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Updated 1/14/2014 Check Once Filed Std. # Documentation 1A-01 M Sanitation and Housekeeping P&P Letter certifying potability from Boston Water and Sewer Commission Website information from Boston Water and Sewer Commission 1A-02 M Sanitation and Housekeeping P&P Health Permit Food Services Inspection from Boston Inspectional Services Certificate of Compliance for Kitchen Grease Exhaust House Details List 1A-03 Sanitation and Housekeeping P&P Room Search Forms Daily Inspection Sheets Weekly Safety and Sanitation Checklists 1A-04 M Sanitation and Housekeeping P&P Site Cleanliness License Weekly Safety and Sanitation Checklists Daily Inspection Sheets Room Search Forms Casella Waste Invoices 1A-05 M Sanitation and Housekeeping P&P AAA Exterminating Treatment Plan Letter AAA pink site documents AAA invoices 1A-06 Sanitation and Housekeeping P&P House Details List Daily Inspection Sheets Room Search Forms 1A-07 Resident Living Environment P&P Letter from Turner Engineers re: foot candles (adequate lighting) 1A-08 Resident Living Environment P&P Letter from Turner Engineers re: ventilation 1A-09 Zoning and Building Code Compliance P&P City of Boston Inspection Certificate Certificate of Use and Occupancy 1A-10 Resident Living Environment P&P COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LIST

COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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Page 1: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

Check Once Filed

Std. # Documentation1A-01 M Sanitation and Housekeeping P&P

Letter certifying potability from Boston Water and Sewer CommissionWebsite information from Boston Water and Sewer Commission

1A-02 M Sanitation and Housekeeping P&PHealth PermitFood Services Inspection from Boston Inspectional ServicesCertificate of Compliance for Kitchen Grease ExhaustHouse Details List

1A-03 Sanitation and Housekeeping P&PRoom Search FormsDaily Inspection SheetsWeekly Safety and Sanitation Checklists

1A-04 M Sanitation and Housekeeping P&PSite Cleanliness LicenseWeekly Safety and Sanitation ChecklistsDaily Inspection SheetsRoom Search FormsCasella Waste Invoices

1A-05 M Sanitation and Housekeeping P&PAAA Exterminating Treatment Plan LetterAAA pink site documentsAAA invoices

1A-06 Sanitation and Housekeeping P&PHouse Details ListDaily Inspection SheetsRoom Search Forms

1A-07 Resident Living Environment P&PLetter from Turner Engineers re: foot candles (adequate lighting)

1A-08 Resident Living Environment P&PLetter from Turner Engineers re: ventilation

1A-09 Zoning and Building Code Compliance P&PCity of Boston Inspection CertificateCertificate of Use and Occupancy

1A-10 Resident Living Environment P&P

COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LIST

Page 2: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

City of Boston Inspection CertificateCertificate of Use and OccupancyBedsheets

1A-11 Sanitation and Housekeeping P&PFloor plans with janitorial supplies highlighted

1A-12 Resident Living Environment P&PShower ratios (# of beds to # of showers)Daily Kitchen Temperature Checklist

1A-13 Resident Furnishings P&PPhotographs of writing and seating areas

1A-14 Resident Living Environment P&PBedsheets

1A-15 Resident Furnishings P&PIntake Process P&PResident Handbook (Resident Rooms)Memo from Assistant Director: "I have reviewed the rules and regulations and no updates have been necessary"Photograph of resident room

1B-01 M Fiscal Travel P&PCar inspection documentationCar lease documentsCar registration

1B-02 Fiscal Travel P&PMemo from Assistant Director re: no repairs performed on vehicle

1B-03 Fiscal Travel P&PCommunity Verification Specialist License

1B-04 Fiscal Travel P&PFiscal Insurance P&PCRJ Summary of Insurance DocumentsCar registration

1C-01 Emergency Plans P&PMemo from Assistant Director re: no emergencies at Coolidge House

1C-01-1 Emergency Plans P&PMemo from Assistant Director re: no critical incidents at Coolidge House

1C-02 M Emergency Plans P&P

Page 3: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

Memo from Assistant Director re: review of emergency & evacuation plansFloor plansEmergency Evacuation Plans in English and Spanish

1C-04 M Emergency Plans P&PEmployee Orientation ChecklistTraining Schedule

1C-05 M Emergency Plans P&PFloor plansCopies of Letters containing Emergency Plans sent to FEMA, Boston Fire, Boston Police

