SUMMARY OF OVERALL FINDINGS
Provider:  Friendship Home, Inc.
Review Dates:  March 20 & 21, 2013
Service Enhancement Meeting Date:  April 9, 2013
Survey Team:  Laura K. O’Connor
  
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	1 Location 2 Audits 	Targeted Review	DDS 9 / 9
Provider 47 / 47

56 / 56 
Two-Year License 04/09/2013 - 04/09/2015	 

 

 

 

 

Respite Services	1 Location 2 Audits 

 	No Review	No Review	
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	2 Locations 7 Audits 	Targeted Review	DDS 9 / 9
Provider 47 / 48

56 / 57 
Two-Year License 04/09/2013 - 04/09/2015	 

 

 

 

 

Employment Support Services	1 Location 4 Audits 	 

 
 	Provider Targeted Review	3 / 4 Certified	
Center-Based Employment	1 Location 3 Audits 	 

 
 	Provider Targeted Review	0 / 0 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	Provider Targeted Review	0/0 Certified	

 
EXECUTIVE SUMMARY
Friendship Home, Inc. was founded as a grassroots family advocacy group, in 1999.  It started with long-standing recreational club (Friendship Club) created by parents and families wishing to ensure social and recreational opportunities for their family members.  The agency's philosophy focused on supporting individuals to self-determine all areas of their lives and remove barriers in order for people to access a full array of opportunities.  A strong network of volunteers that have become an essential component of the agencies service delivery system have evolved as a result of the agencies strong relationships with a variety of local businesses and with citizens living within the geographical area in which it provides services.  These families realized their dream of raising enough capital to build a large, brand new, attractive, accessible, and state of the art building in Norwell MA.  

A variety of adult employment services are provided through the agency's 'Bridges to Work' program, which was based out of the lower level of the Friendship Home building.  Individuals served through this program had choices that ranged from receiving help to obtain competitive employment with 1:1 job coaching that is faded out: an entrepreneurial component which was done as a group for team building experience; and job skill development such as business math, reading, writing, and workplace culture/ relations.  Individuals also had the opportunity to learn and practice various culinary/catering/function planning skills through using the commercial grade kitchen within the building to offer the "Friendship Cafe" that was open to the public to serve lunch on a weekly basis.  Since the last survey, the agency has also secured a license to provide catering services from the Town of Norwell.  During the week, the agency allowed community groups and businesses to use the respite areas of the buildings to host a variety of meetings and functions.  Individuals that wished to practice and develop their skills in the many areas of culinary arts and/or function management often catered these functions with food and drinks that they prepared and served.  A waiver from the Department of Labor Waiver is not required, because the agency does not offer or support individuals to perform jobs that are paid sub-minimum wages.

There are two separate large living areas, on the upper level of the Friendship Home building, that each features four bedrooms. This is where the agency's temporary residential services (respite) are provided. At the time of the survey, one of these housing areas was approved for providing respite services.  However; respite services were not being provided in the second area, because all of the furnishings had not yet been delivered.  The agency needs to provide confirmation to DDS and the OQE office when these furnishings arrive and respite services on the second side of the building begin to be provided.  The focus of the respite services provided by Friendship Home is to assist individuals with developmental disabilities to develop independent living skills while also having fun participating in a variety of recreational activities.  At the time of the survey, respite was provided only on weekends and by planned reservation through an extensive intake process with individuals and their families.

In addition to respite and employment services, the agency continues to offer a large variety travel and social club activities.  These included a variety of recreationally focused theme nights and supervised/ escorted day trips and/or longer vacations.

As a result of doing well on previous Licensure and Certification Reviews, the provider was eligible for and elected to conduct a self-assessment on all applicable licensure indicators and a DDS targeted review in lieu of a full review for both service groupings (Residential/Individual Home Supports and Employment/Day Supports).  The DDS targeted review was one in which the DDS survey team rated the 8 licensing indicators considered critical, as well as the any other licensing indicators that had been rated not met in the previous licensure and certification review that took place in April, 2011.  In addition to the DDS ratings for these indicators, the agency completed a self-assessment for both day and residential services which evaluated all 88 indicators in the licensure tool, as well as the one certification outcome that had been rated not met in the previous review.  The ratings given by the DDS survey team were combined with the ratings from the agency's self-assessment for the other indicators to produce an overall licensure rating of 100% "standard met" in residential services and 98% "standard met" in day services.  As a result of these combined ratings, the agency received Two-Year Licenses for Residential/Individual Home Supports and

EXECUTIVE SUMMARY, CONT.
Employment/Day Supports.  Only one organizational indicator, which pertained to the agency's Human Rights Committee, was rated not met in the 2011 survey.  The agency had taken corrective actions and this indicator is now rated Met. 

