524 75TH ST SE 2016-01-01 MF Import

Functional Program putline Rrsidential Care Facilities Describe the types of residents admitted to this facility. List the types nf residents and the quantity for wch. Types of residenta may includa such clazsifications u "elderly,' 'frail elderly," 'developmentally disabled,' 'mental health clients," "recoverinp alcohoiics," etc. identify evacuation categories in the facility and the quantities of each. List any additional/temporazy residents such u adult day care, type of respite caze, type of crisis care and the quantity for each. Describe if they are different from your rypical residents or if they aze similaz. Resident rooms. Describe room furnishings - are they resident or facility providedl Identify the emergency exits from each room. Identify the hot water supply to the rooms. (Water temp must be between I05-120 degrees.) Describe any room fixtures and applianca. Describe toilet and bathing rooms. Include quantity if shued. Does the room Iock1 Is a lockable storage container available? Does each room haee a phone jack (not required for all rooms in all facilitie:, fur licensure but may be requiral for contracting) and appropriate electrical oudeu? List typa of rooms included in this facility and describe the use for each type of room. Listed might be such roomt az; resident rooms, TV room, resident workshop, activity room, medication room, utility room, dining room, kitchen, counseling rooms, meeting rooms, smoking room, laundry room, etc. Describe activities provided for residents. Give examples of the activities, the frequency of the activities and where each will occur. Describe any transportation used by and for the residents. Who owns the uansportation? Who operates the transportation? List the typical reazons for transponing the residents. Laundry Service Where is resident laundry done? Where is facility laundry done? How are clean and soiled areas separated? Is the laundry co•mingled? What type of laundry equipment is being used? Where is the hot water supply for the laundry? (Water temp I40 degrees.) Who is doing the resident laundry? Who is doing the facility laundry? Food Service Ho.v ue menus created? Hy whom? Are menus unique or cycled? Pleaze include sample menu. 1Vhat meals are provided? i.e. how many meals per day, modified diets, etc. Where are the meals prepared7 (Define each if done differently) If catered or brought from ano�her licensed facility how are they transpotted? Who prepares the meals? (Uefine each if done differently) Where aze the meals served? (Define each if done differently) Who serves the meals? (Define each if done di'fferently) What type of dishwasher(s) will be used? What kind of refrigeration is used? Med Storage and Use Where do residents store their own meds under category A7 Where does the facility store meds (or category 8 and C? Does that area have adequate lighting and work surface? Who assists and supervises medications? ��hat kind of azsistance do they provide? How is the medication distributed? Is there a handwashing sink nearby? Where is the medication administered?