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.


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.
read more>>


Individuals who participate in Pregnancy Support Services learn about parenthood, make informed decisions about their pregnancies, stay healthy, and pursue their educational and vocational goals.

PA-PS 7: Health Services

Expectant parents are linked to the health services necessary to promote parent well-being, healthy births, and healthy child development.

NA The agency provides only Pregnancy Options Counseling or Birth Options Counseling.

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
    • A description of services
    • Procedures for linking individuals to services and providing ongoing monitoring and follow-up
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Individuals served
    • Review case records

  • FP
    PA-PS 7.01

    Expectant parents are linked to the following healthcare services, as appropriate to their needs:

    1. prenatal health care;
    2. genetic risk identification and counseling services;
    3. labor and delivery services;
    4. diagnosis and treatment of health problems, including sexually transmitted diseases;
    5. dental care;
    6. mental health care;
    7. postpartum care;
    8. ongoing health care, including routine medical checkups; and
    9. pediatric care, including well-baby visits and immunizations.

    Interpretation: Regarding element (f), expectant mothers should be screened for depression, informed about postpartum depression, and connected to available support and treatment services. 

  • FP
    PA-PS 7.02

    Expectant parents are helped to access other services needed to promote parental well-being and healthy births, including, as appropriate:

    1. food and nutrition services;
    2. smoking cessation services; and
    3. services for substance use conditions.

  • PA-PS 7.03

    Expectant parents are helped to sign up for health insurance when coverage is available and receive information about other options for care, such as free clinics, when insurance coverage is not available.

  • FP
    PA-PS 7.04

    To help expectant parents stay healthy and prevent unintended subsequent pregnancies, the agency:

    1. provides information and education about the prevention and treatment of diseases, including HIV/AIDS and other sexually transmitted diseases;
    2. provides information and education about pregnancy prevention, pregnancy planning, and the spacing of children; and
    3. links expectant parents to family planning services.

    Interpretation: An agency that does not link service recipients with family planning services when doing so is counter to its mission should disclose this fact to service recipients.

    Note: When an agency does not provide linkages to family planning services because doing so is counter to its mission, practice could include providing individuals with a comprehensive list of other community providers that offer pregnancy support and education services.

    Research Note: Research indicates that rapid repeat births are associated with adverse outcomes for adolescent mothers and their children. It is unclear if these outcomes result from subsequent births or the underlying characteristics that lead some teen mothers to give birth a second time, and literature suggests there may be truth to both explanations. Some experts suggest that youths become pregnant because they believe they have limited life options and little to lose by having a baby. Accordingly, as addressed in PA-PS 8 and PA-PS 9, agencies should try to motivate adolescents to prevent future pregnancies by: (1) linking them to the education and employment opportunities that may improve their life options, and (2) helping them develop the confidence that they can utilize and benefit from those opportunities. Literature also cautions that it can be difficult for a program to succeed in preventing subsequent pregnancies, especially when service recipients live in communities where opportunities are limited, or do not share the program’s goal of delaying future pregnancies.

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