1. Adult Protective Services Basic Skills Training
Module II
Day Three
Presented by:
North Carolina Department of Health and Human Services
Division of Aging and Adult Services

2. Reports for Individuals in Facilities
Important points re: Screening APS reports for individuals in facilities:
Determining whether a report is APS or a licensure issue.
DHSR procedure when their staff receive a report.
Other sources of referrals specific to facilities.
Reporting responsibilities after a screening decision is made.

3. Notifying Supervisory Agencies
Reasons to notify Supervisory Agencies:
Handling complaints about licensure issues.
Reporting indicator of Abuse, Neglect, or Exploitation in facilities when APS report is screened out (call followed by letter within 5 days).

4. Who to Notify in Supervisory Agency
Type of Facility
Who to Notify
Nursing Home/Combination Facility
Complaints Investigation Branch, DHSR
Mental Health Residential Section, DHSR
Mental Health Licensure & Facility Certification
Adult Care Home
Adult Homes Specialist, County DSS

5. Evaluations in Facilities
Important points for initiating evaluation in facilities:
No advance notice of initial visit
Inform administrator on arrival
Go directly to resident’s room
If resistance from facility, explain legal authority
Discuss with Adult Homes Specialist prior to visit, if person lives in an Adult Care Home

6. A complete evaluation includes:
Steps in Evaluation
A complete evaluation includes:
Medical, psychological and/or psychiatric evaluations, when needed
(review facility records)
Consultation with others
(other residents, staff, visitors)
A visit to the disabled adult

7. Notices after Case Decision Made re: Facility Residents
Person How to Notice
Administrator of facility Notice to the Administrator limited to:
A. Acknowledging report on specified
individual
B. Specific Allegations
C. Whether evidence of abuse/neglect/ exploitation was found
D. Whether need for APS was substantiated
E. How conclusion was reached
Complainant (Same as previously covered)
DSS in client’s county of Use Written Report
residence (When APS report
is substantiated)

8. Who to Notify in Supervisory Agency
Appropriate supervisory agency
DHSR or Adult Homes Specialist
When evidence of exploitation found in Medicaid-funded facility
Provider Administration Reviews Unit, DMA
When violation of other statutes, rules and regulations
Federal, State and Law Enforcement Agencies
When evidence indicates a person has abused, neglected or exploited a disabled adult
District Attorney

9. Adult Protective Services Basic Skills Training
Module II
Presented by:
North Carolina Department of Health and Human Services
Division of Aging and Adult Services

10. Family Assessment and Change Process
Receive and Screen Referral
Evaluate the Need for Protective Services
Obtain Service Authorization
Plan and Mobilize Essential Services
Close Protective Services Case

11. Close Protective Services Case
Reassess need for P.S.
P.S. Still needed P.S. no longer
needed
Case Remains open Determine need for other
services
Reassess Other services Other services
needed/consented to not needed
Make appropriate referrals Close P.S. case
Close P.S. case

12. Documentation
Characteristics of
Good Documentation:
Thorough
Accurate
Clear
Timely
Factual

13. All APS records should contain:
Intake documentation of the APS report.
Documentation of a thorough evaluation (6 areas).
Documentation of the case decision.
Documentation that the complainant has been notified.
Documentation of service eligibility.

14. Additional Information in Record
When appropriate, the Record also should contain:
Written Report to the District Attorney.
Documentation of authorization for services or refusal of services.
Written Reports to DHSR, DMA, county of residence, and notice to facility administrator.
Any court documents.
Expert evaluations by other professionals.
Notice to administrator or mental health facility.
Notice to adult’s guardian when evaluation conducted in state mental health facility.