Private Organization Accreditation

Germaine Lawrence is a residential treatment center for girls ages 12-18 with complex behavioral, psychological and learning challenges.   Girls live at our programs while receiving special education, individual, family and group therapy; psychiatric and primary medical care; and a wide variety of therapeutic activities and interventions.


Holy Family Institute

Sister Linda Yankoski, President/CEO

The Council On Accreditation provides all stakeholders involved in the delivery of social services the assurance that the organization is credible, effective, and is committed to quality improvement. The COA process is an important tool for anyone involved in leading an organization to establish best practices and maintaining and updating these practices over time.
read more>>


Family Preservation and Stabilization Services improve family functioning, increase child and family well-being, ensure child safety, reduce the need for CPS intervention and/or the removal of children from the home, and strengthen families with children returning from out-of-home care.

PA-FPS 5: Service Planning and Monitoring

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

Interpretation:Generally children age six or over are to be included in service planning, unless there are clinical justifications for not doing so.

Interpretation: When the case involves an American Indian or Alaska Native family, tribal representatives or individuals with knowledge of the tribe and tribal customs should be involved in the service planning process to the greatest extent possible and appropriate, and culturally relevant resources available through or recommended by the tribe or local Indian organizations should be considered and prioritized when developing the service plan.

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
    • Documentation of case review
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Families served
    • Review case records

  • PA-FPS 5.01

    A family-centered service plan is developed within a timeframe that is responsive to family needs, with the full participation of family members.

    Interpretation: Service planning is to be conducted so that family members retain as much personal responsibility and self-determination as possible and desired. Individuals with limited ability in making independent choices can receive help with making or learning to make decisions.

  • PA-FPS 5.02

    The service plan is based on the assessment and includes:

    1. agreed upon goals, desired outcomes, and timeframes for achieving them;
    2. services and supports to be provided, and by whom; and
    3. a parent or legal guardian’s signature.

    Interpretation: The agency should demonstrate an acknowledgement of the value of incorporating culturally-grounded interventions into the service plan, and include traditional practices or customs of the child’s culture, tribe, or faith-based community to the greatest extent possible and appropriate. 

  • FP
    PA-FPS 5.03

    During service planning the agency explains:

    1. available options;
    2. how the agency can support the achievement of desired outcomes;
    3. the benefits, cultural relevance, and alternatives to planned services for all family members;
    4. what information will be shared with the agency that made the initial referral for family preservation and stabilization services, if applicable; and
    5. expectations and potential consequences of noncompliance with the service plan.

  • FP
    PA-FPS 5.04

    Families are informed about:

    1. any time limits associated with service provision;
    2. any limitations on subsequent service or follow-up upon case closure; and
    3. the role the agency will play in helping them identify resources that meet ongoing needs.

  • PA-FPS 5.05

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

    Interpretation: The agency can facilitate the participation of extended family and significant others by, for example, helping arrange transportation or including them in scheduling decisions.

  • PA-FPS 5.06

    The provider and family regularly review progress toward achievement of agreed upon goals and sign revisions to service goals and plans.

  • PA-FPS 5.07

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

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

    Interpretation: Experienced providers may conduct reviews of their own cases. In such cases, the provider’s supervisor reviews a sample of the provider’s evaluations as per the requirements of the standard. Timeframes for service plan reviews should be adjusted depending upon issues and needs of persons receiving services, and the frequency and intensity of services provided. For example, if services are intended to endure for 8 weeks, reviews may need to occur biweekly whereas it may be more appropriate to conduct monthly reviews when services are intended to endure for 12 weeks or more. In rare cases when preventive services endure for up to a year, reviews can occur quarterly unless otherwise indicated.

    Interpretation: When tribal representatives or local Indian organizations are involved in the case, they must receive timely notification of case reviews to support their involvement, particularly when any changes are made to the service plan. Phone and video conferencing can be used to facilitate tribal participation. 

Copyright © 2019 Council on Accreditation. All Rights Reserved.  Privacy Policy and Terms of Use