Author Archives: Francisco Gonzalez

2016 Annual Report

January 25, 2017


The Texas Administrative Code requires that we conduct Satisfaction Surveys at least annually. AyS conducts these on a quarterly basis so we can identify any dissatisfaction trends early and address them immediately. Over the last year, the satisfaction surveys returned, our consumers have marked them as “Satisfied” or “Very Satisfied.” We’d like to take this opportunity to remind you that if you have a complaint, you are always welcome to reach out to us to voice that compliant, concern or suggestion.


The Texas Administrative Code requires that we evaluate the complaints lodged during the year and also evaluate the policies that have been implemented to determine if they are successfully decreasing the number of complaints. Over the past year, no formal complaints were presented.


12/06/2016 –Neglect –The case was returned as unconfirmed.
11/03/2016 – Neglect – The case was returned as unconfirmed.
10/27/2016 –Abuse(Verbal) – The case was returned as unconfirmed.
10/20/2016 – Exploitation – The case was returned as unconfirmed.
09/27/2016-Neglect- The case was referred back to provider for administrative follow up.
05/13/16- Neglect- The case was returned as unconfirmed.
04/01/16- Abuse(Physical) The case was returned as inconclusive.
03/26/16-Abuse-(Sexual) The case was returned as unconfirmed.
03/20/16-Abuse (Physical) Neglect- The case was returned.
02/26/16-Abuse(Physical) The case was returned as inconclusive.
02/13/16-Neglect- The case was returned as unconfirmed.

Annual Termination of Services

The Texas Administrative Code requires that we review any termination of services over the last year. Termination of services is when a client leaves the HCS or TxHmL program all together. Over the last year, the following termination and reasons for termination were reported.
1 terminations due to death

Aggregate Restraint Data

The Texas Administrative Code requires that we compare aggregate restraint data with statewide data. The state data is as follows.
• Rate of Emergency Personal Restraint – 0.0402
• Rate of Emergency Mechanical Restraint – 0.0293
• Rate of Emergency Psychoactive Medication Restraint – 0.0582

The AyS data is as follows.
• Rate of Emergency Personal Restraint – .013
• Rate of Emergency Mechanical Restraint – .00
• Rate of Emergency Psychoactive Medication Restraint – .149

Down Syndrome Awareness Month

October is Down Syndrome Awareness Month

Down Syndrome is a disorder arising from a chromosome defect, ausing intellectual impairment and physical abnormailities including short stature and broad facial profile. It arises from a defect involving chromosome 21, usually an extra copy of this chromosome. Each year approximately 5,000 children are born with Down Syndrome. It affects approximately 350,00 people.

There are a number of organizations that advocate for persons diagnosed with Down Syndrome.

The National Down Syndrome Society –

The National Association for Down Syndrome –

Down Syndrome Guild of Dallas –

The Down Syndrome Association of Central Texas –

Please visit their websites for additional facts and statistics.

Since its inception, Ahora y Siempre, Inc (AyS) has had the pleasure of working for individuals with Down Syndrome. From personal experience we can say that people with Down Syndrome are some of the sweetest people you will meet. They are caring, they are smart andmost importantly they are loving.

Take time this month to show your appreciation to someone with Down Syndrome.

Happy Birthday AyS!

2 year Anniversary

HAPPY BIRTHDAY AHORA Y SIEMPRE! It is hard to believe that Ahora y Siempre, Inc (AyS) has been in operation for two years now. I don’t think any of us as directors and now as employees of AyS who knew two years ago that AyS was coming, could have ever imagined that it would grow the way it did. Over the next few years the hope is that AyS will continue to grow and more importantly to change the lives of those who invite us into their homes. AyS was started with the idea that “…high quality services alone are no longer good enough.” So our goal has been and will continue to be, to educate our clients and anyone who will listen about the rights and responsibilities each individual has that is served through these waiver programs. Nothing is more important than having knowledge about what services are available and what demands each client can make of his or her provider agency. There have been many exciting things happen at AyS over the last two years. Perhaps the most memorable is one that repeats itself each day; the personal and professional growth of our staff. Entering the world of HCS is like leaving everything you’ve ever known and having to learn a whole new language. For many people it is very difficult to make this transition. This is why so many providers have what is called a “revolving door” of employees. When I look at our staff and see where they started and where they are now, I can’t help but feel overwhelmed with a sense of pride and gratitude for how far along they have each come individually. We continue to face the same challenges regularly. Perhaps the most taxing of these challenges is getting families who have been burned out by the system to open up to us and allow us to serve them in a compassionate, open and faithful manner. Many of the people we serve have been let down by other agencies and that puts us in a place where we have to regain their trust for something we never did to lose it to begin with. Over the coming years we hope to continue our mission of education coupled with high quality services.

I cannot end this note without expressing our gratitude. When I say “our,” I don’t hesitate to speak for every AyS employee. We are all incredibly grateful for the opportunities our clients give us regularly, to serve them, to enter their homes and to be a part of their families.  Progress, coupled with the opportunity, to be a part of your family is the fuel that keeps us going each day. From the bottom of our heart, thank you for everything you do for us!


Francisco Gonzalez


Upcoming IDD Waiver Provider Conferences

DADS logo

Intellectual and Developmental Disability (IDD) Waiver Provider Conferences

The Texas Department of Aging and Disability Services (DADS) is hosting five regional conferences for IDD waiver providers in July and August 2013. The IDD waiver programs include the Home and Community based Services (HCS), Texas Home Living (TxHmL), Community Living Assistance and Support Services (CLASS), and Deaf Blind with Multiple Disabilities (DBMD) programs.

The main focus of the conferences is on direct support workers. Sessions have been designed specifically for direct support workers. The conferences are being offered regionally to facilitate their attendance. Other sessions will be available for management staff. Registration for the conferences is free. A limited number of stipends will be offered for direct support workers to offset the cost of travel and lodging.

The dates and locations of the conferences are:

    • JULY 9-10 | HOUSTON: Crowne Plaza, 8686 Kirby Dr. Houston, TX 77054
    • JULY 15-16 | SAN ANTONIO: Norris Conference Center, 4522 Fredericksburg Rd. A-100, San Antonio, TX 78201
    • JULY 29-30 | AUSTIN: The Commons Building #137, J.J. Pickle Research Campus, 10100 Burnet Rd., Austin, TX 78758
    • AUGUST 6-7 | ABILENE: MCM Elegante, 4250 Ridgemont Dr., Abilene, TX 79606
    • AUGUST 13-14 | FT. WORTH: Norris Conference Center, 304 Houston St., Ft. Worth, TX 76102

Our keynote speakers are Amy Hewitt, Lori Sedlezky, and Sheryl Larson from the University of Minnesota.  They will be speaking on “Direct Support Professionals Workforce National Trends and Issues”.  The will also be doing two break-out sessions:   “Recruitment Strategies: Building a Quality Workforce” and “Retention Strategies:  Keys to Promoting a Quality Workforce”.

We are very excited to have Karyn Harvey, the Assistant Executive Director of Quality Supports for the Arc of Baltimore, speaking about Trauma Informed Care.

And we will also have Laura Buckner, Shelly Dumas and Sheryl Baker, from the Institute for Person-Centered Practices, presenting the Overview and Philosophy of Person Centered Thinking.

Other break-out sessions will also be offered throughout the two day events. The registration site can be reached via the following link:

For more information contact: