07/21/1989 AgreementBAYSHORE MANOR
A/K/A MONROE COUNTY HOME
ADULT CONGREGATE LIVING FACILITY
FOR THE ELDERLY - LEVEL II
A G R E E M E N T
This agreement entered into this 14th day of
June , 1989 , by and between the County of Monroe,
State of Florida, hereinafter called "County" and
Elena
B. McCoy , hereinafter called "Resident", and
Charles "Sonny" McCoy , hereinafter called "Responsible
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
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. Other:
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 contracting
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
in 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: Will pay Blue Cross/Blue Shield and
Medicare premiums and deduptib es and any other
medical costs not covered by insurance, including
all medications.
C. FINANCIAL ARRANGEMENTS
The resident
County $ 1,195.00
facilities.
and/or 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 $ N/A
2. Responsible party will pay
3. Unearned income of resident
will pay:
Social Security
Civil Service Annuity
V.A. Pension
Other
• 11
$ N/A
$ N/A
$ N/A
$ N/A
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 at the time of the amendment.
GNATURE OF RESIDENT
SIGNATURE OF/'RFAPONSIBLE PARTY
WI S ES A TO ESPONSIBLE PARTY
3
DATE • 3 d
APPROVED:
Z. ��W
Signature o Representative
of Monroe C unty Home a/k/a
Bayshore Manor
Signature of Executive
Director - Monroe County
Social Services
-q32��47' I f�
Signature of(pjunty
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 Count Commissioners at their meeting held
on the 4,5-t day of 19012.
(SEAL)
ATTEST DANNY L. ROLMGE, Clerk
Cler
Signature of a airman
Monroe County Board of
County Commissioners
APPROVED AS TO FOAM
AND EC:AL SVFFI /FNCY.
6Y
Attwi
MCNROE CCU,NTY HC.'•1E JU,VICR COLLEGE 1,70AD KEY NEST, FLCRIVA
ArMISSIC.N C17ITEPIA. AND POLICIES
The MonAoe County Home, Adu�t Congi•tegAate Li.v-i►tg FaciCit(f jon the EL&Vbey,
Levee II, heneinajten Ae6etned to cos the Fac,iUty, .i.s ticc;L6ed thAough the
State 05 FEoti,da Depa,,Ltment o i Heatth and Rehab,iUtative Sehv.ices, henein-
at.ten ne6epfted to as HS, and operated by .the Boated of Counttf Commiss.ionelcs
o6 MmLoe County, Feo-,Lida. The. FacUUy .is governed in accordance with .the
AequiAe.ments 05 ChapteA 400, Paxt 11, Feoti.da Statues and the RAn and Regu-
Qations as adopted by .the BoaAd oU ho;moe County Comm,issioneles heAe.i.na6teA
u6eAAed to as County, contained herein.
Resident o6 Monno e County, Fen ida, :six-ty (60) yea'cs o6 age oA oUe t, ambu.tato,,Ly,
.in Aeasonabee heaeth, in steed o5 a home and haviitg no 'amity abee to meet thei r
needs, abee to carte bon ,themsetves to a ceAtain degree and not .in need o6 nuns.ing
cane, eonvateseatit cane, tempo.tatuj of emeAgeney sheCteA shaft be eCc:g.ibte loot
admission to the 6ac U i.ty in aeeondanee with .the teews and conditions i.ons contained
hene.ut.
Appe.icati.onvs are accepted on a non- disen,iminotoAy basis inetuding but not
t m.cted to sex, coeon, Aace oA cteed. The 6aeieity shaft pnov.ide a homee.ike
atmosphere (room and board), peAzonat seAv,ices and a eompnehens.ive ptogrcam to
meet day to day needs o6 the ambueatony aged on an indiv-iduat basis - conducive
to group Ziv.ing. Personae SeAv,ices mearvs s eAv.ices p in addition to housing and
Good senv.ice which inctude but are not t mited to: personat assistance with
bathing, dness.ing, ambu.tati.on, housekeeping, suPeAv.cs.icH, emoti.onat s ecuh itu,
and any otheA tetated services which the 6acitity may de6ine. Pensonat seAv,ice
does not .inc u de m edieat s eAv.ic es .
