Employment & Day Employment & Day Services ForumServices Forum

New Jersey New Jersey Department of Human ServicesDepartment of Human Services

Division of Developmental DisabilitiesDivision of Developmental Disabilities

AgendaAgenda

• IntroductionIntroduction• 2007 Standards for Supported 2007 Standards for Supported

EmploymentEmployment• 2007 Standards for Adult Day 2007 Standards for Adult Day

ProgramsPrograms• BreakBreak• DDD Monitoring DDD Monitoring • Q & AQ & A

Thank YouThank YouCommittee MembersCommittee Members

• Kathy WalshKathy Walsh• Aaron SotoAaron Soto• Julia McConnellJulia McConnell• Jeanette MarquezJeanette Marquez• Naomi WooleverNaomi Woolever• Ted KleinTed Klein

• Jennifer JoyceJennifer Joyce• Terre LewisTerre Lewis• Roni KantorRoni Kantor• Kate LoganKate Logan

Thank You Pilot Thank You Pilot ParticipantsParticipants

• 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

The “Manuals”The “Manuals”

• Supported Employment Standards Supported Employment Standards and Day Program Standards and Day Program Standards decoupleddecoupled

• Both manuals, forms, and Both manuals, forms, and attachments found at: attachments found at: http://www.state.nj.us/humanservices/dddhttp://www.state.nj.us/humanservices/ddd/index.html/index.html

• Standards vs. “How to”Standards vs. “How to”

Standards for Standards for Supported Supported

Employment ServicesEmployment Services 2007 2007

New Jersey Department of Human New Jersey Department of Human ServicesServices

Division of Developmental DisabilitiesDivision of Developmental Disabilities

Assistant Commissioner Assistant Commissioner Kenneth RitcheyKenneth Ritchey

• Office of Housing & Resource Office of Housing & Resource DevelopmentDevelopment– Director, Kathie SzulDirector, Kathie Szul

• Terre Lewis, Tom CodyTerre Lewis, Tom Cody

• Regional AT/SE CoordinatorsRegional AT/SE Coordinators– NRO- Pat MayurnikNRO- Pat Mayurnik– UCRO- Naomi WooleverUCRO- Naomi Woolever– LCRO- Roni KantorLCRO- Roni Kantor– SRO- Jeanette MarquezSRO- Jeanette Marquez

• Supported Employment Supported Employment Providers/VendorsProviders/Vendors

Section I (p. 4-5)Section I (p. 4-5)IntroductionIntroduction

• Purpose and Scope Purpose and Scope – Purpose of this manual is to establish standards Purpose of this manual is to establish standards

for the provision of SE services for the provision of SE services – Applies to all DDD contracted SE providers Applies to all DDD contracted SE providers – This replaces the former SE/DP Manual of 2002This replaces the former SE/DP Manual of 2002

• How to use this Manual How to use this Manual • Monitoring Monitoring • Supported Employment BackgroundSupported Employment Background• Supported Employment Vision Statement Supported Employment Vision Statement • Supported Employment Mission StatementSupported Employment Mission Statement

Section II (p.6-12)Section II (p.6-12)Overview of SE ServicesOverview of SE Services

• Basic Terminology Basic Terminology • Models of Supported Employment Models of Supported Employment • Phase of Supported Employment Phase of Supported Employment • Instructional Teaching Techniques Instructional Teaching Techniques

Section III- (p.13)Section III- (p.13)Interagency AgreementInteragency Agreement

& Coordination with DVRS & Coordination with DVRS & CBVI & CBVI • Basic Terms of Interagency Agreement Basic Terms of Interagency Agreement

• Coordination with DVRS & CBVI~ All Coordination with DVRS & CBVI~ All DDD contracted SE service providers DDD contracted SE service providers must be DVRS and/or CBVI vendors for must be DVRS and/or CBVI vendors for SE services.SE services.

* A new MOU is currently under revision. * A new MOU is currently under revision. Changes to manual to follow….Changes to manual to follow….

