English {\rtf1 Enforcement is a process, a set of related \par actions, steps and decisions that, when \par performed well over time, }{\rtf1 contribute to high quality care in all human care \par and treatment settings, both day and \par residential, for both adults and for children.}{\rtf1 These settings each come with their own \par unique regulatory requirements, and those \par requirements vary by state.}{\rtf1 Yet the regulator in Portland, Oregon deciding \par how best to enforce a new staff ratio \par requirement }{\rtf1 will go through a similar process as her \par counterpart in Portland, Maine.}{\rtf1 Because the laws, regulations and other forms \par of policy do vary by state, province, or other \par how of enforcement, rather than the what. }{\rtf1 political jurisdiction, this course focuses on the \par how of enforcement, rather than the what. }{\rtf1 You will learn about the what from your \par supervisor and more experienced peers, and it \par will change over time, }{\rtf1 as your Legislature passes new laws and \par those laws are interpreted in the form of \par regulations, }{\rtf1 some of which will be tested in administrative \par or judicial proceedings. }{\rtf1 But regardless of the particular requirements, \par you and other people in equivalent positions \par will }{\rtf1 go through a similar process to enforce those \par requirements.}{\rtf1 The process involves knowing your own \par tendencies and preferences, reflecting on the \par particulars of the situation you face,}{\rtf1 stepping back and placing it into the \par conceptual framework offered in this course, }{\rtf1 consulting with others in your agency as \par needed,}{\rtf1 and proceeding with the least coercive and \par least costly intervention it will take to reduce \par consumer risk. }{\rtf1 The On Line Edition is designed for \par independent learning by licensing staff. It is \par assumed, however, that you will reinforce your }{\rtf1 key concepts by discussing them with your \par supervisor and peers, and by placing your }{\rtf1 specific experiences into the framework \par presented in this course. }