographically isolated and mitigate concerns to youth who have been targets of violence Tuesday is juvenile criminal court day where youth are typically seen for intake into the program on the same day as their disposition has been rendered in court and community service hours are ordered. If the family is unable to complete the intake on the day community service hours are court ordered, staff schedules an intake appointment prior to the family leaving court. During the course of a typical work week when staff are not providing direct face to face services to youth, the following services are provided: • Chart documentation, record keeping, and training • Communication with guardians/court counselors related to youth progress and program scheduling • Work site lesson planning • Communication with worksite supervisors • Service Planning; Aftercare Planning Monthly Quality Assurance procedures are listed and include details regarding the review and required components of chart documentation, maintenance of the online communication log, follow-up review of terminated records and the contents of the CSR QA checklist. Bi -Annual worksite monitoring site visits are also conducted in accordance with JCPC policy and procedure. Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION IV I COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: I Community Service and Restitution, Level II 3. Staff Positions: Describe paid or volunteer position qualifications, (certifications, degrees, work experience) and position(s) responsibilities relative to this component. Full -Time 1, Part -Time 3, Volunteer Staff 0, Contract Staff, 0 1 full time CSR Level II Program Assistant Qualifications: 10+ years experience working with at risk youth. Responsibilities: Providing community service activities and services on site and throughout the community; supervising youth during community service activities; assisting with monitoring community service worksites; providing training for youth on basic job skills needed; assisting with documentation; and addressing public inquiries regarding program services. 1 part time (5%) YES Manager, Program Manager - This position paid by New Hanover County Qualifications: MPA, 15 Years experience working with at -risk youth. Responsibilities: Supervising the CSR Program in prioritizing and assigning work; conducting performance evaluations; ensuring staff is trained; making hiring/termination/disciplinary recommendations; planning, implementing, coordinating, monitoring the operations and activities of CSR Level II program services. 1 part time (5%) CJS Support Services Coordinator, Fiscal Officer - This position paid by New Hanover County Qualifications: MBA, 16 years administrative experience. Responsibilities: Overseeing financial and budget operations. 1 part time (15%) CJS Administrative Support Technician - This position paid by New Hanover County Qualifications: BS Recreation and Leisure Studies, 9 years administrative experience. Responsibilities: Administrative duties. - CSR Level II staff training begins with departmental and New Hanover County orientation/on board ing and is followed by close supervision, and ongoing training regarding program service delivery. New staff shadow current staff in all aspects of service delivery and documentation and receive at minimum 6 months weekly supervision and consultation before going in the field on their own. Intradepartmental trainings are conducted quarterly and cover topics relevant to current program service delivery, along with County and State level trainings that are documented in the CSR Level II Program manual. - All worksite supervisors receive orientation regarding JCPC policy and procedures, along with program goals, objectives, and philosophy. All CSR worksite supervisors receive training in skills needed to provide services. - The CSR coordinator conducts both scheduled and random worksite reviews to ensure adherence to the CSR model of service delivery. Any deviations detected in service delivery are reported to the Program Manager and a written plan of correction is developed. This includes a detailed action plan to correct identified problems and onsite supervision of worksite activities by the CSR Coordinator until protocol deviations have been corrected. Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION IV COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: Community Service and Restitution, Level II - All staff receive annual written performance appraisals based on written work objectives that are maintained in personnel files and assess adherence to program policies and service delivery. 4. Service Type SPEP: Describe implementation to include: Primary Service: Restitution / Community Service; Secondary Service: None 5. Admission Process: Describe the specific referral, screening, admission process (including timeline), the staff responsible for making decisions about admissions and reasons why a referral may not be accepted. Please describe: a) The specific referral, screening, and admission process, including at a minimum, the staff involved with the decision process. b) Interaction with Juvenile Court Counselors, other juvenile justice staff, and youth development centers, if applicable, including frequency, ongoing meetings, and other means of communication. Referral Process: The referring DPS Court Counselor completes a written referral form and submits it to the CSR Coordinator requesting services for the youth. The Level II assistant attends all juvenile court hearing to best serve youth/families and to ensure they are current on all new information and any potential charges. Youth are typically seen for intake into the program on the same day as their disposition has been rendered in court and community service hours are ordered. If the family is unable to complete intake on the day community service hours are court ordered, staff schedules an intake appointment prior to the youth and guardian leaving court. Screening Process: All youth are screened during the intake visit and accepted for services unless, during the intake visit with the program, the youth is deemed inappropriate to participate with completing community service work. Admission Process: Youth and parent participate in a one hour intake conducted by CSR staff where an individual service plan is completed and on the job expectations are explained as well as appropriate/acceptable behaviors and child labor laws, safety rules and regulations. Some of the factors specific to the youth that are taken into consideration during the intake process include; school schedule, parent/guardian work schedule, location of youth's home in relation to appropriate worksites, special interests/skills the youth may have, developmental needs expressed by parents/ guardians, and the youth's particular charge and risk level. At the end of the intake, the