Cuy ahogabdd AID 2017

Transcription

1 50th Anniversary 2017

2 CONTACT INFORMATION Our mission is to support and empower people with developmental disabilities to live, learn, work and play in the community. Early Intervention Primary Service Provider (PSP) Adult Services Site Manager Supervisor Habilitation Supervisor Support Administrator Driver Phone Phone Phone Phone Phone Phone Route Number Bus Dispatch (216) Transportation Services Center (216) Transportation/Emergency (216) Cab/Vendor (216) Regional Travel Coordinator-East (216) Regional Travel Coordinator-West (216) Regional Travel Coordinator-Downtown (216) Community Travel Program Supervisor (216) Michael A. Donzella Administration Building (216) Lakeside Avenue East (216) fax Cleveland, Ohio Emergency After-Hours Number (216) Support Administration (West) Big Creek Center (216) Support Administration (East) Forest Hill Center (216) Ohio Department of DD (800) CONTENTS Common Abbreviations 1 Glossary of Terms 3 CCBDD Admission/Placement 3 Emergencies 4 Confidentiality and Privacy 5 Complaint Resolution and Due Process 5 Children's Services & Supports 6 Employment & Community Alternatives 7 Employment Services 7 Adult Day Services 7 SAW, Inc. Board of Trustees 8 Assistive Technology 8 Deaf Services 8 Speech/Language Services 8 Occupational/Physical Therapy Services 8 Behavioral and Health Supports 9 Behavioral Health Services 9 Forensic Services 9 Health Services 9 Human Sexuality Education & Support 9 Community & Medicaid Services 10 Support Administration 10 Family Supports 10 Cuyahoga Campership Program 10 Transition Services 11 Provider Development and Support 11 Transportation Services 12 Advocacy 15 Rights of People with DD 15 Communication 16 PTCU (Parents/Teachers/Community United) 16 Volunteer Program 16 CCBDD Table of Organization 17 CCBDD Board Members 17 CCBDD Site Map 18 CCBDD Site Directory 19 Community Directory 44 COMMON ABBREVIATIONS AAC - Adult Activities Center BAAC - Beachwood Adult Activities Center BCC - Big Creek Center BCIS - Behavior & Curriculum Intervention Specialist BDLS - Basic Daily Living Skills BrAAC - Brooklyn Adult Activities Center CCBDD - Cuyahoga County Board of Developmental Disabilities CMS - Community and Medicaid Services EAAC - Euclid Adult Activities Center EI - Early Intervention ECA - Employment & Community Alternatives ECAAC - East Cleveland Adult Activities Center FHC - Forest Hill Center GRSC - Green Road Services Center IFSP - Individual Family Service Plan ISP - Individual Service Plan MDA - Michael A. Donzella Administration Building MHAAC - Maple Heights Adult Activities Center MOVE - Mobility Opportunities Via Education/Experiences MUI - Major Unusual Incident Ohio DODD - Ohio Department of Developmental Disabilities NEON - North East Ohio Network OPR - Operations Center PAAC - Parma Adult Activities Center PCP - Person Centered Planning PLAY - Play and Language for Autistic Youngsters PSP - Primary Service Provider PTCU - Parents, Teachers, Community United RRAAC - Rocky River Adult Activities Center SA - Support Administrator SWAAC - Southwest Adult Activities Center TSC - Transportation Services Center WPDSC - William Patrick Day Services Center 1

3 2 The Cuyahoga County Board of Developmental Disabilities (CCBDD) was created by the Ohio General Assembly in 1967 along with those in all of Ohio s other counties as a result of the strong lobbying efforts of parents whose local school districts refused to enroll their children. Early on, services centered on children and school-age programs. Since then our focus has broadened far beyond that and aligns strongly with our mission of supporting and empowering people with developmental disabilities to live, learn, work and play in the community. We follow a philosophy of selfdetermination and assist those we support using an individualized, person-centered approach. Today, CCBDD serves more than 13,000 individuals across the age span and from all areas of the county. The services that CCBDD provides cover a broad spectrum, ranging from early intervention with the families of infants and toddlers to transition services for school-age students and leisure-oriented programs for seniors. They also include support administration (case management), a variety of therapies (physical and occupational, speech and language), behavior and curriculum support, family resources and respite care, job readiness training and community employment. Our Just-A-Buck stores in Parma, South Euclid and Rocky River serve as retail employment training programs. Cleveland Crops, our urban farming and culinary arts training venture, provides individuals education and preparation for jobs in the green industry and local food economy. CCBDD has facilities located throughout the county. We have eight adult activities centers, two centers that house our support administrators (SAs), two centers that serve as home base for our early intervention teams and specialists and provide office space for partner agencies, a transportation center, an operations center and our central administrative office, located in downtown Cleveland. A seven-member volunteer board directs the operations of CCBDD. Two members are appointed by the presiding judge of the Cuyahoga County Probate Court and five by the Cuyahoga County Executive. At least three members must be the parents or immediate family members of individuals enrolled with us. CCBDD operates on an annual budget of approximately $195.7 million. 54 percent of that operating revenue comes from a 3.9-mill continuing property tax that passed with a 69 percent yes vote in Federal dollars account for 34% of revenue and donations and grants total the remaining 7%. Less than 5% comes from the Ohio Department of Developmental Disabilities (DODD). DODD continually reviews our programs and services to ensure they meet the needs of people with developmental disabilities. In 2016, we received a three-year accreditation from DODD. This is the highest level the state confers, and only a few Boards of DD earn it. The Commission on Accreditation of Rehabilitation Facilities awarded the CCBDD a three-year accreditation in 1985 and has reaccredited us every three years since. Celebrating 50 years GLOSSARY OF COMMON TERMS DD (developmental disability) refers to a broad group of chronic conditions which are due to mental or physical impairments that begin before an individual reaches adulthood and cause people living with them difficulties in certain areas of life, such as language, mobility and learning. Developmental disabilities occur among all socioeconomic groups and races and include cerebral palsy, epilepsy, autism, intellectual disability and other related, disabling conditions. IDEA (Individuals with Disabilities Education Act) is the federal act which assures that all children in need of special education and/or related services receive a free, appropriate public education designed to meet their individual needs. IDEA covers children between birth and 21 years of age. IEP is the individual education plan. It is a written statement developed by the student, his/her parents and school district staff. The plan specifies the child's educational goals, what special education and related services will be provided and how they will be provided. IFSP is the individual family service plan. It describes in writing a planning process bet ween families and professionals that results in the identification of outcomes for children under the age of three. Each plan contains the child s current level of development, the family s concerns, priorities and resources, services to be provided, the duration of those services and the person responsible for implementing the plan. ISP is the individual service plan. It is a formal document that outlines the services, supports and goals that meet the individual's desired outcomes and needs. Person-Centered Planning (PCP) is a process of gathering information for planning that starts with listening to the individual and his/her family to learn what is important to them and their desired outcomes. It focuses on empowering and supporting the individual to have a valued life in the community while ensuring health and safety. It identifies services and supports that ensure the individuals have control in life, work toward their desired outcomes and enable community participation and health and safety. Respite Care means appropriate short-term, temporary care that is provided to an individual who has a substantial developmental disability to sustain the family structure or to meet planned or emergency needs of the family. Care is provided by trained respite providers within the family home or in an approved respite home. Support Administrator (SA) is a CCBDD staff person who helps individuals to explore and develop services and supports they choose for themselves and that assist them to live, learn, work and play in the community to the greatest extent possible. An SA works with individuals and their families to identify and address issues and concerns, find resources, and provide information. SAs also assist the community in learning more about the unique capabilities of people with DD. Service Coordination is a process of assisting individuals and families to identify and acquire the appropriate services and supports they choose for themselves within the diverse resources available. SSI stands for Supplemental Security Income, a federal program that makes monthly cash payments to people with handicaps, no matter how young a person is, and to adults, even if they have never worked. ADMISSION AND PLACEMENT Intake Obtaining services and supports from the CCBDD begins with the intake process. The intake and eligibility specialist provides information about CCBDD services and supports. He or she will also give you information about what is necessary to complete the intake process. Anyone seeking help or information about CCBDD services and supports or other kinds of community services should call Intake at (216) Eligibility To be eligible to receive CCBDD Early Intervention Services, children, ages birth through two, must meet the criteria set forth by the Ohio Department of Developmental Disabilities, Part C Rule. To begin the eligibility process for Early Intervention Services or if you have questions about early intervention, families should contact Help Me Grow of Cuyahoga County at or for more information. Children, ages 3-5, must meet the Ohio Department of Education (Rules for Preschoolers with Disabilities) eligibility requirements. This determination is based on the results of a multifactored evaluation conducted by the parents' school district of residence. To be eligible to receive technical supports from the CCBDD's Children's Services and Assistive Technology department, a child, 6-21 years of age, must meet the definition for multiple disabilities according to the Ohio Department of Education s Model Policies and Procedures for the Education of Children with Disabilities. The determination of meeting the definition for multiple disabilities is based on the results of a multifactored evaluation, which is conducted by the parents school district of residence. Eligibility for CCBDD services and supports is based on the following criteria: 1. Children, ages birth through two, must exhibit a delay in one area of development, have a qualifying diagnosis signed by a medical professional, have a non-qualifying diagnosis with proper documentation or move into Ohio with comparable eligibility from another state. Eligibility criteria for children ages birth through two are subject to Ohio Part C Rule. 2. Children, ages 3 through 5, must exhibit two delays in areas of development. 3. Children, ages 6 to 15, must have a qualifying disability assessed on the COEDI (Children's Ohio Eligibility Determination Instrument). 4. Individuals, ages 16 and above, must have a qualifying disability assessed on the OEDI (Ohio Eligibility Determination Instrument). 3

