Intent Risk Rating Observed Non-Compliance Required for Indicator Records and Documentation Compliance To promote a shared MODERATE Signed, dated written There is no evidence to A letter and/or 63. Signed Written Agreement understanding of the host family Service Agreement. confirm that the service documentation confirming placement, agencies are required agency has signed written completion of corrective The service agency must have a signed to have a signed, written agreement in place with the action. written agreement in place with the host agreement in between the host family for new and for family for new placement and existing agency and the host family that existing placements that placements that includes certain outlines the agency’s expectations includes certain minimum minimum requirements regarding the of the host family and the support requirements regarding the provision of services to the individual and oversight the agency will provision of services to the with a developmental disability. provide. individual with a developmental disability. Policy Directives for Service Agencies The signed service agreement with regarding the Host Family Program 2.0 the host family must include minimum requirements in the provision of services to the individual with a developmental disability.
Records and Documentation Intent Risk Rating Indicator Observed Non-Compliance Required for Compliance 63. Signed Written Agreement The service agency must have a signed written agreement in place with the host family for new placement and existing placements that includes certain minimum requirements regarding the provision of services to the individual with a developmental disability. Policy Directives for Service Agencies regarding the Host Family Program 2.0 To promote a shared understanding of the host family placement, agencies are required to have a signed, written agreement in between the agency and the host family that outlines the agency’s expectations of the host family and the support and oversight the agency will provide. The signed service agreement with the host family must include minimum requirements in the provision of services to the individual with a developmental disability. MODERATE Signed, dated written Service Agreement. There is no evidence to confirm that the service agency has signed written agreement in place with the host family for new and for existing placements that includes certain minimum requirements regarding the provision of services to the individual with a developmental disability. A letter and/or documentation confirming completion of corrective action.
DS%20HOST%20FAMILY%20INDICATORS_EN-05-10-16.docx