SERVICE

One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.
 
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  PROGRAM

A system of services offered by an organization. For example, an organization providing a mental health service may offer several mental health programs to different populations, e.g., a mental health program for adolescent teens. The word "program" can be used interchangeably with the word "service" or to describe specific programs.
 
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  PROCEDURES

Written instructions that outline the steps for performing a task(s) or operationalizing an administrative or service delivery process. A procedure can be written as a step-by-step set of instructions or as a narrative description of a process. A procedure tells someone how to do something not just what to do.

Unlike policies, procedures do not need to be approved or reviewed by the governing body, and need not be associated with a specific policy. For example, whereas a broad anti-discrimination policy requires grievance or other procedures in order to be operationalized within an organization, assessment procedures do not require a governing body approved assessment policy.

Note: Procedures are sometimes referred to as administrative policies.

 
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  PARENTS

Parents can include: birth, foster, kinship, and adoptive parents. Please see service standards for more specific information about use of this term.
 
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  COMMUNITY

A specific group of people living in the same locality and who may share a common culture, values, and norms. Communities can also be defined by race, religion, ethnicity, age, occupation, political status, tribal affiliation, interest in particular problems or outcomes, or other common bonds. The term "community" encompasses worksites, schools, tribes, residential neighborhoods, business districts, recreational areas, and health and human service sites.
 
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  INFANT

A child aged one year and under.
 
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  POLICY

A written statement of principles, values, or intent that provides a basis for consistent decision making and guides the actions of staff, management, and board of trustees. A policy is intentionally broad in its language and application. The following is an example of an anti-discrimination policy:

"[Organization Name] shall not discriminate on the basis of race, color, religion (creed), gender, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers, selection of vendors, and provision of services."

In contrast, a procedure is a detailed, step-by-step description of a process. It tells the reader how to do something. Generally, policies are implemented through procedures. For example, the above anti-discrimination policy would require a detailed grievance procedure in order to operationalize it within an organization.

The governing body has the fiduciary responsibility for setting organizational policy. Therefore, policies must be approved and periodically reviewed by the organization's governing body. However, the governing body typically delegates (via policy) the responsibility for policy development to management. In owner-operated for-profit companies, the owner can act as the company's governing body, depending on the company's corporate structure.

In a public agency the responsibility for setting and reviewing policies may belong to the agency's management team, elected officials, another governmental agency, or as is often the case, a combination of the above.

 
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  SAMPLE

A portion or representative percentage of a greater whole.
 
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  CERTIFICATION

Assurance from a state or professional association that a person or organization possesses certain attributes, knowledge, or skills.
 
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  CAREGIVER

The provider of physical, emotional, and social needs to another person, often dependent and unable to provide for his or her own needs. Caregiver is the generic term used for the direct service providers in Community Care and Support Services (CCS).
 
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  MANAGEMENT

See ADMINISTRATION
 
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  ASSESSMENT

An evaluation, which utilizes professional expertise and skills in the collection and analysis of data to understand and describe the nature of service needs of an individual, family, or group. Assessment, as in needs assessment, is also used to determine priorities of program planning and service development for the organization as a whole. See also DIAGNOSIS.
 
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  CRITERIA

Systematically developed, objective, and quantifiable statements used to assess the appropriateness of specific decisions, services, and outcomes.
 
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  SPECIAL NEEDS

A designation used in reference to conditions or characteristics of a person that reflect a need for special care, services, or treatment. When the term is used in the context of adoption services, special needs refers to conditions that make a child harder to place for adoption. This includes children who are members of sibling groups, older children, children with disabilities, children of certain racial /ethnic backgrounds, etc. When the term is used in the context of foster care it refers to the need for a higher degree of specialized case services and attention due to mental and physical disabilities. When the term is used in the context of out-of-school time services, a child or youth may have special physical, behavioral, medical, emotional, or cognitive needs that should be addressed or accommodated. The term is also used in other contexts. See also DEVELOPMENTAL DISABILITIES.
 
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  TRAINING

Instruction so as to make fit, qualified, or proficient in a skill or body of knowledge.
 
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  PERSONNEL

The body of employees and/or volunteers that carries out the organization's tasks under the organization's administration and/or supervision. This definition does not include foster parents who are specifically referenced in relevant standards
 
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  SUPERVISION

Assumption of responsibility for directly overseeing and evaluating the work or work products of personnel within an organization. Also includes inspecting the act or process of accomplishing a function or activity.
 
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  PROGRAM PERSONNEL

All direct service and administrators or supervisors of direct services that are involved in the operation of the organization's social service programs. "Program personnel" does not include MIS, accounting, facilities, clerical, or other staff that are not involved in the provision or oversight of direct services.
 
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  VOLUNTEER

An individual who performs services for an organization for civic, charitable, or humanitarian reasons, without promise, expectation, or receipt of compensation for services rendered. Such service must be offered freely and without pressure or coercion, direct or implied, from an employer. If the individual is otherwise employed by the same employer for which s/he volunteers, the individual cannot volunteer to perform the same type of services that s/he is paid to perform as an employee.
 
