Private Organization Accreditation

HeartShare assist individuals with developmental disabilities through education, day, residential and recreation programs, case management, and health services, and provides foster care/adoption services, counseling, after school and energy assistance programs, and programs for people with HIV/AIDS.


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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Individuals with disabilities who receive vocational rehabilitation services achieve increased community integration, social inclusion, and self-determination through the realization of their vocational goals.

CA-VOC 10: Supported Employment Services

The organization facilitates the integration of persons with severe disabilities into the competitive labour market through on-site training, real-world work environments, and ongoing support services.

Research Note: Empirical research indicates that supported employment programs achieve positive employment outcomes including higher pay, more work hours, and higher rates of competitive employment. This is particularly true when looking at short-term rates of competitive employment. Studies by several federal, state, and private entities have endorsed supported employment as an effective evidence-based method of achieving competitive employment.

NA The organization does not provide supported employment services.

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 (CA-HR 6.02) and training (CA-TS 2.03); 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
  • A number of client records are missing important information  or
  • Client participation is inconsistent; 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
    • A description of supported employment services
    • Examples of job descriptions
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records

  • CA-VOC 10.01

    The organization works with the individual to secure a customized employment arrangement in the competitive labor market that is tailored to his or her special needs.

    Interpretation: Customized employment arrangement are negotiated with the employer and can include, but are not limited to, job carving, job sharing, self-employment, and developing a new job description to address unmet business needs. 

  • CA-VOC 10.02

    Personnel provide ongoing support and direct supervision to the individual, both on and off the job site, as indicated in the vocational plan.

  • CA-VOC 10.03

    The organization supports individuals to function as full members of the work community by offering training to use public transportation and coordination to engage in everyday social activities with co-workers.

  • CA-VOC 10.04

    Job placement and ongoing support promote opportunities for job expansion and promotion, as indicated in the vocational plan.

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