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06/21/1989 AgreementJ BAYSHORE 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 21st day of June 11 19 89 , by and between the County of Monroe, State of Florida, hereinafter called "County" and Terry Shriver hereinafter called "Resident", and N/A 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 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. Other: To pay medicare deductible, 80% of balance. after medicare for lst fourteen days of hospital care, 80% of balance a er 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: C. FINANCIAL ARRANGEMENTS The resident and/or responsible party agrees to pay County $ 9nn_nn per month as rent for use of the facilities. PAYMENT WILL BE FROM THE FOLLOWING SOURCES: 1. Personal funds of resident 2. Responsible party will pay 3. Unearned income of resident will pay: Social Security Civil Service Annuity V.A. Pension Other $ NA $ NA $ 500.00 $ NA $ NA $ NA 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. tj SIT�MPt OF RESIDENT r ITNESSES AS TO RESIDENT N/A SIGNATURE OF RESPONSIBLE PARTY WITNESSES AS TO RESPONSIBLE PARTY 3 DATE • APPROVED: Signature`of Representative of Monroe County Home a/k/a Bayshore Manor Signature of Executive Director - Monroe County Social Services Signature of u y ,,�,.6 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_��: day of 19�. (SEAL) At t e s t : DAMY L, XOi3AG1, Clerk 4- Clerk Signature of the Chairman Monroe County Board of County Commissioners AMMOWD AS TO PORN AN LEGAL SWICIENCK /r R BY / Y� 4 T MC,NROF CCU,NTV 11C'.1E [!,NICK CCLLEGE I,CAD KEY LEST, FLCRII'A AVMISSIC.N CPITEhIA. AND PCLICIES The Montwe COUILttf Hcrile, Ac;[l�.t Cc';iq•7eg,7ate Liv•utg FacU,itcf the ELtk'Letf, Levee 11, henei►ta'te•z •,Le6&-L,,ed to as the Faciei.tcf, •Ls Uccascd thttottgh .the State o6 Ftottida Depantme►tt o) Hearth and Rehab•iUtative Settv•ices, ltc'te01- a6te,t n.e6etvt.ed .to as HRS, utd opeAc.ted by the Boattd o6 Cou;Lttf Commiss�onetts o6 Monttoe County, F n• da. The FacU_('Ity .is govetuted is acco--tdcUtce with .the ttequi,tements 06 Chapter 400, part II, F.tottida Statues and the Ru.tes and Regt - •rations as adopted by the Eoand e6 'fo►vLoe Couatl Comm•i,5,siOne," hetLe/lna6tn tte6ettned to as County, contained he,,ceut. Resident o6 Monttoe County, Ftott,i.da, sixty (60) yea,%s o6 age (vt o•tdec, ambu,tatony, .in tteasonabZe health, in ;teed o6 a home and havittg no 'amity ab•te to meet the.in needs, ab•te to carte 6 o t teems etv es -to a cetttain degttee and itot in need o6 nw s.ing cane, eonvateseant calve, tempo,mV of emet<geney shee-ten shalt be etig,ibie Gott admizs.ion to the 6aei t.i to in aeeondanee with the teams and cokid t i.o,Ls contained herein. AppZicatiolvs atte accepted on a non- dis&,tim,inatotty basis itictudiag but not Zim.cted to sex, coZon, trace oft creed. The 6acULty shaft ptwv.i.de a homet.ike atmosphette (ttoom and board), petusonat settv.iceS and a comptehens.ive p:7ogtcam -to meet day to day needs o6 the ambulatony aged on an .indi.v.idua2 basks - conducive to gtwup Uv,ing. Pettsona.i Settv.ices means s