SUMMARY OF OVERALL FINDINGS
Provider:  M.O. Life, Inc.
Review Dates:  November 5 – 11, 2014
Service Enhancement Meeting Date:  November 24, 2014
Survey Team:  Jennifer Petersen

Survey Scope and Findings for Residential and Individual Home Supports	

Service Group Type
	Sample Size	Licensure Scope	Licensure Level	Certification Scope	Certification Level	
Residential and Individual Home Supports	2 Locations   3 Audits 	Full Review	57 / 72     Deferred Licensure  - 	 

 
 	
Individual Home Supports	2 Locations   3 Audits

 	Full Review	14 / 15 Certified	
Survey Scope and Findings for Employment and Day Supports	

Service Group Type
	Sample Size	Licensure Scope	Licensure Level	Certification Scope	Certification Level	
Employment and Day Supports	1 Location 3 Audits 	Full Review	42 / 45  Two-Year License 11/24/2014 - 11/24/2016	 

 	 

 	
Employment Support Services	1 Location 3 Audits	 
 	 
 	Full Review	15 / 18 Certified	
Survey Scope and Findings for Planning and Quality Management	

Service Group Type
	Sample Size	Licensure Scope	Licensure Level	Certification Scope	Certification Level	
Planning and Quality Management	N/A	N/A	N/A	Full Review	3/6 Certified	

 

EXECUTIVE SUMMARY

M.O. L.I.F.E., Inc. is a non-profit organization that was created in 1995 with the goal of allowing individuals with disabilities and their families to be treated with respect and be afforded the choice to decide their own future endeavors.  The mission of the agency, which is outlined within its name, is Murphy and Others Living Interdependently for Future Endeavors (M.O. L.I.F.E.).  Toward this end, the supports offered are geared towards promoting and facilitating the inclusion of people with disabilities as full members of the greater community.  Accordingly, people received and contributed to community life to fulfill their personal ambitions.  The concepts of community membership and personal accomplishment were fundamentally intertwined in the manner supports were developed and implemented.

At the time of the survey, the agency provided an array of services to people who live and work within the Greater New Bedford and Fall River areas.  The agency offered employment services, Individual Living Services (Individual Home Support), and Medical Transportation.  Funding for the provision of services was obtained through a host of avenues.  These included the Department of Developmental Services (DDS), the Massachusetts Rehabilitation Commission (MRC), and the Massachusetts Commission for the Blind (MCB) and local Elder Service agencies.  Additionally, the agency operated a food pantry that provided needed resources to people of the Greater New Bedford area.  

A full Licensure and Certification survey was conducted on the DDS funded Employment Supports and Individual Home Supports for people receiving fifteen hours of support or more per week.  Three audits of residential supports and three audits of the employment services were completed.  

A continued commitment of the agency is to ensure a person-centered approach that supported the whole person's personal goals and ambitions.  People lived in their own apartments, alone or with a preferred roommate and job search efforts were individualized and based on personal preferences.  For those receiving individual home supports, individually tailored assistance was provided to pursue personal endeavors such as physical fitness, community involvement, civic responsibilities, connecting with friends, and leisure pursuits.  Even those receiving only employment services were offered opportunities to pursue personal endeavors beyond working or searching for work.  For instance, the agency organized recreational activities at times that enabled people to connect with friends when they were not working or attending a day program. 

Each person interviewed identified satisfaction with the services received and a high level of regard for the staff that provided their supports.  Additionally, each person indicated that they were comfortable with and knew who to contact to make a request for a change in staff and that their wishes had been or would be honored. 

