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Sunny Days Orientation will start shortly

Sunny Days Orientation Sunny Days Orientation will start shortlywill start shortly

If you have not printed out a copy of the Power Point for If you have not printed out a copy of the Power Point for todaytoday’’s presentation we strongly urge you to do so. s presentation we strongly urge you to do so.

You can find it on our website under Practitioner Orientation.You can find it on our website under Practitioner Orientation.

Welcome toSunny DaysWelcome toWelcome toSunny DaysSunny Days

Agency OrientationAgency Orientation

Quiz Review• Frequently Missed Questions• Sunny Days provides services to

children 0 – 18• Service Coordinators are not from

Sunny Days

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Our MissionTo provide quality Evaluative and Therapeutic Early Intervention Services. Our family-centered philosophy supports the family as well as the most significant component to the child’s progress.

To empower family to incorporate support strategies into their daily routines which will maximize the child’s ability to participate in their environment.

To foster the family’s ability to promote their child’s development to their fullest potential.

Who’s Who at Sunny Days?

Program Director - NJ• Karen Olanrewaju BSN, RN

732-761-0088

Who’s Who at Sunny Days?Clinical Educators

• Kathleen V. Flatley, MS, OTR201-512-0030

• Jacqueline Jupin-Manzi RNC-NIC, MHA732-223-0211

• Carola d’Emery, PhD, PT732-761-0088

• Lindsay Hilsen, MA, BCBA732-521-4990

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Who’s Who at Sunny Days?Regional Administrators

Marisa LaMonte Paulsen732-905-7737

Barbra Herzog732-863-5567

Middlesex, MorrisPassaic

Hunterdon

Mercer, Monmouth

Sarah Martin201-784-7577

Atlantic, CamdenBurlingtonCape May, Glouster

Essex, Union Sussex

OceanSomerset

Cheryl Monteleone973-579-2207

Deidre Krok732-270-3644

BergenHudson

Sheryl Newman732-905-8939

Who’s Who at Sunny Days?Regional Administrators

Debbie Zielinski732-335-3720

Autism Coordinator

Targeted EvaluationTeams

Marisa LaMonte-Paulsen732-905-7737

Autism Services

Southern Region

Hunterdon/ Ocean, Atlantic and Cape May

Hudson, Morris ,Sussex, Bergen-Back up

Audrey Searles609-489-0661

Helen Godfrey845-356-7566

Other Staff• You may also occasionally receive

emails or calls from HR, Billing Department or Program Department.

• We may send emails from Training, Orientations, Authorizations, Program Department, etc.

• Johanna Salsano at front desk.

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A Few Highlights…• Communication Log• Authorization• Session Notes• IFSP Review Procedure• SEV log form vs. Authorization via

email• Billing Cycle and Procedures

Practitioner Responsibilities for Service Provision

• Respond to the RA within 24 hours indicating your availability to fill the service.

• Document initial contact with families on the COMMUNICATION LOG when initiating a new service.

• If accepting case, contact family within 48 hours and immediately notify your RA of start date which should be within 10 days of receipt of referral (pending receipt of authorization).

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Authorization• Must receive your authorization via

email prior to the start of services. • If you have not received it please

contact your RA for further instructions.

Opening Authorization Attachment

• Comes via e-mail as an Adobe PDF file• Password protected for

confidentiality• Password is your e-mail address

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Frequency and Duration• Must provide services at agreed upon

frequency and duration• Example – If IFSP says 3 x 60 can’t do two

90 minutes sessions• If there is to be an ongoing change a

meeting and IFSP re-write must occur• Make ups – occasional well documented

make ups are only exception

IFSP Document• Must have it to start services• Receive via e-mail and print• Contact your RA if you have not

received it• Read outcomes and look at service

pages to see what services child is receiving

Provision of Services• Support all outcomes to the maximum

extent possible when appropriate and safe.

• Communication between multiple practitioners is encouraged.

• Service schedule and contact form.

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Natural Environments • Means more than simply home based services!• Natural Environments are the philosophy of the

NJ EIS.• Caregivers must always be present during a

session.

Natural Environments• “Settings that are natural or normal

for the child’s age peers who have no disabilities.

• Outcomes are contextualized around daily routines or times of day

Location of Services• When going out into the community

never drive with or take the family.• Ongoing location change will be

reflected on IFSP – daycare vs. home• Must have separate authorization for

each location.

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Strategies for having the family involved in your session

• Match strategies to family routines and values.• Ask caregiver to show you rather than always tell

you how a strategy is going.• Be willing to adjust your plans to integrate parent

initiations into session.• Promote positive, caring interactions between

caregiver and child and reinforce what caregiver is doing well.

• Encourage functionality in daily life.• Provide feedback to caregiver in the moment.

Strategies for engaging the child

• Talk to the caregiver on what the child likes and does not like.

