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Special Terms and Conditions <br />disabilities require to become employed during the school year they turn twenty-one <br />(21). <br />(3) Consumer Support <br />(a) Adult Day Care services are available to Clients who were served between December 1996 <br />and December 2003 in Adult Day Health agencies and were subsequently determined <br />ineligible for Level II or III services (Adult Day Health). Level II and III services are licensed <br />rehabilitation and skilled nursing services along with socialization. Level I services (Adult <br />Day Care) are supervised day programs where frail and disabled adults can participate in <br />social, educational, and recreational programs without the need for skilled nursing. <br />(b) Community Access services are individualized services provided in typical integrated <br />community settings for individuals in retirement. Services will promote individualized skill <br />development, independent living and community integration for persons to learn how to <br />actively and independently engage in their local community. Activities will provide <br />opportunities to develop relationships and to learn, practice and apply skills that result in <br />greater independence and community inclusion. These services may be authorized instead <br />of employment support (Individual Employment, Group Supported Employment or Pre - <br />Vocational services) for working age individuals who have received nine (9) months of <br />employment support, have not found a job and decide not to continue looking for work. <br />(c) Child Development Services are designed to meet the developmental needs of each eligible <br />child and the needs of the family related to enhancing the child's development. Services <br />may include specialized instruction, speech-language pathology, occupational therapy, <br />physical therapy, assistive technology, and vision services. Services are provided in natural <br />environments to the maximum extent appropriate. <br />(d) Individual Supported Employment services are a part of an individual's pathway to <br />employment and are tailored to individual needs, interests, and abilities to promote career <br />development. These are individualized services necessary to help persons with <br />developmental disabilities obtain and continue integrated employment at or above the <br />state's minimum wage in the general workforce. These services may include intake, <br />discovery, assessment, job preparation, job marketing, job supports, record keeping and <br />support to maintain a job. <br />(e) Individualized Technical Assistance services are a part of an individual's pathway to <br />employment. This service provides assessment and consultation to the employment <br />provider to identify and address existing barriers to employment. This is in addition to <br />supports received through supported employment services or pre -vocational services for <br />individuals who have not yet achieved their employment goal. <br />(f) Group Supported Employment services are a part of an individual's pathway to integrated <br />jobs in typical community employment. These services are intended to be short term and <br />offer ongoing supervised employment for groups of no more than eight (8) workers with <br />disabilities in the same setting. The service outcome is sustained paid employment leading <br />to further career development in integrated employment at or above minimum wage. <br />Examples include enclaves, mobile crews, and other business models employing small <br />groups of workers with disabilities in integrated employment community settings. <br />(g) Pre -Vocational Services are a part of an individual's pathway to integrated jobs in typical <br />community employment. These services and supports are intended to be short term and <br />DSHS Central Contract Services Page 13 <br />1769CS County Agreement 6-15-2017 <br />