Agenda Item
a. RFP 20-476 Nursing Services for Medically Fragile Students with Disabilities Contract Extension (Year 3 of 4) – (School Health and School Nursing Services for more than $50,000.00 per vendor but not to exceed a total contracted amount of 3,000,000)
Summary: Presented by: Ms. Stacy E. Stepney, Chief Academic Officer, Division of Curriculum & Instruction
Request: It is requested that the Board of Education approve the contract extensions with Pediatric Services of America, Inc. dba Aveanna Healthcare; Cobb Pediatric/The Stepping Stones Group; Delta T Group; and Maxim Healthcare as the most responsive and responsible bidders to provide school health and school nursing services for more than $50,000.00 per vendor but not to exceed a total contracted amount of $3,000,000.00.
Why: Under the individuals with Disabilities Education Act (IDEA), school health services and school nurse services are defined as related services. Section 504 works together with IDEA to protect children and adults with disabilities from exclusion and unequal treatment in schools, jobs, and the community. These services are required, according to IDEA and Section 504 guidelines and physician’s orders, for students with significant medical needs to access their education.
Currently, there are 24 special education nurses that are district employees. The District is currently contracting with ten (10) nurses anticipating an additional sixteen (16) nurses for one-to-one services for students with significant medical needs who are eligible for special education services, and two (2) nurses anticipating an additional six (6) to support students with significant medical needs who are eligible for Section 504 services. Additional resources are needed to address the school-based nursing requirements and to provide IDEA and Section 504 mandated services to students with disabilities. Therefore, the DeKalb County School District (DCSD) has contracted with nursing vendors to provide registered nurses (RNs) and licensed practical nurses (LPNs) with specialized knowledge when the District is unable to hire them directly.
The request for an increase in the contracted amount from $1,500,000 to $3,000,000 is a result of contracted vendors requesting a rate increase to maintain the District’s ability to compete with other local school districts seeking contracted nursing support for medically fragile students.
Details: The Request for Proposals (RFP) was issued on November 14, 2019, and approved February 10, 2020. The approved DCSD RFP process was followed. Five (5) of the twelve (12) vendors who responded were selected based on the following criteria: ability to provide needed staff, hourly rates, and experience with school-based settings. The five (5) selected vendors were Aveanna Healthcare, ATC Healthcare, Cobb Pediatric, Delta T Group, and Maxim Healthcare.
Financial impact: The total contract amount will not exceed $3,000,000.00.
The general budget charge codes are as follows: $1,500,000 (100.2100.530000.00011.7340.2021.8010.035.0000)
$500,000 (100.2100.530000.22711.7320.9990.8010.035.0000)
The IDEA federal budget charge code is:
$1,000,000 (404.2100.530000.05021.7340.2824.8010.035.2023)
The financial impact is contingent upon the number of registered nurses (RNs) and licensed practical nurses (LPNs) provided through contracted services. The rates for these services are as follows: RNs $39.00 - $60.00 per hour and LPNs $32.00 - $45.00 per hour. The total contracted amount will not exceed $3,000,000.00.
Contact: Ms. Stacy E. Stepney, Chief Academic Officer, Division of Curriculum & Instruction, 678.676.0731
Ms. Michele Summerlin, Executive Director Exceptional Education, Division of Curriculum and Instruction, 678.676.2163
Effective: May 1, 2023 - April 30, 2024
Status: Attorney approval not required
James Elkington SVP Revenue Cycle Management
September 27, 2022
VIA EMAIL
The Stepping Stones Group
2300 Windy Ridge Parkway Suite 825-S
Atlanta, GA 30339
ATTN: Tanya Vickers, Client Services Manager
Reference: RFP 20-476, Nursing Services for Medically Fragile Students
Dear Ms. Vickers:
As a result of the excellent service provided by The Stepping Stones Group, the DeKalb County School District
(“DCSD”) desires to renew the award of RFP 20-476, Nursing Services for Medically Fragile Students for one (1) year
on the same terms, conditions and pricing as set forth in the License and Services Agreement between DCSD and
The Stepping Stones Group dated May 1, 2020. The purpose of this letter is to obtain The Stepping Stones Group’s
acceptance of DCSD’s offer to renew the License and Services Agreement.
The renewal is subject to the DeKalb County Board of Education’s (“Board”) approval and will be effective from May
1, 2023 through April 30, 2024. Of course, we will notify you once the Board has approved the renewal. DCSD
appreciates The Stepping Stones Group’s consideration of this offer to renew the award of RFP 20-476.
If accepted, please submit a copy of your company’s proof of insurance reflecting the coverage(s) stated within the
original solicitation document, sign the acceptance below and email both documents to phyllis
_d_jones@dekalbschoolsga.org no later than Tuesday, October 4, 2022. Insurance policy or policies must be
maintained throughout the term of this agreement. A copy of the insurance requirements is included. Feel free to
also fax the acceptance and your proof of insurance to Ms. Jones at 678-676-0170.
Best regards,
Carla L. Smith
Carla L. Smith
Executive Director, Vendor Services
CLS/lw
c: Dr. Michelle Summerlin
Dr. Kiana King
ACKNOWLEDGMENT
The Stepping Stones Group hereby accepts DeKalb County School District’s offer to renew the award of RFP 20-476,
Nursing Services for Medically Fragile Students as set forth in the License and Services Agreement, until April 30,
2024. The Stepping Stones Group understands that this acceptance is subject to the approval of the DeKalb County
Board of Education.
