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It specifies participant service models, including personal care, therapeutic activities, meals and snacks, nutrition and health teaching, counseling, transportation, referrals, and therapy arrangements. 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General Requirements 2  \n2. Governing Authority and Administration 9  \nCEO/President Responsibilities  \nAdministrative Position Responsibilities  \nOrganization Chart  \n3. Staffing Qualifications for Medical Adult Daycare 14  \n4. Definitions 15  \n5. Participant Care Policies 18  \nPolicies and Procedures  \nAdmission and Retention of Participants  \nFinancial Arrangements  \nServices Provided to Clients  \n6. Nursing and Personal Care Services 26  \n7. Transportation Services 45  \n8. Dietary Services 51  \n9. Social Work Services 53  \n10.Participant Activity Services 55  \n11.Emergency Services and Procedures 61  \n12.Participant Rights and Privacy Practices 70  \nAbuse, Neglect, or Exploitation  \nPrivacy Practices  \n13.Discharge Planning Services 75  \n14.Medical Records 76  \n15.Infection Prevention and Control Services 80  \n16.Housekeeping, Sanitation, and Safety 82  \nOSHA Compliance  \n17. Information Technology 87  \n18. Quality Assurance Program 93  \nCHAPTER 1  \nGENERAL REQUIREMENTS  \n1.1 Policies and procedures manual  \nThis manual has been developed to comply with all rules and regulations established by the Maryland Department of Health (MDH) that set the standards necessary for the welfare and safety of individuals who receive care in medical day care centers and assisted living homes.  \nThe organization and daily operation of Winter Growth are guided by the policies and procedures included in this manual.  \nThe manual istobe reviewed on an annual basis and documented accordingly on the title page.  \nThe manual shall be available in the Center to representatives of the Maryland Department of Health at all times.  \nA. Winter Growth’s Mission  \nWinter Growth’s mission is to provide community based services for health impaired senior and disabled adults that support them in achieving their highest potential for independence, dignity, and life satisfaction regardless of income level. We provide services that are respectful of and responsive to individual preferences, needs, and values. As both a service provider and employer, recognize everyone’s rights of choice, privacy and opinion. We provide care with empathy, warmth, and kindness. We enhance all staff’s knowledge and skills through ongoing training. We embrace everyone’s right to have a life with purpose, meaning, joy, and satisfaction.  \nB. The goals of Winter Growth are:  \n1)To promote the individual's maximum level of independence;  \n2)To maintain the individual's present level of functioning as long as possible, preventing or delaying further deterioration;  \n3)To provide support and respite to family and other caregivers in continuing their care of the impaired person;  \n4)To provide an alternative setting for diagnostic and treatment procedures that will enable the impaired person to remain at home;  \n5)To sustain impaired seniors by providing outlets and services to supplement essential self-care activities which they cannot manage for themselves;  \n6)To foster socialization and peer interaction.  \nC. Winter Growth will provide the following services to all participants during our medical day care program:  \n1)Personal care  \n2) Structured, therapeutic activities  \n3)One nutritious meal and two snacks  \n4)Nutrition teaching  \n5)Health monitoring plus medical treatments as ordered by Physician  \n6)Health teaching  \n7)Counseling  \n8)Transportation within a designated area  \n9)Referral to social agencies  \n10)Arrangement for physical, occupational, and/or speech therapy as prescribed by physician  \nD. Winter Growth will provide the following services to all residents and respite visitors while in our assisted living program:  \n1) 24 hour supervision  \n2) Personal care assistance  \n3) Three nutritious meals and at least two snacks daily  \n4) Medication supervision and/or administration  \n5) Laundry services  \n6) Housekeeping services  \nE. An Or","cbCaigOX6bsvsaSd","https://ap.wps.com/l/cbCaigOX6bsvsaSd","pdf",1055451,95,"English","# Chapter 1 - General Requirements\n## 1.1 Policies and procedures manual\n## A. Winter Growth’s Mission\n## B. The goals of Winter Growth are\n## C. Services provided to all participants in the medical day care program\n## D. Services provided to all residents and respite visitors in the assisted living program\n## 1.2 Services provided\n## A. Medical day care and assisted living eligibility\n## B. Services provided directly in the medical day care program","[{\"question\":\"What is the purpose of the manual for Winter Growth, Inc.?\",\"answer\":\"The manual establishes policies and procedures to comply with Maryland Department of Health rules and to ensure the welfare and safety of individuals receiving care in medical day care centers and assisted living homes.\"},{\"question\":\"Who can receive services under the medical day care and assisted living programs?\",\"answer\":\"Medical day care serves participants who do not require 24-hour inpatient health care, generally emphasizing seniors with health and social problems and functional disabilities. Assisted living serves individuals who do not require twenty-four hour nursing care, and younger participants may be considered individually.\"},{\"question\":\"What nursing-related responsibilities are included in the medical day care program?\",\"answer\":\"Nursing services provide assessment, supervision, health monitoring, instruction, and treatment during all day program hours. The nurse administers medication or designates that responsibility to authorized personnel, maintains documentation, obtains current physician orders, and reports observed health status changes.\"}]","POLICIES AND PROCEDURES MANUAL FOR MEDICAL DAY CARE and ASSISTED LIVING - Chapter 1 - General Requirements | PDF",239]