[PPT] - Illinois Adult Pr ote c tive Se r vic e s Pr ogr am Update s 1 PowerPoint Presentation

SLIDE 1

Illinois’ Adult Pr

te c tive Se r

vic e s Pr

gr

am Update s

L

is Mo o rma n, Pro g ra m Administra to r

Offic e o f Adult Pro te c tive Se rvic e s E lle n Byro n, De puty Ge ne ra l Co unse l I llino is De pa rtme nt o n Ag ing - Oc to b e r 16, 2018

1

SLIDE 2

Ke y Ar e a s of Pr

g r

a m Cha ng e s

Adult Pr
te c tive Se r

vic e s (APS) Re gistr y

Se r

vic e s to Individuals who se lf- ne gle c t

Public Ac t 100- 0641

2

SLIDE 3

APS Re g istr y - Pur pose

Pr
te c ts e ligible adults who re side in a do me stic living situa tio n & re c e ive

in-ho me o r c o mmunity-b a se d se rvic e s fro m c a re g ive rs (fo rmal o r info rmal) a g a inst who m a ve rifie d & sub sta ntia te d de c isio n o f a b use , ne g le c t, o r fina nc ia l e xplo ita tio n (ANE ) wa s ma de b y a n Adult Pro te c tive Se rvic e s (APS) Pro vide r Ag e nc y

Plac e s the ide ntity of the c ar

e give r with a ve rifie d & sub sta ntia te d

de c isio n o n the APS Re g istry

No te APS Re gistr y - 320 IL CS 20/ 7.5 and 89 IAC 270, Subpar t E T he APS Re gistr y Rule (Par t 270) was ado pte d o n June 8, 2018 and was e ffe c tive July 1, 2018 T we nty-five (25) state s have alr e ady de ve lo pe d & imple me nte d an APS Re gistr y Illino is is no w the 26th state to imple me nt an APS Re gistr y

3

SLIDE 4

Ke y De finitions

Car

e give r

Pe rso n who e ithe r a s a re sult o f a fa mily re la tio nship, vo lunta rily, o r in e xc ha ng e fo r c o mpe nsa tio n ha s a ssume d re spo nsib ility fo r a ll o r a po rtio n o f the c a re o f a n e lig ib le a dult who ne e ds a ssista nc e with a c tivitie s o f da ily living

r instrume nta l a c tivitie s o f da ily living
Cle ar

and Convinc ing E vide nc e

Sta nda rd o f pro o f tha t must b e me t to re a c h a “ve rifie d” sub sta ntia tio n de c isio n in the APS Pro g ra m (T

his standard o f pro o f is me t whe n the c re dib le e vide nc e , we ig he d in its e ntire ty, c re ate s a sub stantiate d c e rtainty that the ab use , ne g le c t, o r financ ial e xplo itatio n is o c c urring o r had o c c urre d.)

4

SLIDE 5

Ke y De finitions (c o ntinue d)

Dir

e c t Car e

Dire c t a c c e ss to a n e lig ib le a dult, his/ he r living q ua rte rs, o r his/ he r pe rso na l, fina nc ia l, o r me dic a l re c o rds fo r the purpo se o f pro viding nursing c a re , a ssista nc e with ADL s, o r a ssista nc e with fina nc ia l tra nsa c tio ns.

E

lig ible Adult

Adult with a disa b ility a g e 18 thro ug h 59 o r a pe rso n a g e 60 o r o lde r who re side s in a do me stic living situa tio n a nd is, o r a lle g e d to b e , a b use d, ne g le c te d, o r fina nc ia lly e xplo ite d b y a no the r individua l.