4 4 Planning The development and use of individual plans assures that each person will have the opportunity to identify what outcomes are important to him or her and specify the supports that are necessary and available to meet those outcomes. A range of help-givers, including family and friends, community partners and educators, as well as specialized service providers, may provide the needed supports. The two most common individual plans are the IFSP and the ISP. IFSP An Individualized Family Service Plan, or IFSP, is developed for families with children eligible for IDEA Part C and receiving early intervention services from CCBDD. The IFSP contains the child s current level of development, outlines the family s priorities, resources, strengths and needs, and describes what the family would like to work on and the people and strategies to assist them in achieving their goals. The IFSP is created within 45 days of the date of referral to the program and is reviewed at least every 180 days. Near the anniversary date of their first IFSP, children will receive a re-evaluation/reassessment to determine continuing eligibility and need for ongoing services in conjunction with their annual IFSP review ISP The Individual Service Plan (ISP) outlines the services, supports and, if applicable, goals that meet the individual s desired outcomes and needs. It is developed with the active participation of the individual and the team other people and providers selected by the individual. This may include family members/advocates, the guardian, if one is appointed, friends, as well as staff who provide services and supports. The ISP is reviewed and updated annually, as a well as any time an update is needed. Medical Requirements for Enrollment Immunizations Early Intervention (0-3 years) Children participating in the Early Intervention program shall have received immunizations that meet the current immunization recommendations for their age according to the ODH guidelines. Contact Nursing for further information on immunizations for specific age groups. A child may be admitted if he/she is in process of being immunized according to the Ohio Revised Code definition to meet the state minimum requirements. Contact Nursing for further information. Exemptions: Exceptions to the enforcement of this policy shall be made only in cases where medical contraindication is present in a statement written by a physician or where certification is presented stating the objection(s) to immunization (including religious convictions) given by the parent or guardian. Exemption forms are available from CCBDD or the local health department. For further information, contact Nursing at (216) Adults A tuberculin skin test (TST) dated within one year of the date of admission unless the individual has had a positive tuberculin skin test at any time in the past. If an individual has had a positive tuberculin skin test in the past, the admission requirement is a chest x-ray result dated within one year of admission and a CCBDD TB risk assessment and a TB signs and symptoms assessment completed at the time of admission by a CCBDD nurse. Contact Nursing for further information. Adult immunizations recommended: A tetanus booster [tetanus, tetanus-diphtheria (Td)] or tetanus-diphtheriapertussis (Tdap) within 10 years, annual influenza vaccine and other vaccines as a healthcare provider recommends. Admission Physicals Early Intervention A current medical examination Adults A medical examination current within 6 months of the eligibility determination date but not to exceed 12 months Requirements for Continuous Enrollment Early Intervention Immunizations need to be current with ODH requirements. Routine physical exams are recommended. Adults Routine physical exams are recommended every three years. Immunizations: a tetanus booster, tetanus diphtheria (Td) or tetanus-diphtheria-pertussis (Tdap) within 10 years, annual influenza vaccines and any other vaccines recommended by a healthcare provider Emergency Medical Authorization Form Early Intervention - A new emergency medical authorization form needs to be completed annually and updated for changes to address and phone number(s) and significant health status changes. Adults - An emergency medical authorization form is to be completed at least every three years and reviewed annually. It is to be updated for changes to addresses and phone numbers and significant health status changes. Medication/Treatment/Task Administration For those individuals who are not able to administer their own medication/treatment/task, performance of these duties can only be implemented when the medication/treatment/task permit is completed by a physician or health care professional with prescriptive authority. These orders must be renewed at least once a year, anytime there is a change in the orders, following an individual s prolonged absence from programming and/or when the CCBDD nurse has reason to believe the order is not valid, current or requires clarification from the prescriber. EMERGENCIES Call intake at (216) during normal work hours (8 am-4:30 pm, Monday-Friday, except holidays) to assist individuals experiencing a crisis/emergency. CCBDD also maintains an after-hours on-call system for assistance in case of a crisis/emergency. A crisis is a situation which jeopardizes the health or safety of an individual and requires immediate intervention. The afterhours (4:30 pm-8 am, Monday-Friday, all day Saturday, Sunday and holidays) telephone number is (216) The CCBDD operates a hotline for reporting major unusual incidents (MUIs) as required by state law. This hotline is available 24 hours a day, seven days a week. Alleged instances of abuse, neglect or other MUIs are to be reported to the hotline at (440) 333-MUI1 (6841). REVIEW OF OFFICIAL RECORDS Each individual receiving supports from CCBDD has at least one official file record and may have multiple records depending on the number of departments providing supports to the individual. The file record is a combination of both an electronic and hard copy record. Each individual s official record is available for review by the individual or parent/ guardian of a minor or guardian of an adult. Official records include: Early intervention Services for adults (Employment and Community Alternatives) Support administration/waiver services Individuals, parents or guardians may request a record review by contacting: Early Intervention Records are stored at the location of the service coordinator. Contact the General Manager of Children s Services at (216) for assistance. Adult Activities Records are stored at the center where supports are provided. Contact the site's administrative office. If supports are received at a contract agency, contact that agency or the Administrative Supervisor/Contract Agencies at (216) Community Employment Records are stored at various locations. Contact the employment supervisor assigned to the individual. Support Administration/Waiver Services - Records are stored at the site where the support administrator has an office. Contact the support administrator assigned to the individual. Waiver Services Records are stored at the location of the individual s support administrator. Contact the general manager of Community and Medicaid Services or waiver administrator at (216) Note: Closed records can be accessed through the custodian of records, (216) PRIVACY AND CONFIDENTIALITY CCBDD understands that your personal information needs to be kept private. Protecting it is important. We follow strict federal and state laws, including HIPAA (Health Insurance Portability Administration Act) Privacy and Security rules, that require us to keep your Protected Health Information (PHI) and electronic Protected Health Information (ephi) confidential and secure. The guidelines for protecting your personal information can be found in the CCBDD Privacy Notice. To request a copy of the most current CCBDD Privacy Notice or for more information about HIPAA, our privacy practices and your rights: Visit our website at Write, or call: CCBDD Privacy Officer 1275 Lakeside Avenue East Cleveland, Ohio (216) PrivacyOfficer@CuyahogaBDD.org CCBDD COMPLAINT RESOLUTION/ APPEAL OF AN ADVERSE ACTION and DUE PROCESS CCBDD has written procedures to protect and ensure the rights of all individuals receiving our services and supports. In accordance with these procedures, those receiving CCBDD services and supports may challenge board policies, procedures, practices and/or decisions made by CCBDD. The procedures may include an informal process that could be used before or in place of formal complaint/due process procedures. For preschool-age children (ages 3-5) and children of legal school age (5-21), such decisions may be challenged in accordance with the rules of the Ohio Department of Education. For all others, the rules for such a challenge are contained in Section 3.4 of the CCBDD Policy Manual. In addition, parents of children, ages 0-3, have procedural safeguards as mandated by IDEA and assured through the Ohio Department of DD. (See Early Intervention.) These procedures are not to be used for resolving complaints involving delegated nursing rules or decisions to terminate, reduce or deny Medicaid-funded services. All complaints involving delegated nursing rules should be referred to the supervisor of Nursing Supports. Any decision to terminate, reduce or deny Medicaidfunded services is subject to the State of Ohio appeal process. All complaints concerning such decisions may be referred to the general manager of Community and Medicaid Services for assistance. Complaints regarding residential facilities can be filed with the Ohio Department of DD. The toll free number to file such complaints is (877) All complaints regarding board policies, procedures, practices and/or decisions made by CCBDD will be reviewed in accordance with the Complaint Resolution Procedures. There will be no retribution or retaliation for making a complaint. 5 ADMISSION

