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HomeMy WebLinkAboutFY24 SRC HCCBG funding plansDAAS-735-0 (updated 4-4-22) July 1, 2023 through June 30, 2024 Home and Community Care Block Grant for Older Adults Agreement for the Provision of County -Based Aging Services This Agreement, entered into as of this - — day of2023, by and between the County of New Hanover (hereinafter referred to as the "County") an the Cape Fear Council of Governments, Lead Regional Organization for the Area Agency on Aging (hereinafter referred to as the "Area Agency"). Witnesseth That: WHEREAS, the Area Agency and the County agree to the terms and conditions for provision of aging services in connection with activities financed in part by Older Americans Act grant funds, provided to the Area Agency from the United States Department of Health and Human Services through the North Carolina Division of Aging and Adult Services (DAAS) and state appropriations made available to the Area Agency through the North Carolina Division of Aging and Adult Services, as set forth in a) this document, b) the County Funding Plan, as reviewed by the Area Agency and the Division of Aging and Adult Services, c) the Division of Aging and Adult Services Home and Community Care Block Grant Procedures Manual for Community Service Providers, d) the Division of Aging and Adult Services Service Standards, and, e) the Division of Aging and Adult Services Community Service Providers Monitoring Guidelines. NOW THEREFORE, in consideration of these premises, and mutual covenants and agreements hereinafter contained, the parties hereto agree as follows: As provided in the Area Plan, community service providers specified by the County to encourage maximum collocation and coordination of services for older persons are as follows: New Hanover Co. Senior Resource Center The Community Service Provider(s) shall be those specified in Attachment A on the County Funding Plan Provider Services Summary format(s) (DAAS-732) for the period ending June 30 for the year stated above. 2. Availability of Funds. The terms set forth in this Agreement for payment are contingent upon the receipt of Home and Community Care Block Grant funding by the Area Agency. Grant Administration. The grant administrator for the Area Agency shall be: Holly Pilson, Area Agency on Aging Director, Cape Fear Council of Governments. The grant administrator for the County shall be: Amber Smith, New Hanover County Senior Resource Center Director. DAAS-735-0 (updated 4-4-22) It is understood and agreed that the grant administrator for the County shall represent the County in the performance of this Agreement. The County shall notify the Area Agency in writing if the administrator changes during the grant period. Specific responsibilities of the grant administrator for the County are provided in paragraph seven (7) of this Agreement. 4. Services authorized through the County Funding Plan, as specified on the Provider Services Summary format(s) (DAAS-732) in Attachment A, are to commence no later than July 1 of the state fiscal year and shall be undertaken and pursued in such sequence as to assure their expeditious completion. All services required hereunder shall be completed on or before the end of the Agreement period, June 30 of the state fiscal year. 5. Assionability and Contracting. The County shall not assign all or any portion of its interest in this Agreement. Any purchase of services with Home and Community Care Block Grant for Older Adults funding shall be carried out in accordance with the procurement and contracting policy of the community services provider or, where applicable, the Area Agency, which does not conflict with procurement acrd contracting requirements contained in 45 CFR Part 75, Subpart D -Post Federal Award Requirements, Procurement Standards. Federal funds shall not be awarded to any subrecipients who have been suspended or debarred by the Federal government. In addition, Federal funds may not be used to purchase goods or services costing over $100,000 from a vendor that has been suspended or debarred from Federal grant programs. 6. Com€7ensation and tavments to the Count;. The County shall be compensated for the work and services actually performed under this Agreement by payments to be made monthly by the Area Agency. Total reimbursement to the community service providers under this Agreement may not exceed $1,250,197 the grand total of Block Grant funding, as specified on the Provider Services Summary format (DAAS-732) in Attachment A. a. Interim Payments to the Count' Upon receipt of a written request from the County, the Division of Aging and Adult Services, through the Area Agency, will provide the County Finance Officer with an interim payment equivalent to seventy percent (70%) of one -twelfth (1112) of the County's Home and Community Care Block Grant allocation by the 22nd of each month. b. Reimbursement o f Service Costs Reimbursement of service costs are carried out as provided in Section 3 of the N.C. Division of Aging and Adult Services Home and Community Care Block Grant Procedures Manual for Community Service Providers, revised February 17, 1997. c. Role of the Count, Finance Director The County Finance Director shall be responsible