5

SLIDE 6

Ke y De finitions

Ve r

ifie d & Substantiate d

De te rmina tio n b y “c le a r a nd c o nvinc ing ” e vide nc e b y a n APS PA, a fte r a sse ssme nt, tha t injury o r ha rm ha s o c c urre d a s the re sult o f a b use , ne g le c t, o r fina nc ia l e xplo ita tio n (ANE ) in a re po rte d c a se

Vic tim

E lig ib le a dult a g e 60 ye a rs o r o lde r o r a n a dult with a disa b ility a g e 18 thro ug h 59 who is the sub je c t o f a ve rifie d & sub sta ntia te d finding o f a b use , ne g le c t, o r fina nc ia l e xplo ita tio n

6

SLIDE 7

Ove r vie w of APS Re g istr y Pr

c e ss

 Ste p 1

APS Pro vide r Ag e nc y (PA) g ive s Kno w Yo ur Rig hts no tic e to the vic tim (g ua rdia n o r a g e nt) tha t his/ he r c a re g ive r’ s ide ntity ma y b e pla c e d o n the APS Re g istry b a se d o n a Ve rifie d & Sub sta ntia te d finding o f ANE b y the APS PA.

7

SLIDE 8

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue d )

 Ste p 2

APS PA for war ds name of vic tim to the Illinois De par tme nt on Aging (IDoA) afte r a Ve r ifie d & Substantiate d finding

24-ho urs (I

mmine nt Risk)

I

f vic tim is in immine nt risk o f da ng e r o r misuse o f his/ he r pe rso na l, me dic a l, o r fina nc ia l info rma tio n

5 b usine ss da ys (No n-immine nt Risk)
I

f vic tim is no t in immine nt risk

8

SLIDE 9

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue d )

 Ste p 3

IDoA APS r e vie ws c ase r e c or d as a quality assur anc e me asur e to e nsur e c or r e c t inte r pr e tation & applic ation

f the following (30 c ale ndar days)
Adult Pro te c tive Se rvic e s Ac t, a dministra tive rule s, a nd sta nda rds
Suffic ie nt do c ume nte d e vide nc e o f a b use , ne g le c t, o r fina nc ia l

e xplo ita tio n 9

SLIDE 10

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue d )

 Ste p 4

IDoA r e vie ws APS PA’s F inding to r e c omme nd Conc ur r e nc e or Non- Conc ur r e nc e

Co nc urre nc e – Ca re g ive r’ s ide ntity is re c o mme nde d fo r pla c e me nt o n APS

Re g istry (APS Re g istry pro c e ss b e g ins)



Offic e o f APS se nds Ca re g ive r a No tic e o f c o nc urre nc e & re c o mme nds pla c e me nt o n APS Re g istry pe nding a ny c ha lle ng e / a ppe a l



No tic e inc lude s info rma tio n a b o ut the Ca re g ive r’ s rig ht to c o nte st pla c e me nt o n APS Re g istry inc luding g ro unds fo r a ppe a l & a pplic a b le le g a l b urde n

No n-Co nc urre nc e - Ca re g ive r’ s ide ntity is no t re c o mme nde d fo r pla c e me nt o n

APS Re g istry



Offic e o f APS se nds Ca re g ive r a No tic e o f no n-c o nc urre nc e with pla c e me nt o n APS Re g istry with c o pie s to sta te a g e nc y o r dire c t c a re pro vide r a nd APS PA

10

SLIDE 11

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue d )

 Ste p 5

Appe a l Proc e ss Initia te d by Ca re g ive r

Ca re g ive r ha s a rig ht to a ppe a l pla c e me nt o f his/ he r ide ntity o n APS Re g istry
I

Do A sha ll no t pla c e a c a re g ive r’ s ide ntity o n the APS Re g istry pe nding c ha lle ng e s o r a ppe a l fro m c a re g ive r

11

SLIDE 12

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue d )



Ste p 5 Appe al Pr

c e ss Initiate d by Car

e give r

Ca re g ive r F

ile s Re q ue st fo r Appe a l with I Do A

(30 c ale ndar days afte r date o f I Do A no tic e )

