Resolution 748-1989
Community ~ervices
RESOLUTION NO.
74R
-l989
A RESOLUTION BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
AUTHORIZING THE MAYOR TO EXECUTE THE
AGREEMENT BETWEEN MONROE COUNTY AND
LOUISE G.W. HEFLIN; AND PAUL SANTANA
REGARDING MS. HEFLIN'S PLACEMENT IN
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 execute the agreement between Monroe
County and Louise G.W. Heflin; and Paul Santana, regarding Ms.
Heflin's placement in 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 13th
day of
December , 1989, A.D.
BOARD OF COUNTY COMMISSIONERS
OF ~eGUNTY. FLORIDA
By~. ~
Mayor/Chairman
(Seal)
Attest: DANNY L. KOLHAGE, Clerk
Jl2~. ~Jf &./
By
i()(jNOW
-1--;
lJ
LO: Zd lZ 33Q
68.
'"-" ;.J : J "... J Ii
U.ilU
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 1st
day of
Noverrber
, 19~, by and between the County of Monroe,
State of Florida, hereinafter called "County" and lDuise
G. W. Heflin
, hereinafter called "Resident", and
Paul Santana
hereinafter called "Responsible
Party."
WITNESSETH:
WHEREAS, the resident desires to use the facility of the
county known as the Monroe County Horne, 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: After resident's assets are exhausted. County will pay
Medicare deductible, 80% of balance after rcedicare for lst l4
days of hospital care, 80% of balance after rcedicare for
physicians services.
To reirrburse resident ten ($lO.OO) dollars per IIDnth for personal
spending IIDney.
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: 'T'o pay C:llr1r;:mtee Reserve Life Medicare SuPPlarent
r1nn MPc'li ~r1rp prPmi ume;. deductible and any other nedical oosts
not- (Y)'uprro by insurance including all rredications until her
assets are depleted.
C. FINANCIAL ARRANGEMENTS
The resident and/or
County $ 1 lqt; nn
facili ties. .
responsible party agrees to pay
, per month as rent for use of the
PAYMENT WILL BE FROM THE FOLLOWING SOURCES:
l. 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 $
2
V. STANVARV AVMTSSION 'WAIVER
The Coun~y, ~h~ough i~~ emptoyee~, ha~ ag~eed to exe~e~~e
~uc.1L ~ea~onabte c.a~e towa~d ~he. ~e~.i.den~ a~ h.i.~ o~ hell known c.ond~-
.t.i.on may 1l2qui.~e. Howev e.1l~ .thi~ home i~ .i.n no ~ e.n~ e an .i.n~UJU,1l 06
hi.4 Oil he~ ~a6 e..ty . o~ wet&a..'Le. and a~~ume~ no tiabit~t.y a~ ~uc..h.
The management. 06 th.i~ home witt not be Ile~pon~ible 60~ any
vatuabte.4 o~ money le.6t. in t.he. po~~e.~~ion 06 t.hi~ pell~on wh~te he
o~ ~he i~ a Ile.~ident 06 t.hi~ home.
E. TERMINATION
16 ~e~ident i~ ab~ent. 6hom the home in exc..e~~ 06 60u~t.een
(141 c.ont.inuou~ day~, ~uc.h ab~enee ~halt automat..ic.atly t.eAm~nat.e
t.h.i.~ aglleement. and the ~e~.i.dent. ~hatl Ilemove. atl 06 h~~ o~ he.~
p~o.peJr.t.y Oil betong~ng~ ~mmed~at.ely. 16 ~e~~dent. 6a~l~ to ~emove
~ame, the ~e~~dent. doe~ he~eby.aut.hollize the Count.y t.o ~emove ~a~d
p~opellt.y. o~ betonging~ and delivell ~ame to Ile~pon~ibte pallt.y.
F. MEVICAL SERVICES
The pallt.ie~ agllee t.hat. Mon~oe Count.y ~hatt not. be Ile~-
pon~ibte 601l Oil a~~ume any Ile~pon~ibility &Oll payment 06 any
med.i.c.at Oil ho~pit.at ~ellv~c.e~ unte~~ ~peci6.i.c.atly aglleed t.o by the
pa~t.ie~ Oil t.heill Ileplle~ent.at.ive~ at. t.he t.ime 06 t.he Ilendell.ing 0&
.4 ellvic.e.
G. VURATI0N OF AGREEMENT
Eit.hell pallt.Y,may. tellminate thi~ aglleement on thillty (30)
day~ wll.i.t.t.en not.ic.e. Ot.h~wi~e, ~ witt Ilemain in e66ec.t until
a di66ellent aglleement i~ execut.ed. Howevell, thi~ dOe6 not mean
t.hat. a Ile~ident. wilt fie 601lc.ed t.o Ilemain in the 6ac.itity. ~ga~n~t
h.i~/hell witl 60Jt any, lengt.h 06 t..tme. Th~~ agJteement may, be
amended by.wlli~en and executed applloval 06 ~uc..h amendment. by, botk
pallt..i.e~ Oil t.he~ Ilep~e~ent.at..ive~ at t.he time 06 the amendment.
_~~O-A-Ll ~ ~
(i
.~
e'
"-)
I .,' ..
~. '.(~
~Q~F RE
"'.
