Community Living Services

Marc Community Resources, Inc.

All Residential Services

The mission of Marc’s residential services is to provide individuals with a safe and comfortable home in combination with services and supports that promote choices and opportunities for growth.

Marc recognizes the importance of each individual’s choice, involvement and input. Through self- determination and the person-centered planning process, individuals can tailor their personal service delivery needs.

Marc Residential Options:

Community Living Services (Traditional Group Homes of 3-4 residents per home), staffed all hours residents are home.

Individually Designed Living Arrangements (IDLA) – non-licensed setting, owned or leased by the resident.  Staff supervision depends on the needs defined by the Support Team.

Host Homes (Adult/Child Developmental Home) – foster care for those with special needs in a family home. (1-3 individuals per home) Licensed and monitored by Marc staff.

In-Home Support – hourly services in the recipient’s home to help support their semi-independent life style. Services include attendant care, respite, habilitation, personal care and housekeeping. Resident is responsible for the lease or ownership of the home or they may live with their family.

Program Descriptions

Community Living Services (CLS)
Group Homes

Marc currently operates 22 group homes throughout the East Valley to serve those who have developmental disabilities. Community Living Services (CLS) are open 365 days per year/24 hours per day.

Marc’s CLS program is structured to provide the individuals with choices in their activities of daily living, including home leisure skill activities, community access and the acquisition/maintenance of independent living skills. Each home is staffed according to the needs of the individuals in the home. Staff provide the individuals with the necessary assistance, supervision and supports to enable them to achieve and maintain the quality of life and level of skill acquisition they desire. The individuals are encouraged to treat the home as if it is their own by decorating, having guests and planning activities they chose. All individuals are ensured of their right to have privacy in sending and receiving mail and telephone calls, and living their life in a manner consistent with their personal, cultural or religious beliefs.

As a part of the person-centered planning process, the individual works with his/her support plan team to develop/plan their desired service outcomes. Staff makes every attempt to meet the needs as identified by the individual and team. For those individuals who are unable to express their personal preferences, staff work with family or others who know the individual best to provide choices for the individual which would appear to best meet his/her needs and desires. For those individuals who require special facility modification due to a physical disability, Marc makes reasonable accommodations to meet those needs, including the provision of accessible transportation as necessary and when available.

Marc’s Direct Service Providers (DSP) and Group Home Supervisors have a minimum high school diploma or equivalent and 90 days of experience working with individuals who have disabilities. Each home has several DSP’s and one Group Home Supervisor (GHS), with a backup group home supervisor available for all homes. Marc Support Coordinators oversee up to 5 homes and handle the internal case management duties for each individual. Marc’s Support Coordinators have more than 3 years’ experience working with those who have disabilities. Several have two year or four year college degrees. All employees working with individuals must take and pass more than 76 hours of training initially and must complete 12 hours of refresher training annually. Additional training is done as needed for special topics as they relate to those served. For example, aging health issues, Alzheimer’s or other disability, changes in State rules, etc., are offered throughout the year.  Marc’s Residential Director has more than 30 years of experience working with individuals who have disabilities. Many Support Coordinators at Marc have been with Marc for more than ten years. Several Group Home Supervisors have been with Marc for more than ten years as well.

Marc Community Living Services maintains a fleet of vehicles to provide reasonable transportation to and from day programs or employment sites, community recreational activities and to the homes of family and friends within our community. Community inclusion is essential to each individual’s living arrangement. Marc believes our communities are enriched when individuals who have developmental disabilities are integrated and are participating members of their communities.

In-Home Supports

Marc’s In-Home Support Services offers home-based services in a home owned or leased by the individual or his/her family. The home-based services are provided for individuals who have disabilities of all ages. Several funding sources are utilized for these services, each with its own eligibility criteria. Families with infants, toddlers and school-aged children may receive supports in the home for their child who has a disability in the same manner as families who have adult children and/or family members who have disabilities who continue to live in the traditional group home. These services are also provided to adults who have disabilities and those with age related health issues, in order for them to continue to live independently in the community even though they may require minimal intermittent staffing support. Individuals may be referred for services by public funding sources, advocacy groups, or through community based referrals.  However, a preponderance of referrals are from the word of mouth of those served and families who are satisfied with the services they receive and refer others who have needs similar to their own.

A sampling of possible In-Home Support services:

    1. Attendant Care 

      Provides routine personal laundry, cooking, showering, bathing, grooming, hygiene, general supervision, and companionship for extended time periods to individuals for the purpose of keeping them well integrated with their families and communities.

    1. Respite Care 

      Provides routine homemaking, personal care, companionship, social stimulation, and supervision on a limited, intermittent basis to an individual, for the purpose of providing an interval of rest or relief to the individual’s family or caregiver.

    1. Habilitation Services 

      Assists individuals in acquiring, retaining, and improving the self-help, socialization and adaptive skills necessary to reside successfully in the community.  The services include the provision of training in independent living skills or special developmental skills, orientation and mobility training, sensory-motor development, behavioral management and supported employment exploration.

Services for Seniors: Marc has a separate service contract through the Area Agency on Aging. This funding source enables Marc to assist seniors to stay in their homes rather than a more expensive nursing home. Service teams develop the service types and the number of units needed per eligible senior.  The following service types are available through the Area Agency on Aging.