 Administra tive L

a w Judg e , CMS-Bure a u o f Administra tive He a ring s, fa c ilita te s the he a ring pro c e ss

Ca re g ive r Do e s no t F

ile Re q ue st fo r Appe a l

 T

he Offic e o f APS will pla c e the Ca re g ive r’ s ide ntity o n the APS Re g istry within 45 c a le nda r da ys a fte r the No tic e if the Re q ue st fo r Appe a l fo rm is no t file d b y Ca re g ive r

 T

he Offic e o f APS will se nd a No tic e to the Ca re g ive r’ s e mplo ye r (sta te a g e nc y o r dire c t c a re pro vide r) re g a rding pla c e me nt o n APS Re g istry

12

SLIDE 13

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue )

 Ste p 5

Appe a l Proc e ss Initia te d by Ca re g ive r

He a ring pa rtic ipa nts ma y inc lude

 Ca re g ive r (atto rne y o r re pre se ntative )



Vic tim



Administra tive L a w Judg e (AL J)



Witne sse s



I Do A Dire c to r (o r De sig ne e )



Re pre se nta tive (s) fro m c a re g ive r’ s e mplo ye r (state ag e nc y o r dire c t c are pro vide r)

No te An appe al he ar ing & APS Pr

vide r

Age nc y’s c ase wo r k and fo llo w-up c an o c c ur at the same time

13

SLIDE 14

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue d )

 Ste p 6

Administr ative L aw Judge (AL J) se nds He ar ing Notic e to all involve d Par tic ipants and . . .

F

a c ilita te s he a ring pro c e ss, &

Se nds re c o mme nda tio n(s) to I

Do A Dire c to r fo r F ina l Administra tive De c isio n 14

SLIDE 15

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue d)



Ste p 7 Appe al – Public Inte r e st

So le issue o n a ppe a l is whe the r pla c e me nt o f c a re g ive r’ s ide ntity o n APS

Re g istry is in the pub lic inte re st

T

he se a re the pub lic inte re st fa c to rs c o nside re d



L e ng th o f time c a re g ive r ha s b e e n pro viding c a re to vic tim



Re la tio nship b e twe e n c a re g ive r a nd vic tim



Whe the r pla c e me nt o n APS Re g istry is in the vic tim’ s b e st inte re st o r tha t o f o the r pa rtic ipa nts



As it re la te s to fina nc ia l e xplo ita tio n, whe the r re stitutio n ha s b e e n ma de



Whe the r a dditio na l tra ining fo r c a re g ive r c o uld re me dia te the ANE



Whe the r c rimina l c ha rg e s we re file d (a nd o utc o me )

15

SLIDE 16

Ove r vie w of APS Re g istr y Pr

c e ss

(c o ntinue d )



Ste p 8 Re mova l from APS Re g istry (sing le plac e me nt de c isio n)

Ca re g ive r ma y re q ue st re mo va l o f his/ he r ide ntity fro m APS Re g istry a t a ny

time a fte r a sing le pla c e me nt re po rt to the APS Re g istry b y sub mitting a writte n re q ue st to I Do A Offic e o f APS

Re mo va l re q ue st fro m APS Re g istry is no t to b e ma de mo re tha n o nc e in

e a c h suc c e ssive 3-ye a r pe rio d a fte r pla c e me nt, with a ma ximum o f 3 suc h re q ue sts

I

Do A sha ll g ra nt o r de ny the c a re g ive r’ s re q ue st to re mo ve his/ he r ide ntity fro m APS Re g istry

No te Car e give r must pr

ve by a pr

e po nde r anc e o f the e vide nc e that r e mo val o f his/ he r name fr

m APS Re gistr

y is in the public inte r e st. T he r e vie w will no t inc lude in-pe r so n te stimo ny.

