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New Provider Residential Services Orientation. State of Georgia. Introduction. What We Will Do - Educate Presented By: Georgia Association of Homes & Services for Children (GAHSC) Department of Human Services (DHS) - Office of Residential Child Care (ORCC)
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New ProviderResidential Services Orientation State of Georgia
Introduction What We Will Do - Educate Presented By: Georgia Association of Homes & Services for Children (GAHSC) Department of Human Services (DHS) - Office of Residential Child Care (ORCC) - Office of Provider Management (OPM) Department of Juvenile Justice (DJJ)
Who Should Attend Applicants for the Licensing of: Child Caring Institution – (Group Homes) Outdoor Child Caring Programs Child Placing Agency (Foster Care, Adoptions) Children Transition Care Centers (CTCC)
Who Should NOT Attend Day Care Center Operators Foster Parent wantabe’s Adult Personal Care Home Applicants Psychiatric Hospital Applicants Maternity Homes Applicants Insect Exterminators Applicants Beauty Shop Operators Applicants Road Contractors Applicants
Overview Normer Adams Executive Director Georgia Association of Homes & Services for Children www.gahsc.org normer@gahsc.org 404.572.6170
1. Organizational Capacity and Needs Assessments 2. Licensure 3. Contracting with the State 4. Referrals and Payments Steps to Provision of ServicesPresentation Organization
Step one - Organizational Capacity and Needs Assessments Steps to Provision of Services
FIRST PRIORITY Develop the “BUSINESS PLAN” The Plan vs. Good Intentions -Board -Facilities -Budgets -Legal Issues -Constituency -Policies & Procedures Organizational Capacity Assessment
FIRST PRIORITY THE BUSINESS PLAN (continued) Research The Need The Competition Interviews Field Trips Needs Assessment
FIRST PRIORITY What will I be When I grow Up? Child PlacingAgency– An agency that recruits, supports and places children in foster homes Child Caring Institution – Group home or other congregate care environment where facilities are built for the placement and care of children. Outdoor Child Caring Programs – Programs using a wilderness model for care and treatment of children. Needs Assessment
FIRST PRIORITY What will I be When I grow Up? Child Placing – An agency that recruits, supports and places children in foster homes First placement priority for state. 75% of all foster children go into this placement. Lowest cost per day per child Regulations require that they be not-for-profit. You can not own them, profit from them or sell them. Needs Assessment
FIRST PRIORITY What will I be When I grow Up? Child Caring Institution – Group home or other congregate care environment where facilities are built for the placement and care of children. This is last placement choice for children with basic needs. DFCS is not issuing any new contracts for this service Only 14% of all foster children are placed in these facilities. Needs Assessment
FIRST PRIORITY What will I be When I grow Up? Outdoor Child Caring Programs – Programs using a wilderness model for care and treatment of children. These are wilderness programs for children. Most are considered treatment facilities. Few of these facilities are being used for placement. Requires over 500 acres in land. State very reluctant to contract with new providers. Needs Assessment
FIRST PRIORITY What License should I get? Child Placing/ Foster Care Private Family centered Child Care Few Capital Costs Labor Cost follow Labor needs Higher Reimbursement to Cost ratio Higher Percentage of children entering care Required to be “Not-for-Profit” Child Caring Institution / Group Homes Campus focused Child Care High Capital Costs Labor cost do not follow labor needs Lower Reimbursement to Cost ratio Lower percentage of children entering care No requirement for “not-for-profit.” Needs Assessment
Board Development(Not-for-Profit Only) Should you be a Not-for-Profit (501 c 3)? Organizational Capacity Assessment
Georgia’s Priority of Placement Organizational Capacity Assessment
Board Development(Those who are accountable for the organization) Truism - An organization is as strong as its Board. Choose people who can help you Go beyond friends and family Movers and Shakers of community make good Board Members Organizational Capacity Assessment
Executive Director(He/She who manages the organization) Choose person of experience, integrity, responsibility and history He/She will represent your organization He/She will carry out your policies and procedures Organizational Capacity Assessment
