B7 - FACILITY PROGRAM DESCRIPTION

Our program philosophy:

We are licensed by the Department of Social Services, Community Care
Licensing Division as a Residential Care Facility for the Elderly to provide care
and services to residents age 60 and above. We will adhere to all regulations as
stated in Title 22 and the Health and Safety Codes.
This facility is dedicated to providing quality care and services to our residents.
We are staffed 24 hours a day, 365 days a year, by trained caregivers who are
committed to providing individual care and recognition to each resident.
We
strive to create a facility that fosters wellness, independence, dignity and quality
of life for each resident.
We provide the following basic services, as outlined in the Admission Agreement
package:
Accommodations, including furniture, if necessary
Utilities, except for personal telephone and internet services
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Arrangements to meet incidental medical and dental needs
Weekly housekeeping services
Assistance with transportation
Assistance with medications
Activity program
3 meals per day, plus nutritious snacks
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Communication with family members of such conditions/needs
We provide the following optional services, as outlined in the Admission
Agreement package:
Service:

Incontinence care (excludes product)

Service:

Transportation Escort

Rate: $300 per month

Rate: $20 per hour

Meals will be served in our dining room and, per Title 22, Section 87555, will be
of the quality and in the quantity necessary to meet the needs of our residents
and will meet the Recommended Dietary Allowances of the Food and Nutrition
Board of the National Research Council. Our facility serves 3 meals per day
along with between-meal snacks. Residents will be invited to provide input into
their likes and dislikes and menu planning.
Meal times are: breakfast 8am,
lunch, 11:30am, dinner 5pm. Residents that are not feeling well will be provided
Page 1 of 18

tray service in their room. Food service staff will be trained on proper hygiene,
food safety and contamination practices.

Hours and days of operation:

This facility operates 24 hours a day, 7 days a week, 365 days a year. Staff is
available 24 hours a day to assist with resident needs. The Administrator of this
facility is typically onsite Monday thru Friday from 9AM to 6PM or after hours by
appointment.

Activities available:
Sample daily and monthly activity calendar please find attached. All caregivers
are responsible for promoting and conducting activities as planned by the
Administrator/Licensee. Activities are conducted 7 days a week and are planned
according to the Title 22 regulations. Activities include, but are not limited to,
exercise, socialization and games.

Emergency procedures:
If a resident is ill or becomes injured, or exhibits a behavior or condition that is
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informDWLRQ LV IRXQG RQ WKH UHVLGHQWV /,& LQ DGGLWLRQ WR WKH /,& ( ZKLFK
lists the ambulance service, emergency services telephone numbers, etc. All
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policies on calling 911 and documenting all unusual incidents.
The Facility will have at least one administrator, facility manager or designated
substitute who is at least 21 years old on duty and onsite 24 hours per day. This
Facility staff member is not required to be RCFE Administrator Certified, but must
have:

Knowledge of the requirements for providing care and supervision

appropriate to each resident;

Familiarity with the planned emergency procedures and appropriate

responses to emergencies; and

Training to effectively interact with emergency personnel, including the

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Page 2 of 18

The Facility will also ensure that there is at least one staff member trained in
CPR and first aid on duty and on the premises at all times. This staff person is
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Upon arrival of the emergency personnel, they will be given a copy of the
following for the resident:

LIC 601 Identification and Emergency Information

Copy of insurance or Medicare cards
Any POLST, DNR, POA documentation, etc.
A list of their current medications
LIC 602A 3K\VLFLDQV 5HSRUW