for disbursing Home and Community Care Block Grant Funding to Community Service Providers in accordance with procedures specified in the N.C. Division of Aging and Adult Services Home and Community Care Block Grant Manual for Community Service Providers, revised February 17, 1997. DAAS-735-0 (updated 44-22) d. Pa, ment of Administration on A2ina Nutrition Services Ineentive,Pro ram t SIP E Subsld4 NSIP subsidy for congregate and home delivered meals will be disbursed by the Division of Aging and Adult Services through the Area Agency to the County on a monthly basis, subject to the availability of funds as specified in Section 3 of the N.C. Division of Aging and Adult Services Home and Community Care Block Grant Procedures Manual for Community Services Providers. If through the U.S. Department of Agriculture Area Agency on Aging Elections Project, the County elects to receive a portion of its USDA entitlement in the form of surplus commodity foods in lieu of cash, the Area Agency will notify the County in writing of its community valuation upon notification from the Division of Aging and Adult Services. The delivery of commodity and bonus foods is subject to availability. The County will not receive cash entitlement in lieu of commodities that are unavailable or undelivered during the Agreement period. 7. Reallocation of FundsAnl Buda I Revisions. Any reallocation of Block Grant funding between counties shall be voluntary on the part of the County and shall be effective only for the period of the Agreement. The reallocation of Block Grant funds between counties will not affect the allocation of future funding to the County, If during the performance period of the Agreement, the Area Agency determines that a portion of the Block Grant will not be expended, the grant administrator for the County shall be notified in writing by the Area Agency and given the opportunity to make funds available for reallocation to other counties in the Planning and Service Area or elsewhere in the state. The County may authorize community service providers to implement budget revisions which do not cause the County to fall below minimum budgeting requirements for access, in-home, congregate, and home delivered meals services, as specified in Division of Aging and Adult Services budget instructions issued to the County. If a budget revision will cause the County to fall below minimum budgeting requirements for any of the aforementioned services, as specified in Division of Aging and Adult Services budgeting instructions issued to the County, the grants administrator for the County shall obtain written approval for the revision from the Area Agency prior to implementation by the community service provider, so as to assure that regional minimum budgeting requirements for the aforementioned services will be met. Unless community services providers have been given the capacity to enter data into the Aging Resources Management System (ARMS), Area Agencies on Aging are responsible for entering amended service data into the Division of Aging and Adult Services Management Information System, as specified in the N.C. Division of Aging and Adult Services Home and Community Care Block Grant Procedures Manual for Community Service Providers. 8. Monitoring. This Agreement will be monitored to assure that services are being provided as stated in the Division of Aging and Adult Service Monitoring Policies and Procedures at The monitoring of services provided under this Agreement shall be carried out by the Area Agency on Aging in accordance with its Assessment Plan and as specified in Sec. 308 of the AAA Policies and Procedures Manual. Counties and community service providers will receive DAAS-735-0 (updated 4.4-22) a written report of monitoring findings in accordance with procedures established in Section 308.4. Any areas of non-compliance will be addressed in a written corrective action plan with the community service provider. Consumer Contributions: Grantees must allow for "consumer contributions" (caregiver must be given opportunity to contribute to defray the cost of the service but may not be denied service should he/she fail to or choose not to contribute). The NC Division of Aging and Adult Services Home and Community Care Block Grant Service Standards for Consumer Contributions will be followed, and a signed/dated provider assurance form must be present in each client file. Please review the Consumer Contributions Policy and Procedures at: r"'thit !J?w oa itt,'C f+ (3,.,1 ,t<t tuts C>":,`3_f 1G id 9. Disputes and Appeals. Any dispute concerning a question of fact arising under this Agreement shall be identified to the designated grants administrator for the Area Agency. In accordance with Lead Regional Organization (LRO) policy, a written decision shall be promptly furnished to the designated grants administrator for the County. The decision of the LRO is final unless within twenty (20) days of receipt of such decision the Chairman of the Board of Commissioners furnishes a written request for appeal to the Director of the North Carolina Division of Aging and Adult Services, with a copy sent to the Area Agency. The request for appeal shall state the exact nature of the complaint. The Division of Aging