eAv.iceS , in addL-tion to housing curd Good s etcv,ice which .inctude but are not Limited to: pe tsonaZ as si5 tCutce with bathing, ctt sing, ambcttatcon, hou�sekeepi.ttg, supettv.isic", emo.ti.onat'_-secu,c. tu, and any other ttetated setcv.iees which the 6aciUttf may de3'ine. Pettsonae settv.ice does not .inetude medicat .SeAv.ices. ELIGIBILITY AND AMISSI0N POLICIES The ad n L6,6 ion o 6 each tte6 ide tt to this 6 acie i ty shaft be undett the s upen- vi,s i.on o6 the Adm.inLt)Latott 06 the Fac,i.e i ty within the con6.ines 06 the 6o•ttt.ow.ing g ene at potieietS : (1) A ttes.ident/appe-i-cant mtts t: (a) Not have a communi.cab to dG s eas e •in a • ums - 6enabte stage. (b) Have a chest x-tray otc shin .test (TB) w.i,thi►t ►t,.nety (g0) days pttiotc .to admts•s.iott to the 6acc Cray. (c) Bea u6 �Ionrcoe Cutto tit, Fecnida 6(!,i at. Feast one ( 1) lfecLt and 6wL .<,sh vc!,ti3'.icatiun a6 same. (d) Fwwishi prtoa6 o6 deed 6orc .the 6acU i.ty and that th me. is no 6am.Uy abte .to meet ,the4A needs bm adequate cane. (e) Fww ish wnttten med.ieae examination 64om a f,iccus ed phys.icicut (6onm w.i,e,e be 6unnvshed) which shaU cexti6y ,that theiA med.ica.t condition is such .that .they w.ie.e meet the ne- quiAements o6 .the 6aec:UAy and ,that se,,Lv,iee,s beyond that ate pelemitted ,in .the 6aci.P i ty ante not ,,LequZ-Led. (6) Be ambutatony - ,that Zs ,the condition o6 being phtys11-'catey and emot i.onae ty abte .to atis e 6nom a hmi t.izon.tat o.t s.t ,tbig position, and in an emergency ,to exit .the bui d nq -to a point o6 sa6ety. TU6 wowed , netude .those .iadi.v.iduats whe may be abte to ambulate with ,the assistance o6 pno.s-thetie devices such as crunches, wa keAz on wheee cha ts. (g) Be sixty (60) yeatvs o6 age on otden and 6wuiiish age ven.i6.i- cat.ion by etthen pnopen .identi6ication, documents, on by .in6onmati.on 6nom other pubt.ic agejic,ies such as .the Socia.t SecwL ty Adm.inistAat.ion. (h) Furnish pnao6 06 hospitat.ization and me.dieat .insun.cuice which is equat ,to on b etten ,than cov etag e o 6 6 erred btu Medicate. W Execute a wrt ttten contract with ,this 6ac,i Uty at the time o6 adm.uss.ion, on pn.i.on .theheto, between .the 6aciUty and .the nes-idewt on hits designee on tegat teptesen.tative. A copy 06 eontAaet to be executed 16 attached hereto and made a patct therteo6. (2) THE AfMINISTRATOR SHALL: (a) Maintain a wAitten neeo-td in -the kes.ident's peltsonat 6.c,ee o6 act 6inance.ae a�Aangementts with ,the hesident, h.cs next o6 kin, on sponsor, with copies executed by and 6wtnu'.shed to each panty. Thits shale ,inceude de.tai,eed records o6 a►iy 6unds on ponopenty heed ,bon .the ncs-ident 6o.t saje keep.uig .ut accordance with Chapter 400 F.S. Pa,tt II. (1) The 6ac U Uy my hoe.d peeAlsonae 6unds ban the nes.ide►tit not to exceed $100.00. (2) The 6ac.te,i,ty shale no.t accept any other 6unds o.t ,�.tcpcttu '_Xccpt its set 'oAthl k)t 1 above.. ( b ) Assess )w additienae changes, expe;is es of o thus j-i;iaricia% e.i.ab-ieities ,in excess o6 -the pn.ay.is.i.o►Ls biceuded .61 the admission coittl act. (c) Dete,~,m.uie. and -i►tceude as a trii;timum, the Joe -Cowing pnov.