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Community Resources for Independent Living – CRIL ILS / Adult Transition Program Design

CRIL ~ ILS (Independent Living Skills) / Adult Transition Program Design

Revision AJanuary 14, 2016

Community Resources for Independent Living (CRIL)439 A Street

Hayward, CA 94541Phone: 510-881-5743


CRIL’S MISSIONCRIL (Community Resources for Independent Living) is a

peer-based disability organization that advocates and provides resources for people with disabilities to improve lives and make communities fully accessible.

CRIL’S BACKGROUND & HISTORYCRIL is an independent living center established in March

1979 by a small group of citizens with disabilities who were responding to the lack of basic independent living supports and services in southern Alameda County. Thanks to the leadership and commitment, along with many non-disabled activist and supporters, CRIL has become the premier resource for the community from San Leandro to the Santa Clara County line and east to Livermore.

CRIL operates 3 full-service offices, located in Hayward, Livermore and Fremont and provides excellent services to residents throughout southern and eastern Alameda County. CRIL has gained recognition for the high quality of its services in Systems Change Advocacy, Youth Leadership Development, Personal Assistance Services, Benefits and Employment Counseling, and Independent Living Skills training. CRIL is a 501(c)3 non-profit organization. FEIN: 94-2598873.

CRIL provides multiple services to over 800 individuals annually and is also a resource for disability awareness education and training and technical advice to another 4,000 residents and businesses throughout southern and eastern Alameda County. CRIL provides the following services:

Pre-employment counseling Job Club and monthly employment workshops Youth empowerment programs Disability Action

Network for Youth (DANY) and Disability Action Network (DAN)

Advocacy Travel & Mobility Training Housing Search Assistance


Personal Assistance Registry and Resources Assistive Technology & Device Lending Peer Support Healthy Living & Disaster Preparedness Workshops Seasonal Tax Assistance Services for low income

persons Disability benefits counseling Voter registration and voter study guides

CRIL’S VALUES

CRIL’s values are to: Lead with integrity Promote equality Appreciate diversity Support personal independence Treat people with dignity and respect Create peer connections Partner with other organizations

CRIL ILS / ADULT TRANSITION PROGRAM DESIGN PROPOSAL

To support the transition needs of 18 – 22 year olds with Intellectual / Developmental Disabilities, CRIL has developed a program design that addresses Independent Living Skills as well as Pre-Employment Transition Services (Adult Transition). CRIL’s ILS / Adult Transition Program Proposal will also support the California Competitive Integrated Employment (CIE) “Blueprint”. The ‘Blueprint” is the cooperative plan between the Department of Developmental Services, Department of Rehabilitation and the Department of Education to redesign and build capacity of the service delivery system to support the achievement of CIE for individuals with ID/DD over a 5 year period.

The delivery of the service will either be at a 1:1 ratio or a 2:1 ratio (2 consumers to 1 trainer), depending on the needs of the consumer. Each consumer will have 30 hours of ILS / Adult


Transition service available to them for each month. The scheduling of the service will be coordinated between the consumer and CRIL’s ILS Coordinator. CRIL’s service hours are from 9:00 – 5:00 Monday through Friday. The consumer and the IL Coordinator will determine a schedule that is agreed upon.

The ILS / Adult Transition Services will include: Travel Training Functional Money Skills / Budgeting Independent Living skills as determined in the Person

Centered Plan Job Exploration – includes identifying community career

opportunities and developing the understanding of the skill sets necessary to be successful in those professions.

Workplace Readiness Training – includes developing work ready skills and interpersonal skills.

Work based learning experience – includes volunteer work experiences and internships in integrated settings.

CRIL will also provide self-advocacy and leadership training to the young adults.

Currently, young adults, between the ages of 18 – 22 with disabilities, have a broad range of supports in the school environment to accommodate their needs and facilitate their success in school. Many of those supports will not be available to them after they transition to higher education and the working world. The young adults need skills to recognize and address academic, independent living, and vocational barriers prior to their exit from high school. Self-Advocacy training gives consumers those skills.