youth is assigned to a mandatory orientation/training, which includes an introduction to the resources needed to access vocational opportunities within the community and job skill/safety training. Upon completion of the orientation, youth are assigned to an appropriate agency approved community worksite based on the information gathered regarding any safety issues, youth's likes/dislikes, transportation issues, etc. Every attempt is made to place youth at a worksite that takes into account their individual situation and needs. Staff responsible for admission decisions: The CSR Coordinator makes admission decisions based on information received from court services and the youth/family during the intake process. Why a referral may not be accepted: Age of youth or other limitations that would possibly endanger the youth to work at a community service worksite. *If youth/family are unable to attend intake orientation or termination meeting, particularly if the scenario involves a Covid-19 restriction, the program has capacity to complete these steps using HIPPA compliant platforms. (Microsoft Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION IV COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: Community Service and Restitution, Level II Teams, WebEx, Docusign, Adobe Pro) 6. Termination Process: Describe the termination process, to include: a) The staff responsible for making decisions. b) The process for making the decision to terminate. c)The criteria for a successful termination, satisfactory termination, unsuccessful completion, and non-compliant termination. For the CSR Level II Program Component, the CSR Coordinator is responsible for determining the type of termination. The youth is terminated successfully and/or satisfactorily upon completing their court obligated service in a timely fashion within the parameters of their probation. The youth is terminated unsuccessfully if the youth does not complete the required community service hours as court ordered. The youth is terminated noncompliant if the youth refuses to comply and does not attend the intake or complete any court ordered community service hours. Upon completion of their service, youth are administered a post ethics questionnaire, youth and/or parent complete a Customer Service Survey, youth receive a Certificate of Completion and Termination Summary. Prior to termination the CSR Level II Program Assistant develops an individualized aftercare plan based on interactions and consultations with the juvenile, guardian and court counselor. Aftercare plans make specific recommendations for youth in three separate categories: community, education, recreation and build upon the youth service experience and robust community partners. A comprehensive list of termination procedures (including mandated timelines for completion) is contained within the CSR Level II Program Manual. How are the Juvenile Court Counselor and/or other juvenile justice staff involved in the termination process? For the CSR Level II Program Component, the DPS Court Counselor is informed on an ongoing basis regarding the youth's progress or lack thereof through oral and written communication via email and voicemail messages, and individual progress notes and 30 day progress reports. CSR staff also provides court counselors with mid month progress reports, notification of a no show within 24 hours, monthly activity calendars, and notification of any changes in the youth's status at school or at home in order to fully collaborate regarding the progress of the youth. Prior to termination, CSR staff communicates with the youth's court counselor to obtain information regarding the youth's progress with juvenile court and school, positive parental involvement and participation in other services. The final status of the youth is provided to the court counselor when the youth's service terminates via a Termination Summary. The Court Counselor is also consulted for input in developing an aftercare plan for the youth. 7. Referring Agency Interaction: Describe the interaction with Juvenile Court Counselors and/or other juvenile justice staff, including how client progress will be communicated. For the CSR Level II Program Component, the DPS Court Counselor is informed on an ongoing basis regarding the youth's progress or lack thereof through oral and written communication via email and voicemail messages, and individual progress notes and 30 day progress reports. CSR Level II staff also provides court counselors with mid- month progress reports, notification of a no show within 24 hours, monthly activity calendars, and notification of any changes in the youth's status at school or at home in order to fully collaborate regarding the progress of the youth. DPS Court Counselor's and the Level II Program Assistant are co -located in the juvenile courthouse, promoting Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION IV I COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: I Community Service and Restitution, Level II efficient and timely sharing of pertinent information. All level II youth and families are made aware of free case management services offered by CJS. Case management receives referrals from the Level II program and from DPS Court Counselors and frequently collaborate to ensure basic needs of youth and family are being met. 8. Intervention/Treatment: Describe specifically: What will the component do to address intensive intervention continuum needs and/or redirect inappropriate youth behavior? How will the component address the identified needs of the youth and family? What interventions will typically be utilized in this component? How will parents/guardians be involved? What is the therapeutic element within the service? The CSR Level II Program utilizes the following as interventions to facilitate the youth learning civic and social responsibilities along with age appropriate job skill development: Youth and parent participate in a one hour intake conducted by CSR staff where an individual service plan is completed and on the job expectations are explained as well as appropriate/acceptable behaviors and child labor laws, safety rules and regulations. Youth attend trainings that include onsite demonstrations of proper work techniques and job skills provided by the agency staff and/or worksite supervisor. Strategies such as utilization of one on one and small work groups allows Level II staff to emphasize mentoring youth on meaningful, prosocial community involvement and useful skill development. Level II staff have frequent contact with parents/guardians via reminder calls, providing updates regarding the CSR activity calendar, following up with unexcused absences/behavioral issues, and mailing out of compliance letters when needed. Level II youth with specific needs/concerns such as, significant behavioral health issues or unique geographical situations, a