Common use of Staffing Clause in Contracts

Staffing. 9 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists should be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents of such efforts which may include; but not be limited to: records of 26 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //

Staffing. 7 CONTRACTOR shall provide staffing patterns and policies that accommodate the following 8 requirements: 9 A. Provision for shelter and food in accordance with the guidelines outlined in Subparagraph IV.D. 10 of this Exhibit C to the Agreement, including staffing requirements for supportive services provided 11 directly by the program. 12 B. If applicable, provisions for twenty four (24) hour on-site management of the facility, including 13 night supervision in accordance with CCR, Title 22, Division 6. 14 C. CONTRACTOR shall establish a written Code of Conduct ensure that there is adequate staffing for employeesevening activities. 15 D. CONTRACTOR shall ensure that during normal operating hours, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct groups shall be provided made 16 available to each client upon 15 admission and shall be posted in writing in a prominent placeall Consumers at the facility. 16 B. 17 E. CONTRACTOR shall attend COUNTY sponsored or recommended training for the purpose of 18 increasing familiarity with COUNTY guidelines and providing more effective services. 19 F. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 20 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 21 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not 22 meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR 23 consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting 24 from such vacant positions may not be used to cover costs other than salaries 22 and employees benefits 25 unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 26 G. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 manner that is culturally 27 and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents 28 documentation of such efforts which may include; , but not be limited to: to records of 26 participation in 29 COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&P; copies of literature in 30 multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance 31 accessibility for, and sensitivity to, persons who are physically challenged. 29 C. ADMINISTRATOR 32 H. Documentation of employment qualifications and CONTRACTOR job descriptions which include duties and 33 responsibilities, bilingual/bicultural capabilities, and proof of licensure, if appropriate, for each staff 34 position. 35 I. A written policy for the use of volunteers and part-time student interns which may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //augment paid

Staffing. 9 12 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in 13 FTEs continuously throughout the term of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestAgreement. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct One (1) FTE shall be provided equal to each client upon an average of PROGRAM FTEFTEs Clinical Director 1.00 Warmline Manager Data Analyst 0.031.00 Mentors 4.79 Resource Specialist 0.88 Data Analyst 0.03 Senior MentorMentors 0.801.60 MentorsWarmline Manager 1.00 5.79 TOTAL FTEFTEs 8.5010.30 14 forty (40) hours work per week. 15 admission and shall be posted in writing in a prominent place.16 17 18 19 20 21 22 24 25 16 26 B. CONTRACTOR shall make best effort to include bilingual/bicultural services to meet the diverse 27 needs of the community threshold 17 languages as determined by COUNTY. Whenever possible, 28 bilingual/bicultural therapists staff should be 18 recruited and retained. Any clinical staffing vacancies occurring at a time 29 when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be 30 filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of 31 those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be 32 used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in 33 advance, by ADMINISTRATOR. 23 A. 34 C. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 35 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 36 shall maintain documents of such efforts which may include; but not be limited to: records of 26 participation 37 in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies of literature in 9 of 1011 EXHIBIT A 1 multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance 2 accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 C. ADMINISTRATOR 3 D. CONTRACTOR shall actively recruit and maintain a large pool of qualified volunteers, 4 especially those who speak other languages and those whose lives were impacted by Behavioral Health 5 Conditions, substance use disorders, and suicide and train them to be Warmline mentors. Further, 6 CONTRACTOR may mutually agreeshall encourage volunteers/interns who have demonstrated exceptional skills on the 7 Warmline to apply for available paid positions with CONTRACTOR upon written approval of 8 ADMINISTRATOR. 9 E. CONTRACTOR is highly encouraged to augment the above paid staff with qualified and trained 10 volunteers and/or interns upon written approval of ADMINISTRATOR. 11 F. CONTRACTOR shall maintain personnel files for each staff member, in advance both administrative and in writing12 programmatic, both direct and indirect, which shall include, but not be limited to, an application for 13 employment, qualifications for the position, documentation of bicultural/bilingual capabilities (if 14 applicable), pay rate and evaluations justifying pay increases. 15 G. CONTRACTOR shall establish clear P&Ps pertaining to 30 adjust staff’s work location options (i.e. office 16 vs. field/home) and equipment usage (e.g., cell phones, texting devices, and computers). The P&Ps shall 17 address at the staffing requirements described in this paragraphminimum the following: 18 1. Eligibility and selection criteria; 19 2. Staff’s field/home on-duty conduct and responsibilities; 20 3. Supervision plan of staff and equipment including emergency procedure; and 21 4. Confidentiality and records keeping. 22 H. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 23 any staffing vacancies that occur 32 during the term of this the Agreement. 33 // 34 // 35 // 36 // 37 //. 24 I. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in advance, 25 of any new staffing changes; including promotions, temporary FTE changes and internal or external 26 temporary staffing assignment requests that occur during the term of the Agreement. 27 J. CONTRACTOR shall ensure that all staff, albeit paid or unpaid, complete necessary training 28 prior to discharging duties associated with their titles and any other training necessary to assist the 29 CONTRACTOR and COUNTY to be in compliance with prevailing standards of practice as well as State 30 and Federal regulatory requirements. 31 K. CONTRACTOR shall provide ongoing supervision throughout all shifts to all staff, albeit paid 32 or unpaid, direct line staff or supervisors/directors, to enhance service quality and program effectiveness.

Staffing. 9 13 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 14 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 15 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 16 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 17 ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 18 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 19 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 20 B. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 21 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 22 shall maintain documents of such efforts which may include; but not be limited to: records of 26 23 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies 24 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 25 enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 26 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 27 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 28 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in advance, 29 of any new staffing changes; including promotions, temporary FTE changes and internal or external 30 temporary staffing assignment requests that occur during the term of the Agreement. 31 E. CONTRACTOR shall ensure that all staff, including interns and volunteers, are trained and have 32 a clear understanding of all P&Ps. CONTRACTOR shall provide signature confirmation of the P&P 33 training for each staff member and place in their personnel files. 34 F. CONTRACTOR shall ensure that all staff complete the COUNTY’s Annual Provider Training 35 and Annual Compliance Training. 36 G. CONTRACTOR shall ensure compliance with ADMINISTRATOR Standards of Care 37 practices, P&Ps, documentation standards and any state regulatory requirements. 1 H. COUNTY shall provide, or cause to be provided, training and ongoing consultation to 2 CONTRACTOR's staff to assist CONTRACTOR in ensuring compliance with ADMINISTRATOR 3 Standards of Care practices, P&P’s, documentation standards and any state regulatory requirements. 4 I. All HIPAA covered healthcare providers, individuals and organizations must obtain a NPI for 5 use to identify themselves in HIPAA standard transactions. The NPI is assigned for life. 6 J. CONTRACTOR, including each employee that provides services under the Agreement, will 7 obtain a NPI upon commencement of the Agreement or prior to providing services under the Agreement. 8 CONTRACTOR shall report to ADMINISTRATOR, on a form approved or supplied by 9 ADMINISTRATOR, all NPI as soon as they are available. 10 K. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in 11 FTEs continuously throughout the term of the Agreement. One (1) FTE will be equal to an average of 12 forty (40) hours work per week. 13 DIRECT PROGRAM FTEs Regional Director of Operations 0.20 Program Administrator 1.00 Clinical Director 1.00 Driver 1.00 Office Coordinator 1.00 Data Mining and Analysis Specialist 1.00 Regional IS Business Manager 0.10 Billing Specialist 1.50 HR Generalist 0.15 Medical Records/Tech 1.00 Quality Coordinator/Trainer 1.00 Regional IT Support Analyst 0.10 Team Leader 1.00 PSC II 6.25 PSC II (Outreach & Engagement) 1.00 Housing Specialist/Coordinator 1.00 Benefits Specialist 0.20 PSC I (Life Coach) 1.50 Education/Employment Specialist 1.00 Peer Support Specialist 1.00 LVN/LPT 1.50 Therapist 1.00 Psychiatrist (Subcontractor) 0.70 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 // 34 // 35 // 36 // 37 //Psychiatrist (Subcontractor) 0.25 TOTAL DIRECT PROGRAM FTEs 25.45 2 3 4 L. WORKLOAD STANDARDS 5 1. One (1) DSH will be equal to sixty (60) minutes of direct service. 6 2. CONTRACTOR shall provide an average of one hundred (100) DSHs per month or one 7 thousand two hundred (1,200) DSHs per year per FTE of direct clinician time which shall include 8 Mental Health, Case Management, Crisis Intervention, and Medication Management Services.

Staffing. 9 6 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in FTEs 7 continuously throughout the term of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestAgreement. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct One (1) FTE shall be provided equal to each client upon an average of forty 8 (40) hours of work per week to provide behavioral health outpatient services for children and youth: 9 10 PROGRAM FTEs 11 12 Administrative Assistant «ADMIN_AST» 13 Office Manager «OFF_MGR» 14 Billing Clerk / Quality Assurance «BIL_QA» 15 admission and shall be posted in writing in a prominent place. Bookkeeper «BKKPR» 16 Care Coordinator «CARE_COORD» 17 Care Coordinator-Bilingual «CARE_COORD_BIL» 18 Case Assistant «CASE_ASST» 19 Data Entry Clerk «DE_CLK» 20 Division Director «DIV_DIR» 21 Executive Director «EX_DIR» 22 Parent Partner «P_PTNR» 23 Parent Partner-Bilingual «P_PTNR_BIL» 24 Program Director «PGM_DIR» 25 Program Assistant «PGM_ASST» 26 Quality Assurance Assistant «QA_ASST» 27 Wraparound Supervisor «WRAP_SUPV» 28 Wraparound Supervisor-Bilingual «WRAP_SUPV_BIL» 29 30 Youth Partner «Y_PTNR» 31 Youth Partner-Bilingual «Y_PTNR_BIL» 32 MTFC Youth Partner «MTFC_Y_PTNR» 33 TFCO Youth Partner «TFCO_Y_PTNR» 34 TOTAL PROGRAM FTEs «TOT_FTEs» 35 36 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 37 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. COUNTY OF ORANGE HEALTH CARE AGENCY 19 of 21 EXHIBIT A 1 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does 2 not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 3 ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary 4 savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and 5 employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents of such efforts which may include; but not be limited to: records of 26 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //

Staffing. 9 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in Full- Time Equivalents (FTE) continuously throughout the term of the Board Agreement. One (1) FTE will be equal to an average of Directors which forty (40) hours work per week. ADMINISTRATION Financial Manager Program Supervisor ADMINISTRATION SUBTOTAL 1.08 PROGRAM Housing Navigation Counselor 6.00 PROGRAM SUBTOTAL 6.00 TOTAL FTEs 7.08 B. CONTRACTOR shall recruit, hire, train and maintain staff who are individuals in recovery, have a history of participating in behavioral health services, or have lived experience with behavioral health issues. These individuals shall not be currently receiving services directly from CONTRACTOR. Documentation may include, but not be limited to, standards the following: Records attesting to efforts made in recruitment and hiring practices and identification of measures taken to enhance accessibility for potential staff in these categories. C. CONTRACTOR shall ensure that all staff are trained and have a clear understanding of all ADMINISTRATOR and CONTRACTOR P&Ps related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestservices provided under the Agreement. Prior to providing any services pursuant to this Agreement, all members CONTRACTOR shall provide signature confirmation of the 13 Board of DirectorsP&P training for each staff member, employees, volunteers and interns shall agree place it in writing to maintain the standards 14 set forth in the Code of Conducttheir personnel files. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place.// 16 B. D. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. E. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents of such efforts which may include; , but not be limited to: records Records of 26 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresprocedures (P&Ps); copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 C. ADMINISTRATOR and F. CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust augment the staffing requirements described in this paragraphabove paid staff with volunteers or interns upon written approval of ADMINISTRATOR. CONTRACTOR shall provide supervision to volunteers as specified in their respective job descriptions or work contracts. G. CONTRACTOR shall maintain personnel files for each staff member, including the Program Director and other administrative positions, which shall include, but not be limited to, an application for employment, qualifications for the position, documentation of bicultural/bilingual capabilities (if applicable), pay rate and evaluations justifying pay increases. H. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, hours of any staffing vacancies or filling of vacant positions that occur 32 during the term of the Agreement. I. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in advance of any new staffing changes; including promotions, temporary FTE changes and internal or external temporary staffing assignment requests that occur during the term of the Agreement. J. COUNTY shall provide, or cause to be provided, training and ongoing consultation to CONTRACTOR's staff to assist CONTRACTOR in ensuring compliance with ADMINISTRATOR Standards of Care practices, P&P’s, documentation standards and any state regulatory requirements. 1. CONTRACTOR shall develop a training curriculum and procedures for new Housing Navigators. The curriculum shall include ongoing plans for supervision and support for Housing Navigators, and CONTRACTOR shall conduct or facilitate required trainings for the Housing Navigation Staff and shall develop and provide training protocol and/or informational materials and updates as requested by COUNTY. 2. Training shall include, but may not be limited to, the following: a. Policies, procedures and/or guidelines outlining the roles, expectations, and responsibilities for the Housing Navigation Staff; b. Referral guidelines for Housing Navigation services c. Orientation to Recovery Principles; d. COUNTY and COUNTY-contracted mental health programs, community resources; e. Strategies for self-care and prevention of burn-out; f. Data collection requirements; and g. Performance outcome measures. 3. All required training will be completed prior to providing services to clients. K. The Housing Navigation Program Supervisor shall seek input from clients, service providers for ongoing program development. The Supervisor shall directly supervise the Navigators, and be responsible for ensuring services are in collaboration with the client’s primary treatment provider and/or Outreach and Engagement team, as applicable. L. In addition to responsibility for ensuring all services identified in this AgreementExhibit A to the Agreement are provided, the Supervisor responsibilities shall also include, but not be limited to: 1. 33 // 34 // 35 // 36 // 37 //Implementation, supervision and tracking outcomes of housing navigation activities and interventions; 2. Maintain ongoing communication with appropriate stakeholders on needs assessments, and efficient delivery of services; 3. Research, evaluate, and implement Best Practices as they relate to Housing Navigation and ensure the program continues to progress towards achieving positive outcomes; 4. Submittal of monthly data to ADMINISTRATOR with verification that outcome data is correct;

