Attachment+B+-+Quarterly+Compliance+Report.docx

ATTACHMENT B

Recovery Center Quarterly Compliance Report Instructions: Recovery Center Directors - Please complete this report each quarter, by the 15th of the subsequent month (January 15th, April 15th, July 15th, and October 15th). After completion, email a copy to the local Liaison. Liaison will forward the copy to the local QM Committee.

Recovery Center:

Today’s Date:

Which quarter is this reporting form for; circle one:

Q1 (January-March; due April 15th) Q2 (April-June; due July 15th)

Q3 (July-September; due October 15th) Q4 (October-December; Due January 15th)

Name of person completing the reporting form:

RFP Section 2.03 Scope of Work; Section 1: The items in Section 1 are required by Vendor to remain compliant with Agreement. Failure to adhere to expectations as detailed in RFP Section 2.03 Scope of Work shall result in a letter of warning requiring immediate correction. Failure to correct identified non-compliance within 30 days of receiving the letter of warning shall result in disciplinary action up to and including termination of Agreement.

A) During the previous quarter, all members of the Recovery Center identified as having a mental illness were 18 years of age or older? Yes No

B) During the previous quarter, the Recovery Center was open a minimum of 40 hours per week. Yes No During the previous quarter, the Recovery Center operated as a Drop-In center as described. Yes No

C) During the previous quarter, there were changes to the Vendor’s policy and procedure manual. Yes No If Yes, an updated copy was sent to State. Yes No

D) During the previous quarter, the Recovery Center operated under State’s Recovery Center Handbook. Yes No

E) During the previous quarter, there were changes in the Vendor’s Organizational Chart. Yes No If Yes, an updated copy was sent to State. Yes No

F) Recovery Center Staff Requirements; during the previous quarter:

The Recovery Center employed a full-time Recovery Center Director. Yes No The Recovery Center employed a Recovery Center Coordinator at least 20 hours/week. Yes No The Recovery Center Coordinator was certified as a Peer Support Specialist through the State. Yes No Were either of these positions vacant for any period during the previous quarter? Yes No If yes, which position? Director Coordinator Dates of vacancy:

Vendor has updated Job Descriptions for all positions. Yes No Vendor has completed background checks for all employees, and adheres to State’s requirements related to allowable charges/convictions Yes No Vendor has provided and documented required training during the previous quarter. Yes No Did the Recovery Center Director attend a conference during the previous quarter? Yes No Did the Recovery Center Coordinator attend a conference during the previous quarter? Yes No

G) During the previous quarter, Vendor followed State’s policies related to vehicle use. Yes No

H) During the previous quarter, Recovery Center maintained tobacco-free environment. Yes No

RFP Section 2.03 Scope of Work; Section 2: The items in Section 2 are required activities of the Recovery Center. Vendor shall fulfill the following activities in accordance with details in RFP Section 2.03 Scope of Work as part of the Agreement; payment is contingent upon completion of these items. Payment structure is included in RFP Section 2.03 Scope of Work. Failure to complete an activity may result in reduced payment for the month. Failure to complete activities 3+ months in a row shall lead to letter of warning requiring immediate correction. Failure to correct identified non-compliance within 30 days of receiving the letter of warning shall result in disciplinary action up to and including termination of Agreement.

A) During the previous quarter, Recovery Center developed a monthly calendar of events at least 10 days in advance and emailed it to the liaison. Yes No

B) Programming; during the previous quarter:

Recovery Center offered at least 1 formal Peer Support group each week? Yes No Recovery Center offered at least 1 formal Recovery Education group each week? Yes No Recovery Center offered at least 1 structured social/recreation activity per day? Yes No

C) During the previous quarter, Member Meetings were held and documented at least 1 time per month. Yes No

D) During the previous quarter, the Recovery Center Director and Liaison met at least 1 time per month, and required documentation was completed. Yes No

E) During the previous quarter, Vendor supplied computers, email, and internet access for staff and members. Yes No

F) During the previous quarter, Vendor developed, used, and updated social media marketing tools at least 1 time per month. Yes No

G) During the previous quarter, Vendor submitted Recovery Center Statistical Reports weekly in a timely and complete manner. Yes No

Action Steps to address items identified as “No” in above sections:

Last updated: 12.13.2021