In addition to this training, every quarter, all staff will attend a training on building
& fire safety and disaster training. This facility has a written disaster policy and
procedure manual on site and employees are aware of its location. The disaster
policy and procedure manual will include, but not be limited to, the LIC 610E form
that outlines responsibilities, how ambulatory, non-ambulatory and bedridden
residents will be evacuated, persons to be contacted, note of required forms to
filed with DSS and any other appropriate agencies, and other items, such as
utility shut-off locations and first aid kit locations.
All incidents in the facility will be documented regardless of size or significance.
This includes, but is not limited to, death of a resident regardless of where the
death occurred, epidemic outbreaks, accidents and any incident that threatens
thH UHVLGHQWV ZHOIDUH VDIHW\ RU KHDOWK )RU Lncidents that are not unusual (i.e., a
resident slips but has no injury), the incident will be documented LQ WKH UHVLGHQWV
file.
In the event of an unusual incident (i.e., a resident goes out to the hospital via
911), an Unusual Incident/Injury Report (LIC 624) will be completed. This report
is completed by the employee who witnesses the incident and/or is the first to
respond to an incident. The Department of Social Services must be notified by
the next working day (if necessary, per Title 22 Section 87211 regulations), along
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DSS within 7 days of the occurrence. A copy of this report will be sent to the
responsible party and ILOHG LQ WKH UHVLGHQWV ILOH ,W LV WKH UHVSRQVLELOLW\ RI WKH
Administrator to ensure that this DSS requirement is completed.
Death will be reported to the LPA by phone by the next working day and a written
Death Report (LIC 624A) will be completed and sent to the LPA within 7 days.

Page 3 of 18

Medications Policies and Procedures:

This facility will assist residents with their medications. This means that we
centrally store their medications, give them their medications to take when
prescribed, re-order when necessary and document when they refuse them and
call the physician and family/responsible party. It does not mean that we force
the residents to take their medications, give them injections (unless by a licensed
nurse) or put a pill in their mouth. Only staff members who have completed the
DSS required medication training will be allowed to assist with resident
medication.
Residents may only self-administer their medications if 1) their physician report
states that they are allowed to self-administer and 2) they prove that that doing
so would not be a danger to themselves or to other residents. This will be reevaluated, when necessary.
All medications will be logged in on the LIC 622 form Centrally Stored
Medications form. Medications will be stored VHSDUDWHO\ IURP RWKHU UHVLGHQWV
medications in our locked area. Narcotics will be under double-lock.
Each
residents medication, including OTCs and PRNs, shall be clearly labeled with a
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before any medication assistance is given. A written order is also required for
any medical treatment, special, diet, therapy, or aid.
All medication assistance will be documented with the medication name, time,
date and dosage taken by the resident, or documentation that the resident did
not take the medication according to the prescription. All documentation will be
accompanied by a signature of the trained staff member that has passed the
medication. This will include any type of medication pass.
1. PRN Assistance
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determine and communicate his/her need for prescription or non-prescription
PRN medication, facility shall be permitted to assist the resident with selfadministration of his/her PRN medication
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determine his/her own need for nonprescription PRN medication but can
communicate his/her symptoms clearly, facility staff designated by the licensee
shall be permitted to assist the resident with self-administration, provided all of
the following requirements are met:
a. There is a written direction from the physician, on a prescription blank,
specifying the name of the resident, the name of the medication, all of the
Page 4 of 18

information in Section 87465(e), instructions regarding

a time or
circumstances (if any) when it should be discontinued, and an indication
when the physician should be contacted for a medication reevaluation.
b. Once ordered by the physician the medication is given according to the
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shall include the date and time the PRN medication was taken, the dosage
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If the resident is unable to determine his/her own need for a prescription or
nonprescription PRN medication, and is unable to communicate his/her
symptoms clearly, facility staff designated by the licensee, shall be permitted to
assist the resident with self-administration provided all of the following
requirements are met:
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describe the UHVLGHQWV V\PSWRPV DQG UHFHLYH GLUHFWLRQ WR DVVLVW WKH
resident in self-administration of that dose and medication.
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record.
f. The date and time that the PRN medication was taken, the dosage taken,
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UHVLGHQWV IDFLOLW\ UHFRUG
For every prescription and nonprescription PRN medication for which the
licensee provides assistance there shall be a signed, dated written order from a
physician, on a prescription blank, maintained in the residents file, and a label on
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of the following information.
g. The specified symptoms, which indicate
medication.

