Resolution 418-1989
RESOLUTION NO.
418
-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 ELENA B. MCCOY, RESIDENT;
CHARLES "SONNY" MCCOY, RESPONSIBLE PARTY,
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 Elena B. McCoy, resident; Charles
"Sonny" McCoy, responsible party, 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 J//$"t day of JIA/'j
, 1989, A.D.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By /J/!~~
Mayor/ nal.rman
(Seal)
Attest: DANNY L. KOLHAGE, Clerk
J:?...L /j&!-1 Af).~
APPROVED AS TO FORM
AND LEGAL SUFFICIENCY.
By
Cl
0::
C
(..J
1..0..
0::.
0.
C
1.1..
o
Lu
...J
;:z:
.
R
f\"\
Q.
.J
'......
:..;:>..:
~
=I
J&
.." ,.-
':;-;a:;:z
'.-.:::>
Wo
~I~I...U.
zQ
'<
Q
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 14th
day of
June
, 19~, by and between the County of Monroe,
State of Florida, hereinafter called "County" and
Elena
B. lvlcCoy
Charles "Sormy" McCoy
, hereinafter called "Resident", and
Party."
hereinafter called "Responsible
~"
WITNESSETH:
WHEREAS, the resident desires to use the facility of the
county known as the Monroe County Home, a/k/a Bayshore Manor, ana
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 se~vices received by the resident.
4. In the even-t of closure of the facili ty fo;~ ':-':~<l
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, thist
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: -VJill pay Blue Cross/Blue Shield and
Medicare premiums and dedu~tibles and any other
medical costs not covered y insurance, lncluding
all medications.
C. FINANCIAL ARRANGEMENTS
The resident and/or
County $ 1,195.00
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
$ N/A
2. Responsible party will pay
$ 1,195.00
:::. Unearned income of resident
will pay:
Social Security
Civil Service Annuity
V.A. Pension
Other
$ 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
J,
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
....'" /.
---1.1. t ~.c1 'c
-!'
parties or their representatives at the time of the amendment.
(;~~~;~oY 3}l~~<0
y;,,/L," )
+-==C7Y::."'--
~~ ---G
RESIDENT
~j 'xLi J'-
..(J.., L-,C_ ~-. / 1)/' l ::L-1-
I
SIGNATURE
0;
OF'REiSpONSIBLE
PARTY
W
WI
3
DATE:
(~/ /3/19'
/ I
tL@~
Representative
of Monroe C unty Home a/k/a
Bayshore Manor
~~
Signature of Executive
Director - Monroe County
Social Services
APPROVED:
&-ICZ-f"l_
~,
f1~,-ft~--
Signature of C nty
A~ 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
AIWIOVED AS TO FORM
AND J.EGAI. SUFFJ 'ltNCr.
LI ,
BY ~ ;/
/ Atto" 'it:e
4
.\:C,\JROE CCll.\TV 1iC.'.!E Jll.'-:ICR CCLlEGf k'L"\ f f:EV [,'EST, F lCRH'A
,\r,.IISSIC.\J Cf.nn'IA AND rl'l1C1fS
The ,I,lcn!toe. CCUH..ty HOllie., ~dLLlt COfl~l.'tegJtCtt('.. llvlng Fac.Lt..Uy ()uJt. the EtdeJU.Y,
level.. II, fu~Jt.una~ te.'t !1e6 ~/l/t.e.d to a..~ the F ac..i...GLty, .U, Llc.ell.6 e.d th!tough the
Sta..te 06 FlO!l"i..da. rcpMtl11ent d He.aLtll and Rdlab.LtLtaA:...<..ve Svrvic.e6, IlVtUn-
ante!t !ten VUted to (L~ H ~, llnd opVta..ted by the. GOMd 06 COlOtty Comm'u'-6ioneJ!h
06 1\lonJtOe Coun.ty, H.O.'Llda. Tile. F(lc..Lti...-ty .c.~ govVtIle.d ill ac.c.o!tdaYtc.e LIJ-<-th the
-'teqLU)t.ement~ 06 CltaptVt .J 00, PeVtt 17, rtofLida S tat.u. (!,6 and tit e MeA and Re.gu.-
iauorL6 M adopted by the. 60Md 06 j1loflJtoe COLutty Comm..{"MioneJ!h he.!tUHa6tVt
(,
!te6 eJv'Led to ct6 COLUl-ty, c.o n.ta...<..ne.d h e-'te..-i..Il.
Re6ide.n.t 06 Mon-'toe County, rLo.uda,6..{;dlj (601 yea!li> 06 age. Oft oide-'L, a.mbula;to!tlj,
in Jt.ect6onabie heaLth, in aeed 06 a home al1d havillg no 6a.mir.y able .to meet tf'Je-0't
ne.eds, abie to c.Me 60-'t. them!! ef..ve6 to a c.eJLta...<..n deg -'tee and not in need 06 nuJt6ing
c.ct.-'Le, C.OHval.Mc.ant c.Me, te.myJOltMY ot e.meJt.g enc.lj ,~heLteJt. .6haU be eligible. 6o!t
adm"'u'-6ion to .:the 6ac..tLi..ty in ac.c.o!tda.nc.e. w-<-th the. teJtm-6 and c.ond...{;t..{..on-6 c.onta...<..ne.d
h e.Jt.ej..n .
