Policies & Procedures for Ongoing Treatment
Assignment of Staff
Cayman ABA stands by the level of training and expertise of its entire staff. All staff assigned to provide care to your child and family have been trained to extend high customer service and to provide quality care within our professional boundaries. Cayman ABA reserves the right to change staff servicing your family to best meet the needs of the client, the requirements of your funding agency, or in compliance with Human Resource requirements. All clients will be made aware of permanent changes in staff in advance whenever possible; however please note that occasionally situations arise in which advance notice may not be provided. We are not always able to guarantee specific staff.
Additionally, Cayman ABA is a training facility and a range of professionals may include interns, clinical fellows, students in a clinical practicum, or new employees in a training program, some of whom provide services. All professionals-in-training are supervised by licensed professionals. Cayman ABA is a training site for various clinical disciplines. Please note that therapy sessions may occasionally include additional staff members for training purposes. Any concerns regarding staff should be immediately discussed with the clinician supervising your child’s treatment.
Caregiver Engagement & Participation Policy
Providing effective treatment to families requires the establishment of a partnership between the child, treatment staff, and caregivers. This partnership involves many elements, including effective communication, mutual respect, clear boundaries, and clearly defined roles. Although every treatment team member plays a role on the team, caregivers play a key role. Parents/caregivers are the most important members of their child’s treatment team. While treatment staff will come and go, caregivers remain the central axis of any treatment team.
Caregiver Commitment: In order to ensure effective implementation of the treatment plan/programming, Cayman ABA requests the following commitments listed below and attempts to correct the issue fail, services might be terminated.
Active participation in training regarding the child’s programming.
Adherence to the child’s treatment plan.
Immediate communication via email (phone if necessary) with the Case Manager on your child's team if unsure about how to implement a program/protocols.
Immediate communication via email (phone if necessary) with the Case Manager on your child's team from the parent/caregiver if there is a concern that a program/ protocol is not being implemented correctly or working effectively.
Procedure for Lack of Participation
The following is an explanation of the steps that will be taken if a parent/caregiver is not participating effectively as part of the child’s treatment team.
The first time that a parent or guardian does not meet one of the participation requirements, a Supervisor will provide the parent or guardian with a verbal warning and follow up with an email reminding the parent or guardian of participation requirements. A Supervisor will explain clearly to the parent or guardian where their participation is lacking and provide training if needed.
The second time that a parent or guardian does not meet one of the participation requirements, a Supervisor will provide the parent or guardian with a written notice reminding the parent or guardian of the participation policy. The notice will clearly explain to the parent or guardian where their participation is lacking and a Supervisor will provide training if needed.
The third time that parent or guardian does not meet one of the participation requirements, a Supervisor will meet with the parent or guardian and provide them a final written notice reminding the parent or guardian of the participation policy. The notice will clearly explain to the parent or guardian where their participation is lacking. The Supervisor and Clinicians will work closely with the parent or guardian to provide the training necessary to correct the issue. Additionally, the notice will explain to the parent that if the parent or guardian does not meet the participation requirements again, the child's services will be discontinued.
The fourth time that a parent or guardian does not meet one of the participation requirements, the child's services will be discontinued due to lack of participation. The consultant will meet with the parent or guardian to explain to the parent where their participation is lacking. Services will be faded back according to a fade plan that will be individually determined for each child and referrals will be made if necessary and appropriate.
The clinical team will work closely with every parent or guardian in order to ensure that parent participation is as easy and enjoyable as possible for every parent or guardian. When issues do arise, the therapist will work closely with the parent or guardian to determine how to resolve the issue. When parents or guardians participate fully in their child's programming, they should see more progress from their child and have a better understanding of how to respond to various issues.
Parents/caregivers are expected to participate in treatment sessions as often as determined through the collaboration of the clinical team, which includes the clinicians involved in the child’s program and the parents. Parents/caregivers will learn how to embed their child’s individual goals within the family’s daily routines. Intervention plans will be communicated to parents/caregivers each session. As a provider, our partnership with the family is critically important to us, as we believe that this partnership is instrumental in the success of our clients.