Staff throughout the agency are congratulated for its continued success in providing a high level of individualized service quality for the people they support.  Agency staff were found to be responsive to any suggestions or recommendations made by the surveyors during the course of the review.  The survey team also noted that that the agency's commitment to ensuring that staff knew individuals well and had ongoing communications with their families/caregivers helped to ensure that supports were highly individualized to meet each person's preferences and needs.  This focus, combined with ongoing internal communications amongst all levels of staff, aided in the effectiveness of the agency's safeguard systems to protect individuals' health, safety, and well-being.  The provider's self-assessment of its day and residential supports is described in the following section of this report.

  
Description of Self-Assessment Process:
Founded in 1999, Friendship Home was developed by two mothers of adult children with developmental disabilities.  They wanted to create a place that would be a home away from home for individuals who were being cared for by family members in order to experience independence and develop friendships while their families enjoyed periods of respite from the demands of caring for them.  A dedicated Board of Directors includes local business people, parents, a social service professional, attorney, banker, and real estate developers who have worked tirelessly to build "The Home with a Heart," a 14,000 square foot respite and retreat center in Norwell.  Friendship Home has effectively engaged the community to raise the necessary funds and provide opportunities for hundreds of volunteers annually to experience the joy of spending time with our program participants.  These efforts have resulted in partnerships with businesses that provide job opportunities for our ‘Bridges to Work Program,’ and many talented professionals who share their skills to benefit our programs.  Doctors, nurses, attorneys, performers, artists, newscasters, and movie producers come to Friendship Home to share their knowledge and skill to further our mission.  We have strong partnerships with the YMCA, local town officials, the Norwell VNA, and other providers that help us to build a strong community of support for the people that we serve and their families.  

Friendship Home is committed to continuous quality improvement in our programs.  Strategic goals are developed annually by the program staff, management team and Board of Directors.  The team assesses risk areas, and reviews data from program and facility reports, and seeks feedback from stakeholders through focus groups and surveys to improve and expand our programs each year.  Monthly reports that review financial performance and track progress are reviewed by the Executive Director and Board of Directors (bi-monthly).  In addition, systems to monitor the facility, confidential client files, human rights, and customer satisfaction are used to assure that our programs meet best practice standards.  Quarterly Quality Reviews help to identify areas in need of improvement and assure that our programs are providing the highest quality services.  

One of our Co-founders works at Friendship Home, coordinating monthly family groups and helping with legislative and fundraising efforts.  We have one other parent on staff and many parents volunteer for program and fundraising events.  Input from program participants and their families is used to improve and develop our programs.  Each program has been developed in response to a need identified by individuals and their families.  We work in partnership with families and the community to fill gaps and remove barriers so that people with developmental disabilities can lead full and rewarding lives in the community.

Safety and Physical Environment - Friendship Home has developed a safety committee to review environmental safety issues.  Each week in the administrative staff meeting, building issues are discussed and solutions to potential safety concerns are addressed.  The Safety Committee meets quarterly to plan for system-wide education and changes.  The safety plan was developed to accommodate the varying levels of support needed by a variety of program participants and guests.  The fire safety coordinator meets with all Bridges to Work participants to assure that they know the evacuation procedures prior to their first fire drill.  Respite staff review the fire safety procedures at the beginning of each respite stay.  Staff members review the evacuation plans in staff meeting and these plans are revised as needed.  The Maintenance Manager completes the DDS facility safety checklist monthly to assure that the facility meets all licensing requirements.

Program Review - Staff keep track of ISP's and timely submission of assessments and support strategies to DDS on a spread sheet on the wall of the staff office.  Each program participant has a Vocational Advocate (VA) who is responsible for coordinating all aspects of the program for that participant.  Often the VA initiates the ISP and works with DDS to schedule the meeting, conduct the necessary assessments, and submit support strategies within 15 days of the meeting.  When DDS initiates the ISP meeting, the VA assures that all requested assessments and information are submitted to DDS 10 days prior to the ISP.  The Quality Review Team conducts a file review quarterly, examining 1/4 of confidential participant records each quarter.  This assures that each file is reviewed at least annually. Review reports are submitted to the Executive Director as part of the Quarterly Quality Review.  Staff members discuss upcoming ISP's, and goals and objectives that have been set with the individual and family in weekly staff meetings.  The team discusses strategies for implementation to assure that individuals have every opportunity to meet their goals.   