the need for use

of the

h. The exact dosage

i. The minimum number of hours between doses
j. The maximum number of doses allowed in each 24-hour period.
Prescription medications which are not taken with the resident upon termination
of services will be returned to the dispensing pharmacy.
2. CRQGLWLRQV XQGHU ZKLFK D UHVLGHQWV PHGLFDWLRQ PD\ EH FUXVKHG:
a. To enhance swallowing or taste, but never to disguise or slip it to a
resident without his/her knowledge.

Page 5 of 18

b. If the resident is unable to take the medication, not if the resident is

unwilling to take it. Residents have a personal right to refuse medication,
except for minors and other clients for whom a guardian, conservator or
other legal authority has been appointed who has authority over medical
decisions.
3. Crushing medications is only allowed if:
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mixed with; and
d. you have informed the resident and/or responsible party in writing and
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4. Resident Medication Refusals:
When a medication is not given to a resident for any reason, you must:
a. Sign your initials on the medication sheet for the corresponding square of
the medication, time and date. Circle your initials.
b. On the back of the medication sheet, write the date, time, medication,
strength, your initials and the reason the medication was not given.
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c.
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5. Destroying medications:
The following are possible reasons why a medication must be destroyed:
a.
b.
c.
d.
e.
f.

Resident has moved

Resident has died
Physician orders (must destroy meds within 30 days of this order)
The med has expired
Meds that were spilled or contaminated
Meds not taken by the resident at the appropriate time

6. Steps for destroying medications:

a. Receive written order from physician.
b. Meds are to be destroyed by staff and one other adult who is not a
resident.
c. Document on the LIC 622 Destruction Record both parties sign.
d. Record is kept on file per DSS regulations for 3 years.
e. Meds are either sent back to the pharmacy or placed in a Sharps
container for disposal.
f. All meds discontinued or expired must be disposed of within 30 days of
the expiration date.
Page 6 of 18

g. Under no circumstances are medications to be given to the family

member!
7. Injections:
a. ONLY licensed medical professionals or the resident (to themselves) can
give an injection and/or do a needle stick.
b. Family members cannot draw up or give an injection or do a needle stick
unless they are a licensed medical professional.
c. Licensed medical professionals cannot give injections that have been predrawn by another licensed medical professional.
d. If your resident does administer their own injection, you must have their
physician verify this in writing and keep it in their file.
e. Sharps containers are mandatory.
f. Only your resident or a licensed medical professional can mix medications
to be injected and fill the syringe with the proper dose.
g. Insulin must be kept in its original bottle until it is drawn for immediate use.
h. You MAY obtain an exception from DSS to allow residents to use pre-filled
syringes that are prepared by a registered nurse.
i. The RN must not set up insulin for more than seven days in advance.
8. Resident Away During a Med Pass:
When a resident who is receiving medication assistance is going away from
the facility for any length of time that incorporates a medication pass:
a. Medications need to be sent with the resident. They are to be given to the
responsible party picking up the resident.
b. Place medication into a medication envelope, with complete directions and
dates written on the back.
c. Write on the back of the medication sheet each medication and number of
pills sent, date, time and initial. Document the responsible person to
whom the medications were released.
d. Place a box around appropriate sections on the medication sheet.
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sheet.
9. Medication Errors:
When a medication assistance error occurs for any reason, you must:
a. 1RWLI\ WKH UHVLGHQWV SK\VLFLDQ DQG family/responsible party immediately.
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date. Circle your initials.
c. On the back of the medication sheet, record the date, time, actual
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(physician notified, etc.), your initials and any additional comments.
Page 7 of 18

d. Prepare and send an Unusual Incident Report for DSS, if necessary.

e. If a medication was given to the wrong resident, make sure documentation
RFFXUV LQ WKH UHVLGHQWV Iile receiving the medication error.

