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Employment & Day Services Forum New Jersey Department of Human Services Division of Developmental Disabilities.

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Presentation on theme: "Employment & Day Services Forum New Jersey Department of Human Services Division of Developmental Disabilities."— Presentation transcript:

1 Employment & Day Services Forum New Jersey Department of Human Services Division of Developmental Disabilities

2 Agenda IntroductionIntroduction 2007 Standards for Supported Employment2007 Standards for Supported Employment 2007 Standards for Adult Day Programs2007 Standards for Adult Day Programs BreakBreak DDD MonitoringDDD Monitoring Q & AQ & A

3 Thank You Committee Members Kathy WalshKathy Walsh Aaron SotoAaron Soto Julia McConnellJulia McConnell Jeanette MarquezJeanette Marquez Naomi WooleverNaomi Woolever Ted KleinTed Klein Jennifer Joyce Terre Lewis Roni Kantor Kate Logan

4 Thank You Pilot Participants CP of North Jersey – NROCP of North Jersey – NRO ARC Essex County – UCROARC Essex County – UCRO New Horizons in Autism – LCRONew Horizons in Autism – LCRO Kelsch Associates - SROKelsch Associates - SRO

5 The Manuals Supported Employment Standards and Day Program Standards decoupledSupported Employment Standards and Day Program Standards decoupled Both manuals, forms, and attachments found at: manuals, forms, and attachments found at: Standards vs. How toStandards vs. How to

6 Standards for Supported Employment Services 2007 New Jersey Department of Human Services Division of Developmental Disabilities

7 Assistant Commissioner Kenneth Ritchey Office of Housing & Resource DevelopmentOffice of Housing & Resource Development –Director, Kathie Szul Terre Lewis, Tom CodyTerre Lewis, Tom Cody Regional AT/SE CoordinatorsRegional AT/SE Coordinators –NRO- Pat Mayurnik –UCRO- Naomi Woolever –LCRO- Roni Kantor –SRO- Jeanette Marquez Supported Employment Providers/VendorsSupported Employment Providers/Vendors

8 Section I (p. 4-5) Introduction Purpose and ScopePurpose and Scope –Purpose of this manual is to establish standards for the provision of SE services –Applies to all DDD contracted SE providers –This replaces the former SE/DP Manual of 2002 How to use this ManualHow to use this Manual MonitoringMonitoring Supported Employment BackgroundSupported Employment Background Supported Employment Vision StatementSupported Employment Vision Statement Supported Employment Mission StatementSupported Employment Mission Statement

9 Section II (p.6-12) Overview of SE Services Basic TerminologyBasic Terminology Models of Supported EmploymentModels of Supported Employment Phase of Supported EmploymentPhase of Supported Employment Instructional Teaching TechniquesInstructional Teaching Techniques

10 Section III- (p.13) Interagency Agreement & Coordination with DVRS & CBVI Basic Terms of Interagency AgreementBasic Terms of Interagency Agreement Coordination with DVRS & CBVI~ All DDD contracted SE service providers must be DVRS and/or CBVI vendors for SE services.Coordination with DVRS & CBVI~ All DDD contracted SE service providers must be DVRS and/or CBVI vendors for SE services. * A new MOU is currently under revision. Changes to manual to follow….

11 Section IV (p.14-19) Standards Chapter 1-AdministrationChapter 1-Administration –Policy & Procedures –Program Description –Annex A –Continuous Quality Improvement –Accreditation Chapter 2- PersonnelChapter 2- Personnel –Legal Compliance –Minimum Staff Compliance –Professional Development –Staff Personnel File

12 Standards continued… Chapter 3- Service Delivery (p-20-22)Chapter 3- Service Delivery (p-20-22) –Follow Along Supports –Assignment/Designation of Plan Coordination –Service Plan Development –Advocacy & Rights –Complaints –Direct Time & Billable Hours –Follow Along Services

13 Standards continued… Chapter 4- Record Keeping & Reporting (p )Chapter 4- Record Keeping & Reporting (p ) –Individual File –Intervention Plan & Service Log –SE Monthly Data Report –Online Attendance

14 Section V Resources State ResourcesState Resources Professional Support & ResourcesProfessional Support & Resources Advocacy & SupportAdvocacy & Support Centers for Independent LivingCenters for Independent Living Accommodation Information and SupportAccommodation Information and Support TransportationTransportation Additional Resources/WebsitesAdditional Resources/Websites