16

SLIDE 17

Adult Pr

te c tive Se r

vic e s Re gistr y Impac t on State Age nc ie s & Dir e c t Car e Pr

vide r

s

(lic e nse d , c e rtifie d , o r re g ula te d b y o r pa id with pub lic fund s fro m a ny o f the se sta te a g e nc ie s)

17

SLIDE 18

APS Re g istr y Ac c e ss (c o ntinue d )

Ac c e ss to the APS Re gistr

y is limite d to:

 De pa rtme nt o n Ag ing (Do A)  De pa rtme nt o f Pub lic He a lth (DPH)  De pa rtme nt o f Huma n Se rvic e s (DHS)  De pa rtme nt o f He a lthc a re & F

a mily Se rvic e s (HF S)

 Dire c t Ca re Pro vide rs

State age nc y or

dir e c t c ar e pr

vide r

shall not r e tain, hir e , c ompe nsate (dir e c tly

r
n be half of a par

tic ipant), or use the se r vic e s of any pe r son se e king to pr

vide dir

e c t c ar e without fir st c onduc ting an on- line c he c k of the APS Re gistr y

 Sta te a g e nc y o r dire c t c a re pro vide r must c he c k the APS Re g istry a t hire & a nnua lly

the re a fte r to ma inta in a c o py o f the re sults

 F

a ilure to c o mply with this re q uire me nt ma y sub je c t suc h a pro vide r to c o rre c tive a c tio n b y the a ppro pria te re g ula to ry a g e nc y o r o the r la wful re me die s pro vide d unde r a pplic a b le lic e nsure , c e rtific a tio n, o r re g ula to ry la ws a nd rule s

18

SLIDE 19

Confide ntia lity

No infor

mation/ doc ume nts in the vic tim’s c ase r e c or d or appe al pr

c e ss

(inc luding IDoA’s F inal Administr ative De c ision) will be subje c t to the F r e e dom of Infor mation Ac t (5 I

L CS 140)

Unde r

the APS Ac t, APS r e c or ds ar e c onfide ntial with limite d statutor y e xe mptions allowing for disc losur e (e .g., c our t or de r )

IDoA & AL

J have a duty to pr

te c t the c onfide ntiality of r

e c or ds involving (Se e APS

Ac t 320 I L CS 20/8)



Ve rifie d a nd sub sta ntia te d de c isio n o f ANE

f a n e lig ib le a dult b y a c a re g ive r



All re c o rds c o nc e rning re po rts o f ANE & a ll c a se no te s & re c o rds g e ne ra te d a s a re sult o f suc h re po rts



Na me o f & pe rso na l info rma tio n a b o ut the Vic tim & Re po rte r(s)

19

SLIDE 20

Se lf- Ne gle c t Imple me ntation of Se r vic e s

20

SLIDE 21

Re quire d Ste ps to Imple me nt Se lf- Ne g le c t a s APS Prog ra m Compone nt

Suffic ie nt a ppro pria tio n to imple me nt a sta te wide

pro g ra m

Ame ndme nts to pa rt 270 o f T

itle 89 o f the I llino is Administra tive Co de

Pub lishe d o n Pa g e 9226, I ssue 23 in Vo lume 42 o f the I llino is Re g iste r

n June 8, 2018.

http:/ / www.c yb e rdrive illino is.c o m/ de pa rtme nts/ inde x/ re g iste r/ vo lume 42/ r e g iste r_vo lume 42_issue 23.pdf

E ffe c tive Da te : July 1, 2018 21

SLIDE 22

De fining Se lf- Ne gle c t

A c o nditio n tha t re sults fro m a n individua l’ s ina b ility to pe rfo rm e sse ntia l se lf-c a re ta sks tha t substa ntia lly thre a te n

his or he r own he a lth, a nd inc lude s:

Pro viding e sse ntia l fo o d, c lo thing o r she lte r a nd he a lth c a re ;

a nd

Ob ta ining g o o ds a nd se rvic e s ne e de d to ma inta in physic a l

he a lth, me nta l he a lth, e mo tio na l we ll-b e ing a nd g e ne ra l sa fe ty