ELIGIBILITY AND AMISSION POLICIES
The adm.css.ion o6 each tes.idelt to this 6aciCity shaft be under the supeA-
vi6ion o6 the Adm.iit st aton o� the FaeiCity within ,the con6.ines o6 the boeeow.ing
g enenat poucies :
(1) A neh.ident/appUcant mast:
(a) Not have a comma► icab e e di-s ease ,in a ,t to n s -
5 vLabee stage.
(b) Have a chest x-nay oA sh.,i.n test (TB) Within
ninety (90) days pni.oA ,to admis,s-ion to the
6 aci Ci,t y.
(c) Bc a ,e.side�lt c,6 ,Monroe Cotuitti, Feotida at. feast
Orate (1) tfeat and 6mnn s11 Vehi6-icat(Unl U6 same.
(d) Funntisll pnoo6 o6 deed Son .the 6acUity and that there tis
No 6am.Utu able .to meet -theist needs bot adequate cane.
(e) FtvLnish wn,ittca med.ieat examination 64om a Yi.Cen�sed
physician (6onm wiU be 6uAnti6hed) which shaU ceht.i6y that
theiA medica.t condition is such .that .they wZU meet .the n.e-
gmiAcments o6 the 6acil,%ty and ,that setv.icn beyond .that
a,`ce penm.itted in .the 6aci.Uty are not n.equ, Aed.
(6) Be ambutatony - .that ,is the condition o6 being phya.ica.f;2y
and emot ionaUy ab.te ,to ants e 6nom a hon,itizon.tat on sitting
position, and in an emengenetf ,to exit .the building to a point
o6 sa6ety. Th%s wou.td . ne.2ude -those .indiv.iduaes who may be
ab.te ,to ambulate with the cuss.is.tance o6 pnos.thet c devices
such ass ou tehe,6, wa keu on wheet chai)us .
(g) Be sixty (60) yeau o6 age ort o.tden and 6u.uLni6h age veni6.i-
cation by eithett proem identti6.icati.0n, documenLts, on. by
.in6onmati.on 6nom other public agencies such as the Social
Secuh,ity Adm.in i�st t.ation.
(h) Futcnush pnoo6 o6 hospitat.izati.on and me.dicat invsuAance
which is equat ,to on. b etteh than cove, -Loge o 6 6 erred by Medieane.
(.i) Execute a wnittei1 eonttnaet with ,this 6ac Uty at .the time o6
admission, on ption thereto, between the 6aci,U: y and .the
n.ezident ot hips designee on. legal n.epAe/senttative. A copy
o6 contitAact .to be executed ,us attached hmeto and made a
pant thehe06.
(2) THE AfMINISTRATOR SHALL:
(a) Maintain a wx tten keco-td in ,the knident'/s pmsonat
6ae o6 a.0 6inanciat wftangemen-ts tvith the nes.ideat, his
next o6 kin, oh bpon/soA, with copies executed by and 6tvtntizhed
to each pahty. Thus shaU -include detailed neconds o6 anttf
6unds on ponopeuety hetd
6on..the
,Les.ident 60,'. /sa6e keeping in
aecortdance with Chapters
400
F.S.
Pa,.t II.
(1) The 6ac.0 ity my hold pnAontat 6unds bon. the An identt
not to exceed $100.00.
(2) The 6ac.i.l.ity shalt not accept anti othm 6unds o,7
.tcpcttu ,xccpt as set 6wLth i,t 1 above_.
(b) As:s es s ,to additicnae chalg e.s , expenses o-t c theA
j.urajtci L �.iab.teetieis ('it excess o6 the ptr V4'ls,i.ojts
inceuded .i„ the adma s.ion coatAact.
(c) Dete;.m.ine, and .inceude as a Minimum, the 60eeow,in9
p.tov-is.ions and .setcv.ice.s in .the basic admi,5.6ion contttcact
with each :tes.idejtt, next o6 kin on spoMM:
( 1 ) The daiZu, weehey, m monthly -Tate, and tLe6und
p,tovision 6 otL unused potc,t ienz theAeo 6 .
(2) A t'.,i,sti ng o6 s eAv.ices to be ptcov.ided.