('15 .o1Ls and .seAviceJs in .the bcrsic admission conthact with each ,Les.ide it, ;text o6 kin on sponsoA: ( 1 ) The daUa, weeUy, on monthey .tate, and Ae6und p,tovision bon unused pottiens .theneo 6. (2) A Usting o6 s env.ice s to be pAov,ided. (3) Soc.iae components apptopt,i.ate to the needs o6 .the Aes.idents . (d) App.iy ,the jo.ee.ctoirig tes,tAicti.ons to ac' i,5s.ion and netejLtc.Uil C,� �estidents 1. A .tes,idejit who mani6ests such degree o6 behay.iot that he is a Bang eh. to buns e.e6 on o.th ms , on whose b ehay.io t -ins so unaeceptabte ore dis,tunb.iag as ,to i;,.ten6 ere with the adequate cane on com6ont o6 other. rces.idents .in ,the 3aci,ei.ty shiaU not be admitted on teta.ined, cuid shape be Removed 6nom the 6aci ty. 2. No-tes-ideit shaU possess oA eoivsume aeeho.ei.e beveAages on any eontAoZted substance in the 6aciUty withowt hus phys.iciai's ondm 3. No-te.s.ident shaU be heed .in the 6aciUty against his wilt, uneess under Cowtt O.tdeA. 4. No tes,idejit shaU be admitted to on Leta jied .in a 6ae,vi ty who .,LequZ-Les s eAv.ices beyond .those .the 6aciUty is t i cenz ed to pnov.ide. This 6aci city may not pnov.ide nuns.ing cane u►t- .eess bon a .temponaAy iUaes s , not .to exceed seven (7) days. 5. A .�.esideut absent 6Aom this 6aciUty in excess o6 6oun.tee►i (14) days , due to hosp.itati.zation on abandowiient shate be. tmn.uiated o.,5 a Aes.ident in this 6ac.Uity. Such .tes.ident may Ae-appey 6oA adk.i,s sion 6oteew6ig .the scone ptoeedune as that o6 a <<eiv apptica;Lt. (3) The monthey hate bon appe_icatts/Aes.idc;Lts shaet be ac jus-ted to -the ab.iUty o6 .the appi.icaiit./Aesidcat .to pay. AppUcants/nes.idwts with { 61 cc me s C C S s t hL t ilC IIIaX.(111U1n mall b e, al� F('u'Cd t(J '.'al{ that amoulc.t as thci t meit.thCu .late, th.i.swouf d .6lceadc ami .i.11cneascS in theC•t '61CCmC (iU.'t,<llg the cou. C, C1� theca hC,S.{Cl('HCl/, Up .to the maximcun hate. (a) The mcll.they basic hate shaf_C be es-tabeislied at the begiiining o5 the 6iseaC yeah and shaeX pneva,i.e th,zough cut the yeah. (b) Afollxhe_y .rates .s haee be tev,iewed and adme.►ided by .the Soatd c6 kionce County Commimioltehs. (e) (!'hen AppZi.ca t/Reis,ident teceives income and has assets �,ess ,than :the maximum mon-tUtf .Hate, :supp.ee- men,taC suppoht w.iU be accepted 6hom .theih 6amity, othe,t as s.is.tance ag enc,iu oh Leph e,s entativ es . (d) 13' -there is no suppfeme;itaE-Suppo, -t avaiCabZe, each app.e.icant/nes.ident cvi.ee.then be ccnsidened on an in- div.iduae basis . (e) Att ,tes.iden.ts except .those pacing .the maximum hate m -those who do have other assets m .teisoutcu, w.iU be tebnbw'lsed :ten (10.00) do.Uass peh. month by .the County 6o,t .the,c t pv sonai use. (4) Upon ceAti6ication by .the Administttatoh. o6 the 6ac ie ity with .the concuAAanee oy ,the Pxecwtive D.i-teetoh. o6 the Mon.toe County Depah,t- meat o6 Soeiae Sehv.ices, that aee cAite'lia and h.equ.ihements sex 6oytth heAein have been compeied wZth and/ch met, .the app -icant shaU be ad►n,c tted to .the Sac U ty. Subject .to adequate 6acZtities being avaitabte and execution o4 .the