22

SLIDE 23

De fining Se lf- Ne gle c t

Inc lude s “Compulsive Hoar ding”

Charac te rize d b y the ac q uisitio n and re te ntio n o f larg e

q uantitie s o f ite ms (inc lude s a nima ls) and mate rials that pro duc e an e xte nsive ly c lutte re d living spac e , whic h

signific antly impair s the pe r fo r manc e o f e sse ntial se lf-c ar e tasks, o r

the r

wise substantially thr e ate ns life o r safe ty.

23

SLIDE 24

Guiding Pr inc iple s of Adult Pr

te c tive Se r

vic e s (APS)

I

llino is’ Adult Pro te c tive Se rvic e s Pro g ra m o pe ra te s unde r a n Advo c a c y I nte rve ntio n Mo de l:

T

he Pro g ra m a ssists the individua l thro ug h inte rve ntio ns o n his o r he r b e ha lf; a nd

T

he Pro g ra m se rve s a s a n a dvo c a te

24

SLIDE 25

Guiding Pr inc iple s of APS

I llino is’ Adult Pro te c tive Se rvic e s Pro g ra m a do pte d the c o nc e pt o f Se lf-De te rmina tio n:

Co mpe te nt a dults ha ve the rig ht to :

De c ide whe re a nd ho w the y will live ; Cho o se whe the r to a c c e pt so c ia l se rvic e s o r o the r

c o mmunity a ssista nc e ; a nd

Ma ke de c isio ns diffe re nt fro m tho se a re a so na b le a dult

wo uld ma ke , inc luding “b a d” de c isio ns, whic h a re no t ha rmful to o the rs. 25

SLIDE 26

Guiding Pr inc iple s of APS

Inte r

ve ntion Pr inc iple s

I

nvo lve the individua l in the de ve lo pme nt o f the inte rve ntio n o r c a se pla n.

Assist the individua l to live in the mo st inde pe nde nt

se tting .

Be dire c t in disc ussing the situa tio n, the a lte rna tive ,

a nd the c o nse q ue nc e s

26

SLIDE 27

Guiding Pr inc iple s of APS

Inte r

ve ntion Pr inc iple s:

 Confide ntia lity – Re spe c t the individua l’ s’ rig ht to c o nfide ntia lity. T

he individua l ha s a rig ht to priva c y.

 DO NO HARM – Re c o g nize tha t ina de q ua te o r ina ppro pria te

inte rve ntio n ma y b e mo re ha rmful tha n no ne a t a ll. APS ha s a re spo nsib ility to ta ke no a c tio n tha t pla c e s the individua l a t g re a te r risk

f ha rm.

 Pr

imac y of the Adult - T he individua l’ s inte re st a re to b e the first c o nc e rn o f the pro g ra m, b e fo re tha t o f fa mily me mb e rs o r c itize ns o f the c o mmunity. Sa fe ty o f the individua l is fo re mo st whe n she o r he is una b le to de c ide o r a c t o n he r o r his o wn b e ha lf.

27

SLIDE 28

Mandator y Re por ting Re quir e me nt vs. Voluntar y Re por ting of Se lf- Ne gle c t

Pro fe ssio na ls who a re ma nda te d to re po rt suspic io ns
f a b use , ne g le c t o r fina nc ia l e xplo ita tio n (if the y

ha ve re a so n to b e lie ve tha t a n e lig ib le a dult, who b e c a use o f a disa b ility o r o the r c o nditio n o r impa irme nt is una b le to se e k a ssista nc e fo r himse lf o r he rse lf) a re no t ma nda te d to re po rt se lf-ne g le c t. Re po rting is vo lunta ry.