and Adult Services will inform the Chairman of the Board of Commissioners of its appeal procedures and will inform the Area Agency that an appeal has been filed. Procedures thereafter will be determined by the appeals process of the Division of Aging and Adult Services. The state agency address is as follows: Director North Carolina Division of Aging and Adult Services 693 Palmer Drive 2101 Mail Service Center Raleigh, North Carolina 27699-2101 10. Termination for Cause. If through any cause, the County shall fail to fulfill in a timely and proper manner its obligations under this Agreement, or the County has or shall violate any of the covenants, agreements, representations or stipulations of this Agreement, the Area Agency shall have the right to terminate this Agreement by giving the Chairman of the Board of Commissioners written notice of such termination no fewer than fifteen (15) days prior to the effective date of termination. In such event, al I finished documents and other materials collected or produced under this Agreement shall at the option of the Area Agency, become its property. The County shall be entitled to receive just and equitable compensation for any work satisfactorily performed under this Agreement. 11. Audit. The County agrees to have an annual independent audit in accordance with North Carolina General Statutes, North Carolina Local Government Commission requirements, Division of Aging and Adult Services Program Audit Guide for Aging Services and Federal Office of Budget and Management (OMB) Uniform Guidance 2 CFR Part 200. DAAS-735-0 (updated 4.4-22) Community service providers, as specified in paragraph one (1), who are not units of local government or otherwise subject to the audit and other reporting requirements of the Local Government Commission are subject to audit and fiscal reporting requirements, as stated in NC General Statute 143C-6.22 and 23 and OMB Uniform Guidance CFR 2 Part 200, where applicable. Applicable community service providers must send a copy of their year-end financial statements, and any required audit, to the Area Agency on Aging. Home and Community Care Block Grant providers are not required to submit Activities and Accomplishments Reports. For-profit corporations are not subject to the requirements of OMB Uniform Guidance 2 CFR Part 200, but are subject to NC General Statute 143C-6-22 and 23 and Yellow Book audit requirements, where applicable. Federal funds may not be used to pay for a Single or Yellow Book audit unless it is a federal requirement. State funds will not be used to pay for a Single or Yellow Book audit if the provider receives less than $500,000 in state funds. The Department of Health and Human Services will provide confirmation of federal and state expenditures at the close of the state fiscal year. Information on audit and fiscal reporting requirements in accordance with Administrative Code 09 NCAC 03M can be found The following chart provides a summary of reporting requirements under NCGS 143C-6-22 and 23 and OMB Uniform Guidance 2 CFR Part 200 based upon funding received and expended during the service provider's fiscal year. Annual Expenditures Report Required to AAA Allowable cost for reporting • Les —than $25,000 in Certification form and Stale Grants N.A. state or federal funds Compliance Reporting <$251000 (Item #11, Activities and Accomplishments) j does not have to be completed) OR Audited Financial Statements in compliance with GAO/GAS ti.e., Yellow Book). • Greater than $25,000 Certification form and Schedule of Grantee N.A. and less than i Receipts >$25,000 and Schedule of Receipts $500,000 in state and Expenditures funds or $750,000 in I OR federal funds. Audited Financial Statements in compliance with GAO/GAS (i.e., Yellow Book) �_ — - • $500,000+ in state I Audited Financial Statement in compliance May use state {funds, but funds but federal with GAO/GAS (i.e., Yellow Book) not pass through in an federal funds. amount less than __1750,000,. _ • $500,000+ in state $750,000+ Audited Financial Statement in compliance with OMB Uniform Guidance 2 CFR Part May use state i and federal funds and 200 (i.e., Single Audit) funds. DAAS-735-0 (updated 4.4-22) Annual Expend11 itures ! Report Required to AAA Allowable cost for reporting I in federal pass through funds. -- • Less than $500,000 Audited Financial Statement in compliance May use federal in state funds and with OMB Uniform Guidance 2 CFR Part funds, but not $750,000+ in federal 200 (i.e., Single Audit) state funds. 12. Aiidit!A esessment Resolutions and DisallowO Cost. It is further understood that the community service providers are responsible to the Area Agency for clarifying any audit exceptions that may arise from any Area Agency assessment, county or community service provider single or financial audit, or audits conducted by the State or Federal Governments. In the event that the Area Agency or the Department of Health and Human Services disallows any expenditure made by the community service provider for any reason, the County shall promptly repay such funds to the Area Agency once any final appeal is exhausted in accordance with paragraph nine (9). The only exceptions are if the Area Agency on Aging is designated as a community service provider through the County Funding Plan or, if as a part of a procurement process, the Area Agency on Aging enters into a contractual agreement for service provision with a provider which is in addition to the required County Funding Plan formats. In these exceptions, the Area Agency is responsible for any disallowed costs. The County or Area Agency on Aging can recoup any required payback from the community service provider in the event that payback is due to a community service provider's failure to meet OMB Uniform Guidance CFR 2 Part 200, 45 CFR Part 1321 or state eligibility requirements as specified in policy. 