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Home My WebLink About20033052.tiff RESOLUTION RE: APPROVE VALE GRANT APPLICATION FOR LONG TERM CARE OMBUDSMAN ADVOCATE/FRIENDLY VISITOR PROGRAM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with a VALE Grant Application for Long Term Care Ombudsman Advocate/Friendly Visitor Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services,Area Agency on Aging,and the Colorado Department of Human Services,commencing January 1,2004,and ending June 30,2005,with furtherterms and conditions being as stated in said application, and WHEREAS,after review,the Board deems it advisable to approve said application,a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the VALE Grant Application for Long Term Care Ombusdman Advocate/Friendly Visitor Program between the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services,Area Agency on Aging,and the Colorado Department of Human Services,be,and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is,authorized to sign said application. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 3rd day of November, A.D., 2003. BOA D OF COUNTY COMMISSIONERS WEL UNTY COO D ATTEST: e>� Qc ��^wIl E r Moc7, Chair Weld County Clerk tot\t Bk<tt LW 4 Robert D. Masden, Pro-Tem BY: Deputy Clerk to the Bo EXCUSED M. J. Geile AP AS FORM: . 1(`,_.), Willis H. Jerke� ) my At o ney Glenn Vaad " ' �, Date of signature: /8 \ 2003-3052 00 '. �2 Ca0`"r`1\ i (q O HR0074 VALE Grant Application Signature Page Applicant Agency: WELD COUNTY AREA AGENCY ON AGING Street Address: 1551 North 17th Avenue Mailing Address (If different): Post Office Box 1805 Phone: (970) 353-3800 ext 3324 Fax: (970) 304-6442 E-Mail:rmaldona@co.weld.co.us Project Title: Weld County Long Term Care Ombudsman Advocate/Friendly Visitor Grant Period: January 1, 2004 to June 30th, 2005 The following signatories, understand and agree that any grant received as a result of this application shall incorporate and be subject to the statements made within the above described VALE Grant Application(The Application). Furthermore, the signatories certify that they have each read The Application and are fully cognizant of their duties and responsibilities for this project. (Original signatures of each party to this application (i.e., Project Director, Financial Officer and Authorized Official) are required. Please use BLUE INK to distinguish the original documents from copies). Project Director: Name: Eva Jewell Position/Title: AAA Director Agency(Including Division or Unit): Weld Area Agency on Aging, Human Services Div. Mailing Address: 1551 North 17th Avenue, Post Office Box 1805 Greeley, CO 80632 Phone: (970) 353-3800 Fax: (970) 304-6442 E-Mail: ejewell@co.weld.co.us Signature Date: /O1/—Gv Financial Officer: Name: Marilyn Carlino Position/Title: Financial/Fiscal Director Agency(Including Division or U it): Division of Human Services Mailing Addres ., 551 North ti Avenue,Post Office Box 1805 Greeley, CO 80632 Phone: 970 -38 0 • 970) 304-6442 E-Mail: mcarlino@co.weld.co.us Signature: Date: /e Authorized Official: Name: David E. Long Position/Title: Chair Agency(Including Division or Unit): Weld County Board of Commissioners Mailing Address: 915 10th Street, Greeley, CO 80631 PO Box 758, Greeley, CO 80632 Phone: 970 3 019 hFax: 970) 352-0242 E-Mail: Signature: `" Date: 11 /03/2003 In accordance with the Colorado Revised Statutes 24-72-202.6,information supplied in this application is considered a public record. kn3 .O5a SECTION A-AGENCY INFORMATION 1. Applicant Agency (including Division or Unit): Weld County Area Agency on Aging Division of Human Services 2&3. Street/Mailing Address: 1551 North 17th Avenue Post Office Box 1805 Greeley, Colorado 80632 4. Phone: (970) 353-3800 extension 3324 Fax: (970) 304-6442 E-Mail: rmaldona@co.weld.co.us 5. Project Director: Eva Jewell Title: Weld Area Agency on Aging Director 6. Project Title: Weld County Long Term Care Ombudsman Advocate/Friendly Visitor 7. Agency Status: Governmental 8. Grant Amount Requested: $12,750 Section B: Summary The Weld County Long Term Care Ombudsman Program has been a consumer voice for the elderly residing in nursing homes and assisted living facilities (previously referred to as personal care boarding homes) for more than twenty(20) years. The authority of the local Ombudsman Program comes from the Older American's Act, Colorado Revised Statutes 25-11.5 and the Nursing Home Reform Law of 1987. The Weld County Ombudsman acts as a consumer voice for the concerns of the elderly living in institutions, who may have no one else to speak for them. The Ombudsman also receives and resolves questions, issues, problems and complaints made by, for, or on behalf of residents of long term care facilities. Weld County facilities have grown to include seven nursing homes and seventeen assisted living facilities to respond to the increasing number of frail elders affected with chronic conditions which interfere with their ability to live independently in the community. This number does not include the additional seniors moving into the Weld community already requiring long term care, nor the people who will experience unanticipated changes in their general health status which will require long term care placement. Development plans have been submitted to build an additional nursing home in the Windsor area, and construction is anticipated. Also, approval is being sought to open an assisted living facility in the Ault area. Currently, this area of Northern Colorado does not have assisted living residences or nursing homes. In addition, Beehive Homes of Fort Lupton has opened a secure assisted living home for those inflicted with Alzheimer's disease, and Bonell Good Samaritan Center is constructing an additional assisted living facility, with construction being complete in 2004. The V.A.L.E. grant has allowed the Ombudsman Program to increase staff time to keep up with the increasing demand for advocacy on behalf of this very vulnerable population. The assistant position is currently working 16-20 hours per week in the field, visiting nursing homes and assisted living facilities. By maintaining a constant presence in these facilities, the Assistant Ombudsman has built trusting relationships with residents and staff. The funds have also enabled the program to maintain an abuse prevention and awareness program aimed at educating Certified Nurse Assistants (C.N.A.'s). This has allowed the Assistant Ombudsman to educate residents and staff about the Ombudsman Program, abuse issues and resident rights, as well as investigation of complaints of abuse and neglect. The success and popularity for the abuse prevention program has escalated. As the market continues to grow, the demand for education for front line staff also increases. Without the V.A.L.E. resource, the program will not be able to continue these imperative services. In addition, it would be impossible to continue and expand our Volunteer Ombudsman Program without the V.A.L.E. grant dollars. Long term care residents face both physical and psychological barriers when it comes to expressing and advocating for their needs. This makes residents more likely to be victimized by caregivers. The Ombudsman's role through observation and a frequent presence in the facilities; is to insure that resident rights are being respected, that quality care is administered, and that abuses do not occur. Continued funding of the Assistant Ombudsman will make it possible for the Weld County Area Agency on Aging Ombudsman Program to serve the increasing number of vulnerable long term care residents and their families. We are requesting a modest amount of V.A.L.E. Board Funds ($12,750) to continue to fund the Assistant Ombudsman position and to increase the expansion of elder abuse education to additional target populations. In 2004, the funds will allow the Assistant Ombudsman to continue her presence of 16-20 hours per week. This will continue the necessary involvement with the "Ensuring an Abuse Free Environment"program and aid in the recruitment and 1 training of volunteers. We believe that our request for a continuation of funding relates to the mandate of early crisis intervention and to provide assistance and support to victims and their families. Section C: Project Concept/Design Overall Issues Being Addressed: The purpose of the Weld County Long Term Care Ombudsman Program is to assist and empower consumers of long term care services by providing information about those services and furnish support in complaint resolution. These issues or complaints may include,but are not limited to access to long term care services, redress of neglectful or abusive care, and information and assistance with civil and human rights. The Long Term Care Ombudsman program is a resident/patient/consumer-centered advocacy program. Long Term Care Ombudsmen have statutory status under the Older Americans Act of 1965 as amended and are required by federal and state law to visit every nursing home monthly and every assisted living facility quarterly. They also receive, investigate and resolve complaints, identify needs of long term care residents and help establish programs to meet those needs. The Ombudsmen also document and report problems of long term care and help to stimulate and promote improvement of the system. Currently, Weld County has the capacity to occupy 869 nursing home residents and 528 assisted living residents, and the numbers are expected to continuously grow. The recent growth has resulted in an expansion of assisted living facilities. To meet the demand, the assisted living industry is expanding into the rural areas as well as continued expansions in the Greeley area. This additional growth will increase the Ombudsman responsibilities, including all education and technical assistance components, all required visitations, all complaint investigations, and all documentation and reporting. We hope to meet the need by continuing the Assistant Ombudsman position of.25 FTE, funded by this proposal. Due to the increased number of long term care residents Weld County has experienced in the last few years, the demand for Ombudsman services has also increased. Federal funds, through the Older Americans Act, are not keeping up with the growing need for long term care advocates. With limited current resources available to the Area Agency on Aging, it will be impossible to meet the minimum requirements for a visible presence in all of Weld's long term care facilities. In an effort to keep up with the visitations, the training and technical assistance to the facilities will be negatively influenced. Such training is the key to the prevention of practices that diminish the quality of life of residents and in many cases may border on abuse. There is continuing evidence from statements made by regulatory agencies that an informed, educated and empowered community presence in long term care facilities can help to maintain or improve the quality of the facility and thus the quality of the residents' lives. In short, the problem we are trying to resolve is the lack of Ombudsman resources to cover exceptional increases in the growth of long term care services in Weld County. In 2000, a federal commission concluded that nursing home and assisted living communities were severely understaffed and have made recommendations to enforce stricter and tougher staffing requirements and guidelines. As a result, Governor Bill Owens formed a Blue-Ribbon panel in June of 2000, to review these issues and make recommendations. In November of 2000, this panel developed a draft for assuring quality health care for Colorado, "A Partnership for Nursing Excellence."Unfortunately, the work to develop solutions is just beginning and those of us who have the responsibility to oversee the care of the elderly must respond to this crisis now. 2 Some of the current recommendations are to increase vocational and educational training, to expand and encourage people to enter the elder care health industry, empower current employees to enhance retention and give the patient-care professionals better tools to get their jobs done, and to reduce the numerous elder abuse and neglect incidents. Project Goals: Goal#1 (standard): The Weld County Long Term Care Ombudsman Program will provide direct services that assist crime victims with emotional and physical needs to stabilize their lives, provide a measure of safety and security, and/or enhance victims' experience with the criminal justice system. To provide elderly victims of crime with literature and guidance on how to report an abusive situation, and educate long term care facility staff on their responsibilities of reporting abuse ATTACHMENT A. To assist elderly victims of crime with their rights as a victim, and referral to the Victim/Witness Program. To provide elderly victims of crime with information and assistance on how to apply for any financial assistance that may be available from Crime Victim Compensation. Inform elderly victims of crime and their families of their responsibilities as a victim. Goal#2: To enhance the ability of the Weld County Long Term Care Ombudsman Program to act as a consumer voice for the concerns of the elderly living in nursing homes and personal care boarding homes. By visiting nursing homes and personal care boarding homes, there is an ongoing process of building trust and rapport with the residents and staff so that instances of mistreatment and elder abuse can be identified and addressed promptly. ► To enhance the ability of the Weld County Long Term Care Ombudsman Program to receive and resolve questions, issues, problems and complaints on behalf of residents of long term care facilities. ► To enhance the ability of the Weld County Long Term Care Ombudsman Program to provide community education regarding issues of elder abuse and quality of life for residents in long term care facilities. ► To strengthen the ongoing elder abuse training program. The current training being used is a program developed by " CARTE," which stands for, " Coalition of Advocates for the Rights of the Infirm Elderly." This educational program is also known as, "Ensuring an Abuse Free Environment" training. CARTE consists of eight training modules that focus on various aspects of elder abuse (ATTACHMENT B). The training program will be used to assist with educating staff, residents, and family members regarding victimization. Training and education can be accomplished through CNA conferences or in-services at nursing homes or assisted living facilities. 