SlG~A~TV
3
._._._....~......_'l'" 4",:...".
I' .
VA T E:
11-1-89
,
Replte.6entat-<.ve
County Home a/k/a
anolt
aa~
S-<.gnatulte 0 Execut-<.ve
V~ltectolt--Monltoe County
Soc~al Seltv~ce.6
A PPROV EV:
11-1-89
o County
Adm~n~.6tltatolt
, "
Th~.6 ~.6 to celtt~6Y that th~.6 Adm~.6.6~on Aglteement a.6 appltoved by
the County Home and the County Adm~n~.6tltatolt wa.6 ltat~6~ed by the
Monltoe County Boaltd 06 ,County Comm~.6.6~onelt.6 at the~1t meet~ng
held on the 13th day 06 December , 1989
S-<.gnatulte 06 the Cha-<.ltman
Monltoe County Boaltd 06
County Comm~.6.6~onelt.6
(SEAL)
ATTEST: Danny.L. Kolhage, Clerk
By:
Deputy Clerk
14PM~~ro
A ~ID A:M4I
. . E, lUFF, NCy'
m,
-...
./j ';
)-;~~;~-::-.,-----
4
,_~,'__" ,.:..~.:J
, -
,\lCNROE CCUNTY HC,\IE JWHCR Ct'LLfGE ROAr KEY WEST. FLORIt'A
AaIISSH\'J Cf.lTEPIA ANV POLICIES
The Monll.oe COlULty Home, AcU.ltt Congll.egJt.Clte. Li.ving FacALLty 6011. the Ef..deJLiy,
Level. 11, he/luna6.tell. lI.e6 Vllted .to ~ tlte Fac.LUty, A.A Uc.elt6 e.d tllJLOugh the
State 06 F.f..OIUda. VepaJLtment o~ HeaLth and Re.hab-i.Uta..U.ve Se.Il.vic.e6, lteJLun-
a6tell. lI.e6 eJt/led .to ~ HRS, and ope/la,ted by .the BaMd 06 COUlL-ttj Cammi.A.6.i.oneJL6
06 Monll.o e COUlt.ty, F 101Uda. TILe. FaUUttj .i.,~ gaveJme.d .i.n ac.c.all.danc.e wah .the
lI.equilt.eme..rr,t6 06 Chapte/l 400, PaJLt 11, FloJU.da Sta,tue6 and tlte Rule6 and Reg~-
1a.t.i.0t1.6 ~ adopted btj th e BaMd 06 ManlLo e Coun.ty CommA.A~.taneJL6 hell.una6teJt
lI.e6eJt/led to ~ COUYL.ttj, c.OYL.tained helLe..tn.
Re6.tde.nt 06 MOl111.oe Cowtty, FlOJU.da, ~.i.x;ttj (60) yect!l.h 06 age 011. aIde)!., ambula.tolttj,
.trl Ite~onable hea1.th, .tn need 06 a home and havillg no 6amily able to meet theilr.
needh, able to c.Me 6011. .them6 etv e6 to a c.eJl;tain degll.ee and not .tn need 06 nuJt6.tng
c.Me, c.onva.te6 c.a.n.-t c.alLe, .tempolLaJuj o.t emeJtg enc.y ~ heLteJt .6haU be eLig.i.ble 6011.
adm,u.6.ton to .the 6acJ..Li.}:.y .tn ac.c.ondanc.e v.U;th the te.JUn.6 and c.onc:lU.iot1.6 c.ort:tahted
henein.
AppUc.a.t.i.olt6 Me ac.c.epted on a non-cU6c.tWn.tna,tolUJ ba6A.A .tnc1.udUtg bu;t not
Limaed to ~ex, c.olon, Jt.a.c.e on cJt.eed. The 6ac.U.U:.tj .6haU plLOv.i.de a homeLike.
a..tm0.6phelt.e (lI.oom and bOalLd), peJL60nal. l~eJLV.tC.e.6 and a c.ompll.e.het1.6.i.ve pnogltam to
meet datj .to day need6 06 the ambu1.a.tontj aged on an .i.ltCuv.tdual. b~.i6 - conducive.
:to glLOup UV.tng. PeJL6onal. S eJtv.i.c.e6 meaJt6 .6 e/lv.tc.e6, .tn addU:.i.on :to hOu..6btg and
600d .6eJLv.i.c.e wlUc.h .i.nc1.ude bu;t all.e not .um.ued .to: peJt..601lal. ~.6A.A.tanc.e. wah
ba.tlUng, dlLe6.6.tng, ambu1.a.t.i.on, hOlL6 ekeeping, .6 up e/lVA.A.to n , emotional..6 ec..LLJLUtj,
and aJ1.tj o.theJt 1I.e1.a.ted .6eJtv.i.c.e6 wlUc.h :the 6acJ..Li.}:.y matj den.tne. PeJL~OI1a.t .6eJtv.i.c.e
dOe6 no.t inc.1.ude mec:Uc.al. .6eJtvic.e6.
