Only providers of services in need provider-owned or controlled residential settings to complete the remainder of this evaluation. In provider-owned or controlled residential settings, in addition to the above requirements, the following requirements must also be met: Federal Requirement #6: Guidance: The unit or dwelling is a specific physical As applicable, does each individual have place that can be owned, rented or a lease, residency agreement, admission agreement, or other form of occupied under a legally enforceable agreement by the individual receiving written residency agreement? services, and the individual has, at a Are individuals informed about how to minimum, the same responsibilities and relocate and request new housing? protections from eviction that tenants have under the landlord/tenant law of the State, county, city or other designated entity. For settings in which landlord/tenant laws do not apply, the State must ensure that a lease, residency agreement or other form of written agreement will be in place for each participant and that the document provides protections that address eviction processes and appeals comparable to those provided under the jurisdiction’s landlord tenant law. Does the service and/or program meet this requirement? Yes No Please explain: Federal Requirement #7: Guidance: Each individual has privacy in his/her Do individuals have a choice regarding roommates or private accommodations? sleeping or living unit: have entrance doors lockable by Do individuals have the option of the individual, with only appropriate furnishing and decorating their sleeping staff having keys to doors as needed. or living units with their own personal Individuals sharing units have a choice items, in a manner that is based on their of roommates in that setting. preferences? Individuals have the freedom to furnish Do individuals have the ability to lock their bedroom doors when they choose? and decorate their sleeping or living units within the lease or other agreement. Does the service and/or program meet this requirement? Yes No Please explain:
Only providers of services in provider-owned or controlled residential settings need to complete the remainder of this evaluation. In provider-owned or controlled residential settings, in addition to the above requirements, the following requirements must also be met: Federal Requirement #6: The unit or dwelling is a specific physical place that can be owned, rented or occupied under a legally enforceable agreement by the individual receiving services, and the individual has, at a minimum, the same responsibilities and protections from eviction that tenants have under the landlord/tenant law of the State, county, city or other designated entity. For settings in which landlord/tenant laws do not apply, the State must ensure that a lease, residency agreement or other form of written agreement will be in place for each participant and that the document provides protections that address eviction processes and appeals comparable to those provided under the jurisdiction’s landlord tenant law. Guidance: As applicable, does each individual have a lease, residency agreement, admission agreement, or other form of written residency agreement? Are individuals informed about how to relocate and request new housing? Does the service and/or program meet this requirement? Yes No Please explain: Federal Requirement #7: Each individual has privacy in his/her sleeping or living unit: have entrance doors lockable by the individual, with only appropriate staff having keys to doors as needed. Individuals sharing units have a choice of roommates in that setting. Individuals have the freedom to furnish and decorate their sleeping or living units within the lease or other agreement. Guidance: Do individuals have a choice regarding roommates or private accommodations? Do individuals have the option of furnishing and decorating their sleeping or living units with their own personal items, in a manner that is based on their preferences? Do individuals have the ability to lock their bedroom doors when they choose? Does the service and/or program meet this requirement? Yes No Please explain:
compliance_evaluation_and_concept_form_2017-2018_-_enclosure_c.docx