HomeMy WebLinkAboutCU-96-0000 - Supplemental - 1233 Shelburne Roadicial Use
Date
City of South Burlington APPLICATION #
Application to Board of Adjustment
HEARING DATE
-----�
'�] FILING DATE
Applicant h I 1 UGr,_ / ISS ) -Y7C
Owner, leasee, agent FEE AMOUNT
Address Telephone # (�
Landowner I�(�y�, ,�_ Address
Location and description of property c1_
Type of application check one ( ) appeal from decision of Administrative
Officer )request for a conditional use ( ) request for a variance.
I understand the presentation procedures required by State Law (Section
4468 of the Planning & Development Act). Also that hearings are held twice a
month (second and fourth Mondays). That a legal advertisement must appeal
a minimum of fifteen (15) days prior to the hearing. I agree to pay a
'hearing fee which is to off -set the cost of the hearing.
Provisions of zoning ordinance in question
Reason for ;appeal
.l
The owner or applicant should submit along with this application (8 copies)
plans, elevations, landscaping diagrams (drawn to scale) traffic data and
any other additional information which will serve as support evidence to the
Board.
Hearing Date Signature of Appellant
Do not write below this line -----------------------------------------------------------------------------
SOUTH BURLINGTON ZONING NOTICE
In accordance with the South Burlington Zoning Regulations and Chapter 117,
Title 24, V.S.A. the South Burlington Zoning Board of Adjustment will hold
a public hearing at the South Burlington Municipal Offices,,Conference Room,
575 Dorset Street, South Burlington, Vermont on r
Day of Week
9 at to consider the following:
Month and Date rfime
/ _0
=4�/" Appeal of
seeking J" from Section
✓. Ltc.�j — rL. '1
of the South Burlington Zoning Regulations. Request is for'permission
w4w,04_�
M E M O R A N D U M
To: South Burlington Zoning Board of Adjustment
From: Richard Ward, Zoning Administrative Officer
Re: April 8, 1996 Agenda Items
Date: March 29, 1996
1) DENNIS BLODGETT, LORI SULLIVAN - UNITS E2 & 3 - LAKEWOOD
COMMONS, 1233 SHELBURNE ROAD
Area zoned C-1 District.
Section 12.20 Conditional uses, sub -section 12.208 Day care
centers. Proposed use adult day care center, maximum 30 people.
Section 26.65 Multiple use, dual use proposed 2400 square feet,
general office (permitted) and 2400 square feet adult day care
center (conditional).
Building E contains approximately 4800 square feet, located within
Lakewood Commons. Lakewood Commons is a planned commercial
development containing six (6) buildings. Uses include a retail
shop, restaurant and general offices, existing uses all permitted.
I.T.E. estimates 2400 square feet general office generates 11.9
vehicle trip ends, day care center 30 students generates 27.3
vehicle trip ends, increase of 15.9 vte's.
Total lot area 4.6 acres with 400 feet frontage.
SOUTH BURLINGTON
ZONING NOTICE
In accordanace with the
South Burlington Zoning
Regulations and Chapter
117, Title 24, V.S.A. the
South Burlington Zoning
Board of Adjustment will
hold a public hearing at
the South Burlington Mu-
nicipal Offices, Confer-
ence Room, 575 Dorset
Street, South Burlington,
Vermont on Monday. April
8, 1996 at 7:00 P.M. to
consider the following:
Appeal of Dennis Blodgett
& Lori Sullivan seeking
approval from Section
12.20 Conditional uses,
sub -section 12.208 Day
care centers & Section
26.65 Multiple uses of the
South Burlington Zoning
Regulations. Request is
for permission to operate
an adult day care center
(2400 square feet) in con-
junction with general of-
fice use, located at
Lakewood Commons,
(units E 20) 1233 Shel-
burne Road.
Plans are on file with the
South Burlington Planning
and Zoning Office, lo-
cated at City Hall, 575
Dorset Street, South Bur-
lington, Vermont.
Richard Ward
Zoning Administrative
Officer
March 23, 1996
City of South Burlington
575 DORSET STREET
SOUTH BURLINGTON, VERMONT 05403
FAX 658-4748
PLANNER
658.7955
March 25, 1996
Mr. Dennis,Blodgett
Blodgett Insurance
413 Shelburne Road
South Burlington, Vermont 05403
Re: Zoning Application
Dear Mr. Blodgett:
ZONING ADMINISTRATOR
658-7958
Be advised that the South Burlington Zoning Board of Adjustment
will hold a public hearing at the City Offices, Conference Room,
575 Dorset Street, South Burlington, Vermont on Monday, April 8,
1996 at 7:00 P.M. to consider your request for a conditional use
permit.
Please plan to attend this hearing and be prepared to address the
enclosed review criteria. If you have any questions, please
don't hesitate to call me.
Very truly,
Richard Ward,
Zoning Administrative Officer
RW/mcp
1 Encl
SOUTH BURLINGTON ZONING NOTICE
In accordance with the South Burlington Zoning Regulations and
Chapter 117, Title 24, V.S.A. the South Burlington Zoning Board
of Adjustment will hold a public hearing at the South Burlington
Municipal Offices, Conference Room, 575 Dorset Street, South
Burlington, Vermont on Monday, April 8, 1996 at 7:00 P.M. to
consider the following:
Appeal of Dennis Blodgett & Lori Sullivan seeking approval from
Section 12.20 Conditional uses, sub -section 12.208 Day care
centers & Section 26.65 Multiple uses of the South Burlington
Zoning Regulations. Request is for permission to operate an
adult day care center (2400 square feet) in conjunction with
general office use, located at Lakewood Commons, (units E 2&3)
1233 Shelburne Road.
Plans are on file with the South Burlington Planning and Zoning
Office, located at City Hall, 575 Dorset Street, South
Burlington, Vermont.
Richard Ward,
Zoning Administrative Officer
March 23, 1996
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STANDARDS FOR ADULT DAY SERVICES IN VERMONT
Table of Contents
I. Introduction
H. Definition of Adult Day Services
M. Goals and Guidelines for Adult Day Services
IV. Description of Participants in Adult Day Services
V. Statement of Rights of Adult Day Services Participants
VL Administrative Structure and Organization
A. Governing Body
1. Legal authority
2. Responsibilities
B. Advisory Committee
1. Purpose
2. Composition
C. Personnel Policies and Practices
1. Job description
2. Employee review
3. Employee training
4. Employee evaluation
5. Content
D. Non -Discrimination
E. Participant Rights
1. Program compliance
2. Participant complaints
F. Records
1. Participant records; general
2. Participant records; contents
3. Administrative records
VII. Staffing
A. Staff Presence
1. Staff participation ratio
2. Meaning of full-time
.3. When participants are present
4. Volunteers !
B. Staff Orientation and Training
C. Staff Involvement
D. Staff Ethics
E. Consultants
VIII. Services
A. Individual Plan for Service
1. Assessment
2. Plan of Service
3. Progress Notes
4. Reassessment
5. End of Service
B. Essential Services
1. Personal Care .
2. Social, Leisure, Physical, and -Educational Activities
3. Health Monitoring
4. Nutrition
5. Transportation
6.. Emergency Services
7. Counseling
8. Community Relationships
9. Additional Services
IX. Activities
A. General
B. Program Site
C. Program Development and Implementation
D. Program Content
X. Program Evaluation
A. Plan
B. Parties
C. Focus
D. Written
XI. Facility
A. Atmosphere and Design
1. Accessibility
2. Lighting
3. Noise
4. Air
S. Design
6. Furnishings
7. Entry Covering
8. Telephone
B. Location and Space
1. Site Location
2. Ground Level
3. Space Needs
C. Safety and Sanitation
1.
Health and Safety
2.
Security
3.
Fire Safety
4.
First Aid
5.
Written Policies
6.
Cleaning
Appendix
A. Staff Positions
1. Executive Director
2. Program Manager
3. Social Worker
4. Nurse
5. Activity Coordinator
6. Program Assistant
7. Therapist
8. outreach Specialist
B. General Resource
1. Introduction
Adult day services provide programs which maintain and enhance the quality of life for
participants, avoid or delay institutionalization, and provide families and caregivers with
respite and support.
The development of adult day services in the United States has been a response to the
needs of disabled adults and frail older persons. From a dozen programs in the early
1970's to more than two thousand today, adult day services have proven to be a practical
and cost effective means of assisting individuals in maintaining their optimal level of
independence.
In 1975, Vermont adopted adult day services. During the past seventeen years, fifteen
adult day service programs have been developed. In Fiscal Year 1991, these fifteen
programs served over 500 Vermonters; a total of 27,707 days of service was provided.
The Vermont Association of Adult Daycare Services (VAADS) was founded in 1979 to
promote adult day services as a community based service for frail elderly and disabled
adults in the State of Vermont_ The Association functions as a network for obtaining
resources, educating the community, lobbying, and providing advocacy on behalf of adult
day services in Vermont. Meetings are held bimonthly to formulate plans and to exchange
information and materials among both existing programs and groups interested in
developing adult day services in other communities. The VAADS coordinates staff
education, sponsoring trainings attended by all staff of member centers. The VAADS is a
regional member of the National Institute of Adult Daycare, a section of the National
Council on Aging.
The VAADS, in supporting the growth of adult day services in Vermont, has worked
closely with the Vermont Department of Aging and Disabilities to ensure that new
programs develop with well defined plans. As the need for adult day services has grown,
it has become increasingly important that programs adhere to minimum standards of care to
guarantee quality of service and cost effectiveness. These minimum standards for adult day
services in Vermont have been developed by the VAADS in conjunction with the Vermont
Department Aging and Disabilities. This document is intended to establish guidelines for
the development of new adult day service programs and as a means of assuring quality in
existing programs.
1
II. Definition of Adult Day Services
Adult day services is a community based non-residential day program for cognitively and/or
physically disabled adults. Adult day services assist unpaired or isolated adults to remain
as active in their communities as possible, maintaining or enhancing their level of health
and independence. Structured programs provide a broad range of health and social services
for participants and allow for daytime respite for families and other caregivers.
Adult day service activities are designed to afford continued opportunities for personal
enrichment through group involvement outside the home. Adult day service reduces the
isolation and prejudice often associated with frailty and disability and assures a continuing
relationship among participants. It also enables the individual to maintain his/her role
within the family structure and to continue residing at home for a longer period of time
than would otherwise be possible. Wellness is emphasized to increase quality of life and
prevent or delay need for a more restrictive life style.
Adult day service differs from typical senior center activities in that participants are in need
of health and social services unavailable at senior centers. Those persons attending adult
day service are assessed -and a specific program plan is developed for each participant, and
once it is implemented, the participant is monitored periodically for change in functional
skills. An adult day program provides a safe, supportive environment where dependent
adults can receive professional health care services and assistance with daily living in a
congregate setting. Centers are handicapped accessible and barrier free. In addition, the
large majority of participants in adult day services are provided with transportation to and
from their homes in handicapped accessible vans.
2
III. Goals and Guidelines for Adult Day Services
Adult day service programs in Vermont abide by the guidelines established by the National
Institute for Adult Daycare, as put forth in the 1984 Minimum Standards for Adult
Daycare. in conjunction with the existing network of health and social services for older
Vermonters, adult day service programs in Vermont work to:
- Promote the individual's optimal level of independence
in a community -based setting.
- Maintain and where possible, enhance the individual's
present level of functioning as long as possible,
preventing or delaying further deterioration.
- Promote support, respite, and education for families and
other caregivers.
- Foster the development and maintenance of social skills
and interaction.
- Serve as an integral part of the community service
network-
3
IV. Description of Participants
A. Adults with physical, emotional, or cognitive impairment who
require assistance and suK ision• such as those who:
- Require assistance with activities of daily living.
- Require health monitoring and supervision on a regular
basis.
- Require assistance overcoming difficulties associated with
functional limitations or disabilities.
B. Adults who need restorative or rehabilitative services in
order to achieve optimum level of functioning, such as those
who:
- Have recently been discharged from hospitals.
- Without program intervention, are at risk of physical
deterioration or institutionalization.
- Need support in making the transition between group living
situations and independent living.
4
V. Statement of Rights
of Adult Dam Service Participants
Adult day programs exist for the benefit of their participants. Participants enjoy certain
benefits and rights resulting from their participation. This is a statement of some of the
rights of persons who participate in adult day programs. Though the statement is not
intended to be inclusive, it provides a list of the basic tenets that should be followed in
providing day services for adults.
- The right to be treated as an adult, with respect and
dignity.
The right to participate in a program of services and
activities that promotes positive attitudes about one's
usefulness and capabilities.
- The right to participate in a program of sees designed
to encourage learning, growth and awareness of
constructive ways to develop one's interests and talents.
r The right to be encouraged and supported in maintaining
one's independence to the extent that conditions and
personal circumstances permit, and to be involved in a
program of services designed to promote personal
independence.
The right to self-determination within the day service
setting, including the opportunity to:
- participate in developing one's plan for services;
- decide whether or not to participate in any given
activity;
- be involved to the extent possible in program Planning
and operation.
- The right to be cared about in an atmosphere of sincere
interest and concern in which needed support and service
are provided.
- The right to privacy and confidentiality.
5
VI. Administrative Structure and Organization
A. Gooverning Body.
1. Legal Authority. A formal governing body, representative
of the community in which the program is located, shall
have full legal authority and responsibility for the
operation of the program:, adopting bylaws and rules that
address:
a. purposes of the program;
b. governing body's composition, size, officers,
committees, and terms of office;
c. frequency of meetings.
I Responsibilities. Responsibilities of the governing body
include:
a. determining the center's program, operating policies, and lines of authority to
implement its program and policies;
b. hiring a qualified executive director,
c. determining the scope and quality of services
provided to participants and families/caregivers,
within established standards;
d. establishing an advisory committee;
e. reviewing and overseeing the center's fiscal affairs,
including adopting the annual budget and yearly
audits;
f. ensuring the program's continual compliance and
conformity with all relevant federal, state, local
or municipal laws and/or regulations;
g. ensuring the program works well with other service
providers in the community;
h_ fund raising and public relations.
B. Advis _Committee
1. Purpose. The program shall have an advisory committee
which shall meet on at least a quarterly basis and
reviews, comments on, and makes recommendations at least
annually on program policies concerning:
a. scope and quality of services and activities provided,
b. eligibility for enrollment and continued participation,
c. participant records,
d. quality assurance activities and findings,
e. program evaluation.
2 Composition
a. When the program is a subdivision or sub -unit of a
multifunction organization, a committee or sub-
committee of the governing body of the multifunction
organization may serve as the advisory committee of
the adult day service center.
b. in other circumstances, the advisory committee may
include a community health nurse or physician;
social worker, physical, occupational, recreational and/or
speech therapist; lawyer, banker; consumers;
members of participants' families; and other
interested individuals who can contribute to the
strength, stability, and quality of the program.
I Lines of SuXrvision and Responsibility
A. To ensure continuity of direction and supervision,
there shall be a clear division of responsibility
between the governing body and the program director.
B. An organizational chart shall be developed to exemplify
the lines of authority and communication channels.
C. A program director shall be appointed and given full
authority and responsibility to plan, staff, direct and
implement the program and manage the center's
day-to-day operations. He/she shall also have the
responsibility for establishing collaborative relations
with other community organizations to provide support
services to participants and their )families/caregivers.
IV/
C. Personnel Policies and Practices
1. Job description. There shall be a written job
description for each staff position that specifies at
least:
* Qualifications for the job.
* Delineation of tasks and responsibilities.
* Lines of supervision and authority.
* Salary range and benefits.
2. Employee review. Each employee shall review and receive a copy of the job
description at the time of employment. Volunteers also shall be provided written
job descriptions.
3. Employee training. Provision shall be made for
orientation and staff development of new employees and
- volunteers. All staff and volunteers shall receive
regular inservice training that meets their individual
needs.
4. Employee evaluation. Written performance evaluations
shall be conducted at the end of probationary periods, if
any, and annually thereafter. Staff members shall review evaluations,
which shall be kept in personnel files.
5. Contract Each employee shall review and receive * a copy
of the program's personnel policies at the time of
employment. Such policies shall include the requirements
of paragraph 1 thru 4 above. In addition, it is
recommended that the following be included:
* Recruitment, hiring, probationary and dismissal
procedures.
* Employee benefits (i.e., retirement plan, leaves,
promotion opportunities, etc.)-
* Pay practices.
* Grievance procedures.
D. N n-Di ._ ination. No individual shall be excluded from
either employment or participation in or be denied the
benefits of the program by reason of race, sex, religion,
national origin, or handicapping condition, or age (apart
from minority).
E. Participant Rights.
1. program compliance. The program shall comply with a
participant bill of rights.
2. Participant complaints. A policy addressing complaints
by participants or others shall be developed and implemented.
1. Participant records; general. The program shall maintain
a participant record system that includes, but is not
limited to:
a. A written policy regarding confidentiality of records
which includes procedures governing their use and
removal, conditions for release of information
contained within them, and a required authorization
in writing by the participant or, if unable to
authorize or withhold such authorization, a duly
authorized person for release of information not
otherwise permitted.
b_ A written policy providing for the retention and
storage of records for at least two (2) years from
the date of the last service to the participant and
for the retention and storage of such records in the
event the center discontinues operation, depending
on the requirements of funding sources.
c. A policy and procedure manual governing the record
system and procedures for all agency staff_
d. Maintenance of records on the agency's premises in a
secured storage area.
e. Notes and reports typewritten or legibly written in
ink in the participant's record, dated and signed by
the recording person with his/her title.
2. Participant records' content. Although available
to the participant for review at any time, all records
shall be confidential. Records for all participants
shall include, but not be limited to, the following:
* Application and enrollment forms
* Medical information and assessment
* Participant program . plan (initial and reviews)
0
* Signed authorization for releases of medical and other
infonnation
* Signed authorization for participant to receive
emergency medical care if necessary.
* Ancillary reports
* Correspondence
* Incident reports
* End of service plan and summary
3. Administrative records
The following shall be included in administrative
records:
• Personnel records
* Fiscal records
* Statistical records
* Government -related records (funding
sources/regulatory, etc.)
10
V1I. Staffing
A. Staff Presence
1. a. Staff -participant ratio. At any given time, the
program staff -participant ratio will be a minimum of
one to seven.
b. If the program serves a high percentage of persons
with dementia, head injury or other physical
impairment, the staff -participant ratio will be a
minimum of one to four, and shall at all times be
sufficient to meet the needs of those present.
2. Meanine of full-time. Full-time or full-time equivalent
program staff are those who spend at least 70 percent of
their work time in direct service with participants.
3. Where participants are present. Whenever participants
are in attendance, there will be at least two
responsible persons at the center or at all times a
sufficient number of responsible persons to safely meet
the needs of those present, at least one of whom shall be
a paid staff member.
4. Survi5Qr. A staff member will be designated to
supervise the program in the absence of the director.
S. Volunteers. Volunteers may be included in the staff -
participant ratio only when they conform .to the same
standards and requirements as paid staff and meet the
job description standards of the program.
B. Staff. Orientation and Training. All paid and volunteer
personnel shall be provided:
* General orientation to the program and facility.
• Information on fire and safety measures/codes.
* Center policies and regulations.
* Regular inservice training to enhance job performance.
C. Staff Involvement. All staff members, as appropriate,
should participate in the development and implementation of
each participant's program plan, ongoing assessment, and the
performance of other services as requiFed.
11
D. ,Staff Ethics. Each staff member shall be competent,
ethical, and qualified for the position held. Staff shall
hold personal information about participants in strict
confidence and shall treat all participants with respect
and dignity.
E. .onsultannt : shall be available to provide services as
needed in order to supplement professional staff and
enhance program quality.
12
vM. Services
Recognizing that programs serve a diversified group of participants and operate with
varying funding levels, personnel and access to community resources, this section details
services considered essential and which programs should strive to have available for
participants.
A. Individual Plan of Service
Each participant shall have an individualized, written
program plan which includes the following elements:
1. Assessment Prior to enrollment, an initial written
assessment shall be made of the applicant. Within
thirty (30) days of enrollment, a comprehensive
written assessment shall be completed. The
assessment shall identify the individual's strengths
and needs, and a determination shall be made as to
how the program will serve the individual.
a. The assessment shall include the applicant's
health profile, social history, formal and
informal support systems, activities of daily
living status, mental and emotional status, and
community and financial resources.
b. Prior to enrollment, a program staff member shall
have at least one personal interview with the
applicant and appropriate family members or care-
givers; a home visit by the staff member is
highly recommended.
c. Adults who may not be appropriate for enrollment
include:
- participants with a history of violent behavior
affecting themselves or others-
- participants who are active abusers of drugs or alcohol.
- Participants whose need for care requires more
time and skill than the program is able to provide.
- Participants who can be served better by
another organization.
d. Written enrollment procedures shall be made
available to all applicants and their families/
caregivers.
13
e. A medical evaluation and report by a physician or
health assessment by a registered nurse shall be
provided within six months of enrollment to the
program. There must be sufficient information to
assure each participant's medical status is
safely monitored and staff are aware of medical
alerts or precautions.
f. Each participant shall provide the name,address,
and telephone number of physician available to
contact in the event of an emergency.
g. A trial period for participants is highly
recommended.
I Plan of Service. Each participant's plan of service
shall include:
a. A functional assessment of the participant's
strengths, physical or emotional limitations,
and needs.
b. Goals and objectives of program intervention.
c. Activities to achieve goals and objectives.
d. Recommendations for therapy and referrals to
other service providers.
e. T"une limits, with provisions for review and
renewal.
In addition, the following standards also apply
to the plan of service:
a. Participants shall be entitled both to
contribute to the development and
implementation of the initial service plan
and to be consulted regarding any
significant potential change in the service
plan.
b. Families/caregivers and other service
providers as appropriate, shall be involved
in the development and implementation of the
initial service plan, and be consulted
regarding any significant potential change
in the plan.
14
3. Progress Notes. Progress notes on each participant
shall be done on a regular basis, but in no event
less frequently than weekly.
4. Reassessment. Reassessing the participant's needs
and the appropriateness of service plans shall be
done on a regular basis, but in no event less than
semi-annually.
5. End of Service-. An integral part of the plan of
service is any planned endpoint to service and
arranging for appropriate services from other
organizations. When a participant leaves the
program the program shall:
a. Prepare a summary of the participant's status,
including recommendations for continuing care.
b. Make referrals to other community service
agencies for appropriate services.
c. Follow-up as appropriate.
If a participant is to be excluded from the program,
he or she and involved family/caregivers, shall
receive a minimum of two week's notice. No advance
notice is required if there is a sudden change in
the participant's condition which makes
participation a danger to self or others. The
program shall have written criteria for termination
from the program available upon enrollment to
participants and family/caregivers.
B. Essential Services
1. Personal Care. The program shall provide, as
needed, assistance with activities of daily living
(walking, eating, grooming, toileting) and
supervision or personal hygiene.
2. Social. Leisure Physical and Educa n
Activities.
Planned individual and group activities suited to
the needs and capacities of the participants, as
provided in the plans of service, shall be provided.
15
3. Health__Monit�
a. Health education and counseling shall be
provided to participants and families/caregivers
as indicated.
b. Staff shall encourage and/or arrange for
appropriate contacts with health professionals
and track as possible participants' progress
within the health system.
c. Policies and procedures regarding the
administration of medication by staff or by
individual participants shall be developed
and implemented with due regard for state
requirements.
d. Policies for safety, specifically regarding
areas of mobility, transfers, and emergency
care, shall be developed and implemented.
4. Nn ' n
as A minimum of one midday meal, meeting no less than
one-third of an adult's daily nutritional needs as
established by the Food and Nutrition Board of the
National Research Council, shall be provided.
b. Snacks shall be offered, as appropriate, to meet the
participants' nutritional needs.
c. Fluids shall be available as needed by participants.
d. Nutrition education and counseling shall be an
integral part of the program.
5. Transportation. When feasible. the program shall
provide, formally arrange or contract for transportation
to enable participants to attend the program. The
program shall encourage family members or interested
individuals to provide safe transportation or escort
services. It is recommended that participants be trans-
ported no more than sixty (60) minutes without the
opportunity for a rest stop.
16
6. Emergency. Services. A written procedure for handling
emergencies shall be posted both in the facility and in
any program vehicle. Emergency services shall include:
a. A written agreement with the participant or family
regarding arrangements for emergency care and
ambulance transportation-
b. A written emergency procedure for medical crisis.
c. An easily located file on each participant, listing
information such as (physician's and family names
and telephone numbers) needed in emergency.
d. For purposes of fire safety, conspicuously displayed
notice of fire procedures, signs designating
emergency evacuation routes, regularly scheduled
fire drills conducted at the center, and staff and
volunteer training in evacuation procedures.
e. Training for program staff and participants in
emergency procedures, with at least one full-time
staff member trained in first aid and
cardiopulmonary resuscitation present at all times-
7- Counseling.
a. General counseling may be available to each
participant and may involve appropriate family
members and others. The service shall include
the development of coping skills, such as
adjustment, use of community resources, adaptation,
socialization and problem solving.
b. Counseling referrals shall be made to appropriate
providers on an individual and group basis according
to the needs of participants and families.
c. Group family support services are desirable.
8. Community Relationships
a. Information and Referral. Participants and their
families and caregives shall be assisted in learning
of and using community agencies for financial,
social, personal, recreational, jadvocacy,
educational, medical, and other services.
17
b. Coordination with Other Services. The center staff
shall establish relationships with other community
agencies and institutions to coordinate services
both generally and for individuals.
9. Other services may be offered reflecting the differences
in program emphasis, participant needs, available
community supports and funding sources.
18
IX. ACTIVITIES
Activity Statement:
A en ral. Activities are available to all participants in the program. Successful
involvement in activities and recreation helps restore self-confidence, feelings of
self-worth, and a
renewed sense of continued personal growth.
Although a structured program plan of activities should be
available, there is freedom for the participant to make
choices, thereby taking responsibility for his/her own
leisure time.
There should be general recreation services which provide a
wide range of activities designed to meet the needs,
competencies, abilities and interests of participants, and to
promote the maximum level of ability for each participant
within the recreation setting.
There are three major components to activity standards:
program site; program development and implementation; and
program content.
B. &it . The program site shall be handicapped accessible with
accessible bathroom facilities. The environment shall be
safe, well -lighted and cheerful, with orienting tools (such
as a clock, calendar, and seasonal pictures). Participants
should be assisted in orienting themselves to the physical
surroundings and helped to maintain maximum mobility and
independence. Participants should also receive initial and
ongoing orientation to the program and available program
resources.
C. Development and Implementation. Participants, volunteers,
families, caregives and staff are encouraged to offer ideas
and to participate in program planning. There shall be an
established method for assessing the needs, competencies,
abilities and interests of participants in recreational
activities. Activities take into consideration the general
health, cultural, economic, social, and educational
backgrounds of participants. The activity program is
carefully integrated with other programs and to achieve
optimal use of available facilities and resources. Each
participant shall be allowed to progress at his/her own level
of functioning and rate, and shall be encouraged to use
personal initiative. When appropriate, activities
19
incorporate problem -solving skills, health maintenance
information, and daily living assistance techniques.
Activities and equipment are modified and adapted to enhance
the capacity for each participant's growth.
C. CQnLQn--t, Program content should foster an overall positive
experience for the participants while reflecting real life
situations. Opportunities are provided for participants to
engage in activities which make use of physical behaviors
(sensory motor -domain), mental behaviors (cognitive domain),
and emotional behaviors (affective domain). 'Activity
programming is scheduled into daily planning. Opportunities
are provided for' individual and small and large group
participation. The program provides for the use of public
and' private community resources and services and for varying
levels of activity in the general community.
20
X. Program Evaluation. '
A. Plan. The program shall have a written plan for an
annual or more frequent internal evaluation of its
operation and services. The plan shall include the
timetable for initiating and completing the evaluation,
the parties to be involved, the areas to be addressed,
and the methods to be used in conducting it.
B. Parties. The following parties shall be involved, to
the extent considered appropriate by the governing body,
in the evaluation process:
- governing body
- program director
- staff
- participants
- families and caregivers of participants
- outside agencies/organizations
C. Focus. The evaluation shall focus on the extent to which
the program:
- is achieving its goals and objectives by reference to
measurable indicators of performance
- assists participants and their families and caregivers
- is efficient and effective in its operation, including
the extent to which the program is cost-effective
- relates to the rest of the community service network
D. Written. A written report of the program evaluation
shall be kept on file.
21
XI. FACILITY
A. Atmosphere and Design
the facility shall present an attractive appearance outside
and inside and be designed and furnished with consideration
for the special needs and interests of the people to be
served and the activities and services to be provided.
1. A= sibility.
A facility shall be designed architecturally to
accommodate individuals in conformance with the
requirements of Section 504 of the Rehabilitation Act of
1973, and 28 CF'R, Part 36 implementing Title III of the
Americans with Disabilities Act, P.L. 101-336, and any
applicable Vermont or local accessibility requirements.
Existing facilities shall use this, as a goal in improving
handicapped access.
2. Lim -
lighting in all areas shall be adequate, and careful
attention shall be given to avoiding glare.
3. Noise -
Noise levels shall be controlled. Methods of sound
control include acoustical ceiling surfaces, Partitions
between activity areas, separation of noisy rooms such
as the kitchen, etc.
4. Air.
Heating, cooling and ventilation system(s) shall afford
comfortable conditions for participants-
5. Design.
The design shall facilitate the participants' movement
throughout the facility and involvement in activities
and services.
22
6. Furnishings.
There shall be sufficient furniture to accommodate the
needs of all participants. Furniture and equipment to be used by participants shall
be selected both for comfort and safety and to enhance personal independence of
participants.
7. Entry covering.
Where feasible, a covering shall be provided over one
outside entrance to protect participants from inclement
weather.
8. TeleT
A telephone shall be available for participants to use-
B. Location and Space
1. in addition to complying with all applicable building
codes and zoning requirements, the selection of a site
shall be based, to the extent possible, on the needs of
potential participants and shall include consideration of
the following factors:
a. demographic information and projections,
b. greatest accessibility to the communities from which
participants are drawn,
c. proximity to other services and facilities,
d. convenience to public or private transportation,
e. safety and security of participants and staff.
2. Ground level. When possible, the facility shall be
located at ground level. Adequate ramps and/or elevators
shall be available as needed.
3. Space need. The facility shall have sufficient space
to accommodate the full range of program activities and
services including:
a. At least forty (40) square feet of program space for
each participant, exclusive of hallways, offices,
restrooms, and storage areas.
b. Sufficient flexibility and adaptability for large and
small groups and for individual activities and
services.
23
c. Sufficient private office space to permit staff to
work effectively and without interruption.
d. Adequate storage space.
e. At least one toilet for every 10 participants, easily
accessible from all program areas.
f. Areas separate from program space which provide
sufficient space for a rest area, for special
therapies, for privacy, for isolating participants who
become ill.
g. A sufficient parking area for the safe daily arrival
and departure of participants.
h. Outside space for outdoor activities.
i. Adequate space, such as closets and separate lockers,
for outer garments and private possessions.
C. Safety and Sanitation. The facility and grounds shall be
safe, clean and accessible to all participants.
1. Health and Safety. The facility shall be designed,
constructed and maintained in compliance with all
applicable health and safety regulations.
2. sty. 'The program shall make arrangements as
necessary for the security of the participants and their
possessions in the facility, including:
a. Appropriate and locked storage space for medications.
b. At least two well -identified exits.
c. Nonslip surfaces or carpets on stairs, ramps and
interior floors.
d. Outside lighting at entrances and on the grounds.
e. When possible, alarm/warning systems at exit ways not
regularly used by participants.
f. Absence of hazards, such as high steps, steep grades,
exposed electrical cords. Whe necessary,
arrangements shall be made with local authorities
to provide safety zones for those arriving by motor
24
vehicle and adequate traffic signals for pedestnan
crossings.
g. Properly anchored handrails for all stairs, ramps
and handicapped bathrooms
h. Safe and sanitary handling, storing, preparation and
serving of food.
3. Fire Safety. Procedures for fire safety shall be
adopted and posted, including provisions for fire drills,
inspection and maintenance of fire extinguishers,
periodic inspection and training by fire department
personnel.
4 First Aid. Emergency first -aid kits shall be visible
and accessible. Personnel trained in first aid and CPR
shall be on hand whenever participants are present.
5- Written Policies_ Written policies regarding
administration and management of medications and
emergency medical plans shall be established.
6„ Cleaning There shall be sufficient maintenance and
housekeeping personnel working on a regular schedule and
in conformity with generally accepted standards to
assure that the facility is clean, sanitary and safe at
all times.
25
APPENDIX
A- Staff Positions: The following list is intended as a
guide, not a detailed description, of staff qualities and
responsibilities.
1. Executive Director: has the authority and
responsibility necessary for management and
implementation of the program and shall assure
compliance and conformity with all local, state,
and federal requirements. The director shall be a
qualified professional with essential work experience
and personal traits to ensure that activities and
services are provided appropriately and in accordance
with participants' needs. Minimum qualifications
include a bachelor's degree in health or human
services or a related field.
Responsibilities shall include:
a. Planning day program to meet individual
participant needs.
b. Maintenance of fiscal records and program data.
c. Coordination of all activities and services.
d. Recruitment, hiring and general supervision of all
staff members.
e. Provision of initial orientation and ongoing
educational programs.
f. Training and utilization of volunteers.
g. Implementation of board policies.
h. Presentation of program budget and securing
essential funding to support budget.
i. Community education and public relations.
j. Performance of other relevant duties.
26
2. program Manager: has responsibility for management of
the daily program in the absence of the director. The
program manager will be qualified professionally with
essential education and work experience. Duties shall
include:
a. Coordination of daily program activity,
b. Acquainting new participants with program
services and activities, facilitating
adjustment to the new environment,
c. Other duties assigned by the Director.
3. dial worker: will possess a minimum of a bachelor's
degree in social work and have had at least one year
full time professional work experience. Duties shall
include:
a. Coordination and provision of individual, group and
family/caregiver counseling.
b. Informing participants and their
families/caregivers of available community
resources and linking participants to agencies that
provide such services necessary to meet their
needs. To the extent possible, the local area
agency on aging will perform these tasks.
4. Nurse: will be a licensed registered nurse or licensed
practical nurse with experience in working with aging and
chronically impaired adults. Duties shall include:
a. Providing or supervising health services to each
participant.
b. Supervision of other health care staff members.
c. Design of health education programs.
d. Other duties as assigned.
S. Actives Coordinator: preferably has a minimum of
bachelor's degree with a major in either recreation,
occupational therapy, or a related field. Relevant
experience will be considered. Duties shall include:
a. Developing activities which meet the individual
needs of each participant. I
b. Supervision of activity aides.
27
c. Carrying out maintenance therapy programs which
have been developed by consulting therapist.
d. Other duties.
6. Program istant: Duties shall include:
a. Assisting other staff members as required in
implementing and carrying out services and
activities and meeting needs of individual
participants.
b. Other duties as assigned.
7. Therapjar physical, occupational, speech and
recreational therapists shall have valid credentials.
Therapies will be provided by staff or consultants.
Duties shall include:
a. providing or supervising participant's therapies.
b. Designing therapeutic programs to be carried out by
activity staff.
c. Supervision of other staff therapists.
8. Outreach SpCcii t: shall have minimum of an
associate's degree from an accredited college in human
services field or equivalent in experience. Duties
shall include:
a. Interview with prospective participants for program..
b. Reporting review information to supervisor or team for review.
c. Visiting at home, in hospital, or other environment when participant
is ill or inactive.
Other staff positions can include, but are not limited to: Secretary/Bookkeeper, Driver,
Custodian, and Volunteers.
B. General resource - Standarda for Adult Day Care_ prepared by
the National Institute on Adult Daycare, a unit of the
National Council on the Aging, Inc., Washington, D.C.,, 1984.
Activity resource -Standards of Practice for Therapeutic
Recreation Serviceapproved by the National Therapeutic
Recreation Society, a branch. of the National Recreation and Park
Association, 1980; and the Philosophical Position Statement of
the National Therapeutic Recreation Society, National Recreation
and Parks Association, 1.982.
HrK eb '7b lb:e1 C:11Y OF S BURLINGTON
P.1/3
M E M O R A N D U M
To: Mark Thibault
From: Raymond J. Belai Ozoning and Planning Assistant
Re: Traffic & Sewer Impacts for Proposed Day Care
Date: April 9, 1996
Traffic:
We estimate, using ITE trip generation rates, that converting 2400
square feet of office space to a 30 person day care with five (5)
employees will generate 15.9 additional vehicle trip ends during
the P.M. peak hour. The road impact fee for this increase in
traffic is approximately $160.
Sewer:
Converting an office space with 20 people to a 30 person day care
with five (5) employees will require 225 gpd of additional sewer
allocation. You will be required to pay the per gallon fee prior to
permit issuance. There is sufficient capacity at the Bartlett Bay
Treatment facility to handle this additional demand.
post4t' Fax Note 7671 [Date 1 15--��j,payesf
colDem �V.
Phone # Phone #
Fax tl Fax #
I �
r-kUP1 t-ODGET I^JSU1tGfV(:t. 80;'6G1ddd0
RLODGETT INSURANCE
BUY RIGHT BUY BRIGHT
BUY BLIODGErf
April 5, 1996
Dick Ward
Zoning Administrative Officer
City of South 13ur.l.ington
575 Dorset Street
South Burlington, VT 05403
RE_ Lease of space at4 Lakewood Commons
1233 5htlburne Road, E-2 & 8-3
South Burlington, VT 05403
Dick,
As owner of the condominiLIM units listed above this letter is to
advise that I am awaz-e of and am authorizing Sullivan Associates
to seek a permit requesting conditional use of the property as an
adult day care.
I do plan to attend and will by aivailabl'e to answer concerns at
the scheduled hearing on April 8, 1996.
Regards,
Denny Blodgett
Blodgett Properties
cc: Mark Thibault
410 SH[LSURNE AD, SOUTH BURUNGTON, VT 05401.5039
PHONE f802) 658.211 r FAX (802) 362-"40
I
No Text
Lakewood Commons
Lakewood House Tenants
Business Digest
Blodgett Insurance (proposed space)
IDX (proposed space)
Beaudin & Associates, Inc.
AssureCare of Vermont (E -6)
SNII Inc. (E-7)
Mark Hill Investments
a� Y) C- t. OCU -ck
2- �e-
10-d BOZO Z98 Zoe -DUI saLuedul00 aLLL^aN VZE=60 96-LZ--ALW
C1vllnran S. Arwvociatoc. Inc
Prufes.tironal Therapy .Services
1350 Shelburne Read, Suite 20S
South Burlington, VT 05403
(802) 862-6208
March 4, 1996
Dear Neighbor,
I am writing to in,fnrm you of my plans for renting the
former Blodgett Insurance office. since our proposed use is
somewhat non-traditional, Mr Blodgett asked that I write to
you prior to signing a !ease to give you a chance to voice
any concerns.
First of all, my company has been providing services to
schools, nursing hQntes and individuals throughout northern.
Vermont for the past ;six years. At one point, from
9/91-1/93 we were located in the bottom of C-bi:iidin.g, so I
am familiar with the complex and concerns that have existed
in the past, with regard to parking and the O'Brien students.
My proposal is to open, an adult day center for individuals
who for one reason of another are unable to stay home alone
during the day. Program participants will be transported
to the site each morning, spend the day and be transported
home each evening. Activities during the clay would include
playing cards, reading, watching TV, listening to music,
lunch, baking, napping or sitting outside. Use of the
outside space would be limited to seven individuals at a
time. We estimate that the number of participants initially
will be 8-14 with possible expansion in the future. Staff
ratios will be 1:7. If you have any questions or concerns
please feel free to me or Mr. Blodgett.
Sindrely,
Lori Bullock
Sullivan MS,OTR
President
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