ELIGIBILITY ANV A~ISSION POLICIES
The adm.<.6.6ion 06 eac.h ne6ideJt.t :to .thi6 6acll.)..:ty MutU. be undeJt :th€. -6UpeJt-
'.!.<.6.i..on 06 the. Adm.tIlM:tJt.a,ton 06 the Fac.i..Uttj witlUn .the c.on6.tne6 06 tIle 6oUow.t.ng
g ene1Utf. poUc.i.e6:
(1 ) A 1I.e6.t.dellx/ appUc.al1..t m(l;~t:
(a) Not have a c.ommUluc.abf.e d.i.,~ ea~ e .in a .tJr.CUt6-
6 e!l.abte .6.tag e.
(b) Have a c.he6:t x-Jtatj 011. .6un te6,t (TB) w.L.tlUn
n.t.nety (90) day.6 pllioJt .to adm.t.M.i.oll to the
6 acLUty .
.,
~
(c.) Be a .':.e,~.idellt 06 IIlotVloe. COlUltLj, Feoft..i.da 60,'1. t't.t teetH
aile (1) ljeaJl and 6Ull.lLi6h vvu.6.icatioll 06 6ame.
(d) Fl(IUu.~h pno06 06 Heed 601l ,the. 6aci.LLtlj and .that theJle i6
HO 6amily abie. to me.et thw ne.e~ 601l ade.qlut.te calle.
Ie) FU:Ul..i..~h wILi..tten med.i..cal. examination 61l0m it Uce.l!.6 e.d
phlj6ictan 160JUn w.i.U be. 6UJlJ1.i6hed) which 6haU ceJLU6Y that
thiUlt. med.i..cal. conci{;t{.ol1 i6 .ouch ,that the.y w.i.U mee..t .the Ile-
qlU.ltcme.n..t6 06 the 6ac<LU:.y and tha.,t .6eJlvice..~ be.YOlld .tha.,t
cv'l.e pvun..i..tte.d in the 6aciUty aile not lleqtUJt.ed.
(6) Be. ambulatollY - .that ,L6 the concLLUon 06 b e..tng pItY.6ica.U.y
and emouona.U.y able to a.!lM e 61l0m a hotU.-U:ontal. OIL .6UUng
pO.6ilion, and in an emeJlgencfl to e.xLt the. blU1.cUng to a POillt
06 .6a6u.y. Tw would -include. tho.6e. ind.i..viduaL~ who may be
able to ambulate. w..i.,.th the aM..i..6.taHce 06 pllO.6tlteti.C de.viCe6
.6uch a.6 cJUL:tche6, wal.keJl,~ OIL whe.el cha.-{M.
Ig) Be. .6ixty (60) ye.aM 06 age. OIL oldeJt and 6UlU1..i..6h age veJvi.6.{.-
ca.,Uon by e..UhVl pllOpeJt ide.nil6icaUon, docwne.n.:t6, 011. by
in6oJUnaU.on 61lom otheJl pubUc ageHctU .6ltch a.6 the. Soual.
S e.CJJ.4Uy Admirti.6btaU.on.
(h) FWlrti.6h pll006 06 hO.6pUa1...<.zaU.on and me.cUcal. wUllaJ1ce.
which ..i..6 e.qual. .to OIL be..tteJt thall COVeJlOoge. 066eJte.d by Med.i..c.aJI.e..
Ii) Exe.cu.te. a w/t..U..te.n. contllact wUIt tlLi6 6aciUty at the. .time 06
adm..i..6.6ion, Olt pJUOIl theJle.to, b e:twe.en ,the. 6acftUy ang .tlte.
1te..6.i.den..t OIL W de6ignee OIL legal. lle.plte6en..taU.ve.. A copy
06 con:tJt.ac;t to be execLLted ..i..6 a;ttac.hed heJleto and made a
paJr..t. th eJt eo 6 .
(2) THE ArMINISTRATOR SHALL:
(al Main-tain a wlLUte.n. ltec.o,'I.d ill .the ltuide.rz,t'.6 pVL6onal.
6,Ue 06 aU 6.i.llaJ1uai. MJtang emenu w..i.,.tlt the lle..6ideJl.t, IU/-,
next 06 fUll, OIL .~pOn.601l, wUh copie~ execated by and 6Wlrti.6hed
to each paJt..tlj. Tlti.6 ,~haU inc.tude detcU.e.e.d Ilecon~ 06 any
6und6 on poltopeJt.ty held 601t the ItMident 60ft .6a6e ke.eping .ut
ac.coltdallc.e w.i..th CflapteJl .JOO F.S. Patt II.
(1) The 6aci..e..Lty mlj hold peJL60Hai. 6LHtd~ 60lt the Jt.e..~ide.n..t
not to exce.ed $100.00.
(2) The. 6aci.Li-ty ~h(lU. HO.t accept all~( otlteJt 6Wl~ O,'t
- 3-
P!tOpVLty except lU ~e.t 60ILth ..tn 1 above.
(b) M,~ e66 no addltiona.t chevtg e6, e.xpen6 e6 O/t 0 tltVL
6-{.llanua.t'. Uabu.LUe6 ..tn e.xc.e6.6 06 .the. pItOv.<.,~..tOl1h
{'Ilcf.uded ,tH the adm,u.6..tolt c.onbtact.