specific worksite may be developed to help meet the youth's individual needs. Free Case Management services, provided by CJS, are offered to address issues spanning the entire family to ensure basic needs are being met and unaddressed issues or resource deficiencies within the household are met with available community resources. Inappropriate behaviors/issues that are displayed by youth are handled via individual mentoring, redirection into a new activity or project, and collaboration with parents/guardians and court counselors regarding positive strategies that can be utilized to replace negative behaviors. Upon completion of their requirements, youth complete a customer satisfaction survey. The CSR Level II Program has a manualized protocol for service delivery as summarized: - Intake/orientation procedures are described in detail from the point of the program receiving a referral from a DPS Court Counselor and includes detailed timelines related to correspondence with court staff. Information is gathered from both the youth and guardian to ensure service planning is individualized. The number of service hours/sessions is court ordered. - All worksite placement procedures are detailed and include the method of selecting an individualized placement for the youth that takes into account their specific skill level, interests, compatibility and any transportation needs. All worksite projects are planned in advance and include an activity/lesson plan that contains a detailed work plan and list of objectives related to the activity. - Termination procedures are detailed and include specific instructions related to communication with the youth's court counselor and guardian regarding their termination status and after care planning recommendations. Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION IV I COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: I Community Service and Restitution, Level II 9. Best Practice Model: Describe what evidence based/support model(s) or practice the program will use. While the OJJ Model Programs Guide does not contain a CSR model program, the CSR Level II Program Component is based on the evidence-supported/best practice model the "balanced approach" to juvenile probation that was introduced by Dennis Maloney, Dennis Romig, and Troy Armstrong. Beginning with recognition of three goals of juvenile corrections, this approach requires that probation services incorporate a balance among: 1. Protecting public safety by effectively monitoring the behavior of juvenile offenders; 2. Holding offenders accountable for their offenses and to their victims; and 3. Facilitating the youth's competency development via rehabilitative and skill building services. Because of its emphasis on atonement, restitution is often an important part of restorative justice models. Community service, like restitution, involves the offender giving something back to the community at large rather than directly to the victim. Both restitution and community service have potential to promote offender accountability to the community or to victims. The best of these activities have desirable competency development benefits to the offenders by poviding meaningful, prosocial community involvement and useful skill development. A review of research suggests that restitution can reduce recidivism to some extent (Lipsey; Schneider). Our program incorporates best practices according to cited research to facilitate the youth completing their court ordered obligations successfully while teaching, modeling and encouraging civic, community and social responsibilities while incorporating a service learning model to the youth we serve. CSR Level II Program's standardized protocol for effectiveness for all accepted referrals is tracking data via NC ALLIES and recidivism data collected every 6 months. All data related to the evaluation of program effectiveness is maintained either online via NC ALLIES or with recidivism data, a hard copy of the information is kept. Customer satisfaction surveys are also utilized. The CSR coordinator conducts both scheduled and random worksite reviews to ensure adherence to the CSR model of service delivery. Any deviations detected in service delivery are reported to the Program Manager and a written plan of correction is developed. This includes a detailed action plan addressing identified problems and onsite monitoring of worksite activities by the CSR Coordinator until protocol deviations have been corrected. All staff receive annual written performance evaluations based on adherence to JCPC program and protocol comprising minimally of quarterly feedback documenting any areas in need of improvement. Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION V Terms of Agreement This Agreement is entered into by and between Department of Public Safety (hereinafter referred to as DPS), and New Hanover County, (hereinafter referred to as the County), the County's Juvenile Crime Prevention Council (hereinafter referred to as the JCPC) and NHC, Community Justice Services, Youth Empowerment Services (hereinafter referred to as the Sponsoring Agency). DPS, the County, the JCPC and the Sponsoring Agency do mutually agree as follows: Term of Agreement This Agreement shall become effective Jul 1, 2021 and shall terminate Jun 30, 2022. Payment to Sponsoring Agency All parties agree that services will be delivered as described in the approved Program Agreement and that funds will be disbursed in an amount not to exceed the amount $42000 for the term of this agreement, unless amended by an approved Program Agreement Revision. Availability of Funds: All parties to this Agreement agree and understand that the payment of the sums specified in this Program Agreement budget, or most recently approved Program Agreement Revision, is dependent and contingent upon and subject to the appropriation, allocation, and availability of funds for this purpose to DPS. Responsibilities of the Parties DPS shall: 1. Disburse funds monthly to County Governments, for payment to the Sponsoring Agency, from the fund appropriation by the General Assembly; 2. Reserve the right to suspend payment to the County for any non-compliance by the Sponsoring Agency with any reporting requirements set forth in DPS JCPC Policy and Procedures; 3. Notify in writing the County and Sponsoring Agency immediately if payments are suspended and again once payments resume; 4. Pay only for work as described in the Program Agreement, or most recently approved Program Agreement Revision, provided by the Sponsoring Agency and approved subcontractors; 5. Provide technical assistance, orientation and training to the Sponsoring Agency, the County and the JCPC; 6. Monitor Sponsoring Agency's funded program(s) in accordance with DPS JCPC Policy 3. Operations: Program Oversight and Monitoring; and 7. Notify parties entering into this Agreement