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Exemption Panel and Exemption Process

Exemption Panel

The Exemption Panel is made up of six members who represent Community Disability Services (CDS) and Persons with Developmental Disabilities (PDD). The Panel meets only when needed to review a service provider's application to be exempt from undergoing a Creating Excellence Together (CET) Accreditation site survey.

Because Panel members must be familiar with the CET review process, members can include site surveyors, the executive directors of CET Accredited organizations, and PDD CET designates.

Exemption Panel meetings are conducted by teleconference.

Exemption Criteria

The accountability of service providers that provide supports and services to PDD-funded Albertans is linked to the Creating Excellence Together (CET) Standards. The term "service provider," as used in this section, includes community-run organizations, PDD direct operations, and independent service providers, who are those that generally provide supports to three or fewer PDD-funded clients and are typically the owner/operator of the service.

CET does not apply to services that are provided through Family Managed Services

The following criteria need be met for service providers (including independent service providers) that receive PDD funding but believe they should be exempted from the CET survey process.

  • Service providers that do not provide direct service to individuals, and do not provide any type of monitoring, implementation, or follow up.
  • Service providers that provide one-time, sporadic, or infrequent support with no expectation of follow-up or ongoing contact.
  • Service providers that wish to be accredited through another accrediting body that has equivalent standards (as approved by ACDS). Also see Exemption Based on Equivalency and Inter-jurisdictional Standards Requirements.

Note: Family Managed Services, known in some circles as Self Managed Supports, are exempted from site survey participation.

Exemption Process

Request for Exemption of a Service or Program

  1. The service provider must complete and submit its exemption application at least eleven months prior to the scheduled survey, as noted on the one-letter it would have received from ACDS.
  2. The application form needs to include information about:
    • the type of service provided;
    • if it is periodic, short term, or one time only;
    • if there is no direct delivery of services or supports; and
    • if there is any regular follow-up.
  3. The exemption letter or application should also describe why the program would be difficult to evaluate through a CET survey.
  4. The service provider also needs to notify its PDD CEO/designate and copy this person in on any correspondence with ACDS.
  5. The Manager will respond to the exemption request with an acknowledgement letter, which is copied to the relevant PDD CEO/designate.
  6. The service provider may be asked to submit additional supporting information.
  7. If the service provider is already accredited through another body, it will be asked to submit a copy of the report and/or appropriate supporting documents in addition to the original request.
  8. The Manager distributes the original request plus additional information to the Exemption Panel members for independent review.
  9. The Manager will advise the service provider of the date and time of the Exemption Panel meeting, and will ask who will represent the organization at the meeting.
    • Meetings are conducted via teleconference.
    • The service provider representative will be given approximately 10 minutes to answer the Panel's questions.

Requests for Exemption from a Specific Standard

A request for exemption from a specific CET Standard follows the same basic process as exemption of a service or program, except the basis for allowing exemption is based on:
the nature of the service provided;

the influence and/or impact the service provider has on that area of an individual's life; and

the intent of the Standard as described in the About the Standard section of the CET Manual.

The Panel is charged with determining criteria for exemption to particular Standards.

Exemption Decisions

There are five possible decisions that the Exemption Panel may come to following the Exemption Panel meeting.

Full Exemption:

The service provider meets the criteria for exemption and does not need to go through a site survey.

The service provider will be told whether the full exemption is permanent (providing its services or circumstances don't change) or whether the exemption is only for three years (i.e., until its next site survey).

Partial Exemption:

Some of the service provider's services fully meet the criteria for exemption, but other portions do not.

The service provider will be expected to go through its site survey as scheduled.

The survey will only review the portions of its services that don't meet the criteria for exemption.

Supplemental Review:

Portions of the service provider's services only partially meet the criteria for exemption.

The service provider will be expected to go through its site survey as scheduled.

The survey will only include the Quality of Life and Quality of Service Standards plus specific Organizational Framework Standards (e.g., the use of positive and restrictive approaches and procedures).

Modified Review:

The service provider's services only partially meet the criteria for exemption.

The service provider will be expected to go through its site survey as scheduled.

The survey will be modified to only review those service areas that can be measured.

No Exemption:

The service provider's services or programs do not meet exemption criteria.

The service provider will be expected to go through its site survey as scheduled.

The Exemption Panel will notify the service provider of its decision eight months before the scheduled survey.

Note: With the exception of point 1.b (above), survey exemptions only apply to the current survey cycle in which they were granted. An exemption request must be made at the beginning of the next survey cycle.

ACDS Head Office

160 3015-12 Street NE
Calgary, AB  T2E 7J2
Ph: (403) 250-9495
Fax: (403) 291-9864
Email: acds@acds.caacds@acds.ca


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