SN169020Exb.A.doc

Contractor

SN169020

Exhibit A

SCOPE OF WORK

1.

General Scope Contractor will provide Physical Therapy services to clients with developmental disabilities as requested by the Project Representative.

A. Background skills of appropriate candidates will include but are not limited to:

1. Displays knowledge of the principles of physical therapy including, but not limited to the following: ultra sound, electrical stimulation, joint mobilization, therapeutic exercise, pool therapy, splinting, casting, orthotic/prosthetic use, functional mobility training, use of various mobility and positioning equipment.

2. Understanding of and ability to provide physical therapy services to a moderate to profoundly intellectually and physically challenged population. This includes individuals displaying a broad range of autistic characteristics, behavioral challenges, partial to complete communication deficits, and difficulty complying with therapy programs.

3. Ability to provide physical therapy program related training to a diverse facility staff.

B. Job duties and tasks will include but not be limited to the following typical physical therapy clinical and supportive services, such as:

1. Provide direct physical therapy evaluation, assessment, treatment and services to clients at their residential unit, offsite location or in the physical therapy clinic.

2. Provide education and/or training on subjects relating to physical therapy to appropriate staff.

3. Maintain client records and follow professional documentation guidelines..

4. Function as a member and consultant to the Interdisciplinary Team, including attendance at IDT, Client Protection and special meetings.

5. Provide clinical direction to physical therapy assistants, physical therapy aides, student physical therapists, and student physical therapy assistants.

6. Provide Treatment/habilitation services in consultation/collaboration with all appropriate interdisciplinary team members.

7. Documentation and reports regarding assessment results, progress and recommendations.

8. Attend/ participate in Departmental Meetings, Facility Committees and interdisciplinary work groups as assigned

9. Maintain and monitor the supplies, equipment and materials necessary for the delivery of physical therapy services, and participates in the ordering of supplies and materials.

2.

Project Representative

The Project Representatives during the term of this Agreement will be:

Sonoma Developmental Center

Marni Sager, PA- Assistant to the Medical Director

(707)938-6816 Contractor 3.

Specific Services Contractor will provide up to 40 hours per week on days mutually agreed upon between Contractor and Project Representative. Services provided on scheduled days will include areas specified in General Scope section above. Hourly schedule will be based on client need and coordinated by the Sonoma Developmental Center (SDC). Contractor agrees to sign in and out in a location of SDC’s choosing.

4. Reports Contractor will be required to provide consultations/evaluations of services provided as requested by the Project Representative. Reports are required for each client seen and must be submitted to the physician providing services and shall include results of evaluations and specific recommendations. Reports will be completed per SDC Standards.

5.

Schedule Changes

Cancellations will be provided at least twenty-four (24) hours notice by either party whenever possible.

6.

Qualifications

Physical therapists providing services at Sonoma Developmental Center (SDC) under the terms of this agreement are required to:

a. Maintain current California License to practice

b. Provide services per SDC policies and procedures

c. Perform in a manner that permits SDC to comply with all applicable conditions of participation, regulation and legal standards.

7.

Effective Date The effective date of this contract is either July 1, 2016, or the approval date by the Department of General Services, whichever is later. No work shall commence until the effective date.