adm.iss-ion agreement by .the nes-ident and ,the County. OPEPATIONAL STANDAP.DS The 6ac ity sha-e o66eh eeose sapeAv,i,s,ion and Uv.uzg eclid-i.tions as is necusany .to ,the condition o6 the Th-is .i.11ceudes SupCAVZSio;1 06 diets as .to quaC.i.ty alid quajttUy, wateh'u.e;iess eve,h .thegeliehae heaeth, sa6e-ty and welU being o6 .aes.idell.ts. The, -Le ShaU be a daiCy awareness o6 the ne,s-iden ,s by dm gllated .stad/� o� the �acieity as to the appatent weCC being oj/ .the ilidividuaL with su��.icient phtov.is.ion dun centact.iq .the h.es.idejit'.s - physici-an, ii the teSide►it has not aXtteady done so, at a;ir/ time tljere appea,ts to be s4lit .6.icant dev.iatio►t Strom h,i�s ;toAmae appeara►ice o,'c state o6 heae.th and weee being. Arptcoptc,i.ate notice o6 such .bis,tancm shaU be tecottded .in the pmso►iae reeonds o6 .the ,indiv,iduae. (ft ttei agtceements betweei ,the 6ac'Uty and each o6 its nes.ideats shaU pttov,ide that, upon cettti6.ication by a physician .that .the nLn dent ,is no Zongetc eapaebZe o6 meeting .the-,Lequittemen.ts 6or occupancy in this 6aciti,ty, the t u id_ent, next o6 Fun, eega� tc.epAesentative, m agency act -big on .the resident's b eha26 , w,iR be not i 6 ied that .the t n iden t wiU have to make a,t ang emen,ts bon immediate ttc.aws 6 etc to an appupt late carte setting. In the event a tce,6 idetit has no pettson .to ,Lepttes ent him, this 6acit ty 3haee be ne�spons.ibte bon reSeAAae to an approptt,i.ate sociae seAvice agency 6otc ptac em ent. The admi lion o6 a ttes.ident to thus 6aciLe ty and his ptcesenee therein shaU not eon6etc on the 6aci ttf, its adm.busttc.ator, emptoyees or tcepresen-tatives any awthoA ty to manage, use or dispose o6 any pttopmty o6 .the tces.ident; note shall such admission or pttesenee con6etc on any o6 such pmons any authotri.,ty ott ttesponsibit ty Sots ,the pe&6onat a66aiu o6 ,the tces.ident, except what may be necessary 6or the sale and ordeAey management o6 .the 6acit ty ott 6or ,the satiety o6 the resident. This 6ae,U ty, adm.in.istrator, empto yee or tceptce/s en tativ e theAeo 6, may not act as the eouxt appointed guardian, trustee, ott cowsetcvatott 6or any resident o6 ,the 6aci, y otc any o6 such tcesident's propettty. This 6acceity shall be ottgaruzed on a pto6ess.ionae basis consistent with good b" ness practices. This 6acc,e i ty shaU be respons.ib Ee 6or ptwv.ictbig services 6or residents as )required consistent with the eevet o6 services o66ered. This 6acitity shaU empeoy ott o.thetrw.ise arrange 6oA the svwice o6 such petrsonnet as are ttequi)zed .to pnopetey sta66 .the 6aci.eity. AMINISTRATIVF STANI'AM This 6aciUty shaU be undeA .the eontroe o6 an adbnio sttrator. (1) The 6aci.Uty ott .its duey dnig►iated kepAnen,tative .shaee mabtta i the 6oeecwi►rg w.n.i.tte;r ,7econds and any o.the't .'tecoAd reou.iAed by -the County ott Hu i;t n_ peace, 6otrm and sus tem -u- o.tdina.�iiu (TmpeL'ucd i;t good busittc,ss rj.tact.i.ces. (a) Aki a�in.iss.ica Lmd d"i.scha,�qc tc,7 t'"i,s.t,i;ig ;tcvne.s c16 tesidents and date ac5n.i tted, ide;t t-i6y-i;tg i;t6o.tmation about each, the peace ,Strom which .the tes'dent waz admitted; .the date and tea6on 6m ct, s cha.