28

SLIDE 29

Priority Re sponse

All se lf-ne g le c t re po rts will b e a ssig ne d e ithe r a Pr

ior ity I or Pr ior ity II

re spo nse b e c a use :

Se lf-ne g le c t re po rts inc lude d indic a to rs tha t a n individua l is una b le

to pe rfo rm e sse ntia l se lf-c a re ta sks tha t substantially thr

e ate n his or he r

wn he alth, inc luding :

 Pro viding e sse ntia l fo o d, c lo thing o r she lte r a nd he a lth c a re ; a nd  Ob ta ining g o o ds a nd se rvic e s ne e de d to ma inta in physic a l

he a lth, me nta l he a lth, e mo tio na l we ll-b e ing a nd g e ne ra l sa fe ty 29

SLIDE 30

Asse ssme nt & Case wor k

Ho w Asse ssme nt is De fine d:

 Ob ta ining a nd do c ume nting info rma tio n a b o ut a n individua l to

de te rmine if the re is re a so n to b e lie ve tha t se lf-ne g le c t is o c c urring a nd to de te rmine le ve l o f risk.

 Re q uire d to o c c ur within 30 da ys* fro m the da te o f inta ke .  Co nse nt to se rvic e s minima lly inc lude s the individua l’ s c o nse nt to

c o ntinue d c o nta c t with the c a se wo rke r.

*E

xc e ptio ns o utline d in Sta nda rds se c tio n 509:A.10 do a pply fo r se lf-ne g le c t

30

SLIDE 31

Asse ssme nt & Case wor k

How Ca se work is De fine d:

 De ve lo ping a nd imple me nting a se rvic e pla n fo r the individua l,

within 90 da ys fro m da te o f inta ke , whic h inc lude s:

I

de ntific a tio n o f the ne e ds, pro b le ms, limita tio n a nd c a pa c itie s o f the c lie nt;

I

nte rve ntio ns to pro te c t the he a lth, we lfa re a nd sa fe ty o f the c lie nt;

Assisting the c lie nt in o b ta ining ne e de d se rvic e s; a nd Re spe c ting the se lf-de te rmina tio n a nd inde pe nde nc e o f the c lie nt.

31

SLIDE 32

Asse ssme nt & Case wor k

How Inte rve ntion is De fine d:

I

nte rve ntio n me a ns a n a c tio n initia te d b y the APS pro vide r to pro vide me dic a l, so c ia l, e c o no mic , le g a l, ho using , la w e nfo rc e me nt, o r o the r pro te c tive , e me rg e nc y o r suppo rtive se rvic e s to , o r o n b e ha lf o f the individua ls.

32

SLIDE 33

Case wor k

T

he APS Ac t re quire s the following of the provide r a g e nc y in de ve loping a c a se pla n: T

he plan shall inc lude alte rnative sug g e ste d o r re c o mme nde d se rvic e s whic h are appro priate to the ne e ds o f the e lig ib le adult and whic h invo lve the le ast re stric tio n o f the e lig ib le adult’ s ac tivitie s c o mme nsurate with his o r he r ne e ds.[320 I

L CS 20/ 5(a )]

33

SLIDE 34

F

llow Up & Case Closur

e

F
llo w-up se rvic e s must minima lly inc lude mo nthly c o nta c t, with o ne o f

tho se c o nta c ts b e ing a fa c e -to -fa c e e ve ry 90 da ys fo r purpo se s o f:

Mo nito ring to a ssure se rvic e s a nd inte rve ntio ns a re b e ing pro vide d a s

inte nde d.