1C-06 Work Stoppage Plans P&PMemo re: no work stoppage in history of Coolidge HouseTraining Schedule

1C-07 Work Stoppage Plans P&PMemo re: no work stoppage in history of Coolidge House

1C-08 M Fire Safety Plans P&PBoston Fire InspectionBoston Fire Permit

1C-09 M Fire Safety Plans P&PEmergency Plans P&PResident Handbook (Fire Safety)Fire Drills (fire drill log page and notes from general log)Floor plansCopy of Letter Containing Emergency Plan sent to Boston Fire DepartmentTraining Schedule

1C-10 M Fire Safety Plans P&PBoston Fire InspectionBoston Fire PermitCertificate of Compliance for Kitchen Grease ExhaustRE Lyons InspectionGeneral Fire Extinguishers, Inc. System Inspection ReportRE Lyons InvoicesATE Security Systems InvoicesABCO Fire Protection Invoices

1C-11 M Fire Safety Plans P&PCity of Boston Inspection Certificate

1C-12 M Fire Safety Plans P&PRE Lyons Inspection

Page 4: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

General Fire Extinguishers, Inc. System Inspection ReportMemo re: review of fire prevention plan at Coolidge House

1C-13 M Fire Safety Plans P&PRE Lyons InspectionGeneral Fire Extinguishers, Inc. System Inspection Report

1C-14 M Fire Safety Plans P&PBoston Fire InspectionBoston Fire PermitCertificate of Compliance for Kitchen Grease ExhaustGeneral Fire Extinguishers, Inc. System Inspection ReportCity of Boston Inspection CertificateRE Lyons InspectionFloor plansInvoices from RE Lyons, ATE, ABCO

1C-15 M Fire Safety Plans P&PBob Barker invoicesBob Barker Flammability Ratings for pillows and blanketsECIN and H.T. Berry Invoices

1C-16 M Fire Safety Plans P&PResident Handbook (prohibited items)Employee orientation checklists

1C-17 M Fire Safety Plans P&PResident Handbook (prohibited items)Memo re: Coolidge House does not use or store flammables

1C-18 Fire Safety Plans P&PResident Handbook (prohibited items)Resident Handbook Acknowledgment FormsTraining Schedule

2A-01 Resident Accountability P&PControl and Use of Tools P&PControl and Use of Keys P&PVendor/Contractor Supervision P&PVisitation P&PResident Handbook (Resident Accountability)Resident Handbook (Visitors)Structure Sheet highlighting time out, time in, and C.O.D.Page from Visitor's Log

2A-02 Visitation P&PVendor/Contractor Supervision P&P

Page 5: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

Resident Handbook (Visitors)General Log documenting a visitor's arrival and departurePage from Visitor's Log

2A-03 Adult Budget Breakdown

2A-04 Staff Availability P&PDesk Staff ScheduleWEDO schedule

2A-05 Staff Availability P&PMemo re: no female residents at Coolidge House

2A-06 N/A: Not governed by civil service or unions

2A-07 Resident Admission Criteria P&PLSIs

2A-08 Resident Admission Criteria P&PResident Rejection Letter

2A-09 Shift Summaries from general log

2A-10 M Weapons P&PMemo re: no instances involving weapons at Coolidge House

2A-11 Resident Accountability P&PBedsheetsHeadcounts

2A-12 Resident Accountability P&PIAN (abscond) and general log note showing the incidentIAN (escape) and general log note showing the incident

2A-13 N/A: No electronic monitoring2A-14 N/A: No electronic monitoring2A-15 N/A: No electronic monitoring2A-16 N/A: No electronic monitoring2A-17 N/A: No electronic monitoring

2B-01 M Use of Force P&PMemo re: no incidents of use of force at Coolidge House

2B-02 Use of Force P&PMemo re: no incidents of use of force at Coolidge House

2B-03 Use of Force P&P

Page 6: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

Memo re: no incidents of use of force at Coolidge House

2C-01 Searches P&PResident Handbook (prohibited items)Resident Handbook Acknowledgment Forms

2C-02 Searches P&PResident Handbook (prohibited items)Chronological Log of urine specimensWeekly Safety and Sanitation ChecklistsAlco-sensor logsBag searchesRoom search