Staffing. 9 31 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 32 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 33 CONTRACTOR shall draw upon cultural strengths and utilize service delivery and assistance in a 34 manner that is trusted by, and familiar to, many of COUNTY’s ethnically and culturally diverse 35 populations. Cultural and linguistic appropriateness shall be a continuous focus in the development of 36 the programming, recruitment, and hiring of staff that speak the same language and have the same 37 cultural background of the Clients to be serviced. This inclusion of COUNTY’s multiple cultures will 1 assist in maximizing access to services. CONTRACTOR shall provide education and training to staff to 2 address cultural and linguistic needs of population served. Any clinical vacancies occurring at a time 3 when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement 4 must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the 5 filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions 6 may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in 7 writing, in advance, by ADMINISTRATOR. 23 A. 8 B. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 9 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 10 shall maintain documents of such efforts which may include; but not be limited to: records of 26 11 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies 12 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 13 enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 14 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 15 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 16 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in 17 advance, of any new staffing changes; including promotions, temporary FTE changes, and internal or 18 external temporary staffing assignment requests that occur during the term of the Agreement. 19 E. CONTRACTOR shall ensure that all staff, including interns and volunteers, are trained and 20 have a clear understanding of all P&Ps. CONTRACTOR shall provide signature confirmation of the 21 P&P training for each staff member and place it in their personnel files. 22 F. CONTRACTOR shall ensure that all staff completes the COUNTY’s Annual Provider Training 23 and Annual Compliance Training. 24 G. CONTRACTOR shall ensure compliance with ADMINISTRATOR Standards of Care practices, 25 P&Ps, documentation standards and any state and federal regulatory requirements. 26 H. COUNTY shall provide, or cause to be provided, training and ongoing consultation to 27 CONTRACTOR's staff to assist CONTRACTOR in ensuring compliance with ADMINISTRATOR 28 Standards of Care practices, P&P’s, documentation standards and any state and federal regulatory 29 requirements. 30 I. All CONTRACTOR staff must have an initial Department of Justice live scan prior to hire, and 31 updated annual criminal checks through the internet, utilizing Megan’s Law, Orange County Sheriff’s, 32 and Orange County Superior Courts. Staff may be hired temporarily pending live scan results as long as 33 // all the internet checks have been completed and are acceptable. 34 // J. CONTRACTOR shall identify staff to receive jail clearance for the purpose of engaging and 35 // enrolling Clients into the program as needed. 36 // 37 // 1 K. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in FTEs 2 continuously throughout the term of the Agreement. One (1) FTE will be equal to an average of forty 3 (40) hours of work per week. 4 5 PROGRAM FTE 6 Regional Operations Director 0.15 7 Clinical Administrator 1.00 8 Clinical Director 1.00 9 Team Leader (Licensed) 1.00 10 Peer Team Leader 1.00 11 Office Coordinator 1.00 12 Data Mining and Analysis Specialist 1.00 13 HR Generalist 0.05 14 Regional IS Business Specialist 0.10 15 Regional IT Support Analyst 0.10 16 Receptionist 1.00 Benefits Specialist 1.00 18 19 Billing Specialist 2.00 20 Driver 1.00

Staffing. 9 29 A. CONTRACTOR shall establish provide the following staffing, expressed in FTEs, which shall be equal 30 to an average of forty (40) hours per week, to provide Supported Employment services: 31 32 DIRECT PROGRAM FTEs 33 Senior Program Manager 1.00 34 Program Manager 1.00 35 Administrative Assistant 0.60 36 Data Analyst 1.00 37 Enrollment Coordinator 1.00 1 Senior Employment Specialist 1.00 2 Employment Specialist 9.00 3 Peer Support Specialist 3.00 4 Receptionist 1.00 6 TOTAL PROGRAM FTEs 18.60 8 B. WORKLOAD STANDARDS 9 1. CONTRACTOR shall ensure that all staff are trained and have a written Code clear understanding of Conduct for employees, volunteers, interns all 10 and members P&Ps. CONTRACTOR shall provide signature confirmation of the Board of Directors which shall include, but not be limited to, standards related to P&P training for each staff member 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree placed in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placetheir personnel files. 12 2. CONTRACTOR shall ensure that all staff complete the COUNTY’s Annual Provider 13 Training and Annual Compliance Training. 14 3. COUNTY shall provide, or cause to be provided, training and ongoing consultation to 15 CONTRACTOR's staff to assist CONTRACTOR in ensuring compliance with Standards of Care 16 B. practices, P&Ps, documentation standards and any state regulatory requirements. 17 4. ADMINISTRATOR shall assist CONTRACTOR in monitoring compliance with staff 18 workload standards and productivity. 19 5. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 20 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists should be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may 21 not be used to cover costs other than salaries 22 and employees employee benefits unless otherwise authorized in 22 writing, in advance, by ADMINISTRATOR. 23 A. 6. CONTRACTOR shall make its best effort efforts to provide services pursuant to this Agreement the Contract in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents documentation of such efforts which may include; , but not be limited to: records of 26 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 7. CONTRACTOR shall recruit, hire, train and maintain staff, as applicable, who are Clients, 30 former Clients or family members and who are qualified for the position(s) sought. Documentation may 31 include, but not be limited to, the following: records attesting to efforts made in recruitment and hiring 32 practices, and identification of measures taken to enhance accessibility for potential staff in these 33 categories. 34 8. CONTRACTOR may augment the above paid staff with volunteers or student interns upon 35 written approval of ADMINISTRATOR. 36 9. CONTRACTOR shall maintain personnel files for each staff person, which shall include, 37 but not be limited to, an application for employment, qualifications for the position, results of 1 background checks, applicable licenses, waivers, registrations, documentation of bicultural/bilingual 2 capabilities, status as a Clients, former Client or family member, pay rate, training, and evaluations 3 justifying pay increases. 4 10. All positions are required to maintain a log delineating hours worked and allocated to each 5 program of CONTRACTOR. 6 11. CONTRACTOR shall provide training to service staff covering suicide assessment and 7 crisis intervention, developing safety plans, maintaining healthy boundaries, reporting child abuse, 8 dealing with difficult Clients, meeting facilitation and mediation, confidentiality, identification of 9 strengths, promoting life skills and such other topics identified or provided by ADMINISTRATOR. 10 C. CONTRACTOR and ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust modify the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term 11 Staffing Paragraph of this AgreementExhibit A to the Contract. 33 // 34 // 35 // 36 // 37 //12

Staffing. 9 10 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in 11 Full-Time Equivalents (FTEs) continuously throughout the term of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestContract. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct One (1) FTE shall be provided 12 equal to each client upon an average of forty (40) hours work per week. 13 14 PROGRAM FTEs 15 admission and shall be posted in writing in a prominent place.Executive Director 0.06 16 Project Director 17 Project Coordinator 18 Peer & Outreach TTA Specialist 19 Communication & Resource Specialist 20 Website & Graphic Designer 21 Distance Learning & Multimedia 22 Marketing & Visual Design Specialist 23 Evaluator 0.90 0.25 0.20 0.90 0.50 0.50 0.43 24 PROGRAM SUBTOTAL 3.87 25 26 TOTAL FTEs 3.87 16 28 B. CONTRACTOR shall make best effort to include bilingual/bicultural services to meet the diverse 29 needs of the community threshold 17 languages as determined by COUNTY. Whenever possible, 30 bilingual/bicultural therapists staff should be 18 recruited and retained. Any clinical staffing vacancies occurring at a time when 31 bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled 32 with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those 33 positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to 34 cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, 35 by ADMINISTRATOR. 23 A. 36 C. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement the Contract in a 24 manner 37 that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall 15 of 16 EXHIBIT A MENTAL HEALTH AND WELL-BEING PROMOTION FOR DIVERSE COMMUNITIES MA-042-23010528 1 maintain documents of such efforts which may include; but not be limited to: records of 26 participation in 2 COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies of literature in 3 multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance 4 accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 C. ADMINISTRATOR 5 D. CONTRACTOR is highly encouraged to augment the above paid staff with qualified and trained 6 volunteers and/or interns upon written approval of ADMINISTRATOR 7 E. CONTRACTOR may mutually agreeshall maintain personnel files for each staff member, in advance both administrative and in writing8 programmatic, which shall include, but not be limited to, an application for employment, qualifications for 9 the position, documentation of bicultural/bilingual capabilities (if applicable), pay rate and evaluations 10 justifying pay increases. 11 F. CONTRACTOR shall establish clear P&Ps pertaining to 30 adjust staff’s work location options (i.e., office 12 vs. field/home) and equipment usage (e.g., cell phones, texting devices, and computers). The P&Ps shall 13 address at the staffing requirements described in this paragraphminimum the following: 14 1. Eligibility and selection criteria; 15 2. Staff’s field/home on-duty conduct and responsibilities; 16 3. Supervision plan of staff and equipment including emergency procedure; and 17 4. Confidentiality and records keeping. 18 G. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 19 any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //the Contract. 20 H. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) calendar days in 21 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 22 external temporary staffing assignment requests that occur during the term of the Contract. 23 I. CONTRACTOR shall ensure that all staff, albeit paid or unpaid, complete necessary training prior 24 to discharging duties associated with their titles and any other training necessary to assist CONTRACTOR 25 and COUNTY to be in compliance with prevailing standards of practice as well as State and Federal 26 regulatory requirements. 27 J. CONTRACTOR shall provide ongoing supervision throughout all shifts to all staff, albeit paid or 28 unpaid, direct line staff or supervisors/directors, to enhance service quality and program effectiveness.

Staffing. 9 30 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteersprovide the following paid staffing expressed in PROGRAM FTEs Program Coordinator 1.0 Recovery Coach 2.0 TOTAL FTEs 3.0 31 Full Time Equivalents (FTEs),, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related equal to 11 the use an average of drugs and/or alcohol; staff-client relationships; prohibition forty (40) hours of sexual contact with clients; and 12 conflict of interestwork per week. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place.32 34 35 36 37 16 1 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as 2 determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. Any clinical 3 vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the 4 above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in 5 writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant 6 positions may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized 7 in writing, in advance, by ADMINISTRATORADMINISTRATORthe population served under the Agreement. Whenever possible, 8 bilingual/bicultural staff should be retained. 23 A. 9 C. CONTRACTOR shall make its best effort to provide services pursuant to this thisthe Agreement in a 24 10 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall 11 maintain documents of such efforts which may include; but not be limited to: records of 26 participation in 12 COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of 13 literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance 14 accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 C. 15 D. CONTRACTOR and ADMINISTRATOR and may mutually agree in writing to modify the staffing set 16 forth above; provided, however, such agreement shall be made in advance of any staffing change. 17 E. CONTRACTOR may mutually agreeaugment the above paid staff with volunteers or part-time student interns. 18 Unless waived by ADMINISTRATOR, prior to providing services pursuant to thisthe Agreement, interns shall 19 be Master’s Candidates in advance and Counseling or Social Work, have a Bachelor’s Degree in writinga related field, to 30 adjust the staffing requirements described or are 20 participating in this paragraphany state recognized counseling certification program. CONTRACTOR shall notify 31 provide a 21 minimum of one (1) hour supervision for each ten (10) hours of work by interns or consistent with school or 22 licensing Board requirements. CONTRACTOR shall provide supervision to volunteers as specified in the 23 respective job descriptions or work contracts. Volunteer or student intern services may not comprise more 24 than twenty percent (20%) of the services provided. 25 F. Exceptions to staffing requirements set forth above may be requested if CONTRACTOR deems the 26 decision will benefit the program. Requests for exceptions shall be submitted in writing and approved in 27 advance by ADMINISTRATOR, in writing. 28 G. All program staff having direct contact with Participants shall, within seventythe first (1st) year of employment, 29 be trained in infectious disease recognition, crisis intervention and to recognize physical and psychiatric 30 symptoms that require appropriate referrals to other agencies. CONTRACTOR shall provide ongoing training 31 in topics related to alcohol and drug use on a yearly basis. 32 H. CONTRACTOR shall perform a pre-two (72) hours, employment screening of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //person who will provide services