13. Indemnitv, The County agrees to indemnify and save harmless the Area Agency, its agents, and employees from and against any and all loss, cost, damages, expenses, and liability arising out of performance under this Agreement to the extent of errors or omissions of the County. 14. Euual,Em-PION ent Oy€sortunit� and Americans With_ Disabilities Act Coin , iance. Both the County and community service providers, as identified in paragraph one (1), shall comply with all federal and state laws relating to equal employment opportunity and accommodation for disability. 15. Data to be Furnished to the County. All information which is existing, readily available to the Area Agency without cost and reasonably necessary, as determined by the Area Agency's staff, for the performance of this Agreement by the County shall be furnished to the County and community service providers without charge by the Area Agency. The Area Agency, its agents and employees, shall fully cooperate with the County in the performance of the County's duties under this Agreement. 16. RLhts in Documents. Materials and Data Produced. The County and community service providers agree that at the discretion of the Area Agency, all reports and other data prepared by or for it under the terms of this Agreement shall be delivered to, become and remain, the DAAS-735-0 (updated 4-4-22) property of the Area Agency upon termination or completion of the work. Both the Area Agency and the County shall have the right to use same without restriction or limitation and without compensation to the other. For the purposes of this Agreement, "data" includes writings, sound recordings, or other graphic representations, and works of similar nature. No reports or other documents produced in whole or in part under this Agreement shall be the subject of an application for copyright by or on behalf of the County. 17. Interest of flic_pqqi,(J of Commissioners. The Board of Commissioners covenants that neither the Board of Commissioners nor its agents or employees presently has an interest, nor shall acquire an interest, direct or indirect, which conflicts in any manner or degree with the performance of its service hereunder, or which would prevent, or tend to prevent, the satisfactory performance of the service hereunder in an impartial and unbiased manner. 18. Interest of Members of the Area Aencr. bead Regional Or anizat*on .vand Others. No officee, member or employee of the Area Agency or Lead Regional Organization, and no public official of any local government which is affected in any way by the Project, who exercises any function or responsibilities in the review or approval of the Project ar any component part thereof, shall participate in any decisions relating to this Agreement which affects his personal interest or the interest of any corporation, partnership or association in which he is, directly or indirectly, interested; nor shall any such persons have any interest, direct or indirect, in this Agreement or the proceeds arising there from. 19. Officials not to Benefit. No member of or delegate to the Congress o£the United States of America, resident Commissioner or employee of the United States Government, shall be entitled to any share or part of this Agreement or any benefits to arise here from. 20. ProbibitionAgainst Use of Funds to Influence Legislation. No part of any funds under this Agreement shall be used to pay the salary or expenses of any employee or agent acting on behalf of the County to engage in any activity designed to influence legislation or appropriations pending before Congress. 21. Confidentiality and Securita. Any client information received in connection with the performance of any function of a community service provider or its subcontractors under this Agreement shall be kept confidential. The community service provider acknowledges that in receiving, storing, processing, or otherwise handling any confidential information, the agency and any subcontractors will safeguard and not further disclose the information except as provided'in this Agreement and accompanying documents. 