Resolution 417-1989
#
RESOLUTION NO.
417 -1989
A RESOLUTION BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
AUTHORIZING THE MAYOR TO APPROVE THE
AGREEMENT BETWEEN BAYSHORE MANOR a/k/a
MONROE COUNTY AND JERRY SHRIVER, CONCERNING
RESIDENCY AT BAYSHORE MANOR.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, that the Mayor/Chairman of the Board
is hereby authorized to approve the agreement between Bayshore
Manor a/k/a Monroe County and Jerry Shriver concerning residency
at Bayshore Manor, a copy of same being attached hereto.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on this 4/#
day of \)~ I~
, 1989, A.D.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
///I~~
Mayor/ aJ.rman
(Seal)
Attest: DANNY L. KOLHAGE, Clerk
~.L.'~-1'~~
APPROVED AS TO FORM
AND LEGAL SUFFICIENCY.
By
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BAYSHORE MANOR
A/K/A MONROE COUNTY HOME
ADULT CONGREGATE LIVING FACILITY
FOR THE ELDERLY - LEVEL II
A G R E E MEN T
This agreement entered into this 21st
day of
June , 19~, by and between the County of Monroe,
State of Florida, hereinafter called "County" and Jerry
Shriver
, hereinafter called "Resident", and
N/A
, hereinafter called "Responsible
J.
Party."
WITNESSETH:
WHEREAS, the resident desires to use the facility of the
county known as the Monroe County Home, a/k/a Bayshore Manor, and
WHEREAS, the County has reviewed the application of the resi-
dent for admission to the Monroe County Home and has determined
that the resident is eligible for admission to said home, now
therefore,
In consideration of the mutual covenants, promises and premis-
es herein contained, the parties agree as follows:
A. BAYSHORE MANOR
1. To furnish room, board, linens, prescribed
medicines and general personal care.
2. To arrange for the transfer of the resident
to the hospital of the resident's choice when
ordered by the attending physician or the health
of the resident requires same, and to immediately
notify any responsible party (as designated herein)
of such transfer.
3. To make refunds on a per diem basis in accord
with date of discharge from the home. Refunds
cannot be made as long as personal belongings
remain in the resident's room. Refunds cannot
be made as long as there are outstanding
expenditures for services received by the resident.
4. In the event of closure of the facility for any
reason, a pro-rated per diem refund shall be made in
accord with date of closure within seven (7) days.
5. Residents will be notified in writing thirty (30)
days in advance of any basic rate change.
6. Bayshore Manor is not affiliated with any religious
organization.
7.
B. THE RESIDENT OR RESPONSIBLE PARTY
1. To provide such personal clothing and effects as
needed or desired by the resident.
2. To pay the monthly rate agreed upon and such
charges as determined by the Monroe County
Home to be necessary for the operation of the
home.
3. That, upon certification by a physician or the
administrator of the home, the resident is no
longer capable of meeting the requirements
for occupancy in this facility, the resident,
next of kin, legal representative or agency acting
on the resident's behalf, will have to make
arrangements for the immediate transfer to an
appropriate facility. In the event a resident
has no person to represent him/her, this
facility shall assist resident in contra6ting
an appropriate Social Service Agency for place-
ment. Applicant agrees to vacate the facility
within forty-eight (48) hours after disquali-
fication.
4.
To comply with all requirements as set forth
ln the application made by the resident.
.
5. To comply with all rules and regulations esta-
blished by the County for operation and control
of said home.
6. Agrees, if not paying the maximum rate, to pay
any increase in income during the course of
residency, up to the maximum rate. The maximum
rate as established October 1, 1985, is $1,195.00
per month.
7. Individual monthly rents not to exceed the maximum
rate, will be established by evaluation of the
applicant's income, asset, resources and need.
8. Other:
C. FINANCIAL ARRANGEMENTS
The resident and/or
County $ '100 00
facilities.
responsible party agrees to pay
, per month as rent for use of the
PAYMENT WILL BE FROM THE FOLLOWING SOURCES:
1. Personal funds of resident
$
$
NA
2. Responsible party will pay
NA
')
.J .
Unearned income of resident
will pay:
$ 500.00
$ NA
$ NA
$ NA
Social Security
Civil Service Annuity
V.A. Pension
Other
2
D. STANDARD ADMISSION WAIVER
The County, through its employees, has agreed to exercise
such reasonable care toward the resident as his or her known
condition may require. However, this home is in no sense an
insurer of his or her safety or welfare and assumes no liability
as such.
The management of this home will not be responsible for any
valuables or money left in the possession of this person while he
or she is a resident of this home.
E. TERMINATION
{,
If resident is absent from the home in excess of fourteen
(14) continuous days, such absence shall automatically terminate
this agreement and the resident shall remove all of his or her
.
property or belongings immediately. If resident fails to remove
same, the resident does hereby authorize the County to remove
said property or belongings and deliver same to responsible party.
F. MEDICAL SERVICES
The parties agree that Monroe County shall not be responsible
for or assume any responsibility for payment of any medical or
hospital services unless specifically agreed to by the parties or
their representatives at the time of the rendering of service.
G. DURATION OF AGREEMENT
Either party may terminate this agreement on thirty (30) days
written notice.
Otherwise, it will remain in effect until a
different agreement is executed.
However, this does not mean
that a resident will be forced to remain in the facility against
his/her will for any length of time. This agreement may be amend-
ed by written and executed approval of such amendment by both
parties or their representatives
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ITNESSES
at the time of the amendment.
