info@inlandrc.org
1365 S. Waterman Ave., San Bernardino, CA, 92408, US
FY2020-2021
Service Provider Request for Proposal (RFP)
FY2020-2021Project #1: Enhanced Behavioral Support Home for Adults
GEOGRAPHIC LOCATION: TBD
CONTRACT AWARD AMOUNT: Startup funding UP TO $500,000
SERVICE DESCRIPTION: The Enhanced Behavioral Support Home (EBSH) is a residential facility certified by the Department of Developmental Services and licensed by the Department of Social Services. This home will serve consumers who are transitioning from Porterville Developmental Center - Secure Treatment Program (PDC-STP) or in some circumstances may serve individuals who are in jail and are being diverted from PDC-STP.
Applicants/Entity submitting proposal must have the following qualifications (per Title 17 Section 59060):
The EBSH exceeds the minimum requirements of a Specialized Residential Facility (SRF) by providing enhanced supports, staffing, and supervision as defined in Section 4684.80 of the Welfare and Institutions Code. The EBSH will have a maximum capacity of four (4) individuals, all of whom must have a qualifying Regional Center diagnosis. Individuals targeted for this home will need intensive supports and services due to forensic involvement, severe psychiatric, emotional, and behavioral challenges. Evidence-based treatments with an emphasis on person-centered planning, community access, and normalization will also be provided. Must work with a Housing Developer who will be leasing the home to the RFP awardee.
Check Here to Acknowledge that you have read and meet the above applicant criteria
Have you completed the Inland Regional Center New Residential Service Provider Orientation?
Attach copy of NRSPO Certificate
Please include proof (certificates, transcripts, etc.) of any additional trainings, education and/or certifications that you feel will assist you with working with individuals who display challenging behaviors.
I affirm that the information presented in this application and proposal is true and that this proposal was developed and authored by the person(s) indicated. I understand that any falsification of information or failure to disclose any history of deficiencies or abuse will be cause for immediate disqualification. I also understand that failure to meet minimum qualifications as stated in the RFP, late proposal submissions, facsimile proposal copies, any missing information (e.g., sections), and any proposals in excess of the maximum page allowance will also be cause for immediate disqualification. I further understand that, in the event that my proposal is selected for development, the proposal itself is not approved conclusively. My signature below authorizes IRC to verify references and bank statements.
Sign Here
Resume(s) for all identified staff and consultants, including the administrator. All resumes should indicate relevant experience as indicated on the project description page.
Credentials for all identified staff and consultants, including the administrator a. Administrator Credentials- As outlined on the project description page, please provide proof of the following: i. Have a minimum of two years prior experience providing direct care or supervision to individuals with developmental disabilities ii. One of the following credentials: 1. Registered Behavior Technician Certification 2. Psychiatric Technician License 3. Qualified Behavior Modification Professional (as outlined in Title 17, Section 59050(v)) b. Consultant Credentials- for any consultants identified, please provide current credentials that meet the requirements as outlined in Title 17, Section 54342(a) (11).
A minimum of two (2) professional letters of reference for the applicant. They are required to be on letterhead, signed by the individual providing the reference. References from members of the applicant’s family, staff, or governing board will not be accepted.
Using the score sheet below, please complete and attach a service/project description. Do not exceed 3 pages
A. Agency Description (25 total points)
1. Application is complete-Complete RFP Application, Description of Service Proposal not exceeding 3 pages, minimum of 2 professional letters of reference, resumes of applicant, administrator and proposed consultants.
2. The applicant has prior relevant experience in successfully operating specialized/enhanced services for persons with developmental disabilities.
3. The applicant’s mission, vision and values are positive, person centered and appropriate to the goals of the project.
B. Project Description (25 total points)
1. The applicant’s projected service description and outcomes are clear and consistent with the goals of the proposed project (RFP service description information).
2. The applicant discusses how services offered will be person centered.
3. The applicant demonstrates an understanding of behavior, motivations, e.g. communication, boredom, and attention? Does applicant discuss methods of influencing behavior changes e.g. discussion of positive behavioral supports or other clinical approaches?
C. Financial/ Proposal Budgets (50 total points)
2. Ability to complete project (at least 6 months operating expenses for Residential or Day Programs)?
3. Proposal Budgets; start up budget is reasonable and demonstrates a good appraisal of actual costs involved in completing the project; includes breakout/explanation?
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Please note that financial statements that are based upon representations from the applicant, and do not adhere to Generally Accepted Accounting Principles, are not acceptable.
1) Verifiable bank statements a. Copies of bank statements must be attached (most current 3 months). b. Must submit a signed letter that gives IRC permission to contact your banker should your statements require verification.
2) ONE OF THE FOLLOWING a. Most current audited financial statement that expresses an unqualified opinion b. Compiled financial statements prepared by a Certified Public Accountant that adhere to Generally Accepted Accounting Principles
