Quality Requirements of Home and Community Based Services

Federal Requirement 1: Access to the Community

The setting/service is integrated in and supports full access to the greater community, including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving regional center services.

This means that the setting supports someone with a disability to have the same chances to be

an active and included member of their neighborhood and community as someone without

disabilities. People should have opportunities to:

• find competitive employment working alongside people without disabilities.

• participate in local activities.

• access services in the community just like people without disabilities.

Federal Requirement 2: Choice of Setting

The setting/service is selected by the individual from among various options, including non-disability specific options and an option for a private room in a residential setting. The options are identified and documented in the Individual Program Plan and are based on the individual’s needs, preferences, and, for residential settings, resources available for room and board.

This means that the setting supports a person with a disability to choose where and how they

live from among options that include settings where people without disabilities live and spend

their day. For residential settings, this includes

• having an option for a private room when available.

Federal Requirement 3: Right to be Treated Well

The setting/service ensures an individual’s rights of privacy, dignity, respect, and freedom from coercion and restraint.

This means a provider setting must support individual rights including privacy, dignity and

respect, and freedom from coercion or restraint. Some of the individual rights that a person

with a disability has include:

• being able to lock doors to one’s room or home.

• using the phone when desired.

• coming and going as one pleases.

• having time alone to have privacy.

Federal Requirement 4: Independence

The setting/service optimizes but does not regiment individual initiative, autonomy and independence in making life choices, including daily activities, physical environment and with whom to interact.

Independence means that people with disabilities are in charge of making decisions about

their life and what they want to do. The provider setting enables people to

• decide how people spend their day.

• set a personal schedule.

• choose where to go.

• control personal resources and individual budget.

Federal Requirement 5: Choice of Services and Supports

The setting/service facilitates individual choice regarding services and supports, and who provides them.

The provider setting supports people to choose their services and who provides them. Choice

means that a person can choose what services and supports they need. The person can choose

who provides those services and where they are provided. Like most things in life, choices

are based on individual needs and preferences as well as the options and resources that are

available.

Provider owned or controlled residential services must also meet the

following conditions

Federal Requirement 6: Residential Agreement

A lease, residence agreement or other form of written agreement is in place for each participant and the document provides protections that address eviction processes and appeals comparable to those provided under the jurisdiction’s landlord tenant law.

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