Through self-advocacy training, consumers will learn to identify their strengths and challenges. Consumers will understand what they want, developing a vision for their future, learning their rights and responsibilities and finding resources. Consumers will learn how to get what they want, seeking accommodations,


learning good communication skills, making decisions, solving problems and developing support networks.

1. Description of the desired consumer outcomes stated in measurable terms.

1.1 Development with the consumer of a Independent Living Plan for community integration/independent living including: vocational development, housing, independent living and leisure skills which identify preferred options that match for that individual (i.e. physical limitations, preferences for living arrangements, transportation, preferences, etc.).

1.2 If the consumer is unclear about preferences and/or limitations, the program may conduct assessments to attempt to identify preferences and/or limitations [i.e. ChoiceMaker, Choosing Personal Goals and Choosing Career Goals, etc.]

1.3 Provide evidenced-based instruction in functional money skills, budgeting, and shopping with measurable assessment.

1.4 Provides evidenced-based mobility training with measurable assessment

1.5 Provides evidenced-based personal relationship training in conjunction with the California School of Professional Psychology.

1.6 Provides various independent living skills training as needed.

1.7 Provides evidenced-based job readiness training with measurable assessment.

2. Staff training plan to include new staff orientation and ongoing staff training.

2.1 Upon hire, new IL (Independent Living) Coordinators receive a 2 hour independent living center orientation

2.2 IL Coordinators attend a program specific training (20 hours minimum annually) which may include, but is not limited to:


CRIL Mission and History History of the Disability Movement Definition of Disability Independent Living Philosophy & Person First

Language History of Disability Services Overview of Service System Regional Centers System and the Department of

Rehabilitation Independent Living Plan (ILP), Individual Transition

Plan (ITP), Individual Education Plan (IEP), Individual Program Plan (IPP), Individualized Plan for Employment (IPE)

Rights of People Receiving Services Dependent Adult Abuse Reporting Confidentiality Diversity Code of Ethics Performance Evaluation Process. Relationship curriculum Dealing with Stress/ Relaxation Techniques

2.3 IL Coordinators attend First Aid and CPR training and or recertification annually.

2.4 IL Coordinators attend monthly staff meetings where ideas on how to enhance and improve the access to services are discussed.

3. A description promoting consumer program development.

3.1 The purpose of CRIL's intake and plan development process is to assist each consumer to explore and identify their community integration/independent living options including a job readiness, housing, independent living and leisure skills. At any time, consumers can contact the Program Director and request a change to their plan.


4. A description of entrance and exit criteria

4.1 Entrance criteria are as follows: Consumers must be Regional Center consumers. Consumers must be at least 18 – 22 years of age. Consumers who participate in this program will live

in southern & eastern Alameda County (primarily in the Tri-Valley, Hayward and Tri-Cities area).

Consumers must demonstrate the potential to learn to travel independently to and from the program sites or have other means of transportation available to them.

Consumers will demonstrate sufficient basic skills in the areas of communication, socialization, self-care, following instructions and safety.

Consumers must not pose an unacceptable level of risk to staff, co-workers, nor members of the community or to themselves.

Severity of disability does not necessarily preclude someone from receiving service from CRIL. Consumers will be chosen and served without regard to race, creed national origin, disability, sex, age, sexual preference or other areas of discrimination.

4.2 Exit Criteria is as follows: Consumers, representatives, Regional Center request

termination of CRIL's services. The consumer has developed skills to the extent that

services are no longer necessary. The consumer's needs for service exceed CRIL's

ability to meet those needs. The consumer or representative is repeatedly:

1. Absent (5 consecutive unplanned days) or excessive tardiness

2. Insubordinate / assaultive to CRIL’s staff or other consumers.

3. Engages in rude or aggressive behavior towards CRIL’s staff or other individuals involved in the service.


4. A significant other or involved family member of the consumer engages in rude or aggressive behavior towards CRIL’s staff or other individuals involved in the CRIL program.

5. Destruction of personal, CRIL property or CRIL staff personal property.

5. A description of the person-centered planning process used to facilitate a consumer's program choice and outcome.

5.1 Plan Development

The Person-Centered Plan is completed by the consumer with assistance by involved family, friends and CRIL staff. The plan is designed to gather information regarding the consumers’ aspirations for independent living/community integration, relevant skills and experience, needs for support and training, medical limitations and parameters. This information is used to set specific goals that will guide the individualized service program development process. If the consumer wishes to change any goals outlined in the plan, he or she is asked to inform the CRIL IL Coordinator as soon as possible.