of all due dates in a timely manner in order for reports to be submitted by the established due date. The Sponsoring Agency shall: 1. Comply with all laws, ordinances, codes, rules, regulations, and licensing requirements that are applicable to the Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 conduct of its business, including those of Federal, State, and local agencies having jurisdiction and/or authority; 2. Comply with all Federal and State laws relating to equal employment opportunity; 3. Keep as confidential and not divulge or make available to any individual or organization without the prior written approval of DPS any information, data, instruments, documents, studies or reports given to or prepared or assembled by the Sponsoring Agency under this Agreement; 4. Acknowledge that in receiving, storing, processing or otherwise dealing with any confidential information it will safeguard and not further disclose the information except as otherwise provided in this Agreement; 5. Comply with DPS JCPC Policy and Procedures and the North Carolina Administrative Procedures; 6. Secure local match as required, if applicable, pursuant to 14B NCAC 11 B.0105, for approved JCPC funds; 7. Create and adopt individualized guidelines specific to the funded program, while also adhering to DPS JCPC Policy and Procedures for all funded programs and for the specific program type for which they receive funding; 8. Ensure that state funds received are spent in accordance with the approved Program Agreement, or most recently approved Program Agreement Revision, and be accountable for the legal and appropriate expenditure of those state funds; 9. Maintain reports, records, and other information to properly document services rendered and outcomes; also maintain an ability to send and receive electronic communication; 10. Have the capacity to use DPS electronic, internet-based system for tracking clients served; 11. Use generally accepted accounting procedures that guarantee the integrity of the expenditure of funds, maintain reports, records, and other information to properly account for the expenditure of all State funds provided to the Sponsoring Agency; 12. When refunds are requested from the North Carolina Department of Revenue for sales and/or use taxes paid by the agency in the performance of the Program Agreement, or most recently approved Program Agreement Revision, as allowed by NCGS §105-164.14(c), the agency shall exclude all refundable sales and use taxes from reportable expenditures submitted to the County and DPS; 13. Submit Program Agreement Revisions, Third Quarter Accounting, Final Accounting and annual detailed expenditures through NCALLIES. These reports must be in accordance with the submission process as outlined in DPS JCPC Policy and Procedures and with the due dates established by DPS; 14. Make personnel, reports, records and other information available to DPS, the County, the JCPC, and/or the State Auditor for oversight, monitoring and evaluation purposes; 15. Submit any other information requested by the JCPC, County or DPS; 16. Be responsible for the performance of all subcontractors as described in the JCPC Program Agreement, or most recently approved Program Agreement Revision; 17. Indemnify and hold harmless DPS, the State of North Carolina, the County and any of their officers, agents and employees, from any claims of third parties arising out of any act or omission of the Sponsoring Agency in connection with the performance of the Program Agreement or most recently approved Program Agreement Revision; 18. Receive permission and budgetary approval from DPS prior to using the Program Agreement, or most recently approved Program Agreement Revision, as a part of any news release or commercial advertising and acknowledge DPS funding in partnership with the County; 19. Comply with DPS trainings and requirements regarding the United States Department of Justice national standards to prevent, detect, and respond to prison rape under the Prison Rape Elimination Act (PREA); Reference: 14B NCAC 118, and in compliance with DPS JCPC Policy 2: Operations: Program Operational Requirements 20. Be deemed an independent contractor in the performance of services described in the Program Agreement, or most recently approved Program Agreement Revision, and as such shall be wholly responsible for the services to be performed and for the supervision of its employees; 21. Represent that it has, or shall secure at its own expense, all personnel required in performing the services as described in the Program Agreement. Such personnel shall not be employees of, or have any individual Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 contractual relationship with, DPS; Sponsoring Agency and Use of Contractor(s)/Subcontractors The Sponsoring Agency may engage with independent contractors as needed to perform services or support services described in the Program Agreement. When independent contractors (funds are included in line item 190 of the budget) are providing services as described in the Program Agreement, the sponsoring agency must: 22. Upload a signed Contract for Professional Services into NCALLIES once the Program Agreement (or Program Agreement Revision) is approved by DPS; 23. Be responsible for the performance of all contractors or subcontractors as described in the Program Agreement, or most recently approved Program Agreement Revision; 24. Hold any contractor or subcontractor to which the Sponsoring Agency provides State funds accountable for the legal and appropriate expenditure of State funds, and to all applicable laws and DPS JCPC Policies and Procedures; and 25. Ensure that all contractors or subcontractors provide all information necessary to comply with the standards set forth in the Program Agreement or most recently approved Program Agreement Revision. The JCPC shall: 1. Ensure the Sponsoring Agency uses JCPC funds for only the purposes DPS has approved in the JCPC Program Agreement or most recently approved JCPC Program Agreement Revision; 2. Comply with DPS JCPC Policy and Procedures and the North Carolina Administrative Code; N.C.G.S. §1436-801 (a);143B-602;143B-851 3. Review and locally approve Program Agreement Revision(s) received from the Sponsoring Agency and submit to the County in a timely manner; 4. Review and locally approve Third Quarter Accounting forms and submit to the County in order to meet the due date established by DPS (applicable only to JCPC funded agencies); 5. Submit any other information requested by the County or DPS; and 6. Monitor the Sponsoring Agency's currently funded JCPC program(s) in accordance with DPS JCPC Policy 3. Operations: Program Oversight and Monitoring Reference: 14B NCAC 118.0202 and DPS JCPC Policy 1, 7, 8, 9, 10, and 11. The County shall: 1. Ensure the Sponsoring Agency is appropriately licensed, and either local public agencies, 