Department of Developmental Services
Office of Quality Enhancement

PROVIDER REPORT 

FOR

NEMASKET GROUP, INC.
56 Bridge Street
Fairhaven, MA  02719    

 

 

 

March 23, 2011

SUMMARY OF OVERALL FINDINGS

Provider:  Nemasket Group, Inc.
Review Dates:  2/23/2011 to 3/1/2011
Service Enhancement Meeting Date:  3/14/2011 
Survey Team:  Barbara Mazzella (Team Leader), Stephen Abreu and 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	 4 Locations 
 5 Audits 	Full Review	62 / 70 Defer-Licensure 	 

 
 	
 Residential 
 Services	 1 Locations 
 2 Audits 	 

 
 	Full Review	 13 / 13 Certified -
 with all indicators 
 stds. met.	
 Individual Home
 Supports	 3 Locations 
 3 Audits 	 

 
 	Full Review	 15 / 15 Certified -  
 with all indicators 
 stds. met.	

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	 3 Locations 
 10 Audits 	Full Review	 48 / 51  Two- 
 Year License 
 3/14/2011 – 
 3/14/2013	 

 	 

 	
 Community-Based 
 Day Services	 1 Location 
 6 Audits 	 

 
 	Full Review	9 / 9 Certified - with all indicators stds. met.	
 Employment  
 Support Services	 2 Locations 
 4 Audits 	 

 
 	Full Review	18 / 18 Certified - with all indicators stds. met.	

 
EXECUTIVE SUMMARY
The Nemasket Group, Inc, founded in 1984 continues to provide a broad spectrum of supports for individuals with disabilities and their families, including supported employment, community-based day, family support, residential supports, and information on transition to adult services for young adults leaving the special education system.  The Nemasket Group, Inc. remains committed to providing supports to eligible individuals who reside in the Greater New Bedford and Wareham communities and serves approximately 100 individuals throughout their extensive network of supports.

The primary focus of the licensing and certification review was examining supports within the supportive employment component, community-based day service, and residential network.  Supports were reviewed for five individuals residentially, six individuals receiving community-based day services and four individuals receiving employment supports.  Of the five individuals supported residentially, two received twenty-four hours per day of supports, while the others received less than twenty-four hours per day of supports.  

The Nemasket Group, Inc. remains steadfast in its philosophy and mission that offers 'personalized, flexible support to families and individuals with disabilities to live, work, and develop relationships within our communities.'  The foundation of this philosophy is based on a values-based approach to providing supports that is conceptually rooted in the practices of the Social Role Valorization (SRV) movement.  This approach emphasized a continued commitment and focus on ensuring that individuals choose where they want to live, who they want to live with, where they want to work as well as fostering the use of  community-based services and supports.  

Since the past licensing and survey review, the Nemasket Group, Inc. has examined the issue of “succession planning” and its implications for future development.  As a consequence of this strategic review, the agency has reorganized management teams with a focus on leadership development and supervision.  The agency restructured agency-wide staff meetings to reflect a “think and grow” strategy in which employees from all service components meet quarterly and provide “teachable” moments through the use of stories, or reflections of experiences they have shared with the individuals they support.  This newly created organizational structure emphasizes their guiding principles of individual-ization and person-centered support planning.  

In concert with the agency's philosophy and mission, a continued commendable support of the agency was its use of the employment model, which provided people with opportunities to work at community businesses where they earned wages commensurate to other employees.  One individual received a five year pin award, a recognition awarded to all employees of the company who have worked steadily and successfully for five years.  Another individual was provided supports through the development of a career action plan to establish her own cleaning business and is anxious and excited to see the growth of this venture.  Although the current economy has affected the ability of many individuals to find paid employment, the agency is still committed to securing community volunteer opportunities that reflect personal interests and skills and continuously networked with the local chamber of commerce to secure additional employment or volunteer opportunities. 