Since the last survey, to promote people's success in searching for, obtaining and attaining jobs, the agency has created a new position by hiring a job developer.  The job developer worked with each person to explore their interests and identify the presence of basic skills.  To enhance its employment supports the agency would benefit from focus on strengthening its assessment methods to include a broader array of methods for assisting a person to identify and explore potential employment options.  Where the current assessment process is targeted to jobs of interest to a person and the presence of basic skills such as reading, standing tolerance, and lifting ability, a broader approach might include aptitude testing that more fully identifies a person's 

marketable skills, including those that they are not using in their current position.  Following these assessments people would benefit from greater assistance to search for jobs that match their interests and skills as well as support to increase and broaden their marketable skills.  
Since the last survey conducted in November 2012, the agency has experienced changes in the provision of residential supports.  In particular, individuals served needed more staff assistance in areas such as evacuation, healthcare coordination and medication administration.  As a result, a greater number of the DDS licensing requirements and expectations are applicable than had been in the past.  For example, a person who had self-administered his medication was now receiving support from staff in this area, requiring the agency to transition to standards set forth in the Medication Administration Program (MAP).  The procedures in place however, were not yet in full compliance with the standards.  Additionally, there was no effective monitoring system in place to evaluate the presence or absence of essential safeguards in the administration of medication.  It is recommended that that agency develop a quality assurance tool that includes all licensing benchmarks, to regularly re-evaluate its services to identify any new or changes in supports.  This would be particularly beneficial in identifying when additional requirements are applicable and the need for greater staff knowledge and oversight.  

Based on the findings of this report, the agency's residential license has been deferred, pending correction of three critical indicators.  Follow-up will be conducted in 60 days, and if resolved, the agency will be issued a Two Year license with Mid-cycle review in one year.  In addition to follow-up on the three critical indicators, a review of all not met licensing indicators will be made.  Follow-up will also look for the attainment of 80% of the standards in order to lift the sanction on acceptance of new business.  As the individual's needs become greater and more complex, the agency needs to develop an effective oversight process to identify weaknesses in its support systems in relation to the DDS regulatory requirements.  This should encompass an analysis of key indicators regarding the quality of service provision; efforts by supervisory staff to more effectively recognize knowledge gaps or deficits in service delivery, and develop strategies to addresses identified need areas.

The agency's day supports has earned a Two-Year License and received an overall rating of 91% of standards met rating.  The staff of M.O. L.I.F.E., Inc. has continued to demonstrate a sincere commitment to supporting people to individually design the provision of their employment services.

For the most part, certification outcomes were strength for the agency with the agency meeting 14/15 certification indicators for I H S and 15/18 for employment supports.  However, as noted previously the agency could benefit from some improved processes to collect and analyze patterns and trends, and make service improvements consistent with individuals changing needs.	

LICENSURE FINDINGS

 	
Met / Rated	
Not Met / Rated	

% Met	

Organizational	
8/8	
0/8	

Residential and Individual Home Supports	
49/64	
15/64	

	

  Individual Home 
    Supports	

	

Critical Indicators	
5/8	
3/8	

Total	
57/72	
15/72	
79%	

Deferred Licensure	

	

# Indicators for 60 Day Follow-up	

15	

	 

Met / Rated	
Not Met / Rated	

% Met	

Organizational	
8/8	
0/8	

Employment and Day Supports
	
34/37	
3/37	

  Employment Support
    Services	

	

Critical Indicators	
5/5	
0/5	

Total	
42/45	
3/45	
93%	

Two-Year License	

	

# Indicators for 60 Day Follow-up	

3	

	

 	 	 	
Residential Areas Needing Improvement on Standards Not Met/Follow-up to Occur:	
 
 	Indicator #	Indicator	Area Needing Improvement	

 

 
 	 L5	There is an approved Safety Plan in home and work locations. 	Safety plans need to be revised to include the specific strategies to be utilized during an emergency.  These should include procedures to be used by each person based on their ability or inability to use the stairs to exit as outlined in the building complex evacuation procedures.  Once completed, the plan needs to be forward to the Area Office for review and approval, and support staff need to be trained.
	
O	 L6	All individuals are able to evacuate homes in 2.5 minutes with or with-out assistance and workplaces within a reasonable amount of time. 	The agency needs to assess the developed evacuation procedures to determine if these can effectively be implemented and that those who can leave the building can do so within 2.5 minutes.