3 Currently the CARTE program is being offered to C.N.A.'s (Certified Nursing Assistants). The Weld County Ombudsman Program has discovered the benefits of offering the training to administrative and managerial long term care staff. This additional training for this program has been developed and is being offered to managerial staff on a quarterly basis. In addition, the Assistant Ombudsman has added a victims' rights and victims' assistance portion to the CARTE training program. With this addition to our training, it is expected that each trainee will understand how to assist a victim with reporting a crime, and how to help them apply for victim assistance and compensation. However, due to the lack of adequate staffing, facilities had faced the challenge of enrolling their staff for an all-day training. The Weld County Ombudsman program has implemented an abbreviated version of the training to the students who attend the "Ensuring an Abuse Free Environment" training. In addition, the Assistant Ombudsman has been able to address the issues of elder abuse in the earlier stages of C.N.A. training, through the C.N.A. training center, which has been in existence since 1994. The C.N.A. training center provides the opportunity for individuals to become trained as Certified Nursing Assistants (C.N.A.'s). Upon completion of the training, many of the C.N.A.'s find positions within Weld County long term care facilities. This has allowed the Abuse Prevention training to be delivered to more students on a bi- monthly basis and has increased awareness and reporting standards to 30-50 students monthly. This has given the Ombudsman Program an opportunity to reach a wide variety of future nursing assistants, which will provide outreach services that are conducive with the Governor's Blue-Ribbon Committee goals. Project Objectives: Objective #1(standard): To provide services to the following estimated unduplicated number of crime victims during the 12-month grant period. (Note: Count each victim only once based upon predominant crime type). TYPE OF CRIME PROJECTED ACTUAL# ACTUAL# ACTUAL# ACTUAL# YEAR-TO- #VICTIMS VICTIMS VICTIMS VICTIMS VICTIMS DATE (grant year) 1sT QTR 2ND QTR 3R°QTR 4T"QTR TOTAL# (1/1-3/31) (4/1-6/30) (7/1-9/30) (10/1-2/31) VICTIMS _ 1.Child Physical Abuse 2.Child Sexual Abuse 3. Domestic Violence 4.Adult Sexual Assault 6 5.Adults Molested as Children 6.Other violent crimes:hate,bias 7. Survivors of Homicide Victims 8. Elder Abuse(including 54 economic exploitation and fraud crimes) 9. Assault 10. Robbery/Bank Robbery I I. Vehicular Assault& Homicide,DUI/DWI Crashes 12. Other,including Federal Crimes(specify) TOTAL 60 4 According the statutes listed in the State Long Term Care Ombudsman policies and procedures, the following definitions will be used for the above types of crime. • Sexual Abuse/Assault: Includes, but is not limited to, sexual harassment, sexual coercion, or sexual assault. Scenarios may include: resident to resident, staff to resident, and family to resident sexual abuse. • Elder Abuse: The term abuse means the willful (A) infliction of injury, unreasonable confinement, intimidation, or cruel punishment with resulting physical harm, pain or mental anguish; or (B) deprivation by a person, including a caregiver, of goods or services that are necessary to avoid physical harm, mental anguish or mental illness. (Older Americans Act, Section 102[13]) The term Elder Abuse will include: financial exploitation, physical abuse, verbal abuse, mental abuse, and involuntary seclusion. Objective #2 (standard): To provide the following types of services to the following estimated number of victims during the 12-month grant period. TYPE OF SERVICES PROJECTED ACTUAL# ACTUAL# ACTUAL# ACTUAL# YEAR-TO- PROVIDED #VICTIMS VICTIMS VICTIMS VICTIMS VICTIMS DATE (grant year) 1sT QTR 2ND QTR 3R°QTR 4TH QTR TOTAL# (1/1-3/31) (4/1-6/30) (7/1-9/30) (10/1-2/31) VICTIMS 1. Crisis Counseling 2. Follow-up 50 3.Therapy 4.Group Treatment/Support 5. Shelter/Safehouse 6.Info/Referral in Person 30 7. Crim Just 50 Support/Advocacy 8. Emergency Financial Assistance 9. Emergency Legal Advocacy 10. Victim Comp 25 Assistance(required) 11. Personal Advocacy 12. Telephone Contact 40 (Info/Referral) 13.Crisis Hotline Counseling 14. Other(specify): TOTAL 195 During this grant period we intend to: ► Continue the Assistant Ombudsman's presence of 16-20 per week in Weld County long term care facilities, for the purpose of providing a consumer voice for the concerns of elderly living in institutions and to be able to promptly address any instances of mistreatment or abuse. ► Continue and expand implementation of the "Ensuring an Abuse Free Environment" 5 training (CARTE), for C.N.A.'s, managerial staff and volunteer Ombudsmen. ► Maintain and distend the volunteer program to sustain the current 2 volunteers and to continue to recruit, and train an additional 6 volunteers. Volunteers assist the Ombudsman program for increased visibility with friendly visits. Volunteers are also involved in the CARTE training process. During the first three quarters of 2003, the Ombudsman Program successfully trained 9 volunteer Ombudsmen. These volunteers contributed 511.30 hours to the Long Term Care Ombudsman Program, which is a dramatic increase from 2002. Although volunteer recruitment and retention is challenging, we have successfully retained 2 significant volunteers. The temporary volunteers have gained much insight regarding the Ombudsman Program and other services such as victim assistance. Timetable: Visit 500 long term care residents and investigate 50 complaints by December 31, 2004. This is a continuation request to proceed with the future CARTE training. The ongoing and enhanced Elder Abuse Prevention Program timetable will be as follows: ► Develop and implement Alzheimer's disease training for direct care staff who work with residents inflicted with Alzheimer's disease. The Ombudsman Program will be coordinating efforts with the Rocky Mountain Chapter Alzheimer's Associate to educate individuals on older adults and Alzheimer's Disease by March 31s`, 2004. ► Continue offering the Abuse Reporting section to our current Ensuring an Abuse Free Environment Evaluation ► Continue to provide the Victims' Rights and Victims' Assistance portion to our Abuse Free Training. ► Continuous CAME training to 125 direct line long term care staff along with 50 administrative and management staff by December 31, 2004. ► Provide condensed version of Elder Abuse Prevention Training to 230 C.N.A. students through the AIMS Community College Training Center by December 3O, 2004. Heighten volunteer program: • Recruitment and marketing to continue on a monthly basis from January - December, 2004. • Screening and orientation of new volunteers to proceed on a monthly or as needed basis from January to December 2004. • Training and support to continue on a monthly basis from January to December 2004. • Expand role of one volunteer to assist with the instruction of the CARTE training by July 2004. Impact of Crime Program (formerly known as Victim Empathy for Offenders): The purpose of this program is to have offenders experience empathy for victims (ATTACHMENT C). 6 • Continue a routine presentation schedule through the Probation office of Weld County. We are currently the sole advocacy program that speaks to this group regarding victims of elder abuse. This training often occurs on a quarterly basis. • Continue to speak on behalf of residents who reside in long term care facilities on a routine basis. Sexual assault intervention and reaction program: • Provide sexual assault education program for long term care facilities. • Coordinate guest speakers to present on sexual assault prevention and reaction tactics. • The Ombudsman Program will serve as a voice for residents in long term care settings by attending monthly Sexual Assault Resource Team (SART) meetings. Objective 3: To provide the following services to positively impact older adults in long term care facilities. TYPE OF SERVICE PROJECTED# ACTUAL# ACTUAL# ACTUAL# ACTUAL# YEAR-TO- (grant year) 1ST QTR(1/l- 2N°QTR 3s°QTR 4TH ATR DATE TOTAL# 3/31) (4/1-6/30) (7/1-9/30) (10/1-12/31) 1.Friendly/Educational Visits Total: 500 2.Complaint Investigations Total: 50 3.Abuse Free Training 175 Persons (C.A.R.I.E.) 4a. Resident Council Meetings 80 Nursing Homes 4b. Resident Council Meetings 60 Assisted Living Facilities 5.Volunteer Program/Training 6 Persons 6.Community Education 350 Persons 7. Certified Nursing Assistant 230 Persons Training 8. Attend SART Meetings 10 9. Attend CCVC Meetings 3 TOTAL How Goals and Objectives will be accomplished: Under the guidance of the Lead Ombudsman, the Assistant Ombudsman will continue to be assigned a specified number of long term care facilities to visit on a regular basis. Sixteen to twenty hours per week will be allotted for visitation and travel time. The average visit per facility will be one hour, however the visit could take longer if there is a need. During the first three quarters of 2003, the Assistant Ombudsman made visits to 435 residents of long term care facilities and investigated 89 complaints. The Elder Abuse Prevention Program is based on a training module called the CARIE program also known as, "Ensuring an Abuse Free Environment"training. CARE consists of eight training modules, each focusing on an important aspect of abuse issues including, identifying and recognizing abuse, the possible causes, understanding the complex issues surrounding care-giving, cultural and ethnic perspectives, resident/staff dynamics, ethical and legal issues, how to report abuse and intervention and prevention strategies. The Assistant Ombudsman will continue to train staff and residents at long term care facilities, Aims' Nurse Training Center and monthly scheduled sessions regarding victimization. 7 The Assistant Ombudsman has designed a condensed version of the CARIE training program, which will continue to be used to meet the changing needs of the long term care facilities in Weld county. Topics discussed include the following types of elderly abuse: physical, emotional, sexual, financial, abandonment, and neglect. Training individuals about elder abuse is very important for several reasons. First, the older adult population is the most vulnerable and frail. Many older adults rely on other people to take care of their activities of daily living and finances. Second, abuse of older adults is under reported. Many states including Colorado do not have mandatory reporting of elder abuse. However, Weld County has experienced an increase in reported incidences. This could be due to education, awareness, and empowerment on abuse issues, but also could indicate a heightened number of abuse occurrences. The Assistant Ombudsman will continue to track the reported number of abuse cases. Third, older adults (especially those 85+) are the fastest growing segment of the population. Anticipated problems in implementing goals and objectives: Currently, the program has two active volunteers, and the Assistant Ombudsman continues to progressively recruit potential dedicated volunteers. Unfortunately, the program has an ongoing challenge to recruit appropriate and reliable volunteers. Staffing issues remain as a major crisis in long term care facilities. For this reason, the Assistant Ombudsman continues to be flexible and open to requests from long term care facilities regarding training programs. If necessary, the developed programs can be modified to meet the needs and schedules of those working in long term care facilities. We do not anticipate any problems of reaching the new goals and objectives for 2004. The Assistant Ombudsman will be able to fulfill the original goals and objectives while enhancing the Volunteer, Sexual Assault training and CARIE programs. Effectiveness Evaluation: To evaluate the effectiveness of the CARTE program, the Assistant Ombudsman will continue to collect data from evaluations that are distributed at the end of the training session. The information gathered will continue to be entered into the database developed during the 2002 grant cycle (ATTACHMENT D). This data continues to be utilized to determine if the goals and objectives of the program are being met. This information will also be used to enhance and modify the program if needed. The success of the Ombudsman Volunteer Program will be measured by monitoring the number of additional visits, educational sessions and volunteer satisfaction surveys will be evaluated and results entered into a database. In addition to previous years, the results of this year's evaluations highlight how valuable the CARIE training is for staff working in long term care facilities. Program goals as related to the V.A.L.E. statute: This program continuation request most relates to 24-4.2-105, Section 2, part a and part b. Part a addresses provision of service for early crisis intervention. As mentioned earlier, there is evidence that when there is constant and continuing community presence in long term care facilities the potential to improve the quality of life and prevent abuse and exploitation is reduced for the residents. We propose to continue advocate contacts with long term care residents as a preventive move. We know that there may be many barriers to the elderly, particularly those in long term care facilities, to express their particular needs without assistance from others. Some of these barriers are physical due to loss of sight, speech, or hearing. Some barriers are 8 psychological due to a sense of isolation, fear of retaliation, or disorientation. Barriers to self- advocacy can also be related to the lack of information about rights, alternatives, and legal remedies. Part b addresses assistance programs for victims and their families. A key role of the long term care Ombudsman is complaint investigation and complaint resolution. Long term care residents must be assured that the Ombudsman will be able to follow up on their complaints in a timely and professional manner. With the continued increase in long term care beds, the ability of the present Ombudsman to respond appropriately to complaints will be jeopardized. The extension of the friendly visitor/advocate under this proposal will continue our Ombudsman hours insuring that the Lead Ombudsman and the Assistant Ombudsman will be able to respond to residents and their families in a timely and appropriate manner. Case Number 1: Sexual Assault The case that was presented in the 1999 VALE grant application concerning a Native American 80 year old female Alzheimer's/at-risk nursing home client has had further action in 2003. The Assistant Ombudsman became involved in this case initially in 1998. The Assistant Ombudsman was informed that the resident had been transported to the hospital with numerous injuries to her genitalia. Due to the nature of the client's injuries the Greeley Police Department and various other agencies became involved. Upon investigation it was determined that a sexual assault had occurred. The Greeley Police and the District Attorney's office actively worked on this case in 1999. In August, 2000 the case was brought to trial. The jury's verdict was first degree sexual assault on an at-risk adult, resulting in a sentencing of 16 years. The Ombudsman Program, as well as the 19th Judicial District Attorney's office continues to be involved in this case. A resentencing hearing is scheduled for October 16`h, 2003. The maximum sentencing for first degree sexual assault is life in prison. Therefore, the victim's D.D.A. is requesting that the defendant's sentencing be reviewed for an increase in sentence. The Assistant Ombudsman and Lead Ombudsman have been in frequent contact with the victim's family, and have advocated for them in numerous instances. In addition, the Ombudsman Program has voiced the family's request to speak at the resentencing hearing, and as a result, two of the resident's family members will address the court. The Ombudsman will attend this hearing with the resident's family, acting as a victims' rights advocate and consumer voice. Also, the Ombudsman Program reviewed information concerning the rights of Victims' of Crime and Victims' Compensation with the resident's family, as the resident is nonverbal and incompetent. Case Number 2:Sexual Assault Involving Spouses In 2003, the Assistant Ombudsman investigated an allegation of sexual assault of an at-risk adult. Specifically, the resident resided on a secure Alzheimer's unit and had a diagnosis of advanced Alzheimer's disease. A staff member witnessed the resident's door open and the resident's husband having sexual intercourse with her. According to the staff member, it appeared that this was against the resident's wishes. The Assistant Ombudsman conducted an extensive investigation, including coordinating efforts with the facility staff to monitor the resident's behaviors before and after the husband's visits. In addition, the Assistant Ombudsman consulted with the Attorney General's Office and found that according to definition, this would be considered sexual assault if the resident was unwilling. Through much investigation, the Assistant Ombudsman was able to confirm that sexual relations with her husband were consensual. However, this case prompted the Ombudsman Program to explore the topic of residents who have a diagnosis of Alzheimer's disease and sexual relationships. Generally, residents who are inflicted with Alzheimer's disease have the right to have sexual relations, 9 including intercourse. However, this only applies to those who can still make the decision to have such relationships. The Assistant Ombudsman is concerned about when it is time for the facility staff to intervene, even in the cases regarding spousal involvement. The Assistant Ombudsman is currently coordinating efforts with the Alzheimer's Association and area facilities to address this issue. Some ideas include having an assessment upon admission, and educating family members about appropriateness of sexual relationships when the individual's disease progresses. Case Number 3:Illegal Physical Restraints This year the Assistant Ombudsman was contacted by the management team from an area nursing home, regarding a 61 year old developmentally disabled male resident. He has been described as having the cognitive ability of an 8 month old. The resident had been admitted to the facility 30 years ago, during a time when physical restraints were commonly used and accepted in such facilities. Although nursing home regulations have been improved to include sections regarding inappropriate physical restraints and the facility's obligation to use the least restrictive restraints possible, the family members' beliefs remained the same throughout the years. The resident's parents had been his legal guardians his entire life, and had a strong belief that several different restraints were necessary to ensure the resident's safety. Although the facility had made several attempts to reduce restraints, the guardians were very resistive and would make threats of lawsuits, which resulted in the facility choosing to postpone the reductions. The management team had contacted the Assistant Ombudsman to assist with pursuing restraint reduction, regardless of the consequences or family resistance. The Assistant Ombudsman felt that the resident's quality of life was greatly hindered by the restraints and chose to be an active participant in the