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Plan of Operations

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(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following:
(1) Statement of purposes and program goals.
(2) A copy of the Admission Agreement, containing basic and optional services.
(3) Statement of admission policies and procedures regarding acceptance of persons for services.
(4) Administrative organization.
(5) Staffing plan, qualifications and duties.
(6) Plan for training staff, as required by Section 87411(c).
(7) Sketches, showing dimensions, of the following:
(A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended and a designation of the rooms to be used for nonambulatory residents and for bedridden residents, other than for a temporary illness or recovery from surgery as specified in Sections 87606(d) and (e).
(B) The grounds showing buildings, driveways, fences, storage areas, pools, gardens, recreation area and other space used by the residents.
(8) Transportation arrangements for persons served who do not have independent arrangements.
(9) A statement whether or not the applicant will handle residents' money or valuables. If money or valuables will be handled, the method for safeguarding pursuant to Sections 87215, Commingling of Money, 87216, Bonding and 87217, Safeguards for Resident Cash, Personal Property, and Valuables.
(10) A statement of the facility's policy concerning family visits and other communication with clients, as specified in Health and Safety Code Section 1569.313.
(11) If the licensee intends to admit and/or specialize in care for one or more residents who have a documented history of behaviors that may result in harm to self or others, the facility plan of operation shall include a description of precautions that will be taken to protect that resident and all other residents.
(b) A licensee who advertises or promotes dementia special care, programming or environments shall include additional information in the plan of operation as specified in Section 87706(a)(2).
(c) A licensee who accepts or retains residents diagnosed by a physician to have dementia shall include additional information in the plan of operation as specified in Section 87705(b).
(d) A licensee who accepts or retains bedridden persons shall include additional information in the plan of operation as specified in Section 87606(f).

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Plan of Operation
(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following:
Statement of purposes and program goals
It is our belief that all developmentally challenged persons must be treated with respect and dignity. Based upon the principles of normalization, each individual will have the opportunity to live and participate in a community that provides them with access to a variety of environments and activities that one would naturally expect. to find within the community. By at all times providing individualized, positive, and proactive support, and assistance wherever and whenever required, all consumer will be afforded the opportunity to be empowered to reach their maximum potential. Each individual will be supported, even when they make mistakes. They will be unconditionally supported, loved, and cared for with their needs always considered on an individual basis. Furthermore, it is our belief that all skills training should be individualized and conducted by qualified staff members, utilizing professional skills training and positive behavioral change interventions. These measures will be carried out only after comprehensive need assessments through proactive techniques and strategies have been completed. All support and interventions will take place in natural environments.
Mt. Sinai Guest Home will provide residential care, 24 hours per day, for six moderately to profoundly developmentally challenged adults exhibiting significant severe deficits in self-care, physical, and coordination/socialization skills. This shall be done in a home environment in the Los Angeles area. Mt. Sinai guest Home will strive to assist each consumer and empower them to learn and develop the skills necessary to successfully participate in their home, social, educational, and recreational community environments. These goals will be accomplished by:
1. Promoting the General Welfare of Each Consumer
Mt. Sinai Guest Home will promote the general welfare of their consumer by adhering to the program philosophy and consumer rights mandates set forth by the State of California. The facility will promote good health via regular monitoring, proper diet, and exercise. When the needs of a consumer call for outside professional assistance, an appropriate professional consultant within the community will be made available. to the consumer. These professionals may include:
a) A Psychiatrist for purpose of psychotropic medication, review, and/ or therapy.
b) A licensed Clinical Social Worker for counseling
c) A speech or communication Therapist
d) An occupational Therapist
e) A physical therapist
f) A dietician
g) A reactional Therapist
h) Fire Person Specialist
Other specialized services will be made available as deemed appropriate to meet each consumer's individual needs.
2. Providing Quality Direct Care Residential Service
Mt. Sinai Guest Home will provide 24-hour supervision, 7 days a week. Our support staff are highly trained and qualified. The Administrator and owner of Mt. Sinai Guest Home has extensive experience working with moderately to profoundly developmentally challenged adults with severe behavioral challenges and skill deficits. The lead Program Staff person will have at least one year of experience working with developmentally challenged persons and have a functional understanding of positive and proactive behavioral principals and teaching techniques. During the hours between 6:00 a.m. and 7:30 p.m., a ratio of one staff member to every two patients will be maintained (exclusive of day program hours). There will be an overnight staff person seven days' a week, to meet any needs a consumer might have during the night. Where necessary, a one to one consumer to staff ratio will be provided. At all other times, the events that occur naturally within an environment will be used to support and teach consumers skills and positive coping strategies enabling maximized potential across all settings.
3. Identifying Individual Consumer Needs
Upon admittance to Mt. Sinai Guest Home, patients will participate in an adaptive skills assessment and a consumer interest survey. Input may also be provided by those persons who know the patient well. These assessment tools will help us to identify those areas where the patient exhibits barriers that prohibit goal realization. In general, three to four areas will be formally addressed. A variety of other skills will be worked on informally on a regular basis. Facility consultants will assess needs and strengths, then they will make recommendations upon request.

4. Providing Structured Individual Programming Time
Each consumer will have an individually scheduled daily routine with activities. All the necessary adaptations will be made to enhance the likelihood of success. Patients will actively participate in the planning and adjusting of their schedules whenever possible. Each patient's preferential choice will be accommodated when possible. Programming will consist of activities across all domains including, self-help, leisure, domestic, vocational communication, and community integration. For example, in the self-help domain, the consumer might work on styling their hair or selecting appropriate work attire. In the domain of leisure, they will work on accessing community activities or planning a movie outing. The area of domestic skills the patient how to plan and prepare simple meals. In the domain communication, the consumer might be working on expanding their ability to talk appropriately with their peers in a positive manner. The community domain will help the patient to select a personal clothing item and make a purchase. Socialization/Community integration is a very important activity in our facility, as well as, in the community and will be our highest priority.
Social skills training will be provided in order to enhance existing skills and teach new skills that will empower the patient to communicate their desires and needs in positive and socially acceptable ways. This will increase the likelihood of building successful relationships inside and outside of the home. With the use of sign language, communication boards/books, and/or other acceptable means, each patient should be prepared to communicate basic needs.

5. Teaching Positive and Proactive Alternative Behaviors
Operating on the philosophy that all behavior, whether it be verbal or non-verbal, is a form of communication, each patient's barriers will be identified and assessed Specific and detailed intervention plans will be developed and implemented to teach each patient positive and appropriate methods of getting their desires and needs met and to express their preferences. For example, if a consumer has previously learned that if they yell and scream they can escape or avoid an activity, they will be taught how to use an appropriate tone of voice to express their choice to not participate.
6. Non-Aversive Behavioral Interventions
As part of the Person-Centered Plan, a behavioral ...

Solution Summary

This is a two document solution that includes a 464-word student letter, and a 4389-word plan of operation for a healthcare facility in California. This solution corrects errors present in the body of the plan of operation text.

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