WHO IS ACCREDITED?

Private Organization Accreditation

As one of the largest family services agencies in the country, Child & Family Services has dedicated its resources to meet the needs of the community since 1873.
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VOLUNTEER TESTIMONIAL

Jane Bonk, Ph.D., LCSW

Volunteer Roles: Commissioner; Evaluator; Lead Evaluator; Peer Reviewer; Team Leader

Dr. Jane Bonk is a team leader, evaluator, and commissioner who has led over 25 site visits for COA.
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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 15: Care and Supervision

The agency provides 24-hour-a-day supportive care and supervision tailored to each resident’s developmental, educational, clinical, and safety needs and attentive to effects of congregate living.

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
    • Resident/personnel care and supervision ratios
    • Procedures and criteria used for assigning and evaluating workloads
    • Resident/personnel care and supervision ratios and coverage schedules for the past year
    • Documentation of workload assessment and data for workload size for the past six months
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
    • Observe facility

  • PA-GLS 15.01

    Adequate care and supervision are provided at all times according to the developmental level, age, and emotional or behavioral needs of residents.


  • FP
    PA-GLS 15.02

    Adults that provide direct care and supervision offer residents:
    1. a positive role model;
    2. nurturance, structure, support, respect, and active involvement;
    3. predictable limit-setting;
    4. flexibility when appropriate and in the resident’s best interest;
    5. guided practice to learn effective communication, positive social interaction, and problem solving skills; and
    6. education and skills training specific to risk-taking behaviors, including practice with decision making and anger management.

    Interpretation: Regarding element (d), providing individualized care that is tailored to the resident’s needs requires being flexible with codified rules when they contradict what is best for the resident. For example, being flexible with bedtimes for a resident who may have experienced nighttime trauma rather than strictly enforcing a lights out time allows the agency to be responsive to the needs of residents. 

    Interpretation: Problem solving skills per element (e) should enable residents to resolve issues that can occur in both home and community settings.

    Research Note: Positive features associated with lower AWOL rates include clarity about leadership and how the home should operate, a high level of staff support and morale, agreement on a consistent approach, and involvement of youth in setting acceptable boundaries and patterns of behavior.


  • PA-GLS 15.03

    Adults that provide direct care and supervision communicate to residents and implement on behalf of all residents, policies that promote on site security including the prohibition of weapons and gang activity.


  • FP
    PA-GLS 15.04

    Resident care and supervision is provided by:
    1. at least one on-duty worker for every 8 adults during awake hours and every 12 adults during sleeping hours;
    2. at least one on-duty worker for every 6 children during awake hours and every 8 children during sleeping hours;
    3. a sufficient number of qualified personnel on-site that can respond to emergency/crisis situations or to meet special needs of residents during busy or more stressful periods;
    4. rotating after-hours and holiday coverage when needed; and
    5. same-gender and cross gender supervision when indicated by individual treatment needs.

    Interpretation: Staffing requirements and care ratios can vary depending on the age, developmental level, length of treatment, and the service needs of the population. 

    Interpretation: The agency may use direct care workers or counselors to provide supervision to residents. Personnel must be awake at all times unless convincing evidence demonstrates the resident group does not need awake supervision during sleeping hours. Examples of reasons certain homes or programs might not have awake personnel are: care for a long-term, stable population; majority of unit residents are ready to move to a less restrictive setting; low runaway rates; and low rates of night-time incidents. Electronic supervision is not an acceptable alternative to supervision by personnel.

    Note: Agencies must also meet state licensing requirements for care ratios.

    Research Note: National recommendations for the supervision of children in group homes is that there are no more than six children per worker during waking hours and no more than eight children per worker during overnight hours.  

    Research Note: Research suggests that staffing models impact children’s experience in group care. For example, utilizing live-in staff creates a family-life environment and allows for more consistency in resident’s everyday care compared to rotating shift staff.


  • FP
    PA-GLS 15.05

    Each group living residence is continually supervised by an on-call, professional staff member available on a 24-hour basis.

    Interpretation: This standard addresses supervision for residents by professional clinical workers. The professional clinical staff person is permitted to sleep during sleeping hours. An exception to this standard may occur when planned periods of independence help residents meet their service goals.


  • FP
    PA-GLS 15.06

    Direct care personnel workloads do not exceed 15 residents and are assessed and adjusted according to:
    1. special circumstances, such as multi-need residents;
    2. the needs of the population;
    3. the work and time required to accomplish assigned tasks and job responsibilities;
    4. the qualifications, competencies, and experience of the worker, including the level of supervision needed; and
    5. service volume, accounting for assessed level of needs of new and current clients and referrals.

    Interpretation: Direct care personnel are the residential treatment center’s milieu counselors, case managers, and/or child, youth, adult care workers.

    Research Note: Nationally recognized caseload guidelines recommend that direct care personnel have no more than eight children and their families assigned to their caseload at one time.

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