501(c) (3) non-profit corporations or local housing authorities (applicable only to JCPC funded agencies); 2. Use funds only for the purposes DPS has approved in the Program Agreement or most recently approved Program Agreement Revision; 3. Disburse funds monthly and oversee funds to the Sponsoring Agency in accordance with 14B NCAC 11 B.0108 4. Comply with DPS JCPC Policies and Procedures and the North Carolina Administrative Procedures; 5. Review and locally approve Program Agreement Revisions received from the Sponsoring Agency for final approval from DPS; and 6. Review and locally approve Third Quarter and jointly submit Final Accounting forms for the JCPC and all funded programs according to the procedures and due dates established by DPS. Reference: 14B NCAC 11 B; DPS JCPC Policy 3, 7, 8, 9, 10, and 11 Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 Headings: The Section and Paragraph headings in these General Terms and Conditions are not material parts of the agreement and should not be used to construe the meaning thereof. Choice of Law: The validity of this Program Agreement and any of its terms or provisions, as well as the rights and duties of the parties to this Program Agreement, are governed by the laws of North Carolina. The parties, by signing this Program Agreement, agree and submit, solely for matters concerning this Program Agreement, to the exclusive jurisdiction of the courts of North Carolina and agree, solely for such purpose, that the exclusive venue for any legal proceedings shall be Wake County, North Carolina. The place of this Program Agreement and all transactions and agreements relating to it, and their situs and forum, shall be Wake County, North Carolina, where all matters, whether sounding in Program Agreement or tort, relating to the validity, construction, interpretation, and enforcement shall be determined. Assignment: No assignment of the Sponsoring Agency's obligations or the Sponsoring Agency's right to receive payment hereunder shall be permitted. However, upon written request approved by the issuing purchasing authority, DPS may: (a) Forward the Sponsoring Agency's payment check(s) directly to any person or entity designated by the Program Manager, or (b) Include any person or entity designated by Sponsoring Agency as a joint payee on the Sponsoring Agency's payment check(s). In no event shall such approval and action obligate DPS or County Government to anyone other than the Sponsoring Agency, and the Sponsoring Agency shall remain responsible for fulfillment of all Program Agreement obligations. Beneficiaries: Except as herein specifically provided otherwise, this Program Agreement shall inure to the benefit of and be binding upon the parties hereto and their respective successors. It is expressly understood and agreed that the enforcement of the terms and conditions of this Program Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to DPS, the County Government, and the Sponsoring Agency. Nothing contained in this document shall give or allow any claim or right of action whatsoever by any other third person. It is the express intention of DPS and County Government that any such person or entity, other than DPS or the County Government, or the Sponsoring Agency receiving services or benefits under this Program Agreement shall be deemed an incidental beneficiary only. Property Rights Intellectual Property: All deliverable items produced pursuant to this Program Agreement are the exclusive property of DPS. The Sponsoring Agency shall not assert a claim of copyright or other property interest in such deliverables. Physical Property: the Sponsoring Agency agrees that it shall be responsible for the proper custody and care of any property purchased for or furnished to it for use in connection with the performance of this Program Agreement and will reimburse DPS for loss of, or damage to, such property. At the termination of this Program Agreement, the Sponsoring Agency, County Government, and JCPC shall follow the guidelines for disposition of property set forth in Administrative Code and JCPC policy. Reference: 14B NCAC 11B.01 10; DPS JCPC Policy 9. Fiscal Accounting and Budgeting: Final Accounting Process Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 Disbursements and Internal Controls Reversion of Unexpended Funds Any remaining unexpended funds DPS disbursed to the County for the Sponsoring Agency must be refunded/reverted back to DPS at the close of fiscal year or upon termination of this Agreement. Accountability for Funds Audit Requirement - Local Government or Public Authority Requirements Local Government or Public Authorities in accordance with N.C.G.S. §159-34 must have an audit performed in conformity with generally accepted auditing standards. The audit shall evaluate the performance of a unit of local government or public authority with regard to compliance with all applicable Federal and State agency regulations. This audit, combined with the audit of financial accounts, shall be deemed to be the single audit described by the, "Federal Single Audit Act of 1984". Audit Requirement — Non -Governmental Entities: An audit, when required by law, or requested by the County or DPS shall be performed in conformity with generally accepted auditing standards and audits of non-governmental entities, both for-profit and not-for-profit, and must meet the requirements of OMB Circular A-133. At a minimum, the required report shall include the financial statements prepared in accordance with generally accepted accounting principles, all disclosures in the public interest required by law, and the auditor's opinion and comments relating to financial statements. The audit report must be submitted to the State Auditor's office as required by law, to the County and DPS, and to other recipients as appropriate within nine (9) months after the end of the program's fiscal year. Oversight Access to Persons and Records: The State Auditor shall have access to persons and records as a result of all Program Agreements entered into by State agencies or political subdivisions in accordance with N.C.G.S. §147-64.7. Additionally, as the State funding authority, DPS shall have access to persons and records as a result of all Program Agreements entered into by State agencies or political subdivisions. Record Retention: Records shall not be destroyed, purged or disposed of without the express written consent of DPS. State basic records retention policy requires all records to be retained for a minimum of five years or until all audit exceptions have been resolved, whichever is longer. If the Program Agreement is subject to Federal policy and regulations, record retention may be longer than five years since records must be retained for a period of three years following submission of the final Federal Financial Status Report, if applicable, or three years following the submission