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CALAB, Inc.
  • Why did you organization decide to serve individuals with Mental Retardation/Devlopmental Disabilities?
At the time we were not happy with the institutionalization of persons with Developmental Disabilities. We wanted
to play an active role in main-streaming these individuals into the community.

  • How long have you and/or your organization been serving individuals with Mental
    Retardation/Developmental Disabilities?
We have several people within our organization from direct care on up through the Board of Directors that have
dedicated their lives to working with individuals with Developmental Disabilities. CALAB, as a company, was started
in 1993.

  • How many consumers does your HCS Program serve, at the present time, and what is your capacity?
Currently we serve over 150 individuals in a variety of residential settings. We provide services in the following
areas: Dallas/Fort Worth, Lubbock, and San Antonio.

  • Do you have a reference list of families that I could talk to, regarding the services your organization has
    provided to their family members?
Yes, references are available upon request.

  • What type and/or length of experience do your staff members have serving individuals with Mental
    Retardation/Developmental Disabilities (i.e. special problems, MH, PDD, or Autism)? Could you provide
    records of training your staff has received specific to various disabilities and/or conditions?
CALAB does not blanket train when it comes to specific topics. CALAB tries to customize the training of individual
staff member to the consumer(s) they will be working with. We can and have trained in the areas of PMAB, MH,
Autism, etc., depending on that individual consumer's need. However,
ALL of our staff is given the opportunity to
be trained in CPR, universal precautions and reporting of abuse and neglect as well as daily living skills and safety.

  • Tell me about the level of training, experience, and necessary credentials for staff providing services to
    consumers.
CALAB does its best to hire the most qualified and caring applicants available. To this extent we look for individuals
with at least a High School diploma or GED. If this is not available, the applicant must complete a competency test
prior to interview. We look for previous employment in the field of Developmental Disabilities and ensure all of our
direct providers have the opportunity to be CPR qualified. Each applicant is subject to a criminal history check.
Initial, as well as continual, training in areas related to the consumer(s) they will work with his an important key in
providing the best possible services to those individuals in our program.

  • Describe ways in which you involve the consumer/guardian/family into the development of the consumer's
    program. How do you incorporate the families wants for their family member when they are different from
    what the agency wants?
CALAB believes that this program is meant to supplement, not replace, the family support system. To ensure this
support CALAB encourages the Service Coordinator to involve the consumer, their LAR or invloved family members,
throughout every decision made. If there is a disagreement about what the consumer and/or family wants and
what CALAB believes is in the best interest of the consumer, the Service Coordinator will have to make a final
decision on the matter.

  • Does your agency have more experienced and professional staff who model for new staff or provide
    mentoring?
After thorough training is completed by the professional staff, an employee will be placed with consumer(s). We
continually train and update that employee with regards to the consumer(s). We strongly believe that our current
employees are vital in training new employees therefore we strive to place new employees with experienced
employees for several shifts before allowing them to work independently.

  • What procedures will staff implement in a crisis situation? Does your agency train staff in PMAB or Non-
    Violent Crisis Intervention? Explain.
Safety is out number one concern for the individuals in our programs. We offer training in CPR and emergency
implementation to each staff member. Our motto is "better safe than sorry." In any situation, if an employee feels
a consumer needs immediate medical attention they have been instructed to call 911 then after emergency
medical personnel have arrived and stabilized the situation they know to immediately call the on-call pager. The
Service Coordinator will then be notified of the situation by the professional staff. We do not train the staff in PMAB
unless the consumer(s) they will be working with pose a need for the training. If a consumer has violent
tendencies and is on a Behavior Therapy Program, the staff is trained in handling the situation as relevant to that
consumer. All staff will receive training in Least Restrictive to Most Restrictive methods of redirection.

  • How does your agency develop Behavioral Support Plans?
The IDT will meet and discuss teh need for a behavior plan. The Case Manager will contact the Psychologist to
develop a plan including targeted behaviors, guidelines for handling inappropriate behaviors, as well as
information about dissolving the plan once the behaviors appear under control. If medication is needed a
Psychiatrist will be consulted and be used to monitor the medications. The Advisory Committee further reviews any
restrictive plans.

  • What are your policies regarding visitors?
This is the home of the consumers, therefore we welcome visitors! But out of respect for any other consumers
who live in the home, we ask that visitation be kept to normal hours. We will not restrict hours but if it starts
infringing on other we may have to regulate visitation.

  • What are your policies regarding privacy?
Every individual is granted privacy. We can set up a bedroom with a TV/VCR, cable, phone, etc. (at the consumer's
expense). The consumer(s) or LAR will only open mail unless otherwise authorized. Staff is trained on privacy
issues.