(3) Soc,iae components appncptuate to the needs o6 .the
testidejtts .
(d) Appi-y .the 6 u e ecw inq tr ens ttuctio,vs to admi's s.io n and
.tetent.ion c ,Ses.idents :
1. A ,tn idejit who mani6ests such degtcee o6 behay.iotL that
he Zs a dang etL to hZns ee6 wL o•thexs , otc whose b ehay.ion
,ins so unaeeeptabte otL cUztutLbiag as to .interc6 ere with
.the adequate cane on. com6oAt o6 othetL Ae�s.idertts in the
6a&iZe ty shale not be admitted otL tcetai.ned, and shale
be removed Strom the 6aciZity.
2. No tes.idejtt shaU possess otL consume aeehoeie beverages
o,t any contAotted substance .in the 6acit ty tv.i.thout hips
phys,ic,i.an ' s otcdetL .
3. No-tesidejtt shale be heed in the 6accZ ty agaijvst hi6
wiee, u teess undetL CeLvc t OtcdeA.
4. No tes.ident s ha.0 be admitted to etc Aeta.ined in a 6 aeil ty
who .,Lequites s eAv,ices beyond those ,the 6ac i.ei ty is e cenz ed
to ptov.ide. This 6ac ti ty may not ptcov.ide nursing cane ua-
Bess 6otL a tempotcatcy ;iUnas, not to exceed seven (7) days.
5. A a.esidejLt ab.s ejtt 6tLom .this 6aciUty .in excess 06 6ou tteen
(14) days, due to hospitat i.zatiou on abandonment shale be
teton.i,tated a.,5 a t me dent in this 'ac.i Uty. Such .Ln ident
may toe-appey 6m adm.i,s,sion 6oUow.ing .the same ptcoeedutce as
that o6 a ,tew appUcant.
(3) The monthey state 6a.t appeicants/tces.idea,ts shalX be ac ju:sted to .the
ab.iUty e6 .the appt.ica,Lt/.tesidcat to pay. Appei.cants/tces.ideats with
incomes less than the max.imun may be MQued to ;oay that
amount as thcit mvmthfy .rate, th.iswoued Oceude any .i_ncieases
In them 4wcme duning the course 06 thMA W ideney, up .to the
maximum ,late.
(a) The monLthey basic Hate shall be es.tabe.ishe.d at the
beginning o6 .the 6isea.l yeah and AM pnevai ,
through out .the yeah.
(b) Monthfif ,ia,tes shall be nevilaved and Amended by ,the
Board o6 Monroe County Comm.iss.ionem
(e) [!'hen Applicant/Resident neeeives income and has
assets less than .the maximum monthly ante, supple-
inental support will. be accepted 6nom .the A 6amity,
o.then assistance agencies on nepnes entativ es .
A 16 thene is no supplemental suppont available, each
appOcatit/nes.ident wilt then be eons,idened on an .in-
div.idua.l basis .
(e) Al.l nes.idents except .those paying .the maximum nate on
.those who do have o.theA assets on nes ounces , wiIi be
neimbumed -ten (10.00) doll= pelt month by .the County
bon .thein pewonat. use.
(4) Upon cetti6ication by .the Adm.inis.tnaton o6 the 6aci cry with .the
concunnance o6 the Fxecutive Dinecton o6 .the Monroe County Depant-
me.nt o6 Social Senv,ices, that all cni,teflia and nequiwnemV set
6ohth heln.ein have been complied with anidlon met, .the appf- cant shall.
be admitted to .the 6aci i ty. Subject ,to adequate 6aci,l i ties being
available and execution o6 the admission. agneement by .the nes.ident
and the County.
OPFRA.TIONAL STANDARDS
The 6aeieity shall 066en close supenv.is.ion and living conditions as its
necessahy to the condition o6 .the nesidenLt. This iaceudes supenv lion, o6
diets as to quality and qua.nUty, watchfulness ovan ,the gnienal health,
satiety and well being o6 .�es-idents. Vim shall be a daily wateness o6 the
nes-idents by designated s.ta66 o6 the 6ac.ility as to the appa nt well being
06 the individuals with su66ieie, pnov_is.ion bon contacting the nes.ident'.s
physicLut, i' the ,tcsl.dont has not aeteady dontc so, It anu, t-(111C t;ie-�e.
appears to be s.igai.6.icaat deviation 6Aom his nno.tmae appeatanncc c.t
state o6 heatth and weee being. Appnop,ti.ate ntotice os such .6Lsta;nce5
shall be hecmded in the pensonnae AeeoAds o6 .the .iadiv.iduae.