Medication Training:
In accordance with DSS Title 22 and Health & Safety Code regulations, any staff
member assisting residents with the self-administration of medication are
required to complete six (6) hours of initial medication training within the first two
(2) weeks of hire and before assisting with medications. This will include 2 hours
of hands-on shadowing and 4 hours of other training or instruction. This training
program will be done in accordance with these regulations.
Medication Training topics will include:

The role, responsibilities and limitations of staff who assist

residents with the self-administration of medication, including tasks
limited to licensed medical professionals.

The terminology specific to medication assistance.

The different types of medication orders prescriptions, over-thecounter, controlled and other medications.

The basic rules and precautions of medication assistance.

Information on medication forms and routes for medication taken by

residents.

The procedures for providing assistance with the self-administration

of medications in and out of the facility, and information on the
medication documentation system used in the facility.

Guidelines for the proper storage, security and documentation of

centrally stored medications.

The processes used for medication ordering, refills and the receipt
of medications from the pharmacy.

Medication side effects, adverse reactions and errors.

After completing the six (6) hours of training, the employee will be tested on their
comprehension and competency in medication assistance. This test will be filed
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In each succeeding twelve (12) month period, an additional four (4) hours of
training will be conducted with the employee on medication-related issues.

Page 8 of 18

All training will be conducted by a qualified trainer, in accordance with DSS

regulations in Title 22 and the Health & Safety Codes (i.e., college degree,
experience as an Administrator, etc.).

Use of Oxygen:
Except as specified in Section 87611(a), the licensee shall be permitted to accept or
retain a resident who requires the use of oxygen gas administration under the
following circumstances:
1. If the resident is mentally and physically capable of operating the equipment,
is able to determine his/her need for oxygen, and is able to administer it
him/herself;
OR
2. If intermittent oxygen administration is performed by an appropriately skilled
professional.
In addition to Section 87611(b), the licensee shall be responsible for the following:
1. Monitoring of the resident's ongoing ability to operate the equipment in
accordance with the physician's orders.
2. Ensuring that oxygen administration is provided by an appropriately skilled
professional should the resident require assistance.
3. Ensuring that the use of oxygen equipment meets the following requirements:
4. A report shall be made in writing to the local fire jurisdiction that oxygen is in
use at the facility.
5. "No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas.
6. Smoking shall be prohibited where oxygen is in use.
7. All electrical equipment shall be checked for defects which may cause sparks.
8. Oxygen tanks that are not portable shall be secured in a stand or to the wall.
9. Plastic tubing from the nasal canula or mask to the oxygen source shall be
long enough to allow the resident movement within his/her room but does not
constitute a hazard to the resident or others.
10. Oxygen from a portable source shall be used by residents when they are
outside of their rooms.
11. Equipment shall be operable.
12. Equipment shall be removed from the facility when no longer in use by the
resident.

Page 9 of 18

13. Determining that room size can accommodate equipment in accordance with
Section 87307, Personal Accommodations and Services.
14. Ensuring that facility staff have knowledge of, and ability in the operation of
the oxygen equipment.
The licensee shall be permitted to accept or retain a resident who requires the use of
liquid oxygen under the following circumstances:
a. The licensee obtains prior approval from the licensing agency.
b. If the resident is mentally and physically capable of operating the
equipment, is able to determine his/her need for oxygen, and is able to
administer it him/herself.