22. Record Retention and Dis7wsition. All state and local government agencies, nongovernmental entities, and their subrecipients, including applicable vendors, that administer programs funded by federal sources passed through the NC DHHS and its divisions and offices are expected to main tam compliance with the NC DHHS record retention and dtsposttton schedule 1 "i�. In addition, the NC Department of Natural and Caltuml Resources has developed a General DAAS-735-0 (updated 44-22) Records Schedule for Local Government Agencies as well as individual retention and disposition schedules for local government agencies like county social service agencies and local health departments. Those schedules are posted at Retention requirements apply to the community service providers funded under this Agreement to provide Home and Community Care Block Grant services. By funding source and state fiscal year, the NC DHHS record retention schedule lists the earliest date that grant records in any format may be destroyed. The State Archives provides information about destroying confidential data and authorized methods of record destruction (paper and electronic) at )ITI,.I ': t L.: lr,s s.....`r'� .( t5.. '1 {; a :P��°*SL' ✓ L Ks-. � J__ ecordS. The NC DHHS record retention schedule is based on federal and state regulations and pertains to the retention of all financial and programmatic records, supporting documents, statistical records, and all other records supporting the expenditure of a federal grant award. Records legally required for ongoing official proceedings, such as outstanding litigation, claims, audits, or other official actions, must be maintained for the duration of that action, notwithstanding the instructions of the NC DHHS record retention and disposition schedule. In addition to record retention requirements for records in any format, the long-term and/or permanent preservation of electronic records require additional commitment and active management by agencies. The community service provider will comply with all policies, standards, and best practices published by the Division of Aging and Adult Services regarding the creation and management of electronic.records. 23. Additional rmrovisions. a. County and any subrecipients are required to follow policies and procedures for procurement that are at least as stringent as those of the State. For federal funds this requirement pertains to verifying that federal funds are not used to award funds to any subrecipients who have been suspended or debarred by the federal government. In addition, federal funds may not be used to purchase goods or services costing over $100,000 for a vendor that has been suspended or disbarred from Federal grant programs. Contractors and subcontractors of Older Americans Act funds are prohibited from discharging, demoting, or otherwise discriminating against and employee for whistle blowing as codified in 48 CFR Ch. 13.908. b. Any capital purchases of $5,000 or more must be pre -approved by the Area Agency and the Division of Aging and Adult Services. c. Hany copyrightable material is developed in the course of or under this agreement and any subaward, a copy will be furnished to the Department of Health and Human Services and the Department shall have a royalty fee, non-exclusive, and irrevocable right to reproduce, publish or otherwise use the work for Department purposes. DAAS-735-0 (updated 4-4-22) d. In accepting this award, the County agrees not to replace local program support with Total Federal/State Reimbursement and will contract for any aging services as identified through the county funding plan in accordance with policies and procedures established in the Division of Aging and Adult Services Manual of Policies and Procedures „Ji Jr S• i t .y;F ! i+ t0±li a ,t -ar? 1. ltl e. County and any subrecipients shall comply with the Federal Funding Accountability and Transparency Act (FFATA) by enrolling as a subrecipient in System for Award Management (SAM) Registration on an annual basis and providing required award information in the FFATA Subaward Reporting System per 2 CFR part 170. f. In accepting this award, County and any subrecipients agree to maintain compliance with Section 306(a), (13), (14), and (15), of the Older Americans Act, as amended in 2006 with regards to contractual and commercial relationships. g. By signatures on Attachment B, Federal Certifications, the County certifies its compliance and compliance of any subrecipients with federal requirements regarding nondiscrimination; drug-free workplace; environmental tobacco smoke; debarment, suspension, ineligibility, and voluntary exclusion lower tier covered transactions; and lobbying. h. E-Verife Compliance. Pursuant to Session Law 2013-418, Contractor shall fully comply with the U.S. Department of Homeland Security employee legal status E -Verify requirements for itself and all its subcontractors, if applicable. requires an affidavit attesting to Contractor's compliance. Violation of the provision, unless timely cured, shall constitute a breach of contract. 