6. A description of the geographic area and anticipated number of people served.

6.1 CRIL’s program provides services to consumers who live in southern and eastern Alameda County (Tri-Valley, Hayward and the Tri-Cities areas).

6.2 CRIL estimates a maximum capacity of 20 consumers. Before CRIL reaches 15 consumers, CRIL will request an increase in the capacity of consumers of no less than 25 consumers.

7. Description of the quality management system.


7.1 Goal The policy of the Outcomes System is to systematically evaluate the agency's administrative and program functions in order to deliver highest quality services to persons with developmental disabilities.

The intent of this policy is to assure high quality services are provided to consumers served by CRIL. We also strive to provide quality services in the most cost-effective manner. A thorough evaluation or outcome measurement system and a thorough strategic plan measure how we achieve our goals.

7.2 Outcomes Reports

The evaluation or outcomes system will be reviewed annually. For all consumers a copy of the ISP (Individual Service Plan) and the ILP (Independent Living Plan) will be sent to Regional Center Casework on an annual basis. Daily documentation will be made on the status of each of the consumer’s goals. Statistics are compiled monthly.

For the overall ILS service, on a semi-annual basis, the Program Director will present their program report to the CRIL Board of Directors. The Board of Directors can recommend areas for possible improvement to be considered by the Executive Director and the Program Director for next year.

7.3 Planning and Reviewing Outcomes System

The Adult Transition / ILS Program have goals that are updated annually. The Program Director consults with the IL Coordinators regarding the proposed goals that are presented, reviewed and approved by the Executive Director. The Program Director is responsible for tracking and meeting those goals throughout the year. Considerations in developing goals include:


Whether the goal is consistent with the agency mission and purpose

Is there a significant change in consumer needs or demographics

Assessment of the past year's plan, goals, objectives, accomplishments

Regional Center areas of unmet need, requests for services

8. Program Description:

8.1 Philosophy of service

CRIL’s ILS Program designed is based as a Home and Community-Based Instruction model in which instruction and activities are immersed as much as possible in the community at a consumer to staffing ratio of 2:1 or 1:1. CRIL focuses on self-determination skills, vocational skills, independent living skills, and community integration.

Consumers are offered 30 services hours a month for a total of 360 hours annually. The days and times of service will be developed between CRIL IL Coordinator and the consumer. Generally, the ILS program will not only support the consumer’s Independent Living Skills development but will also support their pre-employment training as well as their leadership skills development.

The CRIL ILS / Adult Transition program empowers consumers through a process of measurable, evidence based instruction immersed with community based experiences which provides opportunities for consumers to practice skills, gain experience, and build self-esteem and self-efficacy. CRIL is a peer-based disability organization. CRIL is a person-centered program guided by consumer choice and interests. CRIL provides a safe space where consumers engage in new experiences with confidence and success as they work to find their place in the world.


The CRIL program believes empowerment is nurtured through community-involvement. The CRIL program will establish collaborative relationships with a variety of agencies and non-profits organizations working with diverse populations as well as other organizations that support other diverse populations.

8.2 CRIL office:

CRIL serves the southern and eastern Alameda County area. CRIL’s Main office is located at 439 A Street in Hayward. Our main phone line is (510) 881-5743. CRIL’s hours of operation: Monday through Friday from 9 a.m. to 5 p.m. Our website is www.crilhayward.org. Two satellite offices are located in Livermore and Fremont. CRIL’s Livermore office is located at the Multi-Agency Center at 3311 Pacific Ave. CRIL’s Fremont office is located at the Family Resource Center at 39155 Liberty Street Suite A100. CRIL’s Hayward office is conveniently located about a quarter mile away from the north Hayward BART Station.