�g e, adequate .identi.6.ication o6 ,the 6 aei.Uty to which ,the tn ident is di s ehattg ed on. ,ttta" 6 eh.ned. (b) A petsonce 6-ie 6otc each to ident eonls.isti"ng o6 app,toptti"ate data, -inctudiag ,identi 6.ication o6 tiex"t o6 kin, and art data ,requited Gott .the Feokida Cent.i6.ieate o6 Veath. Vetai.es o6 tihe tce6eAAae, adm,Lss.ion, pettinent non-med.ieae and medica.e in- Olohmation eoncmLing .the tes.ident shaU be main- tained with ,the genetae 6i6cae.tteeotcd o6 each, .ineeudina copiers o6 aee. agtceementis on eontAacts, account ucotcds and a eu,-vt"ent .inventotty o6 peuonat ptcopettty heed 6oA sa6e-keeping. (e) A 6aeiL ty accident/-inei.demt tecotcd bite, containing a ceean dens ett,ipti"on o6 each accident/.incident and any othet incident invotving hazcAdows oh. de6iant behay.ion o6 a ,tes.ident on s.ta66 membetc tvith names o6 .individuals .invo.eved, densc.tipti"on o6 medicat on o"thetc setcvices pnov.ided and .the steps .taken i6 any to pAeveni tecwftance. (d) Pettsonnee tcecotd o6 each s,ta66 membetc. This tcecotcd wiU be kept updated and contain ott,ig.inat emptoyment app.e ication cuith tce6 etce ices 6utcn.i�s hed_. (e) A tcecmd o6 pemonnee poZi i"es, inceudi"ng statements o6 poZiei.eis and wotck am gnmen-ts 6otc each position. (6) A ttecotcd o6 monthty 6iAe dA,i s, indim-ring .the date, houA and geneAae desnt pti"on o6 each ctt U, .the extent o6 ,the s.ta66 -involved and the name o6 peAson ,in ehatcge. (g) Finaneiat tceeotcds which .ide►tti6y ae"e itieome o6 .the 6aci.Uty by soukce and dnctt, b-ing aY,e expenditunn by eategmy in such a man►cetc as .to be audi,tab.ee by basic accounting p:toceduAn . FINANCIAL STANhAPVS The arJn.i►Lts.t.`.atorc ci6 this jaci,Uty sha e maiiLtcliii 6-iscae "ze.conds ' acconda►ice with .the re.qu.i teme►tits o6 Chap:ten 400, F.S. Pant II. There sha-C be a necogiuzed system o6 accounting used to accuAatety rce6.Cect de.ta,iZs o6 the busijte,ss. The 6aci.Uty shaU: ( 1 ) Be adm.uustetLed on a .sound 6inancia- basis consistent with good business practices. (2) Speci6y its re6und poei ies as pant o6 .the ad'riss.ion co►tit'ca.ct. (3) Speei6y .that no adm,ivustruttot, co"uttant, sta66 membeA or •,Leprese;itati.ve shaee: (a) Pay any eomm,iss.io;-t, bonus, rebate of gratuity to any otgani.zation, agency, physician, sta66 or other peAson bon te6ennat o6 any tez ident to ,the 6aei Li,ty. (b) Request or accept any henumvtcz Lion, rebate, g,i6t bene6.it on advantage o6 any 6oAm 6rom any vendors or other suppUet because o6 ,the purchase, tentaC or .Goan o6 equipmerLt, suppZiu or seAvices 6otL the 6aci,Uty of tes.idejt net consistent with norcmaC bus.ine, s proact.ice. PERSONNEL STANDARDS The admc.nvstratot o6 this 6aec. tf shaU opeAate the 6aci,City in accordance with the existing Monroe County Peresonnet Pot ici.es and Procedures. DIETARY STANDARDS TW 6acit i ty shaU have wni.tten po.C.iei.es and procedures Sort providing propeA nutAitionaC cane o6 its nez idents. (1) The 6ottow.ing hequ,ihemen.ts shale be met: (A) The adminvs•t`catoh of a peAsoii designated by .the administAator shaeC be responsibte bon .the totae dietary selcv.iee and the day to day supeAv.is.ion o6 d ieta,V s eAv-ice. The dcsijcnated pemon shaU be nehpo►1sibte 6o,7coondiriati.iig dietaAy services with other services; deveCcp,ing wo.qf, ass.tgnmejt.ts. hil The I2c.