 
 
 	 L8	Emergency Fact Sheets are current and accurate and available on-site.	The agency needs to ensure that each person's Emergency Fact Sheet accurately reflects his/her medical diagnoses and other pertinent information that would be needed by first responders.

 
 	 L34	Individuals receive an annual dental exam. 	The agency needs to ensure that each person, for whom it is responsible to coordinate medical care, is supported to receive an annual dental exam.

Residential Areas Needing Improvement on Standards Not Met/Follow-up to Occur, cont.	
 
 	Indicator #	Indicator	Area Needing Improvement	

 	 L43	The Health Care Record is maintained and updated as required.  	The agency needs to ensure health care records are developed and updated for those people for whom it is responsible to develop such record.
	
O	 L46	All prescription medications are administered according to the written order of a practitioner and are properly documented on a Medication Treatment Chart. 
	The agency needs to ensure that medication is administered in accordance to policies and procedures outlined within the Medication Administration Program (MAP).	
	 L47	Individuals are supported to become self-medicating when appropriate. 
	An assessment of each person’s self-medicating skills needs to be completed.	
	 L49	Individuals and guardians have been informed of their human rights and know how to file a grievance or to whom they should talk if they have a concern.
	The agency needs to ensure that people under-stand their rights to withdraw agreement to the provision of a particular service (i.e., behavior contract).	
	 L55	Informed consent is obtained from individuals or their guardians when required; Individuals or their guar-dians know that they have the right to withdraw consent.	The agency needs to ensure that the authoriza-tion for the release/disclosure of protected health information consents identifies to whom it is being obtained and/or disclosed.  The agency should also ensure that the purpose and content of information to be released is specified.
	
	 L63	Medication Treatment Plans are in written format with required com-ponents.	The agency needs to ensure that the Medication Treatment Plans (MTP) include the identification of unique psychiatric symptoms/target behaviors in measurable and objective terms as identified by prescribing physician, a method of data collection to record the occurrence of symptoms, established baseline data, and a method to report information to physician so he/she can effectively evaluate the clinical course.  
	
	 L64	Medication Treatment Plans are reviewed by the required groups.	The agency needs to ensure that Medication Treatment Plans are reviewed by the required groups.
	
O	 L82	Medications are administered by licensed professional staff or by MAP Certified staff (or by PCAs) for individuals unable to administer their own medications.
	The agency needs to ensure that all staff administering medication are certified to do so.	

Residential Areas Needing Improvement on Standards Not Met/Follow-up to Occur, cont.	
 
 	Indicator #	Indicator	Area Needing Improvement	

 

 	 L85	The agency provides on-going supervision and staff development	The agency needs to ensure that supporters    at all levels of the organization are assisted to enhance their knowledge and skills in the expectations and rules associated with the provision of specific services.  These include  the administration of medications, the develop-ment of medication treatment plans, and evacu-ation procedures.

 
 
	 L86	Required assessments concerning individual needs and abilities are completed in preparation for the ISP.	The agency needs to ensure that required assessments are completed and submitted within 15 days of the scheduled ISP meeting.	

 
	 L87	Support strategies necessary to assist an individual to meet their goals and objectives are completed and submitted as part of the ISP.	The agency needs to ensure that support strategies are completed and submitted within 15 days of the scheduled ISP meeting.	

Employment/Day Areas Needing Improvement on Standards Not Met/Follow-up to Occur:	
 
 	Indicator #	Indicator	Area Needing Improvement	

  
 	 L55	Informed consent is obtained from individuals or their guardians when required; Individuals or their guardians know that they have the right to withdraw consent.	The agency needs to ensure that the authoriza-tion for the release/disclosure of protected health information consents identifies to whom it is being obtained and/or disclosed.  The agency should also ensure that the purpose and content of information to be released is specified.

  	 L86	Required assessments concerning individual needs and abilities are completed in preparation for the ISP.
	The agency needs to ensure that required assessments are completed and submitted within 15 days of the scheduled ISP meeting.	

 	 L87	Support strategies necessary to assist an individual to meet their goals and objectives are completed and submitted as part of the ISP.
	The agency needs to ensure that support strategies are completed and submitted within 15 days of the scheduled ISP meeting.	