Human Rights - The Friendship Home Human Rights Committee is properly constituted and meets quarterly.  The Human Rights Coordinator provides training for program participants and staff members annually.  The Friendship Home Guide to Human Rights (revised 8.12) is distributed annually to partici-pants and their guardians and the receipt confirming that they have reviewed the guide is kept in the partic-ipant's confidential file which is maintained and secured by the agency.  Staff and individuals serve as representatives on the Human Rights Committee.  Staff members who serve as Human Rights Officers are identified by picture which is posted next to the DPPC instructions in each program.  All incident reports, behavior plans, and restrictive practices are reviewed by the committee.  All staff who are responsible for the safety of individuals served participate in SOLVE Crisis Intervention Training, which focuses on de-escalation and violence prevention techniques.  Friendship Home does not provide services to people who require physical restraint.  If physical restraint is required to meet the needs of program participants in the future, the Human Rights Committee will review and approve this change, including the restraint curriculum.

Staff Development - Friendship Home is committed to an environment of ongoing learning.  A staff person coordinates required and specialized training for all Friendship Home staff members who provide direct service to program participants.  Staff who are responsible for program participants currently meet DDS training requirements.  All staff members must participate in Agency Orientation which includes Mission and Service Philosophy, Fire Safety, Confidentiality, Human Rights, Program Policies and Procedures, Universal Precautions, and Health Issues, within the first 3 months of employment.  In addition, Friendship Home uses the Essential Learning online learning platform through the Providers Council.  All new staff members are required to complete the Direct Service Professional Credential prior to advancement.  Supervisors are completing the Supervision Credential through a combination of on-line and classroom training.  Additional trainings are assigned as needed/requested.  Staff who are responsible for admin-istering medications are MAP certified and receive additional specialized training regarding Epi-pens and tube feedings.  All health protocols are reviewed as part of staff meetings.  Medications are reviewed weekly by the Respite Program Director to assure accuracy and medication administration is reviewed as part of the Quarterly Quality Review.  

Goal Development and Implementation - Friendship Home has developed each program based on the individual needs of an individual or group of individuals.  Our programs offer creative person centered planning that aims to remove existing barriers to success and supports the individual in achieving his or her goals.  Each individual in the Bridges to Work program has a VA and a Job Coach.  The VA conducts a thorough vocational assessment to determine the individual's skills and support needs.  Once complete, an initial meeting is set with the individual, family, and DDS worker.  Initial individualized goals and objectives are set and the team discusses the support needs.  Friendship Home uses a variety of techniques to help the individual evaluate their career goals.  Vocational exploration trips and internships help individuals to experience a variety of jobs in the community.  Once an individual decides on a career path, the VA and JC work to develop task analysis that will build the necessary skills to be successful in that job.  The staff team discusses the need for a specific job in staff meeting and the Job Developer works with existing business partners or develops new relationships that offer a job in the person's field of choice.  The process of assessment and skill building is ongoing and experiential, with observant staff monitoring a variety of training classes both at the program and in the community.  Friendship Home has developed maintenance, housekeeping, and catering teams that provide training opportunities that may result in paid positions once the individual is able to do the job with minimal assistance.  VA's track progress through annual assess-ments, task analysis, and quarterly progress notes.  Prior to ISP meetings the staff team meets to review the individual goals and discuss strategies for implementation of supports.  Strategies are strength based and aimed at building skills and removing barriers that allow the individual to reach his/her potential.

The Director for respite conducts a thorough intake and assessment which includes meetings with individuals and their families to identify goals related to independent living and social skills.  Trained respite staff members conduct a medication self-administration assessment if the guest administers his/her own medication.  Staff use communication logs and staff meetings to assure that all staff are prepared to care for each guest.  Check lists and thorough respite intake protocols assure that medications are administered as prescribed, and any special dietary, health or behavioral considerations are reviewed by all staff. 

