Sample Page from CBAS Provider Self-Assessment Tool
| Federal Requirement Category 2: Choice of Setting | |
| 2a. | Does the center have a person-centered plan on file for all participants based on the participants’ needs and preferences? |
| Provider Response: ☒ Yes ☐ No | |
| Briefly Explain:
Every discipline’s assessment and reassessment form includes questions specifically aimed at the participant stating his or her needs/goals and preferences. These are documented on the assessment and reassessment forms. The care plan is developed from these stated needs/goals in a collaborative fashion. The staff signs each assessment stating that it was developed in a collaborative fashion and led by the participant and/or authorized representative. There are multiple policies that reflect developing a person-centered care plan including: “Needs/Goals/Desired Outcomes Worksheet”, “Eliciting Participant Needs and Goals”, “Participant Led Care Planning Process” and “Care Plan Development- The Collaborative Care Plan” * If you have attended our training for Person-Centered Planning, note that here. |
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| If yes, indicate any documentation that the center has to support its compliance
☒ Policies & Procedures ☐ Employee Records ☐ Information/Material ☐ In-Service Training Records ☒ Participant Health Records ☐ Other |
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| Additional detail about documentation as needed: | |
| If no, provide proposed actions or remedies to achieve compliance: | |
| 1c. | If a CBAS participant wants to seek paid employment in a competitive integrated setting, would the center staff refer the participant to the appropriate community agency/resource? |
| Provider Response: ☒ Yes ☐ No | |
| Briefly Explain: During each assessment and reassessment, the social worker asks the participant if he or she would like to be employed, and if so, what has been a barrier to obtaining employment. The social worker documents this on his or her assessment and/or reassessment. If the participant would like to be employed, the social worker will follow the procedure for “Services and Supports: Informed Choices” to support the participant to find employment. If the participant identifies this as one of his or her goals, the social worker will place it on the participant’s “NGDO” worksheet to be addressed in the care planning process. Further policies regarding seeking employment may be found in “Eliciting Participant’s Needs and Goals”, “Assessing Participant Supports” and “Person-Centered Planning”
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| If yes, indicate any documentation that the center has to support its compliance
☒ Policies & Procedures ☐ Employee Records ☐ Information/Material ☐ In-Service Training Records ☒ Participant Health Records ☐ Other |
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| Additional detail about documentation as needed: | |
| If no, provide proposed actions or remedies to achieve compliance: |