15 Section VI Appendices Interagency Agreement (DDD, DVRS, & CBVI)Interagency Agreement (DDD, DVRS, & CBVI) Interagency Wage & Hour DivisionInteragency Wage & Hour Division Division Rights DocumentDivision Rights Document Continuous Quality Improvement TemplateContinuous Quality Improvement Template Service Plan (IHP)Service Plan (IHP) Flow ChartFlow Chart Unusual Incident ReportUnusual Incident Report

16 Section VII Forms Intervention Plan & Service LogIntervention Plan & Service Log Supported Employment Monthly ReportSupported Employment Monthly Report DVRS/CBVI Determination Notification LetterDVRS/CBVI Determination Notification Letter Orientation ChecklistOrientation Checklist Monthly Individual Attendance and Service Hour Report*Monthly Individual Attendance and Service Hour Report*

17 Major Changes

18 SE Manual separated from the DPSE Manual separated from the DP Vision & Mission StatementVision & Mission Statement TerminologyTerminology StandardsStandards FormsForms ReportingReporting

19 Changes to Standards Personnel StandardsPersonnel Standards –Specific to Supported Employment –Aligned with DVRS standards –Training Orientation prior to independent field workOrientation prior to independent field work Completion of Job Coach 1 & 2 w/in the first 120 days of employmentCompletion of Job Coach 1 & 2 w/in the first 120 days of employment Professional Development Training - 2 trainings annually*Professional Development Training - 2 trainings annually* Training applies to all direct service staff including SE supervisorsTraining applies to all direct service staff including SE supervisors

20 More changes to Standards Service DeliveryService Delivery –Minimum of one face to face contact per month unless otherwise agreed upon by the Interdisciplinary Team (IDT) and is documented in the Service Plan (IHP) –The Job Coach or SE representative shall attend the Service Plan meeting –For individuals receiving only SE services, the assignment of the Service Plan coordinator shall be the DDD Case Manager

21 Changes to Terminology Consistent with National definitions according to the Department of Labor…..Consistent with National definitions according to the Department of Labor…..

22 Changes to Forms & Reports DDD & DVRS will share the same form…..the Intervention Plan & Service LogDDD & DVRS will share the same form…..the Intervention Plan & Service Log The Orientation Check list shall be completed and maintained in employee personnel files (n/a to employees hired prior to January 1 st, 2008)The Orientation Check list shall be completed and maintained in employee personnel files (n/a to employees hired prior to January 1 st, 2008) Supported Employment Monthly ReportSupported Employment Monthly Report

23 More Changes to Come…. DDD, DVRS & CBVI are currently revising the Memorandum of Understanding (MOU).DDD, DVRS & CBVI are currently revising the Memorandum of Understanding (MOU). –Changes will be made to the Supported Employment Manual upon Completion of the MOU –It is recommended that you regularly check the DDD web for any notifications of change

24 Technical Assistance Jennifer Joyce- Director, Training & Consultation Services The Arc of New Jersey- Project Hire (Telephone) ext. 32 ( )

25 Standards For Adult Day Programs 2007 New Jersey Department of Human Services Division of Developmental Disabilities

26 Manual Outline I.Introduction How to use the manualHow to use the manual II.Definitions III.Standards IV.Appendices Forms and other documentsForms and other documents V.Index

27 Purpose The purpose of this manual is to establish standards for the provision of day services to people with developmental disabilitiesThe purpose of this manual is to establish standards for the provision of day services to people with developmental disabilities

28 Scope This manual shall apply to the following program models:This manual shall apply to the following program models: –Adult Day Services –Adult Day Services - Special Needs –Adult Day Services - Crew Labor

29 Standards Chapter - Number and TitleChapter - Number and Title Subchapter - Numbered standardsSubchapter - Numbered standards Code:Code: –S = Standard –PP = Policy and Procedure –F# = Form # –A# = Appendix #

30 Chapter 7Policy and Procedure Manual SubchapterCode 7.1 The service provider shall develop and implement a manual of written procedures to ensure that the service delivery system complies with the standards governing adult day services for individuals with developmental disabilities 7.1:1S The procedures shall be reviewed annually with documentation of the review and revised as necessary.