restraint reduction planning for this resident. When the resident was awake, his parents insisted that he be tied to a glider chair that was tied to the wall hand rail, which was located right in front of the nurses' station. In addition, he had chest and arm restraints, which prohibited the resident from repositioning his body or having hand movement for most of the day. While using the restroom, the resident's arms were restrained and his body was tied to the toilet seat. His mother insisted that this take place, due to the possibility of the resident touching his private area. Also, when the resident was sleeping, his parents insisted that his legs, hands, and torso all be tied down with restraints, restricting him from repositioning during the night. The Assistant Ombudsman and the staff at the facility coordinated a meeting to discuss restraint reduction. Several entities attended this meeting: The Assistant Ombudsman; the facility staff; Adult Protective Services; Centennial Developmental Services Inc.; and the resident's guardians/parents. The facility informed the group of their intent to pursue restraint reduction for this resident, despite any consequences such as a lawsuit pursued by the family or deficiencies written by the State Health Department. Everyone was in support of restraint reduction except for the parents. The resident's parents contacted the Assistant Ombudsman after the meeting,wondering what rights they have as guardians in this situation. The Assistant Ombudsman explained that advocates are specifically concerned about the resident's rights and well being. The Assistant Ombudsman encouraged the parents to contact the State Health Department to activate an investigation from an outside agency. The resident's parents contacted the State Health Department and filed a formal complaint. An investigator visited the facility and observed the charting and the restraint reductions that were underway. The investigator was impressed with the facility's efforts and actually stated that it would be beneficial to speed up the reduction process. The Assistant Ombudsman and the facility staff coordinated an additional meeting after the survey 10 findings were complete to discuss further steps for restraint reduction. Throughout this case, the Assistant Ombudsman worked closely with a variety of individual to ensure that the resident's rights as an individual and a resident were honored. In several instances the Assistant Ombudsman advocated for the resident who was unable to speak for himself. The resident continues to excel with each restraint reduction and has not suffered any injuries. His overall quality of life has vastly improved and as a result he can be seen smiling, crossing his legs, and humming along with music, which are new occurrences. Section D: Service Information Population and geographic are targeted: Populations targeted are 60 plus elderly residing in nursing homes and personal care boarding homes located in Weld County. Numbers of persons in need of these services/Presently being served: Approximately, 1,400 Weld County residents live in long term care facilities. All of these residents receive services through the Ombudsman program, either directly with visitations and complaint resolution or indirectly through training and technical assistance provided to staff to improve the quality of care. By extension, the program also may represent the concerns of relatives and/or friends of long term care residents as long as the concern reflects the concerns of the resident. Continuation of support will make it possible for the Area Agency on Aging Ombudsman Program to continue to serve all of the long term care residents and their families with the same type and degree of services that we currently are providing. Duplication of Services: There is no other program which provides services equivalent to the Ombudsman Program. Community Support, Coordination and Networking: (a) The Weld County Area Agency on Aging's primary goal is to help maintain an individual's independence and dignity in their homes and community by identifying and advocating for their special needs. In order to accomplish this goal our agency works closely with community providers to facilitate a means to obtain needed services quickly and efficiently to the seniors in our community. We have formal agreements with agencies that we fund directly to provide a variety of services to seniors such as: Elder Garden Adult Day Program, Senior Peer Counseling through North Range Behavior Health and in home personal care through RVNA. We have established coordination agreements with a number or other agencies such as: Greeley Police Department, Sheriffs Office, Adult Protective Services, Weld County Victims Assistance, the Probation Department, Social Services of Weld County, the District Attorney's office, the Alzheimer's Association, local nursing facilities, and local assisted living facilities (ATTACHMENT E). (b) The Weld County Area Agency on Aging is an active participant in Weld County's Coordinating Committee for Victims of Crime (CCVC), and also a participant in the CCVC Coordination Agreement (ATTACHMENT F). Currently, the active member is Raegan L. Maldonado, Lead Long Term Care Ombudsman (ATTACHMENT G). The Lead Long Term Care Ombudsman anticipates further involvement with future subcommittees, as assigned and 11 needed in the CCVC meetings. It is pertinent for Assistant Ombudsman to be involved in this committee and she has been attending CCVC meetings. The Assistant Ombudsman will offer to share information from our"Ensuring an Abuse Free Environment"training with the members of CCVC. In addition, the Lead Ombudsman routinely presents information to the CCVC committee about the Weld County Long Term Care Committee. For many years, the Long Term Care Committee has been open to all interested community agencies and individuals that provide services to older adults in Weld County. Unfortunately, attendance at this committee has been scarce, possibly due the increasing responsibilities of those working in long term care. As a result, the Lead Ombudsman and Assistant Ombudsman will coordinate a yearly event to provide community support, education, and networking for the Weld County senior population. c) The Weld County Area Agency on Aging has been actively involved in TRIAD since its formation in Weld County. Currently, Pete Archuleta, Weld Area Agency on Aging Legal Services Coordination, attends the TRIAD meetings and provides pertinent information from TRIAD to the rest of the Area Agency on Aging staff(ATTACHMENT H). The Lead Ombudsman also attends the "SART" Sexual Assault Resource Team meetings. (ATTACHMENT I). Crime Victim Compensation Program: (a) The Weld County Area Agency on Aging regularly informs victims about Victim Compensation. For example, during the sexual assault case involving an at-risk adult in 1998, the Ombudsman's office assisted the victim's family in applying for services. The victim's family and the Ombudsman used resources available through Victim Compensation during the time of the trial. Such resources include the Victim Assistance area set up for victims and families at the Weld County courthouse. (b) The Weld County Area Agency on Aging and the Ombudsman program do not foresee any issues that would prevent informing crime victims of the Victim Compensation eligibility requirements and information regarding victims' rights. We would also be able to provide assistance to those individuals who are unable to apply for assistance independently. (c) Our agency receives Victim Compensation training for direct services staff and volunteers on a regular basis. The last training was provided by Karol Patch from the District Attorney's office on September 24th, 2003. The training took place at the Weld County Area Agency on Aging. Staff and Volunteer Training: The Weld County Area Agency on Aging continues to take the steps necessary to assure that pertinent staff and volunteers have read and understand the rights afforded to crime victims. (a) Our agency notifies victims about their rights under VRA. (b) To assure that pertinent staff and volunteers are trained on VRA, our agency coordinates training seminars with the Colorado Organization for Victim Assistance (COVA), and with the District Attorney's Office. (c) The last COVA VRA training took place on September 16, 2002 at the Weld County Area Agency on Aging. Other agencies were invited to attend this training. Kerry Johnson provided the training, and COVA indicated that future training would be possible. In addition, the Lead Ombudsman attended a COVA training during a quarterly CCVC meeting on September 10th, 2003. Terri Livermore provided this training. The last VRA training provided by the District 12 Attorney's office took place on September 24, 2003 and was conducted by Karol Patch. (d) When appropriate, the Area Agency on Aging notifies victims of their rights under VRA by referring individuals to the District Attorney's Office Victim Assistance Program. As mentioned above, the Area Agency on Aging referred the victim of the sexual assault case and her family to the District Attorney's Office. (e) Ombudsman brochures, English and Spanish(ATTACHMENT J). Cost Savings: When an advocate visits a long term care facility and discovers issues that affect the direct health of a resident, the advocate can facilitate and coordinate care with the facility to enhance the resident's plan of care to help reduce the problem from escalating. There are considerable medical savings to the taxpayer(most nursing home residents are on Medicaid) when extreme medical procedures can be avoided. When long term care patients are restrained, not only is it a violation of individual rights, but an opportunity is missed to administer therapies,which can help the patient become more independent. The ombudsman, again, can identify these situations and work with the staff to develop alternate interventions which will respect individual rights and give the patient care that may increase his/her potential to be independent. Dependence costs society. Elder abuse education is invaluable to reduce incidences that occur. When a resident is exposed to an abusive situation the experience can cause not only physical,but also emotional, psychological, and social damage. The resources used to investigate and monitor these incidences are costly and limited, the Ombudsmen become a valuable resource to assist and prevent abuse in long term care facilities. Repercussions from abuse result in expensive and time consuming therapies and utilize valuable resources allocated for the community. The abuse education provided by the funds from this grant help to raise awareness and allow intervention before abuse situations occur. Management Plan: The Director of the Weld County Area Agency on Aging will be accountable for the administration of this project. The part time Ombudsman advocate will continue to be trained and supervised on a daily basis by the Lead Ombudsman under the supervision of the Weld County Area Agency on Aging Director. Service Providers: Lead and Assistant Ombudsmen along with volunteers will provide the proposed services. Interestingly 19.7 of the current volunteers indicated they would be interested in increasing the number of hours currently volunteering. The respondents stated one of the primary reasons for volunteerism is they feel useful when helping others. In order for the Ombudsman program to continue to meet the needs of the ever-growing long term care population, we must expand the use of volunteers in the program. The Assistant Ombudsman has taken the lead in regard to volunteer recruitment, training and supervising. The increase of Ombudsman presence in all of the long term care facilities may allow intervention to transpire before abuse situations occur. Section E: Efficiency Evaluation of protect: The Ombudsman Program maintains files that generate monthly, quarterly, and annual 13 reports. Data is kept on numbers of visits, complaints, referrals and technical assistance contacts. The Ombudsman Program developed a database management program in 1999 to track the evaluations from abuse prevention training. Data is broken down further to reflect types of interventions, types of complaints, types of facilities, and actions taken. This data is analyzed by the state Ombudsman office to assist in determining the efficiency of the program. In addition, the Ombudsman Program has developed a client satisfaction survey(ATTACHMENT K), and is in the process of revising the survey. It is anticipated that these questions will assist with measuring the quality of Ombudsman services provided to residents, families and community individuals. Overall, the 2003 survey response was positive. At the conclusion of the current grant period, the Ombudsman Program will have provided CARTE training for CNA staff representing all nursing homes and a majority of PCBHs in Weld County. In addition, the Assistant Ombudsman will exceed the targeted project objectives of 2003. This is evidenced by the number of contacts made by the end of the third quarter, 435 residents visited and 89 complaints investigated by the Assistant Ombudsman. This would not have been possible without the funds from the V.A.L.E. grant. Cost/ benefit ratio: Due to the complexity and uniqueness of the program, the current cost benefit ratio is difficult to determine as we provide a combination of training, technical assistance and direct service to an unlimited number of residents and family members. However, we do know that early intervention by the Ombudsman can prevent costly medical costs that may have resulted due to poor quality of care. Section F: Budget Future funding needs: Future funding needs will correlate with how much growth occurs in long term care beds in Weld County. The current growth spurt is statewide and is reflective of the rapid increase in numbers of elderly 75 years of age and older who are frail and in need of some type of long term care. Assisted living continues to be a fast growing industry in all areas of Colorado and the nation. Area Agencies on Aging nationwide are working to bring this to the attention of federal and state governments emphasizing the need for support of the Ombudsman Program. Budget Narrative: We are requesting $12,750 dollars for a .25 FTE advocate/friendly visitor for 16-20 hours PER week and supervisory oversight for a total of —$8,778.00 for salary and $1,797.00 for fringe (taxes and benefits), equaling $10,575.00. Travel reimbursement will be at .34 cents per mile for approximately 5,334 miles equaling $1815.00. Mileage records will be kept by the advocate for documentation. $360.00 is requested to cover overhead, supplies and operating expenses. See attached budget See attached list of Board of Directors See attached letter of support See attached Grant Application Memorandum See attached 1 copy of our agency's most recent audit report (booklet) 14 SECTION G ATTACHMENTS DETAILED PROJECT BUDGET DETAILED PROJECT BUDGET: Include the estimated cost of all resources needed to undertake the project(round off figures to the nearest dollar). This budget page must include all monies available. In-kind services need to be listed only in the budget narrative, not on this page. a. Personnel(Employees) (I) Salaries(list each position with salary rate and percentage of time devoted) PERSONNEL(Employees) TOTAL VALE VALE COST °/ TOTAL Eva Jewell $675 0% $0 Raegan Maldonado $49,202 .02% $984.00 Kathleen Alvarado $18,950 .39% $7,390.50 Marcia Jorgensen $18,950 0% $0 Subtotal of Personnel $87,777 .10% $8,777.70 (2)Total FICA,Retirement,Fringe Benefits,etc. $17,965 .10% $1,796.50 Total Personnel Costs $105,743 .10% $10,574.30 b. Supplies and Other Operating Expenses(communications,reproduction) Supplies/overhead $4,500 .08% $360 Total Supplies and Operating Expenses $4,500 .08%• $360 c. Travel(itemize transportation and subsistence) Mileage $6,375 .16% $1,020 Total Travel Costs $6,375 .16%• $1,020 d. Equipment(itemize) o� o� Total Equipment Costs $ % $ e. Professional Services(Itemize individuals and organizations) Total Professional Services Costs $ %• $ TOTAL PROJECT COSTS $86,128 14.8% $12,750 g. Total Project Funding Breakdown (1)VALE Funds $12,750 10% (2)Federal Funds $76.426.50 6 (3)Other Funds $33,640.50 28% TOTAL $122.817 100% Please explain the source of"Other Funds"in the budget narrative. 2001 TITLE III AWARD REQUE( ' r` el akiL Region 2B Grant Award# 02B-88 Revision# 0 Date 08/25/2002 Grant Application Period: from January 1, 2003 to December 31,2003 Transfer Request NOGA Award Potential Award Request ADMINISTRATION ADMIN CARRYOVER $ - $ ADMIN NEW ALLOC (FFY03) $ 52,340 $ 52,340 ' 7A� 3:F„ i, `,'� ., �,,,, ", z:%2:1,11J74,i� ,.. `7k. 4f? 4;t""`,�¢ s:,:' mot° hB}'Y � a,t., � rr., � SERVICES PART B CARRYOVER $ 1,684 $ 1,684 PART B NEW ALLOC (FFY03) $ 171,061 $ 50,868 $ 221,929 PART C1 CARRYOVER $ 3,085 $ 3,085 PART C1 NEW ALLOC (FFY03) $ 17122,198 $ 10,614 $ 18.2,812 PART C2 CARRYOVER $ 683 $ 683 PART C2 NEW ALLOC (FFY03) $ 90,327 $ (61,482) $ G2y8,,845y PART D CARRYOVER $ 6,540 $ 6,540 PART D NEW ALLOC (FFY03) $ 12,453 $ 12,453 NA $ PART E CARRYOVER $ 45,450 $ 45,450 PART E NEW ALLOC (FFY03) $ 61,555 $ 61,555 a ° r. I t k9 r Ifs TOTAL SVC CARRRYOVER lat, , n! r i,-t°r TOTAL SVC. NEW ALLOC i. tt.. .I! I 4�075„ ,,; , °�C b.;' ; Of JQJ4L S� ES, $o W[ :12`5 '.'