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DDID outlines certification, monitoring for adult foster care and family‑home providers
Summary
DDID presented certification steps and monitoring expectations for residential level‑2 providers: agency application and orientation, documentation review, 45‑day and six‑month certification reviews, quarterly QA visits, staff training and background checks, and sampling of residential sites during reviews.
Elizabeth Markle (DDID) walked the committee through agency certification for adult foster care and family‑home providers that deliver residential level‑2 services. She said DDID certifies the agency rather than individual homes and requires a provider packet, orientation, submission of policies and procedures, and provider development specialist review. "When the certification requirements are met, the agency is certified," Markle said.
Markle described initial 45‑day and 6‑month certification reviews, the possibility of moving to a one‑year annual cycle after demonstrated compliance and a two‑year certification extension for agencies with sustained compliance. She listed residential readiness checks (private sleeping/living units, ADA accessibility, fire extinguishers, medication administration records, sanitary conditions) and staff training requirements (first aid, CPR, medication administration, College for Direct Support phases) and said quality administrators perform both announced and unannounced home visits and sample site reviews.
Committee members raised concerns about whether people who cannot communicate are safe in foster/FHP settings and asked how frequently unannounced visits occur; DDID said there is no set numeric requirement for unannounced visits and that monitoring frequency varies by QA staff but is an important part of oversight.