Failure for a parent/caregiver to engage in this partnership with us through the lack of their involvement in treatment sessions at the required level as determined at the outset by collaboration between the caregiver and clinician may result in concluding services. Additionally, we collaborate with parents and caregivers on a number of issues during intervention. These include how to set up the environment to best support the client’s learning, how to limit access to items that may interfere with learning during session. Your support and partnership with these issues will ensure the best success of treatment.
Participation Requirements: The level, intensity and frequency of parent training will be included in your child’s Individualized Treatment Plan (ITP). Please see your child’s Individualized Treatment Plan (ITP) for your participation requirements.
Caregiver Interactions with Staff and Dual Relationships Policy
The nature of our business can often be personal because we are all working so intensely with each other on a frequent basis. For this reason, we mandate that parents maintain a friendly relationship with staff members but not a personal relationship. Parents acknowledge that any relationship outside the therapeutic one is completely inappropriate.
A dual relationship is any time two people have more than one relationship (for example: an Behavior Technician attends the same gym as their client’s parent). Cayman ABA staff are trained to never engage in any dual relationship with clients that can be exploitative or sexual in nature, and to discuss dual relationships as they arise with their supervisor. It is important to acknowledge that multiple relationships are not always unethical, avoidable, or unexpected. Rather, they are fairly common, especially in small communities such as the one we live in. We will assess the risks carefully before entering into any dual relationships with clients and their families. We encourage families to consider any risks to the client and family before engaging in dual relationships with those they have a current or former professional relationship with.
Dual relationships include, but are not limited to, babysitting, acting as the nanny, bartering of services of goods, friendships, sexual relationships, etc. This pertains to past and present employees. Cayman ABA staff are not permitted to engage in these types of dual relationships.
Cayman ABA strives to hire the best, however, at times people may leave our company for various reasons. In this case, we do not encourage families to hire or have dual relationships with our past or present staff members. Due to the confidentiality we hold with our staff members and parents, we cannot go into detail on why a staff member left the company. This is for the protection of Cayman ABA and for our clients.
Parents acknowledge that Cayman ABA does not ever allow employees to transport clients or client family members.
Caregiver Training Policy
Caregiver participation is a crucial step in an ABA treatment program. Caregivers are encouraged to attend therapy sessions and meetings so they can actively participate in learning how to generalize treatment gains across environments. At a minimum, parents whose children are engaged in ABA services are required to participate in caregiver training with a BCBA at least once per month.
Providing effective treatment to families requires the establishment of a partnership between treatment staff and caregivers. This partnership involves many elements, including effective communication, mutual respect, clear boundaries, and clearly defined roles. Although every treatment team member plays a role on the team, parents/caregivers play the KEY role. Parents/caregivers are the most important members of their child’s treatment team; while treatment staff will come and go, caregivers will remain the central axis of any treatment team.
With this in mind, at Cayman ABA, we require that parents/caregivers participate in treatment sessions as often as determined is necessary, through the collaboration of the clinical team. Typically, this takes place two times per month, but meetings can be more frequent, based on your family's individual needs.
During these meetings, parents/caregivers will learn how to embed their child’s individual goals within the family’s daily routines. Intervention plans will be communicated to parents/caregivers each session. We collaborate on a number of issues during these meetings, and work on strategies that ensure consistency in all environments. Some strategies include practicing how to set up the environment to best support the client’s learning, or learning how to limit access to items that may interfere with learning. Your support and partnership with these issues will ensure the best success of treatment.
As a provider, our partnership with your family is critically important to us, as we believe that this partnership is instrumental in the success of our clients. Failure for a parent/caregiver to engage in this partnership with us through the lack of their involvement in treatment sessions at the required level as determined at the outset by collaboration between the caregiver and clinician may result in needing to conclude services.