The agency had several systems in place to ensure the presence of essential safeguards as evidenced throughout the survey visits, in their blueprint for the future and strategic plan, however several systems need strengthening as the agency continues to examine their current safeguard measures and explore future opportunities for growth.  The residential support component needs to strengthen its systems for

oversight and monitoring regarding adherence to MAP procedures as well as supportive and health-related devices.  The agency also need to strengthen its monitoring systems regarding accurate and timely recording of information on Emergency Fact Sheets and Health Care Records.  Additionally, the agency must ensure that areas that were previously identified in the past receive ongoing monitoring.  For example, the agency needs to ensure that members with required expertise attend all Human Rights Committee meetings and minutes incorporate discussion and follow-up regarding various issues that were reviewed. 

The agency also needs to examine the physical site that is used as the administrative offices and the location where many individuals meet to plan their community activities as there is need for renovation of the bathrooms and a plan to evaluate and address potential health and environmental concerns regarding ground water in the basement.  Nemasket has indicated that they are in the process of reviewing all options regarding physical site issues.  It is suggested that the agency establish concrete timeframes for resolution of these concerns. 

In closing, the agency received a Two-Year License for its Employment and Day Supports.  Conversely, the Residential Supports license is Deferred with one critical indicator rating a "Not Met."  Follow-up will occur within sixty days to determine the agency's license in this area.

 
LICENSURE FINDINGS

Met / Rated	
Not Met / Rated	

% Met	

Organizational	
5/6	
1/6	

Residential and Individual Home Supports	
57/64	
7/64	

 	

    Residential Services
    Placement Services
    Respite Services
    Individual Home 
      Supports	

 

 

 

 

 	

Critical Indicators	
7/8	
1/8	

Total	
62/70	
8/70	
89%	

Defer Licensure	

 	

# Indicators for 60 Day Follow-up	

8	

	 

Met / Rated	
Not Met / Rated	

% Met	

Organizational	
5/6	
1/6	

Employment and Day Supports	
43/45	
2/45	

    Community-Based
       Day Services
    Employment Support 
       Services
    Center-Based 
       Employment	

 

 	

 

 	

 

 	

Critical Indicators	
5/5	
0/5	

Total	
48/51	
3/51	
94%	

Two-Year License	

 	

# Indicators for 60 Day Follow-up	

3	

	

Organizational Areas Needing Improvement on Standard Not Met/Follow-up to Occur:	
Indicator #	Indicator	Area Needing Improvement	
 L48	The agency has an effective Human Rights Committee.	The agency continues to struggle with ensuring member-ship with the required expertise to regularly attend/partici-pate in meetings, i.e., medical and legal.  Additionally, the meeting minutes did not reflect the scope of discussion or patterns and trends for which follow up may be needed.  The agency needs to ensure that the Human Rights Committee has the requisite expertise present at the meetings and minutes reflect reviews and recommendations in mandated areas.	

Residential Areas Needing Improvement on Standards Not Met/Follow-up to Occur:	
Indicator #	Indicator	Area Needing Improvement	
 L8	Emergency Fact Sheets are current and accurate and avail-able on site.	The agency needs to ensure that Emergency Fact Sheets (EFS) contain all required information, i.e., age, height, weight, town in which the person lives, and medical diagnoses.	
 L43	The Health Care Record is main-tained and updated as required.  	The agency needs to ensure that the Health Care Record is maintained in accordance with the policy set forth by DDS, i.e., significant changes in health status.  	
 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 medications are admin-istered in accordance with the Medication Administration Program (MAP) policies and procedures.  	
Residential Areas Needing Improvement on Standards Not Met/Follow-up to Occur:	
Indicator #	Indicator	Area Needing Improvement	
 L61	Supports and health-related protections are included in ISP assessments and the continued need is outlined.	The agency needs to ensure required information is main-tained for each supportive device used by a person.  This includes the device to be used, the proper use, the fre-quency of safety checks, and the clinical indications for use.	
 L62	Supports and health-related protections are reviewed by the required groups.	The agency needs to ensure that required information regarding the use of supportive devices is reviewed by all required groups. 	
 L80	Support staff are trained to recognize signs and symptoms of illness.	The agency needs to ensure staff are trained in the recog-nition of signs and symptoms of illness as set forth in the DDS ‘Health Promotion and Coordination Initiative.’	
 L84	Staff are trained in the correct utilization of health related protections per regulation.	The agency needs to ensure that all staff are trained in the proper use of and/or assisting a person with utilizing a supportive device.	
 
Employment/Day Areas Needing Improvement on Standards Not Met/Follow-up to Occur:	
Indicator #	Indicator	Area Needing Improvement	
 L8	Emergency Fact Sheets are current and accurate and available on site.	The agency needs to ensure that Emergency Fact Sheets (EFS) contain all required information, i.e., age, height, weight, town in which the person lives, and medical diagnoses.	
 L80	Support staff are trained to recognize signs and symptoms of illness.	The agency needs to ensure staff are trained in the recognition of signs and symptoms of illness as set forth in the DDS ‘Health Promotion and Coordination Initiative.’	

 

CERTIFICATION FINDINGS

	
Met / Rated	
Not Met / Rated	

Certification - Planning and Quality Management	
6/6	
0/6	

Residential and Individual Home Supports 	

 

    Residential Services
    Individual Home Supports	
13/13 15/15 	
0/13 0/15 

	 
  	
Met / Rated	
Not Met / Rated	

Certification - Planning and Quality Management	
6/6	
0/6	

Employment and Day Supports 	

    Community-Based Day
       Services
    Employment Support 
       Services	
9/9 18/18 	
0/9 0/18 	

 
 
Employment Support Services - Commendations on Standards Met:	
Indicator #	Indicator	Commendations	
 C29	Individuals are supported to obtain employment that matches their skills and interests.	The agency is commended for assisting each person that participated in the survey to secure employment that matched his/her unique interests and skills.  People held jobs such as recreational aide, clerical work, and manufacturing. 	
 C30	Individuals are supported to work in integrated job settings.	The agency is commended for it efforts to ensure that each person held a position within the community.  Efforts to support these endeavors included flexible transportation, one to one job coaching, job develop-ment, and overall general networking with local businesses.  	
 C36	Ongoing supports are provided to enhance job retention and advance-ment.	The agency is commended for its evident success at supporting people to retain and advance in their jobs.  Each person that participated in the survey had main-tained their employment for at least five years.  Assistance varied from one to one job support to as needed check-in with a person.  Supporters understood the importance of recognizing when and how to fade assistance when appropriate.	

Community-Based Day Supports - Commendation on Standard Met:	
Indicator #	Indicator	Commendation	
 C40	Individuals are supported to explore their personal interests and options for community involvement, personal interests and hobbies.	The agency is commended for assisting each person to explore and find personally satisfying activities and events within their community that connects them to others.	

MASTER SCORE SHEET LICENSURE
Organizational: 
Indicator #	Indicator	Met/Rated	Rating
(Met, Not Met, Not Rated)	
 L3	Immediate Action	1/1	Met	
 L4	Action taken	3/3	Met	
 L48	HRC	0/1	Not Met (0% )	
 L74	Screen employees	1/1	Met	
 L76	Track trainings	5/5	Met	
 L83	HR training	5/5	Met	
 
Residential and Individual Home Supports:

Indicator #	
Indicator	Location or Individual Indicator	
Residential Supports	Individual Home Support	
Placement Support	
Respite Support	
Total Met/Rated	
Rating	
 L1	Abuse/Neglect training	I	2/2	3/3	 
  	 
  	5/5	Met	
 L2	Abuse/Neglect reporting	L	1/1	1/1	 
  	  
 	2/2	Met	
 L4	Action 
taken	L	 
 	1/1	 
 	 
 	1/1	Met	
 L5	Safety 
Plan	L	1/1	 

 	1/1	Met	
 L6	Evacuation	L	1/1	2/2	 
	 	3/3	Met	
 L7	Fire 
Drills	L	1/1	 	 
	 	1/1	Met	
 L8	Emergency Fact Sheets	I	0/2	3/3	  
 	  
