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.


The Village for Families & Children, Inc.

Galo A. Rodriguez, M.P.H., President & CEO

COA Peer Reviewers demonstrated their expertise through their knowledge of COA standards as well as experience in the behavioral health field. In addition, COA’s seminars and tools were very helpful in guiding us through the accreditation process.
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Adoption programs establish permanent family relationships for children in need of permanency, and increase the well-being, functioning, and stability of children, birth parents, adoptive families, and adopted individuals.

AS 4: Service and Permanency Planning and Adoption Service Contracts

Clients served by the program participate in the development and ongoing review of service and permanency plans that are the basis for delivery of services and support.

Interpretation: The program develops service and permanency plans for the clients they are responsible for serving. Plans for some clients may be combined or may be separate depending upon the nature of the program. Service plans are sometimes incorporated into the adoption services contract. Service plans are sometimes drafted prior to the completion of birth parent assessments, child studies and home studies and should be updated when those assessments are complete.

NA The organization only provides foster to adopt services.

NA The organization provides home study services only.

NA The organization provides post placement and/or post-adoption services only.

Rating Indicators
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.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice standards; e.g., 
  • Minor inconsistencies and not yet fully developed practices are noted, however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (HR 6.02) and training (TS 2.03); or
  • In a few instances client or staff signatures are missing and/or not dated; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • In a number of instances client or staff signatures are missing and/or not dated (RPM 7.04); or
  • Quarterly reviews are not being done consistently; or
  • Level of care for some clients is inappropriate; or
  • Service planning is often done without full client participation; or
  • Appropriate family involvement is not documented; or
  • Documentation is routinely incomplete and/or missing; or
  • Assessments are done by referral source and no documentation and/or summary of required information present in case record; or
  • One of the Fundamental Practice Standards received a rating of 3 or 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.,
  • No written procedures, or procedures are clearly inadequate or not being used; or
  • Documentation is routinely incomplete and/or missing; or  
  • 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
    • Service planning and monitoring procedures
    • Adoption Services contract template
    • Procedures for review of permanency plans
    • Reports or other aggregate data regarding the length of stay in out-of-home care, if the organization facilitates foster care adoptions
No On-Site Evidence
    • Interviews may include:
      1. Program director
      2. Relevant personnel
      3. Clients
    • Review case records

  • AS 4.01

    Service plans are developed in a timely manner with the full participation of clients served and others as appropriate, and include:

    1. agreed upon goals, desired outcomes, and timeframes for achieving them;
    2. the adoption services and supports to be provided, and by whom; and
    3. the client’s signature.

    Interpretation: Culturally-relevant interventions and practices or customs of children and families’ cultures, tribe, or faith-based communities should be incorporated into the service plan to the greatest extent possible and appropriate. 

    Some interventions adopted for the broader population, including evidence-based practices, may be ineffective or harmful to American Indian and Alaska Native children and families, and the program should instead identify culturally appropriate interventions that have been demonstrated to be effective for the population served. 

    Interpretation: When the case involves an American Indian or Alaska Native child, the tribal or local American Indian and Alaska Native organization must be included in the service planning process and culturally relevant resources available through or recommended by the tribe or local Indian organization should be considered and prioritized when developing the service plan.

    Interpretation: Examples of ways to support the full participation of clients and others include: providing sufficient notice to interested parties, scheduling meetings at times and places where interested parties can attend.

  • AS 4.02

    The permanency plan for children in foster care defines the permanency goal as adoption, is reviewed at least every 6 months through a court or administrative review process, and specifies:

    1. activities that support the achievement of adoption; and
    2. a timeframe for completing the adoption.

    Interpretation: When the case involves an American Indian or Alaska Native child, tribal definitions of permanency should be recognized and incorporated into the permanency plan.

    Interpretation: Federal laws, state statutes or administrative rules may provide guidance about when and how administrative reviews are to be conducted. The case review may be conducted by or in collaboration with the public authority. The review is scheduled at times when appropriate parties can attend.

    Interpretation: When the case involves an American Indian or Alaska Native child, a representative from the tribe or a local Indian organization should receive timely notification of court or administrative case reviews to ensure their involvement, particularly when any changes are made to the permanency plan.

    NA The program does not provide services in foster care cases.

  • AS 4.03

    The worker and a supervisor, or a clinical, service, or peer team, review each case quarterly, or more frequently depending on the needs of clients served, to assess:

    1. progress toward achieving service goals and desired outcomes;
    2. need for additional or new services or other changes to the plan;
    3. the need for any updates to the child background study or the home study; and
    4. the continued appropriateness of agreed upon goals.

    Interpretation: When the case involves an American Indian or Alaska Native child, a representative from the tribe or a local Indian organization must receive timely notification of case reviews to ensure their involvement, particularly when any changes are made to the service plan. Phone and video conferencing can be used to facilitate tribal participation. The case review should include an assessment for compliance with the Indian Child Welfare Act.

  • AS 4.04

    The worker and client:

    1. periodically review progress toward achievement of agreed upon service goals; and
    2. sign revisions to the service goals and plans.

    Interpretation:  A clinical or other justification demonstrating the need for additional or new services, or for any significant pause in the process should be documented in the case record and discussion of such changes with clients should be documented in the case record to ensure the client fully understands the justification.  

    Interpretation:  Each child receives information about progress toward achieving permanency as appropriate to his or her age, cultural needs, and developmental level.

  • AS 4.05

    Birth parents who have made a plan for adoption receive written information which includes:

    1. disclosure of the requirements relating to notice and consent;
    2. provisions for any financial support that will be provided;
    3. provisions for contact with prospective adoptive parents, as appropriate;
    4. steps to be taken if the birth parent believes that any undue pressure or influence is occurring; and
    5. circumstances under which services may be terminated by either party.

    Interpretation: The information can be provided for example in a service agreement, a disclosure of organization’s policies, a rights and responsibilities disclosure, etc. 

    NA The program only provides services in cases where birth parents rights have already been terminated.

  • AS 4.06

    The adoption service contract signed by prospective adoptive parents includes:

    1. a description of the services to be provided by the program and obligations of the prospective adoptive parents;
    2. fees and expenses to be paid;
    3. a provision relating to duty of candor and ongoing disclosure requirements;
    4. post placement and post-adoption services that will be available through the organization and details of any required post placement visits and reports; and
    5. a plan describing the adoptive parents’ and the organization’s responsibilities if the adoption is disrupted or dissolved;
    6. waivers of liability only when such waivers are limited, consistent with applicable law and regulation, and based on specific risks detailed in the contract; and
    7. circumstances under which services may be terminated by either party.

    Interpretation: Examples of information in the plan if the adoption is disrupted or dissolved can include: legal and financial obligations of the family and the organization; how the child’s wishes may be considered; how relevant authorities will be notified and may be involved.

    When a child is being placed prior to the termination of parental rights, the program informs the prospective adoptive parents of the risks of such a placement and the steps that will be necessary to complete an adoption.


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