CERTIFICATION FINDINGS

 
 	
Met / Rated	
Not Met / Rated	

Certification - Planning and Quality Management	
3/6	
3/6	

Residential and Individual Home Supports	

	

Individual Home Supports
	
14/15	
1/15	

 
 	
Met / Rated	
Not Met / Rated	

Certification - Planning and Quality Management	
3/6	
3/6	

Employment and Day Supports	

Employment Support Services	
15/18	
3/18	

 

Planning and Quality Management - Areas Needing Improvement on Standards Not Met:	
 	Indicator #	Indicator	Area Needing Improvement	

 

 

 
 
 	 C2	The provider analyzes information gathered from all sources and identifies patterns and trends.	Since the last survey, the support needs of people served have changed and there are additional people being served by the agency, requiring a greater service scope, being provided supports by the agency.  As a result, issues and services not traditionally addressed by the agency are now needed.  The agency needs to develop a means to systemically identify patterns and trends to guide the agency toward identifying areas it may want to prioritize for service improvement initiatives.

 

 

 
 
 	 C5	The provider has a process to measure progress towards achieving service improvement goals.	They agency needs to broaden it systems to evaluate services provided at each location.  An emphasis should be placed on developing a tool that can assist with identifying the scope of services being provided and the service expecta-tions applicable to those.  There was not an established means to systemically identify patterns and trends to guide the agency toward identifying areas it may want to prioritize for service improvement initiatives.

 

 

 	 C6	The provider has mechanisms to plan for future directions in service delivery and implements strategies to actualize these plans.	Although the agency had a broad goal within its strategic planning process to enhance the quality of services, there was a lack of specific criteria or objectives.  It is recommended that the agency develop objectives to identify specific areas for service improvement based on the analysis of the quality of services across all locations and over time.  

Individual Home Supports - Area Needing Improvement on Standard Not Met:	
 	Indicator #	Indicator	Area Needing Improvement	

 
 	 C7	Individuals have opportunities to provide feedback on the perform-ance of staff that supports them. 	The agency needs to develop a mechanism to solicit and capture people feedback regarding the performance of the staff that assist them.  	

Employment Support Services - Areas Needing Improvement on Standards Not Met:	
 	Indicator #	Indicator	Area Needing Improvement	
	 C7	Individuals have opportunities to provide feedback on the perform-ance of staff that supports them. 	The agency needs to develop a mechanism to solicit and capture people feedback regarding the performance of the staff that assist them.  
	
	 C23	Staff utilize a variety of methods  to assess an individual's skills, interests, career goals and training and support needs in employment.	The agency needs to broaden its assessment processes to include means to fully capture people's skills, particularly those that can be transferable in the workplace.  Additionally, the assessment process should include a method of exploring people's career potential and work culture preferences.
	
	 C26	Career planning includes an analysis of how an individual's entitlements can be managed in a way that allows them to work successfully in the community.	The agency should develop a mechanism to train staff how to assist people served with analyzing their benefits so that these can be managed in such a way that allows people to successfully attain employment.  Additionally, a system should be developed to document that an analysis of people's benefits had been completed and to serve as a reference when assisting people to seek employment or reevaluate options.

 

 

 

 

MASTER SCORE SHEET LICENSURE
Organizational: 
 
 	Indicator #	Indicator	Met/Rated	Rating                              (Met, Not Met, Not Rated)	
O	 L2	Abuse/Neglect reporting	3/3	Met	
 	 L3	Immediate Action	1/1	Met	
 	 L4	Action taken	1/1	Met	
 	 L48	Human Rights Committee	1/1	Met	
 	 L74	Screen employees	4/4	Met	
 	 L75	Qualified staff	4/4	Met	
 	 L76	Track trainings	1/1	Met	
 	 L83	Human Rights training	4/4	Met	

Residential and Individual Home Supports:

