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DESIGNATED AGENCY AGREEMENT <br /> <br /> This Agre.ement is made and entered into on the _ day of <br /> , 19 , by and between the Cuyahoga County' Depart- <br />me. nt of Human Services', (hereinafter referred to as "Department" and <br /> <br /> , (hereinafter referred <br />to as "Agency") doing'business at <br />Ohio. - <br /> <br /> The Department is authorized by Section 5101..62 of the Ohio Revised <br />Code to designate another Agency to perform the Department's duties as spe- <br />cified in Section 5101.60 through 5101.71 of the Ohio Revised Code. The <br />following are the terms of the Agreement: <br /> <br /> I. The Department agrees to implement Section 5101.62 of the <br /> <br /> Ohio Revised Code and Designates <br /> to perform certain duties as specified in ORC Section 5101.60 <br /> and 5101.71 when: <br /> <br />A. The elderlYperson who is reported to the Department <br /> as being abused, neglected, or exploited is an active <br /> client of the designated Agency identified abovelor <br /> <br />B. The elderly person who is reported as being abused, <br /> ,neglected or exploited was an active client of the <br /> designated Agency identified about within twelve (12) <br /> months prior to the ~epeipt of the report. <br /> <br />The only exceptions to the above conditions would occur if (1) <br />the Department agrees with the designated Agency that 'the <br />Agency's assessment would not be in the best interest of <br />the client or the Agency; (2) the situation is identified as <br />an emergency (the Department will not assign emergency situ- <br />ations to an Agency until they are stabilized); (3) certain <br />eXclusionary situations exist, (e.g., geographical, cultural <br />and religious); (4) the Department agrees with the Agenc~ <br />that the Agency's involvement would result in a conflict of <br />interest; (5) the Agency in good faith or for valid reasons <br />declines. <br /> <br />EXHIBIT "A" <br /> <br /> <br />