24. Applicable Law. This Agreement is executed and is to be performed in the State of North Carolina, and all questions of interpretation and construction shall be construed by the laws of such State. Subrecipient name: New Hanover County Senior Resource Center Subrecipient's uni ue entity identifier: SAM UEI: F7TLT2GMEJEl TITLE HI -B TITLES III -Cl TITLE III -C2_€ Federal Award Identification Number (FAIN): AANCT38S tANCT3CM %ANCT3HD Federal Award Date: 07-01-2023 Subaward and Budget Period of Performance 07-01-2023 Start Date: Subaward and Budget Period of Performance 06-30-2024 End Date: -TITLE TITLE III -B TYTLES III -CI T 111-C2 Amount of Federal Funds Obligated to the $ 772,632 125,000 352,565 subrecipient by this action: ( Total Amount of Federal Funds Obligated to $ 1,250,197 the subrecipient by CFCOG: DAAS-735-0 (updated 4-4-22) Total Amount of the Federal Award Committed to the subreci fent by CFCOG: $1,294,197 TITLE III -B TITLES III -CI TITLE III -C2 Federal award project description : Supportive Services 'ongregate Meals Tome -Delivered Meals Federal awarding agency: Federal recipient: Administration for Community Living North Carolina Department of Health and Human Services Division of Aging and Adult Services Subawardin agency: Cave Fear Council of Governments Subawarding agency contact information: Holly Pilson, Area Agency on Aging Director 910-274-0339 TITLE_ III -B I TITLES III -CI TITLE IH -C2 Assistance listings number and title: 93.044 ±3.045 )3.045 Research and development: No _ _ In witness whereof, the Area Agency and the County have executed this Agreement as of the day first written above. New Hanover County AWntnty ager 9Agc n Aging Director By: - Chairman, Board of Commissioners Area Acencp Um Executive Director This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Ac By: - Finance Director, Cape Fear Council of Governments 10 Ana�mmtA Abd mamn Attachment A DAAS-733 (Rev. 2/19) Home and Community Care Block Grant for Older Adults Outreach Methodology July 2023 through June 2024 Outreach Methodology to Address the Service Needs of Target Population Community Service Provider: SenioriResource Center County: NEW HANOVER While all older adults age 60 and over are eligible for services, sec. 305(a)(2)(E) of the Older Americans Act requires programs to target services to older individuals with the greatest economic and social need, (with particular attention to low-income older adults, including low-income minority older adults, older adults with limited English proficiency, and older adults residing in rural areas). The community service provider shall specify how these service needs will be met through the services identified on the Provider Services Summary (DAAS-732). This narrative shall address outreach and service delivery methodologies that will ensure that this target population is adequately served and conform with specific objectives established by the Area Agency on Aging, for providing services to low income minority individuals. Additional pages may be used as necessary. Attachment A DAAS-734 AIN 111auh iMgAU.. Home and Community Care Block Grant for Older Adults Community Service Provider Standard Assurances :Senior Resource Cents agrees to provide services through the Home and Community Care Block Gran; as specified on the Provider Services S o m#n� (DAAS-732) in nocordance with the following: L Services shag be provided in accordance with requirements set forth in: a) Tire County Funding Plan; b) The Division of Aging and Adult Services Home and Community Care Block Grant Procedures Manual for Community Service Providers; and c) The Division of Aging and Adult Services Standords at o // II 1 v, /,yi-' / /-nopiawinB Community service providers shag monitor any subcontracts with providers of Block Grant services and take appropriate measures to ensure that services aro provided in accordance with the aforementioned documents. 2. Priority shall be given to providing services to those older persons with the greatest economic or social needs. The service needs of low-income minority elderly will be addressed in the mourner specked on the Outreach Methodoloya ko Address Service Needs of Tprwt Population (DAAS-733). 3. The following service authorization activities will be copied out in conjunction with all services provided through the Block Gmm a) Eligibility determination; b) Client intoWnugislration; c) Client assessmentheessessments and quarterly visits, as appropriate; d) Determining the amount of services to be received by the client; and e) Reviewing consumer contributions policies with eligible clients. 4. All licenscv, permits, bonds, and insurance necessary for carrying out Block Grant Services will be maintained by the community service provider and any subcontracted providers. S As specified in 45 CFR 75, Subpart D -Post Federal Award Requirements, Procurement Standards, community service providers shall have procedures for settling all contractual and administrative issues urisiag out of procurement of services through the Block Gant. Community service providers shall haveprocedures governing the evaluation of bids for services and procedures through which bidders and contracted providers may appeal or dispute a decision made by the community service provider. 5. ApplicautrClient appeals shall be addressed as specified in Section 7 of the Division of Aging and Adult Services Home and Community Care Block Grant Manual for Community Service Providers. 7. Community service providers are responsible for providing or arranging for the provision of required meal match, as specified on the Provider Services Summary, (DAAS-732), loop] match shall be expended simultaneously with Block Grant funding. g. Community service providers agree to comply with audit and fiscal reporting requirements as specified in the Agreement for the Provision of County -Based Aging Services (DAAS-735). 