  • What type of leisure/recreational activities will be available? Does my family member choose their daily
    routine?
We can facilitate most activities the consumer(s) wish to participate in. We will encourage and expose consumers
to new activities but ultimately it is the consumer(s)/LAR(s) choice. The consumer(s)/LAR(s) are responsible for the
expense of the activities. Daily routines are authorized on an IPC and supported supported by the PDP written by
the Service Coordinator.

  • What type of transportation does your company provide?
We try to assist the consumer with using public transportation however in some areas and at some times, public
transportation is not available. Therefore CALAB will provide the necessary tranportation.

  • How many vehicles do you have? Is there a vehicle for each home?
ALL of our programs have more than enough vehicles to provide services that are needed.

  • How do you accommodate non-ambulatory individuals?
We try to assist ALL consumers with public transportation however in some areas and at some times, public
transportation is not available. Therefore CALAB will provide the necessary tranportation.

  • Do you have staff who speak other languages? If not, will you have an interpreter available?
Currently there has not been a need for staff to speak other languages, but if it becomes a necessary service
CALAB is prepared to accommodate. Sign language is included in this category.

  • How do you accommodate non-verbal individuals? Is staff trained in sign language, use of picture schedules,
    picture books, augmentative communication devices (i.e. The Canon, The Touch Talker, or the Liberator)?
Staff is trained based on what a particular consumer uses. We can accommodate any consumer, if given the
opportunity. In other regions some of these devices are already being used.

  • What provisions will your company make for my family member to attend the religious services of their
    choice?
CALAB encourages religious beliefs and we will assist the consumer and/or family member in making this a part of
their lives.

  • What is your staff to consumer ratios?
Staffing ratios will be met to ensure consumer safety.

  • What are your emergency back-up procedures when there is a crisis or the home is short-staffed?
The first step in a crisis situation is to notify any needed medical professional. Once the consumer is in the care of
an EMT, the staff will notify the on-call professional, who will in turn notify the Service Coordinator and any involved
family member. The most important issue is the safety and well being of a consumer. If staff does not show up the
current staff know to call the on-call professional who will attempt to find a replacement.

  • Is the staff available to support my family member in additional activities in the community? (i.e. Girl Scouts,
    religious activities, sports teams, etc.)
We do have staff available that, if scheduled, can assist in these activities.

  • How and where will my family member be cared for when he or she is ill?
Depending on the severity, the consumer will either be cared for in their homes under the supervision of a nurse or
in a hospital.

  • Do you have medical staff on-site or on-call for medical issues? Is medical staff willing to practice/rehearse
    with my family member what to expect when going to the doctor or hospital?
Each region has at least one LVN and either a RN on staff or contracted for necessary delegations and input. Yes,
the LVN will happily train, inform and assist the families with any questions or concerns they may have.

  • What choices will my family member have concerning day programming, vocational training, supported
    employment, etc.?
Based on age and level of functioning, the consumer may choose to participate in any number of daily
programming. CALAB will assist in making those choices a reality.

  • Describe how staff train consumers in daily living skills. Please share with me documentation or how this is
    reflected.
CALAB believes every moment is a trainable moment. To this extent we teach our staff to recognize the
opportunity to  assist a consumer with learning new things. We ask that the staff allow a consumer to attempt
these tasks at their own pace and congratulate the consumer at every attempt and completion of the task.

  • What geographical locations do you serve?
Lubbock (Lubbock county), Dallas/Fort Worth (Dallas, Tarrant, Johnson, Ellis, Navarro, and those counties in the
waiver contract area 4*), San Antonio (Bexar county).
*Camp, Delta, Franklin, Henderson, Hoplins, Hunt, Kaufman, Lamar, Morris, Rains, Rockwall, Smith, Titus, Van
Zandt, and Wood counties.

  • Will my home be located in close proximity to my school/day program/place of employment?
Every attempt will be made to get services as close to your place of residence as possible however, sometimes
that is not an option.

  • How does your agency build community awareness about persons with disabilities moving into their
    neighborhood? How does you agency resolve concerns?
If there is a neighborhood association we would attend those meetings. In the past some of our community
awareness programs dealt with meeting the neighbors and they would greet the neighbors as they were out
doing yard work or garage sales.

  • Describe your complaint process.
We are aware that from time to time there will be complaints. We try to solve these complaints internally through
going to staff supervisors, Support Managers and if need be the Regional Director. We take each complaint
seriously and try to come to a resolution that is suitable for all parties involved. HOWEVER, it is CALAB's policy to
put the consumer's well being and safety first.

  • Do you lease or own your residential homes? Do you have short term or long term leases?
OWN

  • What screenings do you require when staff are hired (drug screen, criminal background check,
    abuse/neglect)?
We do an extensive criminal history check, we do an MVR (motor vehicle registration) check and we obtain three
non-blood related references from each individual as well as employer references. Also we check the EMR
(Emergency Misconduct Register).