(fti,tten agteements between the Saeieity and each o6 ,tts .tes.tdents shall
ptov.ide that, upon cmti.6icat on by a physician .that the :tei ident tis no
tongeA eapaeb.ee o6 meeting -the ,tequitements pon occupancy inthis Saci,uty,
,the tes.id_ent, next o6 kin, t.egat tepees entc tiv e, m agency acting on .the
neh.ident's behat6, w.i U be noti6.ied that .the to ident wife have to make
a,'Aang ements Got immediate trans 6eA to an apptopt.iate cane s etttnng . In
the event a tes.ideit has no person to teptnent him, .this 6aei.uty shaU
be tapons.ibte 6oA te6e rAae .to an appnop)niate socia.e seAvice agency Son
ptae em ent.
The admizzion o6 a Aes.ideLt to this 6aci,ei,ty and his pAesenee thetetn shaU
not eon6eA on ,the 6acii tL/, its adm,inis;0Latot, emp.eoyees oA Aep,tesen.toti.ves
any authoA.ity to manage, use oA dispose o6 any p,topetcty o6 .the nesident;
noA shaU such admizs.ion oA pAesenee eon6eA on anti o6 such pmsons any
autho.tUy otL Aesponsib.i,eitU Sot the personae a66aiAs o6 .the-tes,ide;Lt,
except what may be neeessaty 6oA the sa6e and otdetey management os the
6ac t ty of 6o)L the 6a6ety o6 .the to ident.
Thus 6aeit ty, adm.inistnaton, emp.eoyee of teptesentative theteo6, may
not act as
the
eouAt appointed
guardian,
tAustee,
oA cons eAvatotL Sot any
tces.ident o6
the
6acct ty oA any
o6 such
tes.ident's
pAopettty.
Thin 6aec,e-ity sha t be oAgart,ized on a pto6ess.iona.e basks cons,&stelLt with
good business ptactiees .
This 6aec,e,ity shaU be kesponzibte 6oA pAov.idintg setv.icn 6oA Aes.idents as
Aequ,ined conzi.6tent with the. eeve.e o6 setv.ices oS6eted.
This 6aei.tity shaU empeoy oA otheAwZse aAAannge Got the svwice c6 such
pemonnet as aAe AequiA.ed to pAopetey sta66 ,the 6aet.e.tty.
AmfINISTRATIVE STANI'ARI-S
Tha 6aciUty shaU be undeA..the eontAoe o6 an adnn.ut,,EstAatoA.
(1) The 6aeteity of .its duey designated .iepAzn entative :shale
maintain the SoFecw.iing cu:t-ttt.ent ,aCcMc�s and antti o.thct necoAd
AeouiAed bti the COunLtti OA Hoc in a peace, 6oAm and .sasteln
-o-
,duza.titzi c,ripccc(cd 61 9ecd busi;z:,ss p.tact.i.ccs.
(a) An a�iriss.La and d.Lcha.,�3c . qis tc,7 t'.is.ti;zq
;zaIncs c6 .tes.idents aad c -Lte ac5n.it'ed, ide.►iti;�y�;zg
.(U,6o."ation about cacti, the peace 6hom which .the
2esedent cva5 admZtted; 'lie date and tea6on Jon
di s chatcg e, adequate .iden,t.i6ication o 6 the 6 aci,P i,ty
to which the ncs.iden,t .is di s ehatcg ed on ,ttcanz 6 eAned.