________________________ ________________________
Authorized Signatory Date
5BOZB7JDLFST $MJFOU4FSWJDFT.BOBHFS
________________________ ________________________
Name (Typed or Printed) Title of Authorized Signatory
Robert R. Freeman Administrative Complex
1701 Mountain Industrial Blvd | Stone Mountain, GA 30083
678.676.0110 | www.dekalbschoolsga.org
September 27, 2022
VIA EMAIL
Delta-T Group Georgia, Inc.
40 Technology Parkway South Suite 300
Norcross, GA 30092
ATTN: Rachana Patel, Senior Vice President
Reference: RFP 20-476, Nursing Services for Medically Fragile Students
Dear Ms. Patel:
As a result of the excellent service provided by Delta-T Group Georgia, Inc., the DeKalb County School District
(“DCSD”) desires to renew the award of RFP 20-476, Nursing Services for Medically Fragile Students for one (1) year
on the same terms, conditions and pricing as set forth in the License and Services Agreement between DCSD and
Delta-T Group Georgia, Inc. dated May 1, 2020. The purpose of this letter is to obtain Delta-T Group Georgia, Inc.’s
acceptance of DCSD’s offer to renew the License and Services Agreement.
The renewal is subject to the DeKalb County Board of Education’s (“Board”) approval and will be effective from May
1, 2023 through April 30, 2024. Of course, we will notify you once the Board has approved the renewal. DCSD
appreciates Delta-T Group Georgia, Inc.’s consideration of this offer to renew the award of RFP 20-476.
If accepted, please submit a copy of your company’s proof of insurance reflecting the coverage(s) stated within the
original solicitation document, sign the acceptance below and email both documents to phyllis
_d_jones@dekalbschoolsga.org no later than Tuesday, October 4, 2022. Insurance policy or policies must be
maintained throughout the term of this agreement. A copy of the insurance requirements is included. Feel free to
also fax the acceptance and your proof of insurance to Ms. Jones at 678-676-0170.
Best regards,
Carla L. Smith
Carla L. Smith
Executive Director, Vendor Services
CLS/lw
c: Dr. Michelle Summerlin
Dr. Kiana King
ACKNOWLEDGMENT
Delta-T Group Georgia, Inc. hereby accepts DeKalb County School District’s offer to renew the award of RFP 20-476,
Nursing Services for Medically Fragile Students as set forth in the License and Services Agreement, until April 30,
2024. Delta-T Group Georgia, Inc. understands that this acceptance is subject to the approval of the DeKalb County
Board of Education.
________________________ 10/28/2022
________________________
Authorized Signatory Date
Rachana Patel
________________________ Senior Vice President
________________________
Name (Typed or Printed) Title of Authorized Signatory
Robert R. Freeman Administrative Complex
1701 Mountain Industrial Blvd | Stone Mountain, GA 30083
678.676.0110 | www.dekalbschoolsga.org
DocuSign Envelope ID: D10326B2-26C8-452B-991F-DB282DEE3405
September 27, 2022
VIA EMAIL
Maxim Healthcare Services, Inc.
7227 Lee Deforest Drive
Columbia, MD 21046
ATTN: Brandon McGee, Assistant Controller
Reference: RFP 20-476, Nursing Services for Medically Fragile Students
Dear Mr. McGee:
As a result of the excellent service provided by Maxim Healthcare Services, Inc., the DeKalb County School District
(“DCSD”) desires to renew the award of RFP 20-476, Nursing Services for Medically Fragile Students for one (1) year
on the same terms, conditions and pricing as set forth in the License and Services Agreement between DCSD and
Maxim Healthcare Services, Inc. dated November 20, 2020. The purpose of this letter is to obtain Maxim Healthcare
Services, Inc.’s acceptance of DCSD’s offer to renew the License and Services Agreement.
The renewal is subject to the DeKalb County Board of Education’s (“Board”) approval and will be effective from May
1, 2023 through April 30, 2024. Of course, we will notify you once the Board has approved the renewal. DCSD
appreciates Maxim Healthcare Services, Inc.’s consideration of this offer to renew the award of RFP 20-476.
If accepted, please submit a copy of your company’s proof of insurance reflecting the coverage(s) stated within the
original solicitation document, sign the acceptance below and email both documents to phyllis
_d_jones@dekalbschoolsga.org no later than Tuesday, October 4, 2022. Insurance policy or policies must be
maintained throughout the term of this agreement. A copy of the insurance requirements is included. Feel free to
also fax the acceptance and your proof of insurance to Ms. Jones at 678-676-0170.
Best regards,
Carla L. Smith
Carla L. Smith
Executive Director, Vendor Services
CLS/lw
c: Dr. Michelle Summerlin
Dr. Kiana King
ACKNOWLEDGMENT
Maxim Healthcare Services, Inc. hereby accepts DeKalb County School District’s offer to renew the award of RFP 20-
476, Nursing Services for Medically Fragile Students as set forth in the License and Services Agreement, until April
30, 2024. Maxim Healthcare Services, Inc. understands that this acceptance is subject to the approval of the DeKalb
County Board of Education.
________________________ 10-Oct-22
________________________
Authorized Signatory Date
Robert Coombs
________________________ Assistant Controller
________________________
Name (Typed or Printed) Title of Authorized Signatory
Robert R. Freeman Administrative Complex
1701 Mountain Industrial Blvd | Stone Mountain, GA 30083
678.676.0110 | www.dekalbschoolsga.org