)1J7c~/>-d],r
OF RESIDENT
N/A
SIGNATURE OF RESPONSIBLE PARTY
WITNESSES AS TO RESPONSIBLE PARTY
3
DATE:
I
& /:40/ 89
I I
,
of Representative
of Monroe County Home a/k/a
Bayshore Manor
~~
Signature of Executive -
Director - Monroe County
Social Services
APPROVED:
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Signature 0; u y
Administrator .
--
This is to certify that this Admission Agreement as approved by
the County Home and the County Administrator was ratified by the
Monroe County Board of County Commissioners at their meeting held
on the day of , 19
Signature of the Chairman
Monroe County Board of
County Commissioners
(SEAL)
Attest:
Clerk
~ ..UlOVIO AS TO FORM
AN!:; LEGAL SUFfICIENCY.
~~':tI
BY / C 6--' :t4f( 'it /,If'.
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.'.:C,\!RCE CCW:n' 1i(,.\E )U,'\ICR CCLLEGf 1,'(\\r "EY [\'['ST, FLCRH'-\
An.IISSH'.\! Cr.1T[PU ,\;l,JD rCLIcns
The ,\icH/tC'c. CCUH,ty Hernc, ~dLLlt C('H~l.'tcg:t{ttc. LtVtH9 F(lc.ttU~r :\u:t the. Etd~'ttu,
Levd~. 11, :leJteiHLll~ te't'1e6 '-'-,'l:led to (L~ tlte Fac-U'j"ty, .0~ C-t,c.CJL.Hd th/tC'1l9Ittlte
State 06 FLo.'L-tcLl t\'-pev'ttment d Hc.aLtlt and Rdlab,LCUa.-tLve SC/t\!,tC.~~, Ile,'tc<-n-
ante:t ,'te.n C/t/te.d to cU HRS, Lwd ot)eJta.-te.d by .tlte BocuLd 06 COtmtU Comm~~.~..toneJt,~
06 ,\lon,'to e. Coun,ty, Hc.'ttda. TIle. FacLL,LtY0~ gOViJ'tHe.d ..tn ac.c.o,'tdanc.e. w.<.-th tfte.
.'teqtU..'temen t~ coD CfLap tc-'t ..J 00, PeVtt 11, re.oftida S ta,tu CI.> and tfl e. Rue.e,~ and Re.g~-
ta.-tLon.6 as aCu}ptcd bU tlte. Soa/td 06 j1tolz,,'toe C()[tney Comm.{.M..tOl1e/L-~ fte./tUHa6teJt
J,
!'!
}te.n e.,,'t--'te.d to a~ CCLU1,t~(, c.C'nta.tne.d Ite.M..tn.
Re..f>..tdmt c 6 1\1 0 Il/tC e. Cowdy, F Lo.uda,~.aty (60) Ue.a..~ 06 ag e. Oft olde.,,'t, ambu.f(Lto}tY,
..tn /te.a.6onabte. ILe.a.tth, ~11 ne.ed 06 a home. al1d Ilav,tHg no 6am~llj able. to me.e..t tf}eh't
ne.e.t.j, abLe to caJte. 6o.'ttlwn~ e..tVe6 .to a cVLtain de.g/'te.e. and HO.t in ne.e.d 06 HuJt6ing
c.a..'te., COIll)a.te.~caJLt CM.e., te:mpo,'[CL-'tlj ot emeJtgeJlCU ,~he..f..teJt ,~lta.tt be. e..Ug~b.e.e. 60ft
at.m.0~~~on to :the 6ac-LtLty ~n ac.coJtMnce. w.<.-ththe tvun~ and COllcU.-tLOI1.~ containe.d
, .
r1 e./tUH.
Appuc.a.:t.tO rt6 a...'te. accep.te.d 011 a no 11- elM c.'LUn~na. to/ty ba.6.<.-~ ..tHCtU Ml1g but not
i-i.mde.d :to .6 e.x, coto.'t, lta.ce. 0.11. c/Le.e.d. The. 6 ac-i.1A..ty ~ hill pltOvide. a Il.Ome..Uke.
a:tmMphe.,'te (,'loom and boa...'tdl, pett60l1ai .!JVtvic.e6 and a compJteJ1e.nl.>ive. p.'togJtam to
meet daUto da~( He.ed-~ 0& the. ambu,ta...to/ty age.d all all illcUv~dua.t ba..!J.0!J - cOl'lduu\Je.
to 9 ltOUP uving. PeAM nal S e/"~v~c.e6 meaJz,!> ,~eJtvice.6, .tH add.i...tLo n to ItaMing aJLd
60cd6 e.,,'tvice. wlUch ~nceude. bLLt aILe. Iw_twn.de.d to: p~'t6C'1!a,t (L!J'~.0~tl1HCe. w.Lth
ba:t!ung, d'teMiHg, ambu...f.a.tioll, 11OMe.ke.epiHg, ,~up~'tV.<.-!J~C:H, emottonai ,~e.cuJU.;tU,
and any c::tItVt /tela.te.d ,~~'tv,tCe6 wh--tch :tILe. 6acJ..LLty may dd,tlle.. PC/L~C'nai .6eJtvic.e.
do e6 Hot ~Hcwde. me.cUc(Lf ,6 eJtvic.e6 .