(c.) Ve.te.-'l.mine. and incfude a.6 a mbumum, the. 6oUowing
p/tov.<.,~ion,~ and .6 VLvic.e6 in the. ba.6ic. adm,u~ion c.ontll.act
w,uh eac.h /tC6idmt, ne.x,t 06 /Un O/t .6pOYL6o/t:
( 1 ) The. dcUly, we.e.k1.y, o/t monthly /tate., and 1te.6wtd
pltov,uiolt 601t unU!.l e.d pOILUOYL6 thVLe.O 6.
(2) A wting 06 .6 VLvic.eI.> to be. pltovide.d.
(3) Soua1.. c.ompoltmt6 appltoptUa.te. to the. ne.e.d..6 06 the.
1te6 ide.nt..6 .
(d) Apply ,the. 60Uowil'lg lLeI.>.tJr.icUoM to ac'.m,u.6iolt and
Ita entia tt 0 6 /te6 id en,t6 :
1. A Itel.>idmt who ma.n-i.6e6,t6 ~uc.h de.glte.e. 06 behaviolt that
he. -i..6 a dangVL to h1m.6e1.6 Olt o.theJL6, Olt whMe. behaviol!.
i..6 .6 0 LUtac.c.eptable. 0 l!. cU.J.,tWtbing a.6 to int VL6 VL e will
the ade.qua.te. c.Me. OlL c.om60Jt-t 06 othVL lte6ide.nt..6 ilt the
6ac<LUy .6hctU not be. admille.d Olt Itaained, and .6ha.U
be. Ite.move.d 6ltom the 6acility.
2. No lte6ide.nt .6hctU pO~.6e1.>~ OlL C.OYL6wne. a1.c.hoUc. be.VVLagel.>
Olt any c.ol'WtoUe.d .6ub,~.taltc.e. in the 6ac..-i.LUy W.<.,tllOl.d h...iA
phy~iuaJt '.6 oltdeJt.
3. No 1te..~ide.i1.t ~hae..e. be. he1.d in the. 6ac..-i.LUy agtU.ll.6t 17J..6
w..LU, uI11.e6.6 undVL CotULt. OlLdVt.
4. No /te..6ide.nt .6hctU be. acfm..i;tte.d to Olt lLeXcUJted in a 6aciU:ty
who lteql.u./tel.> ~Vtvic.e..6 beyond tllO.6e. the. 6ac)lity i6 Uc.eJ1..6ed
to p!tOvide.. ThAA 6acUUy may not pita vide. nWl.6ing c.Me Ult-
lel.>.6 60lt a twpOltCVty ..LUHeI.>.6. not ,to exce.e.d .6 e.ven (1) da.y,~.
5. A lte.~ide.H.t ab~ e.H.t .),'tom tlu~ 6actUty .ut exce6.6 06 6oWLte.e.n
(14) da!I~. due. .to ho.~p.t.tili::a.tiC'n olt abcmdollment MIette. be.
tvuninated (1..6 a lte6iden..t in t/u.~ 6a.cil..i,ty. SUdl 1te.-~ide.Ht
may It.e.-appe.y nOIt. adm-L6.6ioll 6oUotIJing t/l.e. ,~ame pltoce.cU.tlte. a6
.that 06 et Hew appUc.aH,t.
(3) The. molttfLe.y It.ate. nalt app,U.ca.nt6/ It.e6ideILt.l~~I!(t,U be. acl.jU!.l,te.d to .the
ab,il,i.-ty 06 the. appC.i.CetILt/!I.C6idcnt .to pay. AppUccmt6/JtC6idell.t~ tv..i..tfr.
'. .
-.J-
tl1c.ome-~ eM,~ than tlte ma:%:-imwn may be. cttCG't\J<.'d to pay that
amoun.t a.6 the-ill. mOl1tht'y Ita te, thi6wouid ,iJ~c..e.eLde. allY .tnc.ltea..-~ e6
.t11. tfteA)l. .(1lc.C'me dult,(,ng th e. C.OUM e 06 thebt lte~..{.d(,.I1C.Y, IIp ,to the
max,imwn Ita.t e.
(a) The mOllthty ba.6.tc. Ita..-te ,~haLf. be e,6tabtL~fte.d a.:t the
beg'<'lzn.<.ng 06 :the 6i6 c.al qeaJt and ,~/taU plte.va..U.
thMugh oed .the. qe.aJt.
(b) Monthly /ta..tM ,~hail. be /te.v.<.eJ,4)e.d and admende.d bq :the.
80aJtd 06 Mon/to e. County Commi6.6.<.oneJr..6.
k) O'he.n AppUc.ant/ Re6.<.de.n:t /te.C.UVe6 .<.nc.cme and hct6
aM e.t6 le.M :than :the. mauinwn mOI1:thi~{ /ta..-te., .6uppie-
me.ntal .6Uppotd will be ac.c.e.pte.d 6/tom the.i.Jr. 6amilq,
oth vr... a.6.6i6ta.nc.e. ag enue6 Oft /tep/te,6 enta..-uv e6 .
(d) 16 :thVte. i6 no .6uppieme.nta..-f. '~UppOfL.t avail.abie, eac.h
appUc.an:t/ /te6.<.den:t will. then be c.on.6.<.dVLed on an in-
dividual ba.6i6 .
(e) AU. /te6iden..t6 e.xc.e.p.:t .thM e. paq.<.ng the, max.unwn /tate 0Jr..
