WHO IS ACCREDITED?

Private Organization Accreditation

Heartland for Children is the not-for-profit agency responsible for the foster care system in Polk, Highlands, and Hardee Counties.
read more >>

ORGANIZATION TESTIMONIAL

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.
read more>>

Purpose

Individuals who receive Home Care and Support Services obtain a maximum level of independence, functioning, and health, and extend the time it is possible to live safely at home and in the community.

PA-HCS 6: Coordinated Home Management, Activities of Daily Living, and Health Services

Delivery of coordinated services ensures a safe, healthy, stable living environment.

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
    • Policy on assistance with self-administered medication
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Individuals or caregivers served
    • Review case records

  • PA-HCS 6.01

    Sufficient community resources are drawn upon, and are reviewed with sufficient frequency, to provide a flexible approach and best possible “package” of services for each individual or family and their changing needs.

    Interpretation: A service “package” refers to the number and combination of different services, and volume of care. This perspective acknowledges that users of services are a diverse group who need a variety of services of varying combinations and frequencies.


  • PA-HCS 6.02

    Services provided directly or by a cooperating provider can include:

    1. housekeeping tasks and home management activities and education;
    2. companionship;
    3. chores, safe food handling and storage, and nutritious meal preparation;
    4. assistance with personal care;
    5. monitoring of overall health and well-being including observing, reporting, and documenting changes in bodily function;
    6. assistance with self-administered medications, as outlined by agency policy;
    7. assistance or prompting with activities of daily living;
    8. assistance with ambulation and transfer; and
    9. assistance with participation in community activities.

    Interpretation: When an agency provides some and not all of the services and support typically required to maintain a person in their home and community, the agency demonstrates that it alerts providers to any identified unmet needs.

    Interpretation: Assistance with self-administered medications has a high possibility for error, representing a risk for the client and the agency. It is important for the agency to have a clear policy on the level of acceptable assistance with self-administered medication and clearly communicate this policy to staff.

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