Appac.a..:U.orL6 CUte ac.c.eyJte.d 011 a Hon-cU6c.JWnina,toltY bct6...U, il1c.fucUl1g but not
wniled to -6 e.X, c.oio,'t, ttac.e Oft cJt.ee.d. The. 6ac..c.U"ty -6ha.Lf. pltOvide. a homelike.
a;t17lO-6phe!te. [!toom and bOct.-'td), peJL6onal. ,~eJt.vic.e6 and a c.omyJJt.e...heYL6ive. yJJt.og!ta.m to
meet day to day nee..ct6 06 the.. ambLLt:..a:tO!ttj age.d on an incUvidual. bCl.t~"'u' - c.onduuve.
to 9 !tOup UV...lng. PeJl,6 0 nal.. S eJt.vic.e6 m e..w!,6 -6 eJt.vic.e6, in addt,Uon to hOMing wtd
600d .6eJt.V...lC.e. LlJYUc.h ...lnc..wde bu"t a!te. 110t .Um-<-ted to: pe.MC'nal. (t.~-6,U,tanc.e.. wilh
batfung, cf..'t.e6.6...lng, ambt.LtaA:...<..on, ftou.6 ekeep...lHg, ,~upeJt.v-0~...lcn, e.mo.Uonal. -6 ec.uJU.;ty,
and Wllj otheJt. !teXa;ted -6e-'tv.i..c.e6 wyuc.h .:the 6ac..<.LLtlj may de6ine. Pe..Monal. .6eJt.V...lC.e..
dOe6 HOt ...lnc.iu.de mecUc.al. .~eJt.V...lc.e6.
ELIGIBILITY AMV A'CMISSIOM POLICIES
The adm...lM...lOI1 06 eac.h !te6...lde..nt to t/U6 6ac..<.LLttj ,6ha,U be ul1deJt. thf.. ,~upeJt.-
v"'u'...lon 06 the Adm...lllh6tJta..tO!t 06 the Fac..i..Uttj w--Ltful1 the c.0116...lne6 06 the 60Uowing
9 en e/r.ai po uu. e6 :
[ /1 A Jt.e~ide..l1tl apr-uc.all-t mlt,~t:
(al Mot have a c.ommWUc.a.ole.. di~ea..~e ,In a ,t'tWt6-
6 e.tr.ab f, e.. ~ tag e..
[b 1 Have.. a c.he..6,t x - !talj Oft ~ /2,{.ll te..~ t (TB 1 w--Ltll-tll
l1...lne..tlj (90 1 datj~ pJL.lO.'ttO admc.6.~ioI1 .to .the..
6aciLLtlj.
(c.) DC' a ~('~{d(,ilt d ,IfOHJtoe CUWlty, FCC,'Lida fJ",'l (tt lCCLH
Cil(' (1 J ye(v't alld 6LUlJLi/~1t VL'/Lt;iic.CLttUH U ~ ~ame.
(dl Fl(,'Uu:..~/l 1.1/tC'C'1) oil Hee.d nO/tt1le. fla~tU.tl} (wdtllCLt tItVtC'..0~
ItO 6amu~/ able. to mee): the.Ut ne.e.d~ no/t adeqllCLte. c.Me.
(c.) FlL'Ul-L~1t wtLi..tten mCcUc.CLt e.xam,{I1CLCtOn n/tom (tUee.IL6e.d
phy~.<.~taH (60tun wil.-t be. 6WlJLiAhe.d) wfUeh MICLU c.eAU6tj tlta,t
tlleVt me.cUc.al c.oncUUol1 ..L6~Lic.h that tltey W-Ltt me.et tlte. /te.-
qLUJt('Jne.nC~ 06 the. 6auWtj and that ,~e-'Lv.<.c.e~ be.yondtha,t
CL'te. peJun-Ltte.d '<'H the. 6auUty Me. Hot /te.qu..iAe.d. {,
(6) Be. ambu1.a;to/ttj -that .iA the. c.ond.LUon 0 & bung phy.6.<.c.etU.y
and emo,UonetUy abte. to ~ e. n/tom a {lOtt.i.-U:ontal o/t /~..i...tUng
po~.{;Uon, and.<.n an emeJtge.nc.y to e.x..i...t the building to a pO.<.Ilt
06 ~a6e-tlj. ThM wou1.d ,(nc.fude.tho~e. .<.ncUv.<.dua,~ who matj be.
abte. to ambutCLte w..i...th .the. M~..L6,tanee. 0 6 p/to~theUc. dev,tc.e6
Htc.h a,.~ c.ttu:tc.he6, walk.VL6 o/t whe.el. c.habL6.