Compliance with Regulations and Client Rights Policy
Cayman ABA follows the Behavior Analyst Certification Board (BACB) guidelines, as well as the Cayman Islands Health Practice Commission’s laws regarding healthcare provision. Within these guidelines, clients have the right to effective behavioral treatment which includes individual’s rights, professional relationship and informed consent.
An individual has a right to....
A therapeutic environment
Services whose overriding goal is personal welfare
Treatment by a competent behavior analyst
Programs that teach functional skills
A behavioral assessment and ongoing evaluation
The most effective treatment procedures available
Professional relationship requires:
Confidentiality
Protecting the client's dignity, health, and safety
Helping the client select outcomes and behavior change targets
Maintaining records
Advocating for the client
Providing necessary and needed services
Evidenced-based practice and least restrictive alternatives
Not a conflict of Interest
Guidelines for Informed Consent are as follows:
Informed consent means that the client’s legal guardian gives his/her explicit permission before any assessment or treatment is provided. Informed consent requires more than obtaining permission. Permission must come after full disclosure and information is provided to the participant. For consent to be valid:
Person must demonstrate the capacity to decide
The person's decision must be voluntary
The person must have adequate knowledge of all salient important aspects of the treatment.
More information can be found at www.bacb.com
Coordination of Care
A key component of our approach at Cayman ABA is collaborating with external professionals that are providing services to our clients, as we believe that this leads to the best treatment and life outcomes. Please expect that we will seek consent from you to contact other professionals working with your child for the purpose of collaboration.
The BCBA assigned to supervise your child’s ABA program will review the reports from all services the child is receiving outside of Cayman ABA. Additionally, observations of the child in therapy will occur when approved by the service providers and the goals of these service providers will be integrated into Cayman ABA's therapy when appropriate. Coordination of progress will be generalized between providers in order to establish consistency and generalization in learning when appropriate.
Recommendations for services and multidisciplinary team intervention are individualized based on the child’s needs. However, it is often recommended that a child has multiple disciplines working with their care team.
Diversity Policy
Cayman ABA recognizes and respects the value of cultural diversity and will ensure that your ethnic or cultural customs, practices, and beliefs, sexual orientation, gender, gender identity, gender expression, disability, and/or community differences will be respected by all staff.
We are opposed to all forms of unlawful and unfair discrimination. All employees, no matter whether they are part-time, full-time or temporary, will be treated fairly and with respect. When Cayman ABA selects candidates for employment, promotion, training or any other benefit, it will be on the basis of their aptitude and ability.
We are opposed to any form of illegal and unfair discrimination. All employees, whether part-time, full-time or temporary, will be treated fairly and with respect.
When Cayman ABA will select candidates for employment, promotion, training or any other benefit, it will be on the basis of their skills, abilities and merit.
Cayman ABA is committed to:
Create an environment in which the individual differences and contributions of all team members are recognized and valued.
Create a working environment that promotes dignity and respect for every employee.
Attract and retain a skilled and diverse workforce that best represents the talent available in the communities in which our assets are located and our employees reside
Ensure appropriate selection criteria based on diverse skills, experience and perspectives is used when hiring new staff, including Board members. Job specifications, advertisements, application forms and contracts will not contain any direct or inferred discrimination.
Ensure that applicants and employees of all backgrounds are encouraged to apply for and have fair opportunity to be considered for all available roles.
Provide, to the greatest extent possible, universal access to safe, inclusive and accessible premises that allow everyone to participate and work to their full potential.
Comply with equal opportunity and anti-discrimination legislation
Not tolerate any form of intimidation, bullying, victimisation, vilification or harassment and to take disciplinary action against those who violate this policy.
Provide training, development and advancement opportunities for all staff based on merit.
Encourage anyone who feels they have been discriminated, to express their concerns so that we can take corrective action.
Encourage employees to treat everyone with dignity and respect.
Regularly review all our employment practices and procedures so that fairness is maintained at all times.
Ensure to the greatest extent possible that all panels that Cayman ABA organizes or participates on include representation of each gender.