Ind. #	
Indicator	
Location or Individual	
Resi-dential Supports	
Individual Home Supports	
Place-ment	
Respite	ABI-MFP Residen-tial Supports	ABI-MFP Place-ment	
Total Met/ Rated	
Rating	
	 L1	Abuse/Neglect training	I		3/3					3/3	Met	
	 L5	Safety Plan	L		0/2					0/2	Not Met
(0%)	
O	 L6	Evacuation	L		0/2					0/2	Not Met
(0%)	
	 L8	Emergency Fact Sheets	I		1/3					1/3	Not Met
(33.33%)	
	 L9	Safe use of equipment	L		2/2					2/2	Met	
	 L10	Reduce risk interventions	I		3/3					3/3	Met	
O	 L11	Required inspections	L		2/2					2/2	Met	
O	 L12	Smoke detectors	L		2/2					2/2	Met	
O	 L13	Clean location	L
		2/2					2/2	Met	
	 L14	Site in good repair	L		2/2					2/2	Met	
	 L15	Hot water	L
		2/2					2/2	Met	
	 L16	Accessibility	L
		2/2					2/2	Met	
	 L17	Egress at grade 	L		2/2					2/2	Met	
Residential and Individual Home Supports, cont.

Ind. #	
Indicator	
Location or Individual	
Resi-dential Supports	
Individual Home Supports	
Place-ment	
Respite	ABI-MFP Residen-tial Supports	ABI-MFP Place-ment	
Total Met/ Rated	
Rating	
	 L18	Above grade egress	L		2/2					2/2	Met	
	 L19	Bedroom location	L		2/2					2/2	Met	
	 L20	Exit doors	L
		2/2					2/2	Met	
	 L21	Safe electrical equipment	L		2/2					2/2	Met	
	 L22	Clean appliances	L		2/2					2/2	Met	
	 L25	Dangerous substances	L		2/2					2/2	Met	
	 L26	Walkway safety	L		2/2					2/2	Met	
	 L28	Flammables	L
		2/2					2/2	Met	
	 L29	Rubbish/Com-bustibles	L	 	2/2					2/2	Met	
	 L30	Protective railings	L		2/2					2/2	Met	
	 L31	Communica-tion method	I		3/3					3/3	Met	
	 L32	Verbal & written	I		3/3					3/3	Met	
	 L33	Physical exam	I		2/2
					2/2	Met	
 	 L34	Dental exam	I	 	1/2					1/2	Not Met
(50%)	
	 L35	Preventive screenings	I		2/2					2/2	Met	
	 L36	Recom-mended tests	I		2/2					2/2	Met	
	 L37	Prompt treatment	I		3/3					3/3	Met	
O	 L38	Physician's orders	I		1/1					1/1	Met	
	 L39	Dietary requirements	I		3/3					3/3	Met	
	 L40	Nutritional food	L		2/2					2/2	Met	
	 L41	Healthy diet	L
		2/2					2/2	Met	
	 L42	Physical activity	L		2/2					2/2	Met	
	 L43	Health Care Record	I		2/3					2/3	Not Met
(66.67%)	

Residential and Individual Home Supports, cont.

Ind. #	
Indicator	
Location or Individual	
Resi-dential Supports	
Individual Home Supports	
Place-ment	
Respite	ABI-MFP Residen-tial Supports	ABI-MFP Place-ment	
Total Met/ Rated	
Rating	
	 L44	MAP registration	L	  	1/1					1/1	Met	
	 L45	Medication storage	L		2/2					2/2	Met	
O	 L46	Medication administration	I		0/1					0/1	Not Met
(0%)	
	 L47	Self- medication	I		0/3					0/3	Not Met
(0%)	
	 L49	Informed of human rights	I	 	2/3					2/3	Not Met
(66.67%)	
 	 L50	Respectful communica-tion	L	  	2/2					2/2	Met	
	 L51	Possessions	I
		3/3					3/3	Met	
	 L52	Phone calls	I
		3/3					3/3	Met	
 	 L53	Visitation	I
	 	3/3	 	 	 	 	3/3	Met	
	 L54	Privacy	L
	 	2/2	 	 	 	 	2/2	Met	
 	 L55	Informed consent	I	 	1/3					1/3	Not Met
(33.33%)	
	 L57	Written Behavior Plans	I		1/1					1/1	Met	
	 L58	Behavior Plan component	I		1/1					1/1	Met	
	 L59	Behavior plan review	I		1/1					1/1	Met	
	 L63	Medication Treatment Plan form	I		0/1					0/1	Not Met
(0%)	
	 L64	Medication Treatment Plan review	I		0/1					0/1	Not Met
(0%)	
	 L67	Money Management Plan	I		1/1					1/1	Met	
	 L68	Funds expenditure	I		1/1					1/1	Met	
	 L69	Expenditure tracking	I		1/1					1/1	Met	
	 L77	Unique needs training	I		3/3					3/3	Met	