Section IV (p.14-19)Section IV (p.14-19)Standards Standards

• Chapter 1-AdministrationChapter 1-Administration– Policy & ProceduresPolicy & Procedures– Program DescriptionProgram Description– Annex AAnnex A– Continuous Quality Improvement Continuous Quality Improvement – AccreditationAccreditation

• Chapter 2- Personnel Chapter 2- Personnel – Legal ComplianceLegal Compliance– Minimum Staff Compliance Minimum Staff Compliance – Professional DevelopmentProfessional Development– Staff Personnel File Staff Personnel File

Standards continued…Standards continued…

• Chapter 3- Service Delivery (p-20-22)Chapter 3- Service Delivery (p-20-22)– Follow Along SupportsFollow Along Supports– Assignment/Designation of Plan Assignment/Designation of Plan

CoordinationCoordination– Service Plan DevelopmentService Plan Development– Advocacy & Rights Advocacy & Rights – Complaints Complaints – Direct Time & Billable Hours Direct Time & Billable Hours – Follow Along Services Follow Along Services

Standards continued…Standards continued…

• Chapter 4- Record Keeping & Chapter 4- Record Keeping & Reporting (p.23-24)Reporting (p.23-24)– Individual File Individual File – Intervention Plan & Service LogIntervention Plan & Service Log– SE Monthly Data Report SE Monthly Data Report – Online Attendance Online Attendance

Section VSection VResourcesResources

• State Resources State Resources • Professional Support & ResourcesProfessional Support & Resources• Advocacy & Support Advocacy & Support • Centers for Independent Living Centers for Independent Living • Accommodation Information and Accommodation Information and

Support Support • Transportation Transportation • Additional Resources/Websites Additional Resources/Websites

Section VISection VIAppendices Appendices

• Interagency Agreement (DDD, Interagency Agreement (DDD, DVRS, & CBVI) DVRS, & CBVI)

• Interagency Wage & Hour Division Interagency Wage & Hour Division • Division Rights Document Division Rights Document • Continuous Quality Improvement Continuous Quality Improvement

TemplateTemplate• Service Plan (IHP) Service Plan (IHP) • Flow Chart Flow Chart • Unusual Incident Report Unusual Incident Report

Section VIISection VIIForms Forms

• Intervention Plan & Service Log Intervention Plan & Service Log • Supported Employment Monthly Supported Employment Monthly

ReportReport• DVRS/CBVI Determination DVRS/CBVI Determination

Notification LetterNotification Letter• Orientation Checklist Orientation Checklist • Monthly Individual Attendance and Monthly Individual Attendance and

Service Hour Report*Service Hour Report*

Major ChangesMajor Changes

Major Changes Major Changes

• SE Manual separated from the DP SE Manual separated from the DP • Vision & Mission StatementVision & Mission Statement• Terminology Terminology • Standards Standards • Forms Forms • Reporting Reporting

Changes to StandardsChanges to Standards

• Personnel StandardsPersonnel Standards– Specific to Supported Employment Specific to Supported Employment – Aligned with DVRS standards Aligned with DVRS standards – Training Training

• Orientation prior to independent field work Orientation prior to independent field work • Completion of Job Coach 1 & 2 w/in the first Completion of Job Coach 1 & 2 w/in the first

120 days of employment 120 days of employment • Professional Development Training - 2 Professional Development Training - 2

trainings annually*trainings annually*• Training applies to all direct service staff Training applies to all direct service staff

including SE supervisorsincluding SE supervisors

More changes to More changes to StandardsStandards

• Service Delivery Service Delivery – Minimum of one face to face contact per Minimum of one face to face contact per

month unless otherwise agreed upon by month unless otherwise agreed upon by the Interdisciplinary Team (IDT) and is the Interdisciplinary Team (IDT) and is documented in the Service Plan (IHP)documented in the Service Plan (IHP)

– The Job Coach or SE representative shall The Job Coach or SE representative shall attend the Service Plan meetingattend the Service Plan meeting

– For individuals receiving only SE For individuals receiving only SE services, the assignment of the Service services, the assignment of the Service Plan coordinator shall be the DDD Case Plan coordinator shall be the DDD Case Manager Manager

Changes to Terminology Changes to Terminology

• Consistent with National definitions Consistent with National definitions according to the Department of according to the Department of Labor….. Labor…..