Staffing. 9 26 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteersprovide the following paid staffing expressed in FTEs, interns 10 and members of the Board of Directors PROGRAM FTEs Program Coordinator 1.0 Recovery Coach 2.0 TOTAL FTEs 3.0 27 which shall include, but not be limited to, standards related equal to 11 the use an average of drugs and/or alcohol; staff-client relationships; prohibition forty (40) hours of sexual contact with clients; and 12 conflict of interestwork per week. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place.28 29 32 33 16 34 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as determined by COUNTYthe population 35 served under the Agreement. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 36 C. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 37 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 1 shall maintain documents of such efforts which may include; but not be limited to: records of 26 2 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 3 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 4 measures taken to enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 C. 5 D. CONTRACTOR and ADMINISTRATOR and may mutually agree in writing to modify the staffing 6 set forth above; provided, however, such agreement shall be made in advance of any staffing change. 7 E. CONTRACTOR may mutually agreeaugment the above paid staff with volunteers or part-time student interns. 8 Unless waived by ADMINISTRATOR, prior to providing services pursuant to the Agreement, interns shall 9 be Master’s Candidates in advance and Counseling or Social Work, have a Bachelor’s Degree in writinga related field, to 30 adjust the staffing requirements described or are 10 participating in this paragraphany state recognized counseling certification program. CONTRACTOR shall notify 31 provide a 11 minimum of one (1) hour supervision for each ten (10) hours of work by interns or consistent with school 12 or licensing Board requirements. CONTRACTOR shall provide supervision to volunteers as specified in 13 the respective job descriptions or work contracts. Volunteer or student intern services may not comprise 14 more than twenty percent (20%) of the services provided. 15 F. Exceptions to staffing requirements set forth above may be requested if CONTRACTOR deems 16 the decision will benefit the program. Requests for exceptions shall be submitted in writing and 17 approved in advance by ADMINISTRATOR, in writing. 18 G. All program staff having direct contact with Participants shall, within seventythe first (1st) year of 19 employment, be trained in infectious disease recognition, crisis intervention and to recognize physical 20 and psychiatric symptoms that require appropriate referrals to other agencies. CONTRACTOR shall 21 provide ongoing training in topics related to alcohol and drug use on a yearly basis. 22 H. CONTRACTOR shall perform a pre-employment screening of any person who will provide 23 services pursuant to the Agreement. All staff, including volunteers and interns, must meet the following 24 requirements prior to providing any service pursuant to the Agreement: 25 1. No person shall have been convicted of a sex offense for which the person is required to 26 register as a sex offender under California Penal Code section 290; 27 2. No person shall have been convicted of an arson offense – Violation of Penal Code 28 sections 451, 451.1, 451.5, 452, 452.1, 453, 454, or 455; 29 3. No person shall have been convicted of any violent felony as defined in Penal Code section 31 within five (5) years prior to employment; 32 4. No person, within the preceding two (722) hoursyears, shall have been convicted of any staffing vacancies that occur 32 during criminal 33 offense other than a traffic violation. 34 5. No person, within the term preceding two (2) years, shall have been found guilty of this Agreementany crime 35 related to the use of drugs or alcohol. 36 6. 33 // 34 // 35 // 36 // No person, at any time, shall have been found guilty of any crime involving moral turpitude 37 //by a court of law. 1 7. No person shall be on parole or probation; 2 8. No person shall participate in the criminal activities of a criminal street gang and/or prison 3 gang; and 4 9. No prior employment history of improper conduct, including but not limited to, forging or 5 falsifying documents or drug tests, sexual assault or sexual harassment, or inappropriate behavior with 6 staff or residents at any treatment facility. 7 I. STAFF CONDUCT – CONTRACTOR shall establish written Policies and Procedures for 8 employees, volunteers, interns, and members of the Board of Directors which shall include, but not be 9 limited to, standards related to the use of drugs and/or alcohol; staff-Participant relationships;

Staffing. 9 26 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in 27 Full-Time Equivalents (FTEs) continuously throughout the term of the Board Agreement. One (1) FTE shall 28 be equal to an average of Directors which forty (40) hours work per week to provide mental health outpatient services for 29 children and youth: 31 PROGRAM 32 Program Director 0.10 33 Program Coordinator MFT 1.00 Administrative Assistant/Billing 1.00 34 Counselor MFT 3.00 35 PROGRAM SUBTOTAL 5.10 36 Subcontractor 0.06 37 TOTAL FTEs 5.16 1 B. CONTRACTOR shall includehave as Head of Service; a licensed mental health professional, but not be limited to, standards related in 2 conformance to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members one of the 13 Board of Directorsfollowing staff categories: Psychiatrist, employeesLicensed Psychologist, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placeLCSW, 3 LPCC, Licensed MFT, RN, LVN, or LPT. 16 B. 4 C. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 5 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists staff should 6 be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 7 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 8 unless ADMINISTRATOR consents, in advance and in writing, to the filling of those positions with 9 non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs 10 other than salaries 22 and employees benefits unless otherwise authorized authorized, in advance and in writing, in advance, by 11 ADMINISTRATOR. 23 A. 12 D. CONTRACTOR shall maintain personnel files for each staff person, including management and 13 other administrative positions, both direct and indirect to the Agreement, which shall include, but not be 14 limited to, an application for employment, qualifications for the position, applicable licenses, Live Scan 15 results, waivers, registrations, documentation of bicultural/bilingual capabilities (if applicable), pay rate 16 and evaluations justifying pay increases. 17 E. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 18 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 19 shall maintain documents of such efforts which may include; but not be limited to: records of 26 20 participation in COUNTY-sponsored or other applicable trainingTraining; recruitment and hiring policies policy and 27 21 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 22 measures taken to enhance accessibility for, and sensitivity to, persons individuals who are physically 23 challenged. 24 F. CONTRACTOR shall develop a policy governing supervision of staff that will be approved by 25 the ADMINISTRATOR. That policy will address the training needs of all staff and ensure that direct 26 service staff are trained in: suicide assessment and crisis intervention, developing safety plans, 27 maintaining healthy boundaries, reporting child abuse, dealing with difficult Clients, and medication, 28 confidentiality, identification of strengths, promoting life skills, meeting facilitation and such other 29 C. ADMINISTRATOR topics identified by the ADMINISTRATOR. 30 G. CONTRACTOR shall maintain a current signature list including each supervisor and provider 31 of direct services who signs chart documentation. The list shall include the printed/type staff name and 32 title, followed by the legal signature with title as it appears on all chart documents. For licensed or 33 registered clinical staff, the name must match the name on the license or registration. 34 H. CONTRACTOR may mutually agreeshall maintain a current signature list including each supervisor and provider 35 of direct services who signs chart documentation. The list shall include the printed/type staff name and 36 title, in advance followed by the legal signature with title as it appears on all chart documents. For licensed or 37 registered clinical staff, the name must match the name on the license or registration. 1 I. CONTRACTOR shall establish clear policy and in writing, procedures pertaining to 30 adjust staff’s work location 3 computers). The policy and procedures shall address at the staffing requirements described in this paragraphminimum the following: 4 1. Eligibility and selection criteria; 5 2. Staff’s field/home on-duty conduct and responsibilities; 6 3. Supervision plan of staff and equipment including emergency procedure; and 7 4. Confidentiality and records keeping. 8 J. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 9 any staffing vacancies that occur 32 during the term of this the Agreement. 33 // 34 // 35 // 36 // 37 //CONTRACTOR’s notification 10 shall include at a minimum the following information: employee name(s), position title(s), date(s) of 11 resignation, date(s) of hire, and a description of recruitment activity. 12 K. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in 13 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 14 external temporary staffing assignment requests that occur during the term of the Agreement. 15 L. CONTRACTOR shall ensure that all staff, albeit paid or unpaid, complete necessary training 16 prior to discharging duties associated with their titles and any other training necessary to assist the

Staffing. 9 12 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 13 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 14 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 15 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 16 ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 17 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 18 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 19 B. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 20 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 21 shall maintain documents of such efforts which may include; but not be limited to: records of 26 22 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies 23 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 24 enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 25 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 26 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 27 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in 28 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 29 external temporary staffing assignment requests that occur during the term of the Agreement. 30 E. CONTRACTOR shall ensure that all staff, including interns and volunteers, are trained and 31 have a clear understanding of all P&Ps. CONTRACTOR shall provide signature confirmation of the 32 P&P training for each staff member and place in their personnel files. 33 F. CONTRACTOR shall ensure that all staff complete the COUNTY’s Annual Provider Training 34 and Annual Compliance Training. 35 G. CONTRACTOR shall ensure compliance with ADMINISTRATOR Standards of Care practices, 36 P&Ps, documentation standards and any state regulatory requirements. 37 // 26 of 31 EXHIBIT A V:\BH K MGMT\BH VENDOR FOLDER(S)\ADULT\OUTPATIENT\OUTPATIENT MH\CCS02 - OLDER ADULT (OASIS) FSP\FY 2017-18\K DEVELOPMENT\AGREEMENT\CCS02_FSP-OASIS-17-20-JC.DOC CCS02BHKK20 1 H. COUNTY shall provide, or cause to be provided, training and ongoing consultation to 2 CONTRACTOR's staff to assist CONTRACTOR in ensuring compliance with ADMINISTRATOR 3 Standards of Care practices, P&P’s, documentation standards and any state regulatory requirements. 4 I. All HIPAA covered healthcare providers, individuals and organizations must obtain a NPI for 5 use to identify themselves in HIPAA standard transactions. The NPI is assigned for life. 6 J. CONTRACTOR, including each employee that provides services under the Agreement, will 7 obtain a NPI upon commencement of the Agreement or prior to providing services under the Agreement. 8 CONTRACTOR shall report to ADMINISTRATOR, on a form approved or supplied by 9 ADMINISTRATOR, all NPI as soon as they are available. 10 K. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in 11 FTEs continuously throughout the term of the Agreement. One (1) FTE will be equal to an average of DIRECT PROGRAM FTEs Regional Director 0.25 Program Director 1.00 Clinical Manager 1.00 Office Manager 1.00 Office Assistant 3.80 Outcomes Analyst 1.00 Benefits Specialist 0.60 QI Administrator 0.11 Billing Administrator 0.11 Lead PSC 1.00 PSC 9.00 Licensed Therapist 0.50 PSC Housing 1.00 Lead Life Skills Coach 1.00 Life Skills Coach 2.00 Psychiatrist 0.12 Nurse Practitioner 0.80 RN/LPT 1.00 LVN 0.50 RN 0.75 Pharmacist 0.20 Geriatric Psychiatrist (Subcontractor) 0.33 TOTAL DIRECT PROGRAM FTEs 27.07 12 forty (40) hours of work per week. 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 // 34 // 35 // 36 // 37 //27 of 31 EXHIBIT A V:\BH K MGMT\BH VENDOR FOLDER(S)\ADULT\OUTPATIENT\OUTPATIENT MH\CCS02 - OLDER ADULT (OASIS) FSP\FY 2017-18\K DEVELOPMENT\AGREEMENT\CCS02_FSP-OASIS-17-20-JC.DOC CCS02BHKK20 1 L. WORKLOAD STANDARDS 2 1. One (1) DSH will be equal to sixty (60) minutes of direct service. 3 2. CONTRACTOR shall provide an average of one hundred (100) DSHs per month or one 4 thousand two hundred (1,200) DSHs per year per FTE of direct clinician time which shall include 5 Mental Health, Case Management, Crisis Intervention, and Medication Management Services.

Staffing. 9 10 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 11 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists staff should be 18 12 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 13 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 14 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 15 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and 16 employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 17 B. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 18 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 19 shall maintain documents of such efforts which may include; but not be limited to: records of 26 20 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures21 procedures (P&P); copies of literature in multiple languages and formats, as appropriate; and descriptions 22 of 28 measures taken to enhance accessibility for, and sensitivity to, persons individuals who are physically 23 challenged. 29 24 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 25 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 26 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in advance, 27 of any new staffing changes; including promotions, temporary FTE changes and internal or external 28 temporary staffing assignment requests that occur during the term of the Agreement. 29 // 30 // 31 // 32 // 33 // 34 // 35 // 36 // 37 // 1 E. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in

Staffing. 9 31 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 32 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 33 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 34 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 35 ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary 36 savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and 37 employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 1 CONTRACTOR shall draw upon cultural strengths and utilize service delivery and assistance in a 2 manner that is trusted by, and familiar to, many of COUNTY’s ethnically and culturally diverse 3 populations. Cultural and linguistic appropriateness shall be a continuous focus in the development of 4 the programming, recruitment, and hiring of staff that speak the same language and have the same 5 cultural background of the Clients to be serviced. This inclusion of COUNTY’s multiple cultures will 6 assist in maximizing access to services. ADMINISTRATOR shall provide, or cause to be provided, 7 education and training to staff to address cultural and linguistic needs of population served. 23 A. 8 B. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 9 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 10 shall maintain documents of such efforts which may include; but not be limited to: records of 26 11 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies 12 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 13 enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 14 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 15 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 16 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in 17 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 18 external temporary staffing assignment requests that occur during the term of the Agreement. 19 E. CONTRACTOR shall ensure that all staff, including interns and volunteers, are trained and have 20 a clear understanding of all P&Ps. CONTRACTOR shall provide signature confirmation of the P&P 21 training for each staff member and place in their personnel files. 22 F. CONTRACTOR shall ensure that all staff complete the COUNTY’s Annual Provider 23 Training,Annual Compliance Training, and Annual Cultural Competency Training. 24 G. CONTRACTOR shall ensure compliance with ADMINISTRATOR Standards of Care 25 practices, P&Ps, documentation standards and any state and federal regulatory requirements. 26 H. COUNTY shall provide, or cause to be provided, training and ongoing consultation to 27 CONTRACTOR's staff to assist CONTRACTOR in ensuring compliance with ADMINISTRATOR 28 Standards of Care practices, P&P’s, documentation standards and any state and federal regulatory 29 requirements. 30 I. All CONTRACTOR staff must have an initial Department of Justice live scan prior to hire, and 31 updated annual criminal checks through the internet, utilizing Megan’s Law, Orange County Sheriff’s, 32 and Orange County Superior Courts. Staff may be hired temporarily pending live scan results as long as 33 all the internet checks have been completed and are acceptable. 34 J. CONTRACTOR shall provide trainings to staff on professional boundaries and include topics 35 such as: appropriate communication and interactions and the use of self-disclosures. 36 K. All HIPAA covered healthcare providers, individuals and organizations must obtain a NPI for 37 use to identify themselves in HIPAA standard transactions. The NPI is assigned for life. 1 L. CONTRACTOR, including each employee that provides services under the Agreement, will 2 obtain a NPI upon commencement of the Agreement or prior to providing services under the Agreement. 3 CONTRACTOR shall report to ADMINISTRATOR, on a form approved or supplied by 4 ADMINISTRATOR, all NPI as soon as they are available. 5 M. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in FTEs 6 continuously throughout the term of the Agreement. One (1) FTE will be equal to an average of forty 7 (40) hours of work per week. 8 9 Direct Non-DSH Program 10 Regional Director of Operations 11 Program Administrator 12 HR Generalist Medical Records Technician Billing Specialist 13 Team Lead - Licensed 14 16 17 18 19 20 21 22 Quality Coordination Trainer 23 24 Subcontracts (Non-Medication Support) 25 Prescriber Supervision .25 26 27 28 Direct DSH Program 29 30 31 32 33 // 34 // 35 // 36 // 37 //35

