Form Lic 281 - Application Instructions For A Facility License Page 17
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22B7.
COMMUNITY CARE FACILITIES/RESIDENTIAL CARE FACILITIES FOR THE ELDERLY
PROGRAM DESCRIPTION
The program description should be a general overview of the program philosophies, services provided
and activities in the facility. A pamphlet or brochure advertising the facility is also acceptable
providing all of the following elements are included:
•
Brief statement of the purpose, goals and program methods (program philosophy).
•
**Days and hours of operation.
•
Daily schedule of activities to be provided by the facility. This should state who plans, conducts
and assists clients in participating in these activities.
•
A one month schedule of planned social, educational and recreational activities. This should
state who plans, conducts, and assists clients in participating in these activities.
•
**Description of the basic services provided by the facility. NOTE:
See Admission Guideline (LIC 604 or 604A) for a list of basic services.
•
**Description of the optional services provided in the facility as listed in the admission
agreement.
•
Description of how the facility is going to handle medical emergencies if a client becomes ill or
injured.
•
Procedure for handling and assisting clients / residents with self-administered medications.
•
Transportation arrangements.
•
Description of community resources and consultants to be used by the facility.
•
Each facility shall provide a procedure (approved by the licensing agency for immediate response
to incidents and complaints).
[Information requested in areas designated by **may also appear in Section B10 - Admission Policies].
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