of a revised final Federal Financial Status Report. Also, if any litigation, claim, negotiation, audit, disallowance action, or other action involving this Program Agreement has been started before expiration of the five-year retention period described above, the records must be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular five-year period described above, whichever is later. No Overdue Tax Debt — Not for profit organizations ONLY must comply with this section. This form must be uploaded in NCALLIES when submitting a Program Agreement. The Sponsoring Agency shall be responsible for the payment of all State, local, and Federal taxes. Consistent with N.C.G.S. § 143C-6-23 (c), not for profit organizations shall file with DPS and the County a written statement completed by that Sponsoring Agency's board of directors or other governing body, stating whether or not the Sponsoring Agency has any overdue tax debts, as defined by N.C.G.S. 105-243.1, at the Federal, State, or local level. This written statement, Certification of No Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 Overdue Tax Debts, shall be completed by the Sponsoring Agency to certify when there are no overdue taxes. If the agency has overdue taxes, the Sponsoring Agency must notify DPS at the time of Program Agreement submission. Conflict of Interest — Not for profit organizations ONLY must comply with this section. This form must be uploaded in NCALLIES when submitting a Program Agreement. Consistent with the N.C.G.S. §143C-6-23 (b), not for profit organizations shall file with DPS and the County a copy of that Sponsoring Agency's policy addressing conflicts of interest that may arise involving the Sponsoring Agency's management employees and the members of its board of directors or other governing body. The policy shall address situations in which any of these individuals may directly or indirectly benefit, except as the Sponsoring Agency's employees or members of its board or other governing body, from the Sponsoring Agency's disbursing of State funds and shall include actions to be taken by the Sponsoring Agency or the individual, or both to avoid conflicts of interest and the appearance of impropriety. The policy shall be filed before the County or DPS may disburse any funds. The Sponsoring Agency shall also complete the DPS Conflict of Interest Policy Statement (Form DPS 13 001) and upload the statement and the Sponsoring Agency's policy addressing conflicts of interest to the JCPC Program Agreement upon submission. Proof of 501(c) (3) — Not for profit organizations ONLY must comply with this section. This document must be uploaded in NCALLIES when submitting a Program Agreement. Not for profit organizations must upload proof of the Sponsoring Agency's 501 (c) (3) status. Amendment: This Agreement may not be amended orally or by performance. Any amendment must be requested in writing by the Sponsoring Agency through submission of a Program Agreement Revision and executed by duly authorized representatives of DPS, the County Government, JCPC and Sponsoring Agency. Severability: In the event that a court of competent jurisdiction holds that a provision or requirement of this Program Agreement violates any applicable law, each such provision or requirement shall continue to be enforced to the extent it is not in violation of law or is not otherwise unenforceable and all other provisions and requirements of this Program Agreement shall remain in full force and effect. Termination for Cause: If, through any cause, the Sponsoring Agency shall fail to fulfill its obligations under this Program Agreement in a timely and proper manner, DPS shall have the right to terminate this Program Agreement by giving written notice to the Sponsoring Agency and specifying the effective date thereof. In that event, all finished or unfinished deliverable items prepared by the Sponsoring Agency under this Program Agreement shall, at the option of DPS, become its property and the Sponsoring Agency shall be entitled to receive just and equitable compensation for any satisfactory work completed on such materials, minus any payment or compensation previously made. Notwithstanding the foregoing provision, the Sponsoring Agency shall not be relieved of liability to DPS for damages sustained by DPS by virtue of the Sponsoring Agency's breach of this agreement, and DPS may withhold any payment due the Sponsoring Agency for the purpose of setoff until such time as the exact amount of damages due DPS from such breach can be determined. The filing of a petition for bankruptcy by the Sponsoring Agency shall be an act of default under this Program Agreement. Termination without Cause: DPS, the County Government, or the Sponsoring Agency may terminate this Agreement at any time and without cause by giving at least thirty (30) days advance written notice to the other. If this Program Agreement is terminated by DPS as provided herein, the Sponsoring Agency shall be reimbursed on a pro rata basis for services satisfactorily provided to DPS under this Program Agreement prior to Program Agreement termination. Waiver of Default: Waiver by DPS of any default or breach in compliance with the terms of this Program Agreement by the Sponsoring Agency shall not be deemed a waiver of any subsequent default or breach and shall not be Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 construed to be modification of the terms of this Program Agreement unless stated to be such in writing, signed by an authorized representative of DPS, County Government, the JCPC and the Sponsoring Agency. Force Majeure: Neither party shall be deemed to be in default of its obligations hereunder if and so long as it is prevented from performing such obligations by any act of war, hostile foreign action, nuclear explosion, riot, strikes, civil insurrection, earthquake, hurricane, tornado, or other catastrophic natural event, pandemic, or act of God. Survival of Promises: All promises, requirements, terms, conditions, provisions, representations, guarantees, and warranties contained herein shall survive the Program Agreement expiration or termination date unless specifically provided otherwise herein, or unless superseded by applicable Federal or State statutes of limitation. END OF SECTION V — Terms of Agreement Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION VI: BUDGET NARRATIVE Community Service and Restitution, Level II Fiscal Year FY 21-22 $0 $6,592 Support Services Coordinator .05 FTE Annual Salary 65,583 Item # Justification Expense In Kind Expense 120 Staff salary and wages $31,200 120 Manager .05 FTE, Support Services Coordinator .05 FTE, Administrative Support Technician, .15 $13,424 $13,424 180 FICA and standard county benefits for salaried staff $16,930 180 FICA and standard county benefits for salaried staff $5,049 220 Healthy snacks and water $200 260 General office supplies $100 290 Community service activity supplies and equipment $100 320 Postage and cell phone expense $415 390 NCJSA conferences $194 390 Restitution $2,500 TOTAL $51,639 $18,473 Job Title Annual Expense Wages Annual In Kind Wages CJS Administrative Support Technician .15 FTE Annual Salary 43,945 $0 $6,592 Support Services Coordinator .05 FTE Annual Salary 65,583 $3,279 Manager .5 FTE Annual Salary 71,058 $3,553 Program Assistant $31,200 TOTAL $31,200 $13,424 Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION VII Program: Community Service and Restitution, Level II Fiscal Year: FY 21-22 Number of Months: 1 Cash In Kind Total I. Personnel Services $48,130 $18,473 $66,603 120 Salaries & Wages $31,200 $13,424 $44,624 180 Fringe Benefits $16,930 $5,049 $21,979 190 Professional Services" $0 *Contracts MUST be attached II. Supplies & Materials $400 $400 210 Household & Cleaning $0 220 Food & Provisions $200 $200 230 Education & Medical $0 240 Construction & Repair $0 250 Vehicle Supplies & Materials $0 260 Office Supplies and Materials $100 $100 280 Heating & Utility Supplies $0 290 Other Supplies and Materials $100 $100 III. Current Obligations & Services $3,109 $3,109 310 Travel & Transportation $0 320 Communications $415 $415 330 Utilities $0 340 Printing & Binding $0 350 Repairs & Maintenance $0 370 Advertising $0 380 Data Processing $0 390 Other Services $2,694 $2,694 IV. Fixed Charges & Other Expenses $0 410 Rental or Real Property $0 430 Equipment Rental $0 440 Service and Maint. Contracts $0 450 Insurance & Bonding $0 490 Other Fixed Charges $0 V. Capital Outlay $0 [This Section Requires Cash Match] 510 Office Furniture & Equipment $0 530 Educational Equipment $0 540 Motor Vehicle $0 550 Other Equipment $0 580 Buildings, Structure & Improv. $0 Total $51,639 $18,473 $70,112 Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 SECTION VIII SOURCES OF PROGRAM REVENUE (ALL SOURCES) FY 21-22 New Hanover County Funding ID: 865-XXXX Sponsoring Agency: NHC, Community Justice Services, Youth Empowerment Services Program: Community Service and Restitution, Level II $42,000 DPS/JCPC Funds * This is the amount approved in your application 0% Local Match Rate Is the Local Match Rate 10%, 20% or 30%? $9,639 County Cash New Hanover County (Specify Source) Local Cash (Specify Source) Local Cash (Specify Source) $18,473 Local In -Kind New Hanover County (Specify Source) Other (Specify Source) Other (Specify Source) Other (Specify Source) Other (Specify Source) $70,112 TOTAL $0 $0 Required Local Match Match Provided ocuSigned by:E7A4BD9F419... Ei7981 6/21/221 Authorizing Official, Department of Public Safety Date Thefollowing signature certifies that this program agreement has been locally approved by the Board of County Commissioners. (DocuSigned by: �' "L E 6/21/2021 741AAC4C4DDE460... Chair, County Board of Commissioners or County Finance Director Date The following signature certifies that this program agreement has been locally approved by the Juvenile Crime Prevention Council. DocuSigned by: (� (VpUU" if 6/21/2021 3DDSE15 MA2540C... Chair, Juvenile Crime Prevention Council Date by��: UDocuSigned A�L . tawllt, I`r1 6/21/2021 A 143266AF4F646A... Program Manager Date Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 `. I 'E1� HANOVER COUNTY JUVENILE CRIME PREVENTION COUNCIL "- 230 Government Center Drive New Hanover County Suite 195 NORTHoCAROUWA Wilmington, North Carolina 28403 February 15, 2021 Ms. Pamela Stokes Lead Area Consultant Department of Public Safety 2241 Dickinson Avenue Greenville, NC 27834 Dear Ms. Stokes: New Hanover County Youth Empowerment Services has been awarded funding from the North Carolina Department of Public safety to enhance (not duplicate) it's existing Community Service and Restitution Program since 2011. The funding has been utilized to provide services to youth on Level II probation who receive up to 200 hours of community service as an intermediate dispositional alternative sanction to secure custody. The need for highly supervised community service and restitution services has been exacerbated by the increase in the risk level of admitted youth and severity of their criminal activity as a result of older juveniles being served following Raise the Age and the current Covid-19 environment. Since its inception, the program has served 298 youth on Level II probation. During the first 7 months of this fiscal year (July 1, 2020 through February 5, 2021), a total of 30 level II youth have been served. Currently, the Community Service and Restitution Level II program component has successfully admitted 100 percent of youth referred by the court counselors for services this fiscal year. The successful admission rate highlights the effective and streamlined procedures ensuring youth have access to much needed services. The Level II program assistant position is critical to ensuring the needs of our community's youth with the greatest risk and need levels are met. Level II youth often present with an array of risk factors, including gang involvement, substance use issues, decreased school participation, mental health needs, safety concerns, etc. For each admitted youth, the program assistant develops a detailed individualized service plan, accounting for specific service impediments ranging from limited transportation options, work/school schedules, safety concerns, etc. while also building upon youth interests, strengths, age, ability and need. Program goals are focused on equipping successful participants with improved interpersonal communication, time management skills, basic skills necessary to enter the local job market and an immersion in community based protective factors. The Level II component remained in operation throughout the Covid-19 Pandemic and worked with youth to complete 798 total service hours to date in this fiscal year. The level 11 component also makes available, to all admitted youth and families, case management services through the YES Case Management Program which addresses any needs for all individuals living in the household; to include healthcare, employment, housing, etc. The Level 11 program component is currently operating a virtual, 8 -week job skills course in conjunction with 3 other online platform offerings and in DocuSign Envelope ID: C0973F32-C73A-473F-9D1C-D3D49903A3F7 person community service throughout NHC at approved worksites. Currently, the program has 19 worksites, including a partnership with Cape Fear Community College (CFCC) that enhances the programs job skills development module and provides an expanded array of CFCC resources for youth. The partnership is especially beneficial to older youth, including those under expanded jurisdiction as a result of Raise the Age, as it offers opportunity for exposure to adult high school, free certification courses, and assistance with navigating continuing education in nontraditional settings. The