Changes to Forms & Changes to Forms & ReportsReports

• DDD & DVRS will share the same DDD & DVRS will share the same form…..the Intervention Plan & Service form…..the Intervention Plan & Service LogLog

• The Orientation Check list shall be The Orientation Check list shall be completed and maintained in employee completed and maintained in employee personnel files (n/a to employees hired personnel files (n/a to employees hired prior to January 1prior to January 1stst, 2008), 2008)

• Supported Employment Monthly Report Supported Employment Monthly Report

More Changes to More Changes to Come….Come….

• DDD, DVRS & CBVI are currently DDD, DVRS & CBVI are currently revising the Memorandum of revising the Memorandum of Understanding (MOU).Understanding (MOU).

– Changes will be made to the Supported Changes will be made to the Supported Employment Manual upon Completion of the Employment Manual upon Completion of the MOU MOU

– It is recommended that you regularly check It is recommended that you regularly check the DDD web for any notifications of changethe DDD web for any notifications of change

Technical AssistanceTechnical Assistance

Jennifer Joyce- Director, Training & Jennifer Joyce- Director, Training & Consultation ServicesConsultation Services

The Arc of New Jersey- Project Hire The Arc of New Jersey- Project Hire

(Telephone) 732-246-2525 ext. 32(Telephone) 732-246-2525 ext. 32

(E-Mail) jjoyce@arcnj.org(E-Mail) jjoyce@arcnj.org

Standards For Standards For Adult Day Adult Day

Programs 2007Programs 2007

New JerseyNew Jersey

Department of Human Department of Human ServicesServices

Division of Developmental Division of Developmental DisabilitiesDisabilities

Manual OutlineManual Outline

I.I. IntroductionIntroduction• How to use the manualHow to use the manual

II.II. DefinitionsDefinitions

III.III. StandardsStandards

IV.IV. Appendices Appendices • Forms and other documentsForms and other documents

V.V. IndexIndex

PurposePurpose

• ““The purpose of this manual is to The purpose of this manual is to establish standards for the provision establish standards for the provision of day services to people with of day services to people with developmental disabilities”developmental disabilities”

ScopeScope

• This manual shall apply to the This manual shall apply to the following program models:following program models:

– Adult Day ServicesAdult Day Services– Adult Day Services - Special NeedsAdult Day Services - Special Needs– Adult Day Services - Crew LaborAdult Day Services - Crew Labor

StandardsStandards

• Chapter - Number and TitleChapter - Number and Title• Subchapter - Numbered standardsSubchapter - Numbered standards• Code:Code:

– S = StandardS = Standard– PP = Policy and ProcedurePP = Policy and Procedure– F# = Form #F# = Form #– A# = Appendix #A# = Appendix #

Chapter 7 Policy and Procedure Manual

Subchapter Code

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

7.1:1 S The procedures shall be reviewed annually with documentation of the review and revised as necessary.

Major ChangesMajor Changes

Waiver/ Variance Waiver/ Variance (new)(new)

Chapter 3, page 10Chapter 3, page 10

• Waiver - the temporary suspension Waiver - the temporary suspension of a standard that is granted in of a standard that is granted in writing by the Divisionwriting by the Division

• Variance - written recognition by the Variance - written recognition by the Division that the program has Division that the program has complied with the intent of a complied with the intent of a standard in a Division-approved standard in a Division-approved alternative manneralternative manner

Waiver/ VarianceWaiver/ Variance

• May present no danger to the health, May present no danger to the health, welfare or rights of individualswelfare or rights of individuals

• Requests made to Regional AT/SE Requests made to Regional AT/SE CoordinatorCoordinator

• Use waiver/ variance formUse waiver/ variance form• Provide justificationProvide justification• Issuance limited to:Issuance limited to:

