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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ORGANIZATION TESTIMONIAL

Brewer-Porch Children's Center

James W. Thompson, Executive Director

The COA standards as applied to the operations at Brewer-Porch Children’s Center at The University of Alabama has given the administration an opportunity to examine best practice and improve the quality of care provided to clients.
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Purpose

Individuals with cognitive, psychiatric, behavioral, and/or substance use conditions and serious emotional disturbances who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.

PA-DTX 9: Care and Supervision

The agency provides sufficient care and supervision to ensure participant safety and service quality.

Rating Indicators
1
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. 
2
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.  
3
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.
4
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
    • A description of services
    • Client/staff ratios and coverage schedules
No On-Site Evidence
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals served
    • Review case records

  • PA-DTX 9.01

    Personnel provide appropriate care and supervision for the developmental and clinical needs of the participants at all times.

    Interpretation: Personnel-to-participant ratios should increase during emergencies or to meet the special needs of individuals during busier or more stressful periods. After-hours and holiday coverage should be available for crisis situations.


  • FP
    PA-DTX 9.02

    In agencies serving children or youth, special education teachers and teaching or therapeutic aides provide a classroom ratio of one adult for every four participants.

    NA The agency does not serve children or youth.

    NA The agency does not directly provide education services to school-age children or youth.  


  • PA-DTX 9.03

    A day treatment program that serves individuals from special risk populations modifies service design and staffing patterns to meet their particular needs.

    Interpretation: Examples of special risk populations include persons with special medical needs, sexual predators, or persons considered at risk of running away.

    NA The agency does not serve individuals from special risk populations.

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