5 6 CHILDREN'S SERVICES & SUPPORTS EARLY INTERVENTION The Early Childhood Program has undergone a transformation to an evidence-based early intervention approach that was officially launched in September, Both research and federal Part C law, from the Individuals with Disabilities Education Act (IDEA), support the concept that services for children in early intervention should be delivered in natural environments and during everyday routines. Using this as a foundation for service delivery, our approach uses three components also based in the research: teaming, the use of a primary service provider (PSP) and coaching as a strategy for early intervention. In partnership with Help Me Grow of Cuyahoga County (HMG), eight core teams were developed to serve regions. Each team consists of a CCBDD developmental specialist, speech/language pathologist, occupational therapist, physical therapist and the HMG service coordinator. Through central intake at HMG, children are assigned to a service coordinator and team according to the zip code where they live. Members of the team conduct a multidisciplinary evaluation and assessment to determine if the child is eligible for IDEA Part C early intervention services and to identify any services that may be needed. Following determination, the team (which includes the family) identifies the most appropriate member to serve as the family s PSP and their Individualized Family Service Plan (IFSP)is developed. A family s IFSP contains the outcomes they hope to achieve for their child and the services and strategies that will get them there. The outcomes on the IFSP are the family s voice. They are written to be functional and are rooted in daily routines such as meal time, play time, travel time, bed/bath time, etc. The PSP works with the family and other caregivers to support these outcomes in the places and times that make the most sense for the family. The PSP is the team member who most appropriately matches the needs of the child and family. Rather than having multiple professionals working with families in various clinic settings, this approach focuses on a primary individual working intensively in the home or other natural environment as a coach to support the family s ability to be their child s most important teacher. Family members and the PSP will develop strategies together to enhance their child s development in the areas that matter most to the family. The PSP not only has knowledge and experience from his or her specific discipline (e.g. speech therapist) but has a global understanding of child development and uses this background to address the needs of the child and family. The PSP will also draw upon the expertise of team members to assist in working with the family. The teams meet weekly to discuss the families they are serving and use coaching and consultation with each other to support their work with families. At times, other team members may accompany the PSP on joint home visits when more specific assistance from another discipline is needed. For more information on Early Intervention, call the general manager of Assistive Technology and Children s Services and at (216) Procedural Safeguards and Due Process Families with children eligible for IDEA Part C have many rights in the early intervention system. These rights and safeguards are established under federal law and presented at the initial Individualized Family Service Plan (IFSP) meeting in the form of a Parents Rights brochure created by the Ohio Department of Developmental Disabilities. Parents' rights are reviewed regularly with each family by their Help Me Grow (HMG) Service Coordinator at their IFSP meetings or more frequently if needed. Families with children eligible for IDEA Part C early intervention receiving services from CCBDD have many avenues to resolve concerns or file a complaint. A family with a child enrolled in CCBDD early intervention wishing to file a complaint may choose to contact Help Me Grow of Cuyahoga County, the Ohio Department Developmental Disabilities or use CCBDD s informal complaint process. Each process will resolve the complaint within 30 days of filing. To file a complaint with Help Me Grow of Cuyahoga County, families may contact their service coordinator, supervisor or contact Help Me Grow directly at (216) To file a complaint with the Ohio Department of Developmental Disabilities by phone, call (614) or mail the Ohio Department of Developmental Disabilities/Early Intervention Program, 12th Floor Rhodes Tower, 30 East Broad Street, Columbus, OH, or Nathan Dedino, Ohio Part C Coordinator and Early Intervention Program Administrator at nathan.dedino@dodd.ohio.gov. Please refer to the Parents Rights in Early Intervention brochure given to you by your service coordinator for specific information regarding rights and procedural safeguards afforded to you and your child. PRESCHOOL and SCHOOL-AGE The department of Children s Services provides technical supports and resources to eligible preschool and school age children (age 3-21 years) within community settings. These community settings may include the school district of residence or family homes. Services include assessment, collaborative consultation, support with intervention, recommendations and in-service training. The CCBDD technical support teams include the following specialists: Augmentative communication speech/language therapists Adapted computer specialists/assistive technology specialists Behavior and curriculum intervention specialists (school-age children) Early childhood intervention specialists (preschool) MOVE specialists Occupational and physical therapists (home modifications and adaptations) The augmentative communication therapists work with children and families with nonelectronic and electronic pieces of technology for individuals who may not use speech as their primary means to communicate. The assistive technology specialists are instructors who support those interested in accessing the computer or technology to enhance independence for leisure, vocational or educational purposes. The behavior and curriculum intervention specialists are instructors trained in positive behavior programming and in adapting curriculum for individuals attending school in their local districts or who may have challenging behaviors at home. The early childhood intervention specialists also support students in need of positive behavior programming and curricular adaptation. The CCBDD MOVE specialists work on a curriculum called Mobility Opportunities Via Education (MOVE ). This curriculum is an activity-based program which focuses on sitting, standing, walking and transitioning skills. Occupational and physical therapists are available to assist families in their home, when a concern arises over accessibility, mobility or daily living. If you would like additional information about any of these services, please call the general manager of Assistive Technology and Children s Services at (216) EMPLOYMENT & COMMUNITY ALTERNATIVES CCBDD provides and supports a whole range of services for adults with disabilities. In some instances these services are provided directly by CCBDD and, in others, CCBDD funds similar services from private providers. CCBDD works with individuals in a team approach to determine their desired personal and employment outcomes and to identify the programmatic supports needed to meet those outcomes. Services are provided towards achieving the most community integrated outcomes possible for each individual whether this is via community integration or community employment. Supports focus on skill acquisition to be a part of the greater community in the most independent way possible. ADULT DAY SERVICES CCBDD believes that services to adults should be provided in the most integrated setting possible and in response to the interests/needs of the individual served. Individuals receiving Adult Day Services have the opportunity to enroll in Vocational Habilitation Services to work and gain skills for successful community employment. Individuals on the path towards community employment have the opportunity to gain stamina and work-related skills via piecework and classes/work trials in the community all of which support the expressed goal of community employment. For those individuals not yet interested in community employment, community integrated activity services are offered. Towards this goal, services and supports include daily living skills, personal care, community and safety awareness, and personalized recreation and leisure services. Activities are provided within facility-based settings via long-standing relationship with vendors who expose individuals to activities like tai-chi, music therapy and cooking/baking. More and more, though, services are being provided via integrated programs that already occur right in the community such as at local fitness centers, senior centers and neighborhood recreation centers. Both programs support individuals through a continuum of services with the preferred goal of preparing individuals to be as self-sufficient and involved in their community as possible. EMPLOYMENT SERVICES CCBDD adheres to an Employment First policy in the provision and support of employment services. Community employment is the preferred and priority outcome for every individual of working age served by CCBDD. Services include transitional supported employment small groups of individuals working in a local business with a supervisor to gain experience and exposure to what more community-based employment could look like for them. As skills are mastered, individuals will work closely with a job placement specialist to discover their next career steps and match them with a job that provides the highest degree of independence and economic resources possible. CCBDD engagement with local businesses in the community has resulted in the hiring of individuals with disabilities at the greatest rate in CCBDD s history. Individuals have been hired into part/fulltime positions in restaurants, factories, banks, colleges, hospitals and many other local businesses. Other Important Facts Professional services such as occupational and physical therapies, behavioral health, speech/language therapy and nursing (direct or by consult) are available for any individual in adult activities and employment services whether they are provided at a CCBDD site or a private provider site. CCBDD coordinates different options for transportation services. In collaboration with the Community and Medicaid Services Department and partnering with community transportation providers, there is a variety of safe and reliable options for individuals. Transportation professionals also provide travel training to individuals to strengthen safe community access and RTA/other public transportation options. Individuals who are enrolled in CCBDD vocational habilitation or supported employment services programs are employees of SAW, Inc. and are paid either at a piecerate or hourly rate. Mandated by the Department of Labor, these rates are re-assessed every six months and may result in changes in paychecks. A trainee manual published by SAW, Inc. is provided upon enrollment in these two programs as well as upon request from the manager of SAW, Inc. In case of emergencies, please be advised: 1. CCBDD supported-sites will typically remain open regardless of weather conditions. However every individual, family or caregiver should consider for themselves whether to come to the site. 2. If an individual is expected to be absent from a CCBDD-supported site, he/she is expected to call prior to the start of the day and indicate the nature of the absence sick, vacation, etc. If physician services were needed during the absence, the individual needs to bring return to work documentation. Extended non-attendance will be discussed with the individual, family, caregiver and may result in the individual s exclusion from services. 3. All families, caregivers, providers are required to provide emergency phone numbers so that, if an emergency happens during the course of a day, the appropriate person can be contacted. In some instances, individuals may need to be picked up by said contact person. ECA also supports access to adult day, vocational rehabilitation, and employment services at a wide range of private provider agencies. These agencies offer increased variety in programming, services/ supports and business settings and serve to increase personal and individualized choice of how to spend ones day. For additional information about any of these services/supports, contact the general manager of Employment and Community Alternatives at (216) CHILDREN ADULTS