:tho.6 e who do have. o:thvr... a.6.6 et.6 01l.. /te6oWtC.e6, will be
/tehnbu1l..6e.d .:te.n (70.00) doUaM pvr... month by :the County
601l.. .theUt peMonal lL6 e.
(4) Upon c.eJLt.i.6,[c.a.:t..<.01t by the Ac'.mini~.tlLat01l.. 06 :the 6acA.LUy w..i-th the
c.onc.WUtanc.e 06 :the Fxe.c.u.,.uve. V.tJte.c.toJt 06 the MOI1.Jwe. County VepaAt-
men:t 06 Souat svr...v.<.c.e6, :tha.t ail. c.tU.-tvu.a and /teqtU1teme.n..t.6 .6e.t
60tdh hVtun have. be.e.n c.ompUe.d w..{,th arzd/olt met, the. appUc.ant .6haU.
be admille.d to the 6acA.LUy. Subj ec.:t to a.de.qua..-te 6ac.,i,U;Ue6 bung
avail.ab.te and e.xe.c.uUOI1. 06 :the. acfmi6,!J.<.ol1. aglte.ement by the 1l..e6.<.de.nt
and the. County.
OPf1().T10MAL STANVATWS
The 6auWy .!Jha.U 066eJt c.e.O.6e. .6UpVtv..i-!J.ton and UV.tng C.OIlcU.UOIt.6 ct6 i6
nec.e6.6aJty to tit e. c.ond..i-tLolI 0 6 the. /te~idellt. Tll-l6 .t1lc.ellde6 MlpCltVi6..i.OI1. 06
d..i.et6 ct6 to qua.Uty alld qlLCUI,tUy, wa.:tdz6lLilleH (tvelt .the geJlCltae. heattft,
.
.6a6etq and weU bung on Jle6..i.dell-t.6. TfICYle .6haU be. a da.UY cuvaltene6.6 06 tlte
lte..~.{deJ1.t.!J by de6.<.gnctted .6ta66 06 the 6ac.i.L<-ty M to the. appanent wete. bung
06 the, ..i.ncU..v..i.duat.6 w..i..th .6u66.i.c.i.erzt pJtov.<A..i..on 60lL contac.t.ing the 1te6..i.de.nt'.~
" '
- 5-
phy~iciLtIl, i~ the. Jt~id~Ilt luu no.t aiJt.eady done M, a,t al1lj ,time tlteJI.e
appeaJv~ to be ,~-4Jni6ican.t devia.tion 6JtOm 1tJ.J., nOJtma1. appeaJtO.nce all.
~ta.te 06 fte.a.tth and wee.f b~ing. ApPJtoplliCLte no,tice On ~uch in6tanCe.6
61tali. be ltecoJtded in the peJl60nal JtecoJtcM 06 ,the individual.
WJri.,.tte;t agJteemena bwvee;tthe 6ac.{LLty and each 06 La Jte6ident6 .6halt
pJtovide tha.t, upon CeJL.ti6iCa.tiOI1 by a phY.6ic.i.an that ,the Jte6ideltt -iA no
.t0119eJt capalb.te 06 meeti.ng ,the JtequiJtemen.:U 6011. occupancy in .th-iA 6ac<LUy,
the Jte6ide.n.t, ne:a 06 !Un, .tegal ILepJte6elt.ta.ti.ve, 011. agel1cy acting on ,the
Jte6ide.n.t'.6 be.hai.6, will be noti6ied that the Jte6ident will have ,to make
aNtang em ~ 6 OIL hnmedia.te .tJt.alt6 6 eJt ,to an appILoptri.a.te calle .6 ettiHg . In
th e ev e.n.t a ILe6 id e.n.t hct6 no p eJl6 011 ,to ILepJte6 ent 1Um, th-W 6 acA.LUy .oltalt
be ILe6pon.oib.te 60IL Jte6 VVtal :to an appJz.Opllia.te ,~oc.i.ai. .0 Vtvice ag mcy 6011.
p.tac em ent.
The adm-iA.oion 06 a Jte6iden:t :to :t1U6 6aUUty and h-W pILe6ence .theJtun .6halt
no:t con6Vt on :the 6ac.i.LUy, i-t6 admin)J.d.JtMoIL, ernp.toyee6 OIL ILepILe6e.n:ta.ti.Ve6
any au:tholLUy :to manage, Me OIL cU6po.oe 06 any pILopeJLt.y 06 :the Jte6ide.nt;
nOIL .ohali. .ouch adm-iA.oion 011. pILe6 e.nce con6Vt 011 any 06 .ouch pe.MOIt6 any
au:tholLUy OIL Jte6polt6ibi-Uttj 6011. :the peJl60Hal a66a..i.1t.6 06 the ILe6ideJtt,
except wha.t may be neCe6.oaILY 6011. :the .6a6e and oILdVllIj managemelt.t 06 :the
6aciLUy OIL 601L the .oa6uy 06 the ILe6ide.n:t.
Th-iA 6aUUty, adm.i..rti.6.tJt.a;toJt, emp.toyee 011. ILepJte6e.nta.tive. :thVte06, may
not act ct6 :the coWL:t appointe.d gUalLdian, :t.Ju.l.6:tee, 011. COn6 Vtva.tOIL 601L any
lLe6ident 06 .the. 6aciLUIj OIL CU1Y 06 .ouch ILe6ideJ'Lt '.0 PlLopwy.