(b) A pets o►zae bite Gott, each te�s.iden,t cons.ust i.ng o6
app,toptz,i.ate data, ,inc adiag .identi6.ieation o6 next
o6 kin, and ate data ,tequi,-Led 6oh .the Ftot,ida
Ce,tti6.ieate o6 Death. DetaLes o6 .the ne6e.nra,e,
adm.vss.ion, petztine►ut non-rnedieat and medieae in-
6otzmation eonevuung .the-Les.ident shall be main-
tained with .the g enena.e 6.us eae . tzeeond o6 each,
.inceuding eopia o6 ate agreements on eon tAacts ,
account records and a cu,-vtent .invento�uj o6 peA,sonae
pnopenty hetd 6or sa6e-keeping.
(e) A 6aciLity accident/ -incident record 6dee, containing
a ceear deh etz ipt io n o6 each accident/incident and
any o.theA incident invotving hazardous oh de6.cant
behavior o6 a .tee ident or s.ta66 membeA with nana
o6 .indiv-idua.es .iavotved, deg ni.ption o6 medieat or
o.then seAv.ices pnov.ided and .the steps when i6 any
to prevent recuAAance.
(d) Pelusonnee neeond o6 each s,ta6' member.. This tecotd
whitt be kept updated and contain or.ig.inae emp.eoyment
apptieation zvcth re6enenees 6unwushed_.
(e) A recotcd o6 pemonnee poe-ieies , .i;iceuding statements
o6 poZieieis and wottk assignmeji,ts 6o,t each pos.ut.ion.
(6) A record o6 monthey 6.ute dt,i tes , indicating .the date,
hour and genenae. deisctCption o6 each dAiee, the extent
o6 ,the s,ta66 invoeved a;zd .the name o6 pe,"on in change.
(g) Financ.iae tz.econds which .ide►zti6y ate .i;zceme o6 the
6ac U. ty by-sounce and desc.tib-i►zg ate expenditures by
category in such a ma;z;ze-t as to be auditab.ee by basic
accounting p.tocedune�s .
FINANCIAL STANt'APDS
The a6n,ijiis.t.latoA c6 thus jaciUtef shai.e ma iLta(;t 6.i,Scae .records iji
accordance cvith .the rcqui,temejits o6 ChapteA 400, F.S. Pant 11. There
.shaee be a recogjuzed sus.tem o6 accounting cbsed to aeeunateeu ne6Yect
de.taiZs o6 the business. The 6aci.P.i,ty shale:
(l) Be adm.in s.teAed on a sound 6.inaneiae basZs eojvsi/s,tejvt
with good business practices.
(2) Spec i "y its ,te6und pot i.ci.es as pahut o6 .the ac6m i ss-ion
con t,7a.ct.
(3) Speci6y .that no adm,iju:s•OLator, eonsu.etavt, s-ta66 member
on .tepAes ejLtat iv e s h aee :
(a) Pay any eomm.uss.ion, bonus, rebate oA gnatu,ity
to any arganizati.on, agency, physician, sta66
oA other pennon bon .te6mn ae o6 auiu Aes.ident to
the 6acie.ity.
(b) Request or accept any tenumeAcztton, rebate, g.i6,t
bene6.it on advantage o6 any poem 6Aom any vendor
oA othetc supptietc because o6 ,the putLchase, rentae
oA Zoan o6 equ,ipmejvt, suppt-ia on setv.ices bon the
6aciLUy on tes.ide;- t not consistent with nonunaf'_
bu,s,iness pnoaetice.
PERSONNEL STANDARDS
The administAaton o6 th.is 6aci,Q,ity shale operate the 6aci. y ,in accordance
with the existing Monroe County PeAzonnee PoZieies and Procedures.
DI ETA Py STANDARDS
This 6aciUty shae.e have written po.-%ci.es and procedures bon pnov,id.ing proper
nut,titi.onae care o6 its re6 iden.-ts.
(1) The 6oteowing nequiAement6 shate be met:
(A) The adm-iniis. atoA oA a pnsoji designated by .the
adm-iruis-trato.,c shaee be Aespojjsibee 6oA .the .to-tae
dieta7y seAv.iee and the day to dau supehv.('s.ion 06
dietvuj seAv.ice. The designated pehson shaU be
Aespojjs.ibte 6oncooAdcjjatbig dietahy s envices with
other seAv.ices; deve.eoping wo.gf, as-s.iq)imejLts.
- 5-
ThC' (icy oiiatc(l bti irli i((J^(ll(St`iat`l' Slla(_l'
t'c.'ISl'hJ11 ll(.S�IIe't d(LtLeS (ll �L Sa,�c d11d 5a11,(.tctiU
1'lallllc'c.
(B) ThenapeutCc dc.ets as pnesc -�Lbcd by the phI/s•(.cCan
sl,a,et be .('.►I .the. tes.ident's 'ceco.ld alld 'se'tved a's
o.7 dencd.
(C) Feclu.cut diets shah meet heeds oh
t.es.idel,ts .in aeeotdalce Leith the eu:-Ircent recommended
r.ieta'u( A.Umanee 06 .the Food and ,Nu.t'I ition BoaAd,
Nati,oaae Res ecAch Coune i i_, ad',s-ted ;)ot age, :sex,
and activity. Thetapewt,ic diets sha t meet .thes e
nut, ,.i t(.onae .s,tanda7ds to the extent .that Zs med.icaUy
poss.ibte.
(D) The dieta7y allowance shaeTT be met by .the uses o6
s.tanda,tized tecipn o66vLi.lig a va'Li.ety o6 tioods
adapted .to .the Good habits, pte6etenees and physceae
abZUti.es o6 the tesidents .
(F) An up ,to date manual, app,-Loved by HRS -s haU be ws ed
as the s.tandaAd ,Le6 eterice in panning negu,eat and
thellarewtce diets.
(F) Dated menus shae.e be planned at teas-t one week in
advance Got tegutoA and .theAapeut.ie diets; and
contested as served and pert on 0'ae Got s.ix mon.tll,s.
SuppX-in o/ non-pe i,5habZe jood .to meet au.ttiti.ona,e
needs o6 te/siden z Got one (1) week pen.iod .sha t be
on hand.
(G) Food shaU be se)Lved attno_eteveecl at sa'e and
paeatabte -tempe/,Latutes . AU tesidents s hae,e be en-
eounag ed to eat at tabt es in airing w teas . A s upp e y
o6 app-topt.iate eating wate shai,e be on hand .to serve
ale nes,iden.a .
(H) Ate mattcA5 pentai.lullg .to good-se.-Lv.ice shae'.e compey
with the pnov.is ions o6 Cllaptet 10- 13, Feot da SanitcL-ey
Code.
-9-
RIGHT TO HFARING
Any app.Ucant who Zs di s,sa,ti s 6.ied tuith the dec, ,s.ion nendeAed by the
Department 06 ,klonnoe County Soci.at Sesw.ices, hah .the tight to ,tequnt
a .tev.iew o6 .the,it ease by .the Soeiae Se,tv.ices Exeeu,tive Dilecton. Th,i,d
nev,iew shall be done within 6.ive (5) comk%ng days a6-te,t .the request is
neeeived 6nom ,the app.-icaLt. 16 ,the D,Aeeton'.s-tev,iao does ► of ,'LMoZve
,the app.Ucal.t'-s eompiaint, .the appZicaLt .then has the tight .to .teques.t
a Faist. Heating.
FAIR HEARING PROCEVURE
Within ,ten (10) wo t icng dates a6,ten a compZaint Zs ,Leceived 'um an
appYican.t, a heating tui,Q,P, be held .in the o66.iee o6 the County AdminU6ttatoA.
The purpose o6 th.is heating tuitt be ,to avow .the appZicant a 6auv oppottunity
to voice W/hest comptaint be6one a heah,ing committee. Thiseomm ttee w.c,U consist
o6 .the County Adm.inistAotoh, ,the Ctett.h- o6 .the BoaAd o6 Montoe County Commizs.ionens
and one (1) County Comm.css.ionen. The 6.inat decision .shall be made by .the heating
committee within ten (10) days and a copy o6 same shaU be 6utnished. to .the
appZieant by united States MaiZ on puusonat deZive ty.
AS o6 th.iz date, I have head the Admission Ctt.i,ten.ia and PoZicies :
d,iAlfLo ?k)*#
tignatutLe o es.c enda��yps
AaAWW
*,,L(-n 64 Date
54% ISAA g haw 10 e.
f�
ctn es s Date