Summary of Self-Assessment Process - Friendship Home is relatively new to the licensing and certifica-tion process and our programs have expanded rapidly since 2010.  Through the self-assessment process, we developed systems for audits of the confidential files, safety systems, and treatment protocols that will be monitored in an ongoing way and surveyed quarterly as part of a formal quality review.  100% of files and systems were surveyed as part of the self-assessment.  All but 4 areas achieved a score of 85% or better and all critical indicators received a score of 100%.  For 4 areas that were not met, action plans were developed to assure that these areas will be monitored closely in the future and that the systems that were set up are effective.

Areas in need of improvement include: L86, C24, and C26.  The Bridges to Work program does an excellent initial assessment of vocational skills and preferences.  Although this process continues in an informal, ongoing fashion, there is no documentation that individual's interests and skills are re-assessed at least annually.  Documentation of re-assessment will be included in the confidential client file.  In addition, a benefits analysis will be conducted for each Bridges to Work participant over the next year. 

	

LICENSURE FINDINGS

 	

Met / Rated	

Not Met / Rated	

% Met	

Organizational	
6/6	
0/6	

Residential and Individual Home Supports	
50/50	
0/50	

	

    Respite Services

	

Critical Indicators	
7/7	
0/7	

Total	
56/56	
0/56	
100%	

Two-Year License	

	

# Indicators for 60 Day Follow-up	

0	

	 

Met / Rated	

Not Met / Rated	

% Met	

Organizational	
6/6	
0/6	

Employment and Day Supports	
50/51	
1/51	

  Employment Support
    Services
  Center-Based 
    Employment	

	

	

	

Critical Indicators	
6/6	
0/6	

Total	
56/57	
1/57	
98%	

Two-Year License	

	

# Indicators for 60 Day Follow-up	

1	

	

Employment/Day Area Needing Improvement on Standard Not Met/Follow-up to Occur:
From Provider Review:	
Indicator #	Indicator	Issue Identified	Action Planned to Address	
 L86	Required assessments concerning individual needs and abilities are completed in preparation for the ISP.	Staff do not document and consistently submit required assessments 10 days prior to ISP’s.	A system has been developed to track all ISP’s and staff will include documen-tation of submission of assessments in the Confidential Record.  In addition, re-assessment of safety and vocational skills will occur annually, even if DDS does not schedule the ISP.

CERTIFICATION FINDINGS

 

Reviewed By	

Met / Rated	

Not Met / Rated	

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

Residential and Individual Home Supports

 

 

 

		 

Reviewed By	

Met / Rated	
Not Met / Rated	

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

Employment and Day Supports	

	

  Center-Based 
   Employment	
Provider	
0/0	
0/0	

  Employment 
   Support Services	
Provider	
3/4	
1/4	

Employment Support Services- Area Needing Improvement on Standard Not Met:
From Provider Review:	
Indicator #	Indicator	Issue Identified	Action planned to Address	
 C24	There is a plan developed to identify job goals and support needs.	After initial assessment and job exploration activities, the team needs to develop a system of ongoing review of job satisfaction for each participant.	Advocates will meet at least monthly with participants to discuss job satis-faction and need for changes in their employment.  Staff meeting will include a thorough review of each participant at least twice per year to re-assess.

Planning and Quality Management:  N/A

MASTER SCORE SHEET LICENSURE
Organizational: 
 
 	Indicator #	Indicator	Reviewed By	Met/Rated	Rating
(Met, Not Met, Not Rated)	
O	 L2	Abuse/Neglect reporting	DDS	2/2	Met	
 	 L48	HRC	DDS	1/1	Met	
 	 L74	Screen employees	Provider	-	Met	
 	 L75	Qualified staff	Provider	-	Met	
 	 L76	Track trainings	Provider	-	Met	
 	 L83	HR training	Provider	-	Met	

Residential and Individual Home Supports:

	
Indicator #	
Indicator	Location or Individual Indicator	
Reviewed By	
Residen- tial Supports	
Individual Home Support	
Place-ment Support	
Respite Support	
Total Met/ Rated	
Rating	
  	 L1	Abuse/Neglect training	I	Provider				-	-	Met	
O	 L2	Abuse/Neglect reporting	L	DDS				1/1	1/1	Met	
  	 L4
	Action taken	L	Provider				-	-	Met	
  	 L5
	Safety Plan	L 	Provider				-	-	Met	
O	 L6
	Evacuation	L	DDS				1/1	1/1	Met	
  	 L8	Emergency Fact Sheets	I 	Provider				-	-	Met	
Residential and Individual Home Supports, cont.

