Respecting Rights through Building Healthy Relationships & Empowering Choices
An HCBS Final Rule Initiative
The CHOICES Program is for members of the disability service community to build skills for:
Respecting rights
Empowering choices
Creating healthy relationships
Change starts with how we show up.
We’ll bring HCBS rights, dignity, and choice to life — not just into compliance.
Join Le Tusa for the CHOICES Program - an 8-part live online workshop series designed to support disability service providers to move beyond paperwork and policy to real, everyday practice.
Together, we’ll explore how consent, boundaries, language, and communication connect to the HCBS Final Rule and to people’s daily lives. You’ll learn practical tools you can use right away — from co-creating agreements to strengthening informed consent and communication with the people you support.In the online group workshops, you’ll learn with and from other providers — sharing experiences, building new skills, and growing together as a community of care. These sessions are designed to spark connection, reflection, and problem-solving.
Between workshops, you’ll have the opportunity for individual consultation with Tiffany Cleveland, founder of Le Tusa, to focus on your specific setting, challenges, and goals. These personalized sessions will help you integrate what you’re learning in the workshops into your daily practice — turning insight into action and compliance into care rooted in respect and real change.
This is more than HCBS training — it’s a shared movement toward systemic change. If you’re ready to build a community where rights, dignity, and choice are lived out every day, join us and be part of the change.
Who is CHOICES for?
CHOICES is for Home and Community Based Service (HCBS) Providers.
Such as:
Direct Service/Care Providers (DSPs), Supported Employment providers, Respite Workers, Personal Care Assistants (PCAs), Day Program Staff, Supported Living Staff (SLS), Residential Home Administrators, etc.
This FREE Consultation Program is supported by HCBS Funding through Regional Center of the East Bay!
When & Where can I participate in CHOICES?
We’ll offer the workshop series twice throughout 2026.
Each series will be 8 workshops, offered bi-weekly (2x month).
February - May 2026
August - November 2026
The workshops will be held virtually on Zoom.
A link will be shared with those who register.
Consultants for CHOICES
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Founder & Executive Director, Le TusaTiffany Cleveland is a licensed therapist, a sex educator, and founder of Le Tusa, Inc. With over 15 years of experience working with developmentally disabled Individuals, their families, and service providers, Tiffany helps reimagine care that centers rights, relationships, and real choice. She has designed and supported a variety of residential and day service programs — including EBSH, CCH, SRF, ARF, ARFPSHN, FHA, and SLS — and taught the Residential Service Orientation (RSO) class for the Golden Gate Regional Center. Tiffany’s leadership was recognized with the James Latin Self-Advocacy Award for her lasting impact on how services are delivered and experienced by people with developmental disabilities. Through Le Tusa’s programs — CHOICES, CONNECT, PASSION, JOIN IN, Heart to Heart, and Therapeutic Services —Tiffany and the Le Tusa team offer training, consultation, and programs that blend trauma-informed/sensitive care, sexuality education, everyday consent, and relationship-centered support.
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Director of Development & Innovation, Le TusaThea Sheets is a Certified Therapeutic Recreation Specialist (CTRS) and advocate dedicated to promoting health, happiness, and belonging for all people. With over 10 years of experience in community-based programs for people with developmental disabilities, Thea brings creativity, movement, and mindfulness practices to her work. Her background includes adaptive recreation leadership, youth day program coordination, and wellness programming for older adults. She is passionate about helping people build connection, confidence, and choice in their everyday lives. At Le Tusa, Thea leads program development and co-designs innovative programs like CHOICES and JOIN IN, which focus on self-determination, skill-building, and community engagement. She also collaborates with professionals and self-advocates with lived experience of disability, ensuring that persons with lived experience are also leading design and delivery.
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Community and Programs Partner, Le Tusa
Le Tusa will be inviting a person with a developmental disability, who receives HCBS services to co-lead the consulting offering. We believe that people with lived experience are the experts of their own lives and that it is essential to welcome their voices and perspectives in to these conversations about the systems that impact their daily lives.
Topics We’ll Explore Together
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Workshop 1
Disability rights and 10 HCBS Rights in Daily Life
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Workshop 2
Ableism, Allyship, and Centering Disabled Voices
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Workshop 3
Everyday Consent and Honoring Choices
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Workshop 4
Accountability and Informed Consent
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Workshop 5
Communication and Healthy Relationships
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Workshop 6
Co-creating Agreements Instead of Rules
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Workshop 7
Boundaries and Consent Culture
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Workshop 8
Provider Well-Being and Daily Practice of Rights
93% of providers said that 1:1 consultation with Le Tusa helped them apply CHOICES skills to their specific setting
What People Are Saying about CHOICES Program
97% said that CHOICES offered tools that I can use to empower individuals with IDD to make choices in their lives
98% said that the ideas and info from CHOICES apply to their roles as supporters of individuals with IDD
96% reported that they learned relationship skills that they can use in their role as a supporter of Individuals with IDD
Not able to join the CHOICES workshop series?
Le Tusa’s offers other types of consultation! - Check out our Person Centered Home & Day Service Consultation page for more information.