6 8 SAW, INC. SAW, Inc. is a non-profit corporation which enters into an annual contract with the CCBDD to employ adults who have developmental disabilities. It secures and manages work done for area businesses and industries at the eight CCBDD Adult Activities Centers and numerous community work locations. SAW, Inc. is governed by an 11-member volunteer board, widely representative of businesses and industries in Cuyahoga County. It adopts policies and procedures for its employees and the companies with which it subcontracts. It uses its earnings to pay employee wages and purchase equipment, materials, vehicles and other necessities to carry out its business functions. Each year it submits an independent audit and annual report to CCBDD. The SAW, Inc. manager can answer any questions about SAW, Inc. at (216) SAW, Inc. Board of Trustees Officers: President Tim Clemens, Attorney at Law Vice President Sue Peplowski, HR Business Partner Cleveland Clinic - Surgical Operations Secretary Dick Ambrose, Judge Cuyahoga County Court of Common Pleas Treasurer Robert Salim, Retired - Sales Consultant Kimball Hill Homes Trustees: Todd Barson, Sales and Marketing Manager Ferro Corporation Russell Benghiat, Regional President The Brandon Agency Randy Graham, Director, Business Development Nexus Engineering Group Georgette Jackson Sally Martin, House Manager City of South Euclid Lawrence Murtaugh, Executive Director Diocese of Cleveland Facilities Services Coorporation Judith Carey, Manager SAW, Inc. ASSISTIVE TECHNOLOGY The Assistive Technology Department provides a range of services and supports to help children and adults reach their full potential and participate in community life. Within the department, various specialists work as a team to assist people. Among other things, specialists help children and adults exercise choices and function more effectively in a variety of environments. These services are provided to individuals in community settings as well as CCBDD day programs. Assistive Technology services include speech/language therapy, occupational therapy, physical therapy, adaptive computer and assistive technology services, augmentative communication services and deaf services. Requests for services may be made at program sites, at the person's planning meeting or through the support administrator. SPEECH/LANGUAGE SERVICES All people, regardless of their abilities, have a basic right to affect, through communication, the conditions of their existence. To this end, speech/language pathologists provide services that help improve communication between individuals and their communication partners. Speech/language services include assessment, intervention, problem-solving and family/caregiver/staff training. These services are available to children and adults and may be provided in a variety of settings, including, but not limited to, early intervention, public schools, adult centers, homes and community locations. DEAF SERVICES Individuals who communicate primarily in American Sign Language (ASL) can participate fully in day-to-day interactions as well as long-term planning meetings by utilizing the services of a sign language interpreter. An interpreter s primary role is to facilitate communication between two parties who do not share a common language. CCBDD Deaf Services provides an interpreter in a variety of settings, including emergency situations, team meetings, employment-related meetings and interviews, therapy sessions, evaluations, counseling and other situations as needed. To access interpreter services, please contact the general manager of Assistive Technology and Children s Services and at (216) OCCUPATIONAL THERAPY AND PHYSICAL THERAPY SERVICES Occupational therapists and physical therapists promote health and help people sustain the highest possible level of independence. They assist in modifying activities to meet individuals abilities by adapting the environment and equipment at home, in the community, and in employment settings to maximize potential. The therapists may make recommendations based on individualized assessments in regards to positioning, feeding, and mobility as well as provide functional fine motor, gross motor, and sensory activities. Other services/supports offered include family, caregiver, and staff training. For children, birth through two years of age, families may access therapists through early intervention. Please refer to the Early Intervention section for additional information. BEHAVIORAL AND HEALTH SUPPORTS The Behavioral and Health Supports Department offers a wide range of services with the common goal of helping individuals achieve independence and a safe, healthy and satisfying life at home and in the community. The department is comprised of a group of licensed clinical psychologists, nurses, social workers, counselors, forensic liaisons, psychology assistants and other related disciplines. The majority of our staff have had years of experience addressing the needs of individuals with developmental disabilities. BEHAVIORAL HEALTH SERVICES Behavioral services center on assessment, consultation and education aimed at helping individuals to develop the skills and access the appropriate supports necessary for healthy, safe and satisfying engagement with their community. While we do not offer psychiatry services, we do seek to coordinate, when applicable, with the individual s community psychiatrist to ensure appropriate care across settings. Individuals are referred for Behavioral Health Services by their CCBDD support administrator. They are most often referred in order to address behavioral needs which may be threatening their health and safety, may be a source of distress or which may otherwise be preventing the individual from achieving his or her goals in the home or community. In other cases, referrals are to help with planning for an important transition such as a move to a new home or job or for evaluations needed to access important services such as a court-appointed guardian. Services typically start with an assessment and then culminate in recommendations for some combination of environmental changes, linkage with direct services, and/ or training of caregivers. In many cases we work directly with providers or families to better identify and plan for needed supports. We also provide training to provider agencies and the broader community on a variety of behavioral and mental health topics at no cost. A limited amount of brief-term direct services such as counseling or psycho-educational groups may also be available from the department for some individuals with special needs that cannot be met within the larger public and private behavioral health system. The department also provides a review and oversight function across the county to ensure that individuals who receive paid supports in their home, job or day program are being served in a manner that is aligned to Ohio s regulations around behavioral support and are consistent with a positively focused, least restrictive approach to meeting the individual s behavioral health needs. FORENSIC LIAISON SERVICES The Forensic Unit strives to support individuals with developmental disabilities who have become involved with the court system through education, advocacy and the provision of service coordination and community linkage. Individuals with developmental disabilities who are charged with a crime may seek assistance from the Forensic Unit. The forensic liaisons in the unit are skilled navigators of the legal system in every municipal court in the county as well as all the courtrooms of the Court of Common Pleas Criminal Division. They assist referred/ eligible individuals with a developmental disability on probation to successfully complete their conditions of supervision and comply with all legal requirements as such. Additionally, the forensic liaisons are readily available to support those individuals who find themselves in the Cuyahoga County Corrections Center and assist with the challenges of being incarcerated. They are an integrated part of this county s criminal justice system at both the felony court and municipal court levels and provide seamless services between the individual, their family, the court system, CCBDD and countless community providers. The forensic liaisons offer trainings to community social service agencies, civic and professional groups, the criminal justice system and other community agencies interested in topics specific to offenders with developmental disabilities. They also provide consultation to other counties interested in learning about the collaborative efforts it takes to unite and support offenders with developmental disabilities. Collaborative consultation is offered for in-county community agencies who want to tailor their own services/programming to better serve offenders with developmental disabilities. To receive forensic liaison services, an individual must be either eligible for CCBDD services or non-eligible and on probation by the Court of Common Pleas Adult Probation Department s MH/DD Unit. Informational assistance can be obtained by calling the supervisor of Forensic Liaison and Behavioral Support Services at (216) HUMAN SEXUALITY EDUCATION AND SUPPPORTS Human Sexuality Education and Supports provides sexuality and social skills information, education, training and consultation to individuals, their families, caregivers and staff in order to maximize an individual's ability to live, learn, work and play in the community. Services include assessment of sexual knowledge, evaluation of behaviors for age or functioning level appropriateness, screening and referrals for human sexuality services and individual education. The human sexuality educator is also available to provide consultation with staff, parents, caregivers and other comunity agencies. Consultation may also include strategies for responding to sexual behaviors and policy development. HEALTH SERVICES The primary focus of CCBDD Nursing is disease prevention and health promotion. CCBDD Nursing provides services and supports to individuals and their caregivers, fosters health and safety, supports individuals' choices and assists individuals to participate in community life. Direct nursing services include assessment, planning, consultation, delegation, treatment, quality assurance and evaluation of health care services. CCBDD nurses assist with the coordination of routine and specialty health care for individuals in order to promote and maintain wellness and minimize health complications. Nurses also provide education to individuals, caregivers, families and the community regarding health care and health promotion. As part of the interdisciplinary team, CCBDD nurses work with other departments to identify health and safety concerns and problem solve how to address them. Nurses generate referrals to other health care professionals as needed for treatment/intervention. Delegated nursing enables developmental disabilities personnel to provide medication administration and performance of nursing tasks under the direction of a licensed nurse in order to meet individuals' health care needs and support them in a variety of environments. 9 SAW, INC. SPECIAL SERVICES