Th-iA 6aci-U.-ty .6hali. be oltganize.d on a pJt06e.6.oioHai. bct6.<A COIU.<A.te;t.t lIJi.:th
good bu.oine6.o pJtacUce6.
Th-W 6ac.<uty .6hali. be ILe6POIl,6ib.te. 601L plWvidi.ng .6 eltvice6 601t Jte,~ide;l.t6 ct6
Ile.quiJz.e.d con.o-iA:teJt.t w.uh ,the. reve1. 0 6 ,~e.ll.vice~ 066 eILed.
Th-W 6aUUty .oha.U empf.o!J Olt othe.JrI\JL~e. aMculge 601t tlte ,~e'lvice. 06 ~uclt
peJr.6 oHnet ct6 aJre ltequiJred to pJropelte.!J ,~.ta6 6 ,tlte. 6 acil..i..t!J.
AV.I1NlST1<ATIVE STAMfA1<fS
T/t.i6 6acAlitl} .6ha.tl be ul1deJI.the. COJ'LtfWt 06 an adm,i.It.i6tMtOJt.
(1) The 6aci.Utlj aIL itA duel} de6.i.gllate.d .'lepJre6 eltta.ti.ve .61taU.
mai.llta.<.1l the ~(lee.cw'{llg wJr.,i.ttell Jr.eCO'l.d6 alld allY o.tltc.>,'l. ,'l.ecoJrd
Jrequ.hr.ed bytlte. C01Ul.tU (lJr HRSill a r.,e.ace., 60Jtm and .~y~ tern
,'". .
I
-0-
O)1.ciUla..'LiCy empiuyedi..1l good b(l..~.i..llc-~.~ p.'tacti..c.e.L
lal An adn.i..,~,~.i..oll and '~c.hal!fle ,'l.cg'uteJt tih.ung
name6 06 JleA.i..den:U and da.te acin.i..,tted,i..den.u'6y.i..lIg
-tn6(1!una.uon abou;t eac.h, tlte p.tac.e 6JWm wh.i..c.h the
ILM.i..de.n.t W(t6 acfm.i..,tted; ,the da-te and ,'le.allon 60IL
clWc.haltge, adequa-te .i..den,ti..6.i..c.a;V.on 06 the 6a~ttj
to wlU.c.1t the ILeA.i..dent ,u cU6 c.haJtg ed OIL tJuVt6 6 ellILed.
Ibl A pe~ona.t 6-Ue 60Jt. eac.h ILeA.i..dent c.ol't6,Ut.i..ng 06
appJtOplLi..a;te da-ta, .i..nci.ucU.ng .i..den,ti..6.i..c.a;V.on 06 nex..t
06 fUn, and aLe. da.ta ILequ.i..Jt.ed DOlt the FtoJti..da.
CeJr,u6.i..c.a-te 06 Vea-th. Ve;tlLiiA 06 the ILe6~Ma.f.,
adm'u.6.i..on, peJr,unent non-mecUc.a.t and mecU.c.a.t .i..n-
601Una.t.i..on c.onc.eJUt.i..ng the Jt.e6.i..de.n:t .6haLe. be ma.i.n-
tcu..ned wah the geneJutt o'uc.ae. .ltec.oJt.d 00 each,
.i..nc1u.d.i..ng c.op.i..e6 06 aLe. agJt.eement6 oJt. c.ontJt.a.cU,
ac.c.ount ILec.oJt.d6 and a c.uMen..t .i..nve.ntolLY 06 pelL6ona.t
plLOpeJLty hud 601L .6a6 e- keep.i..ng.
I c.) A 6aw..a.y ac.cJ.dent/ .i..ncJ.de.nt lLec.olLd 6-Ue, contcu..tUng
a clealt del.lc.JUpt.i..on 06 eac.h ac.udent/.i..ncJ.de.nt and
any othell .i..ncJ.dent .i..nvotv.i..ng -hazaltdo!.L6 OIL de6.i..a.n:t
behav.i..olL 06 a ILeI.l.i..dent OIL .6ta66 membell wah namel.l
06 .i..ndi..v.i..dua.t.6 involved, deA c..'Li...p.t.i..on 06 mecUc.a.t OIL
o.thell .6 ellvic.e6 pJtOvided and the .6tep.6 taken i6 any
to pILeven.t ILe.c.UJtJtaltc.e.
(dJ PVL60nnu Jt.ec.olLd 06 each .6ta66 membell. ThiA lLec.olLd
w.i..il. be kept updated and c.ontcu..n oJti..gina.t emp.e.oyment
appUc.a;V.on wah 1Le.6eJleJIc.e6 nUJtnMhed.
(eJ A lLec.olLd 06 peJt.6onne1. poUc<.e6, incfudi.Jtg .6ta-teme.nt6
06 poUc<.eI.l and wOlLk M.6.i..gnme.n.t6 nO,"!. eac.h pO-6Won.
( 6 J A Jt.e.c.oILd 06 monthe.y 6.i..,'le cL'Li.,U~, .i..1l cf..i..c.aullg .the da-te,
hoUJt and gene.Jr.ai. del.lc.Jtipt.i..on 06 eac.h dute., the extent
06 the .6,ta66 involved and ,tlte. n~e 06 pvv~on .i..1L c.hMge.