(9) Be. .6,txttj (60) tje.cr.M 06 age. o/t otdVt and 6lUU1..L6h age. veJL.i.6,t-
c.a,.Uon btj eilheJt pftOpeJt .<.de.nu6.{.c.aUon, doc.wne.JLt6, O/t btj
.<.n6otunaUon 6ftom otheJt pubuc. ageJlc..te.6 ,~ltc.h a,.~ the. Soual
S e.~ttj A dmirU,6 .t!taUo n.
(h) F lUtlU-6 h p/too 6 06 ho.6 p-UaLi.:aLtO n alld medic.al ,tIUUftctJ1ee.
wluc.h ..L6 e.qual to Oft bettVt than c.ove-'tage 066eJte.d by AI e.d,teM e..
(.<.) Exe.c.LLte. a Wtt.U.teJ1 c.ont/ta~t w-Uh t{t-iA 6auUty a;t the. tUne. 06
adm..L6~.<.on, o/t pJUo/t theJte.to, be,tween ,the. 6acA..u.A;y an(i .the.
ftu,tde.YL.t Oft hM du.<.g ne.e. o/t tegCLt /tep/tM e.nta,Uv e.. A c.opy
06 c.on:tJr.ac..t to be e.xe.c.u-te.d ..L6 CLttac.he.d hVteto and made. a
paM: theJteo 6.
(2) THE AVAINISTRATOR SHALL:
(a) MaJ../'rtaJ..n a wtt.U.te.n /teco,'td ,tn the ftu,tdent'.6 pVL60nal
nile 06 CLei. 6,tnanua! MJtangemen.U w.<..th the. /te,,~.<.de.Ht, /U-6
next 06 fUn, Oft ~pon.6oft, w..i...th c.op,t(',~ e.xe.cu-te.d by and 6wlJt-iAhed
to e.ac.h pcvLtf{. Tlu,6,~ hCLU .<.ndllde. cletcUe.e.d /te.co !td~ 06 an~{
6uncio o!t po!topeJttlj Itel.d So/t ,tlte. /te.6,i.deJlt 60/t .6a6e k.e.ep,Lng ,Lll
ac.c.o!tclallc.e wi.th C/Ulpte./t .JOO F. S. Pa.'Lt II.
(1) The 6a~i.U.tl} 1IIl} hotd pCJl,6011CLf 6wld~ co/t tlte ftM.i.de.nt
not to exceed $100.00.
(2) Tlte. 6ac,i.tUy ~ltaf.C. 1l0,t accept CUI!' otltVt 6Wld~ Oh
r.' 'tCj.'",''' t~1 ,'\ e l't.1 t ,t~ HJ ci l'lttlt ut 1 tlOO\! ('.
(b 1 r\Yh>~ ~ ltG' ,1ddi..ttCllae. ehcVtg C.~, (,Xpl'116l',~ 0'1. 0 tlteA
:ltllaHc..tt.LL l,i.a.b.U)/i..ttQ;~tH exc.(?~-6 CJ 6 tlte p/fuv.{,~iolL-!l
tllc..LUdcdtll the adm-i..6,~,tOI1 c.oIL.tJtad.
(el DGtC':Jntllc. ltHdtnc.wde ct6 a mtnvnwn, the 60c.eow-tng
p,'tc\..'(,~,tO.L.~ lUtd .~ Q;'tvic.Q;~ in tlte ba,~,tc. adm,i.J.>6-ton c.ontltac..t
(L:,Ult ('adt't('.~,tdC'Jtt, next 06 lUlL Olt .opOI1.601t:
( 1 )
Tlte cia.i..C.y, weefU.y, 0,'1. mort.tft,ty ,'tate, and Itenund
J",
)_"W\..'-t~,i.on ciolt UHU-6ed pOIt:UOIz,.~ tileJte.06.
( 2)
Au~,ti.ltg 06 ,~eJtvic.e6 to be. pltov-tde.d.
Soc..i.a.e. c.cmpone.nto app,'tC'p!L-i.ate. to tile. ne.e.dll 06 the.
[ 3)
.
,'te.5-tde.IL.t-~ .
(dl Appi~{ the 6o.ttcwinq ,'te6vuc..ttOI1.6 to ac.m-i..6,~iol't and
.'te..tC'JtUcn c 6 ,"~c.!l,tdent-5:
1. A fte.~-tdeJ1.t wilo manine6.to .ouc.h de.glte.e 06 be.hav-toft :that
he.{;~ a dangeJt to fWn.oe1.6 Oft o.theM, Oft who.oe behavioft
i,~ .~ 0 LUlac.c.eptabie Oft d{,,~tWtbing a,~ to -tnteJt6 eJte. wUh
tILe. adequa,te c.cv'te Oft c.omn OJt..t 06 otheJt fte6ideJt:t.~ in the.
6a~tu .~ltat.e. not be. adm.<,.tted Oft ftucUHed, aJtd .ohat.e.
be ft0nove.d 6ftom the. 6a~ty.
