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

Orange County Government, Youth & Family Services Division

Rodney J. Hrobar Sr., LMHC, CPP, Quality Assurance Manager

As the lead agency in Orange County, providing the safety net for children and families, it is reassuring that our clients can be confident that their needs will be addressed in accordance with the most stringent standards of public, as well as private, accountability as monitored and reviewed by the Council on Accreditation. 
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Purpose

Group Living Services allow individuals who need additional support to regain, maintain, and improve life skills and functioning in a safe, stable, community-based living arrangement.

PA-GLS 1: Service Philosophy, Modalities, and Interventions

The program’s service philosophy:
  1. sets forth a logical approach for how services, supports, activities, and interventions will empower and meet the needs of residents;
  2. ensures that services are resident-guided, family-driven, culturally and linguistically competent, and trauma-informed;
  3. guides the development and implementation of program activities and individualized services based on the best available evidence of service effectiveness; and
  4. outlines the service modalities and interventions that personnel may employ.

Interpretation: A functional service philosophy, defined through a logic model or similar framework, guides program development and implementation by linking the agency’s mission, or purpose with strategies, practices, or tools needed to integrate these into daily work. A well-defined and visible practice framework will help staff and stakeholders think systematically about how the program can make a measureable difference by drawing clear connections between program values, service population needs, available resources, program activities and interventions, program outputs, and desired outcomes.

Interpretation: Agencies that are resident-guided empower, educate, and facilitate voice and choice of those served by the program. Offering residents decision-making power leads to more positive long-term outcomes. 

Agencies that are family-driven empower, educate, engage, and promote voice and choice of families.

Research Note: Organizational self-assessments can evaluate the extent to which agencies’ policies and practices are trauma-informed, as well as identify strengths and barriers in regards to trauma-informed service delivery and provision. For example, agencies can evaluate staff training and professional development opportunities and review supervision ratios to assess whether personnel are trained and supported on trauma-informed care practices. Agencies can also conduct an internal review their assessments and service planning processes to ensure that services are being delivered in a trauma-informed manner. 

Research Note: Agencies that create environments where there is little to no coercion help reduce the use of restrictive behavior management intervention, such as restraint and seclusion, and reinforce trauma-informed care practices. Establishing non-coercive environments actively promotes interpersonal and cognitive skill development, as well as other positive outcomes for residents.

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
    • Service philosophy
    • Documentation of training on the use of non-traditional or unconventional practices 
    • Procedures for the use of non-traditional or unconventional practices
    • Table of contents of training curricula on the use of non-traditional or unconventional practices
No On-Site Evidence
    • Interview:
      1. Program director
      2. Personnel
      3. Residents
    • Review of case records

  • PA-GLS 1.01

    The program is guided by a philosophy that provides a logical basis for services and supports to be delivered to residents in a trauma-informed and culturally and linguistically competent manner, based on program goals and the best available evidence of service effectiveness.


  • FP
    PA-GLS 1.02

    If the agency permits the use of service modalities and interventions it defines as non-traditional or unconventional, it:
    1. explains any benefits, risks, side effects, and alternatives to the service recipient or a legal guardian;
    2. obtains the written, informed consent of the individual or legal guardian;
    3. ensures that personnel receive sufficient training, and/or certification when it is available; and
    4. monitors the use and effectiveness of such interventions.

    Interpretation: Examples of non-traditional and unconventional service modalities or interventions include, but are not limited to: hypnosis, acupuncture, and modalities or interventions that involve physical contact, such as massage therapy.

    Interpretation: Agencies that choose to permit non-traditional or unconventional service modalities or interventions should ensure that practices do not cause physical or psychological harm by demonstrating in their procedures that they have acknowledged the potential risks of implementing these methods and subsequently taken appropriate measures to minimize those risks.

    NA The agency does not permit non-traditional or unconventional modalities or interventions.


  • FP
    PA-GLS 1.03

    Agency policy prohibits:
    1. corporal punishment;
    2. the use of aversive stimuli and/or therapies;
    3. interventions that involve withholding nutrition or hydration, or that inflict physical or psychological pain;
    4. the use of demeaning, shaming, or degrading language and bullying activities;
    5. unnecessarily punitive restrictions including restricting contact with family as a disciplinary action;
    6. forced physical exercise to eliminate behaviors;
    7. unwarranted use of invasive procedures or activities as a disciplinary action;
    8. punitive work assignments;
    9. punishment by peers; and
    10. group punishment or discipline for individual behavior.


  • FP
    PA-GLS 1.04

    An intervention is discontinued immediately if it produces adverse side effects or is deemed unacceptable according to prevailing professional standards.

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