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Exhibit A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Person centered plans, Person centered plans, Person centered plans, <br /> Performance Measures service notes and annual service notes and annual service notes and annual <br /> surveys provided data to surveys provided data to surveys provided data to <br /> verify this information. verify this information. verify this information. <br /> Out of 184 people served Out of 193 people served Out of 304 people <br /> 88 people(almost 50%)did 50% of program participants served 50%of program <br /> increase their usage of will increase their usage of participants will increase their <br /> community spaces. In the community spaces. In the usage of community spaces. <br /> Program Results case of respite for children, case of respite for children, In the case of respite for <br /> some services are required some services are required children, some services are <br /> to take place in the home. to take place in the home. required to take place in the <br /> Otherwise the number would Otherwise the number would home. Otherwise the <br /> have been greater. have been greater. number would have been <br /> nrpatpr <br /> Each participants person Each participants person Each participants person <br /> centered plan will include centered plan will include centered plan will include <br /> goals for increasing the goals for increasing the goals for increasing the <br /> number of people that they number of people that they number of people that they <br /> Program Activity 3 have relationships with and have relationships with and have relationships with and <br /> staff and volunteers will staff and volunteers will staff and volunteers will <br /> promote and ensure promote and ensure promote and ensure <br /> relationship building relationship building relationship building <br /> activities. activities. activities. <br /> 50%of persons served with 50%of persons served 50%of persons served with <br /> intellectual and with intellectual and intellectual and <br /> Program Goal developmental disabilities developmental disabilities developmental disabilities will <br /> will increase the number of will increase the number of increase the number of <br /> relationships and people in relationships and people in relationships and people in <br /> their circle of support. their circle of support. their circle of support. <br /> Person centered plans, Person centered plans, Person centered plans, <br /> Performance Measures service notes and annual service notes and annual service notes and annual <br /> surveys provided data to surveys provided data to surveys provided data to <br /> verify this information. verify this information. verify this information. <br /> 50%of program about 88 50%of program 50%of program participants <br /> people, have increased the participants will increase the will increase the number of <br /> Program Results number of relationships and number of relationships and relationships and people in <br /> people in their circle of people in their circle of their circle of support. <br /> support. support. <br /> Participants will have Participants will have Participants will have <br /> Program Activity 4 opportunities to engage in opportunities to engage in opportunities to engage in <br /> exercise and nutrition exercise and nutrition exercise and nutrition <br /> classes. classes. classes. <br /> 20 people served with 25 people served with 30 people served with <br /> intellectual and intellectual and intellectual and <br /> developmental disabilities developmental disabilities <br /> Program Goal developmental disabilities will <br /> will learn about and will learn about and learn about and participate in <br /> participate in leading healthy participate in leading healthy leading healthy lifestyles. <br /> lifestyles. lifestyles. <br /> Person centered plans, Person centered plans, Person centered plans, <br /> Performance Measures service notes and annual service notes and annual service notes and annual <br /> surveys provided data to surveys provided data to surveys provided data to <br /> verify this information. verify this information. verify this information. <br /> 20 people increased 25 people will increase 25 people will increase <br /> physical health by physical health by physical health by <br /> Program Results participating in cooking participating in cooking participating in cooking <br /> nutrition classes and nutrition classes and nutrition classes and <br /> exercise classes. exercise classes. exercise classes. <br /> Main Application 5/25/2016 10:10:25 AM P a n e 17 of 24 <br />