2C-03 Searches P&PResident Handbook (prohibited items, rules and sanctions, list of BOP prohibited acts)Incident reports for contraband

2C-04 N/A: No body cavity searches2C-05 N/A: No body cavity searches2C-06 N/A: No strip searches

2D-01 M Control and Use of Tools P&PControl and Use of Keys P&PTool Control PlanUtensil Control PlanTool InventoryTool sign in/out sheet

2D-02 M Control and Use of Tools P&PControl and Use of Keys P&PTool Control PlanUtensil Control PlanTool sign in/out sheet

2D-03 M Control and Use of Tools P&PControl and Use of Keys P&PResident Key InventoryStaff Key InventoryKey Return Form for staff

3A-01 Resident Rules and Sanctions P&PRH (program rules; violations & sanctions; BOP prohibited acts)

3A-02 Resident Rules and Sanctions P&PRH (program rules; violations & sanctions)

Page 7: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

Memo re: "I have reviewed the rules and regulations and no updates have been necessary"

3A-03 Resident Rules and Sanctions P&PRH (program rules; violations & sanctions; BOP prohibited acts)

3A-04 Resident Rules and Sanctions P&PIntake Process P&PRH (program rules; violations & sanctions; medical services)Blue card, RH acknowledgment form, orientation checklist, agreement form all stapled together Case notes with medical discussion highlighted

3A-05 Resident Rules and Sanctions P&PCase notes in English/Spanish (if applicable)Resident Handbook in Spanish

3A-06 Intake Process P&PResident Rules and Sanctions P&PRH (subsistence)RH (rules; violations & sanctions)

3A-07 Resident Rules and Sanctions P&PEmployee Handbook (Professional behavior highlighted)Staff warnings from Assistant Director of Operations for failing to show up for a shift

Employee checklist with staff integrity and professionalism section highlighted

4A-01 M Food Services P&PDietician LicenseLetter from Pine Street Inn re: low sodium, low fat diet without the addition of sugarsMenus

4A-02 M Food Services P&PDocumentation of special medical diets (general log notation of a diabetic resident; structure sheet labels re: special diet, etc.)

4A-03 Food Services P&PBlue card with special religious diets highlighted (i.e. Kosher food)Receipts from the purchase of Kosher foodSysco invoices for Kosher food

4A-04 M Food Services P&PHealth PermitCity of Boston Inspection Certificate

Page 8: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

Certificate of Compliance for Kitchen Grease ExhaustServSafe Certificates

4A-05 Food Services P&PRH (meals)Floor plans with dining areas highlighted

4A-06 Food Service P&PFloor plans with dining areas highlighted

Daily Inspection Sheets (Ensure 4 pm-12am Front Desk Checklist is included)

4A-07 Food Service P&PFloor plans with dining areas highlighted

Daily Inspection Sheets (Ensure 4 pm-12am Front Desk Checklist is included)

Daily Kitchen Temperature Checklist

4A-08 Food Service P&PPhotograph of bathroom closest to kitchen

4B-01 Personal Hygiene Articles P&PPhotograph of hygiene kitPhotograph of a resident's personal hygiene items

4B-02 Resident Living Environment P&PRH (laundry)Resident Laundry sign-up sheets

4B-03 Resident Living Environment P&PPhotograph of resident room and bathroom

4B-04 Resident Furnishings P&PRH (laundry)Photograph of linen closet

4B-05 Personal Hygiene Articles P&PPhotograph of linen closetPhotograph of hygiene kit

4C-01 M Healthcare Services P&PRH (medical services)Desk Staff Handbook (Resident requests to go to the hospital highlighted)Medical visits with corresponding structure sheets General log notes for ambulance rides

4C-02 M Healthcare Services P&P

Page 9: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

Updated 1/14/2014

Letters from medical providers (Adcare, Brookline Medical, Brigham and Women's, Boston Medical Center, Mass General)Memo re: no medical services provided at Coolidge House

4C-03 M Healthcare Services P&PGeneral log notes for ambulance rides

4C-04 M Healthcare Services P&PFloor plansCPR cards and/or CPR training roster from Maria AlexsonCPR curriculumSigns/symptoms of mental illness, mental retardation, chemical dependency staff attendance training rosterSigns/symptoms of mental illness, mental retardation, chemical dependency curriculumTraining Schedule