-LSL'1I (ics (,IIIatc(I b1l i;I(iL( S i (ate'" SItILI 11i's/llC i d(LtCCS (11 ci Sa,1C a11d S1{1,(.tLL.11 ((j) Thc.'apeu.t.ie d.Cets aS p.icsc�CbCC� bu the. pill/3.CC'an sha.et be .iii the nes.ide)lt's-Leco-id alid .sctcved as o,qdened. (C) Pegu,e.cvt diets shaU meet Iiut,tL ti.ollat ►feeds 06 a.es.idents in accotLdaice ce.i,th the cu.'Aen-t ,recommended VC c,tay.0 A.e,eocuajice c, 6 .the Feed and Nut�,i Lion Boated, Natcojlae Resea,-Lch Count ., adJus.ted 6ot< age, Sex, and activity. The,-Lapewtcc diets shae.e meet these nu,7.i, eonat-s.tandctmods to the extelLt .that Zs meciccaf-ey poss.ib.ee. ( C) The. Hi.etcvLy aeeecmice shati be met bu .the uses o6 s.tandatu.zed tecipa o66viiiq a va'Iiety o6 Goods adapted to .the Good habits, pn.e6e�re}ices and phys.ieae abZ hies 06 the tes.iden-ts (F) An up to date manual app.-coved by HRS .shaU be ws ed as the s-tanda,Ld .,ce6 eAejice in p.eann,ing tregutcA and thelcapewtic diets. (F) Dated menus shaU be ptalned at .eeas.t one week .in advance bon tcegu.ZalL and .thutapeu.t.ic diets; and co,ttected as setcved and kept on 6.i,ee bon .six mon.tlLs. Supplies o6 non-petLishabZe Good .to meet jlu.tti.ti.onae needs o6 Ae�sident� 6oh. one (1) cueek pmLd shaU be on hand. (G) Food shaU be setcved attAa_etiveeu at sa'e alid paeatabte .tempenatwLn. AU tesideji.t�s .share be en- eoutrag ed to eat at -tables .in d. niL ig a7eas . A. -supply o6 app.,cop�uiate eating cuate shaZe be en Bald .to sewe aU Aes.id eji.ts . (H) Ate mattms petztaiai.ng .to Good sc�vicc share compey plith the pn.ov.isons o6 ClIaptet 10-13, Feotida San-itcc7u Code. Mi -9- RIGHT TO HFARTNG Any appeicant who Ls dissati56.ied cuith .the dec..sion nendesced by .the Depatimentt o6 MOnn.oe County Soci.a.e SeAV,(cn, has .the tight ,to neques,t a .tev.ieto o6 .theft ease by .the Soei.ae Setv.ices Executive Dilec,ton. Thia nev.iew shaU be done within Give (5) woth-iig days a6-tet .the neques.t is neee.ived 6h.om the app.Q i.ca►Lt. I6 ,the D.iheeton's-teviety does not ,tes ozv e .the app.e.ccal.t'-s cemptaint, .the appYi.catit .then has the tight .to nequest a Fails Heating. FAIR. HEARING PROCEDURE Within -ten (10) wo)Lking days a6.ten a comptau'.t .is neceived 'um an app.ei.eaa,t, a hearing wilt be heed in .the o66.ice o6 .the County Adminizt)tatoA. The putpose o6 this heating wilt be ,to aZtow .the appe-i.cant a 6a.uu opportunity .to voice his/hen eomptaint be6on.e a heating committee. Th,iscommittee w.c,U eonszst o6 the County Adm.iniistkaton, .the Ctvk o6 .the Board o6 Monfcoe County Comm.i'ssionens and one (1) County Comm.i ss.ionm The 6.inae decision shall be made by .the hear ing committee within ten (10) days and a eopt/ o6 same shake be 6uAnLhed. ,to the appZieant by United States Mait on. pe zona.e deZivetu. As o6 this date, I have head the Admission Cti,ten.ia and Potie.ies: cg nature oj Re,6ident c.tn ess ti ness Date Date Date