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Stabilization Home (SH) Desirable Elements Responses
Agency Name:
Agency Phone:
Agency Main Office Address:
Agency email:
Agency Contact:
Proposed Site Address:
MANDATORY REQUIREMENTS WITH EVIDENCE
F.2.1 The Applicant must be an established 24-hour CILA provider in good standing with the DDD for at least 5 years.
F.2.2 Applicant must attach resumes of key staff including:
- Behavioral staff (behavior analyst)
- RN Trainer
- DHS liaison
F.2.3 Applicant must submit plan or policy for training DSPs to be a registered behavior technician (RBT).
F.2.4 Applicant must submit policies guiding medication training. This specifically includes:
- The process in which DSPs are trained to be ADSPs to pass medications Click here to enter text.
- The process in which the Applicant transitions a new client into their agency
F.3.01 Describe how the Applicant ensures that staff are trained in trauma informed care.
F.3.02 Describe how the Applicant manages staffing changes and ensures that shifts are covered. Please include a description of the staffing structure of your homes including who supervises the DSPs and who supervises that person.
F.3.03 Describe your experience supporting people with behavioral health needs.
F.3.04 Applicant must submit policies that describe the process in which staff are trained in de-escalation techniques. For example, include which system of de-escalation you use, how frequently they are retrained, etc.
F.3.05 Applicant must attach documentation of successful completion of compliance for the last 2 fiscal years for the following surveys -
- Bureau of Clinical Services (BCS)
- Bureau of Quality Management (BQM)
- Bureau of Accreditation, Licensure and Certification (BALC).
- Corrective action plans for all surveys
F.3.06 Describe how you will support individuals in accessing a meaningful day which may include attending day programming, engaging in enhanced residential (at home day program) or employment supports.
F.3.07 Describe how your organization supports diversity, equity and inclusion. You can provide a written copy of, or link to, your current written workforce diversity, equity, and inclusion policy.
F.3.08 Provide the following:
- The percentage of individuals on governing board and/ or Senior executives out of all staff who identify as women, minorities or person with disabilities.
- Percentage of individuals in management /supervisor positions out of all staff who identify as women, minorities or person with disabilities.
- Percentage of total staff who identify as women, minorities or person with disabilities.
F.3.09 Describe your risk assessment process to determine how much supervise the individual should have. There must be a place in process to determine if the individual requires 24/7 supervision.
F.3.10 Describe your ability to absorb long term residents into your program. This may include acquiring new homes to accommodate a growth in census or filling vacancies within your agency.
ADDRESS SPECIFIC DESIRABLE ELEMENTS
F.3.11 Describe the home. You should include photos and the specific address. If you do not have a specific home identified, you must include the anticipate county, city, and/or zip code (especially if in Cook County). Scoring will be based upon need. Sites in areas of the state that currently do not have an SH site will potentially be scored higher. Items that may be addressed in the description:
- Number of floors
- Square footage
- Aspects that may make the home unique
- Access to public transportation
- Access to local community resources (libraries, shopping centers, etc.)
- Anything else not otherwise listed.
F.3.12 Describe what medical complexities will be able to be supported at this address, for example:
- Individuals who receive injectable medications
- G-tubes
- Anything not otherwise listed.
F.3.13 Identify if diverse disability needs can be supported at this location and how. For example, please address if the following disabilities can be supported:
- Individuals who use a wheelchair or walker
- Individuals who use American Sign Language
- Individuals who have low vision or are blind.
- Anything not otherwise listed.
F.3.14 Describe the physical accessibility of the home. For example:
- Is it ADA compliant?
- Are all rooms in the home accessible to individuals who use mobility devices?
- Are there supports for individuals who are blind or have low vision?
- Anything not otherwise listed?
F.3.15 When do you anticipate this address will be able to accept referrals?
Related links:
Return to Bureau of Clinical Services
Return to DDD Home Page