4C-05 Healthcare Services P&PFloor plans (with first aid kit locations highlighted)List of contents in first aid kitsPhotograph of AED (defibrillator)

4C-06 M Healthcare Services P&PBOP Medical exams with CRJ medical intake attached to it

Blue card with medical appointment sheet (brookline health stop) attached to it

TDAT referral with corresponding appointment sheet stapled to it

4C-07 Healthcare Services P&PBlue cards with brookline health stop appointments attached. Dates should be highlighted on both to show exams are scheduled within 4 days of arrival (SOW requirement)Memo from intake/release coordinator re: Brookline health stop grants the earliest available appointments

4C-08 Healthcare Services P&PMemo re: no communicable diseases

4C-09 Serious and Infectious Diseases P&PMemo re: Coolidge provides for the management of serious and infectious diseasesHepatitis A and C brochures

4C-10 Serious and Infectious Diseases P&PHealthcare Services P&PRH (HIV)HIV brochure

Page 10: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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4C-11 Healthcare Services P&PPRA/Med Itinerary with corresponding structure sheets for dental visits

4C-12 Prescription/Medication Control P&PHealthcare Services P&P

4C-13 Prescription/Medication Control P&PHealthcare Services P&PMedication audits

4C-14 N/A: No females at CH4C-14-1 N/A: No females at CH

4C-15 Healthcare Services P&PRH (mental health treatment)Structure sheets with appointment sheets for mental health

4C-16 M Suicide Prevention P&PSuicide Prevention Policy signed off by Terry Burch, CSMA Senior ClinicianMemo re: no suicidesTraining scheduleSuicide training staff attendance rostersSamaritans curriculum

4C-17 N/A: No medical services provided at Coolidge4C-18 N/A: No medical services provided at Coolidge4C-19 N/A: No medical services provided at Coolidge

4C-20 M RH (resident rights)Memo re: no residents have participated in medical, pharmaceutical, or cosmetic experiments

4C-21 Emergency contact notification P&PFront and back of blue cards (to show emergency contact info)

4C-22 N/A: No medical services provided at Coolidge4C-23 N/A: No medical services provided at Coolidge4C-24 N/A: No medical services provided at Coolidge

5A-01 Resident Program Plans P&PIndividual Program Plans (IPP) with corresponding Level of Service Inventory (LSI)

5A-02 Resident Program Plans P&PIPP with corresponding structure sheet showing the IPP being carried out (i.e. job search forms or adcare appointments)

Page 11: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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5A-03 Resident Program Plans P&PIPP with blue card stapled

5A-04 Resident Program Plans P&PLevel change requests

5A-05 Resident Program Plans P&PLSIsClosing summaries

5A-06 Resident Admission Criteria P&PClosing summaries for removed or transferred residentsCorresponding IAN for the removed or transferred residents

5A-07 Resident Program Plans P&PIntake Process P&PComprehensive Case Management P&PCase notesCase Load Assignments

5A-08 TDAT Referrals

5A-09 Urine Collection P&PRH (drug and alcohol tests)U/A lab results: showing chain of custodyIncident report showing U/A refusal and corresponding IAN

5A-10 Resource Manual and Access to Community Services P&PRH (HIV)

5A-11 Treatment Services P&PResource Manual and Access to Community Services P&PTDAT referrals and corresponding structure sheets

5A-12 Resource Manual and Access to Community Services P&PRH (Resources)

5A-13 Resource Manual and Access to Community Services P&PHousing and Transitional Assistance P&PHousing ApplicationHousing searches (PRA, structure sheets, etc.)

5A-14 Home Furlough Pass Programs P&PHome passes

5A-15 Release Preparation P&P

Page 12: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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Closing summaries

5A-16 Treatment Services P&PHome Furlough P&PVisitation P&PRH (visitors)Home Passes (i.e. home confinement, etc.)

5A-17 Visitation P&PRH (visitors)Visitor Log Pages

5A-18 Visitation P&PMemo re: no requests for special visits

5A-18-1 Emergency Contact Notification P&PCase notes documenting emergency situations (ill family member, funeral request)

5A-19 Resident Communications P&PRH (telephones)Photograph of resident telephonesPhotograph of TTY phoneTelephone contract for resident phones

5A-19-1 Resident Communications P&PTelephone contract for resident phones

5A-20 RH (Employment)Job searchesPhotograph of employment bulletin board

5A-21 Recreational Opportunities P&PRH (recreation)Photograph of TVPhotograph of bookcaseStructure sheets for recreation (YMCA etc.)