Budgets and BudgetingBudget Development Expenses Staff--Base Pay Benefits Insurance--Property, Casualty, & Liability Food Clothing Transportation Other Income State Fees Contributions-nonprofit only Charity gifts Grants Endowments Organizational Capacity Assessment
Budgets and Budgeting Medical Care Covered by Medicaid – Nearly all children in residential care qualify for Medicaid. Organizational Capacity Assessment
Fundraising Grants for Startup List of all the Foundations and Charities that give to new organizations starting children homes and group homes. Organizational Capacity Assessment
Fundraising Grants for Startup All Foundations and Charities: 1. 2.3. Organizational Capacity Assessment
Fundraising Grants for Startup Very Few Only to Existing Groups Need 501(c)(3) status – Not-for-Profit Anticipate 18 months for startup support Build constituency Organizational Capacity Assessment
Not-for-profit Organization(Nearly all are 501(c)3) Internal Revenue Service (IRS) Regulations for securing tax deductible contributions Takes at least 1 year to secure A knowledgeable person can do it without lawyer Organizational Capacity Assessment
Your Facilities Fire Inspection - # 1 Problem Area Most Expensive to Correct State Regulations, County Interpretations and enforcement Organizational Capacity Assessment
Your Facilities Truism- If Community Support starts off negative, walk away. It will never turn positive. Community Support - # 2 Problem Area Build Support Carefully If negative, hard to overcome Use community leaders to lead Organizational Capacity Assessment
Your Facilities Zoning – The “Tip Off” to the Community -- Required before Licensing-- Zone for “a licensed childcare institution for six or more unrelated children”-- Movers and Shakers of community can help with this Organizational Capacity Assessment
Policies & Procedures(Provides the why and how of the organization) Truism – If your director can not explain them, they should not be your director. Get a person who has done residential child care to prepare your policies and procedures These are your rule books for operations You will live and die by them They become your Bible for operation Organizational Capacity Assessment
Technical & Clinical Assistance(Gut instinct is not enough.) Truism – Education and Experience is more valuable than gut instinct. A compliant child may be a depressed child. An attentive, indulgent staff may be a pedophile. Money in your pocket may not mean money in the bank. Your High School Joe might like your facility as coed, but you won’t. Organizational Capacity Assessment
Staff & Personnel Issues(They make or break your organization) Truism - Your program is as good as your worst staff. A thorough background check is essential. “Would you let these folks care for your child?” Organizational Capacity Assessment
Reporting Requirements Truism – God Forgives but the State never Forgets Child Abuse Reporting Requirements Stuff will happen! Self-report. The law requires you to report abuse and neglect. Do not even THINK of not reporting. Preserve your relationship with State by dealing with integrity. Organizational Capacity Assessment
Working with the State Some SteerThe State is our partner in caring for children. Their role is regulatory and contractual. Respect it. Others RowOur role is providing services to children. Together we work to provide the best care for children. Organizational Capacity Assessment
Budgeting/Rate Setting Truism – Child Welfare programming makes for a bad business investment. Georgia’s regulations prohibit any organization from making money. Your daily per diem will be the lesser of your costs or the maximum rate. Organizational Capacity Assessment
Budgeting/Rate Setting Truism – If you are doing it for the kids, then the money will come. Funding remains the top priority for any administrator! Without money, nothing happens. The State is your number # 1 customer, and quite often, your only customer! In Georgia, there are only a hand full of For-Profit agencies. (There is a reason for this. There is no profit in child welfare!) Organizational Capacity Assessment
Budgeting/Rate Setting Placement providers are paid a per diem for Room and Board and Watchful Oversight. CCIs - Group Homes Base $101.82 AWO $128.98 MWO $181.84 2nd Chance $162.91 Teen Development $108.21 Maternity home $101.82 Organizational Capacity Assessment
