Your CIIBS out-of-home placement risk score is calculated using the following table:
Section and WAC reference | If you meet the following criteria: | Then adjust your score by: | Score if you meet criteria |
Clients meeting eligibility criteria in WAC 388-828-8505 | Beginning Score = 0 | ||
DDA Determination WAC 388-823-0500 | Eligible condition of autism in the DDA determination. | Adding 40 points | = |
ADL Acuity Level WAC 388-828-5480 | Your ADL support needs level = high, medium or low | Subtracting 54 points | = |
Behavior Acuity Scale WAC 388-828-5500 through 388-828-5640 | Your most prominent behavior = assault/injury and Severity of your most prominent behavior = "potentially dangerous" or "life threatening" | Adding 14 points | = |
Protective Supervision Acuity Scale WAC 388-828-5060 | Your answer to the following question: "What level of monitoring does the client typically require during awake hours?" = "Line of sight/earshot" | Adding 13 points | = |
DDA Caregiver Status Acuity WAC 388-828-5300 | Your caregiver risk level = high or immediate | Adding 136 points | = |
Backup Caregiver Status WAC 388-828-5320 | Your answer to the following question: "Under what conditions are other caregiver(s) available?" = "No other caregiver available" | Adding 33 points | = |
Mobility Acuity Scale WAC 388-828-5900 | Your mobility acuity level = high, medium or low | Subtracting 15 points | = |
Sum of all of scores above is your CIIBS out-of-home placement risk score | = |
Wash. Admin. Code § 388-828-8515
Statutory Authority: RCW 71A.12.010, 71A.12.030, and Title 71A RCW. 10-07-019, § 388-828-8515, filed 3/8/10, effective 4/8/10.