Staffing. 9 7 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in Full- 8 Time Equivalents (FTEs) continuously throughout the term of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestContract. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct One (1) FTE shall be provided equal «ADMIN» 9 to each client upon an average of forty (40) hours work per week. 10 «FTE_1_A» «FTE_2_A» «FTE_3_A» «FTE_SUB_A» «SUBTOTAL_ADMINISTRATION» «ADMIN_1_1» «ADMIN_2_1» «ADMIN_3_1» 11 12 13 14 15 admission and shall be posted in writing in a prominent place.16 «FTE_1_P» «FTE_2_P» «FTE_3_P» «FTE_SUB_P» «PGM_1_1» «PGM_2_1» «PGM_3_1» 17 PROGRAM 18 20 «SUBC_1» «SUBC_2» «SUBCONTRACTOR» «SUBCONTRACTOR» 21 SUBTOTAL PROGRAM 22 24 25 26 «Sub_SC» «SUBC_» 27 28 TOTAL FTEs «TTL_FTE_1» 16 30 B. CONTRACTOR shall make best effort to include bilingual/bicultural services to meet the 31 diverse needs of the community threshold 17 languages as determined by COUNTY. Whenever possible, 32 bilingual/bicultural therapists staff should be 18 recruited and retained. Any clinical staffing vacancies occurring at a time 33 when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be 34 filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of 35 those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be 36 used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in 37 advance, by ADMINISTRATOR. 23 A. 1 C. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement the Contract in a 24 2 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 3 shall maintain documents of such efforts which may include; but not be limited to: records of 26 4 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies 5 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 6 enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 C. ADMINISTRATOR 7 D. CONTRACTOR shall actively recruit and maintain a large pool of qualified volunteers, 8 especially those who speak other languages and those whose lives were impacted by Behavioral Health 9 Conditions and train them to be peer mentors. 10 E. CONTRACTOR may mutually agreeis highly encouraged to augment the above paid staff with qualified and 11 trained volunteers and/or interns upon written approval of ADMINISTRATOR. 12 F. CONTRACTOR shall maintain personnel files for each staff member, in advance both administrative and in writing13 programmatic, both direct and indirect, which shall include, but not be limited to, an application for 14 employment, qualifications for the position, documentation of bicultural/bilingual capabilities (if 15 applicable), pay rate and evaluations justifying pay increases. 16 G. CONTRACTOR shall establish clear Policy and Procedures pertaining to 30 adjust equipment usage 17 (e.g., cell phones, texting devices, and computers). The Policy and Procedures shall address at the staffing requirements described in this paragraph18 minimum the following: 19 1. Eligibility and selection criteria; 20 2. Staff’s on-duty conduct and responsibilities; 21 3. Supervision plan of staff and equipment including emergency procedure; and 22 4. Confidentiality and records keeping. 23 H. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, hours of 24 any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //the Contract. 25 I CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in 26 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 27 external temporary staffing assignment requests that occur during the term of the Contract.

Staffing. 9 36 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 37 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists staff should be 18 1 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 2 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 3 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 4 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and 5 employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 6 B. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement the Contract in a 24 7 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 8 shall maintain documents of such efforts which may include; but not be limited to: records of 26 9 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures10 procedures (P&P); copies of literature in multiple languages and formats, as appropriate; and descriptions 11 of 28 measures taken to enhance accessibility for, and sensitivity to, persons individuals who are physically 12 challenged. 29 13 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 14 any staffing vacancies or filling of vacant positions that occur 32 during the term of the Contract. 15 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) calendar days in 16 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 17 external temporary staffing assignment requests that occur during the term of the Contract. 18 E. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in 19 Full-Time Equivalents (FTE) continuously throughout the term of the Contract. One (1) FTE will be PROGRAM FTE Program Director 1.00 Assistant Program Director 1.00 Back to Work Specialist 1.00 Case Manager 7.00 Outreach Counselor 2.00 Data Analyst 1.00 Dual Diagnosis Specialist 1.00 Facilities Coordinator 1.00 Facilities Assistant 1.00 Program Assistant 1.00 Regional Clinical Supervisor 0.50 Housing Specialist 1.00 Registered Nurse 1.00 20 equal to an average of forty (40) hours work per week. 21 22 24 25 26 27 28 29 30 31 32 33 34 35 36 37 Homeless Veteran Service Lead 1.00 Homeless Veteran Outreach Worker 1.00 Subcontractor TOTAL PROGRAM FTEs 1.50 23.00 TOTAL CONTRACT FTEs 23.00 2 3 4 5 6 7 8 10 F. CONTRACTOR may augment the above paid staff with volunteers upon written approval of 11 ADMINISTRATOR. 12 G. CONTRACTOR shall maintain personnel files for each staff member, including the management 13 and other administrative positions, both direct and indirect, which will include, but not be limited to, and 14 application for employment, qualifications for the position, documentation of bicultural/bilingual 15 capabilities (if applicable), pay rate and evaluations justifying pay increases. 16 H. CONTRACTOR shall ensure that all staff are trained and have a clear understanding of all 17 ADMINISTRATOR and CONTRACTOR P&P related to the services provided under the Contract. 18 CONTRACTOR shall provide signature confirmation of the P&P training for each staff member, and 19 place it in their personnel files. 20 I. CONTRACTOR shall provide effective administrative management of the budget, staffing, 21 recording, and reporting portion of the Contract. If administrative responsibilities are delegated to 22 subcontractors, CONTRACTOR must ensure that any subcontractor(s) possess the qualifications and 23 capacity to perform all delegated responsibilities. These responsibilities include, but are not limited to, 24 the following: 25 1. Designate the responsible position(s) in your organization for managing the funds allocated 26 to this Agreementprogram; 27 2. Maximize the use of the allocated funds; 28 3. Ensure timely and accurate reporting of monthly expenditures; 29 4. Maintain appropriate staffing levels; 30 5. Request budget and/or staffing modifications to the Contract; 31 6. Effectively communicate and monitor the program for its success; 32 7. Track and report expenditures electronically; 33 // 8. Maintain electronic and telephone communication between key staff and the 34 // ADMINISTRATOR; and 35 // 9. Act quickly to identify and solve problems. 36 // 37 //1 J. CONTRACTOR shall not engage in, or permit any of its employees or subcontractors, to 2 conduct research activity on Clients without obtaining prior written authorization from 3 ADMINISTRATOR.

Staffing. 9 A. CONTRACTOR shall establish a written Code of Conduct for employeesprovide the following clinical staffing, volunteersexpressed in FTEs, interns 10 and members of the Board of Directors which shall includebe equal to an average of forty (40) hours per week, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing is required to maintain this at all times for the standards 14 set forth in provision of services hereunder: WESTMINSTER TRC FTEs Director of Nursing 1.00 Registered Nurse 1.00 Licensed Vocational Nurse 7.00 Certified Nursing Assistant 17.40 O.T. Activity Assistant 2.00 Xxxx Clerk 1.00 Program Director 1.00 Social Worker 1.00 Mental Health Worker/MH Spec 10.00 Peer Mentor/Mental Health Spec 0.50 Clerk/Typist 1.00 Subcontractor .90 TOTAL FTEs 43.80 WEST ANAHEIM TRC FTEs Director of Nursing 1.00 Licensed Vocational Nurse 9.50 Certified Nursing Assistant 18.00 O.T. Activity Assistant 2.00 Xxxx Clerk 1.50 Program Director 1.00 Social Worker 1.40 Mental Health Worker/MH Spec 7.00 7.00 County of Orange, Health Care Agency File Folder: M042NW019 Page 42 of 44 Contract MA-042-17011275 Peer Mentor/Mental Health Spec 0.50 Clerk Typist 1.00 Van Driver 1.00 Subcontractor .90 TOTAL FTEs 43.90 B. CONTRACTOR shall provide appropriate administrative and clerical staff to support the Code of Conduct. A copy of staffing and services provided under the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placeContract. 16 B. C. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists should be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. D. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents of such efforts which may include; but not be limited to: records of 26 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust modify the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term Staffing Paragraph of this AgreementExhibit A to the Contract.” This Amendment No. 33 // 34 // 35 // 36 // 37 //1 modifies the Contract, only as expressly set forth herein. Wherever there is a conflict in the terms or conditions between this Amendment No. 1, and the Contract, the terms and conditions of this Amendment No. 1 prevail. In all other respects, the terms and conditions of the Contract, not specifically changed by this Amendment No. 1, remain in full force and effect. County of Orange, Health Care Agency File Folder: M042NW019 Page 43 of 44 Contract MA-042-17011275

Staffing. 9 25 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 26 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 27 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 28 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 29 Board of Directors, employees, volunteers volunteers, and interns shall agree in writing to maintain the standards 14 30 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 31 admission and shall be posted in writing in a prominent place. 16 32 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 33 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists should be 18 34 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 35 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 36 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 37 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 1 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR.. 2 // 23 A. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents of such efforts which may include; but not be limited to: records of 26 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 3 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 4 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 5 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 6 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //Agreement and the plan for caseload coverage. 7 D. CONTRACTOR shall, at a minimum, provide the following staff expressed in Full-Time

Staffing. 9 13 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in FTEs 14 continuously throughout the term of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestAgreement. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct One (1) FTE shall be provided equal to each client upon an average of forty 15 admission and shall be posted (40) hours of work per week to provide On-Site Engagement in writing in a prominent place.Collaborative Courts Services: 16 17 FTE 18 PROGRAM ADMINISTRATION 19 Supervisor 0.04 20 SUBTOTAL PROGRAM ADMINISTRATION FTE 0.04 21 PROGRAM 22 Coordinator 1.00 23 Peer Counselor 2.00 24 Clerical Support 0.20 25 SUBTOTAL PROGRAM FTE 3.20 26 27 GRAND TOTAL FTE 3.24 16 29 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 30 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 31 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not 32 meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR 33 consents, in advance and in writing, to the filling of those positions with non-bilingual staff. 21 Salary 34 savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and 35 employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 36 C. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally and linguistically appropriate be responsible for the population(s) servedrecruitment of all mentors and volunteers used in 37 the program. 1 1. CONTRACTOR 25 Recruitment efforts shall maintain documents of such efforts which may include; , but not be limited to: records of 26 participation , recruiting from the corporate, 2 professional, and educational institutions in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; well as other neighborhood and descriptions of 28 measures taken to enhance accessibility for, cultural 3 groups that represent the local demographics. Recruitment efforts shall take into consideration the 4 principles outlined in the MHSA and sensitivity to, persons shall include those who are physically challengedbilingual in 5 threshold languages, former recipients of behavioral health services, and/or family members of those 6 who have received behavioral health services. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph7 2. CONTRACTOR shall notify 31 ADMINISTRATORdevelop, in writingimplement, within seventyand maintain a “strength-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //based” recruitment

Staffing. 9 12 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 interns, 13 and members of the Board of Directors which shall will include, but not be limited to, standards related to 11 the 14 use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 15 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 16 Board of Directors, employees, volunteers volunteers, and interns shall will agree in writing to maintain the standards 14 set 17 forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 18 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 19 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 20 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 21 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 22 ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 23 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 24 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 25 C. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 26 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 27 shall maintain documents of such efforts which may include; but not be limited to: records of 26 28 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 29 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 30 measures taken to enhance accessibility for, and sensitivity to, persons individuals who are physically 31 challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. 32 D. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 33 any staffing vacancies or filling of vacant positions that occur 32 during the term of this Agreement. 34 E. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in 35 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 36 external temporary staffing assignment requests that occur during the term of this aAgreement. 33 // 34 // 35 // 36 // 37 // 1 F. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 2 adjust the staffing requirements described in this paragraph. 3 G. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in Full-