Set measurable objectives for gender diversity which will be monitored and reviewed against the effectiveness of this policy and associated procedures.
Monitor and report annually on diversity and inclusion performance commitments.
Cayman ABA will inform all employees that an equality and diversity policy is in operation and that they are obligated to comply with its requirements and promote fairness in the workplace.
Cayman ABA’s equality and diversity policy is fully supported by senior management and its Directors. Our policy will be monitored and reviewed annually to ensure equality and diversity are continually promoted in the workplace.
Gift Giving Policy
We really appreciate that a family, at times, especially over the holidays, like to express their gratitude for the staff that provide services to their family through gift giving. However, per our professional codes of conduct, we are not able to accept gifts including store gift cards, food, clothing, tickets to events, housing, access to vehicles and other tangible items. Please feel free to have your child express their gratitude in other ways, such as cards, donations to charities, etc.
Grievance Procedure
At Cayman ABA we make every effort to ensure that our staff are caring and partnering with our clients and their families. We encourage the client to discuss any matter of concern regarding the services delivered by Cayman ABA staff with the clinicians (Board Certified Behavior Analyst) assigned to the case for the purpose of resolving a concern.
Early and immediate resolution of concerns and conflicts is strongly encouraged, and a meeting may be scheduled with the client, staff member, clinician, and the designated management staff to assist in reaching a satisfactory resolution.
Procedure:
We recognize that at times our families and clients will need to provide us with feedback concerning our staff. As appropriate please follow this grievance procedure:
STEP ONE: Please communicate with BCBA Supervisors on your child’s team about any concerns pertaining to the direct service provider, clinical program, or other initial concerns; if your concerns are not addressed or you have concerns about the BCBA Supervisor, please proceed to STEP TWO.
STEP TWO: Please communicate with the Clinical Case Manager and/or the Clinical Director, about any concerns you have tried to resolve with the Clinician responsible for your child's treatment plan, that have not been addressed adequately. If your concern is with the Case Manager or BCBA Supervisor leading your child's treatment plan, please contact the Clinical Director immediately.
If you feel like the issue/concern has not been resolved, please fill out a formal complaint at http://www.caymanaba.com/complaints. Within two (2) business days of receipt of a written complaint (via email, website submission, letter or the Client Complaint Form), the Clinical Director will respond.
In the event there is not a satisfactory resolution reached with the Management team, the client should appeal the matter to both owners of Cayman ABA, via legal@caymanaba.com.
Within five (5) business days of receiving an appeal, Owners will contact the Client with the final resolution. If the client is still not satisfied they have the right to refuse services, contact their insurance company/case manager (if applicable) or contact the Cayman Islands Health Practice Commission:
Health Practice Commission
3rd Floor, Government Administration Building, 133 Elgin Avenue
Box 132 Grand Cayman KY1-9000, CAYMAN ISLANDS
Telephone: (345) 949 -2813 / 946 -2084
Fax: (345) 946 -2845
Inclement Weather Policy
The following statements pertain to the policies and procedures regarding appointments and or travel during inclement weather. Inclement weather is defined as weather that has the potential to cause injury or harm if and when traveled in. Examples of inclement weather can take many forms and can include, but should not be limited to the following:
Flash flood warnings, or flooded areas
Excessively high temperatures, or high heat index
Poor air quality warnings
Severe thunderstorm warnings, hurricane warnings or sightings for a related area.
Decisions regarding the weather and/or safety risks shall be made by the Cayman ABA staff from the agency's standpoint. However, the client has the right to reschedule appointments if there is a reasonable risk to safety as opposed to an attempt to merely cancel the appointment. If the staff believes that the weather presents a reasonable risk to the health and safety of the client or staff, any scheduled appointments, to include home visits, planned trips, etc., shall be rescheduled. In the event of a need to reschedule an appointment, the staff shall notify the client as soon as possible by means outlined between the staff and client during the initial stages of the case (phone/email). It should be the understanding of the client that inclement weather and the dangers presented as a result of it can, and will, include areas that lead to the client's home or location of the planned trip. Safe conditions at the client's place, residence, or at the location of the planned trip does not exclude the dangers present in the areas that must be traveled in order to reach these destinations.