5A-22 Religious Preferences P&PRH (religious services)Request for religious services and documentation

5A-23 Program Meeting Space P&PVisitation P&PRecreational Opportunities P&PFloor plans with recreation areas highlightedRH (recreation)

Page 13: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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5A-24 Program Meeting Space P&PStaff offices list with case managers highlightedFloor plans with staff offices highlighted

5A-25 Program Meeting Space P&PFloor plans with TV, visitor room, and classroom highlightedStaff offices list

5A-26 Google map of 307 Huntington AvenueBoston subway system map

6A-01 Resident Rights P&PRH (resident rights)Memo re: no examples of attorney visits at Coolidge

6A-01-1 Memo stating that residents with mental/physical impairments would be submitted to BOP for review

6A-02 Resident Rights P&PRH (resident rights)Memo re: access to law library

6A-03 Use of Force P&PRH (resident rights)

6A-04 Zoning and Building Code Compliance P&PFloor plans with handicapped rooms highlighted

6A-04-1 N/A: Coolidge House does not receive residents who cannot perform basic life functions

6A-04-2 Photograph of handicapped rooms and equipment

6A-05 Resident Rights P&PRH (sexual abuse)RH (resident rights)

6A-06 Resident Communications P&PResident Fees and Ability to Pay P&PExample of postage provided to a resident (copy of a letter with postage)

6A-07 Resident Communications P&PRH (resident conduct)RH (mail)

6A-08 Resident Communications P&P

Page 14: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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RH (resident conduct)General log showing the opening of resident mail

6A-09 Resident Communications P&PChange of address form from post officeMemo re: mail is returned to sender if the change of address form is not filled out prior to the resident release

6A-10 Intake P&PJ&C

6A-11 Resident Admission Criteria P&PIntake Process P&PResident Rejection LetterAcceptance Referral Sheets

6A-12 Resident Admission Criteria P&PMemo re: BOP and US Probation are aware of Coolidge House policies on admission

6A-13 Release Preparation P&PRH (release)Relocation Requests

6B-01 Equal Access to Programs and Services P&PResident Admission Criteria P&PRH (resident rights)Memo re: no incidents of discrimination

6B-02 Resident Admission Criteria P&PRH (resident rights)Memo re: no incidents of discrimination

6B-03 Resident Grievance and Appeal Process P&PRH (grievances)Memo re: no grievances

6C-01 Resident Rules and Sanctions P&PRH (rules; violations and sanctions)Incident reports for minor infractions

6C-02 Resident Rules and Sanctions P&PRH (rules; violations and sanctions)Incident reports for major infractions

6C-03 Resident Rules and Sanctions P&PRH (rules; violations and sanctions)

Page 15: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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Incident reports

6C-04 Resident Rules and Sanctions P&PRH (rules; violations and sanctions)Incident reports showing progressive discipline (i.e. 20 hours extra duty to 40 hours extra duty)

6D-01 Resident Fees, Ability to Pay, and Financial Assistance P&PRH (subsistence)Examples of child support, appearance in family court, or other examples of restitution etc.Orientation to Supervision Manual US Probation (section II: Restitution)

6D-02 Resident Fees, Ability to Pay, and Financial Assistance P&PExamples of child support, appearance in family court, or other examples of restitution etc.Orientation to Supervision Manual US Probation (section II: Restitution)

7A-01 Legal Entity & By-Law Requirements P&PArticles of OrganizationCRJ Annual Report501 C3 Application (tax-exempt status)

7A-02 N/A: CRJ is not a sole proprietor

7A-03 Fiscal Agency Audits & Reports P&PReporting Requirements P&P990 FormTax Returns

7A-04 Legal Entity & By-Law Requirements P&PCRJ By-Laws

7A-05 Zoning and Building Compliance P&PCity of Boston Inspection Certificate

7B-01 Staffing Requirements P&PResume from Director of Coolidge HouseJob description for Coolidge House Director

7B-02 M Staffing Requirements P&PJob description for substance abuse counselorCertifications of substance abuse counselor

7B-03 Volunteers and Citizen Involvement P&PMemo re: there are no volunteers providing professional services

Page 16: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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7B-04 Staffing Requirements P&PEmployee Handbook (training section)Coolidge House job descriptionsCRJ Hiring ProcessSelection and Interview ProcessExamples of Tuition ReimbursementAny examples of employees receiving credit for prior training