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  JOB DESCRIPTION

Explicit obligations and specific tasks required of personnel as a condition of employment. Such descriptions are in writing and may include educational, experiential, and skill requirements associated with the job.
 
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  FAMILY

Two or more people who consider themselves family and who assume obligations, functions, and responsibilities generally essential to healthy family life. Child care and child socialization, income support, long-term care, and other caregiving are among the functions of family life. The definition of "family" will rest with an individual's indication of who plays a family member role, including current or former foster family, adoptive family, extended family members, fictive kin, or significant others. Organizations that believe family is the central constellation in a child's life, and that family attachments are of primary importance for human development, will strive to work with professional staff to develop a common understanding of "family."
 
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Early Childhood Education
 
Private Org Public Agency  
Service Narrative (ECE):
 

Part 1: Program Information

Organizations may complete one template for all programs, or a separate template that addresses each program being reviewed under this section. Provide responses in each box provided.

Organizations being accredited for the first time: Please provide information for the last year.

Organizations being reaccredited: Please provide information for the period since the last accreditation review.

1. Describe any significant changes, challenges, awards received, changes in funding, or obstacles faced by the organization.

2. Provide an overview of the different program(s) being accredited under this section. The overview should describe:

  1. the programs' service philosophy and approach to delivering services;
  2. eligibility criteria;
  3. any unique programs or special services provided to specific populations;
  4. major funding streams; and
  5. any additional information referenced in the Table of Evidence.

3. If service components are provided to persons and families through contract in cooperation with other organizations or through a formal, coordinated service delivery system provide a list that identifies the providers and the services for which they are responsible. Do not include services provided by referral.

4. Provide any other information your organization would like the peer review team to know about these programs.

Attachments

  1. A list of all program sites, including the following information for each program site: a) name of program/site director; b) address; c) phone number; d) hours of operation; e) number of FTEs; f) average monthly number of clients served; and g)directions or a map to each program site from the main organization office
  2. A demographic profile of persons and families served by the program(s) being reviewed under this service section with percentages representing the following: a) racial and ethnic characteristics; b) gender; c) age; d) major religious groups; and e) major language groups. Include an explanation of how the program ensures that it is providing culturally competent services
  3. As applicable, a list of groups or classes including, for each group or class: a) the type of activity/group; b) whether the activity/group is short-term or ongoing; c) how often the activity/group is offered; d) the average number of participants per session of the activity/group, in the last month; and e) the total number of participants in the activity/group, in the last month
  4. A list of any programs that were opened, merged with other programs or services, or closed
  5. Two quarterly reports from the case record review process conducted for this service, with any related corrective action plans (See PQI 4.02/4.03)
  6. Two quarterly reports of accidents, incidents, and grievances related to this service (See RPM 2.02)
  7. All COA-approved NA Requests
  8. A list of all NAs applicable to your organization provided within the standards

Part 2: Program Outputs and Outcomes

Provide a response in each box describing how the program is making progress toward achieving its aims, and achieving better results for participants.

1. A summary of where the organization is in the development of its program for measuring program quality and outcomes, specific to the service.

2. A list or description of program outputs and desired outcomes and any outputs and outcomes being measured including measurement tools used.

Note: Program outputs may include consumer satisfaction, number of clients served, number of visits, timeliness of assessments, etc.

3. An overview of the organization's process for analyzing data.

4. Examples of program improvements made based on the outcomes data.

Attachments

  1. Outcomes measurement/data collection procedures
  2. Outcomes results reported for the previous two quarters
  3. Early Childhood Education (ECE) Data Sheet
    Self-Study Documents On-Site Documents On-Site Activities
ECE 1
Philosophy of Care
  • Include Philosophy of Care in Service Narrative Part 1: Program Information
 
 
  • Interview:
  1. Program director
  2. Teaching staff
 
 
ECE 2
Enrollment
 
  • Parent handbook and other informational materials provided upon enrollment
  • Resource and referral list
 
  • Interview:
  1. Relevant staff
  2. Parents
 
 
ECE 3
Parental Involvement and Support
  • Include description of the opportunities for parent involvement in Service Narrative Part 1: Program Information
 
  • Informational material provided to parents
  • Copies of classroom information available to parents
  • Community resource and referral list
 
  • Interview:
  1. Program director
  2. Teaching staff
  3. Parents
  • Review child files
  • Observe facility
  • Observe parent/teacher interactions
 
 
ECE 4
Health and Safety
  • Cleaning and sanitation procedures
  • Diaper changing procedures
  • Hand washing procedures
  • Bottle handling procedures
  • Infant sleep procedures to reduce risk of SIDS
  • Child abuse and neglect reporting procedures
  • Procedures for reporting, responding to and recording health problems and accidents
 
  • Health policy/procedures provided to parents
  • Sample menus for meals and snacks
  • Agreement with a health facility or qualified medical professional
  • Documentation of professional installation, maintenance, and annual inspection of playground equipment
  • Documentation of monthly playground maintenance inspections
  • Copies of manufactures instructions for all playground equipment
  • Smoking policy
 
  • Interview:
  1. Program director
  2. Relevant staff
  • Review teaching staff files for:
  1. documentation of health screening
  2. CPR and First Aid certification
  • Review children's health records
  • Observe facility
 
 
ECE 5
Classroom Environment
  • Include description of how toys and other materials are chosen for the classroom in Service Narrative Part 1: Program Information.
 