Parents acknowledge that it is their responsibility to provide viable contact information, which would include a method of contacting the client in the event of an emergency type situation.
In most circumstances, the Cayman ABA staff will follow the local school cancellations for the area in which you or the staff resides. If the staff believes they are able to continue with the scheduled appointment, they will notify you to confirm the session. Sessions are difficult to reschedule given the times families are available, however the staff will make all efforts to make accommodations. Please keep in mind that other regular scheduled appointments may interfere with rescheduling on another day.
Language Assistance & Translation Services
Cayman ABA is committed to treating all people in a way that allows them to maintain their dignity and independence by providing safe, high quality client and family-centered care to the diverse communities we serve. Integral to this is the ability to communicate effectively with our clients and families, regardless of their language.
Cayman ABA knows that language barriers can have serious impacts on the clients and their families' experience. Clients with limited English proficiency may have trouble accessing care, struggle with client-provider communication and patient education, have lower client satisfaction, and sometimes face inequitable medical care.
Cayman ABA will take reasonable steps to ensure that persons with Limited English Proficiency (LEP) have meaningful access and an equal opportunity to participate in our services, activities, programs. The policy of Cayman ABA is to ensure meaningful communication with LEP clients and their authorized representatives involving their treatment. The policy also provides for communication of information contained in vital documents, including but not limited to, waivers of rights, consent to treatment forms, financial and insurance benefit forms, etc. All interpreters, translators and other aids needed to comply with this policy shall be provided without cost to the person being served, and clients and their families will be informed of the availability of such assistance free of charge.
Language assistance will be provided through use of competent bilingual staff, staff interpreters, or technology and telephonic interpretation services. All staff will be provided notice of this policy and procedure, and staff that may have direct contact with LEP individuals will be trained in effective communication techniques, including the effective use of an interpreter.
Translation Services
Cayman ABA provides our clients with information to access translation/interpretation services. Clients with LEP can request translation services, either verbally or in written form, by sending an email to info@caymanaba.com.
When translation services are requested, a member of our Clinical Operations team will provide the family with the following options for translation services:
Client’s Family/Friends as Interpreters:
It may be appropriate to ask family/friends to act as interpreters when soliciting only non-clinical information and the patient has given consent to do so. Cayman ABA staff are mindful that patients may be uncomfortable discussing their personal health information in front of family members, and there may be cultural sensitivities regarding how much information is communicated to a patient, all clinical interpretation must be through a professional interpreter.
Translation/interpretation services company on behalf of the Client:
Cayman ABA will reach out to the translation service requested by the family, and coordinate their attendance in meetings with the client or to review documentation and interpret on behalf of the client. This can be done remotely or in-person. In these circumstances and in accordance with Cayman ABA’s Privacy & Confidentiality Policy & Procedure, we have a responsibility to uphold client’s confidentiality whenever a translator/interpreter is used. Therefore, the client and interpreter will be asked to sign a Release of Information Form and Non-Disclosure Agreement.
If at any time, the parent/caregiver objects to allowing the use of a translator/interpreter for proficiency purposes, it will in no way jeopardize their relationship with Cayman ABA.
Crisis Prevention and Intervention Policy
A crisis or clinical emergency is defined as any situation where the child’s health and well-being may be in jeopardy. It further includes any situation where the child can potentially cause harm to self or to others.
Cayman ABA utilizes Nonviolent Crisis Intervention provided by Crisis Prevention Institute as a crisis management system. All staff that may be involved in physical intervention are trained and certified in Nonviolent Crisis Intervention. Please be aware that parents cannot be trained by our staff in personal safety techniques and physical interventions (i.e., restraints).