ELIGIBILITY M.JV AVvI1SSION POLICIES
The. aclm.<.-6~ion 06 each ILe.6~deJl.t to .t/t.0~ 6aUUty .!Jha.-U be. wldeJt th~ .~upeJt-
'J-L.6ion 06 :the. At.milt.L~;t/ta,toJt 06 the. Fac-LWy w.<.-tlul1 the. C0I16..tne.6 06 the. 60Uowing
9 V1M.at poLi.ue..'!J;
( 1 1 A Jte.6iclc.llt/ appucall,t mlt~t:
(al Not have a comtnluuc.abc.c. di.~e.a.~e.ul a .t'l.aJi6-
6 eftabte ~,tag e.
(bl Have a cite-of x-Jtay 0.11. ~10{ll te.~t (TBl to~th,tll
H~Hety (90 l day!J pftto/t to adrnL~.!J,<-on .to .the
~ aciLLttj.
(c) Be a ';.\!~{dCHt d ,1I01l'1oe CuwltU, U(,/lido. ;)I''{ (It (Cint
ell(' (I) ue(u't alld 6LL.'tlli,~1t V\!/Lt;;ic.attUH u~ ~aJ)le.
(ei) F[l,'{Jl~~ll V'[('C',~ o~ He.ed ;)Olt tile. 6o.c.iIUlj t1.!u{ tltat tll(,/[(, L~
no D(UnUU abte to meet tltei./t neecl,~ ;)Olt acle.qLlate CMe.
(~) FU/lJl~,~1t W,'LitteH mecLicat e.xmninaUoH (lf1om aUcenoed
plllls;'ciaH (6oJ[J)l wA..J:,f.. be. nLUul,L6hed) wfuc..1t ,shaLe. CeJt-tLDlj that
tlteJA.. mec!;.caf.. concLLttoll ~~u..chthat the.y w;.tt meet tile. fte-
qLuAemen,ts 06 the 6acLe~ty and that ,s ew;'ces beljonct that
a'r..e.. r-Vlm"ctted ;'Htl1e 6aciLi....ty Me. not ,'(.e..QU...0H!..d. ~"
(6) Be ambuf..Mo,'t1f that i....s ,the.. condiIioll 0& bung phYJ.>;'ca(fy
and emoUonaUy Llbfe.. to w'L{,6e i)..!wm a 11OJU...t..i...:0Iltaf 0,'(. !;),i....tUng
pO-6i...tiOH, and..{,n an emVlgCJ1CY to e.x~t the. bcu..1cLtng to a pO..{,)lt
06 -.sa6ety. Th...-i...6 would ~nc.f1J..de tItM)e.<-nc!;.v..{,duo,(/;, wile may be.
able.. to ambu...f..a,te. wLtltthe aJ.>.o"c6,tanCc. 0 b pJW6tlte..UC de..v,tces
.ouch (US cfUucnM, wafb.e/v6 Oft whc..ef.. chaL'Ls.
(g) Be ,s..{,xty (60) yeaM OD a~je Oft oldeJL and bLUtH..Loft [tOe.. VeAt6-<--
caUoll by e..LtheJt pJwpeJt ..(,de..n,ti..6~c(lU0J1, doc..umeltu, eft by
..tnDOltmaUOIl DftOm othCJt pctbY....{,c ag CJlcie,swch as ..the Soc...<-af
S eCLuU..ty A dm..{,ll"csl)tauo n.
(It) F1Ut11...061t pfto06 06 hO-6pLtati...:aUDn and mccucat ,tll-6ctftCUlCe
[dt-iclt ..-0S equal.. to Oft be..tteJt than c..ove..-'W..ge.. 066eJte..d by ,\Ie..dLca'te.
(..{,) Exe..cu...te.. a WJt-LtteJl c..ontftact wilh th,Lo 6auuty at ..the.. time 06
aclm~,~;'on, Oft pn...i...ofL the..'Lc.to, be..twe..e..nth('.. 6auutlj and ,the.
!te6~de..rt-t Oft 1tL~ de6;'g nee.. 0-'1. R.ega,f.. ,'i.ephe.s e..ntauv e. A copy
06 cOlt-tltac....t to be.. e..xec1Lte..ct "cs attac..he..d hvreto and made. a..
paJtt theJte.o 6.
(2) THE Aa~INISTRATOR SHALL:
fa) Munta.<-!1 a w~te..n ftecOfr,d ~11 the fte6~de..VL..t'/~ peJv~ollaf
6..ue. 06 aU 6~Hal1c....ta1 Q,'L'r.allgcme.ll-u w-i....th the.. ftc,,~..{,de..ltt, 1t-0s
IH?xt 06 RA..11, Oft ,sponooft, w-i..-th COp,te.~ e..xec..Ltte.d by and SlUlIl~hed
to e.cic..h pCUltU. TlL-0S ..sh(tU "{'Ilc..fltde deta..{"f..C?..c1 ttecoltds 06 any
6uilcU, Oft pOfLOpe/tty Ite..f..d ()Oll.. the. ftc,sideH t Daft /Settle.. 1ze.e..p,tltgLn
acc..oJu1tt1tce vJLtft C{wp..i:c>,'l.. .JOO F.S. PCULC II.
(1) The. 6ac..LtUy mlj hoed pe..JLMllaf 6Wld-6 SOft the ftc"s..ident
Hot to excee.d $100.00.
(2) The.. 6ac....Le..UU sftafe.. not accep t al1~' (' the.Jt 6wtd6 (},'(.
J..''1('r_'\!"tt~f l'XCl'r_'(: lt~ ~ c.t ;)tl,'ttll <It I llbo\)('.