2. No ,'te6idmt .oilCLtt po,~.!le6.o Oft C.OI1.6wne. atc.houe. be.veJtage.~
Oft aJIY e.olt:t.'toUe.d ,!lub.~tanc.e. in the. 6ac.it.{,ty W.<,.tllOut lUll
phy,~ic..taJl ' -6 oftdeJt.
3. No .'te!lideJ1t ,6hat.e. be. ile1.d in tile. 6ac)LLty agcUll.6.t lUll
will., unle6-6 w1.deJt COU.JIX Q,'tdeJt.
4. No fte.!lideJ!.-t ,6hat.e. be adm-Uted to eft fte.tcune.d in a nac.U..Lty
who .'teqtU.Ae-!l f., eJtvic.e..o beyond tllO.o e the 6ac.it.{,ty -i..6 LLe.eJ'Ul e.d
to p.'tov-tde. Th.-ill 6ac.LWy may not yJ-1tovide nUJt..!ling e.Me LUt-
te66 60ft a t0npOftMlj ,LUne6,5, not to exe.eed -6 e.ven (71 day~.
5. A fte..!l-tdent ab!l eJL.t 6Jwm tlU5 6ac-i..utu ,tn exc.M,~ 06 60WLte.en
(7 4) clau~, dtw. to hO.5pLtCLt{:a.uoll e.lt abc'JldoHlllent.5hate. be
tvuntltated 011 a fte..6.iaent -tn t/U.6 6ac.i.Li-tlj. Sttc.lt ftM.i.deHt
may fte-ap).1tlj 60ft admL!l,~iolt 60-te.owtllg ,the ,5ame. pltoe.edufte a.~
that (} S a HCW L1ppUccmt.
(3) The. montlLf'.!J .ltate So't ar-pUc.aHt.~/ ftM,i.deIL.t-6 ~!taee be ac!jtt6ted totfte
abi..tLty e6 tfzc, t~)J).1t'i.c(mt/.'te5tdclltto pay. ).ppUc.all.t5/!le6.<.deltt~ Lt'.aft
- ./-
tdccmn (,'~~ tIILV: tile ,"tlXUllum mal( tJ(' LU('('(t'ccl tl' ).'(11/ tl[(tt
,:m(l(OZ t lt~ t 11 c L'L /1Ii' J! tl! t ~/'1 u t (', tf!.i,~[tI(J!l e eli .: Cl lLel (' a I ru .iJ! c. 'r()aH',~
ill tltc.-i.':.iJlcct:1c dtc'1.iJ!g the. CimrdC' 0(\ tfll',iJt fte,~iel(,J!cU, ltptO tft<'.
max-imwn 'Late.
(Ll) Tfte tni:Jlt/tfy bM.i..c .'ta.tC'.~ftaf-C be C'i~.tabtL~hed at the
bcg-i..JlIl.i.J19 (10 the 6,0~ ceLt tjeM and .~ftaf-C pftevcvU:
tlVtC'ugh old tfte tjeM.
(b) ,\fOII thfy ,'1ate.6~haLe. be ftev.i..eIfJed and admcnde.d by .the
~
8oa'td c6 ,\lon'we CowLty COmln0~.6.i..oneJt.6.
r c) ("hen Arr.t.tcant!Re6.i..dent l'teCc,tVe6 .i..ncome and hM
aH e t~ fe.~.~thaH the maxhnum mOl1thff( ftate, .~ur-pe.e-
men.ta.t~tLPPOIL-t will be accepted oftom theJA oamily,
.
othe/'t a6,~,c~tance age.ne-tu OJr. ,'tcpftc/HntCLuvu.
(d) 16 tfu.?/'te. .L~ no ,~uppe.emell.ta.C~UPpOftt avcUfabf.e, each
arrf-<-caILt! fte.6.i..dent w-W .the.n be. corV6idVted 011 an in-
dividuae. ba6L~ .
(e) ALe. .'te~.i..denu except .thM e. pay.i..ngthe. max-Unwn Itate all.
tho.6 e. who do have othvr. a6.6 eto all. .'te6 OLUtCU, will be
.'twnba'L6e.dte.n (10.001 dotea.'L-~ pvr. month by the County
60,'1. .tfte-0't peMonae. lL6 e.
(4) Upon c~'1,u6.i..ca:Uoll by the Adm.i..lu6tftatOIt 06 the 6ac,UA;ty w,cth .the
concUMance. 06 the Fx.e.cttUve D.i..Ju?ctOft 06 the MOll,'toe. County DepaJz;t-
melLt 06 Soc-<_ctt SeJtv.i..c~~, that aU c..JLi...tvUa and fteqtUJtemento ,~eX.
60IL-th heAun have be.en compued w.i.th and! 0,'1 me,t, the. appucal1.t .6ha11.
be. adm.i.Ue.d to .the. 6a~l). Subjed. ,to adequate 6auWJ.u bung
avcUfabf.e. and exe.cu,UOI1 06 the adm,{}'d.i..on aglte.emell;t by the lte.6.i..den:t
and the. Cowdl}.