	
Indicator #	
Indicator	Location or Individual Indicator	
Reviewed By	
Residen- tial Supports	
Individual Home Support	
Place-ment Support	
Respite Support	
Total Met/ Rated	
Rating	
 	 L9	Safe use of equipment	L 	Provider				-	-	Met	
O	 L11	Required inspections	L	DDS				1/1	1/1	Met	
O	 L12	Smoke detectors
	L	DDS				1/1	1/1	Met	
O	 L13	Clean location
	L	DDS				1/1	1/1	Met	
  	 L14	Site in good repair	L 	Provider				-	-	Met	
 	 L15	Hot water
	L 	Provider	 	 	 	-	-	Met	
  	 L16	Accessibility	L 
	Provider				-	-	Met	
  	 L17	Egress at grade
 	L 	Provider				-	-	Met	
	 L18	Above grade egress	L 	Provider				-	-	Met	
	 L19	Bedroom location	L 	Provider				-	-	Met	
	 L20	Exit doors
	L 	Provider				-	-	Met	
	 L21	Safe electrical equipment	L 	Provider				-	-	Met	
	 L22	Clean appliances	L 	Provider				-	-	Met	
	 L23	Egress door locks	L 	Provider				-	-	Met	
	 L24	Locked door access	L 	Provider				-	-	Met	
	 L25	Dangerous substances	L 	Provider				-	-	Met	
	 L26	Walkway safety
	L 	Provider				-	-	Met	
	 L28	Flammables
	L 	Provider				-	-	Met	
	 L29	Rubbish/Com-bustibles	L 	Provider				-	-	Met	
	 L30	Protective railings	L 	Provider				-	-	Met	
	 L31	Communication method	I 	Provider				-	-	Met	
	 L32	Verbal & written
	I 	Provider				-	-	Met	
	 L37	Prompt treatment	I 	Provider				-	-	Met	
	 L39	Dietary require-ments	I 	Provider				-	-	Met	
	 L40	Nutritional food
	L 	Provider				-	-	Met	
	 L41	Healthy diet
	L 	Provider				-	-	Met	
	 L44	MAP Registration	L 	Provider				-	-	Met	
Residential and Individual Home Supports, cont.

	
Indicator #	
Indicator	Location or Individual Indicator	
Reviewed By	
Residen- tial Supports	
Individual Home Support	
Place-ment Support	
Respite Support	
Total Met/ Rated	
Rating	
	 L45	Medication storage	L 	Provider				-	-	Met	
O	 L46	Medication administration	I	DDS				2/2	2/2	Met	
	 L49	Informed of human rights	I	Provider				-	-	Met	
	 L50	Respectful communication	L 	Provider				-	-	Met	
	 L51	Possessions
	I 	Provider				-	-	Met	
	 L52	Phone calls
	I 	Provider				-	-	Met	
 	 L53	Visitation
	I 	Provider	 	 	 	-	-	Met	
 	 L54	Privacy
	L 	Provider	 	 	 	-	-	Met	
	 L55	Informed consent	I 	Provider				-	-	Met	
	 L61	Health protec-tion in ISP	I 	Provider				-	-	Met	
	 L62	Health protection review	I 	Provider				-	-	Met	
	 L77	Unique needs training	I 	Provider				-	-	Met	
	 L80	Symptoms of illness	L 	Provider				-	-	Met	
	 L81	Medical emergency	L 	Provider				-	-	Met	
O	 L82	Medication administration	L	DDS				1/1	1/1	Met	
	 L84	Health protec-tion training	I 	Provider				-	-	Met	
	 L85	Supervision 	L 	Provider				-	-	Met	
  
 	#Std. Met/50 Indicator								50/50		
 
 	Total Score								56/56		
 	 								100%

Employment and Day Supports:

Indicator #	
Indicator	Location or Individual Indicator	
Reviewed By	
Employment Support	
Center-Based Work	
Community- Based Day Support	
Total Met / Rated	
Rating	
  	 L1	Abuse/Neglect training	I 	Provider	-	-	  	-	Met	
O	 L2	Abuse/Neglect reporting	L	DDS	1/1	  	  	1/1	Met	

