G1. Do you provide staff and volunteers at this site with training and continuing education related to the rights of persons-served?
Evidence for this question is straight forward, and must include both volunteers and staff, even if the site you are representing currently does not have an active volunteer program.
Evidence for this question is straight forward. Providers must share information with persons-served (in language aimed at their comprehension) regarding their rights. This should also be shared with staff.
G3. Do you provide persons-served at this site with a process to file a grievance if they believe their rights have been violated?
Evidence for this question should be written in policy form. A grievance procedure should have a clear escalation process, a clear filing process and timelines for response. A grievance procedure should also take into account a person-served wishing to represent their grievance outside of the agency.
Evidence for this question can be in photo form or (photos showing the site and any modifications to make it accessible) policy form (a policy explaining that part of the process for persons-served moving or working at to a site is ensuring a team meets to discuss accessibility and that modifications to a home or day service site will be made to ensure persons-served have access). Policy form is strongest here, as the consideration for persons-served changing access needs should be supported. A photograph does not illustrate the consideration for persons served.
H2. Does this site offer accommodations (e.g., grab bars, seats in the bathroom, ramps for wheelchairs, etc.) to persons-served who need supports to move about the facility?
Evidence for this question can be represented by photo or by policy. Photos would show active modifications, policies would note an abbreviated process to assess sites to ensure they meet persons-served access needs. If a site currently houses a person-served who does not need accommodations, it is important to have a policy to assess in case these needs change.
H3. Does the facility at this site have any barriers which limit access (e.g., Velcro strips, locked doors, locked cupboards, locked refrigerators, etc.)?
Evidence should be in policy form that reiterates any barriers in the home are a function of a person-centered plan. These restrictions should not effect how the site is intended to run, and should not be permanent- in the event that others live in the setting the restrictions should not affect any persons-served that do not have these restrictions documented.
The final rule provides guidance that persons served must be provided the same choice in carrying out the duties of their job with the same access as persons who are not receiving Medicaid HCBS services.
This choice must extend (when possible) to when breaks (including lunch) are offered.
Examples of evidence that would be appropriate here are handbooks (with identifying marks, including logos, dates, etc), policy documents (again with identifying dates, policy numbers, etc). Any evidence that makes clear there is a policy or procedure in place that allows individuals to have control over how they perform their job, how they structure their day (when allowable) and that there are no ramifications for persons exercising their own choice up to an including refusing to participate that isn’t linked directly to their work. Any modifications to this should be captured in the personal plan and not affect the way a site is intended to run.
I2. When not doing paid work, are persons-served allowed to participate in deciding their activity schedule?
Evidence for this question should be policy based that persons served have direct input in their daily schedule- while photos can support this, the policy will be the anchor that ties all other types of evidence together.
Evidence for this question can be represented in picture form, but should also be represented in policy form, discussing a space for person served to secure belongings.
Evidence for this question can be represented in photos, but privacy should be specified in policy to show persons served will receive privacy as needed for personal care (if there are any changes to this, it must be documented in a person-centered plan and not affect how the site is intended to run)
I5. Do persons-served at this site have the opportunity to participate in tasks and activities matched to their skills, abilities, and desires?
Evidence for this can be a variety of things. If there is an assessment process for persons served to assist them with finding tasks suited to their skills abilities and desires, if there is a selection process for persons served these will suffice. Also any policy that upholds choice for persons served at a work/day site can also be modified to show the tasks are matched to their skills, abilities, and desires.