TLF - Brain Injury Survey Instrument by bsn12220

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									                        TRANSITIONAL LIVING FACILITY SURVEY REPORT
                                           Brain Injury Plan
                        Standards and Criteria for Transitional Living Facilities


A transitional living program provides time limited, goal oriented treatment in residential
setting designed to improve the physical, cognitive, communicative, behavioral,
psychological, and social functioning of individuals with brain injury, as well as care and
supervision of the resident. The transitional living program leads to re-entry into the
community and a higher level of independent functioning or a long term supervised
program.

4.1.1                   The facility must be accredited by the Commission on                  YES
(ADMINISTRATOR)         Accreditation of Rehabilitation Facilities (CARF) in Residential      NO
                        Services ( see Standards Manual for CARF).


Comments:


Recommendations:




                4.1.1.1 If the facility cannot be accredited by CARF, by virtue of insufficient beds or
                        admissions, then the following standards must be met:
                        * 4.1.1.1.1 through 4.1.1.1.38 are taken from the Standards Manual for
                         Organization Serving People with Disabilities 1988 Section N: Residential
                        Services.
                        4.1.1.1.1 Individual rights and responsibilities should be communicated at intake and
                        explained to each person and/or personal representative in a manner which is
                        understandable to that person. There should be documentation that this information
                        has been provided and that the rights are preserved. Those served and/or their
                        personal representative should have decision making responsibility and freedom of
                        choice. Such rights should include, but not be limited to, the right to:

                        a. Accept or refuse services.                   Yes         No
                        b. Be free of physical and psychological        Yes         No
                           abuse and neglect.
                        c. Manage one's own fiscal affairs.             Yes         No
                        d. Be free of unnecessary drugs.                Yes         No
                        e. Participate in program planning,             Yes         No
                            decision making, and implementation.
                        f. Purchase property.                           Yes         No
                        g. Choose and wear one's own Clothes.           Yes         No
                        h. Communicate and associate with               Yes         No
                       persons of one's own choice.
                   I. Make and receive confidential telephone Yes           No
                      calls.
                   j. Have unrestricted mailing privileges.      Yes        No
                   k. Practice one's faith or religion.          Yes        No
                   l. Vote in public elections.                  Yes        No
                   m. Offer complaints and receive timely,       Yes        No
                        appropriate response.
                   n. Have freedom of movement inside and Yes               No
                       outside the residence.
                   o. Decline to participate in research.        Yes        No
                   p. Receive information on the results of      Yes        No
                       evaluation, examinations, and treatments.
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.2   There should be a procedure by which individuals served may appeal the
                               decision of one of the organization's staff members or a decision of the
                                interdisciplinary team.The procedures should specify:

                               a. Provisions to inform the          Yes     No
                                  individuals of the procedures.
                               b. Levels of review.                 Yes     No
                               c. Time frames for decision          Yes     No
                                   making.
                               d. Written notification              Yes     No
                                   procedures.
                               e. The rights and responsibilities   Yes     No
                                  of each party.
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.3   Opportunities for regular meetings of individuals served and management
                               should be provided during the year for the purpose of discussing matters
                               of mutual concern.
                                                                 Yes         No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.4   Instruction in the use of available transportation should be provided.
                               Whenever consistent with the needs of those served, the organization
                               should seek to have these individuals meet their own transportation needs.
                               Based on the needs of those served, the organization should provide or
                               coordinate available transportation.
                                                                    Yes         No
Comments:



Recommendations:




                   4.1.1.1.5   Instruction in the use of available community services should be provided.
                               Those served should be assisted, to the extent they choose, to use
                               the available community services.
                                                                    Yes      No
Comments:



Recommendations:




(ADMINISTRATOR))   4.1.1.1.6   The residence should be located in the community in a manner convenient
                               to services which must be accessed by those served. These services
                               food store, banks, places of entertainment, Laundromats, place of worship,
                               etc.
                                                                  Yes        No
Comments:



Recommendations:
(ADMINISTRATOR)    4.1.1.1.7   Individuals should be assisted to become integrated into the cultural
                               activities of the community to the extent they so choose.
                                                                   Yes        No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.8   Each individual should be provided with adequate personal space to assure
                               privacy of person and security of property.
                                                                  Yes      No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.9   Individuals should have properly fitted clothing appropriate to the season,
                               their age, and generally accepted community standards.
                                                                  Yes         No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.10 The residence, being a home, should have provisions for participation in all
                              of the functions that would be found in the home of nondisabled persons,
                              e.g., food preparation and eating, sleeping, bathing, and living.
                                                                 Yes         No

Comments:



Recommendations:
(ADMINISTRATOR)    4.1.1.1.11 Individual possessions and decorations, selected by the individuals, should
                              be evident in their home.
                                                               Yes         No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.12 The home should be designed and maintained so as to fit into the
                              neighborhood.
                                                             Yes        No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.13 The organization should exercise that level of supervision and support
                              necessary to enable the individuals to be good neighbors.
                                                                Yes         No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.14 Positive interactions and relationships among individual's, staff, friends, and
                              neighbors should be evident.
                                                                  Yes       No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.15 Home environments should be designed and available in a manner
                              consistent with the needs and capabilities of persons served.
                                                                 Yes         No
Comments:



Recommendations:




(NURSE)            4.1.1.1.16 Adaptive devices and related equipment should be available for persons
                              with special needs.
                                                               Yes       No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.17 The organization should identify the range of residential alternatives
                              available in the community. Individuals should reside in the least restrictive
                              residential environment available which is compatible with their needs. The
                              appropriateness of that environment should be evaluated semiannually.
                                                                 Yes         No
Comments:



Recommendations:




(PSYCHOLOGIST)     4.1.1.1.18 A plan should be developed with and for each person served in a residential
                               program. The plan should include:
                            a. The desire and choices of the      yes     no
                               individual, including where and
                               how the individual chooses to live
                            b. The strengths and needs of the yes         no
                               individual.
                            c. Where the person will live.        Yes     No
                            d. How friendships and                yes     no
                               relationships will be continued
                               or developed.
                            e. Services which are to be           yes     No
                               provided.
                           f. Short-term and long-term goals Yes           No
                               and objectives which are time-
                               phased, measurable, and
                               functional.
                           g. The methods to achieve the          Yes      No
                               goals.
                           h. The assignment of responsibilities Yes       No
                            I. The methods which will be used Yes          No
                               to assess services.
                            j. The methods which will be used Yes          No
                               to coordinate and integrate the
                               residential services with the
                               family and other available services.
                                                                  Yes      No
Comments:



Recommendations:




(PSYCHOLOGIST)     4.1.1.1.19 Provisions for at least semiannual review of the person's plan for services,
                              goals, and progress toward goals. The review should be conducted by
                              appropriate staff members with the involvement of the individual served and
                              family when appropriate. Where changes have been made in plans, goals,
                              etc., there should be evidence of subsequent implementation.
                                                                 Yes         No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.20 There should be ongoing communication and coordination between the
                              residential program and other service providers.
                                                                Yes        No
Comments:



Recommendations:
(ADMINISTRATOR)    4.1.1.1.21 In order to enhance services, there should be ongoing, effective
                              communication among and coordination between staff associated with
                              residential program.
                                                                 Yes        No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.22 The individuals should have daily access to at least three nutritious meals
                   and access to snacks, consistent with personal choice and timing, unless
                   condtraindicated by their individual plan.
                                                                Yes         No
Comments:



Recommendations:




(NURSE)            4.1.1.1.23 There should be an assessment of each individual's personal care needs.
                                Based on those needs, the organization should provide, as necessary,
                                personal care which protects the safety and health and fosters the
                                development of greater independence, dignity, personal choice, and
                                privacy of the individual. Except as determined by the needs of the specific
                                persons served, the standards for what constitutes appropriate personal
                                care and appropriate personal care services should be those which would
                                be applied for nondisabled individuals.
                                                                   Yes        No
                   The personal care needs include, but are not limited to:
                            a. Bathing                             Yes        No
                            b. Hair Care                           Yes        No
                            c. Skin Care                           Yes        No
                            d. Shaving                             Yes        No
                            e. Nail Care                           Yes        No
                            f. Oral Hygiene                        Yes        No
                            g. Alignmentary procedure to           Yes        No
                                assist in eating
                            h. Bowel and bladder control           Yes        No
                             I. Positioning
                             j. Care and adaptive personal care Yes           No
                                devices
                           k. Feminine Hygiene                   Yes         No
Comments:


Recommendations:



                   4.1.1.1.24 Organizations with residential services should provide or arrange for
                               support or training in the following skills.Each person may not need support
                               or special training in every area, but they should be available for each
                               person who needs them. The services should include but not be limited to,
                               improving:
(ADMINISTRATOR)            a. Housekeeping and home                 Yes         No
                               maintenance skills.
(ADMINISTRATOR)            b. Mobility and community                Yes         No
                               transportation skills.
(PSYCHOLOGIST)              c. Communication skills (oral,          Yes         No
                               written, nonverbal).
(PSYCHOLOGIST)             d. Interpersonal relationships           Yes         No
                               (Including spouse, family, and
                               friends).
(NURSE)                     e. Health maintenance (e.g.,            Yes         No
                               personal hygiene, exercise and
                               fitness, nutrition and diet
                               management, use of medical
                               services and medicine.
(NURSE)                     f. Safety practices including           Yes         No
                               dealing with injuries and
                               life threatening emergencies.
(ADMINISTRATOR)            g. Financial management including Yes                No
                               techniques of consumer
                               purchasing, banking taxes, and
                               repaying debts.
(PSYCHOLOGIST)             h. Basic academic skills.                Yes         No
(ADMINISTRATOR)             I. Management of personal and           Yes         No
                               legal affairs.
(PSYCHOLOGIST)              j. Contingency planning, problem        Yes         No
                               solving, and decision making.
(PSYCHOLOGIST)              k. Self advocacy and assertiveness Yes              No
                               training.
(ADMINISTRATOR)             l. Utilization of community services Yes            No
                               and resources (e.g., Laundromats
                               , library, post office,consumer
                               affairs offices, etc.).
(PSYCHOLOGIST)             m. Recreational and leisure time         Yes         No
                               activities.
(NURSE)                    n. Basic self-care activities, (e.g.,   Yes        No
                              eating, bathing, toileting,
                              transferring, dressing, grooming,
                              etc.).
(PSYCHOLOGIST)             o. Work attitude and skills             Yes        No
                              exploration.
(ADMINISTRATOR)            p. Menu planning and meal               Yes        No
                              preparation.
(ADMINISTRATOR)            q. Use of the telephone.                Yes        No
(PSYCHOLOGIST)             r. Human sexuality.                     Yes        No
(ADMINISTRATOR)            s. Consumer affairs and rights(e.g.,    Yes        No
                              familiarity with warranties
                              policies and procedures of
                              governmental and community
                              agencies.
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.25 Provisions should be made for individuals to use skills, acquired through
                              training, in the community and in the skills, acquired through training, in the
                              community.
                                                                 Yes          No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.26 A daily activity schedule, consistent with the patterns of life for nondisabled
                              persons and reflecting the individual's personal choices, age, and service
                              needs, should be established and followed except when this is not
                              appropriate because of the level of independence achieved by the individual.

                           a. The activities scheduled should Yes             No
                              provide for reasonable amount of
                              free time.
                           b. At least 30 hours per week of    Yes            No
                              scheduled, meaningful activity
                              should be made available outside
                              the person's home.
                           c. The activity scheduled should        Yes      No
                              reflect the provision of opportunities
                              for integrated community
                              recreational and leisure activities.
                                There should be evidence that
                                individuals have chosen their
                                own recreational activities.
Comments:



Recommendations:




(NURSE)            4.1.1.1.27 The health care needs of those served should be identified and followed
                              with the needed services. The level of intensity in the provision of these
                              services should relate to the identified needs. Dependent on those needs,
                              arrangements should be made for the following services:

                           a.Physician services                  Yes        No
                           b.Nursing services                    Yes        No
                           c.Dental services                     Yes        No
                           d.Psychological services              Yes        No
                           e.Pharmaceutical services             Yes        No
                           f.Dietary services                    Yes        No
                           g.Other preventive, restorative, and Yes         No
                             rehabilitation services as needed.
                          h. Community medical support           Yes        No
                             services (e.g., hospitals, medical
                             laboratory, diagnostic x-rays,etc.)
Comments:



Recommendations:




(NURSE)            4.1.1.1.28 Health care services should be coordinated and delivered by persons whose
                              qualifications and services meet applicable licensing provisions and
                              accepted standards. Community integration should be enhanced in the
                              selection of these services.
                                                                Yes          No
Comments:
Recommendations:




                   4.1.1.1.29 Understanding that people receiving residential services have a wide range
                              of health care needs, written policies and procedures, appropriate to the
                              intensity of health care services needed, should be developed. These may
                              include, but not be limited to the following:

(NURSE)                   a. Nursing practices, such as:
                             1. Pulmonary care practices.      Yes         No
                             2. Care of routine illness.       Yes         No
                             3. Provision of emergency         Yes         No
                             services.
                             4. First aid and CPR.             Yes         No
                             5. Seizure care                   Yes         No
                             6. Observation for symptoms of Yes            No
                             illness.
                             7. Use/maintenance of health      Yes         No
                             care equipment.
                             8. Sanitation/ infection control  Yes         No
                             and communicable disease.
(NURSE)                   b. Medical and dental services, such as:
                             1. Prescriptive practices for     Yes         No
                             medications and treatment.
                             2. Practices for obtaining        Yes         No
                             emergency services.
                             3. Frequency of preventive        Yes         No
                             examinations, e.g., cancer
                             screening.
                             4. Self medications programs.     Yes         No
                             5. Planned decrease in the use    Yes         No
                             of psychotropic drugs.
(NURSE)                   c. Pharmacy practices, such as:
                             1. Safe administration, handling Yes          No
                             storage, and disposal of medications.
                             2. Emergency drug kits.           Yes         No
                             3. Governmental licensing         Yes         No
                             standards, etc.
(NURSE)                   d. Dietary practices, such as:
                             1. Nutritional consultation       Yes         No
                             2. Diet control.                  Yes         No
                              3. Dietary changes (liquid,        Yes        No
                              modified, etc.)
                              4. Sanitation procedures.          Yes        No
                              5. Menu Planning.                  Yes        No
                              6. Food Preparation.               Yes        No
                              7. Governmental licensing          Yes        No
                              standards, etc.
(PSYCHOLOGIST)             e. Psychological services             Yes        No
(NURSE)                    f. Coordinating healthy care          Yes        No
                              services,etc.
Comments:



Recommendations:




(NURSE)            4.1.1.1.30 Procedures should be established to assure that staff understand health
                              care polices/procedures and that these are reviewed at least annually.
                                                                Yes        No
Comments:



Recommendations:




(PSYCHOLOGIST)     4.1.1.1.31 An individual should be designated to administer and manage the
                              residential services.
                                                                Yes        No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.32 The organization should identify the knowledge, skills, and abilities which
                              the individual who directs the residential component should possess. It
                              should ensure that the person has same. Examples of these include
                              management and supervisory skills, knowledge of what the organization
                              seeks to accomplish, and the innovative service ideologies to accomplish
                              the program's purposes.
                                                                 Yes        No
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.33 Each residential setting should have an individual (s) designated with
                              responsibility for supervision of that home. The same individual, depending
                              on size and scope of the residential component, may be responsible for the
                              administration & management functions as well as for the home supervision
                              functions.
                                                                   Yes       No
Comments:



Recommendations:




                   4.1.1.1.34 The organization should provide orientation and on-going training for
                               residential staff which includes, but is not limited to, the following:
(PSYCHOLOGIST)              a. Introduction to disability            Yes         NO
(ADMINISTRATOR)            b. Philosophy of the organization in Yes              NO
                               such areas as personal dignity,
                               family interactions, participation in
                               community life.
(ADMINISTRATOR)             c. Individual rights and how to          Yes         No
                               assist people to secure and exercise
                               those rights.
(ADMINISTRATOR)            d. Achieving community integration. Yes               No
(PSYCHOLOGIST)              e. Positive teaching approaches to Yes               No
                               be used with those served.
(ADMINISTRATOR)             f. Confidentiality                       Yes         No
(PSYCHOLOGIST)             g. Conflict resolution                    Yes         No
(PSYCHOLOGIST)             h. Prevention/reporting of neglect        Yes         No
(PSYCHOLOGIST)              I. Functional skills training            Yes         No
(ADMINISTRATOR)             j. Housekeeping skills                   Yes         No
(PSYCHOLOGIST)              k. Characteristics of individuals        Yes         No
                               (e.g., means of communication,
                               required degree of supervision,
                               guardianship, special needs,
                               medications, general health, day
                               services arrangements.
(ADMINISTRATOR)            l.   Incident reporting                Yes         No
(ADMINISTRATOR)           m.    Meal preparations                 Yes         No
(PSYCHOLOGIST)            n.    Human sexuality                   Yes         No
(NURSE)                   o.    Safety and health (e.g., vehicle Yes          No
                                safety, first aid, medical
                                emergencies, medication storage,
                                fire safety, home safety, minimum
                                client supervision requirements)
(PSYCHOLOGIST)             p.   Communication and active          Yes         No
                                listening skills.
(ADMINISTRATOR)            q.   Scheduling (e.g., daily routines, Yes         No
                                menu planning and meal preparation,
(ADMINISTRATOR)            r.   Documentation and record          Yes         No
                                keeping.
(NURSE)                    s.   Behavior management practices Yes             No
Comments:



Recommendations:




                   4.1.1.1.35 The following information regarding each individual should be accessible to
                               designated staff and authorized individuals at all times, or be related in the
                               home:
(ADMINISTRATOR)            a. Permanent address, if other than Yes            No
                               residence
(ADMINISTRATOR)            b. Name, address, and telephone         Yes        No
                               number of next of kin or significant
                               other.
(ADMINISTRATOR)            c. Guardianship status and, if          Yes        No
                               appropriate, name, address, and
                               telephone number or the
                               representative payee, conservator,
                               guardian and /or personal representative.
(NURSE)                    d. Designation of primary care          Yes        No
                               physician.
(NURSE)                    e. Hospital preferred                   Yes        No
(NURSE)                     f. Allergies                           Yes        No
(NURSE)                    g. Current medications including        Yes        No
                               prescribing physician, administration
                               times, and dosage.
(NURSE)                    h. Essential medical information        Yes        No
                               including diagnosis(es) and current
                                notes or medical and psychological
                                significance.
(NURSE)                    I.   Results of health and other          Yes    No
                                service assessments.
(NURSE)                    j.   Procedures to obtain                 Yes    No
                                authorization for emergency
                                treatment.
(NURSE)                    k.   Medical card or insurance            Yes    No
                                information regarding reimbursements
                                for emergency services.
(ADMINISTRATOR)            l.   The overall service plan of the      Yes    No
                                person served
(ADMINISTRATOR)           m.    Statement regarding the progress Yes        No
                                the person served toward achieving
                                residential program objectives.
(ADMINISTRATOR)           n.    Incident reports                     Yes    No
(ADMINISTRATOR)           o.    Any limitations of the person's      Yes    No
                                mobility in the community
(ADMINISTRATOR)            p.   Contact information, such as         Yes    No
                                telephone numbers for day program
                                activities, transportation services, etc.
(ADMINISTRATOR)            q.   A schedule of daily activities.      Yes    No
(ADMINISTRATOR)            r.   Social Security number of the        Yes    No
                                individual.
(ADMINISTRATOR)            s.   Date of admission to the             Yes    No
                                residential program.
(ADMINISTRATOR)            t.   Primary language understood.         Yes    No
(ADMINISTRATOR)            u.   For security purposes, a             Yes    No
                                recent photograph of the individual.
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.36 Where the organization provides Supervised Living as a part of the
                              residential program, the standards which follow should be met in addition
                              to other applicable standards. The program has services which provide
                              individualized care, supervision, and training to maintain and promote the
                              self-sufficiency of one or more people with disabilities. Such services are
                              provided in homes which staff are present nightly and usually at other times
                              when individuals are at home
                                                                 Yes          No
                           a. The home should be maintained Yes               No
                              in a safe and healthful manner.
                              Policies and procedures should
                              be directed to the handling of
                              laundry, disposal of trash, potential
                              infestations, cleaning of cooking
                              and eating utensils, food storage,
                              storage of cleansers and other
                              potentially hazardous substances.
                           b. Staffing rations should be          Yes         No
                              established based on the individual
                              needs of persons in the residence.
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.37 Where the organization provides Supported Independent Living as part of
                              the residential program, the standards which follow should be met in
                              addition to other applicable standards. This is a program which provides
                              training and support to individuals who are primarily independent, which
                              enables them to maximize and maintain their independence and self
                              direction. Staff are available as needed and are present on a planned,
                              periodic basis to offer the training and/or assistance, but not direct supervision
                              in the homes in which these individuals live.
                                                                               Yes         No