7 10 COMMUNITY & MEDICAID SERVICES COMMUNITY/RESIDENTIAL SERVICES Community/Residential Services are provided in a variety of settings. To the extent possible, services and supports are funded by Medicaid. Types of services and supports available include: Commmunity Supports: provided to an individual with DD in a person-centered, non-facility-based manner. Individuals select an Ohio Department of Developmental Disabilities (DODD) certified provider to provide the necessary supports identified in the Individual Service Plan in the setting of his/her choice. No more than four individuals with DD may reside at any one address. Community supports may also be provided to an individual who still lives in his/ her family home or in a sheltered living setting with another family. An individual s resources help to cover his/her cost of living expenses. Facility-Based Programs: consist of DODD licensed facilities. Services are created to meet individual needs and are often developed in collaboration with other service agencies. An individual s own resources are applied toward the cost of his/her services. There is a waiting list for both types of services. An individual eligible for CCBDD services should work with his/her support administrator (SA) if in need of residential services. For further information about residential services and options, contact the supervisor of Residential Programs at (216) SUPPORT ADMINISTRATION After eligibility for CCBDD services has been established, a support administrator may be assigned to each new adult coming to CCBDD and to other individuals, age three or older, who have a need for extensive planning. The support administrator will meet with the individual/ family to explore and develop services and supports within the individual's community. Support administrators assist individuals and their families to identify and acquire the appropriate services and supports they choose for themselves within the diverse resources available to them. As a support administrator works with an individual or family, he or she may: Identify issues and concerns of the individual and his or her family; Identify desired outcomes that are important to the individual/family; Identify individual and family supports and strengths, Provide information; Assist the individual and/or family in determining and directing the supports and dollars needed to reach their specific outcomes; Assist the community in learning more about the unique capabilities of individuals with developmental disabilities; Assist the community to develop the capacity to support individuals with developmental disabilities. For individuals not enrolled on a waiver, the need for continuing Support Administration services will be routinely evaluated by a support administrator and the individual/ family. Individuals or guardians may request a support administrator be assigned and remain involved in service coordination for the individual. FREE CHOICE OF PROVIDER FOR MEDICAID WAIVER SERVICES The CCBDD recognizes and supports the right of individuals to choose any qualified and willing provider of Medicaid Home and Community-Based Services (HCBS). Individuals have the right to choose any qualified provider at the time of enrollment in a Medicaid HCBS program, annually at the time of redetermination and at any other time the individual/guardian expresses an interest in or makes a request to choose a new, different or additional provider. FAMILY SUPPORTS The Family Support Program helps families in their efforts to care for a family member who has a developmental disability in his/her family home. By recognizing and assisting families in meeting special needs, Family Supports promotes family unity, assists individuals in moving toward self-sufficiency and prevents or delays the need for residential placement. Costs for services under Family Supports are on a sliding scale based on the family s taxable income. Family Supports include respite care, equipment and home modifications, diapers, camp and family education. Other services are considered upon request. CCBDD works in collaboration with the North East Ohio Network (NEON) to administer the day-to-day operations of the Family Support program. NEON is a regional council of governments and administers the Family Support program for a number of other county boards of DD. For questions about the services covered, please call NEON at (800) , option 2. If you are not enrolled in the Family Support program, please call the CCBDD Intake Department at (216) CUYAHOGA CAMPERSHIP PROGRAM The Cuyahoga Campership Program, operated by CCBDD, assists individuals with the cost of attending summer camp. Any individual who is eligible for CCBDD services and who is not enrolled in the Family Supports Program or one of the DD waivers (Level 1, Individual Options or SELF) is eligible for the campership program based on a first-come, first-served basis. The maximum campership amount is $700 per individual for the camp season. For questions and to learn more information about the Cuyahoga Campership Program, call our Camp Line at (216) , Campership@CuyahogaBDD.org or visit our website: If you are interested in camp and supported by one of the waivers mentioned above, please contact your support administrator to explore waiver camp options. If you are interested in camp and enrolled in the Family Supports Program, contact NEON at TRANSITION SERVICES A Transition Intake Navigator supports each student through the process of becoming and remaining eligible for CCBDD services and communicates eligibility findings with school personnel (with permission from the student/ family), acts as a link to needed information and community resources for each student, maintains contact with the student/family at least once per year to talk about the student s current needs, answers questions about the transition planning process and the student/family s plans for their child s future, and links the student to a Support Administrator, as applicable, to assist with the planning leading up to and after graduation. COMMUNITY HOMES (Facility-Based Programs, Licensed by DODD to CCBDD) Home operated by Blossom Hill, Inc. Center Ridge House Homes operated by Grand Manner, Inc. Albion House Howe House Walton House Homes operated by Hattie Larlham Foundation Oak House Solon House Wood House Homes operated by Koinonia Homes, Inc. Brooklyn House Independence House Lamson House Lee House Seven Hills House Smith House Stearns House Van Aken House Wallings House Homes operated by Northeast Care Center, Inc. Bagley House Maple House Ridge House Royalton House Sprague House Homes operated by REM Consulting of Ohio Bedford House Monticello House Taft House Homes operated by Rose-Mary Center Cedar House Grand House Green House Terrace House Verona House Warrington House Home operated by Stonewood Residential, Inc. Parma House Home operated by United Cerebral Palsy Association Edendale House Memphis House Homes operated by Welcome House, Inc. Bellbrook House Hilliard House PROVIDER DEVELOPMENT AND SUPPORT The Provider Development and Support team is responsible for internal and external technical assistance to assure compliance with applicable certification standards and continued development opportunities for providers. PROVIDER SUPPORT CCBDD is required by state rule to assist the Ohio Department of Developmental Disabilities to ensure that certified providers of waiver services are meeting compliance standards. Areas of review include, but are not limited to, employee background checks, required trainings, required documentation, and implementation of planned services and supports. Formal regular reviews are conducted once every three years. Special reviews may be conducted as required for special circumstances. All reviews conducted are not only to help providers understand waiver administration activities, but to support providers to better understand how these reviews can help to best support the people they serve. PROVIDER DEVELOPMENT CCBDD has a commitment to assist providers to access resources that will further develop the quality of services they provide. In addition to the coordination of provider support oversight, representatives are available to help develop provider capability. The provider support area of CCBDD s website offers links to a variety of resources including rule changes, trainings, and other guidance. Additionally, monthly provider forums are planned to help connect with providers, hold discussion sessions, and present material that promotes growth and quality among the provider community. Newsletters and correspondence are sent to providers regularly so that they have up to date information. For more information, call the Provider Support Hotline: (216) or Provider.Support@CuyahogaBDD.org. 11 COMMUNITY & MEDICAID

8 12 TRANSPORTATION SERVICES The Transportation Department's goal is to provide safe, reliable and efficient service to riders. Important Phone Numbers (216) am-5:30 pm, Monday-Friday for concerns regarding transportation provided by CCBDD vehicles. (216) am-5:30 pm, Monday-Friday for concerns regarding transportation provided by vendor vehicles (cabs, vans, vendor buses). (216) :30 pm-6 am, Monday-Friday and anytime during the weekend for concerns about any CCBDD or vendor transportation issues during non-peak hours. Program Boundaries Attendance boundaries have been established for each adult activities center to assist in assigning each person to the most appropriate center for his or her program needs. These boundaries also provide the most efficient transportation for each rider. Individuals living within a particular boundary will attend the center designated for that area. Exceptions may be made for special programs. Peridocially, boundaries may change as programs and enrollments change, and indvidiuals may be assigned to a new site. Daily Pick-Up Occasionally, a vehicle can arrive as much as five minutes before or after the scheduled pick-up time. If the vehicle arrives early, the driver is required to wait until the scheduled pick-up time. If the vehicle is consistently late, contact the Transportation Office at the numbers listed to the left, give the rider's name, phone number and other essential information, including the nature of the problem. The complaint or concern will be referred immediately to the appropriate supervisor for investigation and resolution. The supervisor will report the results of the investigation and the resolution of the problem. Please have the rider ready when the vehicle arrives to help the driver keep to the schedule. For each rider s safety, drivers make pick-ups on the same side of the street as the rider s residence unless they have other directions from a supervisor. If the rider waits outside the residence for the vehicle, he/she should wait at least 15 feet away from the street and 15 feet away from the pick up point. If the residence is less than 15 feet from the street, the rider should wait inside the residence until the vehicle arrives and comes to a complete stop. No Pick-Up Card Each vehicle will run on the same schedule every day. The driver will make all the stops on the route even if a rider is absent. If a rider is not going to take the vehicle in the morning, place the yellow No Pick-Up Card in a window visible from the street. To restart service, remove the card; do not call the Transportation Office. To receive a card, simply ask your driver. In situations where the card can not be visible from the street, special arrangements can be made through the Transportation Office. Daily Drop-Off Procedures Drivers and monitors must wait until the rider is safely into the residence before departing. If a rider's plan requires that the rider cannot be left alone, the driver will not leave until he/she confirms that someone is at the residence. There are only two types of situations when the vehicle will leave before the passenger has gone into the residence: If a parent/responsible person comes to the bus door to escort the rider to the house, the driver/monitor will leave when the parent/guardian and rider have walked at least 15 feet away from the bus and 15 feet away from the street. However, if a minor comes to the bus to escort the rider to the residence, the driver will wait until both have entered the residence. If it is not possible to see the rider safely enter the resi- dence due to its location (apartment complex, etc.), the driver will note the exact drop off location on the route sheet and will wait until the rider has walked at least 15 feet away from the vehicle and 15 feet away from the street. For each rider s safety, drivers make drop-offs on the same side of the street as the rider s residence unless they have other directions from a supervisor. Alternate Emergency Drop-off Address Transportation will not drop off a rider at any alternate address unless this has been authorized by the parent/ responsible person. Alternate addresses must be within a reasonable distance from the rider s residence and within the rider s attendance center boundaries. Contact your center with an alternate address, phone number and name of the individual who will receive the rider. The Transportation Department will not accept an alternate address directly from the parent. Parents must notify the center at least a half hour before the center is dismissed if they want the rider dropped off at an authorized alternate emergency drop-off address. "Nobody Home" Policy If no one responsible is at a rider s home or alternate address, the rider will be taken to the William Patrick Day Services Center, 2421 Community College Ave., downtown [phone (216) ] and remain there until the parent/guardian or another individual who has been designated in advance comes to pick him/her up. If no one picks up the rider by 6 pm, staff will call the After Hours On-Call pager to initiate contact with the caregiver. If a caregiver is not reached, respite will be arranged and, for individuals under age 21, the Department of Children and Family Services (DCFS) will be notified. If no one is home a second time within a six-month period, transportation may be suspended until the parent/ guardian meets with the manager of the rider s center to discuss the problem and make assurance that the problem will not occur again. Failure to be at home at drop-off time more than two times in a six-month period may result in the suspension of transportation and reporting of the situation to the CCBDD staff on duty and DCFS as an incident of abuse/neglect. Parents/guardians may be charged for the cost of the care provided when no one is home for drop-off. Route Change In the event a rider s route, pick-up or drop-off time is changed, the driver will notify the parent/guardian in advance. The information provided will include the new pick-up and drop-off times and the new driver, monitor or route number, if these change. Please keep the manager informed of any changes that might affect the rider's route or special assistance required on the bus. Drivers/monitors are not authorized to accept route change information. A two-week notice is required for any change of address, except in cases of an emergency. Vehicle Drivers Drivers run routes in the order specified by the routing manager. Any changes must be approved by the routing manager through the transportation supervisor. Vehicle Monitors Monitors are assigned to routes transporting riders who CCBDD has determined need special assistance while the vehicle is enroute. Monitors are expected to remain alert to the needs of the riders and to assist riders, drivers, staff and parents to provide safe transportation. A monitor will help parents/guardians and CCBDD staff load and unload riders. The monitor is responsible for providing curb to curb service at the rider's residence. This means that at the time of loading the monitor is to help the rider get on the bus once the rider arrives at the bus door. At the time of unloading, the monitor is responsible for assisting the rider off the bus, at which point the parent/ responsible party, if required, takes charge of the rider. There may be instances where extra assistance is needed because of problems that prevent the parent/responsible party from bringing the rider to the vehicle or meeting the rider at the vehicle. Such problems should be brought to the attention of the manager or a transportation supervisor. Please do not make arrangements with the driver/monitor to provide any extra assistance as drivers/monitors are instructed to first receive management approval before providing any extraordinary assistance. At every stop, monitors must get off the vehicle and be ready to help every rider and assist with any items they carry. Monitors maintain order and discipline on the vehicles at all times and adjust special safety equipment, as needed, for the safety and comfort of riders. Monitors sit where their presence best serves monitoring the riders. Monitors change seats as the route progresses. General Rules Parents/Guardians should be available, if needed, to escort the rider to and from the vehicle. Parents/Guardians must be home at the scheduled drop-off time unless the rider can care for himself/herself. Please put names on loose clothing or personal objects such as jackets, boots and lunch boxes that might be left on the vehicle. Valuable items should not be carried on the vehicle; transportation staff cannot be responsible for them. For the safety of both the riders and transportation personnel, steps, walkways and driveways must be kept clear of ice and snow. If transportation staff are required to provide assistance, but can not do so because of snow or ice, the parents will be notified by the Transportation Office that no pick-up will be made. Rules for Vehicle Riders In the interest and safety of all riders, we have established the following rules: Riders must remain seated in their assigned seats. Riders must obey the vehicle driver and the monitor. Riders must not place any object or any part of their body out the bus window at any time. Riders are not allowed to use abusive or profane language. Riders are not allowed to eat, drink or smoke on the vehicle. Riders must not throw anything out the window. Riders must not abuse other riders on the vehicle. Riders must be ready to board the bus at the scheduled arrival time. Riders must not abuse the vehicle. Firearms, deadly weapons or dangerous ordnance are not permitted on the vehicles. If a rider disobeys the above rules, the manager will discuss the situation with the parents/guardians. Continued failure to obey rules may result in a rider's suspension from the transportation service. Special Equipment Before initiating transportation service for a new passenger, we will review the individual's transportation needs to determine if any special equipment is required for safe transportation. The CCBDD will provide lap belts, special vests and straps, car seats, wheelchair lap/shoulder securement systems or other equipment for any rider whose physical condition requires it. These items are the property of the CCBDD and must be returned to the Transportation Office when no longer needed. Parents can contact the manager at any time to request such help. Riders who require vests, car seats, wheelchairs or other special equipment will not be transported without them. Notify the Transportation Safety Department, (216) , immediately if you notice that a car seat, vest or any other piece of adaptive equipment is damaged. Wheelchairs/Mobility Devices Maintenance of wheelchairs and other approved mobility devices is the responsibility of the owner. Damaged or defective wheelchairs may be determined unsafe to transport. A wheelchair with non-working wheel locks, flat tire, damaged frame, missing attached pelvic positioning belt, missing chest harness (if required), missing head rest (if required) missing foot rest (if required) or soft foam tray (if required) will be considered unsafe for transportation. Each rider who uses a wheelchair will be evaluated by the appropriate CCBDD staff (typically the occupational/ physical therapist) to determine if the following equipment is appropriate and safe for use: 1. independent lap/shoulder occupant restraint system, 2. foam tray in place of the Plexiglas tray. Concerns about the chair may be discussed with the physical or occupational therapist. The rider will not be transported until this evaluation is completed. 13 TRANSPORTATION