CRIL will be closed the following 11 holidays and will not provide services during these holiday dates:

New Year’s DayMartin Luther King Jr. Day

Presidents’ DayMemorial Day

Independence DayLabor Day

Veterans DayThanksgiving Day

Day after Thanksgiving DayChristmas EveChristmas Day

8.3 Community-Based and Home Instruction

CRIL’s Community-Based Instruction is educational instruction that occurs in typical community spaces. These environments

http://www.crilhayward.org/


are quite different from the school campus and classrooms. CRIL instruction provides consumers with the types of skills needed to function as productive adults, in real-life settings and under the supervision of staff/aids. Community-Based Instruction prepares consumers in the least restrictive environment for a successful transition to adulthood, helps consumers to live independently, and enhances their quality of life.

A planned day could be changed due to the weather conditions, Transportation issues or any other unforeseen items. In those cases, the student(s) and staff will discuss a new plan for the day. Choice, negotiation and decisions are the product of this type of interaction. Learning opportunities are never lost due to weather conditions or unforeseen problems.

Home Instruction is also utilized to provide learning opportunities in a familiar environment. It is understood that once skills are presented, a majority of instruction will be in the community. For example; a consumer can learn about bus and BART routes in the home, but they will not be able to utilize and master those skills until the skill is used in the community.

Program schedules are individualized and are organized and developed based on each person’s Person-Centered Plan (ILP/ ISP).

8.4 Attendance PolicyFor young adult consumers who wish to attend the program: Consumers, Care Providers will need to express an interest to attend the program and request a POS (Purchase of Service) from their Regional Center Caseworker. Prior to the service month, a schedule will be developed with the consumer and CRIL IL Coordinator. Before attending the program, CRIL must receive a POS from regional center. Once the consumer has signed up for the program, they are responsible for attending the program. After the 5th consecutive day of unplanned attendance and no communication, CRIL can move


towards termination of services. CRIL will inform Regional Center Caseworker of the consumer’s attendance.

CRIL will contact the Regional Center Caseworker prior to terminating a consumer’s enrollment in order to attempt to resolve any difficulties. After thoroughly investigating all possible solutions to keep a participant in the program, CRIL will give 30 days-notice to Regional Center, consumer and/or consumer’s representative prior to terminating them from the program; only if attendance in the program is not a threat or causing harm to another person or themselves. If termination is due to safety or self or others, an immediate suspension from services will be issued.

CRIL’s Community-Based Instruction may occur in various settings throughout the consumer’s local area including:

Cafes The local library Gyms / stores Community Colleges CRIL provided volunteer work sites

Other settings may include: CRIL offices located in Hayward, Livermore and

Fremont Consumer’s choice (school setting, home, etc)

Transportation to and from community locations is done through the following systems:

Para Transit Taxi Bike BART (Bay Area Rapid Transit) AC Transit Bus /public transportation Walking

8.5 Person Centered Programming


CRIL consumer’s service plans [ILP / ISPs] are driven by individual consumer choice; incorporating the consumer’s own vision of their future to a guide and focus the direction of their services.

CRIL consumers are respected as adults with hopes, dreams, individual rights and boundaries.

CRIL Staff interaction with consumers emphasizes individual strengths and capacities through praise and encouragement.

8.6 Empowerment and Personal Responsibility:

CRIL maintains a safe, non judgmental space where consumers gain confidence in their ability to make decisions about fundamental aspects of their own lives.

CRIL consumers learn to be accountable for their decisions and choices.

CRIL teaches respect for personal space, property and privacy.

8.7 Self-Determination Skills

CRIL promotes consumer independence and empowerment by incorporating these seven components of self-determination across all learning environments:

Choice-making Problem-solving Decision-making Goal setting and attainment Self-regulation Self-advocacy Self-awareness Self-efficacy


8.8 Independent Living Skills

Independent living skills are activities that decrease a consumer’s dependence upon other people as well as activities that allow consumers to access to the broader community.