Bedridden Policy & Procedure:

According to Health & Safety Code Section 1569.72, this facility will admit and
retain 1 bedridden resident when an appropriate fire clearance is in place, the
needs of the residents may be safely met and the Department LPA has been
notified in writing along with the required documentation.
A bedridden resident at this facility is defined as a resident who cannot turn,
reposition or transfer from bed without assistance.
If a resident receives
assistance from the facility staff to perform these movements, but in an
emergency situation is able to reposition and transfer independently, with or
without the use of assistive devices, then the resident is not considered to be
bedridden.
Residents who are bedridden because of a temporary illness or for recovery from
surgery are allowed to be admitted and retained. Temporary illness is defined as
any illness which persists for 14 days or less. The local fire authority will be
notified within 48 hours of the admission or retention.
A hospice resident may
be included in the definition of temporary illness, provided the condition is
expected to last 14 days or less.
This facility will notify WKHLU /3$ LI WKH UHVLGHQWV FRQGLWLRQ FRQWLQXHV EH\RQG
days 7KH QRWLILFDWLRQ ZLOO LQFOXGH D VWDWHPHQW IURP WKH UHVLGHQWV GRFWRU WKDW
WKH
FRQGLWLRQ LV WHPSRUDU\ DQG WKH GRFWRUV revised estimated date when the
bedridden status will end. The local fire department will also be notified.
Care Procedures for bedridden;
1. Residents will be evaluated for complications of immobility including:
1) Skin breakdown
2) Urinary tract or respiratory infection
3) Contracture
Page 10 of 18

4) Depression/isolation
2. A Care Plan will be developed that addresses the needs of the resident and
updated quarterly or upon change of condition, whichever is sooner, to reflect
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1) Need for repositioning
2) Need for assistance with proper food and liquid consumption
3) Toileting/incontinence needs
4) Skin care needs
5) Psychosocial needs
3. The physician (or hospice agency) will be contacted if the resident exhibits a
change in status in need of medical intervention.
4. Staff scheduling will accommodate the needs of resident requiring turning and
repositioning to ensure turning is taking place at least every two hours or
more often, as required. One-on-one staffing will be provided if is determined
to be needed by the resident.
5. Arrangements for special medical care devices will be made, including but not
limited to:
1) Egg crate mattresses
2) Heel and elbow protectors
3) Bed pans or bedside commodes
4) Partial bed rails
5) Wheelchairs
6. The local fire department jurisdiction shall be notified within 48 hours of the
presence of a bedridden person.
7. Bedridden residents that develop a prohibited condition will be relocated and
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8. If a resident becomes bedbound and cannot get out of bed, facility staff will
assist the resident by:
a. Encouraging the resident to participate in personal care activities as
the resident is able.
b. Assisting the resident to turn every 2 hours or more often, as
necessary.
c. Monitoring skin daily.
d. Monitoring bowel movements and following physician orders
constipation.

for

Page 11 of 18

e. Reporting any respiratory issues, like coughing, to the physician.

f. Transferring the resident to the wheelchair with maximum support and
taking to the dining room and activities as tolerated.
g. Encouraging adequate food and fluids. Staff will assist the resident in
a sitting position or a supportive position in order to consume foods
safely.
h. Sitting with the resident while they eat and not leaving them alone.

24- Hour Contact Information for Medical Personnel

Emergency 24- hour contact information will be readily accessible to all
direct care staff. The Administrator will maintain the list which will include
resident physicians, RNs, hospice care providers and home health
providers.
Care Plans
Care Plans will be maintained for each resident who is bedridden. When
WKH UHVLGHQW LV RQ KRVSLFH WKH UHVLGHQWV FDUH SODQ LV GHYHORSHG ZLWK WKH
hospice agency and will be followed. This plan will be updated as needed.
Bedridden Staff Training
The facility will provide training on the care of bedridden residents. The
training will take place in the facility by and with the Administrator, Home
Health nurses and/or Hospice nurses.
All training will be kept in the
employee files. Training topics will include, but not be limited to,
recognition of and procedure for Skin breakdown, Urinary tract or
respiratory infection, Contractures, Psychosocial needs, repositioning,
assistance with proper food and liquid consumption, toileting/incontinence
needs, egg crate mattresses, heel and elbow protectors, bed pans or
bedside commodes, partial bed rails and wheelchairs.