Residential and Individual Home Supports, cont.

Ind. #	
Indicator	
Location or Individual	
Resi-dential Supports	
Individual Home Supports	
Place-ment	
Respite	ABI-MFP Residen-tial Supports	ABI-MFP Place-ment	
Total Met/ Rated	
Rating	
	 L78	Restrictive Intervention Training	L		2/2					2/2	Met	
 	 L80	Symptoms of illness	L		2/2					2/2	Met	
	 L81	Medical emergency	L		2/2					2/2	Met	
O	 L82	Medication administration	L		0/1					0/1	Not Met
(0%)	
	 L85	Supervision 	L		1/2					1/2	Not Met
(50%)	
	 L86	Required assessments	I		0/3					0/3	Not Met
(0%)	
	 L87	Support Strategies	I		0/3					0/3	Not Met
(0%)	
 	 L88	Strategies implemented
	I	 	3/3					3/3	Met	
# Std. Met/ 64 Indi-cators									49/64	 	
Total Score									57/72	 

 	 

 	 

 	 
 	 
 	79.17%	 

Employment and Day Supports:
	
Ind. #	
Indicator	Location   or Individual	
Employment Supports	
Center-Based Work	
Community- Based Day	
Total Met / Rated	
Rating	
  	 L1	Abuse/Neglect training	I	3/3			3/3	Met	
 	 L5	Safety Plan
	L	1/1	 	 	1/1	Met	
O	 L6	Evacuation
	L	1/1	 	 	1/1	Met	
 	 L7	Fire Drills
	L	1/1	 	 	1/1	Met	
	 L8	Emergency Fact Sheets	I	3/3			3/3	Met	
	 L9	Safe use of equipment	L	1/1			1/1	Met	
O	 L11	Required inspections	L
	1/1			1/1	Met	
Employment and Day Supports, cont.
	
Ind. #	
Indicator	Location   or Individual	
Employment Supports	
Center-Based Work	
Community- Based Day	
Total Met / Rated	
Rating	
O	 L12	Smoke detectors	L
	1/1			1/1	Met	
O	 L13	Clean location	L
	1/1	 	 	1/1	Met	
 	 L15	Hot water	L
	1/1	 	 	1/1	Met	
 	 L16	Accessibility	L
	1/1	 	 	1/1	Met	
 
 	 L17	Egress at grade 	L	1/1	 
 	 
 	1/1	Met	
 	 L20	Exit doors	L
	1/1	 	 	1/1	Met	
  	 L21	Safe electrical equipment	L	1/1			1/1	Met	
 
 	 L22	Clean appliances	L	1/1	 
 	 
 	1/1	Met	
  	 L25	Dangerous substances	L	1/1	  	  	1/1	Met	

	 L26	Walkway safety	L	1/1			1/1	Met	
 
	 L27	Pools, hot tubs, etc.	L	1/1			1/1	Met	
 	 L28	Flammables
	L	1/1	 	 	1/1	Met	
  	 L29	Rubbish/Combus-tibles	L	1/1			1/1	Met	
 
	 L30	Protective railings	L	1/1			1/1	Met	
  	 L31	Communication method	I	3/3			3/3	Met	
 