OPF1<.ATIONAL STANDARDS
The 6ac,.U:-,Utj~ha.tC 066eft c.CC',~e MLrvr.v.i..~.ton and uving CO IlCi.i...uoIU. a.~ -iA
l1ece.MMtj to tile condLt.ton 06 the. fte6.i..dc.n-t. Tfl.L~ .iJ1c..etLdc.~ MLPCltV,{,!:"LOll 06
d,{et~ a~ to qu.a.Uttj and qlWH tLtu, (tJCLtclt6(dJte.~~ OV('/t the g ClteAaf he.atth,
-!Jae ettj and wc.Lc. be/tng 0 6 .~ c-!>.idc.Jlt!l. Tfll'.he. .6ItaC e. be. a dCLLttj cuVa'tenM.6 06 the
ft('~ .i.d ('Ilt~ btj d e.~.{!J nat ed ~ ta6 6 co6 tfl e. 6 ac.iXdl} {L~ to th c. appCL'te.J1 t Wl'.U b e,tllg
C! S th(' '{l!d.{v.i..duaC.~ {{!.i..tft "'u.66 i Cte.llt pftO\)i.~.ton 60ft contacUll!] the. Itu.tdeyt-t '.~
- ;-
phy~ ici,tll, d tlte ,'teJ-idC'llt Ita~ HOt llL'tC'adl} dOHl' ~U, ltt alll! t.ime t!lC'lte
a)_'pea't~ to be ~'(~iluS-icallt dev.ittUOll nJtom ItA.-~ H(}.~ma( t1PP('cVtaHee c't
Hllte (I ~ fte.aUlt and weer. be,(llg. AnJltop,'l,{ctte 110 Uc.e (111 !>uc.!t .tllHlUlec.~
~ Ita.t[ be ,'tec.o'tdedil1 tlte pe/(,~ 0 nctt'. ftec.oftd-6 06 tlte .(lld,(v-iduaL.
((j,'l,{,tten agfteement~ be.twC'en the. ()ac.,iLt.ty and eac.h 06 .~t!> 'te,!>.(dent~ ~ftctU
pftov-ide tha.t, [tpon c.eAuMc.a.u(J/l blj a phlj6,(c,(an tlla.t tlte Jtc,,!>-ideH t -0!> no
.~
tcng eJt capa1.bte 06 mee..ullg tlte ,'tequ-Ltwnent!> 60ft occ.upanc.y .(n tft.L!> ~ac.,iLt.ty,
tlte. he..~.(del1,t, next 06 fUn, e.e.ga1 hepJte.6 e.ltta.UV e, Oft ag e.nc.lj ac,ti.llg on the
,'tM-ide.nt',6 b e.ha1.6, will. be. nou6-ie.d that tlte. ,'tM-ide.nX WA.-te. ha\J e. to make.
CL'Utang em e.nt6 6 Oft ..&nme.cU.a.te. t/tal1.,6 S eJt to an appftopJr,(a.te. C.Me. .~ etullg . III
.
the. e.ve.nt a ftM-ide.nt hM no pe.Mon .to he.p,'te.6e.nt fWn, tfu"~ 5ac.J.i,Uy,!>ltctU
be. fte..!>po/u-ible. 60ft fte.S eJr/ta1. ,to an appftopJua.te. ,!Joua1.!J Vtv,(ce. ag cnclj 50ft
plac em e/1,t.
Tlte. ac!m,u,,6.-i.on 06 a fte.6.-i.de.llt to tfU,,!> Sac,iL{,tlj and l-uo pJte.6 e.nc.e. the-'tun ,!J ha.U
not c.onS e.'t on the. 6aUWy, Lt!J ac!m.-i./1,{,,!JVta:tOft, (!)nploye.e.6 Oft ftep,'te..!> e.nta.Uve..6
any OJLthowy to manag e, lL6 e. Oft d-UpO,6 e. 00 any p,'topeJt,ty 0 S .tlte ,'te..!J.-i.de/u:;
110ft ,!JhctU ,6uc.h ac!m,u,,6.<.on OJt pfte.6e.nc.e. c.onoVt 0/1 a/1l} 06 ,6uc.ft peJr..!JOIl.!J aHY
au,thowy Oft fte.6poM.<.b-<.LUy 60ft ,the. peMona1. a6Sa.0'V6 06 tlte. fte~.-i.dent,
exeept wha.t may be nec.e.6I.>MY 60ft the. ,6a6e. and oftdeAey manageme.nt oStlze.
6aUWy Oft 60ft the. ,6a6 e..ty 06 ,the. fte.6.-i.de.nt.
TfU6 6ac..,{Li;ty, admbu6Vta:tOft, employee. Oft ftepfte.6e/l.ta.uve. thVte.o6, may
not ac,t M the. c.oUJt.t appo.<.nXed gUMcU.aJI, ;tJuude.e., Oft COrt,6 Vtva.tOft SOft any
fte.6.<.del1-t oS the. 6ac..<.uty Oft any 06 ,6uc.h fte.6.<.de.n:t'1.> pftOpeJt,ty.