Nonviolent Crisis Intervention's philosophy is:
Care: showing compassion and empathy
Welfare: supporting emotional and physical well-being
Safety: preventing danger, risk, and injury
Security: ensuring harmony-not harm
The focus of Nonviolent Crisis Intervention is on the client’s safety and emphasizes the importance of being supportive and maintaining therapeutic rapport. Staff have been trained to understand the levels of a developing crisis, how each level of crisis should be approached, and how to proactively prevent any need to use physical intervention by teaching replacement behaviors.
Nonviolent physical crisis intervention is the safe, non-harmful control and restraint positions to safely assist an individual until he/she can regain control of their behavior. Physical management will only be utilized as a last resort when all other less restrictive strategies have been exhausted or when a person is a danger to self or others, according to the procedures provided by CPI Institute and this policy established by Cayman ABA. A serious incident will be documented in a written report and reviewed with the parent/guardian/witnesses. The report will be submitted to the Clinical Supervisor and placed in the client's file.
When addressing risk behaviors, client's care, welfare, safety, and security will be our primary focus. Nonviolent Physical Crisis intervention will always be a measure only used to ensure the safety of clients and others. If you have any questions or concerns regarding this policy please contact Cayman ABA at any time.
If you choose to decline the use of physical intervention, it will be assessed by the Cayman ABA staff including at minimum the Clinical Case Manager, Supervisors, and Behavior Technician the level of risk in session and if services can continue to be provided safely without the use of physical intervention.
In the case of a crisis or clinical emergency, home staff should immediately inform the Cayman ABA Supervisor, who will in turn inform the child’s guardian. All efforts including crisis procedures will be implemented to protect the safety of the child and others.
Operating Hours and Communications Policy
Our business office is open Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. We provide services year-round, with the exception of the Christmas and Easter weeks when the clinic is closed.
To meet the needs of our families, we often schedule therapists outside of regular business hours, including evenings and Saturdays. Cayman ABA staff will be unavailable to answer calls after operating hours and will return your call at the earliest possible opportunity during operating hours. After regular business hours, please leave a voicemail, and your call will be returned within 24 hours.
Communication is a vital role for many different reasons. Our goal at Cayman ABA is to respond to all emails, phone calls or texts within 24 hours during regular business hours. There may be times that we respond with a notification stating that we may need more time to respond.
Parents acknowledge to reply to phone calls or emails from staff members within 24 hours. If you do not have time to respond to the communication from a staff member within 24 hours, email, call or text to indicate when you will be able to respond so that we are aware that you received the communication.
Professional Boundaries Policy
We truly value the relationships we develop with our clients and families. It is through these collaborative and cooperative relationships that we are able to work as a team for the benefit of the child. In order to maintain healthy, professional relationships with our clients and families, we adhere to the following:
If you need to communicate with one of our staff members please call a Supervisor or the office unless other arrangements have been made (e.g., a cell phone number or group chat has been provided).
It is our responsibility to ensure confidentiality at all times. While in the office, please remain in the waiting room unless a staff member directs you to a specific room, or you are going directly to speak with one of the office staff.
We want to maximize our time with the child, so communication between staff and caregivers should be kept on topic and take place at appropriate times during a session (e.g., beginning and/or end).
We value balance between work and personal lives. Calls should be placed and returned during normal business hours.
Behavior Technicians help carry out treatment goals developed by all clinical disciplines. Their time is very valuable and they need to be focused on working with your child, so we ask that any questions that are clinical in nature (e.g., how is my child progressing) are directed to Clinicians on your team (Board Certified Behavior Analysts and Psychologists).
We ask our team members to arrive on time as well as leave on time so that everyone is able to stay on schedule.
After a session is complete, team members will properly clean up the area(s) in which they are working.
Publicity Policy
The parent/caregiver may consent for photographs of their child to be used for additional purposes such as marketing and publicity. However, if the parent/caregiver objects to allow the use of photographs for publicity purposes, it will in no way jeopardize their relationship with Cayman ABA.