• ,..65;436„ {.tl irk, dh I/ ,7 i ° 4 59:40/e i Title VII Award Request Total Programmatic Programmatic Award Transfer Total EAP CARRYOVER $ 20 $ - $ 20 EAP NEW ALLOC(FFY03) $ 1,787 $ - $ 1,787 LTC OMB CARRYOVER $ 47 $ - $ 47 LTC OMB NEW ALLO (FFY03) $ 4,232 $ — $ 4,232 r) tn e at P 1 t t 7 ®lgiM .a' - g,i''.l.F�urlit'S•�^, JiWi , ...: tit6*, o '$: ,: ,. koiv, 4'lq'2ti,,,,,iy' oitht �.M�+Rdk'9hh aMf,,,Yis Annual Grant Application (AAS 200) ( ( Region 2B Fiscal Year 2003 Revision# 0 Date 08/25/2002 AREA AGENCY ADMINISTRATION BUDGET Personnel $ 30,915 $ - $ - $ 30,915 Travel $ 4,000 $ - $ - $ 4,000 Equipment $ - $ - $ $ Other Direct $ 17,425 $ - $ - $ 17,425 Indirect $ - $ 12,351 $ 5,096 $ 17,447 Total $ 52,340 $ 12,351 $ 5,096 $ 69,787 Total Admin from AAS 200 * Match must be 25% of total budget: (Match =Local Cash Budget+ In-Kind budget) Federal Funds= $ 52,340.00 / 3 = $ 17,447.00 This is the minimum match required. * Actual Match = $ 17,447.00 Over/(Under) Match � _ _..a. " Annual Grant Application (MS 220) REGION: 2-B NOTIFICATION OF GRANT AWARD TO AREA AGENCY ON AGING Older Coloradans State Funds &Long Bill General Funds Type of Grant or Action Grant Award No. Region X initial Award 01Z-72 2-B /4 Revision of Earlier Grant issued Grant Award Period Name and Address of Grantee Weld County Department of Human Resources State P.O. Box 1805 Beginning: 7-1-02 and Ending 6-30-03 Greeley, Colorado 80632 State Fiscal Year 2003 Long Bill ^SFY2003(State Funding for Senior Services) $ 35,427. ,{' ^Reduction Restriction $ (11 7231 T ^Net Award $-X23,704 ) Older Coloradans Administration ^SFY 2003 1209 $ 9,081 Service Dollars ^SFY 2003 1209 $ 81,729 Total Older Coloradans $ 90,810 Part E Service Dollar Match ^SFY 2003 $ 6,449 Summary Total State Administration $ 9,081 Total State Service $ 111,882 Total State Funds $ 120,963 SERVICES UNDER THE AREA PLAN Total Services Budget $ 111,882 Less Program Income Budget $ _ Net Services Budget $ 111,882 Less Local Share of Cost $ State Share of Cost $ 111,882 Except where It is in conflict with this Notification of Grant Award in which case the Notification of Grant Award governs, the state funds plan upon which this award is based is an integral part of this grant. / , APPROV r by /� (2, bYl l �(� yMa • ivin- ton Hammons,Executive Director Authorized nature of Grant Recipient Colorado Pepartrnent of Human Services ;;JJ 1575 Sherman Street /j /, , /4,�- Date Title Date f REGION: 2-B NOTIFICATION.OF GRANT AWARD TO AREA AGENCY ON AGING FOR OLDER AMERICANS ACT TITLE III.AND TITLE VII FUNDS Type of Grant or Action Grant Award.No. Region Initial Award 02B-88 (FY 2003) 2-B X Revision of Earlier Grant Issued Grant Award Period Name and.Address of Grantee Weld County Department of Human Services P.O.Box 1805 Beginning: 1/1/03. and.Endino.12/31/03. Greeley, Colorado 80632 COMPUTATION.OF AWARDS: . PART B.SUPPORTIVE SERVICES/IN HOME ADMINISTRATION OF THE AREA PLAN . Fed/State Carryover $ . . 1,684 Total Approved Budget $ . . . 69,787 Fed/State New Allocation $ 221,929 Local Share of Cost {;r=t' t t z74'?'?, Total Part B F/S.Award $ 223,613 Federal Share of Cost $ .... . 52,340 . PART C-1 CONGREGATE MEALS LTC.OMBUDSMAN.SERVICES Fed/State Carryover $ 3,085 Federal Carryover $ . 47 Fed/State New.Allocation $. 182,812 Federal New Allocation $ 4,232 . Total Part C-1 F/S Award $ 185,897 Total Ombudsman Federal Award $ 4,279 .PART C-2 HOME DELIVERED.MEALS Local Share of Cost(25%Match) $ 1,433 Fed/State Carryover 683 Total Approved Budget $ 5,712 Fed/State New Allocation $ 28,845 ELDER ABUSE PREVENTION.SERVICES Total Part C-2 F/S Award $ .. . .. '29,528 Federal.Carryover $.. .. . ..20 PART D HEALTH PROMOTIONS Federal New Allocation $ 1,787 Fed/State Carryover $ 6,540 Total Elder Abuse Federal Award $ . . 1,807 Fed/State New Allocation $ 12,453 Local Share of Cost(25%.Match) $. . .596 Total Part D F/S Award $. 18,993 Total Approved Budget $ 2,403 PART E NATIONAL FAMILY CAREGIVER SERVICES.UNDER THE AREA PLAN Fed/State Carryover $ .. . .45,450 Total Services Budget 1" t `t ''v"< Fed/State New Allocation $ 61,555 blEf a Less Program Income Budget f,,"�zn Total Part D F/S Award $.. . . .107,005 Other r , ' Reserved Net Services Budget $ 681,450 Fed/State Carryover Less Local Share of Cost 7.4'4 ,y t -. Fed/State New Allocation $ . - Federal/State Share of Cost $ 565,036 . Total Part F F/S Award $. - TOTAL AWARD FOR SERVICES $ . . 565,036 Except where It is in conflict with this Notification of Grant Award in which case the Notif lion of Grant Award governs,. the area plan upon which this award is based is an integral part of this grant. .APPROVALS: y// by ZarKd�1 Executive hector Auti'r z Signature of.Grant Recipient Colorado Department of Human Services / 1575 Sherman Street . Denver,.CO 80203.. . . 644A$ OC9C. .C'AcuL.�/w 7-"g�D►� Date Title Date Raegan Maldonado mad andlist for actual mailings all caps.wpd Page 1 Area Agency on Aging RUTH GARTRELL Board Membership List 20076 SOUTHGATE DIANE WARREN AVE. 1000 10TH STREET ADELLA ANDRIJESKI LOT 2 GREELEY, CO 80631 26416 RANGE VIEW LASALLE, CO 80645 DRIVE KERSEY, CO 80644 PATRICIA GRAHAM 1638 27TH AVENUE AL ARRIESSECQ GREELEY, CO 80634 504 N. 71T"AVE GREELEY, CO 80634 MICHELLE GERMAINE (GERI) HERNANDEZ ARNDT 3412 TRINIDAD STREET 505 2`° ST. EVANS, CO 80620 FT. LUPTON CO 80621 BETTY JONES 1959 26 AVE DON BEIERBACH GREELEY, CO 80634 4292 W 14TH ST RD GREELEY, CO 80634 MARY JONES 30887 ROAD 88 SUSAN BROMLEY AULT,CO 80610 1621 13TH AVE GREELEY, CO 80631 WILLIAM JERKE, COMMISSIONER O:IWPFILESIBOARDIMembers HAROLD CHADWICK CENTENNIAL hipbnail andlist for actual 2520 50TH AVE COMPLEX mailings all caps.wpd GREELEY, CO 80634 GREELEY, CO 80631 Revised 09-08-03 PHYLLIS RANGEL MARY PAT 2235 46TH AVE CT#C EASTWOOD GREELEY, CO 80634 3609 MARIGOLD STREET EVANS, CO 80620 JOSIE SANCHEZ PO BOX 13 PIERCE, CO 80650 DON FELDHAUS 1456 44TH AVE PHIL SHOVAR GREELEY, CO 80634 1805 19TH AVE GREELEY, CO 80631 ALZHEIMER'S® ASSOCIATION Someone to Stand by You Wednesday, October 1s`, 2003 Raegan L. Maldonado Lead Ombudsman Weld County Area Agency on Aging 1551 North 17th Avenue PO Box 1805 Greeley, CO 80631 RE: Ensuring an Abuse Free Environment Training, "CARIE" Dear Ms. Maldonado: 1 am writing this letter in support of the "Ensuring an Abuse Free Environment Training," also known as the "C.A.R.I.E." training program. This is a vital program that has a direct impact on the reduction of abuse and neglect of at risk adults. The Alzheimer's Association has teamed up with the Weld County Ombudsman Program to provide education to Certified Nursing Assistants regarding elder abuse related to Alzheimer's disease. Older adults inflicted with Alzheimer's disease are an extremely vulnerable group, many of which reside in area long term care facilities. In addition, individuals with Alzheimer's disease may exhibit behaviors related to the disease process, which can be very challenging for direct care staff to address. Also, these behaviors can increase the caregivers' levels of stress. During our training sessions, we teach Certified Nursing Assistants how to effectively deal with stress related to residents' behaviors. It is our hope that our combined training will result in the reduction of abusive situations that take place in secure Alzheimer's environments. Overall, this training gives the direct care provider the ability to identify signs and symptoms of elder abuse, to prevent abusive situations, and to alleviate stress. It is my recommendation that this program be continued, and if possible, offered on a more frequent basis. Sincerely, �/ Bonnie L. Wacker Alzheimer's Association Coordinator Rocky Mountain Chapter ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION, INC. ROCKY MOUNTAIN CHAPTER 710 Eleventh Avenue,ante 107 • Greeley,CO 80631 • (970) 392-9202 Fax(970)353-8788 • www.alzrockymtn.org ili Innovate Ai Community College Tuesday, September 30th, 2003 To Whom It May Concern: I am writing this letter in support of the"Ensuring an Abuse Free Environment" training program. This training is vital in Weld County, as there is no other service of this kind offered. The Assistant Ombudsman and Lead Ombudsman educate students on how to identify signs and symptoms of elder abuse, and ultimately how to prevent abusive situations. This is very important, as the shortage of staff in nursing homes and assisted living facilities increases the stress experienced by these front line staff members. The Ombudsmen continue to provide this training to our students on a monthly basis. As in the past, I continue to receive positive feedback from the students who are directly involved in this training. This early intervention is the key to preventing elder abuse in long term care settings, as many of the students in the Community Certified Nurse Aide Training Program through Aims Community College become employees at long term care facilities in Weld County. I fully recommend that this program be continued. Our Community Certified Nurse Aide Program has been expanded to include evening classes. Therefore, it is important that this training be continued to meet our growing needs in the community. If you have questions or would like to request further information, please contact me at your convenience. Sincerely, Teresa Masters, RN Program Coordinator Greeley Campus 970 330 8008 5401 W. 20th Street 1 800 301 5388 P.O. Box 69 FAX 970 330 5705 Greeley, CO 80632 www.aims.edu Friday, September 26th, 2003 Raegan L. Maldonado Weld County Area Agency on Aging 1551 North 17th Avenue PO Box 1805 Greeley, CO 80631 RE: The Continuation of Ensuring an Abuse Free Environment Training, "CARIE" Dear Ms. Maldonado: 1 would like to take this opportunity to express the importance of"Ensuring an Abuse Free Environment" training in Weld County, also referred to as the"C.A.R.I.E." training program. Currently, there are no other training programs of this magnitude offered in our area. As a registered nurse who is employed at North Colorado Medical Center, I supervise and work closely with Certified Nursing Assistants. Some of these nursing assistants have obtained their certification through the Community Certified Nurse Aide Training Program, offered through AIMS Community College. Through this program, the Lead Ombudsman and Assistant Ombudsman provide unique elder abuse training and intervention strategies to Certified Nursing Assistant Students. It is important for these students to receive this training because early intervention is the key to preventing abusive situations. Overall, I believe that the "C.A.R.I.E." training program assists with improving care for both nursing home residents and patients in hospital settings. It is my recommendation that this program be continued, as it is an excellent way for direct care staff to learn how they can participate in the prevention of elder abuse in hospitals and long term care facilities. Sincerely, s Tina Pistulka, RN North Colorado Medical Center i I VICTIM ASSISTANCE AND LAW ENFORCEMENT BOARD GRANT APPLICANT MEMORANDUM OF UNDERSTANDING CONCERNING THE RIGHTS AFFORDED TO CRIME VICTIMS As provided in C.R.S. 24-4.2-105, (4.7), Colorado law requires the following: A REQUESTING AGENCY OR PERSON SHALL ACKNOWLEDGE IN WRITING THAT SUCH AGENCY OR PERSON HAS READ AND UNDERSTANDS THE RIGHTS AFFORDED TO CRIME VICTIMS PURSUANT TO SECTION 24-4.1-302.5 AND THE SERVICES DELINEATED PURSUANT TO SECTION 24-4.1-303 AND 24- 4.1-304. SUCH WRITTEN ACKNOWLEDGMENT SHALL BE ATTACHED TO SUCH REQUESTING AGENCY'S OR PERSON'S APPLICATION FOR MONEYS PURSUANT TO THIS SECTION. THE BOARD SHALL NOT ACCEPT FOR EVALUATION ANY APPLICATION FOR A GRANT OF MONEYS PURSUANT TO THIS SECTION UNTIL THE REQUESTING AGENCY OR PERSON PROVIDES THE BOARD WITH SUCH WRITTEN ACKNOWLEDGMENT. The prospective grantee certifies to the VALE Board, by submission of this completed Grant Applicant Memorandum of Understanding Concerning the Rights Afforded to Crime Victims, that the agency or person described herein has read and understands the rights afforded to crime victims as required by C.R,S. 24-4.2-105, . (4.7). EVA JEWELL TITLE: WELD AAA DIRECTOR PROJECT DIRECTOR: WELD COUNTY LONG TERM CARE OMBUDSMAN ADVOCATE/FRIENDLY VISITOR PROJECT: WELD AREA AGENCY ON AGING AGENCY: 1551 NORTH 17TH AVENUE POST OFFICE BOX 1805 •GREELEY, CO 80632 ADDRESS: -y�,.� 11:4- -4-cr( DATE: /2 -- ySIGNATUR l (NOTE: COPIES OF THE STATUTES DESCRIBED ABOVE WILL BE PROVIDED TO PROSPECTIVE GRANT RECIPIENTS UPON REQUEST.) GRVRA.VAL RECOMMENDED GUIDELINES 1 . REPORTING ABUSE OF A& fS IN LONG-TERM CARE\ response to concerns and confusion about the reporting of abuse, a group of State agencies convened and have suggested le following guidelines. The agencies include: • The Colorado Department of Public Health and Environment The Colorado Department of Human Services, Adult Protection The Colorado Department of Regulatory Agencies, Board of Nursing The Colorado Department of RegulatoAgencies, Complaints and investigations Office of the Colorado Attorney General:Medicaid Fraud Control Unit The State Ombudsman • Legal Services Developer Protection and Advocacy System, the Legal Center 1ny suspected crime must be reported immediately to law enforcement officials. This does not replace reporting which is ?quired by other state agencies. The most common examples of crime which must.be reported are : • ✓Assault • ✓Sexual Assault • ✓False imprisonment (including unnecessary restraint) ✓Suspicious death/Homicide ✓Criminal negligence (gross deviation from standard of care) /Theft of personal belongings /Theft of personal needs account 'he following recommended guidelines may be used to determine whether any suspected abuse, neglect, or nistreatrnent should be reported. ANT DOUBT; REPORT! ' )EFIN1TIONS: 'HYSICAL ABUSE - STAFF TO RESIDENT is the infliction of injury or pain - slapping, hitting, kicking, etc. which leaves bruises or :auses pain, including the unauthorized use of physical or chemical restraints. 'l !ERBAL/EMOTIONAL ABUSE includes, but is not limited to demeaning statements, Harassment, threats, humiliation, or itimidation. ;EXUAL ABUSE/ASSAULT is vaginal, anal,or oral intercourse or the touching of a person's genitalia or the female breasts whether .r not it is done under clothing, when the activity is done without permission or with someone who is unable to give informed :onsent and for no medical reason. PHYSICAL ABUSE. EMOTIONAL ABUSE. OR VERBAL ABUSE - REPORTING REQUIREMENTS i hose items starred are mandated by statute or regulation for all types o€facilities and programs. Additional reporting requirements may apply in specific circumstances or Pe required by facility policy. IESPONSIBILITY OF FACILITY OR CARETAKER: TIMEFRAME: 1. Provide medical attention. I m m e.d i a t e i a s necessary 2. Notify local law enforcement in the area where the Immediate abuse has occurred for cases of physical abuse, threats, intimidation or harassment. This is a mandatory requirement where the abuse occurs to a resident under 16 years of age. Page 18 .,,,- -_ -T ' .. .�.,,n, ...wr-,--•a.r.Fwr+aa .v.N... ..-. _:r _...�...'.+urn-.o- , .. 4. Notify county Department of Humar( vices. ( • Within 24 hours 5, Notify Community Center Board if abuse occurs in As appropriate Developmentally Disabled Homes. - • 6. Notify family or guardian, if one has been appointed immediate by a court of law and is evidenced by letters of guardianship. 7. Notify the Medicaid Fraud Control Unit. . Within 24 hours 8. Notify local ombudsman. Within 24 hours 9. Notify appropriate licensure board. As required by regulation 10. Follow internal procedures. immediate / es necessary SEXUAL ABUSE/ASSAULT - REPORTING REQUIREMENTS 1. Provide medical attention. Immediate / as • necessary Do not bathe resident; Do not remove clothing unless absolutely necessary; if removal of the resident's clothing is necessary, preserve the evidence as follows: Place in paper bag or sack, do not place clothing in plastic bags; Mark the sack with name of the resident, the date, and the initials of the person collecting the evidence. • 2. Notify local law enforcement; Immediate Check with local jurisdiction for appropriate procedures. *3. Notify Colorado Department of Public Health and Environment. By next business day 4. Notify county Department of Human Services. Within 24 hours 5. Notify the Community Center Board if the abuse occurred • As appropriate in a Developmentally Disabled Home, 6. Notify family or guardian, if one has been appointed by a immediate court of law and is evidenced by letters of guardianship. 7. Notify the Medicaid Fraud Control Unit. Within 24 hours B. Notify local ombudsman. • Within 24 hours 9. Notify appropriate licensure board. As required by regulation 10. Follow internal procedures. Immediate / as necessary Page 19 I 14 H z U d H H d ip 0.A.11.1.E.s w o z,: 3A ' HI 11 "Ensuring An Abuse Free —-----:7--- .." Environment" Workshop Modules _ ®Lro \' I a i`Ij'— • Overview of Resident Abuse H " \L1 /X \ `\ This training provides an W /\ interactive; hands on \ �\ • Identification & Recognition �— � �i<.ci�'= �� implementation of skill building to v ,..:}r assist nursing home staff to '``/�a i`' \ :\ recognize abuse. Participants • Possible Causes \ ) \ develop skills needed to deal with A_ escalating behaviors and situations -_ _� that occur in the nursing home • Understanding Feelings About environment. This workshop Caregiving :EN teaches intervention strategies that f / t4 can be used to reduce the • Cultural &Ethnic Perceptions - °-, in prevalence of abuse incidents. a "Ensuring An Abuse Free • Abusive Residents 52 P „ 0I IS Environment" was developed by . P the Coalition of Advocates for the o= o • Ethical &Legal Issues (. a� Rights of the Infirm Elderly Z U v (CAME)in Pennsylvania. This a cu C7, workshop is presented with • Intervention Strategies ^II I materials assembled by CARTE \ q ,a a ,ob-� ` -� tr. ka,.....(„1/4„tr Reservations ABUSE FREE 2003 WORKSHOPS The Weld County . Please notify the Ombudsman February 20 12:30-4:30 Area Agency on the first week of the month to reserve enrollment. Aging March 27 12:30-4:30 Call: 970-353-3800 ext. 3316 Reservations have been confirmed April 17 12:30-4:30 for: May 15 12:30-4:30 September 18 12:30-4:30 Weld County Area Agency onIILICIgt Aging October 16 12:30-4:30 Ombudsman Program 1551 N 17th Avenue November 20 12:30-4:30 Greeley, CO 80632 Ensuring An The workshop is held at the Weld Lunch is sponsored by Greeley Long Abuse Free County Area Agency on Aging at Term Care Facilities. The Weld County Environment . 1551 N 17th Avenue, Greeley. Area Agency on Aging expresses thanks to the following facilities for their (CAR.I.E. Training) Across the street from the Weld support: Centennial Health Care Center, County (license plates) Clerk and Fairacres Manor,Life Care Center of Recorder. Greeley, Windsor Health Care Center, Boned Good Samaritan Center,Kenton Presented by Weld County Participants are asked to bring a Manor Health Care Center,Beehive Ombudsman Program sweater or coat as the room Homes, The Bridge, Garden Squares, The Villa, and The Sterling House. temperature can vary.At *` r• - -'AYr ;x= .€C''r ;;,a:a:`"L.•+';.s, ':Nt'1!,Y'=, -,:,t:,r ..er.. :�F:"rc;P 3t:! s:1 �'v,i ��ii,rit i...e;�;.�,,v,,,,,-41,7,,,a7- `its .F'r',`:i.:21'i�i,l_,^, "::•4y'•,iP 2F , rp,.. ,.t nl' .('i". .f ',.�r'.,, ,';a•,::f,.", r�tl,.::-1,,,.dc;,'. '�1(' - ,'r nmes:,c);lk,4nGF lr��. 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'p,'Cii ATTACHMENT C ' .• 014.0.0. 1"...:•, • • .0 .....::..: varioits ak+enues makin g��e# le's;titre accountable; :d sc sing the o iet i , . ..Q:.�� St�t35'�3.G� damages: d.consequences of Ore activities D o, dan. er .. ..:.. as well as mom,atu1:�tc�ties, TYie. .g �� of presemted,. � - c d . inipau�d�dnviaag is eimphas as a•serious oiiz ie. .Faieticipants ani v e't i ipadt of di nie.t vutg:-eraslies nn vi c tubs; aiid it entafy st ±eg es to prevezit-drtmk.vying. .. an to The..oblect;lves.for,the violet.OW* tq 6.4}41116.the Pa'_rticip.. :t$ 4.044 the . r' e:anost v olent of a ' g of the extent tc which chaactensties.o,�th... ..... . ._ _�.�� - ..; .es '.undeic�n violent:crime is a concern for society and t#e. i$ people a and to dills stxate. es..for mane 0Onflict other that violence: `lie mod tie•desaia' es:the:severe.eaziotional, . : c Stott and.lob t a eats #6#04 t>m��. ez ≥3. �f`. t�u�,,,s �eired: �. ' e is.detailed to:increase the.o.vtgrene by Vie;zic :�' .. ss of the s� faml�r as avres�t.o#`vglec;,:. w.;.:..:: ....... . .... . ; devastation caused by such a01$: This module.also ocuses on gang vii fence;and the uteversible a eets.it fins to the victims:. assault: The assault modu3.e.explains lei ripaet on.tl e vic#i .s of:simple assault,aEibravated assault, and sEalkiiig: e o. the main eompon i is afire a$a'u10 segment is to explain the impact of sexual assault on victims. Classi i`.cation.is.deteritiiited on the n`iyths. and . m tit viCt llze]i accountable-for:the.action. The realities:of sexual assault; and ori'kioki.� .�. : :.� :.. : .. :... � . ..` . conseque-aes to.the victi±ii:are obat& terized-bythe einotinnal trauma they en u.. . 'runes 4gainsa'#h:e E.der.'1y: The nodule takes 4,10.0t at a.vulnerabl0.•pat of'socie ,the:elderly: Statistics art given on.the number of elderly persons taken advantage of'by teleinarketers.i•borne ara;tl em ers; Dire to the level of rust in these imprbVement scants`and that by f, ' � y relation- die elderly are a , t:to,lose their life savings; des against the el e , is nsluPs,:. . also described .termsi Of physical and emotional abase: Strategiea are provided• to describe ways€o prevent elder ab'ise and neglect: Elate and Bias Crime:: The module explains the violence a person endures based On their sexual preference, ettir ieity,/a attonal:origin;;and:eebgao t..behefsk Examples.of recent:hate.crimes are (Matthew Shepard,Jun Byrd etc,. Statistics are provided to the participants to increase.theirr awareness Of the fear,misunderstanding; and intolerance that fuels violence promoting negative reactions to hate andl bias• • . . . soe•s>a .. . ENSURING AN ABUSE FREE ENVIRONMENT Training Evaluation We are very interested in having your feedback concerning the training and would appreciate your time in completing this evaluation form. Thank you! 1. The length of the training program was: 1 Too long 2 Too short 3 Just right 2. The material presented was: 1 Easily understandable 2 Understandable 3 Somewhat difficult to understand 4 Very difficult to understand 3. Opportunity given to ask questions or make comments was: 1 Not enough 2 Too much 3 Just right 4. How comfortable did you feel discussing the training topics? 1 Very comfortable 2 Somewhat comfortable 3 A little uneasy 4 Very uneasy 5. Could you relate the material covered to your own experience on the job? 1 Yes 2 No 6. Was the videotape helpful to you? 1 Yes 2 No Over-* 7. What is your overall opinion of this training program? 1 Excellent 2 Good 3 Average 4 Inadequate 5 Very poor 8. What did you like BEST or LEAST about this training? BEST: LEAST: 9. Would you recommend this training to other nursing home staff? 1. Yes 2. No 10. After this training, are you able to identify abuse? 1. Yes 2. No 11. Do you know how to contact the Weld County Ombudsman? 1. Yes 2. No 12. Do you know how to report abuse? 1. Yes 2. No 13. If additional training was offered to CNAs, what topic(s) would be the most beneficial to YOU? 14. Do you have any additional comments? Length Presentation Op given to ask Comfortability Relate to Work Video Helpful Understandable questions 1. Just Right Easily Just Right Very • • 2. Too Short Easily Just Right Very • a 3. Just Right Easily Just Right Very a a 4. Too Short Easily Just Right Very • a 5. Just Right Easily Just Right Very 6. Just Right Easily Just Right Very a • 7. Just Right Easily Just Right Very a • 8. Too Short Easily Just Right Very • • 9. Too Short Easily Just Right Somewhat a 10. Just Right Understandable Just Right Very • • 11. Just Right Easily Just Right Very a 12. Just Right Easily Just Right Very a • 13. Just Right Easily Just Right Very • 14. Just Right Easily Just Right Very 15. Just Right Easily Just Right Very • 16. Just Right Easily Just Right Very 17. Just Right Easily Just Right Very 18. Just Right Easily Just Right Very • • 19. Just Right Understandable Just Right Very • • 20. Just Right Understandable Just Right Somewhat • • • 21. Just Right Easily Just Right Very • 22. Just Right Easily Just Right Very • a 23. Just Right Understandable Just Right Very a 24. Just Right Easily Just Right Very • a 25. Just Right Easily Just Right Very No experience yet a 26. Just Right Easily Just Right Very 27. Just Right Easily Just Right Very a • 28. Just Right Understandable Just Right Very a 29. Just Right Easily Just Right Very a • 30. Just Right Understandable Just Right Somewhat a • 31. Just Right Easily Just Right Very 32. Just Right Easily Just Right Very • 33. Just Right Easily Just Right Very • 34. Just Right Easily Just Right Very a • 35. Just Right Understandable Just Right Somewhat a a 36. Too Short Understandable Just Right Very a • 37. Just Right Easily Just Right Very • • 38. Just Right Easily Just Right Very 39. Just Right Easily Just Right Very 40. Too Short Easily Just Right Very 41. Just Right Understandable Just Right Very • • Ill 42. Too Short Easily Just Right Very • a 43. Just Right Easily Just Right Very • C.N.A.Training Center 1 Length Presentation Op given to ask Comfortability Relate to Work Video Helpful Understandable questions 44. Just Right Easily Just Right Very • 45. Just Right Easily Just Right Very • • 46. Just Right Understandable Just Right Very • • 47. Just Right Easily Just Right Very • 48. Just Right Easily Just Right Very • • • 49. Just Right Easily Just Right Very • 50. Just Right Easily Just Right Very • • Very heartfelt 51. Just Right Understandable Just Right Somewhat 52. Too Short Understandable Just Right Very • 53. Just Right Understandable Just Right Very • 54. Too Short Easily Not Enough Somewhat No job • 55. Just Right Easily Just Right Very • • 56. Just Right Easily Just Right Very • 57. Just Right Understandable Just Right Very • 58. Just Right Understandable Just Right Somewhat • 59. Just Right Easily Just Right Very • 60 Just Right Easily Just Right Very • • 61. Too Short Easily Just Right Very • • 62. Just Right Easily Just Right Very • • 63. Just Right Easily Just Right Very • 64. Just Right Easily Just Right Very • • 65. Just Right Easily Just Right Very • 66. Just Right Easily Just Right Very • • 67. Just Right Easily Just Right Very • 68. Just Right Understandable Just Right Very • • 69. Just Right Easily Just Right Very • • 70. Just Right Easily Just Right Very • • 71. Just Right Easily Just Right Very • • • 72. Just Right Easily Just Right Very • 73. Just Right Easily Just Right Very • 74. Just Right Easily Just Right Very • • 75. Just Right Easily Just Right Very • 76. Just Right Easily Just Right Very • • 77. Just Right Easily Just Right Very • • 78. Just Right Easily Just Right Very • • 79. Just Right Easily Just Right Very • • 80. Just Right Understandable Just Right Somewhat • • 81. Just Right Easily Just Right Very • • 82. Just Right Easily Just Right Somewhat • • 83. Just Right Easily Just Right Somewhat • 84. Just Right Easily Just Right Somewhat • • 85. Just Right Easily Just Right Very • di 86. Just Right Easily Just Right Very • • C.N.A.Training Center 2 Length Presentation Op given to ask Comfortability Relate to Work Video Helpful Understandable questions 87. Just Right Understandable Just Right Somewhat • 88. Just Right Understandable Just Right Somewhat • 89. Just Right Easily Just Right Very • 90. Too Long Easily Just Right Somewhat • 91. Just Right Understandable Just Right Very • 92. Just Right Understandable Just Right Very • • 93. Just Right Easily Just Right Very • 94. Just Right Understandable Just Right Somewhat • • 95. Just Right Easily Just Right Very • 96. Just Right Easily Just Right Very Don't have ajob as • C.N.A.yet 97. Just Right Easily Just Right Very 98. Just Right Easily Just Right Very 99. Just Right Easily Just Right Very 100. Just Right Easily Just Right Very • • 101. Just Right Understandable Just Right Somewhat • • 102. Just Right Easily Just Right Very • • 103. Just Right Easily Just Right Very • 104. Just Right Understandable Just Right Somewhat 105. Too Short Easily Just Right Very • • 106. Just Right Easily Just Right Very • 107. Just Right Understandable Just Right Very 108. Just Right Easily Just Right Very 109. Just Right Easily Just Right Very • 110. Just Right Easily Just Right Very • ill. Just Right Understandable Just Right Very • 112. Just Right Easily Just Right Somewhat • 113. Just Right Easily Just Right Very 114. Just Right Easily Just Right Very • • 115. Just Right Easily Just Right Very • • 116. Just Right Easily Just Right Very 117. Just Right Easily Just Right Very • 118. Just Right Understandable Just Right Very • 119. Just Right Easily Just Right Very 120. Just Right Understandable Just Right Very • • 121. Just Right Easily Just Right Very • a 122. Just Right Easily Just Right Very • • 123. Just Right Easily Just Right Very 124. Just Right Easily Just Right Very • a 125. Just Right Easily Just Right Very • a 126. Just Right Easily Just Right Very 127. Just Right Easily Just Right Very • • 128. Just Right Easily Just Right Very • 129. Just Right Easily Just Right Very • • C.N.A.Training Center 3 Length Presentation Op given to ask Comfortability Relate to Work Video Helpful Understandable questions • 130. Just Right Easily Just Right Very • • 131. Just Right Easily Just Right Very • 132. Just Right Understandable Just Right Very • 133. Just Right Understandable Just Right A Little Uneasy • • • 134. Just Right Easily Just Right Very • 135. Just Right Easily Just Right Very • • 136. Just Right Understandable Just Right Very Have not worked in • such an environment. 137. Just Right Easily Just Right Very • 138. Just Right Easily Just Right Very • • • 139. Just Right Easily Just Right Very • 140. Just Right Easily Just Right Very • • 141. Just Right Understandable Just Right Very • 142. Just Right Easily Just Right Very • • 143 Just Right Easily Just Right Very • • 144. Just Right Easily Just Right Very • • 145. Too Long Easily Just Right • • 146. Just Right Understandable Just Right Very • • 147. Just Right Easily Just Right Very • • 148. Just Right Easily Just Right Very • • It made me sad,in an eye opening way. 149. Just Right Easily Just Right Very • • 150. Just Right Understandable Just Right A Little Uneasy • • 151. Just Right Easily Just Right Very • I almost cried • 152. Just Right Easily Just Right Somewhat • 153. Too Short Easily Just Right Very • • Helped me realize this job is for me, thanks! 154. Too Short Easily Just Right Very • • Very helpful 155. Just Right Easily Just Right Very • • 156. Just Right Easily Just Right Very • • 157. Just Right Easily Just Right Very • • 158. Just Right Easily Just Right Very • • 159. Too Short Easily Just Right Very • • 160. Just Right Understandable Just Right Very • • 161. Just Right Easily Just Right Very • • 162. Just Right Easily Just Right Very • • I63. Just Right Easily Just Right Somewhat • • 164. Just Right Easily Just Right Very • • C.N.A.Training Center 4 Overall Recommend Best Least Additional Rating I. f The movie,more people need to Not winning Bingo.Just Hands on Training. Excellent watch it. kidding:0) 2. J Kathleen was very interactive N/A More hands on/personal Excellent during her lecture. experience. 3. f The involved discussion. Effective communication Excellent with residents. 4. f Receiving information on Nothing. Excellent Residents. 5. f Bingo and video. Fine as is. Excellent 6. f All information. Excellent 7. f Video,Bingo. Excellent 8. Good f Video. More in depth information, this was common sense. 9. Good J The video. Nothing. How different places act towards residents. 10. Good / Video. Repeating information. Hands on experience. II. / Video,makes you realize that Excellent people in nursing homes were once like you and me. 12. f Using hands on material. Nothing. Excellent 13. J Bingo. Some of the questions were More on patients rights. Excellent repetitive. 14. f How Kathleen answered our Nothing. Hospital setting. Excellent questions. 15. f Everything. Financial information Excellent concerning residents. 16. J How the bingo game covered many Excellent topics. 17. f Chocolate. All very interesting,nice to Excellent know that there are resident advocates. 18. J Discussion. Bereavement training. Excellent 19. Good f Bingo. 20. Good f Game. Bingo game. 21. Good f None. 22. Good f Bingo. Behaviors. 23. f The game. Behavior Modifications. Excellent 24. Good f The video makes you realize the Everything. individuality of each person. 25. Good f Information. 26. J Easy to understand Bingo,kind of long. Excellent 27. J Movie. Medicines and Behaviors. Average 28. Good f Bingo. C.N.A. Training Center 5 Overall Best Least Recommend After Know how to Know Additional Training Additional Comments Opinion Training,able contact the how to to Identify Ombudsman report Abuse abuse 29.Excellent The discussion between class and ▪ When it would be most appropriate to instructor contact Ombudsman. 30.Good • Legal Aspects 31.Excellent Bingo.:0) Safety with patients/residents. Thanks a lot! 32.Excellent Reminding everyone to speak up , and help the residents. 33.Good Everything Nothing A little bit of everything. None. 34.Good Bingo , 35.Excellent Good info. • Psychological aspects of caring for older Bingo adults. • 36.Good Too short, • . , not enough time to discuss topics. 37.Good Excellent Video! • , • 38.Excellent Bingo!:0) N/A • Hands on experience. Thank you! 39.Excellent •• Thank you! • 40.Good Information. , 41.Excellent Video,explanation of residents's , rights and Ombudsman's duties. 42.Good Patient oriented. Not in depth ▪ Recognizing,reporting,coping with abuse. Thanks. enough on abuse related incidents. 43.Good Instructor was very clear. , 44.Good Bingo. , • • 45.Good Video. , • 46.Good Bingo. , • • 47.Excellent Bingo. N/A. Other aspects of a C.N.A.'s position. 48.Excellent Easy to understand,got group Would like , • I involved. to go over more of the key topics. I 49.Good Video. , C.N.A. Training Center 6 Overall Best Least Recommend After Know how to Know Additional Training Additional Comments Opinion Training,able contact the how to to Identify Ombudsman report Abuse abuse 50.Excellent The video opens your eyes to see It was all • • C.N.A.'s responsibilities in other areas Thank you. • the resident's whole background good. besides long term care.Hospitals, and to think about that when maternity,etc. working with them. 51.Good Video • • How to make a patient feel at home. I liked the video but did not find it very useful, however went well with discussion. 52.Good Opportunity to ask questions. Too short. What C.N.A.'s can and cannot do. Instructor did a good job (Michelle). ' 53.Good Length was just right. , • 54.Excellent Info on how to help residents. Too short. • , • • 55.Good Bingo None • , 56.Good • . 57.Good Bingo. • , 58.Good Information necessary. She was too How to approach a coworker who is being Bingo was an interesting soft spoken. abusive. teaching tool. 59.Good Bingo Nothing. I don't know. No. 60. • , Excellent 61.Excellent Playing Bingo. Too short. , • • • 62.Good I learned about the Ombudsman Bingo,I lost. , • Program. 63.Excellent Bingo because I won.Yippee!!! Nothing • Working with newborns and young kids. Nope. really. 64.Excellent More bingo. 65.Excellent Bingo. Video. •• Sexuality among residents. Nope. 66.Good Bingo. Video. , 67.Excellent Kathleen was very nice,I enjoyed Some C.N.A.'s need reminders regarding her presentation. specific residents'rights. 68.Excellent Talking. C.P.R. 69.Good The game and encouraged I am not sure. • interaction. 70.Good Video. Bingo. , 71.Excellent Being able to see the resident as a The Ombudsman had a • person/special individual. very kind voice. 72.Excellent Video. -- Understanding residents. Bingo is good for teaching. C.N.A. Training Center 7 Overall Best Least Recommend After Know how to Know Additional Training Additional Comments Opinion Training,able contact the how to to Identify Ombudsman report Abuse abuse • 73.Good . 74.Good Information. . 75.Excellent Bingo questions. Stress,how to spot it. -- 76.Excellent The game. Nothing. Stress and how to deal with it. 77.Good How to contact outside help with Could have . residents'rights. lasted longer, interesting. _ 78.Excellent . 79.Good Bingo. Any training having to do with elderly. 80.Excellent Video/quiz. Terminology. Nope. Giving injections. SL Excellent New knowledge. How to deal with difficult patients. 82.Good The Video. Understanding the mental conditions of the Good program. i elderly. 83.Good Video and bingo. Nothing. What happens when an Omb finds Thank you!You are a good something wrong at a place. presenter. 84.Good Discussion/bingo. Don't know,still in class for C.N.A. 85.Good . 86.Excellent The material was very helpful. . 87.Good • . . , 88.Average . 89.Good Bingo Too hot in Medicine information. room. _ What our rights are. 90. Chocolate . Inadequate 91.Good Fell asleep. , 92.Good Bingo had good examples and . definitions. 93.Excellent Bingo. . 94.Good The Video,bingo. How to approach nursing staff. 95.Excellent Detailed information. All. 96.Good The discussion and video. . 97.Excellent The video almost made me cry. I did not win . Bingo. at bingo,rest was good. 98.Excellent Very open. Psychological care,learning how to address concerns. C.N.A. Training Center 8 Overall Best Least Recommend After Know how to Know Additional Training Additional Comments Opinion Training,able contact the how to to Identify Ombudsman report Abuse abuse 99.Good Bingo was a good way to educate Candy and video were nice without just lecturing. touches,video was very moving. 100.Good Very informative. . 101.Good Bingo covered a lot of topics. A little bit more on restraints. 102.Good More on identifying abuse. 103.Good Explanation of materials Pediatrics. 104. . Excellent 105.Good . 106.Good Information and video. . 107.Good . 108.Good Creative way to learn information. . 109 Good , 110.Good Bingo. Video sad. . 111.Good Informative. A little More actual experiences. boring. 112.Good Bingo was a good way to present . the topic. 113. I had never ever heard of Excellent an Ombudsman before!I think this is fabulous! 114. The video. Bingo. No. Excellent 115. Bingo. Thank you! Excellent 116.Good Bingo Additional Residents'Rights information. No. 117. The video,the pictures brought it . Excellent close to home. 118.Good Bingo. Nothing. Don't know at this time. 119.Good Video. . 120.Good Bingo. 121. Movie. Excellent 122. Speaker and handouts. No. Excellent C.N.A. Training Center 9 Overall Best Least Recommend After Know how to Know Additional Training Additional Comments Opinion Training,able contact the how to to Identify Ombudsman report Abuse abuse 123. Short but concise. • • How to protect yourself and residents from Excellent injury. 124. The video was very touching. Personal contact skills/customer care. Excellent 125. Video Excellent Bingo due to the discussions. 126. Nothing. Don't know. No. Excellent 127. It was fun and educational. Excellent 128.Good • 129.Good The game,it taught me a lot. 130. Bingo,easier way to understand Trainer. Excellent material. 131.Good Discussion about rights. More discussion on policy and procedure. 132.Good Interesting/candy/bingo. • ' , • 133.Good Video. Bingo. Hospital related. 134.Good Bingo. , 135. Bingo I can't think of any. Excellent 136.Good Explanation of laws. How to resolve a situation that is out of control. 137.Good Very open for questions. Not sure. No. 138. The video. Abuse. Excellent 139. The video. No. Excellent 140. Presenter was very nice and • Any beneficial to job. Excellent helpful. 141.Good Patient Rights Not enough Protection of the elderly No. time to ask _ questions. 142. Video and instructor. Abuse. Program was great. Excellent 143. Personal stories. Lovely presentation,the Excellent video was insightful. 144. She involved the audience. How to deal with patients that decline Excellent medications. 145. Information Bingo , Inadequate C.N.A. Training Center 10 Overall Best Least Recommend After Know how to Know Additional Training Additional Comments Opinion Training,able contact the how to to Identify Ombudsman report Abuse abuse 146.Good Nothing. Nothing. , 147.Good Bingo. Talked fast. , 148.Good Bingo. , 149. Video. • Updates on laws. Excellent 150.Average 151. 152.Average Did not •Maybe Hospital laws. answer?'s well. 153. Information,Bingo,Video Excellent 154. All questions were answered. • What we don't see behind closed doors. Thank God for Excellent Ombudsmen. 155. Video and a lot of useful • Intentional vs.unintentional neglect.More This was a great Excellent information provided. thorough discussion on residents'rights. experience,clarified a lot. Trainer(Kathleen)was great. 156. Video. Neglect. Excellent 157. Information that I can relate to. Excellent 158. Learning about what an Extended training in areas not covered. Thank you! Excellent Ombudsman does. 159. • Excellent 160.Good Interaction. Too vague. What we can/cannot do in an emergency Ms.Alvarado was very situation when no one else is available. approachable,kind,well spoken and well educated. 161. . Excellent 162.Good The Video. Neglect. 163.Good Bingo. Evaluation. Ideas on how to help patients that seem No. angry. 164.Good More aware of what an ? No. Ombudsman does. *2 trainings were conducted without evaluations being completed. Training#1 (4/10/03) 15 attendees Training#2(6/12/03) 16 attendees C.N.A. Training Center 11 160- a ,0 140 ,F„ Opportunity to Ask Questions • 120r 180- 160 100 140- CD a 120r - ` 80 100r O 80 = 60— 60-' - w 0) 40 c 40 20- CD ii, J = r 20— Just Right Not Enough 0 Just Too Too Right Short Long CNA Training Center Length Presentation Opp give to ask Comfortability Relate to Work Video Helpful Understandable questions 1)Just Right Understandable Just Right Somewhat , 2)Just Right Easily Just Right Very , 3)Just Right Understandable Just Right Somewhat • 4)Just Right Understandable Just Right Very , • 5)Just Right Easily Just Right Very , • 6)Just Right Easily Just Right Very • 7)Just Right Easily Just Right Very , • 8)Just Right Easily Just Right Very •• Very sad 9)Just Right Easily Just Right Very 10)Just Right Easily Just Right Very 1 1)Just Right Easily Just Right Very , 12)Too Short(a Easily Just Right Very little) 13)Just Right Easily Just Right Very , 14)Just Right Understandable Not Enough Somewhat , 15)Too Short Easily Just Right Very N/A 16)Just Right Easily Just Right Very N/A l7)Just Right Easily Just Right Very N/A 18)Just Right Easily Just Right Very N/A 19)Just Right Easily Just Right Very N/A 20)Just Right Easily Just Right Somewhat , 21)Just Right Easily Just Right Very N/A 22)Just Right Easily Just Right Very N/A 23)Just Right Easily Just Right Very N/A 24)Just Right Easily Just Right Very N/A 25)Just Right Easily Not Enough Very N/A 26)Just Right Easily Just Right Very N/A 27)Just Right Easily Just Right Very N/A 28)Just Right Easily Just Right Very , 29)Just Right Easily Just Right Very , 30)Just Right Easily Just Right Very , 31)Just Right Easily Just Right Very , 32)Just Right Understandable Just Right Very , 33)Just Right Easily Just Right Very , 34)Just Right Easily Just Right Very , 35)Just Right Easily Just Right Very , 36)Just Right Easily Just Right Very , 37)Just Right Easily Just Right Very , 38)Just Right Easily Just Right Very , 39)Just Right Easily Just Right Very , 40)Just Right Easily Just Right Very , 41)Just Right Easily Just Right Very , 42)Just Right Easily Just Right Very , 43)Just Right Easily Just Right Very , 44)Just Right Easily Just Right Very , 45)Just Right Easily Just Right Very , 46)Just Right Understandable Just Right Very , 47)Just Right Understandable Just Right Somewhat , 48)Too Long Easily Just Right Somewhat , 49)Just Right Understandable Just Right Very , 50)Too Long Easily Just Right Very , 51)Just Right Easily Just Right Very , 52)Just Right Easily Just Right Very , 53)Too Short Easily Just Right Somewhat , C.A.R.I.E. Training I Abuse Free Environment Length Presentation Opp give to ask Comfortability Relate to Work Video Helpful Understandable questions 54)Just Right Understandable Just Right Very , 55)Just Right Easily Just Right Somewhat , 56)Just Right Easily Just Right Very , 57)Just Right Easily Just Right Somewhat , 58)Just Right Understandable Just Right Very , 59)Just Right Easily Just Right Very , 60)Just Right Understandable Just Right Very , • 61)Just Right Easily Just Right Very , 62)Just Right Easily Just Right Very , 63)Just Right Easily Just Right Very , 64)Just Right Easily Just Right Very 65)Too Long Easily Just Right Very , 66)Just Right Easily Just Right Very , 67)Just Right Easily Just Right Very , • 68)Just Right Easily Just Right Very , 69)Just Right Easily Just Right Very , • 70)Just Right Easily Just Right Somewhat , • 71)Just Right Easily Just Right Very , • 72)Just Right Easily Just Right Very , • 73)Just Right Easily Just Right Very , • 74)Just Right Easily Just Right Very , • C.A.R.I.E. Training 2 Abuse Free Environment Overall Best Least Recommend After Know how to Know how to Additional Training Additional Comments Rating Training,able contact the report abuse to Identify Ombudsman Abuse I)Good IV's and breathing machines. 2)Good Tape. Transfers,ways that don't injure you. 3)Good Talking. Video made me . sad. 4)Good Discussion. Video made me Everything. No. really sad. 5)Excellent Leaming through Interacting with Great Program. examples Elderly. 6)Good Game related to topic, Little info on How to handle elderly. Enjoyed it very much. exciting. video. How to get along better with other staff. 7)Excellent Everything. How to treat and Thank you. accommodate residents better. 8)Excellent Willing to answer all The movie was How to prevent abuse It was a nice change of questions. sad. and be more cautious. pace. 9)Good Very informative, Movie was sad, Communication leamed new things. but good. between nursing home staff and ombudsmen. (Is the environment open or will you feel like you are'ratting out"your place of employment). 10)Good How covered topics. I feel that more people need to have this training class,it was very helpful I I)Excellent Movie Nothing. • • Ideas about socializing Thanks Marcia! with elderly,how to better relate to them. 12)Good Information. Movie. More info on what Ombudsman can/cannot do. 13)Good How questions were To help C.N.A.'s Thanks for the time answered. understand how you took to do this. management needs to utilize budget. • C.A.R.I.E. 3 Abuse Free Training Overall Best Least Recommend After Know how to Know how to Additional Training Additional Comments Rating Training,able contact the report abuse to Identify Ombudsman Abuse 14)Excellent Speaker's examples. Cold room. Anger management. I would like to attend Behavior modification. more training on topic. 15)Excellent Information and Nothing. Dealing with stress. positive reinforcement. Time management. 16)Excellent Speaker. Room too cold. • Understanding cog/sensory deficits with residents and how to communicate with these residents. 17)Good Information. Cold Room. • Stress management. Thank you! 18)Excellent Quality of Temp of room. • Caregivers'rights. Good job. presentation,excellent speaker. 19)Excellent All topics were Nothing. , necessary to discuss. 20)Good • Team building. Stress relief. 21)Good Stress relief. , 22)Average The handouts and No. examples. 23)Good None. 24)Good All good. • • Room too cold. Stress management. 25)Average Good material, Somewhat redundant for SS ' staff. 26)Good Presentation style. • Please correct spellings in slides r/t Itc. 27)Average What C.N.A.'s can do to protect themselves from situations of alleged abuse. 28)Excellent Very personal and , casual. 29)Excellent Very informative! Thank you. • 30)Good Continuing education. No complaints. • No. 31)Excellent All the abuse. None. How to care for residents C.A.R.I.E. 4 Abuse Free Training Overall Best Least Recommend After Know how to Know how to Additional Training Additional Comments Rating Training,able contact the report abuse to Identify Ombudsman Abuse 32)Excellent All good. • . • • Thank you,I really appreciated the understanding the teacher had for the work involved in C.N.A.work. 33)Excellent Really made me think Nothing. Death and Grieving. ' about situations that I see in the workplace and now I know what to do. 34)Excellent I like the presentation Nothing. , and the real life examples. 35)Good Everything. No. 36)Excellent Movie/everything. Nothing. Not sure. 37)Average Movie at the end! Not sure. , 38)Excellent All the info given was No. useful. 39)Excellent Movie. Nothing. Grieving. Thank you for the much needed information.You are so delightful and so engaging. 40)Excellent Marcia. What to do in emergency situations?!? 41)Good Instructor. ? • Time management Instructor was tools. outstanding and approachable. Appreciated shared experiences. 42)Excellent The interaction with • , the instructor. 43)Excellent Marcia. I would love to become You are a good teacher, a C.N.A.,I am a thank you. residents'assistant. 44)Excellent I learned a lot about Any training is great! No. abuse. C.A.R.I.E. 5 Abuse Free Training Overall Best Least Recommend After Know how to Know how to Additional Training Additional Comments Rating Training,able contact the report abuse to Identify Ombudsman Abuse 45)Excellent Knowing I have . someone to contact. 46)Good Teaches all aspects of All. No. abuse. 47)Good • . 48)Excellent Talked about topics Identifying abuse. Not really. that are true. 49)Good How we were able to Activities. Good job,I do feel discuss openly. comfortable asking questions. 50)Excellent Was able to ask • No. questions or comment. 51)Good New information. . 52)Good Dealing with stress and I wish we would have depression. more of a group discussion. 53)Good Real life situations. Conjecturalizing/ . theorizing. _ 54)Good • . • . 55)Excellent The lecture. . . No. 56)Good Knowledge and examples from the instructors experiences. 57)Excellent • 58)Excellent Opportunity to leam. • . 59)Excellent The entire program. , 60)Good Anything helpful to C.N.A.'s 61)Good All. There was nothing Coworker respect and None. I did not like. quality of relationships. 62)Excellent The content. The chairs. :0) • , 63)Good Good material, No. examples and felt comfortable. C.A.R.I.E. 6 Abuse Free Training Overall Best Least Recommend After Know how to Know how to Additional Training Additional Comments Rating Training,able contact the report abuse to Identify Ombudsman Abuse 64)Good Very informative. , 65)Good Where you could go if No.Thank you! you feel burnt out. 66)Excellent Lots of information. Nothing. Great job! 67)Excellent Examples. None to mention. How to deal with No. family members when there is a problem with the facility. 68)Excellent Everything. , 69)Excellent Conversations. Video tapes. , '.• 70)Excellent Last movie. • . . , 71)Excellent How to deal with other Thank you! C.N.A.'s who have been working there for years when they refuse to listen. 72)Excellent All the information I I think that everyone received. should be required to attend this course! 73)Excellent Identified abuse very No. clearly. 74)Good Trainer. Video. , C.A.R.I.E. 7 Abuse Free Training "C . A . R . I . E . " " Ensuring an Abuse Free Environment" Training —> How the 74 40- Participants 35 rated the 30 training: 25- 20- 38: Excellent 15 10 32: Good 5 4: Average 0_ CARI E#12004 After Training, 73 Out Of 74 participants stated yes to the following: (1 ) Recommend (2) Now know how to Identify Abuse (3) Now know how to contact the Ombudsman (4) Now know how to report Abuse *Only one individual stated that he/she did not know how to report abuse after receiving the training.* 80-' 70-/- _ 60f 50r _ 40 r 30r 20r 10- 0 Recomm Identify Contact Report Not Report CARIE#22004 Just Right: 68 out of 74 0 c Too Short: 3 out of 74 F- Too Long: 3 out of 74 o O O O :b., 1.CD Ci) 1 , mj 5 ti ti S J c coo 1- M N O O O O N Co W_ U I L V Z OC W Opportunity to Ask Questions. Just Right:72 z Too Much: 0 ` a Not Enough: 2 o N.CO 10 i N - � 4 F` fMil \Tr ler Ile COLORADO October 4th; 2001 Attention: VA.L.E. Board From: Raegan L. Maldonado Long Term Care Ombudsman Reaardinq: Memorandum of understanding,regarding, the coordination and provision of services. COORDINATION AGREEMENT Please accept this coordination agreement between the Weld County Area Agency on Aging, PO Box 1805, 1551 North 17`h Avenue, Greeley. CO 80632 and the attached listing of agencies. In order to assure the most comprehensive level of services for victims and older adults in our community, we have formalized a memorandum of understanding with several key agencies. This agreement assures that each agency will take necessary steps to familiarize their staff with each other's services through networking and education, to provide information and referrals to each other's program under appropriate circumstances, and to work in collaboration with our agency to facilitate the effective delivery of services to victims and older adults in our area. We will work together to provide community support, coordination of services and informational opportunities through a variety of committees. The Area Agency on Aging will expand this memorandum to include other agencies as deemed appropriate. • Agency/Program Name & Information Agency Representative Crime Victim Compensation Program District Attorney's Office PO Box 1167 Greeley, CO 80632 (970)356-4010 Gary . Rathke,Administrator • District Attorney's Office, Victirn/Witness Program ' PO Box 1167 Greeley, CO 80632 (970) 356-4010 /Gary L.Rathke,Administrator Eldergarden Adult Day Program 910 27th Avenue Greeley,CO 80634 k27- (970)353-5003V ' 61 1-800-649-6361 Corny Dietz, Executive Director ,.i Probation Department, 19t1'Judicial Dist. 934 9th Avenue 2nd Floor ---'�� Greeley, CO 80631 711. 41-v\ (970) 356-4000 extension 4914 Sheri Mann,Victim Service Unit Coordinator Certified Nursing Assistant Training Center 2319 7th Avenue Greeley, CO 80631 (970) 395-1055 Teresa Masters,RN Program Coordinator The Bridge Assisted Living At Life Care 4750 25th Street Greeley, CO �.. _ (970) 339-0022 Mindy Rhckar d, Gelral'Manager 2 • The Villa at Greeley,Inc. 1750 6th Avenue Greeley,CO ,,44'+�''`�' ,, (970)353-9263 Manager G Alterra Sterling House ~` 1999 West 38th Avenue }jr• ` Greeley,CO c,vi.'LL-.-) �? (970)330-9500 Maureen Walker,Manager • Alzheimer's Association lei 710 nth Avenue LAC/ Greeley, CO ) (970) 392-9202 Bonnie Wacker, oordinator Department of Social Services MOMMINIIMENIENNOSEMEMEINEE &Adult Protective Services PO Box A UNAVAILABLE Greeley, CO 80632 (970) 352-1551 Judy Griego Senior Peer Counseling North Range Behavioral Health 1306 11"'Avenue Greeley, CO 80631 (970) 353-3686 Jerry Kearney Program Coordinator City Of Greeley Police Department Public Safety Building 919 7`h Street • Greeley,CO 80631 Dom'"`°`' (970) 350-9657 Diana David Bretton Victim Assistance Coordinator Bonell Good Samaritan Center &The Manor 708 22nd Street Greeley, CO '7 (970)352-6082 rte: areen An ers , dministrator 3 Wei 1 County Legal Services, Inc. P.O. Box 1283 Greeley, Colorado 80632 (970)351-7300 Ext.4514 Sandy Carr Administrator October 2, 2001 V.A.L.E. Board P.O. Box 1167 915 10th Street Greeley, CO 80632 Subject: Letter of Coordination Please accept this letter of coordination listing agencies in the community with whom Weld County Legal Services, Inc. coordinates its efforts. Each agency listed is aware of the services we provide,has referred individuals to our program when appropriate, while the victims we serve are referred for services to many of the services to many of the agencies listed. AGENCY/PROGRAM AGENCY REPRESENTATIVE Crime Victim Compensation Program District Attorney's Office P.O. Box 1167 Greeley, CO 80631 Gry L"Rathke, (970) 356-4010 Administrator A Womens' Place , P.O. Box 71 %4Lu 1247;61 -,./...„4...) Greeley, CO 80632 Sharon A. Mitchell, (970) 506-2733 Executive Director • of Weld County • District Attorney's Office Victim/Witness Proram / P.O. Box 1167 /Greeley, CO 80632 Gary L. Rathke, (970) 356-4010 Administrator Colorado Legal Services 800 8th Avenue, Ste. 202 Greeley, CO 80631 Mario H. Rivera, (970) 353-7554 Managing Attorney Nineteenth Judicial District , P.O. Box C � /', " 2� ;.r Greeley, CO 80631 Mary B''blender, (970) 351-7300 Judicial Dist. Administrator Area Agency on Aging P.O. Box 1805 Greeley, CO 80631 Eva Jew`6-1177-/---/"C___/ � C___/ (970) 353-3800 Executive birector Weld County Department of Social Services P.O.Box A 0_41('}(_,,") "Greeley, CO 80632 Cy Le , � (970) 352-6933 ext. 6401 Legal Technician Supervisor Greeley Police Department Victim Assistance Unit 919 7th Street Greeley, CO 80631 Cecil O'Farrell (970) 350-9667 Victim Assistance Coordinator (6-c AT7.,_ District Attorney's Office 2 --.;*,- % mti Nineteenth judicial District aye E��l A.M. Dominguez, jr. - District Attorney ;* U� Thomas Quammen - Assistant District Attorney N``J U.D§% COORDINATION AGREEMENT This is a coordination agreement between the Victim/Witness Proaram. 19th Judicial District AttorneV's Office. 915 Tenth Street. P. O. Box 1167, Greeley, CO 80632 and Area Agency on Aging. P. O. Box 1805, Greeley. CO 80632. in order to formalize the joint commitment of each agency to seeking the most effective delivery of victim services through communication, collaboration and coordination, we have entered into this agreement. This agreement affirms that each agency will take steps to assure that our staffs have familiarized themselves with each other's services, that our staffs provide information and referrals to each other's program, when appropriate, and that our programs will work together to facilitate the effective delivery of services to those assisted by each of our agencies. yr(-22________ ______---;), .....c/rr/ -, ) . c/ r ..n Eva Jewell �� Gary L` athke d.ommunity Programs Administrator, Director Victim/Witness Ij Di 3 ( P-- /7 - ' / DATE DATE I Post Office Box 1167 •915 Tenth Street• Greeley, CO 80632• (970) 356-4010• FAX (970) 352-8023 �.t (E• d4tPOLICE DEPARTMENT pQ .OIOUCE A9 VICTIM SERVICES PUBLIC SAFETY BUILD Na, 919 7TH STREET,GREELEI',COLORADO 60631 •(970)350-9657•(97O)35O-96fi7 September 25,2001 V.A.L.E. Board P.O. Box 1167 915 10th Street Greeley, CO 80632 . I Subject: Letter of Coordination • Please accept this letter of coordination listing agencies within the criminal justice system and the community with whom Greeley Police Victim Assistance coordinates its efforts. Each agency listed is aware of the services we provide,has referred individuals to our program when appropriate, while the victims we serve are referred for services to many of the agencies listed.. AGENCY/PROGRAM AGENCY REPRESENTATIVE /Crime Victim Compensation Proa am District Attorney's Office • P. O. Box 1167, Greeley, CO 80632 --�-.. (970) 356 - 4010 Gp L. Rathke, Administrator • A Women's Place,Inc. P.O.Box 71, Greeley,CO 80632 P.O. Box 312,Ft. Lupton, CO 80621 (970) 506- 2733 Sharon A. Mitchell,Executive Director Child Advocacy Resource and Education C f 814 9``' Street, Greeley, CO 80631 �- �-, '' '�? �"`-► (970) 356 - 6751 Gwed Schooley,Executive Director SERVING OUR COMMUNITY • I T ' S A TRADITION ?Pie promise/o preserve anoizinproue lEe r�u�y of Ife for✓9reefey fErouyElime;, courteous anorcosf effec/iue service. { t • District Attorney's Office, J 1 Victim/Witness Program P.O.Box 1167, Greeley, CO 80632 !i --�� (970) 356 - 4010 Gars L. Ratlike, Administrator A Kid's Place 814 9th Street, Greeley, CO 80631 V (970) 353-5970 's Dodd, Director • /) Weld County Legal Services Centennial Building (' J 915 Tenth Sheet, Greeley, CO 80632 ,1 �r (_12,1) A,_� 5� 4 Sandy Carr- dministrator (970) poi-7300x4c1 . � � . `� Suicide Education& Support Services of Weld County 3700 Golden Street,Evans, CO 80620 ��---- (970) 506 - 2737 -cfa Chase,Director Greeley Municipal Court 919 7h Street, Greeley, CO 80631 (970) 356-9242 Penny V rHoeff,Aduii cator • South Weld Victim Services 400 Grand Avenue,P.O.Box 389 Platteville, CO 80651 (970) 785-2476 Rita Ashliman, Program Director • Partners of Weld County 1212 8th Street, Greeley,CO 80632 z (970) 351-0700 Michael Muskin,'Executive Director Weld County Coroner's Office 1555 N. 17th Ave., Greeley, CO 80632 - (970) 304-6445 Scott Anthony, Chief Coroner • E { i • United Way of Weld County )L 7 P.O. Box 1944, Greeley,CO 80632tit\e--)rr (970) 353-4300 J\ d. Kron. irector • Nineteenth Judicial District P.O. Box C, Greeley, CO 80631 (970)351-7300 Mary Bohlender,Judicial Dist Admin Probation Department, 19th Judicial Dist. u 2ndFl. Greeley, CO 80631 r_ '� '/Q •^ 934 9 Ave.: 2 (970) 356-4000 x4914 • Sheri Mann,Victim'Service Unit Coordinator Northern Colorado Medical Center 1801 16th Street, Greeley, CO 80632 -(970) 352-4121 Julie Klein,Director of Emergency Services Area Agency on Aging 7 'trf2. P.O.Box 1805, Greeley,CO 80621 . (970) 353-3800 1 va Jewell, `ec e Director • Colorado Legal Services 800 8t Ave. Ste. 202 Greeley, CO 80631 (970) 353-7554 Mario H.Rivera,Managing Attorney ( ( COORDINATING COMMITTEE FOR VICTIMS OF CRIME COORDINATION AGREEMENT On September 10, 2003, the membership of Weld County's Coordinating Committee for Victims of Crime (CCVC) voluntarily entered into this Coordination Agreement on behalf of each of their respective agencies. The signers of this Agreement are formalizing their joint commitment to work with CCVC, each other's agencies and other groups that are seeking to achieve the most effective delivery of victim services through communication, collaboration and coordination. This agreement affirms that the signatories to this Agreement will take all necessary steps to assure that members of their agencies are familiar with the other signing agency's services and that they will provide information and referrals to the other signing agency's programs, when appropriate. Furthermore, the signers of this document are affirming their commitment taworking together with the other signatories to this document in order to facilitate the effective delivery of services to those assisted by each other's agencies. S NATURE PRINTED NAME JOB TITLE AGENCY ,< RQ*Byko_ ,ammoTit '{-O rc&r�2's ,gt 's V .-t.f ii+, llf� / / CI 1C// 1 G�-7 �. r ,6Y ,� i� ,,((/, _ l Met }�ernr ni to ll� '. /�'�Ir n� l- -/;re fr/J1 ? X//CC'.�. .r�/'rflZL' 'A' rQ.P�f S1�PY'{/ 1 •----�. X CD Out 725 cSCAtc 3 n \U,u cos ,1 i Q/ Yj SP P CAstA .-c)z tic C. - `��.C" -k ,•,-, i Or— . s ea /26 7YXIa.l7QAA kaet _ Qerc a,l- QC• dialer 55Pelot do% elc I s \-1), bz4, �St-\ nne$ C.ase, Mo,1cJe4 Cof)io)ic Ck}{ii&c iitill-tA („mi U' -tu1ttil C.ee;IO 'cuel V'ilim /≤cslance G&Petey Police_ PAGE 1 OF COORDINATING COMMITTEE FOR VICTIMS OF CRIME COORDINATION AGREEMENT PAGE OF SIGNATURE PRINTED NAME JOB TITLE AGENCY j—)GaLw 014/2,,, N.2.4-114-4,-)319.4.4_,kikb hal OVI A. tn.ri d,e 1 t c xe. b t r . A /,,u° mum - ' 4 3e-do-. .S Sc -Io � V C'vr„mun,�� Eck tcov. e .a- ►-. e/ -3/kin AniOYA. Pie ire Ca/-. - A221 Oa `1'14-40.10-314a Mar c c.. Ylitad ne t', XI/511,2.h o d�ourLtc�� rc� f 1 4 T u F Li 1IN ! i y -- PP3 01 ® latr^Y k+ J 1 I to lb.� f o Updated 9-02 19th Judicial Email: ofarrelcci.greelev.co.us Sharon Benson Shairan Whitman Greeley Transitional House 901 9th Ave Rm 315 Lon Rome Greeley, CO 80631 .1202l6 b-Street 351-7300 ext.4529 Greeley(CO 8O631 sharombenson(at,iudicial.state.co.us (970)352=3215, shairan.whitmanaliudicial.state.co.us Help Your Self Document SPreparation AAA Center: Raegan Maldonado KareniDeMello 1551 N 17th Ave 1220 West Ash Street Suite A Greeley, CO 80632 Windsor,CO 80550 353-3800 ext. 3324 970-674-9966 Email: rmaldona(ar.co.weld.co.us Individual &Group Therapy Services Brain Injury Association of CO Kimkuybal Kern Chergill-Hitchcock Rebecca McClanahan Email: Resources(dibiacolo.corn 824B 9'h Street Greeley,CO 80631 Brighton PDVS (970)353=8171 Rita Ashliman 1372 WCR 41 Intervention Hudson,CO 80642 Lynn Taylor Email:RitaSWVSZaoi.com 2200 E 104th Avenue Suite 209 Thornton,CO 80233 c.a.r.e. (303)450-6000 ext. 129 Gwen Schooley Email: lvnntavlor(iDmho.com Pam Henkels 3700 Goldon Street A Kid's Place Evans,CO 80620 Sheryl MacHendrie (970)356-6751 ext. 19 814 90'Street Email: careweldr>gwest.net Greeley,CO 80631 (970)353-597O Colorado Legal Services Mario Rivera 800 8th Ave#202 Greeley,CO 80631 (979)353-7554 Greeley Police Department Diana Breton Cecil O'Farrell Pat Foelske 919 7th Street Greeley,CO 80631 Partners Diana: (970)350-9657 Michael Muskin Email: brattondci.greelev.co.us Anne Semlack Cecil: (970)350-9667 ATTACHMENT I Gail Shatz Fax:(970)352- 8023 Nomie Ketterling 1212 86 Street Weld County DA's Office-Diversion Greeley,CO 80631 Nancy Haffner (970)351-0700 John Liberty Anne:ext.25/riZweldpartners.org Leann Cole Gail: ext. 13/counselor(a?weldpartner.org Jennifer Fogg Nomie: ext. 12/nomierweldpartners.org PO Box 1167 Greeley,CO 80632 SASI (970)356-4010 Anpeytu Raben nhaffner(a?co.weld.co.us Jodi Moore jlibertyaco.weld.co.us PO Box 5135 icole(cr�.co.weld.co.us Greeley, CO 80634 ifogg(chco.weld.co.us (970)506-2738 Email: arabenrsurvivorinfo.org Weld County DA's Office- Investigation South Weld Victim Services Tony Molocznik Patti Vissat PO Box 1167 Terry Pettis Greeley,CO 80632 PO BOX 389 (970)356-4010 ext.4722 400 Grand Ave Platteville, CO 80651 Weld County Legal Services (970)785-2245 ext.400 or Sandy Carr (303)776-1117 ext.400 PO Box 1283 Fax: (970)785-2476 Greeley,CO 80632 Email: SWVSa^.^..Platteville-co.com (970)351-7300 ext.4514 Email:weldctvle2alsvcsa)aol.com UNC ASAP Jennie Bruner Weld County Probation PO Box 121 Sheri Mann EXT 4914 Greeley,CO 80631 Heather Garwood EXT 4508 (970)351-149:0 Mary Kay Holoman Hallie Miller UNC Police.Department Robert Armijo Wendy:Rich�Galdschmidt Dana Wilks 501 20,Street Mary Carew Greeley,CO 80631 Jerry Wommack (970)351-2245 PO Box 2038 934 9`b Ave Weld County Child Abuse Coalition Greeley,CO 80631 970-392-4589 (UWWC) sheri.manniudicial.state.co.us Judy'Kron heather.zarwoodeindicial.state.co.us PO Box'1944 marykay.holomanajudicial.state.co.us Greeley,•CO 80632 Hallie.Miller@judicial.state.co.us (970)353-4300 ext. 109 Robert.Armijoju.judicial.state.co.us Dana.Wilksaludicial.state.co.us Mary.Carew(aiudicial.state.co.us Jerry.wommack(ajjudicial.state.co.us Weld County Sheriff's Office Mary McMahon Weld County DA's Office-Victim Margie Martinez Witness 910 10th Ave Gary Rathke Greeley,CO 80631 Karol Koeltzow (970)356-4015 PO BOX 1167 Mary: ext.3953 Greeley, CO 80632 mmcmahon3l(ihotmail.com (970)356-4010 Gary:ext.4747/GLRathke(ainetscape.net Karol: ext.4748/kkoeltzoaco.weld.co.us { A Woman's Place Maggie Munoz Sharon Mitchell Maricruz Estevez Kelli Shed PO Box 71 Greeley, CO 80632 (970)351-0476 or(970)506-2733 Admin Fax:506-2726 Safehouse Fax: (970)351-6686 Email: AWP6548i )..aol.com Individuals: Colleen Flack 5225 65th Ave Greeley, co 40,04 970-3330=27511 Scott Moser 3501 11th Ave. Evans, CO 80620 970-330-6824 Email: moserfamily mindsprinq.com Please mai information to these people...they do not 'have email TRIAD MEMBERSHIP LIST KATIE ADAMS LT. PAT FOELSKE SENIOR GREELEY PD 2504 21ST AVENUE COURT 919 7TH STREET GREELEY, COLORADO 80631 GREEELY, COLORADO 80631 970-353-6042 970-350-9671 (970-350-9672) kmaal@juno.com foelskep@ci.greeley.co.us PETE ARCHULETA BETTY GRALTBERGER AREA AGENCY ON AGING EVANS SENIOR CENTER PO BOX1805 1100 37TH STREET GREELEY, COLORADO 80632 EVANS, COLORADO 80620 970-353-3800, EXT. 3330 970-339-5344 parchuleta(n�co.weld.co.us CHIEF STEPHEN HASLER CHIEF PAT CAREY ERTF PD KERSEY PD 645 HOLBROK STREET PO BOX 67 ERIE, COLORADO 80516 KEERSEY, COLORADO 80644 970-346-5140 LAURA HULSEY RSVP MARY MARGARET COX UNC CENTRAL CAMPUS MEALS ON WHEELS GREELEY, COLORADO 80639-0135 970-353-9738 970-351-2580 (FAX 351-2581) rsvp@bentley.unco.edu RICK CUDWORTH UNION COLONY FIRE OFFICER LYNN POST RESCUE AUTHORITY GREELEY PD 919 7TH STREET 919 7TH STREET GREELEY, COLORADO 80631 GREELEY, COLORADO 80631 970-350-9512 970-350-9622 (304-6617 PAGER) flpskp@aol.com CRYSTAL DAY RVNA ANGI QUINN 2105 CLUBHOUSE DRIVE EVANS PD GREELEY, COLORADO 80634 1100 37TH STREET 970-330-5655 (FAX 970-330-7146) EVANS, COLORADO 80620-2036 crystal 14na,prodigv.net 970-339-2441 (339-5177) aquinn@ci.evans.co.us CAPTAIN KENT DONAHUE GREELEY PD BEV REID 919 7TH STREET AGENCY ON AGING GREELEY, COLORADO 80631 PO BOX 1805 970-350-9645 GREELEY, COLORADO 80631 970-353-3800, EXT. 3321 BERNA RUIBAL SENIOR 2720 17TH STREET GREELEY, COLORADO 80631 970-352-9041 LOIS SMEE SENIOR 1115 3RD STREET FORT LUPTON, COLORADO 80621 303-857-2302 DORIS SOLTES D.A. OFFICE PO BOX 1167 GREELEY, COLORADO 80632 970-356-4010 CHIEF TERRY URISTA UNC PD GRAY HALL UNC GREELEY, COLORADO 80639 970-351-1986 turista(a unco.edu BONNIE WACKER ALZHEIMER'S ASSOCIATION 710 11TH AVENUE, SUITE 107 GREELEY, COLORADO 80631 970-392-9202 (FAX 353-8788) bonnie.wacker@alz.org Rae an Maldonado-sart minutes and agenda.doc Page 1 Sexual Assault Resource Team Meeting Minutes 9 July 2003 PRESENT in July: Terry Pettis and Patti Vissat, SWVS; Sheri Mann and Traci Henderson, Probation Victim Services; Cecil O'Farrell and Diana Bratton, GPD V/S; Kelli Shedd, AWP; Steve Schrimpf, GPD; Mervyn Davies, Daysel Ventures, Inc; Sheryl MacHendrie, AKP; Kathleen Alvarado,Area Agency on Aging; and Amber Clay, Maribel Talamantes and Anpeytu Raben, SASI. COMMITTEE REPORTS: None OLD BUSINESS: None MEETING: Robert Lowenbach, 19th Judicial District Court Judge, presented on Promises for Children. Program goals are: to support adequate maternal and child health care, to support quality early childhood care and education, to support strong and fully resourced families, and to ensure that children are safe and protected. ANNOUNCEMENTS: ***The Coordinating Committee for Victims of Crime (CCVC) will hold its next meeting on Wednesday, September 10th,from 8:30-10:30 AM, at the Egg & I at 27th Street and 23'd Avenue. Topics include 2003 legislative updates, funding and current issues. ***The COVA Conference is November 10-12, at Keystone. More than 60 workshops will be offered. Day-long skill-building sessions are scheduled on November 9th. Go to www.ColoOrq.com for all the latest info. Our next meeting: **Wednesday, August 13th, 12 noon-1 :00 PM, in the Training Room, Ground Floor, the Probation Dept., 934 9th Ave** Meeting: discussion of SANE, the SANE Community Resource Guide, and community readiness f � ::1 rrv.Yx'-' a•FI, L '� Y�-" ZAP ':y -7'.k 1. �° jF E. x r x" y t, P "5f,i :: z4i' .M`, ₹ 'rt.�.C. rt a S f�s�.'�, r `i 4Th�7 a�b" }7 F.,.�.;y, v yr. t i 'PtYS*$ +,R 3t :� L. ,� 'r �`" - €� g + -2, �`CG �iI I t to rM'd'.'ea,' "a a t 41.52-} rx5+"�yal E r _3't'' V tr ° e $ 1 ti o aAllifu' .p,�"rr. 1 5. i i f t e -N y , w Yr . 1� yni. �� i.. st�-w*y ? i Ick 41 0. 3 si uµ "it ^-y 1 a q 2 i c�"p �Y++ Y r 'fi{- _ 9 a y ; '7r'°'+ , Y ,l- :a, ` _� a gt it v-,t.s s _ ? y ' x$�:r' ' b e a -.tp t "^" a ' x .1�rW f.mdn�P` s y P€`e5L�T.°�.a•Y�S�uP,z�,.7�4F.;v 3 �i - - e, `r r � t ° _ _.�5lsmrue�-, Hel lo❑ term care residents obtain: ' ' What'�� an'Ombudtman? � p g Sour resident rt4ht� A person who protects rite ctvrl and- qE P�1°pnare legal social recreational! phylxal } • To exercise your rights as a cntzeh aq₹i;emotiona_l:servtces necessaryfoi_r human rig 9,;of elderly persons tti '; i quaLtq of-life p rY E Y� .t E = a Ta xotce grievances without feat of reprisal long tern,cat.ifacrhttes. " x a r r g n pf 1 : t Help long-term care staff meet the needs of To'be f[ee f[om�ehtal•::and physical abuse • -A problem solver and tot .4 those who use their facilities. and from clteltticat and physical restraints A resource Educate the community about the long-term To be discharged or tranafeded only for medical reasons out oWa €fa[e or that _ ' care system. Y of others, or for non payment, 7,. • An objective n esttgator of complaints Identify gaps in services provided, report • To have privacy to cateand treatrntnt and Who eafl ute.the0mhudt an? findings and help achieve equitable solutions. sF to associate and communicate privately Re4rdMts of nursing homes add _ with persons ofyour choice Advocate for needed improvements .- ersonal care boardin homes • p g'. legislation and policies affecting lontsg-term care. • 10 par' nctpate to rehgt us, so tai an�co • Friends and;relatives'of residents mu ntyaetidities , When do you use the Omud�ina . To report a problem or conceri�a Io participate'in resident coUhcft " r= 'Taff'' '. embers of facilities • o learn ,done about inc Colorado ,: To participate in planning your Ombudsman Program care"and • The commuil.:0:, at large 4 ' treatment r - To request [rannmg'assistauce e ' xs 10 seek informatio �txliout long-term ,,.!,:t.-T.' manage youz personal-and care facilities t What can the Ombudsman financial affairs do for-gou? or uestions about Q --fnake choices And independent, Provide a place• where the,long-term care- Medical coverage decisions resident of family can discus's a problem or Resident rights y receive assistance. : Trans er and dischargelssues to keep,and use personal belongings H as space per t its y v- 9 e; v -.d r 'it'-',:Hg: r a Y d k 3 6. „ r S-i r f,'4+ ry■�r _ „S -: H d'ddr , a , 't,.i * v- t ft 7 alit?' .�� a.: > Y r F�� £ ": f � 1 "4 �F !' �t iii Y. r r vx }t 'w q"ir/ i x r r r *'r-: - x 'tifr^'t '1;:e. R �'1 vy ,: Y t .K_ _ 4 vx #. ' t a N+l t , a`� r if I _ }. -q„ti .. . - _ ... F . am , _ . { 'sue is un Umbu€irnap +Urka Persona Que ProtegL s derechos hurnanos de los an an .ios en lugares de cuidado y de asilos de residentes. +Una persona que resuelva problemas y que de consejos +Es como un recurso +Puede investigar las problemas y hacer propias decisiones para cambios Quien Puede i tilizar un Ombudsman +Re sidentes de Casas de cuidado o asilos +Amigos y miembros de la familia de los residentes +Lo s miembros que son trabajadores del facilida +V Ia communidad Que Es Lo Que Ombudsman Puede Racer Para Usted -e-Proveer un lugar donde ancianos pueden discutir una problema o recevir assistencia 4'Ayudar los residentes que reciban el cuidado y los servicios necesarios que les permitan en mantener una mayor bienestar fisico, mental, y social y para mej orar la calidad de vida. Ayudar los empleados de los asilos en cumplir las ayu.das que los residentes necesitan +Educar la communidad en cuidado de casas y asilos +Identificar servicios que se necitan, reportar deficiencias que se encuentran a ayudar en hater cambios o dar solutions para la seguridad y salud de los residentes +P ara pedir por asistencia en entrenamiento en cuidado de asilos +Preguntas en como pagar ciertos gastos entre Medicare o Medicaid 'Lo s derechos de los residentes +Alfas y transferencias de habitacion o de casa de cuidado Derechos de los Residentes +Ejecutar sus derechos como ciudadano +Dal voz en agravios sin miedo Used tiene derecho en mantener a la privacidad cuando Ilegue visita Y de pasar tiempo privado con sus visitantes +Usted tiene el derecho de que le informers sobre su condition medica, sus medicinas, y pa ti cipar en el desarrollo en el plan de cuidado +Derecho de usar su propiedad, la salud, o la seguridad de otros para proteger su propiedad contra el robo Usted tiene el derecho de manejar su propio dinero, o de escojer alguien de su confianza para que lo haga +Derecho de permitirle a usted acceso o sus cuentas bancarias y otros registros financieros. +Derecho de tomar sus propias decisiones o haga hecho arreglos legales para conseguir.ayuda. +Derecho en que la casa o asilo no pueden darle de alta excepto en caso de er aergencia. Weld County Area Agency on Aging • `\, (Llame al numero 970-353-3800 ext. 3323) a aa COTARAD0 ,;avmnm.Advocacy.Anew-son Aging Assisted by: CLIENT SATISFACTION SURVEY ►WE ARE CONTINUALLY STRIVING TO IMPROVE OMBUDSMAN SERVICES FOR RESIDENTS RESIDING IN LONG TERM CARE FACILITIESI *To assist with improvement, please respond to the following questions. If you have any additional comments, please attach them to the survey. (1) Did you initially contact the Ombudsman program? If so, what was your main reason? (2) Do you feel that you received prompt response after your initial contact? YES NO Comments: (3) Was the Ombudsman courteous? YES NO Comments: (4) Was the Ombudsman sensitive to your needs? YES NO Comments: (5) After your first conversation, did you know what assistance to expect from the Ombudsman? YES NO Comments: (6) Were you satisfied with the amount of contact you had with the Ombudsman? YES NO Comments: (7) Did you receive a personal visit from the Ombudsman? YES NO (8) Did the Ombudsman assist you in achieving what you wanted done? YES NO Comments: (9) Was there anything else the Ombudsman could have done? YES NO Comments: (10) Do you feel that your concern was resolved in a reasonable amount of time? YES NO Comments: (11) Generally, how satisfied are you with the services you received? (Please circle one) a. Very Satisfied b. Somewhat Satisfied c. Somewhat Dissatisfied d. Very Dissatisfied (12) Generally, how satisfied are you with how things turned out? (Please circle one) a. Very Satisfied b. Somewhat Satisfied c. Somewhat Dissatisfied d. Very Dissatisfied (13) Do you feel that your experience with the Ombudsman program enabled you to handle similar problems in the future? YES NO (14) Please list one thing that you were the most satisfied with: (15) If applicable, please list one thing that you were least satisfied with: 2 Response Rate Surveys Sent Out P 'rThere were a total of 32 surveys sent out Y Of the 32 surveys sent out 17 of them to family members and facility were returned F administrators, as well as the residents 4 ➢ hhat is a total response rate`of 53 of long-term care facilities*" percent ➢Here is a break down the population _ .. 100 percent of the residents responded to the'inner 4'''‘......: .°Close-to G4 percent of the family members ¢ . Seven re§fdlopte were Ifltervlewed , ' responded to the survey p ' ..Steven f ily members Vg! 4.„' sltxveys -.tl ` Only 21 Pere c. ' f the adminie.trataxs• ft-he Eleven n„facnhty adN?lustrator's wereunent`• , t` lon term care faedltae5s l e5pouded i this t; .,;I a surveys ;: ,,., i` ., ';';''''''','"f , . „�xy.--' `�" /`vh. st' "S' aF; ,;y °� xrv� <rt'C� •"� re'""m+.4Jm uLmawnxa.�+.�. . �kn � ' " - Question One 1 . Q. uestion Two h al You lmtmRy mntecl th Ombadamanproglam4 TPn0.what was Do you feel that You mceivrd prompt I-s pnnse after your imtiel your mein reason. ..: � ti contact? _---•••,,, ., C4anPe Rewooee -FaonlyRespeoae 55 FemJY Response CReore Raapoma . n r :. AemluY ReePooee `✓ FeaRtY Reepoom _ <" g, ,;.'...14i-:-..":4,,,;',,..i,.1/4,1:.,•': ni-i 3nF.� Ne xi#] SRS i e. } '-' -- Mm .4.;,„_,:s.,,;44,..,.....„,,,,..4,. Question Three Question Four Was the Ombudsmen courteous'•. Wee the Ombudsman sensitive to your neale7 Ctieufe Beetwrea -. 1 Client R6wonse < Pemily`Responee y Favdy Raepme¢ . Pam4ty Psepoms - Reeponee ri- [i- ; r a rat.+xam �,. s :'' ..., . ., r.e.�u+ h-k,�'"" t n J Question Six Question kYve yea Were you eannfird w+lA tke um tafmnteat had with the ie+ Mee your Srntmnvmeun theO ukbow whm nasiutsmv we.peetfmm Ombudsman+ � lbe Ombudemnnv Family Clievtltegionee Ohent9eeponm Rae se Famiy Response ... Puv `' lyt$ � .,t acalt, k ..� � ,�. ^`�"�,.du h'at'.i [gee.s3,t..s «z».„,.&aaa.. asw+.;�sa.�.ra.;�.».1�,"w. ..,. .. ..,t ! xl i, Question Eight j Qneonal viieVen = Did the Ombudsman assist you+n eclvevmg what youwented done? Did yw recei e a personalvie+t fromthe Ombndem''- }+` Chcntlteeponae ;, 'Fondly Clmnt Reaponw ": Respovee, � F Fsvuy R+sPonm +w t ,, A ` 4 + -e _Femhty liavovore , t :, Ferihty Aeapovse r '` _ d ' r vac r °a '. } 4y. L'''' '. 6 y-- ,.aei»,,t ® f .hv. e :.r'.c.F,.F,h a aY *n�.r F7 e xw.am"xa 3v ,1fn..icRkrr3+4,-- 4 Question Ten .„, r, y v; Do you feet that your concern was aveWved iff sreaeomble amo+mt Wee there pnytbmg else the Ombtvlemap could have Fe . 'of timet �K ' Fe ,Reseonee Chant '.. ` Fa Aeepov[e r ClientBeapppee t Reseavee 1x, # w � + FvmltY Response ,x FacilityResPenta' ' ¢k:. � 'R ti £ 7� `;^-ror i �t �,. ';ti x •t:, & eh, nr, s4�=.,h. 4 , _ Question Eleven " Question Twelve o Genemay,how eatieLed are you enth how things tinted out Generally,}t- satisfied are you with the eerncee you rwxived. ' ramdylimpon Ahem FemilY FaaPE Cheat eeepone6• sk ® Feeaosme em _ . `''*..,. w FedlityReapnnm v \ fi FaahbNeapaam Y tsiti .ra,r,.ukr„t,� w„ x1�a,.ra ,nsu.w', .... "','� `.r `'`+t .ueetion Th»l h` „' t Question Fourteen 'i E47-you fe',2t- 41.1eaciena wait Omhud a mite pgtam is please het one thing Wtat yqu were the moat eetleEmd wah: a+ ensbley��lm°alar ee�lneProblame mtbe lhtum7 ¢ Y + Famdy e¢aponee Chnettieepoeae y { hemtly&lameo h¢mlieepence h N's. a. s Faeulily pones' ,i fir' Fnmhty liceponee, A t Y } . r.PI al A tsss p+h xl 1 L J ' + 1 ° *� s t.2#- s?^ �,F ni n i Y i Fa.'f e?. d in + ',k r;e2w'* 'rve rk } w : i a,•xn. �!,x,e,�SaYY;_.tti �e x...,„..,cre ph,-v i 3 Ek . ! Qeet3tien"ICU z $nQ B(j { Question;FOurtee ffappllppble het°DR that you were least aptiefied with st i . x E ' ' • Family elmvtlie�ponw } ' ,..,A e to were asked to i list one thing ; aeepenm that th`: Mete most satisfied with: n e a s Here;` some responses _� a t t' h Y °1k 'a p eeionailcrn - ° ' - -,,1 :i "iii mniledinfiormatiohon Medical tit L t z - ' ' .wa§ formative as to how much 'nod " Femhty Regropae )§xCry M 2; racae 6wca return in order to be e,,„1.a } 7 P ₹d the facility are getting bathed and r. "r < rnw don a>,tafg regular bn�ala`m+ n " x ii ` . :, w hsrthel Is avail ihlt it need ? �▪, r' `r' cat k``5 '^ s 5 })il q?p.. a .. ,3 YL ¢ R, /t R S 9 � 'K, .'fi£ w�€�d xm ' rs'a k,zFt"t-= w1= r �,.,. +. : 'tin .e₹w m is.CsS%s eF a a lit 5 Question Sixteen _ , .,�..„ e. • i (facility aur4eYonly). '. . Response+$�'�A Question Fifteen Did the ombvdemanFnmde any trewng,wlormeaon,or matee,ale ..a y ' that have been boneitial to your{gtiihtyn ,1.rtespondents were asked a •list one thing , x„ that they w „re least satin ed with: 'i ��y V There were'only two': 'i - Fgabt9ID�enenFe "Cgopecatapp�F)bmbudam -+YFe7ved Prom, i r �� (the)nurst home * ' utx{� '(z)w ld�e to ho'o(the pm�mazU hex .�� t t . > , r lit S,7.4 stn i '. YyI iae `m,ss ! r � s� .Yl sYu�s Y} tt4n $T tv 5� „. �. - s g` -,.'4.'..P.1, '�w r:� .k� iaR =a t F;r aft 21'^'( d N e Y• "F � a l A 'j.t i it f SuggeHtb�t9tanPi Lialtttions ( Co C • 'a The.purpose of the sun'ey was to assess the, Y0 king p-1 t�aYi on f a Bette w y of Ti�F fi�, �, •( sata's'actton o£three dlf7efent populations ' ae n `the qne tte d' dart,1. �8Ygof=the thtcelioalatio�napahtcipatedtla ;of the„Sayan, did not understand n the etth • ` e , th question or didanot answe ,theryuestlon , , It : completely t. (AWL,wild age 6°.`”14 older'vim live in n�r ng homes at- q . w : ex c+a r p, v ,3 ' '8pw fad hw igfood T T Ifyocould$a follow up question pl1. x s,v d TPyoc did cons.pet the he suc,17 prod,am y a 7 (am'ty trm,ds and cereg ire nap a Ftveobe agtd¢b t . bow did Yo earn about thep Beam? y • stetde ,kv ,1 � kr'''' . T ..x .... fi.`w , . fpr'ge{ln:bin tnvaeZWSR gwhitL. y € Rr r v ₹lx', ",, rr gafr,�„ Skt Q ' y{w,r..c `,.� i. �7 �,*, �S.',F..: ,�twb +a� ei ,k[iiii,wiir`aL gS e ka.v d.d m Thank you!' The End k Z ,t tl P t i C 10/09/03 RE: VALE GRANT APPLICATION FOR 2004 TO WHOM IT MAY CONCERN: PLEASE NOTE: PLEASE HAVE THE RESOLUTION AND SIGNATURE PAGE SIGNED AND GRANT AVAILABLE FOR ME TO PICK UP BY TUESDAY, OCTOBER 14TH, 2003, AS THE GRANT IS DUE ON OCTOBER 17TH, 2003. ATTENTION DONNA: PLEASE CALL MY EXTENSION 3324 WHEN THE GRANT IS AVAILABLE AND I WILL HAPPILY PICK IT UP. :0) ANK YOU,ant RAEGAN MALDONADO LEAD OMBUDSMAN WELD COUNTY (970) 353-3800 EXT 3324 MEMORANDUM TO: David E. Long, Chair, Weld County Board of Commissioners ' Walter Speckman, Executive Director, 0 • FROM: Department of Human Services COLORADO DATE: October 27th, 2003 SUBJECT: Weld County Area Agency on Aging's Long Term Care Ombudsman Advocate/Friendly Visitor Program VALE grant Revision Enclosed for Board approval is the annual grant revision for VALE (Victims Assistance and Law Enforcement Board) assistance. In past years, our VALE grant application request was $8,500. This year's application was to include an additional 6 months of coverage, due to a change in the funding period. Therefore, the grant has been revised to include and additional $4,250 to cover January 1st, 2005 through June 301h, 2005. If the grant is approved, the funding period will be from January 1, 2004 through June 30th, 2005, for a total of $12,750. Please see enclosed revision pages for the VALE grant application. If you have additional questions, please contact Eva Jewell at 353-3800,extension 3331,or Raegan Maldonado at 353-3800, extension 3324. 2003-3052 Hello