                           a. The organization should provide or arrange      Yes         No
                              for a systematic, goal-directed program of
                              services designed to maximize the
                              capacity of individuals to live independently
                              in their community.
                           b. The following services should be provided       Yes         No
                              depending upon the needs of those served.
                              1. Equipment loan, repair, and/or delivery      Yes         No
                              2. TTD/TTY relay services for the deaf or       Yes         No
                              hearing impaired
                              3. Interpreter services for the deaf or the     Yes         No
                              hearing impaired
                              4. Maintenance of listings or reader for the    Yes         No
                              blind or visually impaired.
                              5. Services to facilitate architectural        Yes       No
                              accessibility or barrier-free environments.
                              6. Vocational, avocational, and educational Yes          NO
                              attitude and skills exploration
                              7. Maintenance of listing, referrals and       Yes       No
                              training or personal care attendants, and/or
                              training or individuals in how to use personal
                              care attendants.
                          c. There should be a staffing plan detailing the Yes         No
                              type, amount, and level of staff coverage and
                              support necessary including the need for
                              professional service staff. This plan should
                              be driven by the needs of those being served
                              in the program.
                          d. The person served should be empowered by Yes              No
                              giving that individual the responsibility to
                              verify that services were actually received.
                           e. There should be a written procedure address Yes          No
                              crisis intervention.
Comments:



Recommendations:




(ADMINISTRATOR)    4.1.1.1.38 Where the organization provides a Family Living Program as part of the
                              residential program, the standards which follow should be met in addition to
                              other applicable standards. The program provides, through a contractual
                              relationship, a family environment to maximize individual potential through
                              enhanced belonging, acceptance, and continuity of relationships. The
                              family provides care, supervision, and training in a manner consistent with
                              the family environment. The setting for the program is the home of the
                              family. This home includes on or more unrelated people with disabilities
                              participating as family members. Family living arrangements are initiated,
                              monitored, and supported by the organization. The program may be
                              provided to either children or adults.
                                                                             Yes        No
                                       a. The organization should define     Yes        No
                                          the qualities and characteristics
                                          of the families selected, based
                                          upon the needs of the persons
                                          served.
                                       b. There should be written            Yes        No
                        procedures covering the
                        recruitment, screening, training,
                        and backup for parents.
                   c.   There should be provisions for    Yes   No
                        respite care services.
                   d.   Families should receive           Yes   No
                        orientation training in areas
                        including, but not limited to:
                        1. Their role as an advocate for Yes    No
                        the person served.
                        2. The relationship between the Yes     No
                        family and the organization.
                        3. Family dynamics.               Yes   No
                   e.   The organization should identify Yes    No
                        the roles and responsibilities of
                        the family and the organization.
                   f.   The organization should monitor Yes     No
                        the homes regularly, and should
                        evaluate the home at least annually.
                   g.   The organization should assure Yes      No
                        that adequate coverage is available
                        in the family settings.
Comments:



Recommendations:
ct supervision

								
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