Section and WAC reference | If you meet the following criteria: | Then adjust your score by: | Score if you meet criteria |
| | | Beginning Score = 0 |
DDD Determination | Eligible condition of autism in the DDD determination. | Adding 40 points | = |
ADL Acuity Level | Your ADL support needs level = high, medium or low | Subtracting 54 points | = |
Behavior Acuity Scale | 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 | 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 | = |
DDD Caregiver Status Acuity | Your caregiver risk level = high or immediate | Adding 136 points | = |
Backup Caregiver Status | Your answer to the following question: "Under what conditions are other caregiver(s) available?" = "No other caregiver available" | Adding 33 points | = |
Mobility Acuity Scale | 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 | = |
[Statutory Authority: RCW
71A.12.010,
71A.12.030, and Title
71A RCW. WSR 10-07-019, § 388-828-8515, filed 3/8/10, effective 4/8/10.]