Disaster Plan:
The facility has a written Disaster Plan and staff is trained on the appropriate exit
and evacuation methods for a bedridden resident.

Page 12 of 18

Dementia Plan:
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Operation.

Prohibited Health Conditions:

Should a bedridden resident develop a prohibited health condition and it is
determined that relocation is necessary, appropriate steps will be taken to
decrease transfer trauma. The Administrator will work their LPA and notify the
LPA immediately when the relocation has occurred, including the new address, if
known.

Regulation Updates:
The facility will keep updated and current on regulation changes and updates
through a combination of 3 rd party provider services, free newsletter updates on
regulation updates & FKDQJHV DQG DFFHVVLQJ WKH '66&&/ ZHEVLWH 0\&&/ IRU
quarterly updates.

Transportation:
This facility does provide transportation under the following conditions.
Provided our vehicle is operable, we will provide each resident with
transportation IUHH RI FKDUJH WR GRFWRUV DSSRLQWPHQWV ZLWKLQ D PLOH UDGLXV
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transportation needs are in excess of 4 times per month, we will arrange taxi
service and the resident will need to separately pay the charges to the taxi
service. If the resident requests or requires an escort during this time, the
resident will be charged $20 per hour. Our driver(s) will be required to have a
YDOLG &DOLIRUQLD GULYHUV OLFHQVH IRU WKH YHKLFOH FODVV XVHG DQG Zill be insured. Our
vehicle will be maintained at all times in a safe operating condition and will not
exceed the number of persons for which it is rated. If our vehicle is out of
service, we will arrange a taxi service for the resident that the resident will
separately pay to the taxi service.

Page 13 of 18

Resident Council:
The Resident Council is designated to be the forum where residents can discuss
ideas, suggestions and concerns about the facility.
Others, such as family
members, Ombudsman, resident representatives and advocates may attend at
the invitation of the Resident Council. A Facility staff member will only attend if
invited by the Resident Council. We will encourage residents to attend and
provide residents with assistance to the meeting if requested.
We will notify
residents, and resident representatives where applicable, of meeting times, place
and dates and keep a record of meeting notices, times, dates and
recommendations. Recommendations from the council will be accepted for
review and consideration by us and any concerns or recommendations will be
addressed within 14 calendar days. Every Resident Council member has the
right to be interviewed by the Department of Social Services. If applicable, the
designated Resident Council representativeV name and contact information will
be provided to the Ombudsman if he/she requests it.

Available Community Resources and Consultants:

'66 DGGUHVV DQG WHOHSKRQH # '66 &&/
770 The City Drive, Suite 7100, MS: 29-28
Orange, CA 92868
Telephone: (714) 703-2840
2PEXGVPDQV WHOHSKRQH # LTC Ombudsman Program
c/o COUNCIL on AGING - Orange County
1971 E. Fourth Street, Suite 200
Santa Ana, CA 92705-3917
(714) 479-0107 or (800) 300-6222
/RFDO $O]KHLPHUV $VVRFLDWLRQ $O]KHLPHUV $VVRFLDWLRQ
2515 McCabe Way
Irvine, CA 92614
(949) 955-9000
Local Area on Aging office: 1971 E. 4th Street, Suite 200
Santa Ana, CA 92705
714-479-0107
Local hospital: Mission Hospital Regional Medical Center
27700 Medical Center Rd
Mission Viejo, CA 92691
(949) 364-1400