9 14 Transporting Oxygen The Transportation Service Center follows the Guidelines Regarding the Safe Transportation of Oxygen on a School Bus issued by the Ohio Department of Education. Approved Oxygen Delivery Systems for Transport on CCBDD Vehicles Oxygen delivery systems use a regulated supply of either gaseous or liquid oxygen to deliver a flow of oxygen to a user: The oxygen must be housed in a portable unit and should be less than 15 pounds total weight. Gas oxygen tanks must have a maximum capacity of 22 cubic feet (Medical E). Medical E tanks are usually no larger than 4½ inches in diameter and 31 inches in length. Liquid oxygen units can have a maximum capacity of 38 cubic feet and can be no larger than 5 inches in diameter and 13 inches in length. We require that liquid oxygen be transported in a container that will prevent it's discharge if it is tipped over or laid on its back. All oxygen cylinders/canisters must have valves and regulators that are protected against breakage. Oxygen cylinders and liquid canisters cannot be held by the rider, transported in a shoulder pack or fastened to a wheelchair. The tank must be removed and secured in an approved container and attached to the vehicle floor and/or wall in an upright position prior to transportation. Parent/Guardian/Caregiver Responsibilities Inspect oxygen device for leaks, ill-fitting parts and proper operation. Ensure that connectors are tight and leak free. Ensure that delivery tubing is free of kinks, pinch points or easily snagged loops. Ensure that face mask, nasal cannula and tracheotomy tubes fit properly. Ensure that the flow control valve is set as prescribed by the user s physician. Provide assistance during boarding, if needed, with support equipment (e.g. cylinder holder, carrying bag, etc.). Ensure that a sufficient supply of oxygen is available to cover the rider s needs during transportation. Allow for travel time and unforeseen events such as traffic and weather delays. Ensure that the cylinder wrench is attached to the tank. CCBDD Requirements for Use of a Seat Belt Vans/Sedans/Shuttle Vehicles - Riders on these types of vehicles must wear seat belts. Yellow School Buses/Adult-Style Buses equipped with school bus seats - The use of lap belts on large school buses (buses that weigh more than 10,000 pounds) may not provide additional protection and may, in fact, lead to more severe injuries. As a result, CCBDD riders will not use a lap belt on a large school bus as the only means of restraint unless the lap belt is necessary due to behavioral or medical conditions. Lap belts will still be available on all large school buses to secure car seats. Emergency Procedures The CCBDD transportation staff will notify you if a route is running more than 20 minutes late. Closings - If we close any or all centers, we have a system that many school districts use. It directly calls the homes of individuals enrolled with us with a recorded announcement about an emergency closing. The system can call everyone affected by a CCBDD closing within a very few minutes. If there is no answer, it will either leave a message on an answering machine or voic system or it will retry up to four times. We will also include the closing as part of the ialert announcements on the news. We post closings on our website at cancellations.com and Facebook. A parent or designated caregiver should make the ultimate decision about an individual's attendance. Early Dismissal - If a center needs to close before the normal closing hour, the superintendent will notify the Transportation Office and the center manager. The center staff will call parents or guardians. All parents or guardians should be available for early contact on days when severe weather makes an early closing possible. Such closings don t necessarily mean early arrival of vehicles. Evening/Weekend Activities - If an individual is being transported for an evening/weekend activity, there may be an occasional delay in arrival times. If you feel serious concern about a delay, call (216) , to verify the situation. Use this number only for transportation emergency concerns between 5:30 pm and 6 am on weekdays and any time during the weekend. Other calls regarding transportation provided by CCBDD vehicles should be made to (216) , Monday through Friday, 6 am to 5:30 pm. Vendor Transportation CCBDD contracts with numerous transportation vendors. If a rider is transported on a vendor vehicle (i.e. cab, van, school bus), please note the following: If you want to contact CCBDD to report a vendor problem or to make a vendor transportation inquiry (ex. find out vehicle pick up/ drop off time), call (216) Use this number to obtain vendor information between the hours of 6 am and 5:30 pm. If you have vendor transportation concerns after 5:30 pm and before 6 am, or any time during the weekend, call (216) Please do not call the vendor company directly. The vendor drivers and the vendor management are not authorized to make any changes to any rider's transportation service. RTA Riders or Walkers Many individuals are capable of independent travel and are trained to take public transportation (RTA) or to walk to and from their centers or a common pick-up point. In cases of severe weather, a RTA rider or walker who works at one of our centers should not leave home until he/she is sure it will be open. (See Emergency Procedures.) A RTA rider or a walker who is in community employment may be expected to report to work even when our centers close for severe weather. If an individual is a RTA rider and does not arrive home within a reasonable amount of time, please call the RTA customer service center at (216) between 7 am - 6 pm or (216) at any other time. The operator may be able to tell you about a bus breakdown or delay. After consulting RTA, if you are still concerned, please contact your regional travel coordinator or community travel program supervisor. If an individual is a walker and does not arrive home at a reasonable time, contact the After Hours On Call number at (216) Emergency Contact Centers must be able to contact parents or guardians in the event of late vehicles, early dismissals or emergencies. The centers should also have an alternate phone number for someone who knows the rider when a parent or guardian can not be reached. These numbers must be given to the center and updated as changes occur. You must notify your support administrator or center of any changes in emergency phone numbers. ADVOCACY OPPORTUNITIES There are many opportunities for individuals with developmental disabilities to be recognized for their talents, abilities and contributions, to help others, and to have a leadership role in developing policies that affect their lives. Participation in these advocacy groups, meetings and trainings is encouraged. CCBDD CCBDD Groups and Meetings NE Ohio Regional Meeting Bi-monthly-RSVP required Various county locations People First Meets monthly in Cuyahoga County Stir One Up Program (SOUP) Meets monthly in Cuyahoga County Project STIR Statewide Meetings, quarterly in Columbus-STIR grads only Synergy Conference Occurs annually in October Training Good Life Ambassador Training Contact Amy Smith Project STIR Training Contact Dana Charlton Cuyahoga County Board of DD Contact Person: Amy Smith Advocacy and Community Outreach Coordinator (216) smith.amy@cuyahogabdd.org The Arc of Greater Cleveland Contact Person: Cindy Norwood Executive Director (216) cnorwood@thearcofgreatercleveland.org Ohio Self Determination Association Contact Person: Dana Charlton Executive Director (614) osda2011@gmail.com COMMUNITY ACTIVITIES We promote that all people can access and participate as fully as possible in all aspects of an activity or service in the same way as any other member of the community. Inclusion in the community is one of CCBDD s guiding principles. We encourage you to explore your community and participate in the many programs and activities available to the public. The following are just a few examples of places and opportunities that strive to include people of all abilities: Community recreation centers Public libraries Theaters/centers for performing arts Volunteer opportunities at local non-profit agencies Community festivals and celebrations Museums Cleveland Metroparks and community parks Coming soon! CCBDD is in the process of identifying more places and programs in the community that do an exceptional job of inclusiveness of people with disabilities. Please watch our website, for this listing. THE RIGHTS OF PEOPLE WITH DD In 1986, the Ohio Legislature passed and Governor Richard F. Celeste signed a Bill of Rights of persons with developmental disabilities. Ohio Revised Code Section : This adapted version shows the rights of persons with a developmental disablility include, but are not limited to: 1. Be treated nicely at all times and as a person 2. Have a clean, safe place to live in and a place to be alone 3. Have food that is good for you 4. Be able to go, if you want, to any church, temple, mosque 5. Be able to go to a doctor or dentist when you are sick 6. Be able to have people help you with the way you walk, talk, do things with your hands, act or feel, if you need it 7. Be able to have people help and teach you, if you want 8. Be able to have time and a place to go to be by yourself 9. Be able to call, write letters or talk to anyone you want about anything you want 10. Be able to have your own things and be able to use them 11. Be able to have men and women as friends 12. Be able to join in activities and do things that will help you grow to be the best person you can be 13. Be able to work and make money 14. Be treated like everyone else 15. Not be hit, yelled at, cursed at or called names that hurt you 16. Be able to learn new things, make friends, have activities to do and go out in your community 17. Be able to tell people what you want and be part of making plans or decisions about your life 18. Be able to ask someone you want to help you, let others know how you feel or what you want 19. Be able to use your money to pay for things you need and want with help, if you need it 20. Be able to say "yes" or "no" before people talk about what you do at work or home or look at your file 21. Be able to complain or ask for changes if you don't like something without being afraid of getting in trouble 22. Not be given medicine that you don't need or held down if you are not hurting yourself or others 23. To vote and learn about laws and your community 24. To say "yes" or "no" to being part of a study or experiment 15 ADVOCACY COMMUNITY ACTIVITIES MISCELLANEOUS