(b 1 A~~ d ~ ilL' ctdcLLUcllaf.. c..ha/lg C'~, ('x..p(,l1~ l'/~ (I,'t 0 tIU!/t
,) (IIaHCt.-U: l..i ab..i...ti...U...eJ.>ln cxc..e,~o (J 6tltc ).lltUVi,.'l.iOlt~
tIlClLLc!cd(1! the adm~,6..t0I1 c.(JlLt./ract.
(e) [1c.tc:untllC llndi...ncwde a)., a mtll,tmwn, the 6oacw..{,llg
p'1..C'\)i,~,t(m~ lUld .~ c.J1..V..{,cu ,tl1 the. ba-6..tC adm,L...'l6,i.ol1 con..tltact
(l~..Ltll
(,Clch .'1C,~..ldCJlt, next 06 I:.i...ll Olt ,6POILSO!l:
(1\
i i
Tile.. cictif~{, LVee..fdy, O,'t mOIl,tlt..€..U ,'tate, and ,'1.e6ctHd
~.
)..\"tC'\"'L~i..cl1 601t ctHtued POltUCIl-6 theJte..06.
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A t..l..S..ti...llg 06 ,6 eJtv..{,ce6 to be. pltOv..{,de..d.
(3 )
SCCtlV:.. c...omponent6 appAcpft..{,cde.. to the.. needs 06 the..
/1..(',6 ..(,den,t-.'l .
.
(d) Apply the.. SoLfcw..{,1l9.. ,'teAtUc..Uol!/.'l ..to adm..i...o/~,tOI1 and
hetell,UCH (' ,)'i..(',~..i..dent-6 :
1. A ,'te..6~deJLt who man..i...D e.6,ts 6ctch de..glt,ee 0 6 be..ltav~olt :that
he.. .L6 a dangeJt .to Mnse...t6 Olt o..tlie/t-s, 0,'1. who~e be..ltav..{,olt
~ ,60 lUlacc..e..p.table.. Olt d,L.6,ttUlb,Lng a-6 ..to ~ltteJt6 eJte wi....th
the ade..qlLate c..Me.. Olt com60lt-t 06 othC/t 1te..6~deJt-t~ ~H ,the...
6a~ty ,~ftaU HO..t be admLtted Olt lte..tMHea, and ~haU
be 1t0noved 6ltom the.. 6a~y.
2. No he6..{,deJJ..t /S IW.Lt pal,S eM OJ/. COILS ctme ctE..c..hoUc b ev eJtag e..6
0/'1.. any COIt-tlto.te..ed ,sub,6..tanc..e ..tJlthe 6a~ty W--etilOu...t It-w
phY'6,i...c..Lan' ,6 (Jltae/i...
3. No ,'1.e.~..{,de..Ht ,6haU be.. hud ..i...n ..the 6ac.....U....Lty agMILS,t (UJ.-,
will, WUe..6.6 ctl1deJt Cou../tX. QlLdeJt.
4. No Ites..{,de..nt ,~haU be.. a clm--ette..dto Olt ltetMJted ~11 a 6auU....ty
who ,'te..qu...L'tC'..t6 .6 eJtv..{,ce...s beyond tlW-6 e. ..the 6a~ty ~Uc..CJ1.6 ed
:to phov..{,de. Th..i...o 6ac..i....tLt1j may not pltov~de HWVS..{,rlg CMi?.. UH-
e.e..66 601t a tempoltMY ..Utlle..6,6, Ilot to e..xc..ee..d -6 e..vell (7) daY6.
5. A ,~es~de..nt ab CJlt Sham tlu.'l 6aci...utljLH excM,.'l oS 60UJtte..eH
( 14) days I dtwto ho,~pUctti:(tu(,'l OlL abaHclollllle..nt Mwte. be
tvuntlltt.te.rt ctb a JtM~tdent lit ,t//.-U; 6ac-Ll?.i"tlj. Sac..1t JI..e6.i.de..nt
may !L(!..-appt'..y nOlL admi...S"S..<"Oll oO..f,('OWLllgtfle.. ,.'lame.. pltOCedlLlte as
that 0 S a )1('1\1 appUerll/....t.
(3) The. monthfy !tate.. &(1'1. appt..-i.c..cUlt..s/ltM..tdcJLtJ.> 6haU be. ac'..juste..d to the..
ablGUy c~ tllC.. l1PI_'i.'tc..altt/''te6.i...dcllt tl' I-Jal}. ,1P)J1..i...c..CW..t.'l/ltc..6.i...delLt.'l w;.tfL
,
- ./-
(Ilccmc~ tC~~ tit,v~ tile '''tUUllwn Inau [)(' ,U{'('(l'('(( to I-'al( t(Ult
tvnowtt lt~ tllC(..'7.. m(,lltllf~1 'rlltC, tll<6Woufc{ il:Ct'lU{C aHlI ..<nc'r('Cl.'l(',S
ii! tll\!"i....illccmc ,~a'riIl9 tllC COUfdC'. ('~ tll(',i,'l ..'le,.'lidcllClj, up to the,
m[tx-<-l11ul11 'rate.
(al Till! mCHtldu ba6,{C'l..a..tC..'lItClf..e.. be C',6.tabtL-.'lhed at the
bC~li..IIIl{llg cD the.. 6~~ cae.. ue..a'l alld.'lltaU pnevai...[
tfr'lCUCJIt o(d the.. YCM.