Community safety Money management Mobility training Meal planning and preparation Shopping Choosing personal and pre-employment / vocation

goals Housing Community integration Personal relationships Health and Fitness

8.9 Pre-Employment Training

CRIL’s ILS / Adult Transition program will support each consumer in developing a location where they can volunteer and have the opportunity to help other people as opposed to being the ones who need help. Consumers gain a sense of independence and responsibility, which brings increased self-confidence, empowerment, and satisfaction. Through the volunteer work itself, consumers also are given the opportunity to learn new skills, attitudes, and behaviors that will enable them to function better in the broader society, including aiding in the search for and performance in competitive, integrated, paid work. Throughout the program, consumers will be exposed to the following Pre-employment Transition Services (PETS) areas:

Career choice Work experience Interview skills Resume building Problem Solving and Critical Thinking Workplace communication


Respect for different opinions and individual preferences

Ability to participate in group decision-making Professionalism

8.10 Program Design changes:

When modifications are made to the program design, which constitute a change in the type of services provided, CRIL will give 30 days, prior to change notification to the consumers and/or their authorized representatives and submit to the vendorizing regional center, a revised program design. A revision in program design is submitted when any of the following elements of the program design are changed:

Location in which student training occurs Curriculum training components Existing approved staff ratio Approved service code Entrance and/or exit criteria Request for increase capacity regarding maximum

enrollment.

9. Methods used to inform consumers about the service.

9.1 Methods to inform consumers include: Attending transition fairs Word of mouth IEP or transition planning meetings CRIL’s web site Distribution of agency materials upon request (e.g.

brochures, consumer handbook, etc,).

10. Special Incident Reporting Procedures: CRIL shall report all Special Incidents to the Regional Center Case manager / Supervisor immediately. CRIL IL Coordinators will follow the new; “Mandated reporter procedures for Adult” as


described in the law. Below are CRIL’s procedures for reporting incidents:

A written Special Incident Report will be sent to Consumer and/or Consumer’s Representative, Group Home and Regional Center & Department of Rehabilitation Case Manager within 48 hours of the incident. A verbal notification will be within 24 hours of the incident either through a phone call or in person.

The following are special incidents that will be reported, if they occurred during the time the consumer was receiving services and supports from CRIL:

The consumer is missing and CRIL has filed a missing persons report with a law enforcement agency;

Reasonably suspected abuse/exploitation including:o Physicalo Sexualo Fiduciaryo Emotional/mental restrainto Physical and/or chemical restrainto Reasonably suspected neglect including failure to

Provide medical care for physical and mental health needs

Prevent malnutrition or dehydration Protect from health and safety hazards Assist in personal hygiene or the

provision of food, clothing or shelter or Exercise the degree of care that a

reasonable person would exercise in the position of having the care and custody of an elder or a dependent adult.

o A serious injury/accident including: Lacerations requiring sutures or staples Puncture wounds requiring medical

treatment beyond first aid


Fractures Dislocations

o Any unplanned or unscheduled hospitalization due to the following conditions:

Bites that break the skin and require medical treatment beyond first aid

Internal bleeding requiring medical treatment beyond first aid

Any medication errors Medication reactions that require

medical treatment beyond first aid Burns that require medical treatment

beyond first aid Respiratory illness, including but not

limited, to asthma; tuberculosis; and chronic obstructive pulmonary disease

Seizure-related Cardiac-related, including but not

limited to, congestive heart failure; hypertension; and angina

Internal infections, including but not limited to, ear, nose and throat; gastrointestinal; kidney; dental; pelvic; or urinary tract

Diabetes, including diabetes-related complications

Wound/skin care Nutritional deficiencies, including but

not limited to, anemia and dehydration; or

Involuntary psychiatric admission

11. Internal Grievance Plan:


If there is an issue that the consumer is being treated unfairly, the consumer or their representative may take the following action:

1. The problem should first be discussed with the CRIL IL Coordinator involved. However, if the problem involves infringement of consumer’s rights or is of a sensitive nature, the consumer may contact the Program Director.

2. If the situation is not resolved informally, it should be discussed with the Program Director.

3. A (written statement) of CRIL’s decision will be forwarded to the consumer and/or their authorization representative.

4. The consumer or authorized representative will have the option to appeal CRIL’s Decision (written statement) to the Executive Director of CRIL in writing within 10 days of receiving the (written statement).

5. The Executive Director will conduct an investigation that may include meetings with consumer / representatives, CRIL IL Coordinator and Program Director. After the investigation, the Executive Director will make a final written decision within 45 days of receiving the appeal.

Consumers and/or their representative are encouraged to seek support from their Regional Center Caseworker.

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