|
|
|
|
|
|
|
|
|
|
| Subpart IIBI - Consumers Served During the Reporting Year: |
|
|
|
| (A) CSRs carried from previous year |
193 |
|
|
| (B) CSRs started since Oct. 1 of reporting year |
487 |
|
|
| (C) Total consumers served (A) + (B) = (C) |
680 |
|
|
|
|
|
|
| Subpart IIBII - Consumers CSRs Closed by September 30 of the Reporting Year |
|
|
|
| (A) Moved |
3 |
|
|
| (B) Withdrew |
7 |
|
|
| (C) Died |
2 |
|
|
| (D) Completed all goals set |
451 |
|
| (E) Other |
13 |
|
|
| (F) Total |
476 |
|
|
|
|
|
|
Subpart IIBIII - Consumers CSRs Active on September 30 of the Reporting Year
Subpart IBI (C) - Subpart IBII (F) = Subpart IBIII |
204 |
|
|
|
|
|
|
| Subpart IIBIV - Consumer Plans and Waivers |
|
|
|
| (A) Number of individuals who signed a waiver |
607 |
|
|
| (B) Number of individuals with whom an ILP was
developed |
639 |
|
|
|
|
|
|
| Subpart IIBV - Age |
|
|
|
(A) Under 6
|
1
|
|
|
(B) 6 - 17
|
15
|
|
|
(C) 18 - 22
|
9
|
|
|
(D) 23 - 64
|
184
|
|
|
(E) 65 & over
|
459
|
|
|
(F) Unknown
|
12
|
|
|
| Subpart IIBVI - Gender |
|
|
|
(A) Female
|
435
|
|
|
(B) Male
|
245
|
|
|
|
|
|
|
| Subpart IIBVII - Ethnicity |
|
|
|
(A) Hispanic or Latino
|
40
|
|
|
(B) Not Hispanic or Latino
|
640
|
|
|
| Subpart IIBVIII - Race |
|
|
|
(A) American Indian or Alaska Native
|
3
|
|
|
(B) Asian
|
1
|
|
|
(C) Black or African American
|
6
|
|
|
(D) Hispanic or Latino
|
40
|
|
|
(E) Native Hawaiian or Other Pacific Islander
|
0
|
|
|
(F) White
|
614
|
|
|
|
|
|
|
| Subpart IIBIX - Disability |
|
|
|
(A) Cognitive
|
5
|
|
|
(B) Mental
|
4
|
|
|
(C) Physical
|
619
|
|
|
(D) Hearing
|
34
|
|
|
(E) Vision
|
9
|
|
|
(F) Multiple disability
|
339
|
|
|
(G) Other
|
8
|
|
|
|
|
|
|
| Subpart IICI - Individual Consumer Achievements |
|
|
|
|
Set |
Met |
|
| (A) Self-Advocacy/Self-Empowerment |
51 |
48 |
|
| (B) Communication |
80 |
80 |
|
| (C) Mobility/Transportation |
724 |
704 |
|
| (D) Community Services |
15 |
14 |
|
| (E) Educational |
17 |
16 |
|
| (F) Vocational |
6 |
6 |
|
| (G) Self-Care |
696 |
684 |
|
| (H) Information Access/Technology |
22 |
21 |
|
| (I) Personal Resource Management |
1 |
1 |
|
| (J) Other |
119 |
112 |
|
| Subpart IICIII - Individual Consumers in Community-Based Living |
|
|
|
(A) How many individuals successfully relocated from nursing homes or other institutions to community-based living arrangements ?
|
14
|
|
|
|
|
|
|
(B) How many individuals for whom IL services prevented the necessity of entering nursing homes or other institutions and therefore continued living in a community-based living arrangements ?
|
183
|
|
|
|
|
|
|
|
|
|
|
|
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|