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Program Statement

1. Facility Objective:

A. To provide 24 hour care for 12 (licensed capacity) Aged,

Mentally ill and Developmentally Disabled men and women.

B. To provide daily assistance with personal hygiene, meals, laundry, medication

management and transportation when needed.

C. To provide a safe and secure environment for all who reside.

D. To allow residents to go on outings, attend social activities, attend church or go to

workshop or program if applicable. To provide and treat each resident with dignity,

respect and privacy.

2. Health Services:

 A. All residents of the home will continue their medical and dental care with a

physician / dentist of their choice. Annual physicals are required.

B. Guardians, families, CMH caseworkers and staff will transport residents to


*Staff will provide a copy of their valid drivers license and current automobile


C. All staff will follow doctors orders and dispense medications only as directed by a


D. Staff is certified in First Aid and CPR.

3. Staffing:

A. Staffing ratio will be sufficient and followed per licensing rules.

B. All staff will be CPR and First Aid certified.

C. Staff will be trained for medication management.

D. Staff will meet all requirements per licensing rules.

E. Staff will follow and complete all necessary training required by Tri-County Office on Aging

4. Other Services:

Tri-County Office on Aging / Medicaid Waiver Program contracted home

A. To provide services for residents placed by TCOA

B. Staff training bi-annually as required by TCOA. Documentation available for review

C. Each resident placed by TCOA will have a case manager assigned to him/her. Monthly

and/or quarterly assessments will be completed by appointed case manager.

Staff/Administrator will complete all necessary forms that TCOA requires. This includes

monthly log statements.

D. Required policies are in place.

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