– Hardship to programHardship to program– Individual needsIndividual needs

• Complaints Complaints (new)(new) Chapter 4, page Chapter 4, page 1616

• ContractContract(new)(new) Chapter 5, Chapter 5, page 12page 12

• Continuous Quality Improvement Continuous Quality Improvement Chapter 6 page 13Chapter 6 page 13

Policy & Procedure Policy & Procedure (new)(new)Chapter 7, page 14Chapter 7, page 14

• Developed by service providerDeveloped by service provider• Available on site for staff’s useAvailable on site for staff’s use• 10 required Policies/ procedures10 required Policies/ procedures• Must comply with standardsMust comply with standards• Reference Division Circulars when Reference Division Circulars when

indicatedindicated

Policy & ProcedurePolicy & 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

• Personnel Personnel Chapter 8, Chapter 8, page 15page 15

• Staff Training Staff Training (new)(new) Chapter 9, Chapter 9, page 18page 18

• Staff Personnel File Staff Personnel File (new)(new) Chapter Chapter 10, page 2110, page 21

• Physical PlantPhysical Plant Chapter 11, Chapter 11, page 21page 21

• TransportationTransportation Chapter 12, Chapter 12, page 22page 22

• SafetySafety Chapter 13, page Chapter 13, page 2424

• Advocacy and Rights Advocacy and Rights (new)(new) Chapter Chapter 14, Page 2514, Page 25

• Rules Rules (new)(new) Chapter 15, Chapter 15, Page 26Page 26

• Program Design Program Design Chapter 16, Chapter 16, page 27page 27

• Admission/DischargeAdmission/Discharge Chapter 17, Chapter 17, page 28page 28

• Suspension/AttendanceSuspension/Attendance Chapter Chapter 18, page 3018, page 30

• Health and MedicalHealth and Medical Chapter Chapter 19, page 3219, page 32

• Unusual IncidentsUnusual Incidents Chapter Chapter 21, page 3921, page 39

• Behavior ManagementBehavior Management Chapter Chapter 22, page 4022, page 40

• Service PlanService Plan Chapter 23, Chapter 23, page 41page 41

• Daily Training RecordDaily Training RecordChapter 24, Chapter 24, page 42page 42

• CompensationCompensation Chapter Chapter 25, page 4325, page 43

• FinancialFinancial (new)(new)

Chapter 26 , page 44Chapter 26 , page 44

• Individual RecordsIndividual Records Chapter Chapter 27, page 4527, page 45

• Other RecordsOther Records Chapter Chapter 28, page 4728, page 47

FormsForms

• 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!

AppendicesAppendices

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

IndexIndex

• Alphabetical listing of subjects, Alphabetical listing of subjects, topics, terms and the pages they can topics, terms and the pages they can be found onbe found on

AA

Activity Schedule, 4Activity Schedule, 4

ADA, 21ADA, 21

Adaptive Behavior Summary, 28, 45, 48Adaptive Behavior Summary, 28, 45, 48

Adaptive Equipment, 4Adaptive Equipment, 4

Administration, 2, 35, 36, 37, 45, 48Administration, 2, 35, 36, 37, 45, 48

Admission, 2, 28, 48 Admission, 2, 28, 48

DDD MonitoringDDD Monitoring

DDD MonitoringDDD Monitoring

• Beginning January 2008Beginning January 2008• 20% 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 Report Review Report • Follow up Follow up • Technical assistanceTechnical assistance

Monitoring AreasMonitoring 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

Monitoring DomainsMonitoring Domains

• Critical findingsCritical findings– Urgent, need immediate attentionUrgent, need immediate attention

• Significant FindingsSignificant Findings– Impede program from meeting Impede program from meeting

regulatory requirementsregulatory requirements

• Moderate FindingsModerate Findings– Potentially impede the agency, Potentially impede the agency,

program, or individual from receiving program, or individual from receiving servicesservices

Day Program –Supported Day Program –Supported Employment e-mail addressEmployment e-mail address

dp-se@dhs.state.nj.usdp-se@dhs.state.nj.us

DDD Home Page

http://www.state.nj.us/humanservices/ddd/index.html

Q & AQ & A