(b) ,I.lcm tlU'u ,'rCltes ~ hate.. be f1e.v..{,('llled and admcHded bljthe
80 Cl, 'lei (' 6 /.Ie n 'to C' C C'Wl,t~f Comm..0.'lS..{,0 II C/(,6 .
~,
( c) [lilt ell Ari,".t..LCcuzt/ Re/s..{,dent ,'le..Ce..LV e,~ ;'nccme and hM
ctS,6ct~ ,te6~ than tile.. maumwn montll-fff 'lctte,~ctppfe-
mentat~ 5LLPi_10ftt wilt be accepted 6,'tom thu't 6amillj,
.
ot!!c/'t ClS,S,{,5 tance a9 en c...t e-6 Oft .'tCP,'1C,.'l ell taUv e..).
(d) I ~ the-'te ..i..~ ItQ ,.'lctppteme..ntClt.'lUiJPO'l..t Clvai....f..able, each
arrLi...cal1.-t/I'1es,{,clc..nt w..{J.'..t t{len be cOIl-6..{,dc,/ted on an ~n-
d.<...v,LdwTt bCl.,~..i...6 .
(e) At)', ,'te6..{,dents except tho,~ e pCllu..ng the.. max..Lmctm ftate Oft
tho,6 e who do have.. otheJt n6~ et6 Oft ,'teoOttltCe..6, will be
,'tcA,mbcLft6 edte..n (I 0.00) do ttLl'0~ peft mon..th by the Cow'Lty
~o/Lthe,{/'( peJ1,..SOnM U...S e.
(4) UpOIl CeJ1,..ti.MCCL:t--tOH bu the Adm;'!U6tftatOft 06 the 6ac...u.......L-ty w~th the
conCct!t!tance 06 ..the FxecI.Lt{ve Di...fte..ctOft 06 the MOIl,'toe COctlLty DepctJt:t-
me.1t-t 06 SOUM SeJtv..{,ce6, tl1Cl,t aU c.!l...Lte-ua and JteqwemenU ,6 e..t
60ft-th. he..'tull have been compued w--eth. alld/o/[ mc,t, the appuca.11X /6h.aU
be admilled to ,the.. 6acLUtlj. Sctbje..c...t to acfeqctnte 6acLw.J...e..6 beJ,ng
available alld execu,t{on 06 the adm~6;'on agfte..emeJtt by ..the fteJ.>~den:t
and the Cowr....ty.
OPf1<..ATIONAL STANDARDS
The 6aci...tLtu ..'lilatC onnen c.e..O.'le Olq:'eJtV,-l.'l..tOH andti..v..tllg cOllcLLUoH/,) a6 ..{,,6
llece6,sCt-'ty to the COlttLUlOI1 06 the.. Itc,s,i..dellt. Til,i...6 ,{IlCelLdC?.6 MLpC'..!tV~-LOH 06
diets a/, to qu..a..U.ty dl!a quailf..{,ty, [iJCltc..f16(ltl!(,/.'l~ oV(',''l tltC' 0CJleJtat heatth,
6a& etr..r and ti"lliee be,tJlfJ LIC ,'ttt,{duitS. Tflt"U.!, ,share. be a da,i..,C.y ((LVa,'i..eHe6-6 06 the
ncsi..d ('Ilt~ by d c..,s..i [J11Clt c d HaS S (, 6 tlu!.. S (Ie, cU"tLf CL6 tu tiz <'.. (lppev't<..'Jl t LtJete.. b etl1g
uS tl1('{llcuv'{duats walt 6uSSfctCIlt )JftOV,L.'l..i.OIl 60/( cOlltactillg the. !te6,i..dCJlt'..6
- 5-
pl1y~iCtlU!, d the ,'tC-j-idC'1l t Ila~ not ilt.'teacllj dOIl('.. SO, (t,t alll} t,{me tfl(?Jr..e
al-'pea'L6 to be ~..t~Hu6..{,callt de..v,ta,Uon 6!lOm It-L.'l IlO,'lmctl LlppeMallCe. Oft
6 t(tt e 0 ~ It e..aUll alld were b e,{,1l9 . Arpfto p,'t--i.ate.. 1l0Uce.. 00 ,.'lllCIt ,LIl/6.tallcel)
6hatt be.. 'teco..'tdedtn tile peA.'l011cU.. fteCOltM 06 tlte ..{,nc!;.v..{,ductl.
(J),'(,{,tteJl aglteemejlt~ betweCJl the DacLtLty and each 06 ,ct6 ltes-idento ~ftaU
p!lOv;'de that, upon ceJtU6..(caUon by a phY.6.tuan that the ftM-ide..IU ~ HO
~.
tC'llg e..'t capatbfe 06 mee..ting ..the ,'tequ...Utemeytu~ 60ft OCCctpanclj ,LIl th~ 6ac..i.Li..J:..y,
the.. ,'tM~delu, Ilext 06 fUn, fegaf.. ftCpftMelltative, Oft agency act-tllg on ..the
,'te..~-ident' ~ bchcU..&, will be JlO..U6ied that the ftMiden:t wLtf.. have to mab.e
Q.,VlangemeJt-t.6 60ft ;.mmecU.ate tltm'166e..Jt to an appftopJUate CMe ~etUllg. In
the evelu a ftMideJu hao no peJt.6on to ftep,'tMeH-t ~, thM 6ac..i.Li..J:..Y6haU
be fte.-6poH.6..{,bfe 60ft fte6CJUtcU.. .to an appftopft..{,ate ,~ouaf.. ,.'leJtv..{,ce agenclj 60Jt
pfacemelu.
