RFPQ_#26-05_ED_RFPQ_Staff_List_and_Schedule.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
Professional Engineering, Design, and Construction Support Services for The Portal 10-UR Utility Relocation Project
Solicitation number
26-05
Issued by
Alameda County, California

About this file

This is a Staff List and Schedule template document issued by Alameda County Behavioral Health Department (ACBHD) for Request for Pre-Qualification (RFPQ) #26-05 Eating Disorder Treatment Services. The document provides instructions and a standardized form for bidders to submit detailed staffing information in response to the county's solicitation for specialized eating disorder treatment services. Bidders are required to identify the modality or modalities for which they are applying, list each staff member with their corresponding title and full-time equivalent (FTE) allocation based on a 40-hour work week, document both onsite and offsite work schedules with specific days and hours, and provide relevant certifications, licensures, and specializations. The form includes a notes section where bidders may provide additional information such as years of experience with eating disorder populations and language abilities.

The Staff List and Schedule serves as a critical component of the RFPQ submission process, enabling ACBHD to evaluate the qualifications and capacity of prospective contractors before the formal request for proposal stage. By requiring comprehensive staffing documentation, the county can assess whether bidders possess adequate specialized expertise and resources to provide eating disorder treatment services to clients who have not achieved symptom management through existing outpatient providers or require higher levels of care. This pre-qualification mechanism allows ACBHD to identify and develop a pool of qualified contractors capable of delivering specialized services beyond standard mental health outpatient care with an eating disorder focus.

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INSTRUCTIONS

RFPQ #26-05 Eating Disorder Treatment Services
Staff List and Schedule INSTRUCTIONS
Please review instructions before completing the Staff List and Schedule.
1Bidder NamePlease enter the bidder name on Line 3 - Bidder Name
2Modality/ ModalitiesPlease indicate which Modality/ Modalities Bidder is applying for and the staff list
3TitlePlease indicate the title of each staff person.

For example: Executive Director, Nurse, Human Resources Director, Aide, etc.

4 FTE For each Staff Person listed, please indicate their Full Time Equivalent (FTE) based on a 40 hour work week.

For example, if someone works 20 hours/week (20 hours/ 40 hours) please list them as 0.5 FTE; 40 hours/week is 1.0 FTE.

For individuals that my be on-call or employed as needed, please indicate on-call.

5 Onsite Staff Work Schedule Please include the days of week and standard work hours each staff person.

For example: Monday, Tuesday, Wednesday, Thursday, and Saturday from 8:00 am to 6:00 pm If individuals do not work onsite, you can leave this column blank or put N/A for Not Applicable.

6 Offsite Staff Work Schedule Please include the days of week and standard work hours each staff person works offsite/ provides telehealth services.

For example: Saturday - noon to 3:00 pm and Sunday 3:00 pm to 7:00 pm.

If individuals do not work offsite, you can leave this column blank or put N/A for Not Applicable.

7 Certifications, Licensures, or Specializations Please indicate any certifications, licensures, or specializations that may be relevant to providing services.

Examples may include: Licensed Clinical Social Worker (LCSW) Licensed Vocational Nurse (LVN), Registered Nurse (RN), etc.

8 Notes Feel free to include any additional information that may be relevant to providing ED Treatment services.

This may include years of experience working with the population, language abilities, etc. This can also be left blank if there is no additional information you would like to share.

Staff List

RFPQ #26-05 Eating Disorder Services
Bidder:
Modality/Modalities:
TitleFTEOn-Site Staff Work ScheduleOff-Site Staff Work ScheduleCertifications, Licensures, or SpecializationsNotes

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