Staffing. 9 11 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 12 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 13 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 14 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 15 ADMINISTRATOR consents, in advance and in writing, to the filling of those positions with non-non- 16 bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other 17 than salaries 22 and employees benefits unless otherwise authorized authorized, in writing, writing and in advance, by 18 ADMINISTRATOR. 23 A. 19 B. CONTRACTOR shall make its best effort to provide ensure that services provided pursuant to this Agreement the 20 Contract are provided in a 24 manner that is culturally and linguistically appropriate for the population(s) 21 served. CONTRACTOR 25 shall maintain ensure that documents are maintained of such efforts which may 22 include; , but not be limited to: , records of 26 participation in COUNTY-sponsored or other applicable 23 training; recruitment and hiring policies and 27 proceduresP&Ps; copies of literature in multiple languages and formats, as 24 appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons clients 25 who are physically challenged. 29 26 C. ADMINISTRATOR CONTRACTOR shall ensure that all psychiatrists and CONTRACTOR may mutually agree, in advance medical practitioners are trained and in writing, to 30 adjust the staffing requirements described in this paragraph. 27 have a clear understanding of all P&Ps. 28 D. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 29 any staffing vacancies or filling of vacant positions that occur 32 during the term of this Agreementthe Contract. 30 E. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in advance 31 of any new staffing changes, including promotions, temporary FTE changes and internal or external 32 temporary staffing assignment requests that occur during the term of the Contract. 33 F. CONTRACTOR and CONTRACTOR’s psychiatrists/PA(s)/NP(s) must obtain LPS 34 Designation status from the COUNTY to initiate involuntary detentions per section 5150 of the Welfare 35 & Institutions Code. 36 G. CONTRACTOR shall ensure that all staff complete the COUNTY’s Annual Provider Training 37 and Annual Compliance Training. 1 H. CONTRACTOR shall ensure compliance with ADMINISTRATOR’s Standards prior to 2 providing any services. 3 I. CONTRACTOR and CONTRACTOR’s psychiatrist/PA(s)/NP(s) shall maintain current 4 Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) certification. 5 J. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in 6 FTEs continuously throughout the term of the Contract. 33 // 34 // 35 // 36 // 37 //One (1) FTE will be equal to an average of 7 forty (40) hours of work per week. 8 9 PSYCHIATRY SERVICES FTE 10 CSU Medical Director 0.50 11 Executive Assistant 0.25 12 Psychiatrist – Day Shift 2.11 13 14 Psychiatrist – Night Shift 2.11

Staffing. 9 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in FTEs continuously throughout the term of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestContract. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct One (1) FTE shall be provided equal to each client upon 15 admission and shall be posted in writing in a prominent placean average of forty (40) hours of work per week to provide crisis unit services. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists should be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents of such efforts which may include; but not be limited to: records of 26 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph1. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term of this the Agreement. 33 // 34 // 35 // 36 // 37 //CONTRACTOR’s notification shall include at a minimum the following information: employee name(s), position title(s), date(s) of resignation, date(s) of hire, and a description of recruitment activity. 2. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) calendar days in advance, of any new staffing changes; including promotions, temporary FTE changes and internal or external temporary staffing assignment requests that occur during the term of the Agreement. ADMINISTRATION FTEs UR Manager 0.50 SUBTOTAL ADMINISTRATION 0.50 Charge RN 4.2030 Staff RN 8.4050 MHW 10.50 LCSW 4.20 MSW 2.10 Clinical Coordinator 1.4010 Head of Service 0.50 UR Manager 0.50 SUBTOTAL PROGRAM 31.8070 TOTAL FTEs 32.3020” B. CONTRACTOR shall provide adequate staffing to assure that the services outlined above are performed in an efficient manner. C. CONTRACTOR shall provide staffing in conformance with Title 9 regulations for Crisis Stabilization services; shall have as Head of Service a licensed mental health professional in conformance to one of the following staff categories: Psychiatrist, Licensed Psychologist, LCSW, LPCC, Licensed MFT or RN; and shall have one RN on-site at all times. D. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold languages as determined by ADMINISTRATOR. Whenever possible, bilingual/bicultural staff should be retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the clinical staffing does not meet the above requirement, the vacancies must be filled with bilingual and bicultural staff unless ADMINISTRATOR consents, in advance and in writing, to the filling of those positions with non-bilingual staff. Salary savings resulting from such vacant positions may not be used to cover costs other than salaries and employees benefits unless otherwise authorized, in advance and in writing, by ADMINISTRATOR. E CONTRACTOR shall maintain personnel files for each staff person, including management and other administrative positions, both direct and indirect to the Agreement, which shall include, but not be limited to, an application for employment, qualifications for the position, applicable licenses, waivers, registrations, documentation of bicultural/bilingual capabilities (if applicable), pay rate and evaluations justifying pay increases.

Staffing. 9 6 A. CONTRACTOR shall establish a written Code of Conduct for employeesprovide clinical staffing as required by CCR, volunteersTitle 9, interns Section 663. 7 CONTRACTOR shall provide professional, allied, and supportive paramedical personnel to provide all 8 necessary and appropriate Psychiatric Inpatient Hospital services. There is no specific administrative 9 and/or clerical staffing pattern however, CONTRACTOR must provide sufficient staff to support the 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services provided pursuant to this the Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 11 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists should be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consentsmay mutually agree, in writing, to modify the filling 12 Staffing Paragraph of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used this Exhibit A to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATORthe Agreement. 23 A. 13 C. CONTRACTOR shall make its best effort ensure that a bilingual professional or qualified interpreter is fluent in 14 English and in the primary language spoken by the client. The bilingual professional or qualified 16 CONTRACTOR shall ensure that, when needed, a qualified interpreter is available who can accurately 17 provide sign language services. The bilingual professional or qualified interpreter must have the ability 18 to provide services pursuant translate mental health terminology necessary to this Agreement in a 24 manner that is culturally and linguistically appropriate for convey information such as symptoms or 19 instructions to the population(s) servedclient. CONTRACTOR 25 shall maintain documents of such efforts ensure that the bilingual person and/or the qualified 20 interpreter, completes appropriate courses that cover terms and concepts associated with mental illness, 21 psychotropic medications, and cultural beliefs and practices which may include; influence the client’s mental 23 D. CONTRACTOR shall ensure that all staff is trained and is knowledgeable in treatment issues 24 reflecting the diversity of the Medi-Cal population. CONTRACTOR shall develop and maintain in- 25 service staff training programs which will train staff to respect and respond with sensitivity to the 26 language and cultural experiences of the clients. CONTRACTOR staff shall participate in cultural 27 competency and/or awareness training on an annual basis. Training shall be designed to help staff 28 understand cultural diversity and may include but not be limited toto such topics such as: records of 26 participation in COUNTY-sponsored or other applicable trainingmental health 29 care that is unique to the client 30 // 31 including awareness; recruitment sensitivity to the client’s cultural and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility forspiritual beliefs, and sensitivity tothe role of the family in 32 diverse cultures and ethnic groups. Additionally, persons who are physically challenged.training components shall include: 33 1. Background information for identifying and treating mental illnesses and related health 34 conditions not commonly found in the dominant client population; 35 2. Utilization of non-psychiatrically trained interpreters in taking client histories and assisting 36 with communication relating to mental health treatment; and 37 3. Strategies for utilizing the belief patterns and family support systems of clients to promote 1 adherence to the course of treatment and assuming responsibility for preventive mental health 2 behaviors. 3 // 4 // 5 // 6 // 7 // 8 // 9 // 10 // 11 // 12 // 13 // 14 // 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 26 // 27 // 28 // 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree// 30 // 31 // 32 33 34 35 36 37 1 EXHIBIT B 2 TO AGREEMENT FOR PROVISION OF 3 MEDI-CAL MENTAL HEALTH MANAGED CARE 4 PSYCHIATRIC INPATIENT HOSPITAL SERVICES 5 BETWEEN 6 COUNTY OF ORANGE 7 AND 8 PROVIDER NAME 9 JULY 1, in advance and in writing2017 THROUGH JUNE 30, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //2020 10

Staffing. 9 10 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 11 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists staff should be 18 12 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 13 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 14 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 15 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and 16 employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 17 B. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 18 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 19 shall maintain documents of such efforts which may include; but not be limited to: records of 26 20 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures21 procedures (P&P); copies of literature in multiple languages and formats, as appropriate; and descriptions 22 of 28 measures taken to enhance accessibility for, and sensitivity to, persons individuals who are physically 23 challenged. 29 24 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 25 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 26 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in advance, 27 of any new staffing changes; including promotions, temporary FTE changes and internal or external 28 temporary staffing assignment requests that occur during the term of the Agreement. 29 // 30 // 31 // 32 // 33 // 34 // 35 // 36 // 37 //// 25 of 27 EXHIBIT A 1 E. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in

Staffing. 9 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns provide the following staffing pattern expressed in 10 and members Full-Time Equivalents (FTEs) continuously throughout the term of the Board Contract. One (1) FTE shall be PROGRAM NON-DSH PRODUCING FTE Licensed Director of Directors which Youth Development 0.05 Licensed Program Director/Group Home Administrator 1.00 House Supervisor/ CRP/SRF Administrator 1.00 Quality Assurance Specialist 0.50 Mental Health Specialist 9.40 On Call Pool for Mental Health Specialists 0.50 SUBTOTAL NON-DSH PRODUCING 12.45 PROGRAM DSH PRODUCING Clinician 1.00 Clinical Trainee(s) 0.00 SUBTOTAL DSH PRODUCING 1.00 GRAND TOTAL FTE 13.45 11 equal to an average of forty (40) hours work per week. 12 13 15 16 17 18 19 20 21 22 23 24 25 A. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in PROGRAM NON-DSH PRODUCING FTE Chief Program Officer – Youth Development 0.05 Licensed Program Director 1.00 House Supervisor 1.00 Quality Assurance Billing Specialist 1.00 Mental Health Specialist 9.80 On Call Pool for Mental Health Specialists 0.50 30 33 34 35 36 37 1 2 3 4 5 6 7 8 9 10 11 B. CONTRACTOR shall includehave as Head of Service; a licensed mental health professional, but not be limited to, standards related in 12 conformance to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members one of the following staff categories: Psychiatrist, Licensed Psychologist, LCSW, 13 Board of DirectorsLPCC, employeesLMFT, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placeRN, LVN, or LPT. 16 B. 14 C. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 15 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists staff should 16 be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 17 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 18 unless ADMINISTRATOR consents, in advance and in writing, to the filling of those positions with 19 non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs 20 other than salaries 22 and employees employee benefits unless otherwise authorized authorized, in advance and in writing, in advance, by 21 ADMINISTRATOR. 22 D. CONTRACTOR shall maintain personnel files for each staff person, including management and 23 A. other administrative positions, both direct and indirect to the Contract, which shall include, but not be 24 limited to, an application for employment, qualifications for the position, applicable licenses, Live Scan 25 results, waivers, registrations, documentation of bicultural/bilingual capabilities (if applicable), pay rate 26 and evaluations justifying pay increases. 27 E. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement the Contract in a 24 28 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 29 shall maintain documents of such efforts which may include; but not be limited to: records of 26 30 participation in COUNTY-sponsored or other applicable trainingTraining; recruitment and hiring policies and 27 proceduresP&Ps; copies 31 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 32 enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. 33 F. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within no later than seventy-two (72) hours, 34 hours of any staffing vacancies or filling of vacant positions that occur 32 during the term of this Agreementthe Contract. 33 // 34 // 35 // CONTRACTOR’s notification shall include at a minimum the following information: employee 36 // name(s), position title(s), date(s) of resignation, date(s) of hire, and a description of recruitment activity. 37 //G. CONTRACTOR shall notify ADMINISTRATOR, in writing, no later than seven (7) business 1 days, in advance, of any proposed staffing changes, including but not limited to promotions, temporary 2 FTE changes, and temporary staffing assignments that occur during the term of the Contract. 3 H. CONTRACTOR shall recruit, hire, train, and maintain staff that include persons with lived 4 experience, and/or family members of persons with lived experience. These individuals shall not be 5 currently receiving services directly from CONTRACTOR. Documentation may include, but not be 6 limited to, the following: records attesting to efforts made in recruitment and hiring practices and 7 identification of measures taken to enhance accessibility for potential staff in these categories. 8 I. CONTRACTOR shall provide training to service staff covering suicide assessment and crisis 9 intervention or indications of suicidal risk (depending on scope of practice), developing safety plans, 10 maintaining healthy boundaries, reporting child abuse, dealing with difficult Clients, meeting 11 facilitation. basic knowledge of psychotropic medications, confidentiality, identification of strengths, 12 promoting life skills and such other topics identified by ADMINISTRATOR. Formal training sessions 13 may also be used to cover these topics but cannot substitute for weekly supervision hours. 14 J. CONTRACTOR shall maintain a current signature list including each supervisor and provider 15 of direct services who signs chart documentation. The list shall include the printed/type staff name and 16 title, followed by the legal signature with title as it appears on all chart documents. For licensed or 17 registered clinical staff, the name must match the name on the license or registration. 18 K. WORKLOAD STANDARDS - CONTRACTOR understands and agrees that at any given time 19 the standards referenced below are minimum standards, and shall make every effort to exceed these 20 minimums. 21 1. One (1) DSH shall be equal to sixty (60) minutes of direct Client service. 22 2. CONTRACTOR shall provide a minimum of two thousand one hundred (2,100) Client 23 related direct service hours (DSH). Billable services shall be equal to minimum of eighty percent (80%)