9. Compliance with Equal Emptoymern Opportunity and Americans with Disabilities Act requiremenrs, as specified in paragraph fourteen (14) of The Agreement for the Provision of County -Based Aging Services (DAAS-735) shall be maintained. 10• Providers of In -Home Aide, Home Health, Housing and Home hnpro vement, and Adult Day Care or Adult Day Health Care shall sign and return the attached assurance to the area agency on aging indicating that recipients of these services have been informed of their client rights, as required in Section 314 of the 2006 Amendments to The Older Americans Act (DAAS-734 Standard Assurances Regarding In -Home Client Rights). Attachment A 11. Subcontracting— All HCCHG community service providers must assure that subcontractors (for-profit and non-profit entities only) meet the following requirements: a. The subcontractor has not been suspertded or debarred. (N.C.G.S. §143C-6-23, 04NCAC 03M) b. The subcontractor has not been barred from doing business at the federal level. c. The subcontractor is able to produce a notarird lata.@ Grand; rific�tr�c rr '., Ceerru (a\D=pts." d. Ali licenses, permits, bonds and insurance necessary for carrying out Home and Community Cue Block Grant services will be maintained by both the community sctvice provider and any subcontractors. e. The subcontractor is registered as a charitable, tax-exempt (501c3) organization with the Internal Revenue Service (non- profit subcontractors only). 12• Confidentiality and Security. Per the requirements in I OA NCAC 051 and Section 6 of dre Home and Community Care Black Grant Procedures Manual, client information in my format and whether recorded or not shell be kept confidential and not disclosed in a form that identifies the person without the informed consent of the person or legal representative. Community service providers, including subcontractors and vendors, must adhere to all applicable federal, state and departmental requirements for protecting the security and confidentiality, of them information including but not limited to appropriately restricting access, establishing procedures to reduce the risk ofaecidental disclosures from data processing systems, and developing a process by which the Division of Adult Aging Services is notified of suspected or confirmed security incidents and data breaches. 13. Record Retention end Disposition. All community service providers are responsible for maintaining custody of records and documentation to support the allowable expenditure of funds, service provision, and the reimbursement of services. Service providers; mus[ adhere to the word ord retention and disposition schedule posted at by the NC Department of Heakh and Human Services Controller's Dffice, as well as the local government schedules pasted by the NC Department of Natural and Culltuml Resources at Service providers are not authorized to destroy records related to the provision of services under this Agreement except in compliance with the approved DHHS retention and disposition schedule, which allows for the proper destruction of records bared on a schedule by funding source and fiscal year. The agency agrees to comply with 07 NCAC 04M .0510 when deciding on a method of record destruction . Confidential records will be destroyed in such a manner that the records cannot be practically read or reconstructed. Attachment A Standard Assurance To Comply with Older Americans Act Requirements Regarding Clients Rights For Agencies Providing In -Home Services through the Home and Community Care Block Grant for Older Adults As a provider of one or more of the services listed below, our agency agrees to notify all Home and Community Care Block Grant clients receiving any of the below listed services provided by this agency of their rights as a service recipient. Services in this assurance include: • In -Home Aide • Home Care (home health) • Housing and Home Improvement • AduR Day Care or Adult Day Health Care Notification will include, at a minimum, an oral review of the information outlined below as well as providing each service recipient with a copy of the information In written form. In addition, providers of In-home services will establish a procedure to document that client rights information has been discussed with in-home services clients (e.g. copy of signed Client Bill of Rights statement). Clients Rights information to be communicated to service recipients will include, at a minimum, the right to: • be fully informed, in advance, about each in-home service to be provided and any change in service(s) that may affect the wellbeing of the participant; • participate in planning and changing any in-home service provided unless the client is adjudicated incompetent; • voice a grievance with respect to service that is or fails to be provided, without discrimination or reprisal as a result of voicing a grievance; • confidentiality of records relating to the individual; • have property treated with respect; and • be fully informed both orally and in writing, in advance of receiving an in-home service, of the individual's rights and obligations. Client Rights will be distributed to, and discussed with, each new client receiving one or more of the above listed services prior to the onset of service. For all existing clients, the