  • Policy governing the use of infant cribs, walkers, jumpers, and swings.
 
  • Interview:
  1. Program director
  2. Teaching staff
  3. Parents
  • Observe facility
 
 
ECE 6
Promoting Quality Relationships with Teaching Staff and Peers
  • Include description of the primary caregiver role in Service Narrative Part 1: Program Information
  • Include description of how children contribute to the classroom and group in Service Narrative Part 1: Program Information
  • Behavior management policy and procedures
 
  • Relevant portions of curriculum related to social and emotional development
 
  • Interview:
  1. Program director
  2. Teaching staff
  3. Parents
  • Observe interactions:
  1. Teacher/child
  2. Peer/peer
  3. Teacher/teacher
  4. Group
  • Observe facility
  • Review child files for behavior management plans
 
 
ECE 7
Developmental and Educational Activities
  • Curriculum or developmental plan for each age group
  • Sample daily activity plans for each age group
  • Assessment procedures
  • Include description of how results of assessments inform daily activities and classroom materials in Service Narrative Part 1: Program Information
 
  • Progress notes or group activity log
  • Policy and procedures for the use of technology in the classroom
  • Assessment tools and/or criteria
 
  • Interview:
  1. Program director
  2. Teachers
  3. Assistant Teachers
  • Review child files
  • Observe interactions
  1. Teacher/child
  2. Peer/peer
  3. Group
  • Observe facility
 
 
ECE 8
Caring for Children with Special Needs
  • Include description of services for children with special needs in Service Narrative Part 1: Program Information
 
  • Documentation of training and qualifications for teaching staff who are responsible for children with special needs
  • Resource and referral list for specialized services and supports
 
  • Interview:
  1. Program director
  2. Teaching staff
  3. Relevant personnel
  4. Parents of children with special needs
  • Review child files
 
 
ECE 9
Child Supervision
  • Procedures for child pick-up
  • Procedures for covering staff breaks and other situations that require a teaching staff person to leave the classroom for 5 minutes or more
  • Policy and procedures governing mixing age groups
 
  • Log or other materials documenting the off-site whereabouts of children
  • Documentation of group size and ratios for the past month
  • Staffing chart for the past month
 
  • Interview:
  1. Program director
  2. Teaching staff
  3. Parents
  • Observe facility
  • Observe arrival and pick-up times
 
 
ECE 10
Transition
  • Procedures for transitioning to another classroom or age group
  • Procedures for transitioning to another school or program
 
  • Policy for removing a child from care provided to parents upon enrollment
  • Community resource and referral list
 
  • Interview:
  1. Program director
  2. Teaching staff
  3. Parents
  • Review child files
 
 
ECE 11
Personnel
  1. name
  2. title
  3. degree held and/or other credential
  4. FTE or volunteer
  5. length of service at the organization
  6. time in current position
  • Table of contents of training curricula
  • Include description of supervision and support provided to teaching staff in Service Narrative Part 1: Program Information
 
  • Job descriptions
  • Documentation of training
  • Data describing staff turnover
  • Documentation of quarterly professional development opportunities and resources
 
  • Interview:
  1. Supervisors
  2. Teaching staff
  • Review personnel files
 
 
ECE 12
Oversight of Family Child Care Homes
  • Include description of supports offered to family child care homes in Service Narrative Part 1: Program Information
  • Screening criteria for family child care homes
  • Matching procedures for family child care homes
 
  • Documentation of licensure for family child care homes
  • Documentation of caregiver credentials for family child care providers
  • Curricula of any training offered to family child care personnel
  • Group sizes and ratios for family child-care homes.
 
  • Interview:
  1. Program director
  2. Family Child Care Coordinator
  • Review personnel record for Family Child Care Coordinator
 
 
   
 
Fundamental Practice Standards:
  Essential Life and Safety Health and Welfare Client Rights
ECE 4.01,  ECE 4.10,  ECE 4.11,  ECE 4.14,  ECE 4.16,  ECE 4.19,  ECE 5.05,  ECE 9.01,  ECE 9.02  ECE 4.02,  ECE 4.03,  ECE 4.04,  ECE 4.05,  ECE 4.06,  ECE 4.07,  ECE 4.08,  ECE 4.13,  ECE 4.15,  ECE 4.18,  ECE 6.08,  ECE 9.03,  ECE 9.05,  ECE 9.06,  ECE 11.05,  ECE 12.04  ECE 3.03,  ECE 8.01,  ECE 11.06