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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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.

PA-AD 4: Service Planning and Monitoring

Each individual participates in the development and ongoing review of a service plan that is the basis for delivery of appropriate services and support.

Rating Indicators
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions; exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement. 
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented.  
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.  
Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  
  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.   
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner. 
  • Service quality or agency functioning may be compromised.   
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.  
Please see Rating Guidance for additional rating examples. 

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Service planning and monitoring procedures
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Persons served
    • Review case records

  • FP
    PA-AD 4.01

    A service plan is developed in a timely manner, with the full participation of the individual, or parent or legal guardian, and an expedited service-planning process is available when a crisis or urgent need has been identified.

    Interpretation: Service planning is conducted in such a way that individuals and families retain as much personal responsibility and self-determination as possible and/or desired. Individuals with limited ability in making independent choices can receive help with making decisions for themselves and assuming more responsibility for making decisions. When the service recipient is an adult under the care of a legal guardian, the agency should follow applicable state laws or regulations requiring involvement or consent of service recipients’ legal guardians.

  • PA-AD 4.02

    The service plan is based on the assessment, and includes:

    1. service goals, desired outcomes, and timeframes for achieving them;
    2. services and supports to be provided, and by whom; and
    3. the signature of the service recipient or his/her legal guardian.

  • PA-AD 4.03

    During the service planning process the agency explains:

    1. available options;
    2. how the agency can support the achievement of the individual’s desired outcomes; and
    3. the benefits, alternatives, and risks or consequences of planned services.

  • PA-AD 4.04

    Family members and significant others, as appropriate and with the consent of the individual, are advised of ongoing progress and are invited to participate in case conferences.

  • PA-AD 4.05

    The service plan addresses, as appropriate and with the consent of the service recipient:

    1. the family’s unmet service and support needs;
    2. possibilities for maintaining and strengthening family relationships; and
    3. the need for support of the individual’s informal social network.

  • PA-AD 4.06

    The worker and service recipient regularly review progress toward achievement of service goals and sign revisions to service goals and plans.

  • PA-AD 4.07

    The worker and a supervisor, or a clinical, service, or peer team, review the case quarterly to assess:

    1. service plan implementation;
    2. the service recipient’s progress toward achieving service goals and desired outcomes; and
    3. the continuing appropriateness of the individual’s service goals.

    Interpretation: Experienced workers may conduct reviews of their own cases. In such cases, the worker’s supervisor reviews a sample of the worker’s evaluations as per the requirements of the standard.

    Timeframes for the review should be adjusted depending upon issues and needs of persons receiving services, and frequency and intensity of services provided.

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