Staffing. 9 2 A. CONTRACTOR shall establish a written Code of Conduct for employeesshall, volunteersat minimum, interns 10 and members provide the following staffing, expressed in FTEs, 3 continuously throughout the term of the Board Agreement. One (1) FTE shall be equal to an average of Directors forty 4 (40) hours per week: DIRECT PROGRAM FTE Mental Health Worker Medical Assistant 2.00 0.50 Medical Assistant Clinical Social Worker 0.5023 TOTAL FTEs 2.73 3.0 0 5 6 7 8 9 10 11 12 14 B. CONTRACTOR shall employ consumer MHWs with a preference towards those who have 15 successfully graduated from a consumer Paraprofessional certificate training program. 16 C. CONTRACTOR may augment the above paid staff with volunteers or student interns upon 17 written approval of ADMINISTRATOR. CONTRACTOR shall meet minimum requirements for 18 supervision of each student intern as required by the state licensing board and/or school program 19 descriptions or work contracts. 20 D. CONTRACTOR shall maintain personnel files for each staff person, which shall include, but not 21 be limited to, standards related to 11 an application for employment, qualifications for the use position, results of drugs and/or alcohol; staff-client relationships; prohibition background 22 checks, applicable licenses, waivers, registrations, documentation of sexual contact with clients; bicultural/bilingual capabilities, 23 status as a Participant, former Participant or family memberFamily Member, pay rate, training, and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place24 evaluations justifying pay increases. 16 B. 25 E. CONTRACTOR shall include bilingual/bicultural recruit and hire culturally and linguistically appropriate services to meet 26 the needs of threshold 17 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingualBilingual/bicultural therapists should staff will be 18 27 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 28 and employees employee benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 29 F. Salary savings resulting from vacant positions may not be used to cover costs other than salaries 30 and employee benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 31 G. CONTRACTOR shall make its best effort to provide recruit, hire, train and maintain staff providing services pursuant to this the 32 Agreement in a 24 manner that is culturally and linguistically appropriate who are qualified for the population(sposition(s) servedsought. These individuals shall not be currently receiving 33 services directly from CONTRACTOR. CONTRACTOR 25 shall maintain documents of such efforts documentation which may shall 34 include; , but not be limited to, the following: records of 26 participation attesting to efforts made in COUNTY-sponsored or other applicable training; recruitment and hiring policies 35 practices, and 27 procedures; copies identification of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, for potential staff in these 36 categories. 37 // 1 H. All positions are required to maintain a log delineating hours worked and sensitivity to, persons who are physically challengedallocated to each 2 program of CONTRACTOR. 29 C. 3 I. CONTRACTOR and ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust modify the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term Staffing 4 Paragraph of this Exhibit A to the Agreement. 33 // 34 // 35 // 36 // 37 //5

Staffing. 9 18 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 19 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 20 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 21 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 22 ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 23 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 24 and employees employee benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 25 B. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement the Contract in a 24 26 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 27 shall maintain documents of such efforts which may include; include but not be limited to: records of 26 28 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies 29 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 30 enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 31 C. ADMINISTRATOR CONTRACTOR shall ensure that all staff are trained and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraphhave a clear understanding of all 32 P&Ps. CONTRACTOR shall provide signature confirmation of the P&Ps training for each staff 33 member and place the signature confirmation in their personnel files. 34 D. CONTRACTOR shall ensure that all staff complete COUNTY’s Annual Provider Training and 36 E. COUNTY shall provide, or cause to be provided, training and ongoing consultation to 37 CONTRACTOR's staff to assist CONTRACTOR in ensuring compliance with HCA Standards of Care 1 practices, P&Ps, documentation standards and any state regulatory requirements. 2 F. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, hours of 3 any staffing vacancies or filling of vacant positions that occur 32 during the term of this Agreementthe Contract. 4 G. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) calendar days in 5 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 6 external temporary staffing assignment requests that occur during the term of the Contract. 7 H. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in Full- 8 Time Equivalents (FTEs) continuously throughout the term of the Contract. 33 // 34 // 35 // 36 // 37 //One (1) FTE will be equal 9 to an average of forty (40) hours work per week. 10 11 FTE 12 DIRECT ADMINISTRATIVE 13 President 0.08 14 TOTAL ADMINISTRATIVE FTEs 0.08 15 President 0.17 Senior Client Case Manager 0.50 Client Case Manager 1.00 Program Administrative Assistant 0.25 16 DIRECT PROGRAM 17 18 19 20 21 TOTAL PROGRAM FTEs 1.92 22 23 TOTAL CONTRACT FTEs 2.00 25 I. CONTRACTOR shall maintain personnel files for each staff member, including management 26 and other administrative positions, which will include, but not be limited to, an application for 27 employment, qualifications for the position, documentation of bicultural/bilingual capabilities (if 28 applicable), pay rate and evaluations justifying pay increases.

Staffing. 9 23 A. CONTRACTOR shall establish a written Code provide staffing patterns and policies that meet the following 24 requirements: 25 1. Provision of Conduct shelter, food services, and supportive services provided directly by the program 26 in accordance with the guidelines outlined in the Services Paragraph of this Exhibit A to the Agreement. 27 2. Provision for employees, volunteers, interns 10 and members twenty-four (24)-hour on-site management of the Board facility, including night 28 supervision in accordance with CCR, Title 22, Division 6; 29 3. Provision of Directors which shall includelicensed staff responsible for the planning, but not be limited implementation, and day-to, standards related to 11 the use -day 30 supervision of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestall treatment services. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct All therapeutic treatment activities shall be provided carried out by 31 personnel with appropriate specialized mental health training; 32 4. Provision of Case Managers/Case Manager Supervisors to implement structured individual 33 and group psycho-social rehabilitative services; 34 5. Documentation of employee qualifications and job descriptions for each client upon 15 admission position which 35 include duties and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as determined by COUNTY. Whenever possibleresponsibilities, bilingual/bicultural therapists should be 18 retainedrequirements, and proof of licensure, where 36 applicable; 1 6. Any clinical vacancies occurring at a A written policy for the use of volunteers and part-time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions student interns which may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR.augment 23 A. 3 B. CONTRACTOR shall make its best effort efforts to provide services pursuant to this the Agreement in a 24 4 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 5 shall maintain documents documentation of such efforts which may include; , but not be limited to: records of 26 6 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies 7 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 8 enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 9 C. CONTRACTOR and ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, writing to 30 adjust modify the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term Staffing 10 Paragraph of this Exhibit A to the Agreement. 11 // 12 // 13 // 14 // 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 26 // 27 // 28 // 29 // 30 // 31 // 32 // 33 // 34 // 35 // 36 // 37 //// 1 2 EXHIBIT B 3 AGREEMENT FOR PROVISION OF 4 ADULT MENTAL HEALTH INTENSIVE RESIDENTIAL SERVICES 5 BETWEEN 6 COUNTY OF ORANGE 7 AND 8 XXXX SIPPI CLINIC TREATMENT GROUP 9 JULY 1, 2019 THROUGH JUNE 30, 2022 10

Staffing. 9 2 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 3 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 4 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 5 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 6 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 7 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 8 admission and shall be posted in writing in a prominent place. 16 9 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 10 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists should be 18 11 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 12 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 13 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 14 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 15 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 16 C. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 17 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 18 shall maintain documents of such efforts which may include; but not be limited to: records of 26 19 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 20 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 21 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 C. 22 D. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 23 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 24 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 25 during the term of this Agreement. 26 E. CONTRACTOR shall provide the following staffing, expressed in Full-time Equivalents 27 (FTEs) which shall be equal to an average of forty (40) hours per week, to provide Outreach and 28 Engagement services: 30 ADMINISTRATIVE FTEs 31 Finance/Operations Manager 0.10 32 SUBTOTAL ADMINISTRATIVE FTEs 0.10 34 PROGRAM 35 Program Manager 0.50 - VNCOC 36 Outreach Coordinator 0.50 37 Subcontractor-Xxxx Xxx 0.50 1 Subcontractor- - OCAPICA 0.50 2 SUBTOTAL PROGRAM FTEs 2.00 3 4 TOTAL FTEs 2.10 6 F. WORKLOAD STANDARDS 7 1. CONTRACTOR shall achieve a total of fifty (50) successful linkages and a total of 1,500 8 yearly contacts; which equates to a minimum of twenty-five (25) linkages/ per FTE, three (3) daily 9 contacts/ per FTE, or the modified productivity levels for certain staff that was established for FY 2009- 10 10. 11 2. CONTRACTOR shall be expected to meet or exceed established standards for 12 FY 2009-10. 13 G. CONTRACTOR shall recruit, hire, train and maintain staff who are persons in recovery. These 14 individuals shall not be currently receiving services directly from CONTRACTOR. Documentation 15 may include, but not be limited to, the following: records attesting to efforts made in recruitment and 17 categories. 18 H. CONTRACTOR may augment the above paid staff with volunteers or interns upon written 19 approval of ADMINISTRATOR. 20 I. CONTRACTOR shall maintain personnel files for each staff person, including the Executive 21 Director and other administrative positions, which shall include, but not be limited to, an application for 22 employment, qualifications for the position, documentation of bicultural/bilingual capabilities (if 23 applicable), pay rate and evaluations justifying pay increases. 24 J. All positions are required to maintain a log delineating hours worked and allocated to each 25 program of CONTRACTOR. 26 K. CONTRACTOR shall submit a staff vacancy report to ADMINISTRATOR within five (5) 27 working days following the termination, resignation, or notice of resignation of any clinical employee. 28 The report shall include the employee's name, position title, date of resignation and a description of the 29 recruitment activity to replace the employee. 30 L. CONTRACTOR shall provide training to service staff covering suicide assessment and crisis 31 intervention, developing safety plans, maintaining healthy boundaries, reporting child abuse, dealing 32 with difficult clients, meeting facilitation and medication, confidentiality, identification of strengths, 33 // promoting life skills and such other topics identified by the COUNTY. Formal training sessions may 34 // also be used to cover these topics but cannot substitute for weekly supervision hours. 35 // M. CONTRACTOR and ADMINISTRATOR may mutually agree, in writing, to modify 36 // 37 //Subparagraph V. 37

Staffing. 9 10 A. CONTRACTOR shall establish a written Code of Conduct for employeesshall, volunteersat minimum, interns 10 and members provide the following staffing, expressed in 11 FTEs, continuously throughout the term of the Board Agreement. One (1) FTE shall be equal to an average of Directors 12 forty (40) hours per week: 14 PROGRAM FTEs 15 Division Director 0.06 16 Data Entry Clerk 1.00 17 Administrative Assistant 1.00 18 Education Training Director 1.00 19 Academic Advisor 3.00 20 Success Coach 4.00 21 Assistant Education Director 1.00 22 TOTAL FTEs 11.06 24 B. WORKLOAD STANDARDS 25 1. CONTRACTOR shall provide a minimum of seventy-five (75) Workshop Courses. 26 2. CONTRACTOR shall provide a minimum of fifty (50) Pre-Vocational courses. 27 3. CONTRACTOR shall provide a minimum of fifteen (15) College Credit Courses. 28 4. CONTRACTOR shall provide a minimum of fifteen (15) Extended Education Courses by 29 Extended Education approved Instructors. 30 5. CONTRACTOR shall include culturally and linguistically appropriate services to meet the 31 needs of threshold languages as determined by ADMINISTRATOR. 32 6. CONTRACTOR shall recruit, hire, train and maintain staff who are Consumers, former 33 Consumers or Family Members and who are qualified for the position(s) sought. CONTRACTOR shall 34 maintain documentation which shall include, but not be limited to, standards related the following: records attesting to 11 35 efforts made in recruitment and hiring practices, and identification of measures taken to enhance 36 accessibility for potential staff in these categories. 37 // 9 OF 10 EXHIBIT A 1 7. CONTRACTOR may augment the use above paid staff with volunteers or student interns upon 2 written approval of drugs ADMINISTRATOR. CONTRACTOR shall meet minimum requirements for 3 supervision of each student intern as required by the state Licensing Board and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placeschool program 4 descriptions or work contracts. 16 B. 5 8. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 languages as determined by COUNTY. Whenever possiblemaintain personnel files for each staff person, bilingual/bicultural therapists should be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consentswhich shall include, in writing, to the filling of those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents of such efforts which may include; 6 but not be limited to: records , an application for employment, qualifications for the position, results of 26 participation in COUNTY-sponsored 7 background checks, applicable licenses, waivers, registrations, documentation of bicultural/bilingual 8 capabilities, status as a Consumer, former Consumer or other applicable Family Member, pay rate, training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged9 evaluations justifying pay increases. 29 C. ADMINISTRATOR 10 9. All positions are required to maintain a log delineating hours worked and CONTRACTOR may mutually agree, in advance and in writing, allocated to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, each 11 program of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //CONTRACTOR.