Scheduling of Treatment
The Clinical Operations Supervisor manages all client scheduling needs, in collaboration with our Clinical Manager. Your child’s schedule will be developed based on your child’s individual needs, funding source requirements, and the match between client and staff availability. We request that families provide our team with the maximum amount of availability to optimize the service delivery process. We recognise the challenges that come with balancing family needs and intervention services. We will attempt to make the best possible scheduling arrangements for each child. Flexibility by all individuals involved in your child’s treatment (parents, caregivers, BCBA’s, Behavior Technician’s) is appreciated and important.
In order to keep paper waste at a minimum, our team communicates new schedule announcements through email. All parents and caregivers can access their schedules by logging in to their portal in CentralReach. If you cannot log in to CentralReach, please notify us immediately. Your child’s schedule for the upcoming month will be posted in CentralReach on or before the 25th, for the upcoming month. Please note that it is your responsibility to review the upcoming month’s schedule for your child, and notify our Clinical Operations Supervisor if any changes need to be made for the upcoming month’s published schedule. These requests must be received no later than the 30th, so we can make the requested adjustments.
We sincerely appreciate proactive forward planning, from parents, in the form of communications to scheduling@caymanaba.com, when you know that your child’s schedule will be affected (e.g., conflicting doctor’s appointments, vacations, plans to continue services, school closures, etc).
Any same-day or last-minute schedule changes initiated by Cayman ABA will be communicated directly to you via Phone Call or WhatsApp messaging.
Video Monitoring Policy
As a part of our clinical practice, sessions may be video recorded or available for viewing via a live stream camera, which is available for viewing only by Cayman ABA staff. These recording(s) will be used for clinical review of client progress, as well as ongoing supervision. The recordings will be the property of Cayman ABA, and may be stored as a part of the client record.
The parent/caregiver may consent for video recordings to be used for additional purposes such as educational and training resources to be used within and outside of the company. However, if the parent/caregiver objects to allow the use of video recordings for educational and training purposes, it will in no way jeopardize their relationship with Cayman ABA.
Wellness Policy
To minimize the spread of illness, Cayman ABA wellness policy requires that a session be canceled and rescheduled if the client or Cayman ABA staff displays one or more of the following symptoms and guidelines listed below. Additionally, all policies relating to child wellness are outlined in detail in our Facility Health Policies.
The client or staff must be free of infection and other symptoms, without the aid of medication, for 24 hours before resuming program sessions. Sessions may resume when the incubation and contagious period is passed and the client or staff is well enough to resume normal activities. If the client or staff becomes ill during a session, the session will be immediately canceled.
Vomiting/Diarrhea
Temperature greater than 100 degrees fahrenheit
Respiratory problems - severe coughing, rapid breathing, croup, or whooping sound after coughing
Thick discolored discharge from nose
Rash or infection of the skin (e.g., ringworm, poison ivy)
Evidence of lice, including nits
Communicable diseases - Conjunctivitis (pink eye), influenza, measles, chicken pox, strep throat, etc.
Parents acknowledge that if their child exhibits any of the symptoms outlined above and in our Facility Health Policies, they should contact the staff at Cayman ABA to cancel and reschedule their child's session. If for any reason your child did not attend school due to an illness or was sent home early due to an illness, there should be no therapy session that day. Parents agree to notify the staff within 24 hours of the diagnosis of a serious contagious illness or parasitic infestation. Parents acknowledge that in some instances sessions will be canceled until we have written permission from a doctor saying their child is well enough to resume therapy sessions. This is for the child's well-being along with the well-being of the staff.
Please notify the Clinical Operations Supervisor of any illness that your child, you, or other children in the home may have. We will also contact you if any therapist has any illnesses. In the case that your child's session will be canceled due to illness of a staff member you will be contacted immediately.
Please note: Our staff will use their best judgment, as well as the guidelines set forth in the Facility Health Policies, to determine when to send children home. (24-hour cancellation fees do not apply)