Tfle adm~.6ioll 06 a ftM~dellt to tlt-i...o 6acLtLty mId It-i...o pftMellCe theJtun ~haU
Hot con6 Ci't on the 6ac..i.Li..J:..y, ill adm~Il~..:tJtMOft, e..mpfoyeM OJt JtepftM entmvM
alll} au...thotU...ttj to manage, uoe Oft fupo.6e 06 any pftOpeAttj 06 the ftMiden:ti
no,'t ,6haU ~ctch adm~~~on Oft pftM ence con6 e..Jt 011 any 06 .ouch PVV60H.6 CU1Y
a1J....tllOtU...ty Oft ftMPOM..{,b-<Li...ty 601t the.. peJt.6ona..t a66~ 06 the fte~;'deJu,
except what may be neCM~MY 60ft tlte ~a6e and oftdVLfy managemellt 06 the
6ac..i.Li..J:..y Oft 60ft the ~a6e..ty 06 the ftM..{,dmt.
ThM 6ac......i.Ld.y, adm..{,~tltMOft, emp.toyee Oft ftepftM entative theJteo 6, may
not act ao the c..OUJr..,t appo~n:ted gctMcUCUI, tJwJ.dee, Oft c..OH.6 e..JtvatoJt 60ft any
ftM~deYLt 06 the 6 ac......i.Ld.y Oft any 0 6 ~ uch ftM~delu'.6 pftO peAty.
!tequ",tlte..d COH.6~teJ'tt wUh t/H? tel' e.t 0 6 ,~eftviCM 066 elled.
ThM Saci....tLty ~haU empfoy Oil o..theJrW~e aMallge.. I~Oft the ~e'Lvice 06 ,~uch
peMol1llel ao aJr.e fteq~M..d to pJr.opeftfy ,~ta66 the 6acULty.
AVI1NISTPATIVE STMlfAPfS
TI~ 6ac...i....tLty J.>haU be ctndeJlthe COH-tM.t 06 an adm,tll~tJr.atolt.
(1) The 6aci..Uty Oft --et.'l OLlCy deA..{,gllate..d fle..pJr.eAeJ'ttattve .6haU..
matlltatn tlte SoUcw..ing W'l..i..ttell fle.c..o'tds and allY otlt(','t ,'tec..oJr.d
Jr.rQu...c'ted bythe C(ltmt~( (I..'t f/R-~ ill 0.. !.,race, 601tm alld '~U.'l teJn
1
- \J-
,,'7..diJl,t,....Cli{ Cl'lr..'t'l'~/(~..d ot 9uo cf OU.'l (Hl',~ 6 p.'1.acUc(',s.
[a) 1\11 ,1,jn{~~il'Jt (tHd dc~c..fta,'1Lle'1.cg,{,~tl'/'t t',L~t...tJt,q
Jtcun('~ ('.~ '1.c~~dc..nt.'l (tnd date acin..ctte..d, tdCILUilY..{,llg
iJt&cl,mati..ull abOll..te.ac.lt, tile pEace 1~!Wm wh..{,dttile.
,'(.c,.'l..{,dc..nt WetS adm.{,ttc..d; tire. date. aIL d l'teM ort 60/'1.
dL6 clra!lg c.., adeqllate. ..Lde..lt-u&;'cauol1 0 r1 the & ac.il....J..,ty
to lduc.lt the .'te.'l..{,de..n..t -L.'l d0~ chaJrg ed Oft ,{ftaJ'V.'l 6 e..Jtfte.d.
[b) A pc..!r.6onat 6~c.. Daft c..ac..h .'teo;'de..n,{ c..ol1J.>Lsung 06
app!wp,'l.<-a...te. data, ..{,ncWc!;.ng ~de..H,uMca.tifn 06 ne..x,t
',.
06 lUll, and aLe. data ,'teqctL'ted 60l! tire.. F.e..oft..{,da
Ce/tu&~cate 06 Death. r:e..tai...L~ 06 tire fte..6VrJlcU..,
acm,0so,{,on, pe!r.ti.l1el1,t non-me..c!;.ccU.. and me..cliccU.. ..{,n-
.
50Jrmauon COJ1ce..vung ..the t't{,J.>~dmt ohill be.. nlMn-
tcr.A..ned l{)Lththe gC'..lle,,'tcU.. 6~ca.e. Jre..coftd 06 e..ach,
..(,ncfucLi..n9 Cop..i...e6 06 ate.. agfte..eme..n-t.~ Oft c..m1tltact~,
accowt-t ,'te..c..o ft~ an d a Cct/'t!telt-t -Lnvelt-to!tlj 06 pe..'LO oncU..
pftOpeJr..-ty he..td 60ft ~a6 e..- b.e.e..P..{,llg.
(c) A 6aU1...{;ty acude..n,t/ -Lnudvt-t l'tec..oftd n~e, colt-tMlUng
a ce..e..aJt de~ c1upuon 06 e..ach acuden..t/ ~nuden..t and
any othe,,'t -Lnci..dent ,{,nvolv-Lng hazaJtdou.6 Oft de6ia..1t-t
behav..{,o,'t 06 a !teo-Lden..t Oft .6ta66 membeJt wUh nameo
06 -Ll1ckv..<.duat~ "('J1volved, deoC,UptiOll 06 mec!;.c..cU.. Oft
o.theJt 0 eJtv..{,ce~ pftov~cte..d and the ote..P/~ taken ~6 any
to pftevent ,'te.c..tUt!tance..
(d) Pe..Jt60nne..t Jte.coftd 06 each ,~ta6 6 membe..Jt. TfUo fte..coftd
wLU be. kept ctpdated and c..olt-tMn oft..{,g-Lnaf.. empto!fmen..t
appucaUon wUh ften eJtellCe6 DMlt-i...ohe.d.