(g) Financi..al ILe.c.oILcb wlU.c.1t ide.nunY aU .i..llc.eme. 06 tlte
6acULty by .6oultc.e and dMC.Jr,i...b.i..lIg ate. e.xpeJtdi.tuIL~ by
c.ate.goILy .i..n .6uc.h a manllelL a,~ to be audi...table by ba~.i..c
ac.c.oult.ullg pJWcedUltM.
.~.~. . :
- 7-
FINANCIAL STANr^~v.s
The. adm-i.H.w.t,'ta.toll 0 ~ .tlu..!> 6aciLi..-ttj ~ hail. mcU.H.tcU.1I 6L!> c.a.t llec.olld.6 ,i.n
ac.c.ollcUtnc.e w-Lth .the 1l('.qu.i.ltemen'U 06 Chapte.Jt .JOO, F .s. PMt II. ThVle.
.6ha.te be. a. Ile.c.ognized .6~(.6.tem 06 ac.c.ounting tt..6e.d to a.C.C.UIla.teltj 1le.6le.ct
de..tcU.U 06 the. bl..lJ-tHe,M. The. 6a.cUU./j 6hall.:
11) Be a.dminMteJte.d 011 a .6oUl1d 6il1al1c..i.a.l ba.6-t6 COM-t6.ten.t
w-Lth good bU.6ine.6.6 pllac:UCe.6.
121 Spe.u6Y Lt!> 1le.6und POUUe.6 a.6 paJL.t 06 ,the. acb11-t6.6.ton
co 1'Ltlta.ct.
(3) Speu6/j tha;t 110 acfrn.trLiA.tIlMOIl, cOMu.ttal'Lt, .6ta66 membeJt
OIL lleplle.6 e.ntaLi.v e. .6 hall. :
lal Pay 0J1/j commi-6.6iol't, bOIlU.6, Ile.ba;te OIL gJta,ttU.,t/j
to an/j oJtgaluza..t,um, agenc/j, phy.6.tuOJ1, .6ta.66
OIL otheJt pe!l.60n 601L lLe6~ 06 ~~ 1Le.6.tden.t to
the 6ac..iLU/j.
I b) Reque.6t OIL a.c.cept 0J1/j lle.numeJta..ti.on, Ileba;te., g.t6t
bene6il OIL a.dva.I'Ltage 06 a.1l/j 60lUn 61l0m an/j vendolL
OIL otheJt .6uppUelL bec.aU.6e. 66 the pUILcha.6e, Ilen.ta.l
OIL loan 06 e.qu.ipme.nt, ,~UppUe.6 OIL .6 eJtv.tCe.6 60lt the
6au..u.t/j Olt lte.6ideJJ.t HO.t COI1..6-t6ten.t wilh nOltma.l
bU.6bte.6.6 pltoacti.c.e..
PERSONNEL ST AN 'CA RVS
The. adm..ini6tJUttolL 06 thi6 6adU;t~ .6hall. opeJLa..te the. 6ac..iLU/j in a.c.c.oltdOJ1c.e
wilh the. ex.-i.6:ti.ng MonlWe. County PeMonl'tet PoUUe.6 and Pltocedulte6. ,
VI ITA PY ST AN VA RVS
Thi6 6a.c..ili;t/j .6hail. have. wJr1..tte.n poUci.e.6 aJ1d plloc.edulle.6 SOIL pltOv.tcU.ng plLapelL
nu.:tJL..Ui.ona.l c.alte 0 6 .i...t~ lte6idb1.t~.
(11 The. 6o.ttowing Jte.qu...iAemeJtu!lha.te. be. me.t:
[A) The admiIU.6,f...'ta.toJt OJt a pe/L.60n de.6-tglla.te.d by .the.
a.dmil1...wtJta.to,'l. .~ha.e.e. be Jte,6polz-!l.tbie. Salt the. .to.tal
cii.e.tMlj .6 eJtvice alld the day to da.~ .6UPe!l.v.t!l.i.on a 6
cii.e.taJtLj .6 e/l:v.tce. The de.~-igHa.te.d reMOn .61ta.U be
Jte.6roll.6ible 60JtCOOJtcii.Ila.t.i.llg di.etMlj .6 eJtvice.6 wLth
otlteJt .!l e.Jtv.i.c(',!l j dc-v e.f.C'P-tllg (t'0![1~ a.~,!l-tgnme/l.t!l.
.' ~
I, '''..
- 8-
TIl(' peJl.~()1l dC,~,i.~illail'(l bef t:ll'. ,tdmi.Il.t,~ i,'lato,'l ~lt,ti1
pe.'l~('!U71 It.i.-6/he!1. '(httc.~ III tt .~a~e and ~a,u.ta..'lU
maim e.lt.
(61 TllC?/'lape.u.-ttc. die..U cw p''le~ c..'l..lbed. bU the.. pltlj,~,lc.-i.al1
~ha.e.e. be ,lit .tlte.. !tMide.ltt',~ 'tec.o!td alld ,~e.JLved a.6
oltde.JLed.