above information will be provided no later than the next regularly scheduled service reassessment. Agency Name: Senior Resource Center Name of Agency Administrator: Amber K. Smith Signature: Attachment A DAAS -730 (Rev. 4/2019) Home and Community Care Block Grant for Older Adults County Funding Plan of Agency or Office with Lead Responsibility for County Funding Plan New Hanover July 1, 2023 through June 30.2024 The agency or office with lead responsibility for planning and coordinating the County Funding Plan recommends this funding plan to the Board of Commissioners as a coordinated means to utilize community-based resources in the delivery of comprehensive aging services to older adults and their families. New Hanover County $_enior Resource Center (Name of agency/office with lead responsibility signature Assistant U.S. DEPARTMENT OF COMMERCE WTI CERTIFICATION REGARDING LOBBYING Applicants should also review the instructions for certification included in the regulations before completing this fano. Signature on this form provides for compliance with cedifloation requirements under 15 CFR Pan 28, Wow Restrictions on Lobbying.' The certifications shall be treated as a material representation or fact upon which reliance will be placed when the Department of Commerce determines to award the covered transaction, grant, or cooperative agreement. LOBBYING As required by Section 1352, TWO 31 of the U.S. Code, and Implemented at 15 CFR Pad 28, for persons entering Into a grant, cooperative agreement or contract over $100,000 or a loan or loan guarantee over $160,000 as defined at 15 GFR Part 28, Sections 28.105 and 28.110, the applicant certifies that to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to Influence an officer or employee of any agency, a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, ban, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to fnflusnco an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a member of Congress In connection with this Federal contract, grant, loan, or cooperative agreement the undersigned shell complete and submit Standard Form-LLL,'Disclosure Form to Repot lobbying.' in accordance with Us instructions. (3) The undersigned shall require that the language of this cehrrcation be included in the award documents for all subawards at all tiers (including subcontracts, subgrerds, and contracts under grants, loans, and cooperative agreements) and that all subrecipiems shall certify and disclose accordingly. This cartification Is a materiel representation of fact upon which reliance was placed when this transaction was made or entered Into. Submission of this cerdOcation is a prerequisite for making or entering Into this transection Imposed by section 1352, title 31, U.S. Code. Any person who falls to Ob the required conlflca0on shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure occurring on or before October 23, 1996, and of not loss than $11,000 and not more then $110,000 for each such failure occurring after October 23, 1996. Statement for Loan Guarantees and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: In any funds have been paid a will be paid to any person for influencing or attempting to Influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection with this commitment providing for the United States to Insure of guarantee a loan, the undersigned shall complete and submit Standard Form-LU.,'Olsclosure Form to Report Lobbying,' in accordance with Its Instructions. Submission of this statement Is a prerequisite for making or entering into this transection imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penaby of not lass then $10,000 and not more than $100,000 for each such failure occurring on or before October 23, 1996, and of not less than $11,000 and not more then $110,000 for each such failure occurring after October 23, 1996. As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above applicable certification. NAME OF APPLICANT DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activitles pursuant to 31 U.S.C. 1352 0346-0D46 iSee reverse for public burden disclosure. L 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: Qa. contract Da. bidiofferiapplication a. initial filing b. grant b. initial award b, material change c. cooperative agreement c. post -award For Material Change Only: d. loan I{ year, quarter e. loan guarantee date of last report Number, ifknown: 0. a. Name and Address of Lobbying bdarmYlon requaelad through INS ram u aulhodad by M Si U.S.C. wlt0 1352. TNs dndolare dl lobbylre ectivNes le a mstedm rap,eeanlay" of fact upon which reliade was placed by the liar ab W when alto tremacdoo was made or erolarld bdn. Toa disclosure to re(fiNrad Paaaenl to 31 U.S.C. 1352 TNe Irdaaaoao Will ba fopoltedtu Uo collaress mrol-nnmlly and will ba avdlabla kr public InapeNon, aay Person who 18Ifs to gra 00 requlrad dsdusom 081 bo subjo4 to a d K penalty of not less bud $10,000 aryl rad am than $100.000 for aed,alahfallm- If Reporting Entity in No. 4 is a Subawardes, Enter and Address of Prime: Program CFDA Number, if applicable: Award Amount, if known: Individuals Performing S different from No, 10a) Name: hone No.: Date: _ Authof@ed for Local ReprodUldiOn Standard Farm LLL (Rev. 7.97)