(e.) A ,'teco,'td 06 pe.Jt.6011l1e..t pOLtUe6, -LncfucUng otatemen.t6
06 poUueo and WOftb. M/6{gllmCJ1..t6 60,'t e.ach po.~~uon.
(6) A ftecoftd 06 mo~thf..!f 6~e d!z;,ft~, -Lndi...caung the.. date..,
hOM and gc..l1eJtcU.. de6C!r.Lp..uon 06 e..ac..h dJU.tf.., the ex..te..nt
06 :tire. ,~,ta66 "{'Ilvoived and ..the name 06 peJt60H ..(,H cJ1Mge.
(g) F..i..nallCtcU.. ftecoftds w/uch ,Ldenti.6Y a.U -Lncome 06 the..
6aUtLty bY60ctJrce and dMc...'t.tb..i.llg etU expvldLtuftM by
ca.tegoJtlj ,<..n .'lllch a mawze..ft a6 to be. aud.{,tabie. by bct~-LC
accowlullg p,'tOCC'..dllJrM.
-
- I -
F I\JA,\jC'1,\L STAN CM'L'S
Till!.. ,1(:miH{'~ t~atoJt c' ~ tlt{,6 Saci...Uty ~llaLt mCLtll..tL"Ltll 6i,s<..'..at ,'tC?CC'Jtd.6tn
acccJtC',,-'UlCc.. w~tlttile't('qll..0'temc..ITt.6 06 CfwpteJt .JOO, F.S. Pa:tt 11. Thefte..
~1l(l..U.. be. (t'r..ecL'91l..L:c..d ,~~(stem 06 accowl-Ung lL-~ed to acctUr..ate..f..t( fte.6fect
dc..ta.d6 c6 tile. blL6vle,~,6. Tile. 6aci..Ldy .6haU:
( 1 ) Bc.. ac'un..{,Il/{,6teJted on asowld 6..{,nanctcU.. bM~ COlv.'l~..te..n;t
w~th good blL-S..{,nU.6 pftacti..c0~.
( 2 ) SpeuilY ~t6 ,'le6Wld po,UC-tU M pMt 06 ..the ac'miM-LOn
co 1t-t:w..C t.
(3) Spec-i..6Y that no adm..{,lU6t:r..a..tOft, CO I'L6ctttalt-t, .6ta66 membeJt
Oft ..'tepft06 e..1'ttatiV e6 ila.tf..:
(aJ Pay any comm~.6..{,ol'l, bonM, fte..bate.. Oft gftatU-Uy
..to anlj oftgaluzation, agency, phY.6..{,uan, .6,ta66
.
Oft otheJt peJ1..60n 60ft fte..6eJtJutt 06 ::U1f1 fte..o~den:t to
the 6a~y.
(b) Reqctut Oft accept any nenUffleJtati..on, fteba..:te.., g~6t
bene6rCt Olt advalt-tage.. 06 allY noltm nftom any vendolt
Oft oth0't ,~ctpplielt be..caMe 06 the.. plVr..chct6e.., ften.:ta1.
Oft ..foan 06 eq~pme.;t-t,suppUu Oft .6eJtV~C06 nolt the..
6a~ty Oft ne..6-Ldelt-t not COIM~S..te..n:t w~th 110Juna1.
bu"6~lleM pMacuce.
PERSONNEL ST ANVARDS
The admilU6tltatOft 06 t~ Dac.il..iltj .6hatf opeJtate.. ..the 6ac...iLUy ~11 accoftdal1ce..
wrCth the.. ewul1g Alol1/tOe Cowt-fy PeJtOOnl1e..f.. Poliuu and PMcedu.fte6.
VI ETA PY ST AN VA RVS
Th.<..o nac.....U.,{;tlj .6haU have wutte..11 polici...u and pftocedunu 60ft pJr..ov~cii..H9 pltOpeJt
Hu...tJU...UOHcU.. cafte.. 0 6 .(,t~ fte6~dent6.
(1) The.. 60..tfow-Ll1g fteqU"UcemenU ,~ha.U be.. met:
(A) The adm"{'IlML'tatoft Oft a peJtOon de..6-Lgllctte..d by the
adm"{'IlA.,6tMto,'t ,shaU be Jr..C?opoll,s..{,b..te 60ft ..the.. ,to..tal
di..e..ta'tu 6 eJtv.tc..e alld the day to day .6UpeJtv..i....~,i..OI1 06
c!;.etcul.Y .6 eJ1..vice. The.. d0~"<9Ilated pC?Jt60n .6ha.U be..
Jte..6POll.6..i..bfe.. 6o,'tc..C'oncU.llaUIl9 dtetMY .6 eJtV-LCe6 tI),Uh
o the,'t.'l eftVic..c...'l; de..v e1.op..{,1l9 (t'o.'lf~ a6,~..i..gmneJl..t,6.
- .'-
T{/c 1..'C,'1~('lI d('~i,(lI(ltl'(1 bu ::Il' ,[(;,~illi~t'1atL''1 ~{'lll'l'
;t'C'1,~('''Jn Ili6/11e''!.. (hti...l'~ ill ,( ~11,~\! (ul(1 ~,lll,itlvw
Inct/11l c/r.
IS) TItC!'1ClpCllUC. dic..t6 cU p'1('~c'ttbccl by tile. pltU~tctalt
6/1att beUl tlt<!.. 't.e.~.LdeHt' ~ 't('cutrd llllt! .6Vlved M
U'1 de,'tc..ct.