10 16 COMMUNICATION Communicating well and as often as necessary is a priority of CCBDD. We use many different methods to share information with individuals, families and the general public. These include print materials, telephone, , videos, social media and in-person conversations/forums. Some of our materials are available in Spanish, and we have bilingual staff available to assist with language translation needs. Please make sure that you keep your contact information up-to-date with us by letting your support administrator (SA) or CCBDD staff member know if you have changes. Please note that in the event of an emergency closing or severe weather, we use the phone number you have given us to call individuals. We are striving to support a greener environment and reduce printing costs, so we encourage you to share your with us. This can be done simply and quickly on our website, by clicking on Stay Informed: Sign-Up for Our News & Notices, or by calling our public information line at (216) The following are some of the ways you can connect with us regularly to learn timely and important information on a variety of topics: Public Information Line (216) ; Call this number anytime you have questions or wish to share comments. Website PARENTS/TEACHERS/COMMUNITY UNITED (PTCU) The Parents/Teachers/Community United (PTCU) was formed in It is a group of parents and other advocates who are dedicated to the improvement of life for citizens with developmental disabilities and their families. The PTCU achieves its goal by becoming involved. The group works to promote the image of their children and adults in every area of community living. They are a communication link with the CCBDD to get the best possible education and training for their children and adults. They are often the catalyst for change within the community in addition to the federal and state legislatures. As of September 2008, the PTCU is under an umbrella organization, the Parents, Teachers and Community United Foundation. The PTCU Foundation provides not-for-profit, 501(c)(3) status for all CCBDD s PTCUs. Donations to the PTCU Foundation are tax deductible and allow the foundation to continue to sponsor important social activities for individuals and educational events for parents and caregivers. Checks can be made payable to "PTCU Foundation" and sent to PTCU, 1275 Lakeside Ave. East, Cleveland, OH The foundation covers individual units at CCBDD adult activities centers and the PTCU Council Board. Representatives from each unit make up the Council Board, which acts as an advisory group to the foundation, individual units and the CCBDD. Parents, guardians, other advocates and members of the community are strongly encouraged to join the PTCU and to attend regularly scheduled meetings. For more information about meetings and activities, contact your center s manager. Membership PTCU Unit Every parent/guardian/grandparent/sibling (or other advocate) whose child/adult is enrolled in the CCBDD is eligible to become a member of his or her center s unit. Annual dues are established by each unit. PTCU Council Board Each PTCU unit has three voting members on the Council Board, the elected president and two permanent delegates selected from the unit s membership. Two alternate delegates may represent a unit if the permanent delegates are unable to attend the meeting. Council Board Officers President Flo Izzo Cinnamon Blvd. North Royalton, OH (440) First Vice President Pauline Joseph 3515 West 146th Street Cleveland, Ohio (216) Treasurer Steven Licciardi P.O. Box Westlake, Ohio (216) Secretary Marie Jasulewicz 5304 Whooper Ct. North Royalton, OH (440) VOLUNTEER SERVICES Volunteers are a valued part of our team and play an important role in helping us connect with the community. Individuals who wish to volunteer with us should visit our website, and click on "Volunteer," or call (216) for more information. Volunteers must be at least 14 years of age. Parents or guardians of individuals who assist with CCBDD activities and events are required to complete the volunteer application process as well. CCBDD BOARD MEMBERS 2017 CCBDD TABLE OF ORGANIZATION Steven M. Licciardi, President PO Box Cleveland, Ohio (216) Tania J. Younkin, Vice President South Park Boulevard Shaker Hts, OH (440) Lisa M. Hunt, Secretary 3609 Antisdale Avenue Cleveland Hts., OH (216) Ara A. Bagdasarian 6790 Ridgecliff Drive Solon, Ohio (440) Diane Roman Fusco 7045 Kingscote Park Independence, Ohio (216) Richard V. Mazzola Greenheath Drive Parma Heights, Ohio (440) Jacquelyn Kasprisin Chief Operations Officer Janet Keeler General Manager of Employment & Community Alternatives Lori Mago General Manager of Assistive Technology & Children s Services Kevin Devine General Manager Bldgs. & Grounds Charles Corea In-House Attorney Noelle Tsevdos, Risk Mgr., EEO/ADA Coord. Ed Stazyk Manager MUI Richard Cirillo Chief Clinical Officer Behavioral & Health Supports Anthony Lemut General Manager Transportation & Security Marie Barni General Manager of Communication Christina Brown Director of Human Resources Kelly A. Petty Superintendent & CEO John Parkowski Chief Administrative Officer Amber Gibbs General Manager of Community & Medicaid Services Gina Huffman General Manager of Information Technologies & Records Felicia Harrison General Manager of Business & Finance Terri Rice Executive Assistant to Superintendent Jo Elle Barath Administrative Manager Service & Support Administration 17 17

11 CCBDD SITE MAP 1 Michael A. Donzella Administration Building SAW, Inc. 2 Big Creek Center 8 Beachwood Adult Activities Center 13 Parma Adult Activities Center 3 Forest Hill Center 9 Brooklyn Adult Activities Center 14 Rocky River Adult Activities Center Green Road Services Center Operations Facility Center Transportation Center William Patrick Day Services Center East Cleveland Adult Activities Center Euclid Adult Activities Center Maple Heights Adult Activities Center Southwest Adult Activities Center Beachwood Just-A-Buck I Midtown Shopping Center Just-A-Buck II Maymore Plaza 19 Cleveland Crops Main Campus Terrence M. Ryan Agricultural Education Center Cleveland Crops Farm Sites 20 Heritage Farm (Cleveland) 19 Stanard Farm (Cleveland) 21 Stearns Farm (Parma) 18 Just-A-Buck III River Plaza 22 Cleveland Crops Café Virgil Brown/Cuyahoga Jobs & Family Services CCBDD SITE DIRECTORY Michael A. Donzella Administration Building 1275 Lakeside Avenue East Cleveland, Ohio (216) Beachwood Adult Activities Center Mercantile Road Beachwood, Ohio Manager Robert Kaschalk (216) Big Creek Center 6149 West 130th Street Parma, Ohio (216) Brooklyn Adult Activities Center Memphis Avenue Brooklyn, Ohio Manager David Nodge (216) Cleveland Crops Main Campus Terrence M. Ryan Agricultural Education Center 5320 Stanard Avenue Cleveland, Ohio (216) Cleveland Crops Farm Sites Heritage Farm (Cleveland) Stanard Farm (Cleveland) Stearns Farm (Parma) (216) Cleveland Crops Café Virgil Brown/Cuyahoga Jobs & Family Services East Cleveland Adult Activities Center Euclid Avenue East Cleveland, Ohio Manager Al Trefney (216) Euclid Adult Activities Center 1490 East 191st Street Euclid, Ohio Manager Mary Schwarz (216) Forest Hill Center Private Drive East Cleveland, Ohio (216) Green Road Services Center 4329 Green Road Highland Hills, Ohio (216) Just-A-Buck I (Midtown Plaza) 1844 Snow Road Parma, Ohio (216) Just-A-Buck II (Maymore Plaza) 4507 Mayfield Road South Euclid, Ohio (216) Just-A-Buck III (River Plaza) Center Ridge Road Rocky River, Ohio (440) Maple Heights Adult Activities Center Broadway Avenue Maple Heights, Ohio Manager Johanna Patena (216) Operations Center 4553 Hinckley Industrial Parkway Cleveland, Ohio General Manager Kevin Devine (216) Parma Adult Activities Center Plaza Drive Parma, Ohio Manager Stacey Maleckar (216) Rocky River Adult Activities Center Detroit Road Rocky River, Ohio Manager Laura Cooper (216) SAW, Inc Lakeside Avenue East Cleveland, Ohio Manager Judith Carey (216) Southwest Adult Activities Center 4720 Hinckley Industrial Parkway Cleveland, Ohio Manager Karen Fifelski (216) Transportation Services Center 7001 Euclid Avenue Cleveland, Ohio (216) William Patrick Day Services Center 2421 Community College Avenue Cleveland, Ohio (216) SITE DIRECTORY