program has also begun implementation of a mobile job skills lab, through the purchase of 12 Chromebook and mobile printers, to serve youth in community centers, public libraries, and other County WI-Fi equipped facilities. The New Hanover County Juvenile Crime Prevention Council (JCPC) highly recommends that the New Hanover County Youth Empowerment Services' Community Service and Restitution Program continue to receive funding to enhance its existing programming which provides services to youth on Level II probation. Hon(Ar6ble ,VH. qorkening II Chief District Cou udge Chairman, New Hanover County Juvenile Crime Prevention Council DocuSign Certificate Of Completion Envelope Id: C0973F32C73A473F9D1CD3D49903A3F7 Status: Completed Subject: DPS eSignature Request for New Hanover 865-23550 Community Service and Restitution, Level II Source Envelope: Document Pages: 25 Signatures: 4 Envelope Originator: Certificate Pages: 5 Initials: 0 DPS-DJJ Community Programs AutoNav: Enabled 3040 Hammond Business PI Envelopeld Stamping: Enabled Raleigh, NC 27603 Time Zone: (UTC -05:00) Eastern Time (US & Canada) djjdp.applicationsupport@ncdps.gov IP Address: 207.4.107.21 Record Tracking Status: Original Holder: DPS-DJJ Community Programs Location: DocuSign 6/15/2021 11:06:41 AM djjdp.applicationsupport@ncdps.gov Signer Events Signature Timestamp Jamie Roten D ... Signed by: Sent: 6/15/2021 11:06:42 AM jroten@nhcgov.com JA*it. PhIt" Viewed: 6/21/2021 12:40:07 PM Security Level: Email, Account Authentication A143266AF4F646A... Signed: 6/21/2021 12:40:17 PM (None) Signature Adoption: Pre -selected Style Using IP Address: 152.31.193.130 Electronic Record and Signature Disclosure: Accepted: 6/21/2021 12:40:07 PM ID: 85595d87-8fd5-4169-91 f9-098291872a3b J H Corpening II D S/g' dby: Sent: 6/21/2021 12:40:19 PM julius.h.corpening@nccourts.org f� CbVruu," N Viewed: 6/21/2021 1:50:17 PM SecurityLevel: Email Account Authentication C3DDSE15D4A2540C Signed: 6/21/2021 1:50:28 PM � 9 (None) Signature Adoption: Pre -selected Style Using IP Address: 204.152.2.230 Electronic Record and Signature Disclosure: Accepted: 6/21/2021 1:50:17 PM ID:2d232c1a-564e-4c75-8dOc-33aee9386e77 Lisa Wurtzbacherne Sg dby: Sent: 6/21/2021 1:50:29 PM Iwurtzbacher@nhcgov.com' Viewed: 6/21/2021 2:35:30 PM Security Level: Email, Account Authentication 741AAc4c4DDE460... Signed: 6/21/2021 2:58:46 PM (None) Signature Adoption: Pre -selected Style Using IP Address: 70.63.86.17 Electronic Record and Signature Disclosure: Accepted: 6/21/2021 2:35:30 PM ID:b2520d7c-e614-4e8b-94e0-e94982ecae20 Cindy Porterfield S'g d by: Sent: 6/21/2021 2:58:48 PM cindy.porterfield@ncdps.gov C�D "'"`°` Viewed: 6/21/2021 3:07:18 PM Director of Juvenile Community Programs 798FUMBDU419.. Signed: 6/21/2021 3:07:29 PM NC Dept of Public Safety Signature Adoption: Pre -selected Style Security Level: Email, Account Authentication (None) Using IP Address: 199.90.60.4 Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 6/15/2021 11:06:42 AM Certified Delivered Security Checked 6/21/2021 3:07:18 PM Signing Complete Security Checked 6/21/2021 3:07:29 PM Completed Security Checked 6/21/2021 3:07:29 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 4/3/2018 2:57:43 PM Parties agreed to: Jamie Roten, J H Corpening II, Lisa Wurtzbacher CONSUMER DISCLOSURE From time to time, NC Dept of Public Safety (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign, Inc. (DocuSign) electronic signing system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the a€ -I agreea€TM button at the bottom of this document. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after signing session and, if you elect to create a DocuSign signer account, you may access them for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per -page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. To indicate to us that you are changing your mind, you must withdraw your consent using the DocuSign a€ -Withdraw Consenta€TM form on the signing page of a DocuSign envelope instead of signing it. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact NC Dept of Public Safety: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: david.pozun@ncdps.gov To advise NC Dept of Public Safety of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at david.pozun@ncdps.gov and in the body of such request you must state: your previous e-mail address, your new e-mail address. We do not require any other information from you to change your email address.. In addition, you must notify DocuSign, Inc. to arrange for your new email address to be reflected in your DocuSign account by following the process for changing e-mail in the DocuSign system. To request paper copies from NC Dept of Public Safety To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an e-mail to david.pozun@ncdps.gov and in the body of such request you must state your e-mail address, full name, US Postal address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with NC Dept of Public Safety To inform us that you no longer want to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your DocuSign session, and on the subsequent page, select the check -box indicating you wish to withdraw your consent, or you may; ii. send us an e-mail to david.pozun@ncdps.gov and in the body of such request you must state your e-mail, full name, US Postal Address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software Operating Systems: WindowsA@ 2000, WindowsA@ XP, Windows Vista,&@; Mac OSA@ X Browsers: Final release versions of Internet Explorer,&@ 6.0 or above (Windows only); Mozilla Firefox 2.0 or above (Windows and Mac); Safaria„¢ 3.0 or above (Mac only) PDF Reader: AcrobatA@ or similar software may be required to view and print PDF files Screen Resolution: 800 x 600 minimum Enabled Security Settings: Allow per session cookies ** These minimum requirements are subject to change. If these requirements change, you will be asked to re -accept the disclosure. Pre-release (e.g. beta) versions of operating systems and browsers are not supported. Acknowledging your access and consent to receive materials electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please verify that you were able to read this electronic disclosure and that you also were able to print on paper or electronically save this page for your future reference and access or that you were able to e-mail this disclosure and consent to an address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the a€ -I agreea€TM button below. By checking the a€ -I agreea€TM box, I confirm that: • I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC CONSUMER DISCLOSURES document; and • I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and • Until or unless I notify NC Dept of Public Safety as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by NC Dept of Public Safety during the course of my relationship with you.