Congregate_Care_Services_Amendment.pdf

PDF 149 KB Posted

Attached to
Master Agreement AZ|CTR071430
Contract number
CTR071430
Issued by
Arizona

About this file

This document is a Contract Amendment (Amendment #4) issued by the Arizona Department of Child Safety's Office of Procurement for Contract #CTR071430. The amendment involves modifications to the existing contract's scope of work, specifically targeting background check and drug testing requirements for paid and unpaid adults and subcontractors working with children in care.

The amendment updates two primary sections of the contract's scope of work: Section 6.5.8.1 and Sections 6.2.5, 6.2.5.1, and 6.2.5.2. Key changes include mandating clear pre-employment and quarterly random drug testing aligned with the ADCS Drug Testing Policy, and requiring all adults to obtain a Level 1 fingerprint card, Central Registry Clearance, and Interstate Central Registry background check before hiring. Additionally, the amendment requires each adult to complete a Background Check Authorization form and input all adult and new hire information into the Department's electronic database before hire. The effective date of this amendment is upon execution in the Arizona Procurement Portal or April 1, 2025, whichever occurs earlier.

View the file

Other files

File Type Posted
Amended_HoO_-_Op_Cert_-_GWJ___JS_Redacted.pdf PDF
COI_2025_Redacted.pdf PDF
Exhibit V - Blood Sugar Log.pdf PDF
Exhibit VI Fees Log.pdf PDF
Exhibit XI One on One Supervision.pdf PDF
Exhibit XIX ADJC Census Report.doc DOC document
Exhibit XVII Quarterly Report.xlsm XLSM spreadsheet
Exhibit XVIII ADJC Monthly Attendance Report.doc DOC document
Exhibit XX ADJC-5002 ADJC Service Providers Protocol ADJC.doc DOC document
Exhibit XXII ADJC Residential Services Invoice.docx DOCX document
2-Boycott_of_Israel_Disclosure_Redacted.pdf PDF
Amended_HoO_-_License_-_GWJ___JS_Redacted.pdf PDF
C0I_2025_2_Redacted.pdf PDF
Congregate_Care_Services_SOW_2024.pdf PDF
Congregate_Care_Services_SOW_Amendment_1.pdf PDF
Contract_Amendment_1.pdf PDF
Contract_Amendment_3.pdf PDF
Contract_Extension.pdf PDF
Exhibit CS0-1015A.pdf PDF
Exhibit II - Personalized Service Plan.pdf PDF
Exhibit III - Medication Log.pdf PDF
Exhibit XIV Provider Census Report 2024.xlsm XLSM spreadsheet
HoO_Amended_Lic.Effective_6-24-2024_Increase_age___capacity_Redacted.pdf PDF
Offer_and_Acceptance_Redacted.pdf PDF
2-Forced_Labor_of_Ethnic_Uyghurs_Ban_Redacted.pdf PDF
COI_with_WC_Redacted.pdf PDF
Congregate_Care_Services_SOW_Amendment_2.pdf PDF
Contract_Amendment_5.pdf PDF
Contract_Amendment_Special_Terms.pdf PDF
Directions_to_Procurement_File.docx DOCX document
Exhibit I - DCS 06-01 Limited English Proficiency.pdf PDF
Exhibit IV - Medication Error Report.pdf PDF
Exhibit IX Clothing and Property Inventory.pdf PDF
Exhibit VIII Personal Allowance Ledger.pdf PDF
Exhibit X Returned Allowances Form.xlsx XLSX spreadsheet
Exhibit XII Bed Hold.pdf PDF
Exhibit XV Discharge Summary.pdf PDF
Exhibit XVI Facility Modification Request.pdf PDF
Complete_with_Docusign_Business_HITECH.pdf PDF
Congregate_Care_Services_Amendment_7.pdf PDF
Congregate_Care_Services_SOW_Amendment_3.pdf PDF
Exhibit VII Clothing Allowance Ledger.pdf PDF
HoO-Amended-Limon_Verde_Eff_4-29-2025_Increase_Capacity_Redacted.pdf PDF
HoO-Amended_Eff_4-29-2025_Decrease_Age_Redacted.pdf PDF
Show all 44

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Contract Amendment State of Arizona

Department of Child Safety Office of Procurement

3003 N. Central Ave, 20th Fl.

Phoenix, AZ 85012

Contract #: CTR071430

Amendment #: 4

ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED

This amendment shall be fully executed upon the approval electronically in the state approved e-procurement system by an authorized representative of the Contractor and applied to the contract within the e-procurement system by the Procurement Officer or delegate.

The purpose of this amendment is to modify sections of the scope of work.

Pursuant to the Uniform Terms and Conditions, Section 5, Contract Changes, Paragraph 5.1, Amendments and the Special Terms and Conditions, Section 5, Contract Changes, Paragraph 5.1 Contract Amendments;

the following revisions have been made:

1. Scope of Work Section 6.5.8.1 Section 1, is amended as follows:

• Proof of drug testing

• Have a clear pre-employment drug test result, as well as clear random quarterly drug testing results.

• Screening shall align with the ADCS Drug Testing Policy.

2. Scope of Work Section 6.2.5, 6.2.5.1 and 6.2.5.2 are amended and replaced as follows:

6.2.5 Ensure that all paid and unpaid adults and subcontractors have a Level 1 fingerprint card, applicable Central Registry Clearance, Interstate Central Registry (i.e. Adam Walsh Act) background check (if applicable) prior to hire date and providing any services to children in care.

6.2.5.1 Ensure that each adult completes and signs the Background Check Authorization and submits the form with their application for employment. The original signed form shall be placed in their personnel file.

6.2.5.2 Input all paid and non-paid adult and new hires into the Department’s electronic database before hire.

The effective date of this amendment is upon the Arizona Department of Child Safety’s and the Contractor’s execution and approval in the Arizona Procurement Portal or April 1, 2025, whichever is earlier.

All other terms shall remain the same.

File details come from the government source that posted it. Updated .