 	3/5	Not Met
(60%)	
L9	Safe use of equipment	L	1/1	 

 	1/1	Met	
 L11	Required inspections	L	1/1	  

 	1/1	Met	
 L12	Smoke detectors	L	1/1	 

 	1/1	Met	
 L13	Clean 
location	L	1/1	 

 	1/1	Met	
 L14	Site in good repair	L	1/1	1/1	  
 	  
 	2/2	Met	
 L15	Hot 
water	L	1/1	 	 
	 	1/1	Met	
L16	Accessibility	L	1/1	1/1	 
 	 
 	2/2	Met	
 L17	Egress at grade 	L	1/1	1/1	 
 	 
 	2/2	Met	
 L19	Bedroom location	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	 
 	 
 	2/2	Met	
 L24	Locked door access	L	1/1	 

 	1/1	Met	
 L25	Dangerous substances	L	1/1	1/1	 
  	 
  	2/2	Met	
Residential and Individual Home Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Residential Supports	Individual Home Support	
Placement Support	
Respite Support	
Total Met/Rated	
Rating	
 L26	Walkway safety	L	1/1	1/1	 
 	 
 	2/2	Met	
 L29	Rubbish/
Combustibles	L	1/1	1/1	 
  	 
  	2/2	Met	
 L30	Protective railings	L	1/1	1/1	 
 	 
 	2/2	Met	
 L31	Communica-tion method	I	2/2	3/3	  
 	  
 	5/5	Met	
 L32	Verbal & written	I	2/2	3/3	 
 	 
 	5/5	Met	
 L33	Physical 
exam	I	2/2	1/1	 
 	 
 	3/3	Met	
 L34	Dental 
exam	I	2/2	 

 	2/2	Met	
 L35	Preventive screenings	I	2/2	1/1	 
 	 
 	3/3	Met	
 L36	Recommended tests	I	2/2	1/1	 
 	 
 	3/3	Met	
 L37	Prompt treatment	I	2/2	1/1	 
 	 
 	3/3	Met	
 L38	Physician’s orders	I	2/2	1/1	 
 	 
 	3/3	Met	
 L39	Dietary requirements	I	  
 	1/1	 
  	  
 	1/1	Met	
 L40	Nutritional 
food	L	1/1	2/2	 
 	 
 	3/3	Met	
L41	Healthy 
diet	L	1/1	2/2	 
 	 
 	3/3	Met	
 L42	Physical activity	L	1/1	2/2	 
 	 
 	3/3	Met	
 L43	Health Care Record	I	0/2	1/1	  
 	  
 	1/3	Not Met
(33.33%)	
 L44	MAP registration	L	1/1	 

 	1/1	Met	
 L45	Medication storage	L	1/1	 

 	1/1	Met	
 L46	Med. Administration	I	0/1	  

 	0/1	Not Met
(0%)	
 L47	Self-medication	I	1/1	 

 	1/1	Met	
 L49	Informed of human rights	I	2/2	3/3	  
 	  
 	5/5	Met	
Residential and Individual Home Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Residential Supports	Individual Home Support	
Placement Support	
Respite Support	
Total Met/Rated	
Rating	
 L50	Respectful communication	L	1/1	3/3	 
 	 
 	4/4	Met	
 L51	Possessions	I	2/2	3/3	 
 	 
 	5/5	Met	
 L52	Phone 
calls	I	2/2	3/3	 
 	 
 	5/5	Met	
 L53	Visitation	I	2/2	3/3	 	 
	5/5	Met	
 L54	Privacy	L	1/1	3/3	 
	 	4/4	Met	
 L55	Informed consent	I	 
 	1/1	  	  	1/1	Met	
 L61	Health protection in ISP	I	1/1	0/1	   	   	1/2	Not Met
(50%)	
L62	Health protection review	I	1/1	0/1	 
  	 
  	1/2	Not Met
(50%)	
 L63	Med. Treatment Plan form	I	 
  	1/1	  
 	  
 	1/1	Met	
 L64	Med. Treatment Plan rev.	I	1/1	1/1	  
 	  
 	2/2	Met	
 L67	Money Mgmt. Plan	I	2/2	1/1	 
 	 
 	3/3	Met	
L68	Funds expenditure	I	2/2	1/1	   	   	3/3	Met	
 L69	Expenditure tracking	I	2/2	1/1	  	  	3/3	Met	
 L77	Unique needs training	I	1/2	3/3	   	   	4/5	Met
(80%)	
 L80	Symptoms of illness	L	0/1	0/3	  	  	0/4	Not Met
(0%)	
 L81	Medical emergency	L	1/1	3/3			4/4	Met	
 L82	Medication admin.	L	1/1	2/2			3/3	Met	
 L84	Health 
Protect. Training	I	0/1	0/1			0/2	Not Met
(0%)	
 L85	Supervision 	L	1/1	3/3	  
	  	4/4	Met	
 L86	Required assessments	I	  
 	1/1	  
 	  