Budgeting/Rate Setting Placement providers are paid a per diem for Room and Board and Watchful Oversight. CPAs – Child Placing Agencies (Fixed Payment to Agency) Traditional $21.44 Base WO $29.02 Max WO $40.07 SBWO $45.00 SMWO $69.00 SMFWO $81.00 Organizational Capacity Assessment
Budgeting/Rate Setting Placement providers are paid a per diem for Room and Board and Watchful Oversight. CPAs – Child Placing Agencies (Payment to Foster Parent based on age of child) 0-5 years of age $14.60 6-12 years of age $16.50 13+ years of age $18.80 Organizational Capacity Assessment
DHS Office of Residential Child CareChild Care Licensing Rhonda Jamesrjames@dhr.state.ga.us 2 Peachtree Street, Atlanta, GA 30303 404-657-5589 http://ors.dhr.georgia.gov/portal/site/DHR-ORS
Step Two - Licensure Steps to Provision of Services
DHR Office of Regulatory ServicesChild Care Licensing License Categories: CPA – Child Placing Agency - Placement of children in foster and or adoptive homes; domestic and international placement and home Study Services. CCI – Child Caring Institutions or group homes 6 or more residents 6-18 years old. CTCC-Children’s Transition Care Center—medically fragile children. Short-Term (1-14 days); Long-Term (90-days) OCCP – Outdoor Child Caring Program - Wilderness Camps Maternity Homes (MATH)—home for pregnant mothers. Determine which type of program you want to be. Licensure
How to Apply for Licensure All CCIs & CTCCs MATH must obtain local zoning and fire approval before submitting an application Download the licensure application package Familiarize yourself with ORS rules and regulations--develop a working knowledge of the meaning and intent of these rules and regulations Develop policies and procedures to address each rule Prepare your agency for compliance with the regulations Licensure
Staff Qualificationsfor CCI Director: Masters/2 years related experience or Bachelors/4 Years related experience Human Services Professional (Social Services): Bachelors/2 Years Experience or supervised by Masters Child Care Worker: 21 Years Old/ High School or GED Director and owner both must document a satisfactory criminal records check. Licensure
Staff Qualificationsfor CPA Director: Bachelors/2 Years related experience unless doing clinical supervision of staff Case Work Supervisor (Social Services): Qualified Masters/2 Years CPA experience Case Worker: Bachelors degree Director and Owner must document a satisfactory criminal records check Licensure
Staff Qualifications for CTCC Director: Master’s Degree or Higher in Nursing, Social Work or other Health Related field plus two years of experience working with medically fragile children; or A licensed registered nurse, physician, other licensed health care professional with at least five years of experience working with medically fragile children. Licensure
Staff Qualificationsfor CTCC (cont.) • Human Services Professional: • Bachelors Degree in social work with • two years experience or a master’s • degree or be a licensed LPN or • registered nurse. • There shall be one awake RN or other • staff on duty at all times when children • are present who is trained in first aid and • has a current CPR certificate. Licensure
Criminal Records Check Law • Must be in compliance with Criminal • Records Checks Law. • If employee’s check reveals any crime, • person cannot be hired until resolved. • Must submit Live Scan and application • to Office of Investigative Services • for clearance. Licensure
Physical Plant for CCI Water/Sewage Bedrooms:63 Square Feet per resident (double occupancy). 75 Square Feet (Single) Bedrooms – must document space capacity to serve at least six residents. Not to exceed 16 Bathrooms – one sink/toilet per 8 kids, 1 shower per 10 kids. Separate bathroom for staff. Staff may not enter into a resident bedroom to access the bathroom. SAFETY FIRST--Inside and Outside Licensure
Physical Plant for CCTC Water/Sewage Bedrooms: 63 Square Feet per resident (double occupancy). 75 Square Feet (Single) Bedrooms – must document space capacity to serve at least six residents Bathrooms – one sink/toilet per 6 kids. 1 shower per 6 residents. Separate bathroom for staff. Staff may not enter into a resident bedroom to access the bathroom. Licensure
PHYSICAL PLANT CCTC (CONT) All centers serving a child or children dependent on a wheel chair or other device for mobility shall have: At least two exits, remote from each other, accessible to child with easily negotiable ramps. All doorways and halls shall accommodate wheelchair access. At least one bathroom of sufficient size to accommodate a wheelchair and assisting staff. Licensure