AD.fINISTPATTVE STANfAPfS
Tf~ 6a.c,u.{,ty ,6fla.U be. undvztlte, c.ol1tJwi 06 an adminL!JtftatoJt.
( 1) The 6ac,LUty Oft A.-t!> cluey de.6,tgna.tcd ,'lep!lc,,!J elttattve. .!Jftctte.
ma.i.nta.tll tlte Sof.CCW.{llg W't,~ttell M!,c.O'z.d6 (urd allY otltc,'t .'te.coftd
!leo" :""d b~( tlte C(l[(Il,t~( (I,'t HR.\: ill (l ),1Caee, nOM! and ,~~(Hem
- 0-
,"Ui(lllt,'!-{,lll l'l'lt.1t'cucd tlI t]L'(.tf bU.'IuIl'..'I.'I p,'1Ltcf{c.l',.'I.
( a) All ,1, ~n{.'I .'Ii c It an d dL.'I c! la:;~ll: '1C 9(,.'1 t l':t l' LHA.H!1
ItaJnC'j d '1C'.'I.<:ctent.'l .1Hd ctttl' ac&ndtC'.o, tdC'nt'<:;lY'<:llg
(It ~ oma.U.un abou..t e.aclt, the peac~ ,) !tom wh'<:ch tfte
!tC',~.i.o('nt ltJ(t~ adm.i.tteoj tlte da.-te. and !t~a!.lOH ,)Olt
d0.'1chaJrge, aoe.qLta.te. .tde.lt.un,i.ca.-uon an the 6aUtLty
to wludt .tlte. ,'te,,~.-i.de.n.t.-i.~ d0~ chatrg e.d Olt t~ 6 eJtlte.d.
(b) A pe,~ona.e. 6ile. DOlt each 'tM.-i.de.n.t cOn6.-i.-~:Ung 06
appJl.Oplti.a..te da.-ta, .-i.ncfud,i.ng .-i.de,J..t.-i.Mca.-Vfn 06 next
'"
06 fun, (U1d a..U cdta ,'tequL'1.ed 60lt the FtoJt.-i.da
Ce!t.u6.-i.ca.te 06 f'ea.-th. f'e.ta;.L~ 06 the !te6ilfU1.O.i.,
adm.~/~'<:on. pelt.ul1.ent non-medical. and medical. .-i.n-
~O!!ma.-uoH conceJuuHg tlte ,~"A.-i.dent -6haU be mcUn-
tc...i.ned w.J.h the ge.ne/tal. 6L~cae. !!ecoltd 06 each,
.tncwcU.ng COp.tM 06 aLe. agJteemena OJt contJtac..t~,
accowu ,'teco!td6 and a CUJI/'ten.t .tnven;toltij 06 peJv~onal
pJtoPWY ltetd 60Jt ,~a6 e-I,-eep.tng.
(c.) A 6a~ty acudeJt.t/ .tnudeJU /'1.ecoJtd 6ile, cOlucUl'ung
a ce.eM dM cJt.-i.p:Uo n 06 each acudent/ .tnudelu and
any othe/t .t11c-tdent .tnvolv.tng haza/tdou..6 OJt de6.-i.an.:t
behav.toJt 06 a ,'tM.tdent O,'t -6ta66 membeJt w.J.h namM
06 .tnckv.i.du.aL~ .tnvolved, dMC!t.i.ption 06 medical OJt
othvr. -6 vr.v.tce~ pltov.-i.ded and the -6tep-6 taken .t6 any
to plteveJLt ,'tecuJUtance.
(d) PeJr,6onnet ,'tecoJtd 06 each ,~.ta6tl membeJt. T~ Jtecoltd
w-<--U. be. kept upda.ted and contcUn oJt.-i.g.-i.nal empeoymen.:t
appuca.uolt w.J.h lte6 C?/'teJtCM 6UJtIU,.~ hed.
(e) A Iteco/td 06 pefL6oHl1.et pottUe6. '<:ncfueUng -6ta.-temen.t6
06 POUUM and woJtk a~,~,i.fjllmeJt.t6 60it. each pMLUon.
(6) A Jteco!td 06 mont/L.ey 6Dte d-~U~, .tncU.ca.-Ung the da.-te,
hoUJt an d 9 en vra.e. d M C!1.tp.uo n 06 e.ach cLute., tll e. e.x..tent
06 tlte -6'ca66 ,tnvofve.d and .tlte name 06 pe/t.6011 'i.H -c.hMge..
(g) Fi.nancta1. !teco!td~ wluch .tdentt6tj aee .tllcome 06 the.
6autLttj blj~ouJtce and oMc.'1.ib,tllg a.ee expeJlddu!tM btj
ca.tefjo!ttj ,tn ~uch a malllle,'t a.'l to be cutd,i,tabf.e by bcv~.tc
accoulI ttng (.','to e cau!! e6 .