7B-05 Employee Handbook (Criminal and background checks)CRJ Hiring Process

7B-06 CRJ 3 month performance reviewCRJ performance appraisal: self-evaluationCRJ performance appraisal: program monitorCRJ performance appraisal: supervisory staffCRJ performance appraisal: professional staff

7B-07 Operations Manual P&PEmployee orientation checklist

7B-08 Operations Manual P&PMemo re: Policy and Procedure updates from Susan Jenness Phillips

7B-09 Operations Manual P&PMemo re: Policy and Procedure updates from Susan Jenness Phillips

7B-10 Staff Training and Development P&PTraining Schedule

7B-11 Staff Training and Development P&PACA training requirementsBOP training requirements (found in the SOW)Training ScheduleAnnual Training Needs AssessmentCRJ performance appraisal: self-evaluationCRJ performance appraisal: supervisory staffCRJ performance appraisal: professional staffJob Analysis QuestionnaireCRJ Management Development Individual PlanningTraining and Development Assessment Tool Guide

7B-12 Staff Training and Development P&PTraining Evaluation Forms (completed examples)Maria Alexson's Train the Trainer Certificate

7B-13 Staff Training and Development P&PSamaritans Brochure (to show that the training utilizes community resources)

Page 17: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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Servsafe Invoices (to show that the training utilizes community resources)E-Academy website page

7B-14 Staff Training and Development P&PEmployee Orientation Checklist

7B-15 Staff Training and Development P&P

7B-16 Staff Training and Development P&P

7B-17 Staff Training and Development P&P

7B-17-1 Staff Training and Development P&P

7B-18 Staff Training and Development P&PContract Staff Orientation Checklist

7B-19 Expense Reimbursement P&PStaff Training and Development P&PEmployee Handbook (Professional Development; Tuition Reimbursement; Tuition Remission; E-Academy)CAM Annual Dinner FlyerExamples of Tuition Reimbursement

7C-01 Staff Training and Development P&PEmployee Orientation Checklist

7C-02 Staff Training and Development P&P

7D-01 Goals and Objectives P&PCoolidge House Annual Goals

7D-02 Goals and Objectives P&PManagement Audit in a Residential Facility P&PAnnual BOP self-monitoring from Susan Jenness Phillips

7D-03 Organizational Chart & Description P&PCRJ Organizational ChartCoolidge House Organizational Chart

7D-04 Volunteer and Citizen Involvement P&PCRJ Organizational Chart

7D-05 Use of Electronic Equipment & Information P&PAnnual and Monthly Report P&PPhotograph of resident filesCoolidge House Monthly Management Reports

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7D-06 Research Ethics P&PPublic and Community Relations P&PCopy of letter containing emergency plans to Boston Police DepartmentCRJ Annual ReportCJI Publication entitled, "Promoting Public Safety Through Successful Community Transitions"CJI list of publications

***7D-07 Intake Process P&PCoolidge House Medical Intakes with blue cards attached

7D-08 Case Records P&PConfidentiality and Release of Information P&PCase Record Management in Residential Programs P&PUse of Electronic Equipment & Information P&PInformation Storage and Retrieval P&PRelease of informationEmployee Orientation ChecklistContractor Orientation Checklist

***7D-09 Case Records P&PCase Record Management in Residential Programs P&P

7D-10 Case Records P&PCase Record Management in Residential Programs P&PClosing summaries for transferred residents

7D-11 Case Records P&PCase Record Management in Residential Programs P&PMemo re: resident access to case records

7D-12 Research Ethics P&P

7D-13 Resident Property Control P&PResident Handbook (Prohibited Items)

7D-14 Resident Property Control P&PResident Property Inventory

7D-15 Emergency Contact Notification P&PMemo re: no deaths at Coolidge House

7D-16 Fiscal Budgets P&PProgram Director Job DescriptionEmails re: budget process

Page 19: COOLIDGE HOUSE: ACCREDITATION DOCUMENTATION LISTcrjustice.org/sqa/chacadl.pdf · 3A-05. Resident Rules and Sanctions P&P Case notes in English/Spanish (if applicable) Resident Handbook

