Chapter 5 - Reaccreditation Flashcards
Agencies are responsible for remaining in compliance with all mandatory standards and at least ___ of other-than-mandatory standards, as denoted in each standard. The ____ has some latitude in adjusting the standards to be placed in the 20% category (meaning they are not seeking compliance with these standards). Standards are usually placed in this category because compliance is time consuming, or some cost may be involved.
80%, agency
When in doubt about the status of the standard, it is suggested to leave the standard _______, and allow the Compliance Services Member or site-based assessment team to review compliance. This should be noted on the _____ _____ _____ ___.
in compliance, CALEA Agency Status Report
Other-than-mandatory standards previously in the 20% category, but brought into compliance during the assessment cycle, should have some notation as to when the standard was brought into compliance and noted in the CALEA Agency Status Report. The agency is only accountable for compliance documentation from
the point of policy or practice implementation forward.
An agency may find it has ____ ____ its compliance with other-than-mandatory standards since the last assessment. When this is the case,
greatly improved, highlighting those improvements in the agency assessment documentation is important.
The Agency Status Report must be signed by the CEO and submitted to the ____ ____ ____ by email.
Regional Program Manager
The Agency Status Report is due to CALEA is due _____. In addition, the Agency Status Report must be submitted __ days prior to the agency’s scheduled site-based assessment (year 4).
not later than 30 days after the award anniversary date, 90
When a change of this nature occurs, the agency should notify its assigned Regional Program Manager with the updated name, title, phone number, and e-mail address of the accreditation manager. This notification should be .
on corporate letterhead and signed by the presiding CEO.
If an agency discovers compliance shortcomings during the assessment cycle, actions should be taken to ___ the issues. The information should be noted in the next ____ ____ ___, outlining the actions taken to reconstitute compliance. During the annual web-based assessment, the ___ ___ ___ will review the issue and report the findings.
remedy, Agency Status Report, Compliance Service Member
Other issues to report to CALEA staff are … on the agency, CEO removal from office and any significant internal issues that may affect the integrity of the accreditation process. These issues should be reported ______ to the agency’s assigned Regional Program Manager when they occur. The Commission will be informed of the situation prior to the agency’s review for accreditation.
special injunctions, court-ordered directions, government initiated sanctions/controls place; in writing
The site-based assessment primarily focuses on qualitative reviews and outputs. This means there is a greater focus on agency _____ ___ ____ associated with standards specific to agency policies.
processes and outcomes
Site-based assessors will apply ___ ___ ___ to review core issues and monitor for inconsistencies or unintended outcomes related to agency policy and practices.
processing mapping techniques
The accreditation manager should contact the CALEA Assessment Coordinator or their Regional Program Manager to schedule the site-based assessment approximately ____ in advance. The finalized date will be confirmed by the ___ ___.
one year, Assessment Coordinator
A conference call with agency representatives, assessors and CALEA Staff to identify critical issues that will be reviewed during the assessment process is conducted approximately ____ prior to the site-based assessment.
6-8 weeks
The Assessment Report goes beyond simple compliance and identifies areas for future improvement, weaknesses that could impact the agency’s risk levels, areas of exceptional organizational strength, and findings that could present new opportunities. It provides insights into opportunities for process improvements and it identifies areas where data is effectively or _____ being used to support operational or administrative activities.
ineffectively