Staffing. 9 5 A. CONTRACTOR shall establish a written Code of Conduct for employeesprovide the following staffing, volunteersexpressed in Full-Time Equivalents PROGRAM FTE Regional Director 0.50 0.40 Program Director 1.00 Licensed Therapist Supervisor 2.00 Office Manager 1.00 Office Assistant 3.00 3.50 Quality Improvement Coordinator 1.00 Volunteer Coordinator 0.17 Quality Improvement Administrator 0.11 Billing Administrator 0.11 Lead Personal Service Coordinator 2.00 Personal Service Coordinator 7.00 9.00 Personal Service Coordinator-Bilingual 7.00 Housing Specialist 1.00 Education/Employment Specialist 1.00 Peer Mentor-Parent 2.00 3.00 Peer Mentor-Youth 2.00 TOTAL PROGRAM FTEs 30.89 34.29 6 (FTEs), interns 10 and members of the Board of Directors which shall includebe equal to an average of forty (40) hours per week, but not be limited to, standards related to provide FSW services: 7 9 10 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 29 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists should be 18 30 retained. Any clinical vacancies occurring at a time when the bilingual and bicultural composition of 31 the 19 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural 32 staff 20 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual 33 staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other than 34 salaries 22 and employees employee benefits unless otherwise authorized in writing, in advance, by 35 ADMINISTRATOR. 23 A. 36 2. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally recruit, hire, train and linguistically appropriate maintain staff who are clients, former clients 37 or their family members and who are qualified for the population(sposition(s) servedsought. CONTRACTOR 25 shall maintain documents of such efforts which Documentation may include; , 1 but not be limited to, the following: records of 26 participation attesting to efforts made in COUNTY-sponsored or other applicable training; recruitment and hiring policies 2 practices, and 27 procedures; copies identification of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challengedfor potential staff in these 3 categories. 3. CONTRACTOR may augment the above paid staff with volunteers or interns upon 4 written approval of ADMINISTRATOR. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. 5 a. CONTRACTOR shall notify 31 ADMINISTRATORmeet minimum requirements for supervision of each student 6 intern as required by the state Licensing Board and/or school program descriptions or work contracts. 7 b. A student intern is a person enrolled in an accredited graduate program accumulating 8 clinically supervised work experience hours as part of field work, internship, or practicum requirements. 9 Acceptable graduate programs include all programs that assist the student in writingmeeting the educational 10 requirements in becoming either a Marriage and Family Therapist, within seventy-a Licensed Clinical Social Worker, 11 or a licensed Clinical Psychologist. Persons with graduate degrees and who have two (722) hoursyears full-time 12 experience in a mental health setting, either post-degree or as part of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //program leading to the 13 graduate degree, shall not be considered as students.

Staffing. 9 10 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in FTEs 11 continuously throughout the term of the Board Agreement. One (1) FTE shall be equal to an average of Directors which forty 12 (40) hours of work per week to provide mental health outpatient services for children and youth: 13 PROGRAM FTE Mental Health Director 0.90 QA Manager 0.90 Licensed Clinician 1.00 Pre-Licensed Clinician 2.00 Behavioral Specialist - Bil. 2.00 Behavioral Specialist 2.00 Billing Clerk 0.20 SUBTOTAL PROGRAM FTE 9.00 SUBCONTRACTORS Psychiatrist 0.32 SUBTOTAL SUBCONTRACTOR FTE 0.32 GRAND TOTAL FTE 9.32 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 B. CONTRACTOR shall includehave as Head of Service a licensed mental health professional, but not be limited to, standards related in 31 conformance to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members one of the 13 Board of Directorsfollowing staff categories: Psychiatrist, employeesLicensed Psychologist, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placeLCSW, 32 LPCC, Licensed MFT, RN, LVN, or LPT. 16 B. 33 C. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 34 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 35 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 36 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 37 ADMINISTRATOR consents, in advance and in writing, to the filling of those positions with non-non- 1 bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other 2 than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by 3 ADMINISTRATOR. 23 A. 4 D. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally maintain personnel files for each staff person, including management and linguistically appropriate for the population(s) served. CONTRACTOR 25 5 other administrative positions, both direct and indirect which shall maintain documents of such efforts which may include; , but not be limited to: records , an 6 application for employment, qualifications for the position, applicable licenses, waivers, registrations, 7 documentation of 26 participation in COUNTY-sponsored or other applicable training; recruitment bicultural/bilingual capabilities (if applicable), pay rate and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challengedevaluations justifying pay 8 increases. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. 9 E. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within no later than seventy-two (72) hours, 10 hours of any staffing vacancies or filling of vacant positions that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //the

Staffing. 9 21 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in FTEs 22 continuously throughout the term of the Board AgreementContract. One (1) FTE shall be equal to an average 23 of Directors which forty (40) hours of work per week to provide behavioralmental health outpatientcrisis services for 24 children and youth:. 25 PROGRAM TOTALFTEs 26 27 28 29 30 31 32 33 34 35 36 37 5 6 PROGRAM PERIOD ONE PERIOD TWO PERIOD THREE PERIOD FOUR 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 B. CONTRACTOR shall includehave as Head of Service a licensed mental health professional, but not be limited to, standards related in 29 conformance to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members one of the 13 Board of Directorsfollowing staff categories: Psychiatrist, employeesLicensed Psychologist, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placeLCSW, 30 LPCC, Licensed MFT, RN, LVN, or LPT. 16 B. 31 C. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 32 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 33 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 34 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 35 ADMINISTRATOR consents, in advance and in writing, to the filling of those positions with non-non- 36 bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other 37 // 1 than salaries 22 and employees benefits unless otherwise authorized in writing, in advance, by 2 ADMINISTRATOR. 23 A. 3 D. CONTRACTOR shall maintain personnel files for each staff person, including management and 4 other administrative positions, both direct and indirect which shall include, but not be limited to, an 5 application for employment, qualifications for the position, applicable licenses, waivers, registrations, 6 documentation of bicultural/bilingual capabilities (if applicable), pay rate and evaluations justifying pay 7 increases. 8 E. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 9 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 10 shall maintain documents of such efforts which may include; but not be limited to: records of 26 11 participation in COUNTY-COUNTY- sponsored or other applicable trainingTraining; recruitment and hiring policies and 27 proceduresP&Ps; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //copies

Staffing. 9 7 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 8 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 9 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 10 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 11 ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 12 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 13 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 14 B. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 15 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 16 shall maintain documents of such efforts which may include; but not be limited to: records of 26 17 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies 18 of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to 19 enhance accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 20 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 21 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 22 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in 23 advance, of any new staffing changes; including promotions, temporary FTE changes, and internal or 24 external temporary staffing assignment requests that occur during the term of the Agreement. 25 E. CONTRACTOR shall ensure that all staff, including interns and volunteers, are trained and 26 have a clear understanding of all P&Ps. CONTRACTOR shall provide signature confirmation of the 27 P&P training for each staff member and place it in their personnel files. 28 F. CONTRACTOR shall ensure that all staff complete the COUNTY’s Annual Provider Training 29 and Annual Compliance Training. 30 G. CONTRACTOR shall ensure compliance with ADMINISTRATOR Standards of Care 31 practices, P&Ps, documentation standards, and any state and federal regulatory requirements. 32 H. COUNTY shall provide, or cause to be provided, training and ongoing consultation to 33 // CONTRACTOR's staff to assist CONTRACTOR in ensuring compliance with ADMINISTRATOR 34 // Standards of Care practices, P&P’s, documentation standards, and any state and federal regulatory 35 // requirements. 36 // 37 // 1 I. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in 2 FTEs continuously throughout the term of the Agreement. One (1) FTE will be equal to an average of 3 forty (40) hours of work per week. 4 5 PROGRAM FTE 6 Regional Director of Operations 0.20 7 Clinical Administrator 1.00 8 Clinical Director 1.00 9 Team Leader (Licensed) 1.00 10 Office Coordinator 1.00 11 IS Regional Business Specialist 0.10 12 Data Mining and Analysis Specialist 1.00 13 Billing Specialist 2.00 14 Administrative Assistant/HR Assistant/Receptionist 1.00 15 Medical Records Technician 1.00 16 Regional IT Support Analyst 0.10 17 Driver 1.00 18 Personal Service Coordinator I 3.00 19 Personal Service Coordinator II 6.00 20 Housing Specialist 1.00 21 Education/Employment Specialist 1.00 22 Drug Testing Coordinator 0.50 23 Peer Support Specialist 1.00 24 Peer Recovery Coach 1.00 25 Licensed Vocational Nurse 1.50 26 Nurse Practitioner 0.20 27 Nurse Practitioner (Subcontractor) 0.80 28 Psychiatrist (Subcontractor) 0.20 29 Quality Coordinator/Trainer 1.00 30 Registered Nurse 1.00 31 TOTAL CONTRACT FTEs 28.60 33 J. WORKLOAD STANDARDS 34 1. One (1) DSH will be equal to sixty (60) minutes of direct service. 35 2. CONTRACTOR shall provide an average of one hundred (100) DSHs per month or one 36 thousand two hundred (1,200) DSHs per year per FTE of direct clinician time which shall include 37 Mental Health, Case Management, Crisis Intervention, and Medication Management Services. 1 CONTRACTOR understands and agrees that this is a minimum standard and shall make every effort to 2 exceed this minimum, unless otherwise approved by ADMINISTRATOR. 3 3. CONTRACTOR shall provide a minimum of fifteen thousand nine hundred thirty-six 4 (15,936) direct service hours for Client related services, with a minimum of one thousand four hundred 5 forty (1,440) hours of medication support services and fourteen thousand four hundred ninety-six 6 (14,496) hours of other mental health, case management and/or crisis intervention services as outlined 7 below. CONTRACTOR understands and agrees that these are minimum requirements and shall make 8 every effort to exceed these minimums. 9 4. CONTRACTOR shall maintain an active and ongoing caseload of one hundred forty-one 10 (141) Clients throughout the term of the Agreement. The make-up of the Clients shall be as follows: 11 one hundred and nine (109) Clients who are on LPS conservatorship and currently, or have history of 12 placement, in long-term care facilities or residential rehabilitation care facilities; and thirty-two (32) 13 Clients who are participating in the COUNTY’s Assisted Intervention court. For Enhanced Recovery

Staffing. 9 10 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 11 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 12 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical 13 staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 unless 14 ADMINISTRATOR consents, in advance and in writing, to the filling of those positions with non-non- 15 bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs other 16 than salaries 22 and employees benefits unless otherwise authorized authorized, in writing, writing and in advance, by 17 ADMINISTRATOR. 23 A. 18 B. CONTRACTOR shall make its best effort to provide ensure that services provided pursuant to this the 19 Agreement are provided in a 24 manner that is culturally and linguistically appropriate for the population(s) 20 served. CONTRACTOR 25 shall maintain ensure that documents are maintained of such efforts which may 21 include; , but not be limited to: , records of 26 participation in COUNTY-sponsored or other applicable 22 training; recruitment and hiring policies and 27 proceduresP&Ps; copies of literature in multiple languages and formats, as 23 appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons 24 individuals who are physically challenged. 29 25 C. ADMINISTRATOR CONTRACTOR shall ensure that all psychiatrists and CONTRACTOR may mutually agree, in advance medical practitioners are trained and in writing, to 30 adjust the staffing requirements described in this paragraph. 26 have a clear understanding of all P&Ps. 27 D. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 28 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 29 E. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in advance 30 of any new staffing changes, including promotions, temporary FTE changes and internal or external 31 temporary staffing assignment requests that occur during the term of the Agreement. 32 F. CONTRACTOR shall ensure that all staff complete the COUNTY’s Annual Provider Training 33 and, Annual Compliance Training, and any other trainings requested by ADMINISTRATOR. and, 34 G. CONTRACTOR shall ensure that all psychiatrists and medical practitioners complete the 35 COUNTY’s Annual Provider Training 36 requested by ADMINISTRATOR. 37 // Annual Compliance Training, and any other trainings 23 of 25 EXHIBIT A X:\CONTRACTS - 2017 -\2017-2018\BH\Psych and Basic Med Svcs-Xx. Xxxxxxx FY17-18-VW.doc MAC01BHKK18 1 H. CONTRACTOR shall ensure compliance with ADMINISTRATOR’s Standards of Care 2 practices, P&Ps, documentation standards and any state regulatory requirements. 3 I. CONTRACTOR and CONTRACTOR’s psychiatrist must obtain designated status from the 4 COUNTY to initiate involuntary detentions per section 5150 of the Welfare & Institutions Code prior to 5 providing any services. 6 J. CONTRACTOR and CONTRACTOR’s physicians shall maintain current Cardiopulmonary 7 Resuscitation (CPR) and Automated External Defibrillator (AED) certification. 8 K. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in 9 FTEs continuously throughout the term of the Agreement. One (1) FTE will be equal to an average of PSYCHIATRIC SERVICES FTE Medical Director 0.3040 Office Manager 0.4037 Accountant 0.07 Subcontractor 4.3121 SUBTOTAL PSYCHIATRIC SERVICES 5.0805 BASIC MEDICAL SERVICES Medical Director 0.10 Office Manager 0.1312 Subcontractor 4.210.35 SUBTOTAL BASIC MEDICAL SERVICES 4.440.57 PROGRAM TOTAL FTE 9.525.62 10 forty (40) hours of work per week. 11 12 14 15 16 17 18 19 20 21 22 24 25 26 27 1. The medical director and all psychiatrists providing services at the CSU must be licensed 28 and possess a current Physician’s and Surgeon’s Certificate issued by the State of California Board of 29 Examiners and have completed a three year training program in psychiatry, as approved by the Council 30 on Medical Education of the American Medical Association, the Accreditation Council for Graduate 31 Medical Education (ACGME), or the American Osteopathic Association. For the purposes of this 32 Agreement, a third (3rd) year psychiatric resident, in an approved formal training program, shall be 33 // defined as a licensed psychiatrist only when providing services described herein under the direct 34 // supervision of XXXXXXXXXX’s medical director. Services must be provided in at least the threshold 35 // languages, as defined by the County. 36 // 2. The identified medical personnel must be licensed by the State of California, and any 37 //applicable Board and be available for a minimum of eight hours per day/ seven days per week.