    1. Homemaking/Housekeeping 

      Provides routine homemaking and household maintenance for individuals and is intended to preserve or improve the safety and sanitation of an individual’s living conditions as well as the nutritional value of food and meals consumed.

    1. Personal Care 

      Directly assists an individual with activities of daily living, maintaining personal cleanliness and meeting essential personal physical needs.

The type of service and/or service code depends on the named funding source. Examples of funding sources for this service include, but are not limited to: Division of Developmental Disabilities (DDD), Area Agency on Aging, United Healthcare, Mercy Maricopa Integrated Health Services and private insurance plans.

Marc’s intends staffing supports to be provided to individuals in natural settings or their home/apartment and at the level requested in the Individual Service Plan (ISP). These services are delivered in order to ensure a safe and secure living environment. Hours of staff support would be determined by the Support Teams and authorized by the funding source. The individual served would determine, in conjunction with their teams, the measurable goals they wish to achieve as a result of service provision. It is Marc’s belief that given the appropriate levels of staff supports individuals will be able to remain in the communities of their choice or in their own homes or apartments, while maintaining their optimal level of independence and achieving their personal lifetime goals.

Host Home Services – Adult and Child Developmental Homes

Adult and Child Developmental Homes are provided by a contracted adult/family that licensed through Marc Community Resources, Inc. These services are established to maintain a homelike atmosphere that also provides comprehensive services and supports individually designed with each person placed. The individual placed into a Host Home becomes a member of the family including taking family vacations and going on family outings. Contracted families must have more than 70 hours of training initially, 12 hours of annual refresher training and meet all the requirements to be licensed by the Office of Licensing, Certification and Regulation (OLCR).

Match meetings, which puts the decision making in the hands of the individual served, will be arranged with individuals seeking this type of service and the potential Host Home providers. Match meetings will take place with the knowledge and/or involvement of the interdisciplinary team (ISP Team). This team includes representatives from Marc, the Support Coordinator from the funding source, Support Coordinator from Marc, family, therapists, and others selected by the person served. Matches may include a family dinner, an outing, an overnight stay or a weekend visit, all with the approval of the individual served, their guardian and the ISP team. Once it is determined by all parties that the host home is a successful match, a more formal individual service plan meeting will take place with the whole interdisciplinary team (ISP Team). The overall team, including the person served, will have final approval of the match for placement.

The Support Coordinator from Marc is responsible for licensing the home, monthly monitoring of services and with ensuring the individual is served in a safe, healthy environment and in the manner the individual has chosen. The Support Coordinator is also responsible for training the host home provider on the importance of nutrition, diet, exercise, health and wellness visits to a Physician’s office and provides extra support to the provider. All individuals served will have the option of decorating their room with their own accents/decorations, furniture, if desired. Individuals have their own single occupancy room within the home.

Individually Designed Living Arrangement (IDLA)

Individually Designed Living Arrangements (IDLA) are an alternative, non-licensed living situation where individuals choose where and with whom he/she will live.  Individuals living in an IDLA assume all responsibility for their home. Service supports are provided for adults who have developmental disabilities and are authorized by the Division of Developmental Disabilities (DDD). The level of support is determined by the interdisciplinary team (Individual Service Plan (ISP) Team), including the person served, in order to ensure a safe and secure living environment, along with promoting the health and well-being of the individual physically, emotionally and mentally.

Hours of staff support would be determined by the individual and their ISP team. The individual would also determine, in conjunction with their ISP teams, what measurable goals they wish to achieve as a result of service provision. The ISP team determines the hourly units needed or desired so the individual will be able to remain in the community of their choice, in their own home or apartment, while maintaining their optimal level of independence and achieving their personal lifetime goals.

IDLA’s are typically small settings of one or two individuals, in which one or both are provided service supports to maintain their level of independence in the community. Individuals may need assistance with cooking, cleaning, grooming, hygiene, budgeting, transportation access, medical needs and home maintenance. Support staff assists the individual as they direct and the ISP team authorizes per day or per week. Marc’s internal Support Coordinator is responsible for monitoring the service, the safety of the home and the Individual Service Plan goals to ensure the service is provided as directed by the ISP team. Minimally monthly home visits are conducted by Marc’s Support Coordinator.

Marc’s Direct Service Providers (DSP) in the IDLAs have a minimum high school diploma or equivalent and a minimum of 90 days of experience working with individuals who have disabilities. An IDLA may have several DSP’s and are coordinated by Marc’s internal Support Coordinator. Marc Support Coordinators oversee up to 6 IDLA locations and handle the internal case management duties for each individual. Marc’s Support Coordinators have more than 3 years’ experience working with those who have disabilities. Several have two year or four year college degrees. All employees working with individuals must take and pass more than 76 hours of training initially and must complete 6 hours of refresher training annually. Additional training is done as needed for special topics as they relate to those served. For example, aging health issues, Alzheimer’s or other disability, changes in State rules, etc., are offered throughout the year.  Marc’s In-Home Support Director has more than 30 years of experience working with individuals who have disabilities. Many Support Coordinators at Marc have been with Marc for more than ten years. This depth of experience is an asset to Marc and a testimony of Marc’s sound management team.

For more information contact:

Holly Collins, Senior Executive Vice President
holly.collins@marccr.com

Laura Gruner, Director of Community Living Services (480) 969-3800 ext. 238
laura.gruner@marccr.com

Sheila Davis, Regional Supervisor (480)969-3800 ext. 171
sheila.davis@marccr.com