~
- , -
F BJMJC'1 At STMJfI\i(L'..S
Tile. c1(.miJl~~t':{tt(l!t d tll-C~ Saect.Uu ~/taLt lna-iHta.il1 ~i/~c.at !t('c.cr!td~ if!
ac.c.c!tcUwc.e. w-i-tlt tile'. ft('qtt.i}temen-G~ 0& CltapteJt -100, F.S. PalLt II. Tltc}te
~llalL be. a !U!_c.L'glli:ed /~~/~tem 06 ac.c.ounting tt,~ed to ac.c.tVtatuy /te.fl.teet
de-tlLd~ 06 tile btL~i;leM. The. 6aeLUty Mtal.1.:
( 1) Be admilL-L~.te/tc.d on a60w1d MltallC-iM l>M--U C.Olv~-<-6tent
w-i-tlt good btu.inu~ p/taeuc.cy~.
(2) Speu{jy -<-.t~ flC.~Ulld jJo.ttC-tU M pct!t-t 06 the acmi~~iol1
c.o 11X,'UtC.-t.
(3) Speu6Y that HO admin;.J..tJULto/t, c.on6uttal1-t, /~taSS membeJt
o/t .'tep/tue.ll-tctUve ~l1ate.:
.
(a) Pay any c.omm--u~io H, bonM, ,u.bate Olt g/tCLtlUty
to any o/tganiZCLUOYl, agenc.y, phy~ic-ial1, -6ta66
Olt oth eJt peA'~ 0 11 601t .'te6 VZJutt 06 :1ny /tuiden:t to
the 6ac.iLUy.
(b 1 Requut o/t ac.c.ept allY /tellwneJtCLttOn, /tebCLte, gi6t
bene~a o/t adval1Xage 06 any cOJun 6/tom CU1Y vendolt
o/t otheJt /.suppUe/t bec.aM e 06 the pUJtc.hCL6 e, 1ten:ta1.
Olt .tOCUl oS e.qu..i.pme.nt,~uppUM Olt ~ eJtvic.e-.s SOIt the
6ae-i.LLty o/t !te.sidel1X Hot C.01U-<-6ten:t w-<-th I10Junal
blL6inM-6 pltoac.uc.e.
PERSONNEL ST AN VA RVS
Tlte admin<.J..tJza.:to/t 06 tiU6 6acAL{;ttj ~ha1.t opeJtCLte .the 6acAL{;ty .tn ac.c.oltdal1c.e
wah the. e.U.sung AlonltOe COW1XY PeA601mu PoUuu and Pltoc.edultu.
VI ETA IN ST AN VA RVS
TIUJ.. 6ae-i.LLty ~/lCtte. have w,utte.n poUuu culd p/toc.edu/tu SOIt pltOVicUHg pltOpeJt
nlLttU-ttollM c.alte 06 .Lt.s Ituidento.
(1) The 60Uowing !teqtUtzemen.to .6hctte. be met:
(A) The admin.iJ..tJtCLto/t Olt a pe'L60H duigllctted by tlte
--. ...~-: '
admiI1A...6tJLa.to,'t -6fzate. be JLe~poll/6ibf.e. 60/t .the totcif.
di.e.tct'w MVtV-tc.e alld the day to da~, -6UpeJtV.i.~.tOIt -06
die.taf/lj .6 eAvic.e.. The. dc..~.{gHatc.d pe/t6011 -6haU be
JLc..~poIl6.ibf.e 6oJLc.coJLdil1aUl1g die.tMy -6 eJtv.ic.c...s w.dh
o tit e!l.6 e.JLvice~; del' eiopil19 1t'0'1 I: a6 -~.t9111nent.6 .
r
-~ -
Tltl' 1_'C.'1~)l"1 dnidllatC(f b1l ;:Il' ,tr:rn<lli.'l t'ratl''r .'llltH~('
).1l''l.,)t'~Jn Iti.'J/I/l"1 cfLLttc.'J ill ,( .'Ja,~l' all(; .'lllll.{'ta.'l.lI
t~Wllll(,~'r .
(6) TItC'l.apcutlc dl\?,t.'J lL.'l P'r<!.'lc't,lbrcf bU tlte, pItU,.'l,tC-lan
.'J11(ltt betH tlt{, ftc'.'JidcHt'.'l '!.cco,'1d l111d ,.'lVtvcd M
o-'1deftc.d.
(el PC9tda/t dlC,t.'l.'lltill meet 11LLVLt-UOllcU. It(?,e~ 06
'1e.~.tdeILt..'J in accOftdallCe (t'.i.-tlt the cuVten.t ,'tecommended
[teta,'tt( Attowance 06 .the Feed alld N(lLu..uon BoaJtd,
t.
l,!