Employment and Day Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Reviewed By	
Employment Support	
Center-Based Work	
Community- Based Day Support	
Total Met / Rated	
Rating	
 	 L4	Action taken
	L	Provider	-	-	 	-	Met	
 	 L5	Safety Plan
	L 	Provider	-	-	 	-	Met	
O	 L6	Evacuation
	L	DDS	1/1	1/1	 	2/2	Met	
 	 L7	Fire Drills
	L 	Provider	-	-	 	-	Met	
  	 L8	Emergency Fact Sheets	I	DDS	4/4	3/3	  	7/7	Met	
  	 L9	Safe use of equipment	L 	Provider	-	-		-	Met	
O	 L11	Required inspections	L	DDS	1/1	1/1		2/2	Met	
O	 L12	Smoke detectors	L	DDS	1/1	1/1		2/2	Met	
O	 L13	Clean location
	L	DDS	1/1	1/1		2/2	Met	
  	 L14	Site in good repair	L 	Provider	-	-		-	Met	
 	 L15	Hot water
	L 	Provider	-	-	 	-	Met	
 	 L16	Accessibility
	L 	Provider	-	-	 	-	Met	
	 L17	Egress at grade 	L 	Provider	-	-	  	-	Met	
  	 L18	Above grade egress	L 	Provider	-	-	  	-	Met	
 	 L20	Exit doors
	L 	Provider	-	-	 	-	Met	
	 L21	Safe electrical equipment	L 	Provider	-	-		-	Met	
	 L22	Clean appliances	L 	Provider	-	-		-	Met	
	 L25	Dangerous substances	L 	Provider	-	-		-	Met	
	 L26	Walkway safety	L 	Provider	-	-		-	Met	
 	 L28	Flammables
	L 	Provider	-	-		-	Met	
	 L29	Rubbish/Com-bustibles	L 	Provider	-	-		-	Met	
	 L30	Protective railings	L 	Provider	-	-		-	Met	
	 L31	Communica-tion method	I 	Provider	-	-		-	Met	
	 L32	Verbal & written	I 	Provider	-	-		-	Met	
  	 L37	Prompt treatment	I 	Provider	-	-		-	Met	
	 L38	Physicians’ orders	I 	DDS	4/4	1/2		5/6	Met
(83.33%)	
	 L39	Dietary requirements	I 	Provider	-	-		-	Met	
Employment and Day Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Reviewed By	
Employment Support	
Center-Based Work	
Community- Based Day Support	
Total Met / Rated	
Rating	
	 L44	MAP Registration	L 	Provider	-	-		-	Met	
	 L45	Medication storage	L 	Provider	-	-		-	Met	
	 L49	Informed of human rights	I	Provider	-	-		-	Met	
	 L50	Respectful Comm.	L 	Provider	-	-		-	Met	
 	 L51
	Possessions	I 	Provider	-	-		-	Met	
 	 L52
	Phone calls	I 	Provider	-	-		-	Met	
 	 L54
	Privacy	L 	Provider	-	-		-	Met	
	 L55	Informed consent	I 	Provider	-	-		-	Met	
	 L57	Written Behavior Plans	I 	Provider	-	-		-	Met	
	 L58	Behavior Plan component	I 	Provider	-	-		-	Met	
		Behavior Plan review	I 	Provider	-	-		-	Met	
		Data maintenance	I 	Provider	-	-		-	Met	
	 L61	Health protection in ISP	I 	Provider	-	-		-	Met	
	 L62	Health protection review	I 	Provider	-	-	 
 	-	Met	
  	 L77	Unique needs training	I 	Provider	-	-	  	-	Met	
 	 L80	Symptoms of illness	L 	Provider	-	-	  	-	Met	
  	 L81	Medical emergency	L 	Provider	-	-	  	-	Met	
 	 L84	Health protec-tion training	I 	Provider	-	-		-	Met	
 	 L85	Supervision 	L 	Provider	-
	-		-	Met	
  	 L86	Required assessments	I 	Provider	-	-		-	Not Met	
  	 L87	Support strategies	I 	Provider	-	-		-	Met	
  	 L88	Strategies implemented	I 	Provider	-	-		-	Met	
  
 	#Std. Met/51 Indicator							50/51	  
 	
  	Total Score							56/57	  	
 	 
	 	 	 	 	 	 	98.25%	 	

 

Employment Support Services Reviewed By Provider:	
Indicator #	Indicator	Met/Rated	Rating	
 C22	Explore job interests	-	Met	
 C23	Assess skills & training needs	-	Met	
 C24	Job goals & support needs plan	-	Not Met (0%)	
 C26	Benefits analysis	-	Met