(e) Pegu.-f,M. &.w .6haU mee..t ItlLtJLi.ttonal lleed.6 06
.'lehideILi-6 ..ttt ac.c.o!tdaHc.e t...,<..tlt .tlte c.uMellt !tec.oYl11le.nded
t:i..e.ta..'t~1 Allowanc.e 06 .tlte F c'ocl. and Ntl,t't.i;Uon BoaJtd,
NCLttonal. Re.6 eaJtc.h Counc.i..t., adjMted naIL age, .6 ex,
altd ac:t.tvily. The.JLape.u.ttc. d.teU~ltaU. meet .the.6 e
nu..tJr..iUonal ,~taltda..'td~ .to tlte extent that .{,,~ medic.illy
pOMible.
(V) The. di.e..:ta..'ty allowanc.e ,~haU be met by the lL~eh 06
.6tandaJt...i..zed lLec.ipeh 066v-v{.H9 a vaJt...i..ety 06 600d6
adapted to the 600d hab.u~, p!te6 eJte.nc.e.6 and phy.6ic.al
ab.i.LU...i..e.6 06 the lLe...6idenU.
(f) An up to cia;te maJtual app:l.Oved by /-IRS .6ha.U. be Med
a.6 the .6tandalld !te6 e.JLe.nc.e in plamung !tegui.all aJtd
the!tareu.t...i..c. dieU.
(F J Va.ted me.nM .6 ha.U. be planned a.t leCUlt olle week .tn
adVOJlc.e 601L !tegui.all and ,the.JLapettt.tc. cU.e..t~; and
c.oMe..c.ted a..~ .6e.JLved aJ1d kept on 6ile nOIL .~ix mOlttlL6.
SuppUe.6 06 non-peJU..~hable. 600d to meet Ilttt/u..Uonal
l1ee.d.6 06 lLe...6idvUA 601L one (1 J week peJvi.od .~ha..e..e. be
on han.d.
(G) Food .6hall be.. .6e.JLved CLtt!tO..c:t.tve1y a.t .6a6e and
palatable. .tempeJta..twteh. AU. ,'tehidVl,U .6hall. be en-
c.ou!tag e.d .to ea..t a.t table~ .tn cli.lling M.eCL~. A ,~upply
06 arp,'l.Opltia.te. eating wa...'te .61tai..e be on hand to .6 e.JLve.
aU. lte6..i..dell;t~.
(/-I J ft..e.e matte.JL~ pefL.ta...i..nillg to 6 t.:'C' d. ,~e'tv..i..c.e~ IlCtt:,e. c.amp cy
(I),ult tlte.. p!tOV..i..~.lOI1-6 06 Cltapte.,'t 10-13, Fe.oJt..i..da. San..i..ta/l.lj
Code.
, ...
. .
. .~:'\.".
-9-
RIGHT TO HEARING
AruJ app.e..i,cant who .w cLi..6stLtiA 6.i.ed witfl the deCL!!.i.Ort ILendelLed by .the
Vepa/LDnen.t 06 ManILa e COUttty Socia..l S elLv.iCe6, haJ.J .the JUg fLt .to ILeque6t
0.. ILev.i.ellJ 06 .tfuu.J1. ca,!! e by .the So ci.a..l S elLv.i.Ce6 Ex ecu.ti.v e V.vr.ectolL. Thi.h
ILev.iew ~ha.U be done witfun 6.i.ve 151 wolLfung day,!! 0..6.telL ,the lteque6t .fA
ILecuved 6ILom the appUcant. I6 .the V.vr.ectoIL' ~ ILev.ieLIJ daM /tot ILMolve
'"
the appUca.nt'.!! comp.i.cUJU:, the appUcalU: then hcv!! .the Jti..gh-t .to ILeque.6t
0. Faitr. HecvUng.
FAIR HEAPING PROCEDURE
WUfun ten (10 I wOILfUng da.y~ a6telL a comp.i.a..ilU: .0!! Itece<.~ed 6ILom an
applicant, 0. heaJL.i..ng will be he-f.d .in ,the 06 6.i.ce 06 the COUlu:y Adm.i.n-<.6tJr.a;toJr..
The pU.llpO.6 e 06 tlU6 heaJUn9 will be to a1.1.ow the appuca.;u: 0.. 6ai.N oppoJt.tu.ttUy
to vo.i.ce lU6/helL compia..ittt be60ILe 0.. heaM.ng commUtee. TlU6commi.t:tee mu C.On6.wt
06 the County Adm.i.I1M.:tlt.(I.,tOJr, the C.i.eltb.. 06 .the BC'Md 06 MorlJl.Oe COUlU:Y CoTTl11l.i..6.6.i.orteJfA
and Orte (11 County Comm..iA~.iOrtVl.. The O.tna..l deu~.i.on .6ha..U. be made by the hecvUng
corrm.utee wUfun ten (701 day,!! and a copy 06 ~ame -6ha.U be 6Wt.JU.~hed to the
applicaYLt by UIUted StatM McUl OIL pVL6ona..l deLtvell.Y.
A~ 06 th.i.~ date, 1 have ILead the Adm.i~~.ion CJr..i.teIL.i.a and Pol.i.c.i.e.6:
.~ . ~-
S~gn~ Re~-<. n
~~~ ~~.
'''~::'~~,4~'
W-<. 3.6
Date
Date
Vate