 	1/1	Met	
Residential and Individual Home Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Residential Supports	Individual Home Support	
Placement Support	
Respite Support	
Total Met/Rated	
Rating	
 L87	Support Strategies	I	1/2	3/3	 
 	 
 	4/5	Met
(80%)	
 L88	Strategies implemented	I	2/2	3/3	  
 	  
 	5/5	Met	
#Stds. Met/# 64 Indicators	 

 

 	 

 

 	57/64	 

Total Score	 

 	 

 	62/70	 

 	 

 	 

 	88.57%	 

Employment and Day Supports:

Indicator #	
Indicator	Location or Individual Indicator	
Employment Support	
Center-Based Work	Community- Based Day Support	
Total Met / Rated	
Rating	
 L1	Abuse/Neglect training	I	3/4	 
 	3/3	6/7	Met
(85.71%)	
 L2	Abuse/Neglect reporting	L	1/1	 
 	1/1	2/2	Met	
 L5	Safety 
Plan	L	 	 	1/1	1/1	Met	
L6	Evacuation	L	 	 
	1/1	1/1	Met	
 L7	Fire 
drills	L	 	 
	1/1	1/1	Met	
 L8	Emergency Fact Sheets	I	2/4	 
 	2/3	4/7	Not Met
(57.14%)	
 L9	Safe use of equipment	L	 
 	 
 	1/1	1/1	Met	
 L10	Reduce risk interventions	I	 
 	 
 	1/1	1/1	Met	
 L11	Required inspections	L	 
 	 
 	1/1	1/1	Met	
 L12	Smoke detectors	L	 
 	 
 	1/1	1/1	Met	
 L14	Site in good repair	L	 
 	 
 	1/1	1/1	Met	
 L15	Hot 
water	L	 	 
	1/1	1/1	Met	
 L16	Accessibility	L	 	 
	1/1	1/1	Met	
Employment and Day Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Employment Support	
Center-Based Work	Community- Based Day Support	
Total Met / Rated	
Rating	
 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	Swimming pools	L	 
 	 
 	1/1	1/1	Met	
 L29	Rubbish/
Combustibles	L	 
 	 
 	1/1	1/1	Met	
L30	Protective railings	L	 
 	  	1/1	1/1	Met	
 L31	Communica-tion method	I	4/4	  	3/3	7/7	Met	
 L32	Verbal & written	I	3/3	  	3/3	6/6	Met	
L44	MAP registration	L	 
 	  	1/1	1/1	Met	
 L45	Medication storage	L	 
 	  	1/1	1/1	Met	
 L49	Informed of human rights	I	4/4	  	3/3	7/7	Met	
 L50	Respectful communication	L	1/1	  	1/1	2/2	Met	
 L51	Possessions	I	3/3	 
	3/3	6/6	Met	
 L52	Phone 
calls	I	3/3	 	3/3	6/6	Met	
 L54	Privacy	L	 	 
	1/1	1/1	Met	
 L55	Informed consent	I	1/2	  	3/3	4/5	Met
(80%)	
 L56	Restrictive practices	I	  	  	1/1	1/1	Met	
 L67	Money Mgmt. Plan	I	  	  	2/2	2/2	Met	
 L68	Funds expenditure	I	 
 	 
 	2/2	2/2	Met	

Employment and Day Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Employment Support	
Center-Based Work	Community- Based Day Support	
Total Met / Rated	
Rating	
 L69	Expenditure tracking	I	 
 	 
 	2/2	2/2	Met	
 L77	Unique needs training	I	4/4	 
 	3/3	7/7	Met	
 L78	Restrictive Int. Training	L	 
 	 