MctUonal Re,6 eMch Counc.t.t., adju_~ted ;;Oft age, ,.'lex,
an d ac.uv,i.-ty. Tit Vtapeu.Uc. d.tct6 6ltalf meet thell e
HLL;t'1A.A:-tOnctt.'Jtanda,'td.'l to tlte extelLt that -<.--.'l mecUcctUy
.
pM~ibfe.
(17) The dA-c,tM,y ctUowaHce ,.'llta.tt be met by tlte U,.'lell 06
~talldcvUzed ftec-ipM o66e,"vtng a VMA-ety 06 6oo~
adapted to .the 600d hab-<.--t.'l, pfte6 e/teJtcM and phY.6ic.af
ab,-iLLU.ell 06 .the ftMideH.t~.
( f) AI1 up to c.a,te mamlaf app."tov e,d b~( HRS ,.'l haLt be tL-.'l ed
a,.'l the .6tandaJtd !te6 eJtenc.e ill plamung fteglLtaJt and
theJtareLLUc. cUct.'l.
[F) Vated mel'ltL-.'l ,.'lhctU be planned ctt leMt one week ilt
acvo.nc.e 60ft ftegu..talt and theJtapeLLUc cU.et.'l; al1d
coft/tected M MUtved and tept 011 6ile 60ft ..'lix monthL
Suppf,tell 06 non-peJU-.'lltable 600d to mect IlLLtUUOnctt
l1eecl.J.. 06 ftellident).} 60ft one 11) week peJLlod.'lhaLt be
on hand.
IG) Food .6haU. be ~eJt\Jed a.ttfto.c.u\Juy at .6a6e and
pafcttable .tempeJta:tUftM. AU !tMideJl.U .6haLt be el1-
COtlftag ed ,to e.a..t ctt :table~ .ll1 cl.bt.tl1g MC?a,.'l. A '.'luppfy
06 app.'top,uate C?.a.ul1g !tlct-'tC?. ,.'lIta1..e be all hal1d .to .6Vtve
aLt ftellidellU.
IH) Ate tnat.teA.'l pefL.tcUlt.i.ll~) to 6~'('d ,.'le'tvic-{'; .'l/rctf.i (('mpry
11.',Uh tlte pftOv.i.Ston~ 06 Clwpte/t 10- 13, Feotuda SaHit~1-'ty
Code.
-9-
RIGHT TO fJFARV":G
Any appLtc.an.t who ,0~ ciL~,~CLu.~ D-te.d w,i..tlt tlte. de.c.L~,tovt Itc.HdVte.d by .the
Vcpa/tA1nent 06 ,\lonltoe. Coult,ty SocJ.a..t SVtvic.e.6, hCL6 tlte. tU.ght to !tequ~t
a ,'Lev,tCl(} 06 tltC.0't C.CL~e. by ,tlte. Soc.iClt Se-'l.V,tc.e~ Exe.c.u.t.tve. O.uz.e.c.tOIt. Tlti.6
,'Le.v,tCW ,!)ItCltf. be done. l(}..Ltlt.tn Dive. (5) WOItr..tHg day,~ a6te/t the Ite.que!).t -iA
Itec.uved Sltom .the. aprtic.aJlL I6 .tlte O.uz.ec.tolt'~ ,'Lev-teJ.rJ do ~ IiQt ,'L~ olv e.
tlte. appUc.an,t'!) c.omp,tcUllt, tile. applic.a.Jt.t tlten ItM tlte tU.gltt .to ,'Leque~t
a F cU,'L H ea/r,tng .
FAIR HEA~I~G PROCEfURE
W..Ltlun ten (I 0) woltfUng day~ a6tVt a c.omplaint ,(,,~ ,'tec.uved 6ltom all
apptic.aJ1t, a he.lling w.u.t be h e1.d -tIt .tlte 06 6ic.e 06 tlte Cowlty AdJ71..lIUhtJuttolt.
The pU/tpM e 06 tlLL6 hecvUng w,{,u be. to a.Uow .the applic.allt a 6aiJu OppOILtuIt.L.ttj
to voic.e. lU6/heJt c.omplcUn,t be.601te a heaJUng c.omrr.,Lttee. TlU6c.omrrUttee will c.on6L~,t
06 the County Adm..lnu:tltcrJtoJ!, .the cte.ltb. 06 the BC'MC 06 Afo YV'to e. Cowlty CommL~,~-toneJt.~
and one (I) COW1-ty Comm.L6~..lovtVt. The. 6.{.nai. de.u~..lon ,~ha.U be made by the hecvu.ng
c.cmm-Utee wLtfuvt.ten (IO) day,!) and a c.opy 06 uune ,~ha.U be. 6U/t1u.~Ite.d to ,tlte
apptic.al1,t by UIt..L{:ed Sta;t~ .\lCLil. Olt peJ1J.lOnM deLt\"e-W.
A~ 06 th-t~ date., I have. Itead the
~~e.~~t.~.
Adm-t~~-tolt CIt-ttelt-ta and Pol-tc.-te~:
w.,/M
~ -, t,-cStf
Vate
&-I~-c!'
Da.te