Introduction 

Community Living Supports (CLS) programs provide essential services to individuals with developmental disabilities, offering them the ability to live independently in the community while receiving necessary support. Operating a CLS program typically involves obtaining a license under the state’s Department of Developmental Disabilities or a similar regulatory body. This guide will walk you through the key steps required to start a CLS program, best practices for maintaining compliance, common challenges, and state-specific considerations. 

Step-by-Step Guide to Starting a Community Living Supports Program 

1. Understand the Scope of Community Living Supports 

Description: CLS services focus on helping individuals with developmental disabilities perform daily living activities, such as cooking, cleaning, budgeting, and personal care. The goal is to provide the necessary support so that individuals can live as independently as possible in a home or community setting. 

Action Point: Clearly define the services your CLS program will provide. These may include personal care, household management, transportation, social skills training, and community involvement. 

Tip: Ensure that your services align with state requirements for CLS programs, which may have specific guidelines on what services can be offered under supported living arrangements. 

2. Research Licensure Requirements in Your State 

Description: Most states require CLS programs to be licensed under the Department of Developmental Disabilities (or an equivalent agency). This ensures that the program meets quality standards and that the staff is adequately trained to provide support services. 

Action Point: Contact your state's Department of Developmental Disabilities (or relevant regulatory body) to obtain information on licensure requirements. This often includes completing an application, undergoing training, and submitting to facility inspections. 

Tip: Look for any pre-application workshops or orientation sessions that your state may offer for prospective licensees, as these can provide invaluable guidance on meeting state-specific requirements. 

3. Complete Required Training and Certification 

Description: States often require program administrators and staff to complete specific training in areas such as person-centered planning, disability rights, health and safety, and crisis intervention. 

Action Point: Sign up for any required training or certification programs offered by your state’s Department of Developmental Disabilities. This could include courses on service provision, legal requirements, and client safety. 

Tip: Some states offer ongoing training opportunities to keep your staff updated on best practices and regulatory changes. Make continuing education a priority to maintain compliance and quality service delivery. 

4. Develop a Comprehensive Program Plan 

Description: Your CLS program must have a clear plan that outlines the services provided, how they will be delivered, and how the needs of individuals with developmental disabilities will be met. 

Action Point: Create a detailed program plan that includes the scope of services, staff roles, training requirements, participant eligibility criteria, and quality assurance measures. 

Tip: A strong program plan not only helps with the licensure process but also ensures that your program is structured to provide high-quality care. Incorporate person-centered approaches and focus on fostering independence. 

5. Prepare Your Facility for Inspection 

Description: Whether your CLS program operates out of a dedicated facility or offers in-home support services, the physical location must comply with state health, safety, and accessibility standards. A facility inspection is often part of the licensure process. 

Action Point: Ensure your facility meets all state requirements, including accessibility for individuals with disabilities, fire safety, and hygiene standards. This may also include housing inspections if services are provided in a residential setting. 

Tip: Contact your local fire marshal or health department early in the process to arrange any necessary inspections. 

6. Submit Your License Application 

Description: Once you have completed the necessary steps, including training, facility preparation, and developing a program plan, you will need to submit your application for a CLS license. 

Action Point: Gather all required documentation, such as your program plan, staff qualifications, proof of training, facility inspection reports, and any necessary background checks. Submit the application to your state’s Department of Developmental Disabilities. 

Tip: Double-check all application materials for completeness. Missing information or errors could delay the licensing process. 

7. Hire and Train Qualified Staff 

Description: Staff members in a CLS program must meet state qualifications, including background checks and certifications in areas like first aid and CPR. Many states require staff to undergo additional training related to developmental disabilities and person-centered support. 

Action Point: Recruit and hire staff who meet state requirements for providing developmental disability supports. Ensure that they receive proper orientation and ongoing training. 

Tip: Foster a supportive work environment by offering professional development opportunities and a clear path for career growth, which can help reduce turnover and ensure continuity of care for program participants. 

8. Establish Systems for Compliance and Reporting 

Description: Ongoing compliance with state regulations is essential for maintaining your CLS license. States often require programs to submit regular reports on services delivered, client outcomes, and financial operations. 

Action Point: Set up internal systems for tracking service delivery, documenting client progress, and ensuring compliance with all regulatory standards. This will help with ongoing reporting and audits by state agencies. 

Tip: Consider using specialized software for electronic health records (EHR) and compliance tracking to streamline administrative tasks and ensure accurate record-keeping. 

Best Practices Based on Waiver Group Advisory 

Adopt Person-Centered Planning: Ensure that all support services are tailored to meet the individual needs and preferences of each participant. Involve the participant in the planning process to promote independence and self-determination. 

Regularly Evaluate Program Effectiveness: Implement a quality assurance system that regularly assesses the effectiveness of your services. Use client feedback, staff input, and outcome data to make continuous improvements. 

Engage with the Community: Help individuals integrate into their local communities by facilitating social activities, employment opportunities, and independent living skills. Community involvement fosters inclusion and enhances the quality of life for those you serve. 

Stay Informed of Regulatory Changes: Keep up with any changes in state or federal regulations that impact your program. Regularly review policies from the Department of Developmental Disabilities to ensure ongoing compliance. 

Common Challenges and Solutions Based on Waiver Group's Experience 

Challenge: Understanding Complex Licensure Requirements 

Solution: Work with a consultant like Waiver Group, which specializes in navigating the complexities of licensure for CLS programs. They can assist with every step of the licensing process, ensuring compliance with state-specific regulations. 

Challenge: Maintaining Compliance Over Time 

Solution: Establish a dedicated compliance officer or team to monitor adherence to all regulatory standards. Regular internal audits and ongoing staff training help ensure long-term compliance. 

Challenge: Finding and Retaining Qualified Staff 

Solution: Offer competitive compensation, provide opportunities for professional development, and foster a positive workplace culture. Developing partnerships with local training programs or universities can also help with staff recruitment. 

State-Specific Considerations 

Ohio: The Ohio Department of Developmental Disabilities (DODD) requires CLS providers to be certified and meet specific training and care standards, including person-centered planning and crisis intervention. Providers must submit an application through the Provider Certification Wizard system. 

California: Community Living Supports fall under the oversight of the California Department of Developmental Services (DDS). Licensing requires adherence to Title 17 regulations, with a focus on staff training and client safety. 

Georgia: The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) licenses CLS programs. Applicants must complete orientation training and adhere to state-specific staffing ratios and service documentation requirements. 

How Waiver Consulting Group Can Help 

Starting a Community Living support program involves navigating complex licensing and regulatory processes, but Waiver Consulting Group can provide expert assistance throughout the process. We offer: 

Guidance on state-specific licensure requirements, from pre-application to final approval. 

Support with training staff, developing compliance systems, and ensuring ongoing adherence to state regulations. 

Consulting on person-centered service delivery, documentation systems, and quality assurance practices. 

To learn more about how we can help you launch a successful CLS program, schedule a consultation or explore our services page for more information. 

Conclusion 

Starting a Community Living support program is an essential step in providing individuals with developmental disabilities the support they need to live independently. By following the steps outlined in this guide and working with Waiver Consulting Group, you can ensure that your program meets all regulatory requirements, provides high-quality care, and fosters community integration for your participants.