	 L32	Verbal & written	I	3/3			3/3	Met	
 
	 L37	Prompt treatment	I	2/2			2/2	Met	
  	 L49	Informed of human rights	I	3/3			3/3	Met	
  	 L50	Respectful communi-cation	L	1/1			1/1	Met	
 	 L51	Possessions
	I	3/3	 	 	3/3	Met	
 	 L52	Phone calls
	I	3/3	 	 	3/3	Met	
 	 L54	Privacy
	L	1/1	 	 	1/1	Met	
 
	 L55	Informed consent	I	0/2			0/2	Not Met
(0%)	
 
	 L77	Unique needs training	I	3/3			3/3	Met	

Employment and Day Supports, cont.
	
Ind. #	
Indicator	Location   or Individual	
Employment Supports	
Center-Based Work	
Community- Based Day	
Total Met / Rated	
Rating	
 
	 L80	Symptoms of illness	L	1/1			1/1	Met	
 
	 L81	Medical emergency	L	1/1			1/1	Met	
 	 L85	Supervision 
	L	1/1	 	 	1/1	Met	
 	 L86	Required assessments	I	0/3			0/3	Not Met
(0%)	
 
	 L87	Support Strategies	I	0/3			0/3	Not Met
(0%)	
 	 L88	Strategies implemented	I	3/3			3/3	Met	
 
 	# Std. Met/37 Indi-cators	 
  					34/37	  
 	
  	Total Score						42/45	  	
 	 	 	 	 	 	 	93.33%

MASTER SCORE SHEET CERTIFICATION
Certification - Planning and Quality Management:	
Indicator #	Indicator	Met/Rated	Rating	
 C1	Provider data collection	1/1	Met	
 C2	Data analysis	0/1	Not Met (0%)	
 C3	Service satisfaction	1/1	Met	
 C4	Utilizes input from stakeholders	1/1	Met	
 C5	Measure progress	0/1	Not Met (0%)	
 C6	Future directions planning	0/1	Not Met (0%)	

Employment Support Services Reviewed By DDS:	
Indicator #	Indicator	Met/Rated	Rating	
 C7	Feedback on staff performance	0/3	Not Met (0%)	
 C8	Family/Guardian communication	3/3	Met	
 C22	Explore job interests	3/3	Met	
 C23	Assess skills & training needs	0/3	Not Met (0%)	
Employment Support Services Reviewed By DDS, cont.	
Indicator #	Indicator	Met/Rated	Rating	
 C24	Job goals & support needs plan	3/3	Met	
 C25	Skill development	2/2	Met	
 C26	Benefits analysis	0/3	Not Met (0%)	
 C27	Job benefit education	3/3	Met	
 C28	Relationships w/businesses	1/1	Met	
 C29	Support to obtain employment	1/1	Met	
 C30	Work in integrated settings	1/1	Met	
 C31	Job accommodations	1/1	Met	
 C32	At least minimum wages earned	1/1	Met	
 C33	Employee benefits explained	2/2	Met	
 C34	Support to promote success	1/1	Met	
 C35	Feedback on job performance	1/1	Met	
 C36	Supports to enhance retention	1/1	Met	
 C37	Interpersonal skills for work	1/1	Met	

Individual Home Supports Reviewed By DDS:	
Indicator #	Indicator	Met/Rated	Rating	
 C7	Feedback on staff performance	1/3	Not Met (33.33%)	
 C8	Family/Guardian communication	3/3	Met	
 C9	Personal relationships	3/3	Met	
 C10	Social skill development	3/3	Met	
 C11	Get together w/family & friends	3/3	Met	
 C12	Intimacy	3/3	Met	
 C13	Skills to maximize independence 	3/3	Met	
 C14	Choices in routines & schedules	3/3	Met	
 C15	Personalize living space	2/2	Met	
 C16	Explore interests	3/3	Met	
 C17	Community activities	3/3	Met	
 C18	Purchase personal belongings	3/3	Met	
 C19	Knowledgeable decisions	2/2	Met	
 C20	Emergency back-up plans	2/2	Met	
 C21	Coordinate outreach	3/3	Met