31 Major Changes

32 Waiver/ Variance (new) Chapter 3, page 10 Waiver - the temporary suspension of a standard that is granted in writing by the DivisionWaiver - the temporary suspension of a standard that is granted in writing by the Division Variance - written recognition by the Division that the program has complied with the intent of a standard in a Division-approved alternative mannerVariance - written recognition by the Division that the program has complied with the intent of a standard in a Division-approved alternative manner

33 Waiver/ Variance May present no danger to the health, welfare or rights of individualsMay present no danger to the health, welfare or rights of individuals Requests made to Regional AT/SE CoordinatorRequests made to Regional AT/SE Coordinator Use waiver/ variance formUse waiver/ variance form Provide justificationProvide justification Issuance limited to:Issuance limited to: –Hardship to program –Individual needs

34 Complaints (new) Chapter 4, page 16Complaints (new) Chapter 4, page 16 Contract (new) Chapter 5, page 12Contract (new) Chapter 5, page 12 Continuous Quality Improvement Chapter 6 page 13Continuous Quality Improvement Chapter 6 page 13

35 Policy & Procedure (new) Chapter 7, page 14 Developed by service providerDeveloped by service provider Available on site for staffs useAvailable on site for staffs use 10 required Policies/ procedures10 required Policies/ procedures Must comply with standardsMust comply with standards Reference Division Circulars when indicatedReference Division Circulars when indicated

36 Policy & Procedure Unusual Incident ReportingUnusual Incident Reporting InvestigationsInvestigations Abuse, Neglect and ExploitationAbuse, Neglect and Exploitation Complaint/ Grievance ResolutionComplaint/ Grievance Resolution Emergency PlansEmergency Plans Life-Threatening EmergenciesLife-Threatening Emergencies Health/ MedicalHealth/ Medical Medication AdministrationMedication Administration TransportationTransportation PersonnelPersonnel

37 Personnel Chapter 8, page 15Personnel Chapter 8, page 15 Staff Training (new) Chapter 9, page 18Staff Training (new) Chapter 9, page 18 Staff Personnel File (new) Chapter 10, page 21Staff Personnel File (new) Chapter 10, page 21

38 Physical Plant Chapter 11, page 21Physical Plant Chapter 11, page 21 TransportationChapter 12, page 22TransportationChapter 12, page 22 SafetyChapter 13, page 24SafetyChapter 13, page 24

39 Advocacy and Rights (new) Chapter 14, Page 25Advocacy and Rights (new) Chapter 14, Page 25 Rules (new) Chapter 15, Page 26Rules (new) Chapter 15, Page 26 Program Design Chapter 16, page 27Program Design Chapter 16, page 27

40 Admission/DischargeChapter 17, page 28Admission/DischargeChapter 17, page 28 Suspension/AttendanceChapter 18, page 30Suspension/AttendanceChapter 18, page 30 Health and MedicalChapter 19, page 32Health and MedicalChapter 19, page 32

41 Unusual IncidentsChapter 21, page 39Unusual IncidentsChapter 21, page 39 Behavior ManagementChapter 22, page 40Behavior ManagementChapter 22, page 40 Service PlanChapter 23, page 41Service PlanChapter 23, page 41

42 Daily Training RecordChapter 24, page 42Daily Training RecordChapter 24, page 42 CompensationChapter 25, page 43CompensationChapter 25, page 43 Financial (new) Chapter 26, page 44Financial (new) Chapter 26, page 44

43 Individual RecordsChapter 27, page 45Individual RecordsChapter 27, page 45 Other RecordsChapter 28, page 47Other RecordsChapter 28, page 47

44 Forms Download from the webDownload from the web Specific to day programsSpecific to day programs Instructions available for someInstructions available for some Templates coming soon!Templates coming soon!

45 Appendices Download from the webDownload from the web Standard DDD formsStandard DDD forms Reference materialsReference materials

46 Index Alphabetical listing of subjects, topics, terms and the pages they can be found onAlphabetical listing of subjects, topics, terms and the pages they can be found onA Activity Schedule, 4 ADA, 21 Adaptive Behavior Summary, 28, 45, 48 Adaptive Equipment, 4 Administration, 2, 35, 36, 37, 45, 48 Admission, 2, 28, 48

47 DDD Monitoring

48 Beginning January 2008Beginning January % of agencies per year20% of agencies per year 30 days prior notice30 days prior notice Data collected with monitoring toolData collected with monitoring tool Exit meeting to review findingsExit meeting to review findings Review ReportReview Report Follow upFollow up Technical assistanceTechnical assistance

49 Monitoring Areas Administrative ReviewAdministrative Review Employee Personnel File ReviewEmployee Personnel File Review Individual Record ReviewIndividual Record Review Facility ReviewFacility Review Transportation ReviewTransportation Review Medication ReviewMedication Review Supported Employment ReviewSupported Employment Review

50 Monitoring Domains Critical findingsCritical findings –Urgent, need immediate attention Significant FindingsSignificant Findings –Impede program from meeting regulatory requirements Moderate FindingsModerate Findings –Potentially impede the agency, program, or individual from receiving services

51 Day Program –Supported Employment address DDD Home Page

52 Q & A


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