 	1/1	1/1	Met	
 L80	Symptoms of illness	L	0/1	 
 	0/1	0/2	Not Met
(0%)	
 L81	Medical emergency	L	1/1	  	1/1	2/2	Met	
 L82	Medication admin.	L	 
 	  	1/1	1/1	Met	
 L85	Supervision 	L	1/1	 
	1/1	2/2	Met	
L86	Required assessments	I	2/2	  	1/1	3/3	Met	
 L87	Support Strategies	I	4/4	  	3/3	7/7	Met	
 L88	Strategies implemented	I	4/4	  	3/3	7/7	Met	
# Stds. Met/# 45 Indicators	 

  	 
  	 
  	43/45	 	
Total Score	 

 	 
 	 
 	48/51	 
 	
 	 	 	 	 	 	94.12%

MASTER SCORE SHEET CERTIFICATION
Certification - Planning and Quality Management	
Indicator #	Indicator	Met/Rated	Rating	
 C1	Provider data collection	1/1	Met	
 C2	Data analysis	1/1	Met	
 C3	Service satisfaction	1/1	Met	
 C4	Utilizes input from stakeholders	1/1	Met	
 C5	Measure progress	1/1	Met	
 C6	Future directions planning	1/1	Met	

Community-Based Day Services	
Indicator #	Indicator	Met/Rated	Rating	
 C7	Feedback on staff performance	3/3	Met	
 C8	Family/guardian communication	3/3	Met	
 C13	Skills to maximize independence 	3/3	Met	
 C40	Community involvement interest	3/3	Met	
 C41	Activities participation	3/3	Met	
 C42	Connection to others	3/3	Met	
 C43	Maintain & enhance relationship	3/3	Met	
 C44	Job exploration	3/3	Met	
 C45	Revisit decisions	3/3	Met	

Employment Support Services	
Indicator #	Indicator	Met/Rated	Rating	
 C7	Feedback on staff performance	4/4	Met	
 C8	Family/guardian communication	3/3	Met	
 C22	Explore job interests	3/3	Met	
 C23	Assess skills & training needs	3/3	Met	
 C24	Job goals & support needs plan	4/4	Met	
 C25	Skill development	4/4	Met	
 C26	Benefits analysis	4/4	Met	
 C27	Job benefit education	3/3	Met	
 C28	Relationships w/businesses	1/1	Met	
 C29	Support to obtain employment	4/4	Met	
 C30	Work in integrated settings	4/4	Met	
 C31	Job accommodations	4/4	Met	
 C32	At least minimum wages earned	4/4	Met	
 C33	Employee benefits explained	4/4	Met	
 C34	Support to promote success	4/4	Met	
 C35	Feedback on job performance	4/4	Met	
 C36	Supports to enhance retention	4/4	Met	
 C37	Interpersonal skills for work	4/4	Met	

Individual Home Supports	
Indicator #	Indicator	Met/Rated	Rating	
 C7	Feedback on staff performance	3/3	Met	
 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	2/2	Met	
 C15	Personalize living space	2/2	Met	
 C16	Explore interests	3/3	Met	
 C17	Community activities	3/3	Met	
 C18	Purchase personal belongings	1/1	Met	
 C19	Knowledgeable decisions	3/3	Met	
 C20	Emergency back-up plans	3/3	Met	
 C21	Coordinate outreach	2/2	Met	

Residential Services	
Indicator #	Indicator	Met/Rated	Rating	
 C7	Feedback on staff performance	2/2	Met	
 C8	Family/guardian communication	2/2	Met	
 C9	Personal relationships	2/2	Met	
 C10	Social skill development	2/2	Met	
 C11	Get together w/family & friends	2/2	Met	
 C13	Skills to maximize independence 	2/2	Met	
 C14	Choices in routines & schedules	2/2	Met	
 C15	Personalize living space	1/1	Met	
 C16	Explore interests	2/2	Met	
 C17	Community activities	2/2	Met	
 C18	Purchase personal belongings	2/2	Met	
 C19	Knowledgeable decisions	2/2	Met	
 C20	Emergency back-up plans	1/1	Met