CTR061004_Contract_Amendment_4.pdf

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Attached to
Master Agreement AZ|CTR061004
Contract number
CTR061004
Issued by
Arizona

About this file

This document is a Contract Amendment (Amendment Number Four) issued by the Arizona Department of Economic Security for Contract Number CTR061004. The contract involves Senior In Home Care LLC, doing business as A Country Retreat, which provides services as an Assisted Living Facility. The amendment is specifically related to compliance with the Adult Protective Services (APS) Registry.

The amendment introduces new requirements for the contractor regarding employee verification with the APS Registry. Starting January 1, 2025, the contractor must provide APS verification results for all new employees, ensuring that anyone found on the registry cannot provide direct services to Division of Developmental Disabilities (DDD) Members. By March 31, 2025, the contractor must complete APS verification for all existing employees and must continue to provide annual verification results by March 31 each year. All verification results must be submitted electronically to the DDD Contracts Administration via the specified email address. The amendment is being made in accordance with Arizona Revised Statute 46-459 and does not change any other existing contract terms or conditions.

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Text version

CTR059105

CONTRACT AMENDMENT

Arizona Department of Economic Security

1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR061004 Four (4)

DESCRIPTION/ LABEL: Assisted Living Facility

CONTRACTOR NAME: Senior In Home Care LLC dba A Country Retreat

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

In accordance with the Uniform Terms and Conditions, Section 5, Contract Changes, Subsection 5.1 Amendments, the Scope of Work Section 5.0 Contractor Requirements is hereby revised and Section 5.25 added as follows:

5.25 Comply with the Adult Protective Services (APS) Registry pursuant to A.R.S. 46-459.

https://des.az.gov/APSRegistry

5.25.1 Beginning January 01, 2025, provide APS verification results for all new employees. If the employee is found on the APS Registry the employee cannot provide any direct services under this contract to DDD Members. https://des.az.gov/APSRegistry

5.25.2 On or before March 31, 2025, provide APS verification results for each employee. If the employee is found on the APS Registry the employee cannot provide any direct services under this contract to DDD Members.

5.25.3 Provide APS verification results annually by March 31 to DDD or upon request that all employees are not on the APS registry pursuant to A.R.S. 46-459.

5.25.4 Provide all verification results to DDD Contracts electronically to:

Arizona Department of Economic Security Division of Developmental Disabilities Contracts Administration DDDspecialtycontracts@azdes.gov

ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED

ACKNOWLEDGEMENT AND AUTHORIZATION

This Amendment shall be fully executed by means of electronic approval in APP.

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