Page 14 of 18

Local dentist: Gateway Dental: Rad Shadi DDS

24000 Alicia Pkwy, Mission Viejo, CA 92691
(949) 707-7000
Local bank: Bank of America
26821 Trabuco Rd
Mission Viejo, CA 92691
(949) 951-4022
Local library: Mission Viejo Library
100 Civic Center
Mission Viejo, CA 92691
(949) 830-7100
Local mall: The Shops at Mission Viejo
555 Shops At Mission Viejo
Mission Viejo, CA 92691
(949) 364-1832
Local beauty salon: Stray Cuts Hair by Sylvia
24002 Va Fabricante
Mission Viejo, CA 92691
(949) 291-7225
Local pharmacy: CVS Pharmacy - Photo
26851 Trabuco Rd
Mission Viejo, CA 9269
(949) 581-59901
Local movie theatre: Regal Cinemas Foothill Towne Center
26602 Towne Centre Dr
Foothill Ranch, CA 92610
(949) 588-9402
Consulting trainer: Jane Van Dyke-Perez
Assisted Living Education
356 W. Cerritos Ave, Anaheim, CA
714-747-0725

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Facility Complaint Policy:

It is the goal and priority of our facility to maintain a good relationship with our
residents, family members, guests, employees and neighbors and we maintain
an open door policy.
If there is a complaint or grievance regarding this facility, we will endeavor to
solve this problem immediately by a staff member. If this is not possible, or the
outcome is not acceptable to either party, it will be handled by the Administrator
and/or Licensee. They will be available Monday through Friday from 9AM to
6PM and on weekends/evenings by appointment.
The complaint will be investigated and we will report back to the resident/family
member/neighbor with a plan of action either immediately, if possible, or within 3
business days. The response will be in writing from the Administrator and/or
Licensee.
We hope that all grievances can be resolved quickly and with the Administrator
and/or Licensee. If this is not possible, then the person with the complaint has
the right to contact the local Department of Social Services office or the LongTerm Care Ombudsman; their telephone numbers and addresses (for DSS) were
given to them on the Resident Rights form upon admission.
According to the amended Sections 1539, 1568.07 and 1569.37 of the Health
and Safety Code relating to care facilities, no Licensee, or officer or employee of
the Licensee, shall discriminate or retaliate in any manner, including, but not
limited to, eviction or threat of eviction, against any person receiving the services
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employee or any other person has initiated or participated in the filing of a
complaint, grievance, or a request for inspection with the Department or the
Ombudsman.
Community Care Licensing will be notified or any changes and/or revisions to this
policy.

Absentee Notification Plan:

If a resident is determined missing, the facility will call the responsible party
immediately and identify circumstances under which law enforcement will be
notified. This information will be documented on the Needs and Services Plan
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necessary.

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Personal Rights of the Residents:

Upon admission, a facility staff person will personally advise a resident and/or the
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Rights form, that also includes Section 87468 of Title 22, will be discussed with
the resident. The resident and/oU WKH UHVLGHQWV UHSUHVHQWDWLYH ZLOO VLJQ DQG GDWH
of a copy of the Personal Rights form and the facility will include this signed and
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A copy of resident rights will be posted in a prominent place in the Facility,
accessible to the residents and their representatives, in both English and in any
other language in the Facility in which 5% or more of the residents can only read
that other language.
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control of the resident shall not extend to personal rights retained by the resident,
including, but not limited to, the right to receive visitors, telephone calls, and
personal mail, unless specifically limited by a court order.
Our facility will abide by and acknowledge these rights and will act in accordance
with these policies and regulations.

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Typical Resident Day (activities)

7:30 a.m.

Rise and shine, shower, dress, grooming

8:00 a.m.

Breakfast in the dining room

9:30 a.m.

Arts and crafts in the dining room

10:30 a.m.

Exercise class in the living room

11:30 a.m.

Lunch in the dining room or outside patio

12:30 p.m.

Trivia contest

2:00 p.m.

Afternoon nap or independent time

3:00 p.m.

Current events (newspaper reading) with the caregiver in the living

room

4:00 pm.

Gardening in the backyard

5:00 p.m.

Dinner in the dining room

6:00 p.m.

Movie in the living room

8:00 p.m.

Prepare for bed, dressing, grooming

9:00 p.m.

Resident may go to sleep, if desired

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