Staffing. 9 7 A. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in FTEs 8 continuously throughout the term of the Agreement. One (1) FTE shall establish a written Code be equal to an average of Conduct for employeesforty 9 (40) hours of work per week to provide AOD Prevention Services: 10 PROGRAM FTEs Program Coordinator 1.90 Program Support Assistant 0.60 Senior Administrative Assistant 0.54 SUBTOTAL PROGRAM FTEs 3.04 TOTAL FTEs 3.04 11 12 13 14 15 16 17 18 19 B. CONTRACTOR shall provide services pursuant to the Agreement by recruiting, volunteershiring, interns 10 and 20 maintaining administrative and program staff who have the requisite qualifications and experience to 21 provide AOD prevention services under the Agreement. CONTRACTOR shall also make best effort to 22 recruit, hire, train, and maintain staff that are persons in recovery, and/or family members of the Board of Directors which persons in 23 recovery. These individuals shall not be currently receiving services directly from CONTRACTOR. 24 Documentation may include, but not be limited to, standards related the following: records attesting to 11 the use efforts made in 25 recruitment and hiring practices and identification of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior measures taken to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree enhance accessibility for 26 potential staff in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placethese categories. 16 B. 27 C. CONTRACTOR shall make best effort to include bilingual/bicultural services to meet the 28 diverse needs of the community threshold 17 languages as determined by COUNTY. Whenever possible, 29 bilingual/bicultural therapists staff should be 18 recruited and retained. Any clinical staffing vacancies occurring at a time 30 when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be 31 filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of 32 those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be 33 used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in 34 advance, by ADMINISTRATOR. 23 A. 35 D. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 36 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 37 shall maintain documents of such efforts which may include; but not be limited to: records of 26 1 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //copies

Staffing. 9 29 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in 30 Full-Time Equivalents (FTEs) continuously throughout the term of the Board Contract. One (1) FTE shall be 31 equal to an average of Directors which forty (40) hours work per week. 32 PROGRAM NON-DSH PRODUCING FTE 33 Licensed Director of Youth Development 0.05 34 Licensed Program Director/Group Home Administrator 1.00 35 House Supervisor/ CRP/SRF Administrator 1.00 36 Quality Assurance Specialist 0.50 37 Mental Health Specialist 9.40 1 On Call Pool for Mental Health Specialists 0.50 2 SUBTOTAL NON-DSH PRODUCING 12.45 3 PROGRAM DSH PRODUCING 4 Clinician 1.00 5 Clinical Trainee(s) 0.00 6 SUBTOTAL DSH PRODUCING 1.00 8 GRAND TOTAL FTE 13.45 10 B. CONTRACTOR shall includehave as Head of Service; a licensed mental health professional, but not be limited to, standards related in 11 conformance to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members one of the 13 Board of Directorsfollowing staff categories: Psychiatrist, employeesLicensed Psychologist, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent placeLCSW, 00 XXXX, XXXX, XX, XXX, or LPT. 16 B. 13 C. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 14 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists staff should 15 be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 16 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 17 unless ADMINISTRATOR consents, in advance and in writing, to the filling of those positions with 18 non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be used to cover costs 19 other than salaries 22 and employees employee benefits unless otherwise authorized authorized, in advance and in writing, in advance, by 20 ADMINISTRATOR. 21 D. CONTRACTOR shall maintain personnel files for each staff person, including management and 22 other administrative positions, both direct and indirect to the Contract, which shall include, but not be 23 A. limited to, an application for employment, qualifications for the position, applicable licenses, Live Scan 24 results, waivers, registrations, documentation of bicultural/bilingual capabilities (if applicable), pay rate 25 and evaluations justifying pay increases. 26 E. CONTRACTOR shall make its best effort to provide services pursuant to this Agreement the Contract in a 24 27 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 28 shall maintain documents of such efforts which may include; but not be limited to: records of 26 29 participation in COUNTY-sponsored or other applicable trainingTraining; recruitment and hiring policies and 27 proceduresP&Ps; copies of literature in multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons who are physically challenged. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //copies

Staffing. 9 7 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in FTEs 8 continuously throughout the term of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestAgreement. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct One (1) FTE shall be provided equal to each client upon an average of forty PROGRAM FTEs Clinical Director 1.00 Data Analyst 0.03 Senior Mentors 1.60 Mentors 5.90 TOTAL FTEs 10.53 9 (40) hours work per week. 10 11 12 13 14 15 admission and shall be posted in writing in a prominent place.16 18 16 20 B. CONTRACTOR shall make best effort to include bilingual/bicultural services to meet the diverse 21 needs of the community threshold 17 languages as determined by COUNTY. Whenever possible, 22 bilingual/bicultural therapists staff should be 18 recruited and retained. Any clinical staffing vacancies occurring at a time 23 when bilingual and bicultural composition of the 19 clinical staffing does not meet the above requirement must be 24 filled with bilingual and bicultural staff 20 unless ADMINISTRATOR consents, in writing, to the filling of 25 those positions with non-bilingual staff. 21 Salary savings resulting from such vacant positions may not be 26 used to cover costs other than salaries 22 and employees benefits unless otherwise authorized in writing, in 27 advance, by ADMINISTRATOR. 23 A. 28 C. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 29 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 30 shall maintain documents of such efforts which may include; but not be limited to: records of 26 participation 31 in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 proceduresP&Ps; copies of literature in 32 multiple languages and formats, as appropriate; and descriptions of 28 measures taken to enhance 33 accessibility for, and sensitivity to, persons individuals who are physically challenged. 29 C. ADMINISTRATOR 34 D. CONTRACTOR shall actively recruit and maintain a large pool of qualified volunteers, 35 especially those who speak other languages and those whose lives were impacted by Behavioral Health 36 Conditions, substance use disorders, and suicide and train them to be Warmline mentors. Further, 37 CONTRACTOR may mutually agreeshall encourage volunteers/interns who have demonstrated exceptional skills on the 1 Warmline to apply for available paid positions with CONTRACTOR upon written approval of 2 ADMINISTRATOR. 3 E. CONTRACTOR is highly encouraged to augment the above paid staff with qualified and trained 4 volunteers and/or interns upon written approval of ADMINISTRATOR. 5 F. CONTRACTOR shall maintain personnel files for each staff member, in advance both administrative and in writing6 programmatic, both direct and indirect, which shall include, but not be limited to, an application for 7 employment, qualifications for the position, documentation of bicultural/bilingual capabilities (if 8 applicable), pay rate and evaluations justifying pay increases. 9 G. CONTRACTOR shall establish clear P&Ps pertaining to 30 adjust staff’s work location options (i.e. office 10 vs. field/home) and equipment usage (e.g., cell phones, texting devices, and computers). The P&Ps shall 11 address at the staffing requirements described in this paragraphminimum the following: 12 1. Eligibility and selection criteria; 13 2. Staff’s field/home on-duty conduct and responsibilities; 14 3. Supervision plan of staff and equipment including emergency procedure; and 15 4. Confidentiality and records keeping. 16 H. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 17 any staffing vacancies that occur 32 during the term of this the Agreement. 33 // 34 // 35 // 36 // 37 //. 18 I. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in advance, 19 of any new staffing changes; including promotions, temporary FTE changes and internal or external 20 temporary staffing assignment requests that occur during the term of the Agreement. 21 J. CONTRACTOR shall ensure that all staff, albeit paid or unpaid, complete necessary training 22 prior to discharging duties associated with their titles and any other training necessary to assist the

Staffing. 9 29 A. CONTRACTOR shall establish a written Code of Conduct for employees, volunteers, interns 10 and members of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interest. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct shall be provided to each client upon 15 admission and shall be posted in writing in a prominent place. 16 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 30 languages as determined by COUNTYADMINISTRATOR. Whenever possible, bilingual/bicultural therapists staff should 31 be 18 retained. Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 32 clinical staffing does not meet the above requirement must be filled with bilingual and bicultural staff 20 33 unless ADMINISTRATOR consents, in writing, to the filling of those positions with non-bilingual staff. 21 34 Salary savings resulting from such vacant positions may not be used to cover costs other than salaries 22 35 and employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 23 A. 36 B. CONTRACTOR shall make its best effort to provide services pursuant to this the Agreement in a 24 37 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 16 of 1819 EXHIBIT A 1 shall maintain documents of such efforts which may include; but not be limited to: records of 26 and procedures (P&P); 2 participation in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; P&P;policies 3 copies of literature in multiple languages and formats, as appropriate; and 4 descriptions of 28 measures taken to enhance accessibility for, and sensitivity to, persons individuals who are 5 physically challenged. 29 6 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph. CONTRACTOR shall notify 31 ADMINISTRATOR, in writing, within seventy-two (72) hours, of 7 any staffing vacancies or filling of vacant positions that occur 32 during the term of this the Agreement. 8 D. CONTRACTOR shall notify ADMINISTRATOR, in writing, at least seven (7) days in 9 advance, of any new staffing changes; including promotions, temporary FTE changes and internal or 10 external temporary staffing assignment requests that occur during the term of the Agreement. 11 E. CONTRACTOR shall, at a minimum, provide the following staffing pattern expressed in 12 Full-Time Equivalents (FTE) continuously throughout the term of the Agreement. One (1) FTE will be ADMINISTRATIVE FTE Chief Executive Officer 0.10 Director of Administrative Operations 0.10 Administrative Assistant 0.10 Accountant 0.10 Human Resource Manager 0.10 Chief Financial Officer 0.10 TOTAL ADMINISTRATIVE FTEs 0.60 PROGRAM Program Manager 1.00 Case Manager 2.00 Assistant Coordinator 2.00 Counselor 43.00 Dual Diagnosis Specialist 1.00 Veteran Liaison 1.00 Veteran Outreach Worker 1.00 Housing Specialist 1.0050 Back to Work Specialist 1.00 Facility Manager 1.00 Assistant Manager – Billing and Statistics Data Analyst 0.0550 13 equal to an average of forty (40) hours work per week. 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 // 34 // 35 // 36 // 37 //17 of 1819 EXHIBIT A TOTAL PROGRAM FTEs 13.0517.50 TOTAL CONTRACT FTEs 13.6518.10 1 6 F. CONTRACTOR may augment the above paid staff with volunteers upon written approval of 7 ADMINISTRATOR. 8 G. CONTRACTOR shall maintain personnel files for each staff member, including the 9 management and other administrative positions, both direct and indirect, which will include, but not be 10 limited to, an 11 application for employment, qualifications for the position, documentation of bicultural/bilingual 12 capabilities (if applicable), pay rate and evaluations justifying pay increases.

Staffing. 9 13 A. CONTRACTOR shall establish shall, at a written Code of Conduct for employeesminimum, volunteers, interns 10 and members provide the following staffing pattern expressed in FTEs 14 continuously throughout the term of the Board of Directors which shall include, but not be limited to, standards related to 11 the use of drugs and/or alcohol; staff-client relationships; prohibition of sexual contact with clients; and 12 conflict of interestAgreement. Prior to providing any services pursuant to this Agreement, all members of the 13 Board of Directors, employees, volunteers and interns shall agree in writing to maintain the standards 14 set forth in the Code of Conduct. A copy of the Code of Conduct One (1) FTE shall be provided equal to each client upon an average of forty 15 admission and shall be posted (40) hours of work per week to provide On-Site Engagement in writing in a prominent place.Collaborative Courts Services: 16 17 FTEs 18 PROGRAM ADMINISTRATION 19 Supervisor 0.04 20 SUBTOTAL PROGRAM ADMINISTRATION FTE 0.04 22 PROGRAM 23 Coordinator 0.80 24 Peer Counselor 1.60 25 Clerical Support 0.20 26 SUBTOTAL PROGRAM FTE 2.60 27 28 GRAND TOTAL FTE 2.64 16 30 B. CONTRACTOR shall include bilingual/bicultural services to meet the needs of threshold 17 31 languages as determined by COUNTY. Whenever possible, bilingual/bicultural therapists staff should be 18 retained. 32 Any clinical vacancies occurring at a time when bilingual and bicultural composition of the 19 clinical staffing does not 33 meet the above requirement must be filled with bilingual and bicultural staff 20 unless ADMINISTRATOR 34 consents, in advance and in writing, to the filling of those positions with non-bilingual staff. 21 Salary 35 savings resulting from such vacant positions may not be used to cover costs other than salaries 22 and 36 employees benefits unless otherwise authorized in writing, in advance, by ADMINISTRATOR. 37 // 1 C. CONTRACTOR shall be responsible for the recruitment of all mentors and volunteers used in 2 the program. 23 A. CONTRACTOR 3 1. Recruitment efforts shall make its best effort to provide services pursuant to this Agreement in a 24 manner that is culturally and linguistically appropriate for the population(s) served. CONTRACTOR 25 shall maintain documents of such efforts which may include; , but not be limited to: records of 26 participation , recruiting from the corporate, 4 professional, and educational institutions in COUNTY-sponsored or other applicable training; recruitment and hiring policies and 27 procedures; copies of literature in multiple languages and formats, as appropriate; well as other neighborhood and descriptions of 28 measures taken to enhance accessibility for, cultural 5 groups that represent the local demographics. Recruitment efforts shall take into consideration the 6 principles outlined in the MHSA and sensitivity to, persons shall include those who are physically challengedbilingual in threshold languages, 7 former recipients of behavioral health services, and/or family members of those who have received 8 behavioral health services. 29 C. ADMINISTRATOR and CONTRACTOR may mutually agree, in advance and in writing, to 30 adjust the staffing requirements described in this paragraph9 2. CONTRACTOR shall notify 31 ADMINISTRATORdevelop, in writingimplement, within seventyand maintain a “strength-two (72) hours, of any staffing vacancies that occur 32 during the term of this Agreement. 33 // 34 // 35 // 36 // 37 //based” recruitment