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7D-17 Fiscal "Fiscal" P&PFiscal Client and/or Staff Financial Transactions P&PFinance Client Funds P&PFiscal Insurance P&PExpense Reimbursement P&PResident Subsistence P&P

7D-18 Fiscal Budget P&PAdult BudgetCoolidge House BudgetCRJ's analysis of the budget presented to the Board of Directors

7D-19 Fiscal Budget P&P

7D-20 Fiscal Budget P&PFMRsGeneral LedgerCoolidge House Budget

7D-21 Fiscal Client and/or Staff Financial Transactions P&PResident Subsistence P&PPhotograph of safe in 213 (where money orders are stored)

7D-22 Fiscal "Fiscal" P&PFMRsIndependent Auditor's ReportFinancial ReportSurplus/Deficit Report

7D-23 Fiscal Agency Audits & Reports P&PFMRsSurplus/Deficit Report

7D-24 Fiscal Agency Audits & Reports P&PFinancial Report

7D-25 Fiscal "Fiscal" P&PFiscal Fixed Assets and Capitalization Index P&PInventory P&PCoolidge House InventoryInventory cardA listing of "big ticket" inventory items

7D-26 Adult Budget BreakdownPine Street Inn InvoicesFMRs

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7D-27 Fiscal "Fiscal" P&PFiscal Budgets P&PAdult Budget BreakdownCoolidge House BudgetEmployment Legal StatusVacancy Request ProcessVacant position request formCRJ internal job inquiry formCRJ Hiring Process

7D-28 Fiscal Insurance P&PSummary of Insurance

7D-29 N/A: There is no commissary or canteen

7D-30 Fiscal Client and/or Staff Financial Transactions P&PReceipt of Resident Travel Funds

7D-31 Resident Fees and Ability to Pay P&PFiscal "Fiscal" P&P

7D-32 Resident Subsistence P&PFiscal Client and/or Staff Financial Transactions P&PRH (Subsistence)SOW (Subsistence)

7D-33 Resident Subsistence P&PFiscal Client and/or Staff Financial Transactions P&P

Examples of Resident Subsistence (both employed and unemployed residents)

BOP Invoices

7D-34 Board of Director's Meeting P&PCommunication P&PCRJ Board of Directors Meeting Minutes with SJS Department Director in attendance

7D-35 Communication P&PCoolidge House staff meeting minutesCoolidge House staff attendance roster for staff meetings

7D-36 Communication P&PAny internal memo that shows client/staff communications

7D-37 Program Meeting Space P&PFloor plans with staff offices highlighted

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Updated 1/14/2014

7E-01 Employee Handbook (grievances)

7E-02 Staffing Requirements P&PFloor plans with elevator and ramp highlighted

7E-03 Staffing Requirements P&P

7E-04 CRJ Sexual Harassment PolicyEmployee Handbook (sexual harassment)Employee orientation checklist

7E-05 Staffing Requirements P&PEmployee Handbook (Equal Employment Opportunity)

7E-06 Staffing Requirements P&PEmployee Handbook (Equal Employment Opportunity)

***7E-07 Organizational Chart & Description P&PLegal Assistance P&POperations Manual P&PTable of Contents from Employee Handbook (numbered so that is corresponds to standard items)CRJ Organizational ChartCoolidge House organizational chart

7E-08 Staffing Requirements P&PCoolidge House Job Descriptions

7E-09 Employee Handbook (compensation)CRJ Equity Chart Description

7E-10 Employee Handbook (Progressive Discipline)

7E-11 Employee Handbook (Access to personnel records)

7E-12 Employee Handbook (Access to personnel records)

7E-13 Employee Handbook (Political Activity)

7F-01 Public and Community Relations P&P

7F-02 Public and Community Relations P&PMemo re: media access

7F-03 Public and Community Relations P&PMemo re: media access

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Updated 1/14/2014

7F-04 Public and Community Relations P&PResearch Ethics P&PCJI Publication entitled, "Promoting Public Safety Through Successful Community Transitions"

7F-05 Advisory Board P&PAdvisory Board AgendaAdvisory Board Minutes

7F-06 N/A: The Bureau of Prisons notifies the victims of crime

7F-07 Public and Community Relations P&PAdvisory Board AgendaAdvisory Board MinutesRodman Ride Brochure

7F-08 Volunteer and Citizen Involvement P&P

7F-09 Volunteer and Citizen Involvement P&P

7F-10 Volunteer and Citizen Involvement P&P