WHO IS ACCREDITED?

Private Organization Accreditation

CSS Healthcare Services provides Community based health services to the young, the elderly and to Individuals with Developmental Disability. Founded in 1997, we have the ability to offer a variety of quality community-based services to our clients, which has greatly contributed to our growth and success.
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VOLUNTEER TESTIMONIAL

Judy Kay, LCSW

Volunteer Roles: Peer Reviewer; Team Leader

In administration for 22 of 24 years at Child Saving Institute, a COA-accredited not-for-profit child welfare agency in Omaha, Nebraska. Retired approximately two years ago, I moved to Tucson, Arizona, where I advocate for children's rights as a Court Appointed Special Advocate (CASA) volunteer to three young children.
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Purpose

Individuals who participate regularly in Adult Day Services achieve and maintain an optimal level of well-being, functioning and health, and remain in their preferred community residence.

AD 12: Personnel

Program personnel have the education, training, experience, and skills needed to provide Adult Day Services.

Rating Indicators
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice standards; e.g.,  
  • With some exceptions, staff (direct service providers, supervisors, and program managers) possess the required qualifications, including: education, experience, training, skills, temperament, etc., but the integrity of the service is not compromised.
    • Supervisors provide additional support and oversight, as needed, to staff without the listed qualifications.
    • Most staff who do not meet educational requirements are seeking to obtain them.
  • With some exceptions staff have received required training, including applicable specialized training.
    • Training curricula are not fully developed or lack depth.
    • A few personnel have not yet received required training.
    • Training documentation is consistently maintained and kept up-to-date with some exceptions.
  • A substantial number of supervisors meet the requirements of the standard, and the organization provides training and/or consultation to improve competencies.
    • Supervisors provide structure and support in relation to service outcomes, organizational culture and staff retention.
  • With a few exceptions caseload sizes are consistently maintained as required by the standards.
  • Workloads are such that staff can effectively accomplish their assigned tasks and provide quality services, and are adjusted as necessary in accord with established workload procedures.
    • Procedures need strengthening.
    • With few exceptions procedures are understood by staff and are being used.
  • With a few exceptions specialized staff are retained as required and possess the required qualifications.
  • Specialized services are obtained as required by the standards.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards.  Service quality or program functioning may be compromised; e.g.,
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
  • A significant number of staff, e.g., direct service providers, supervisors, and program managers, do not possess the required qualifications, including: education, experience, training, skills, temperament, etc.; and as a result the integrity of the service may be compromised.
    • Job descriptions typically do not reflect the requirements of the standards, and/or hiring practices do not document efforts to hire staff with required qualifications when vacancies occur.
    • Supervisors do not typically provide additional support and oversight to staff without the listed qualifications.
  • A significant number of staff have not received required training, including applicable specialized training.
    • Training documentation is poorly maintained.
  • A significant number of supervisors do not meet the requirements of the standard, and the organization makes little effort to provide training and/or consultation to improve competencies.
  • There are numerous instances where caseload sizes exceed the standards' requirements.
  • Workloads are excessive and the integrity of the service may be compromised. 
    • Procedures need significant strengthening; or
    • Procedures are not well-understood or used appropriately; or
  • Specialized staff are typically not retained as required and/or many do not possess the required qualifications; or
  • Specialized services are infrequently obtained as required by the standards.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice standards; e.g.,

?For example:
  • Two or more Fundamental Practice Standards received a rating of 3 or 4.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Program staffing chart that includes lines of supervision
    • List of program personnel that includes:
      1. name;
      2. title;
      3. degree held and/or other credentials;
      4. FTE or volunteer;
      5. length of service at the organization;
      6. time in current position
    • Table of contents of training curricula
    • Procedures and criteria used for assigning and evaluating workload
    • Training curricula
    • Documentation of training
    • Job descriptions
    • Verify employment or contract of recreational therapist, nurse, and other necessary professionals
    • Interview:
      1. Supervisors
      2. Relevant personnel
    • Review personnel files

  • AD 12.01

    Personnel:

    1. are qualified by training, skill, and experience to meet the psychosocial and medical needs of care recipients; and
    2. possess the personal characteristics and temperament suitable for working with adults with special needs.

  • AD 12.02

    Day services providers are able to:

    1. communicate effectively with family members;
    2. identify changes in service recipient functioning;
    3. identify unmet service needs; and
    4. appreciate the cultural background, heritage, and identity of service recipients.

  • AD 12.03

    All direct service personnel receive ongoing training and supervision in the following areas, as appropriate to the services provided:

    1. methods of engagement;
    2. crisis prevention and intervention techniques;
    3. identification of medical needs or problems;
    4. the organization’s plans for handling medical or psychiatric emergencies;
    5. knowledge of public assistance programs, eligibility requirements, and benefits;
    6. skills in case advocacy;
    7. use of community resources and knowledge of the community service delivery system;
    8. use of adaptive equipment, such as braces and wheelchairs;
    9. providing personal care; and
    10. specific skills necessary to serve the target population.

  • AD 12.04

    Personnel who lead or facilitate group activities have relevant training or experience.


  • FP
    AD 12.05

    Direct service staff maintain current certification in first aid and CPR.


  • AD 12.06

    A recreational therapist is on staff or available for consultation.


  • AD 12.07

    Day programs with a health focus employ an RN or LPN.

    NA The program does not have a health focus.


  • AD 12.08

    A full-time program director or administrator is available at each site who is qualified as a registered nurse or holds a bachelor’s degree in a human service field and has relevant coursework or experience.

    Interpretation: If qualified directors or administrators are not employed full-time at every site, a qualified director or administrator oversees a limited number of sites.


  • FP
    AD 12.09

    An organization that serves a high percentage of multiply handicapped or frail individuals obtains the specialized services of dieticians, nurses, physicians, and physical and/or occupational therapists for consultation, evaluation, or training.

    Interpretation: If specialized services are provided off-site, support and transportation are arranged.

    NA The organization does not serve a high percentage of handicapped or frail individuals.


  • AD 12.10

    Employee workloads support the achievement of client outcomes, are regularly reviewed, and are based on an assessment of the following:

    1. the qualifications, competencies, and experience of the worker, including the level of supervision needed;
    2. the work and time required to accomplish assigned tasks and job responsibilities; and
    3. service volume, accounting for assessed level of needs of new and current clients and referrals.
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