Assisting the individua l in c o ntinuing to re c e ive se rvic e s inte rve ntio n to

whic h she o r he ha s c o nse nte d

Co unse ling
Clo sure a fte r 12 mo nths o f c o ntinuo us fo llo w up unle ss wa ive r is in pla c e

34

SLIDE 35

Public Ac t 100- 0641

Eligible adult" also includes an adult who resides in any of the facilities that are excluded from the definition of "domestic living situation" under paragraphs (1) through (9) of subsection (d), if either: (i) the alleged abuse or neglect

ccurs outside of the facility and not under facility

supervision and the alleged abuser is a family member, caregiver, or another person who has a continuing relationship with the adult; or (ii) the alleged financial exploitation is perpetrated by a family member, caregiver, or another person who has a continuing relationship with the adult, but who is not an employee of the facility where the adult resides

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SLIDE 36

Bac kgr

und

Why L

e gislation Was Ne e de d

Adult Pro te c tive Se rvic e s Pro g ra m

 Ga p in the la w  De finitio n o f a n “e lig ib le a dult”  APS jurisdic tio n

I

llino is De pa rtme nt o f Pub lic He a lth (I DPH)

He a lthc a re a nd F

a mily Se rvic e s (HF S)

I

llino is De pa rtme nt o f Huma n Se rvic e s Offic e o f I nspe c to r Ge ne ra l 36

SLIDE 37

Illinois De par tme nt of Public He alth

Re g ula to ry a g e nc y fo r nursing ho me s a nd

a ssiste d living

I

nve stig a te s a b use , ne g le c t a nd e xplo ita tio n if the a b use is o c c urring in the fa c ility o r b y a sta ff me mb e r o f the fa c ility

I

nve stig a te s wha t the fa c ility fa ile d to do to pro te c t the re side nt fro m the a lle g e d a b use

Do e s no t inve stig a te to de te rmine whe the r ille g a l

a c tio ns we re c o mmitte d

37

SLIDE 38

De par tme nt on Aging’s L

ng T

e r m Car e Ombudsman Pr

gr

am

Omb udsma n a dvo c a c y is limite d to the pe rmissio n

g ra nte d b y the re side nt o r re side nt’ s re pre se nta tive (whe n the re side nt is una b le to ma ke de c isio ns)

Omb udsma n inve stig a te b y
Ga the ring info rma tio n
Re q ue sting re c o rds, inc luding a n a c c o unting
f re c o rds fro m the a g e nt unde r a POA fo r

pro pe rty

I

nte rvie wing a ll pa rtie s with who m re side nt g ra nts pe rmissio n to spe a k to

Omb udsma n g a the r a ll info rma tio n a nd sha re it

with the re side nt to a ssist with ma king a n info rme d de c isio n

38

SLIDE 39

He althc ar e and F amily Se r vic e s (HF S)

T

he re g ula to ry a g e nc y fo r Suppo rtive L iving F a c ilitie s

I

nve stig a te s a b use , ne g le c t a nd e xplo ita tio n if the a b use is o c c urring in the fa c ility o r b y a sta ff me mb e r o f the fa c ility

I

nve stig a te s wha t the fa c ility fa ile d to do to pro te c t the re side nt fro m the a lle g e d a b use

Do e s no t inve stig a te to de te rmine whe the r ille g a l

a c tio ns we re c o mmitte d

39

SLIDE 40

De par tme nt of Human Se r vic e s Offic e of Inspe c tor Ge ne r al

Jurisdic tio n in Co mmunity I

nte g ra te d L iving Arra ng e me nts (CI L As)c o ve rs a lle g a tio ns a g a inst sta ff o f fa c ility a nd while individua l is unde r supe rvisio n o f fa c ility

40

SLIDE 41

What doe s this Me an for APS?

APS will re spo nd to re po rts o f a lle g a tio ns o f a b use

a nd ne g le c t o f re side nts o f fa c ilitie s if the a lle g a tio ns a re a g a inst so me o ne in the c o mmunity who ha s a n

n-g o ing re la tio nship with the re side nt
APS will fo llo w its pro g ra m sta nda rds fo r a sse ssme nt,

c a se wo rk a nd fo llo w-up

APS will c lo se the c a se whe n it de te rmine s tha t the

re side nt is no lo ng e r a t risk o f furthe r injury o r ha rm

41

SLIDE 42

Quest Questio ions ns? ?

42