12 January Celebrating 50 years Sunday Monday Tuesday Wednesday Thursday Friday Saturday AACs return to work New Year's Day All sites closed All sites closed MHAAC - Food Pantry MDA - PTCU Council Board Meeting, 10:15am All sites closed Martin Luther King, Jr. Day SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) SAW, Inc. Board Meeting BAAC, 7:30am MDA - CCBDD Board Meeting, 5:30pm CCBDD Rockets vs. Summit County at Weaver School,10am CCBDD Rockets vs. Lorain County at Murray Ridge, 1pm Chinese New Year *All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

13 February Celebrating 50 years of empowering people Sunday Monday Tuesday Wednesday Thursday Friday Saturday African American History Month National Heart Month Special Olympics State Winter Games, Cuyahoga Valley National Park, thru 2/2 Groundhog Day MHAAC - Food Pantry CCBDD Rockets vs. Lorain County, GRSC 10am Super Bowl EAAC - PTCU Meeting 10am Special Olympics National Unified Bowling Tournament, Las Vegas SAW, Inc. Board Meeting RRAAC, 7:30am CCBDD Rockets vs. Summit County,10am Lincoln's Birthday Valentine's Day MDA - CCBDD Board Meeting, 5:30pm All sites closed Presidents' Day SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) Mardi Gras Washington's Birthday *All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

14 March Celebrating 50 years of achievements Sunday Monday Tuesday Wednesday Thursday Friday Saturday Developmental Disabilities Awareness Month Ash Wednesday MHAAC - Food Pantry Special Olympics North Sectional Regional Basketball Tournament LCCC, thru 3/5 MDA - PTCU Council Board Meeting, 10:15am SWAAC - PTCU Meetiing Big Creek Center,11:30am Staff Inservice Day - SAW, Inc. AAC employees do not report BrAAC - PTCU Meeting 6pm SAW, Inc. Board Meeting PAAC, 7:30am SWAAC - PTCU Luncheon for individuals/staff Purim begins in the evening Daylight Saving Time begins St. Patrick's Day MDA - CCBDD Board Meeting, 5:30pm Special Olympics State Basketball Tournament Bowling Green, thru 3/25 Vernal Equinox SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) *All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

15 April Celebrating 50 years of living Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1 Autism Awareness Month Special Olympic Greater Cleveland Roller Skating Meet, Brookpark Skateland April Fool's Day Special Olympic Greater Cleveland Bowling Tournament, Wickliffe, noon SWAAC - PTCU Board Meeting, 10:30am MHAAC - Food Pantry Palm Sunday Passover begins at sundown SAW, Inc. Board Meeting BrAAC, 7:30am All sites closed Good Friday Easter National Volunteer Week thru 4/29 30 SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) Administrative Professionals' Day MDA - CCBDD Board Meeting, 5:30pm Earth Day *All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

16 May Celebrating 50 years of learning Sunday Monday Tuesday Wednesday Thursday Friday Saturday May Day ECAAC - PTCU Meeting 10am EAAC - PTCU Meeting 6pm BrAAC - PTCU Meeting 6pm MHAAC - Food Pantry Arts for All NEO Arts Festival Cuyahoga County Fairgrounds MDA - PTCU Council Board Meeting,10:15am SWAAC - PTCU Meetiing Big Creek Center,11:30am Razzle Dazzle Beck Center Music & Dance Building Benefit Night for Beck's Creative Arts Therapies Dept Cinco de Mayo Greater Cleveland Special Olympics Spring Games Razzle Dazzle, Beck Center Music & Dance Building, Free admission Nurses Day Greater Cleveland Special Olympics Powerlifting- Meet, Middleburg Hts SAW, Inc. Annual Meeting Windows on the River noon SAW, Inc. Board Meeting Mother's Day Greater Cleveland Special Olympics Gymnastics Meet, Broadview Hts. SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) MDA - CCBDD Board Meeting, 5:30pm Ramadan begins Armed Forces Day All sites closed Memorial Day *All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

17 June Celebrating 50 years of working Sunday Monday Tuesday Wednesday Thursday Friday Saturday SWAAC - PTCU Board Meeting, 10:30am Staff Inservice Day, SAW, Inc. AAC employees do not report MHAAC - Food Pantry SAW, Inc. Board Meeting Ryan Agricultural Center 7:30am SWAAC - PTCU Luncheon for individuals/staff Flag Day MDA - CCBDD Board Meeting, 5:30pm Special Olympics State Summer Games, OSU thru 6/25 Father's Day Summer Solstice *All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook..

18 July Celebrating 50 years of playing Sunday Monday Tuesday Wednesday Thursday Friday Saturday AAC Summer Shutdown thru 7/7 Community Employment program remains open All sites closed Independence Day AACs return to work MHAAC - Food Pantry SAW, Inc. Board Meeting MHAAC, 7:30am EAAC - Summer Picnic SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) MDA - CCBDD Board Meeting, 5:30pm **All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

19 August Celebrating 50 years in the community Sunday Monday Tuesday Wednesday Thursday Friday Saturday Greater Cleveland Special Olympics Golf Tournament, The Links, North Olmsted SWAAC - PTCU Board Meeting, 10:30am EAAC - PTCU Meeting Volunteer Appreciation Dinner, 6pm MHAAC - Food Pantry SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) MDA - CCBDD Board Meeting, 5:30pm *All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

20 September Celebrating 50 years in schools Sunday Monday Tuesday Wednesday Thursday Friday Saturday Fetal Alcohol Syndrome Awareness National Hispanic Heritage Month 1 2 SWAAC - PTCU Meeting Big Creek Center,11:30am All sites closed Labor Day BrAAC - PTCU Meeting 6pm MHAAC - Food Pantry MDA - PTCU Board Meeting, 10:15am Grandparents Day Patriot Day SAW, Inc. Board Meeting SWAAC, 7:30am MDA - CCBDD Board Meeting, 5:30pm Autumnal Equinox SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) Rosh Hashanah begins at sundown Yom Kippur begins at sundown **All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

21 October Celebrating 50 years at work Sunday Monday Tuesday Wednesday Thursday Friday Saturday Down Syndrome Awareness National Disability Employment Awareness Month Columbus Day observed Sukkot begins at sundown MHAAC - Food Pantry Down Syndrome Day SAW, Inc. Board Meeting EAAC, 7:30am Staff Inservice Day SAW, Inc. AAC employees do not report National Boss's Day SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) County Boards of DD 50 th Anniversary (In 1967, the Ohio General Assembly established a board of DD in all 88 counties.) MDA - Public Hearing on Programs & Expenditures 5:30pm, CCBDD Board Meeting, 6:30pm SWAAC - PTCU Luncheon for individuals/staff Sweetest Day Halloween *All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

22 November Celebrating 50 years with families Sunday Monday Tuesday Wednesday Thursday Friday Saturday MHAAC - Food Pantry MDA - PTCU Board Meeting, 10:15am End of Daylight Saving Time Election Day - VOTE! SOUP Advocacy SWAAC - PTCU Board Meeting, 10:30am Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) EAAC - PTCU Meeting 6pm BrAAC - PTCU Meeting 6pm SAW, Inc. Board Meeting ECAAC, 7:30am MDA - CCBDD Board Meeting, 5:30pm Veterans' Day All sites closed Thanksgiving Day All sites closed **All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.

23 December Celebrating 50 years together Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1 2 SWAAC - PTCU Meeting Big Creek Center,11:30am MHAAC - Food Pantry Christmas Eve 31 AACs closed thru 1/3/18 for Winter Break CCBDD offices open 12/27 28, 29 Hanukkah begins at sundown SOUP Advocacy Group Meeting, Garfield Hts. Library, 5409 Turney Rd. 10:30am, RSVP to (216) MDA - CCBDD Board Meeting, 5:30pm Winter Solstice EAAC - Holiday Party New Year's Eve Christmas Kwanzaa begins **All dates and times are subject to change. Please contact your site for updates. For additional information, go to or find us on Facebook.