(C) Pe911t'cv't dtt'-t~~ILCt.tr.. meet llU.t,'LctLollat need~ 06
'1e;6,tde..H..t..~ ..tH accoftdance [...'dh tfte cttVtent ttecommended
fteta'tU AUowaHce 06 ..the Feed aHd Ntlt'L4!-OH BoaJtd,
MaUa Hal Rc,O ecv'!..ch Co un c...ct , adjlt-~ted ~;Olt ag e., 6 ex,
Clnct acUv.i...ty. The.'!..Clpe..u..ttC d,tet~ 6itaU meet the~ e..
nu...t'1..LttOncU.. standa....d~ to the exten,t that ~6 me..cUcatty
pOM..{,ble.
[C) Tlte.. cLi...cta'tlj ateowance6ltati be met b~! tire.. LL,6eo 06
.6tanca.-Uzed ftectpe..6 o66e,,"vi...ll~ a vcvucty 06 600d6
adapted to .the ooed hab~t6, pfte~ e,,'teJ1Ceo and ph~!.6..tca.t
ab--etilie6 06 the fte,,6..{,de..n,u.
( f) An ctp to da..te mal1LLcU.. app,'to\! e..d b~! HRS .~ haLe. b e.. u,,~ e..d
(U6 the .6tanda./td ,'te..6 eJteJICe.. ..(,H plaitMng fte.gu...f..M and
thvutpeu.Uc c!;.ct6.
(F) Pated menM ,6hate. be planne..d at ie..Mt aile weeb. ~H
ar.vo..l1ce Daft ftegu,fcv't and theJtapeu.Uc cU..et~; and
co!t-'tecte..d as ,~eJtvect aild ~ept on 6.-i..fe DOft ,6..tX montlt6.
SctppLteo 06 1l011-pe..Jt--06hable.. 600d to meet nu.t'LLuollat
nee..do 06 fteo~delt-t6 60ft one (1) wee..k. peJLLodshaLe. be..
all hand.
(Gl Food ,~haU be -6eJtve..d attJracuve..f..y at ,6a6e and
pcU..atable.. tempCJtatu,,'teo. AU ,'teo..tdeJl,t,6 ,6ha..tf. be.. el1-
COctftag ed to eat at tables .tn c.tltLng {{/te.M. A ,S ctpply
06 arp.lwpliate. eaung wa..'te6hai...e be.. on hand .to -6eJtve
a..tf. Jr eo ..{, d en U .
(H) ALf matteJL6 pe..fl..tMIl..tI/9 ..to Dc'cod ,6C'tV..tCc''' shtcte..':c.o',"ptlj
t4,'~th the p!tOV..C~LOI1,~ 06 CI1Cly_'te..'t 10-13, Ho,'Ltda,. San..ttct,'tlj
Code...
-9-
RIG/IT TO /'F/\RH':G
AllY appUc..altt (l'iw ..G~ dL~,~ati....6 ~..{,ed W..LtlLtlLc.. deCG~.Lol1 ft(,Jldvred by .tlte..
Verx!../l:Dnent 06 A{on,'toe COUllty Souaf SeJtV;'CC6, hM ..tlte tt.i..gh,t to ftequMt
a ,'tev..tew 06 tlle0't ca6 e by the So uat S e.'tV..tCM Ex ecu...tiv e V-Utc..ctOft. TIU6
)tc..v..tCW ,6ltatt be do ne w~tlull Mve (5) woftk....i..ng daY,6 a6te.'t.. ..the lte..qcte6.t ~
Itc.c..uved Sftomthe appucallt. IS tiLe V-Utc.ctOft'6 ,'tev.i..eLlJ dOM l1~t ,'te6olve
.tlt e appUcal1t'6 compf..a..{,IU, the.. apPucQll,t tit e..1l 1t(U6 the.. Iti...g htto fteqctMt
a F a0't H e.cv't..i..ng .
FAIR HEAPI~G PROCEDURE
W--etfull :ten (10) woftb...{,ng day.6 aDteJt (1 compi..Mllt L6 hecuved 6/tOm an
appucan.t, a hewUng wLtt be.. hef..d ~n the.. o66.i..ce 06 tlte Cowuy Adm..{,IUo.tJta..tOft.
The pllltpo,se 06 tlt..-06 he~l1g wLtt be to atfow ,the applicalu a 6aiJu oppo!t:tuuty
to vo.i..ce.. ltM/he..!t c..ompi..a.i..lt-t be..60fte a he..aJr...i.ng comrr.~ttee... TltMcomrrU..ttee. wLtt C0n6-06t
06 the COWttu Adm.i..Jt-WVr..(I"tOf[, the. CleltP.. 06 the. BO(1"/u:{ 06 '\loYV'toe Coun.tu Comm~,s~one.!t6
aHd one (7) Cowt-ty Comm~,s..{,one..Jt. The Mnaf deu6..{,on ,6hatf be. made. by the he..cvul1g
commLttee wLtfun te.n (I 0) daY,6 and a copy 06 ,6ame.. ,6haU be 6ll1t~6he..d ,to the.
appUC(1il,t by Ult-Ued States Mw Oft pVlJ.JOHcU.. deLi..ve.'tu.
A,s 06 th~J.> date., I have ftead the. Adm~,s.6~on C!t;'te.ft~a and Pol~c~e,s:
S~gnatctfte 06 Re.,s~dent
Va..te
W~tne,sJ.>
Vate.
'-:
, '
W~tl1 e,s.6
Vate.