• Allow the child time to warm-up.• Follow the child’s lead.• Adjust pace, timing and rhythm of interactions to match

child.• Adjust positioning to best promote comfort, movement,

interaction, etc.• Provide opportunities for choice.• Rearrange environment -increase or decrease stimulation,

move furniture to create play area, retreat area, obstacle courses, area to pull up/cruise, etc.

Session Notes• Document session on a Session Note. • Follow form instructions. • Document missed sessions (any reason).

• Yellow – parents• White – Billing• Pink - Practitioner

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Practitioner ResponsibilitiesConfidentiality

• Documentation with any identifying information should be kept in a secure location. Please see Child Record Maintenance Policy.

• Information concerning clients and their families may only be shared with outside agencies after written permission is received from the parent and/or legal guardian.

Practitioner ResponsibilitiesConfidentiality

• Information about children and their families should not be discussed in public places, other families’ homes or with family members or friends.

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IFSPReview Process

• Periodic review reminders and Progress Summary Form will be sent out to practitioners 60 days prior to the end of the current authorization period.

• Progress Summary Form reflecting current levels or current developmental skills, next skills needed or expected to emerge.

• Form completed and returned to the Manalapan office by date indicated.

IFSP Review• Sunny Days will send completed form(s) to the

Service Coordinator 30 days prior to the end of the current authorization period.

• SC will schedule the meeting.• There may be circumstances in which a meeting

may not take place face to face. (please see NJEIS-12 Scheduling of Required Annual IFSP Reviews and NJEIS-13 Scheduling of Required Periodic Reviews)

Progress Summary Form• Utilizing ongoing assessment – must

use a tool such as the ELAP to obtain approximate developmental age levels

• Complete the form• Recommendations

– Service Change Request Form

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Role at IFSP Meeting• Review Child’s Progress and Information

from Progress Summary Form• Discuss current outcomes and help to

facilitate new outcomes with the family.• Discuss current strategies with the team

and family members.

Developing an Outcome Statement

• Behavior-desired of the child/family.• Specific details that describe what

the behavior should look like.• Routine or activity in which the

child/family will use the behavior.• Conditions associated with the

behavior.

Outcome example:• Jacquie will use words during

mealtime to request or reject more food without screaming or throwing things at least once a day.

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What to bring to the IFSP Meeting

• Progress Summary Form• Copy of the current IFSP• Service Encounter Verification Log

What is Transition ?• Questions on Transition from video?• Your role as a practitioner is be a

resource on the child’s progress in EI

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Video Follow Up• Guidelines for Illness• Toy washing policy• Hand washing• Professional Behavior/Appearance• Child Safety

Practitioner Responsibilities:Incident Reports

• Should be filled out if incident occurs involving the practitioner, child or other individual. (ie. falls, biting, etc.)

• Please notify your RA if an incident report has been completed.

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Remember: You must reportChild Abuse and Neglect

• Anyone who has reasonable cause to believe that a child has been or is being subjected to any form of hitting, corporal punishment, abusive language, ridicule, harsh, humiliating or frightening treatment or any other kind of abuse neglect or exploitation.

DYFS Phone Number• Must report concerns immediately to

DYFS Office of Child Abuse (800) 792-8610.

• In addition please notify your RA.

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Billing• Please note that billable hours are for

face to face interaction with the child and family. This includes writing session notes.

• Practitioners may not leave a session early to do their notes at home.

• NJEIS-15- Policy on FRAUD and WASTE

Billing Procedure • Bi-monthly billing schedule is as follows: • Services provided between the 1st and the

15th of the month, billing must be received no later than the 20th of the month.

• Services provided between the 16th and the end of the month, must be received no later than the 5th of the following month.

Billing Procedure• Submit one billing invoice as a cover sheet

for each billing cycle.• List all services by child for that 2 week

billing cycle on the billing invoice.• Include required supporting documents for

each service billed for.

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Billing for Direct Service• Please submit the following to the

corporate office for Direct Service– Completed billing authorization/log form

with parent’s signature for each session.– Session Notes for each session.

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Reminder: Make-ups• Missed Service Policy• Indicate on authorization, Session

Notes and on Billing Invoice.

Billing For: an IFSP or Transition Planning Conference• IFSP or TPC

– Submit completed service verification log.

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FFS/BOE

• Billing authorization• Notes • For private children use SOAP notes• For Board of Education children use

note format dictated by district

• May send in other paperwork with your billing but keep separate within envelope (communication logs, review paperwork, incident reports, etc.)

• Send completed billing to corporate office – 300 Corporate Center Drive, Manalapan, NJ 07726.

Questions ?• Please feel free to contact us with

questions as you begin to take cases.

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Thank You!

Kathleen V. Flatley, MS, OTR kflatley@sunnydays.com201-512-0030

Jacqueline Jupin-Manzi RNC-NIC, MHA jjupin-manzi@sunnydays.com732-223-0211