HomeMy WebLinkAbout15785 ORD - 09/24/1980TEXAS:
AN ORDINANCE /5 7 S
•
AUTHORIZING THE CITY MANAGER TO SUBMIT A PROPOSAL
TO 'CONTINUE THE FUNDING OF THE SENIOR CENTERS, -MEAL
SITES, AND THE NUTRITION PROGRAM TO THE COASTAL BEND
COUNCIL OF GOVERNMENTS FOR $463,706, THE PROGRAM TO
..BEGIN OCTOBER 1, 1980 AND END SEPTEMBER 30, 1981, .
• ALL AS MORE FULLY SET FORTH IN THE PROPOSAL, A SUB-
"•STANTIAL COPY OF WHICH IS ATTACHED HERETO AND MADE A
BART HEREOF, MARKED EXHIBIT "A"; AUTHORIZING THE CITY
MANAGER TO EXECUTE ALL OTHER DOCUMENTS NECESSARY FOR
THE OPERATION OF THE PROGRAM; AND DECLARING AN
EMERGENCY. '+
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CORPUS CHRISTI,
SECTION 1. That the City Manager be authorized to submit a pro-;„,
posal to continue the funding of the Senior Centers, meal sites, and the'
Nutrition Program to the Coastal Bend Council of Governments for $463,706.=
Total Program cost is $680,931, which includes $463,706 in Federal Funds,
' •Fr
$90,232 in local funds, $31,125 in participant contributions,$1,289 in .1�,01,61•;
County Funds and $94,579 in USDA commodities, the said program to commence '
October 1, 1980 and to continue for a twelve-month period, ending September,
30,1981, all as more fully set forth in the proposal, a substantial copy of
which is attached hereto and made a part hereof, marked Exhibit "A".
SECTION 2. That the City Manager be authorized to execute any and
01 documents necessary for the operation of the aforesaid program.
SECTION 3. The necessity to authorize submission of the proposal
to continue the funding of the Senior Centers, meal sites, and the Nutrition
Program and to authorize execution of other documents necessary for operation
of the said program creates a public emergency and an imperative public neces-
sity requiring the suspension of the Charter rule that no ordinance or resolu-
tion shall be passed finally on the date of its introduction but that such
ordinance or resolution shall be read at three several meetings of the City
Council, and the Mayor having declared that such emergency,and necessity
exist, having requested the suspension of the Charter rule and that this
nance be passed finally on the date of its introduction and take effect and be
l�IIED.
'SEP 2 71984
15785
•t
in full force and effect from and after its passage, IT IS ACCORDINGLY SO
ORDAINED, this the 29day of September,1980.
ATTEST:
Cjty'Secretary r MAYOR pro•Tem
THE CITY of CO PUS CHRISTI, TEXAS
APPROVED:
OF SEPTEMBER, 1980:
J. BRUCE AYCOCK, CITY ATTORNEY
By
/ /�
Assistant Ci ,,�Jrtorney
Corpus Christi, Texas
2' day of_
TO THE MEMBERS OF THE CITY COUNCIL
Corpus Christi, Texas
_ For the reasons set forth in the emergency clause of the foregoing ordinance, a
public emergency and imperative necessity exist for the suspension of the Charter
rule or requirement that no ordinance or resolution shall be passed finally on
the date it is introduced, and that such ordinance or resolution shall be read
at three meetings of the City Council; I, therefore, request that,you suspend
said Charter rule or requirement and pass this ordinance finally on the date it
is introduced, or at the present meeting of the City Council.
Respectfully,
MAYOR Pro -Tem ' �-,..,
THE CITY OF CORPUS CHRISTI, TEXAS
The Charter rule was suspendeby the following vote:
Luther Jones
Edward L. Sample
Dr. Jack Best
David Diaz
Jack K. Dumphy
Betty N. Turner
Cliff Zarsky
The above ordinance was
Luther Jones
Edward L. Sample;
Dr. -Jack Best
David Diaz
Jack K. Dumphy
Betty N. Turner
Cliff Zarsky
passe by the following vote:
15785
COASTAL L.1 COUNCIL OF GOVERNMENTS
AREA AGENCY ON AGING
* - CBI OG CONTRAC7�
AMENDMENT NOS
• I. GENERAL INFORMATION
•
Name of Proposed Project:
Senior Community Services
Name, address, and phone number Of
applicant organization:
City of Corpus Christi
P.O. Box 9277
Corpus Christi, Texas 78408
Phone (512) 884-3011
Defined Service Area of Proposed Project:' •
(Counties, Cities, etc.) .
Nueces County/Corpus Christi
.
Type of proposed project:
X Social Services
Name of project director, supervisor, or
coordinator:
Sandra Gonzales, Director
X Congregate Meals
X Home -Delivered Meals
Proposed contract period:
Beginning 10/01/80 and ending ':09/30/81
Funding from Area Plan Year:
•
Beginning 10/01/80 and ending 09/30/81
II. COMPUTATION OF FUNDS REQUESTED
A. ESTLMATED TOTAL COST OF PROJECT(p.2.Sec.III)
B. LESS APPLICANT'S CONTRIBUTION
(1) USDA Commodities •
(2) Applicant's Additional Contribution..,, ..
(3) Applicant's Required Contribution.
C. GRANT AMOUNT REQUESTED •„
$ 609,808
$ 94,579
$ '
$ 51,523
$ 463,706
TERMS AND CONDITIQNS: It is understood and agreed by the undersigned that: 1) funds grance
as a result of this request are to be expended for the purposes set forth herein and in ac
cordance with all applicable laws, regulations, policies, and procedures of this State and
the Administration on Aging of the U. S. Department of Health, Education, and Welfare; 2)
any proposed changes in the proposal as approved by the Area Agency on Aging shall be deeme,
incorporated into and become a part of this agreement: 3) the attached Assurance of Compli-
ance (Form A9A-441) with the Department of Health, Education, and Welfare Regulations issued
pursuant to Title VI of the Civil Rights Act of 1964 applies to this proposal as approved:.
and 4) funds awarded by the Area Agency maybe terminated at any time for violations of any
terms and requirements of this agreement.
Name and title of individual authorized to
commit applicant organization to this
agreement:
R. Marvin Townsend_ City Manner
Contractor Signature Date
•
Ivan Arceneaux John -Buckner
Area Agency on Aging Director Executive Director,
Coastal Bend Council of Governments
--• CBCOG FISCAL DEPARTMENT
ATTEST:
City Secretary
J•
APPROVED:)5 S ,Adr,/cM
(d te) / Assistant City A
S
z
R
BUDGET SUMMARY FOR SOCIAL SERVICES - TITLE III -B
•
0
BUDGET CATEGORY TITLE III B
NON FEDERAL MATCH
OTHER
RESOURCES
CASH
IN KIND
TOTAL
1. a. Personnel "
Director
13,318
Center Supervisor 7,124
.
Sr. Clerk Steno 5,837
471
Meal. Site Manager II 35,272
Sr. Clerk Typist 3,050 .
.
Clerk I 2,824
.
Custodian 2,662
t
Fbr iNringeaenentssi6_ga 14,049
0
84,601
0
7R,st1,
13,789
2. Travel
Out of Town Travel 212
Center Supervisor 384
Meals Site Manager II 1,704
Recreation Aide 384
.
2,684
0
0
2,684
0
3. Equipment and Supplies
Cleaning Supplies 4,032
Rec. Supplies 300
Rec. Equipment 150
Office Supplies 378
Xerox Rental 1,020
0
0
5,880
0
5,880
4. Other Costs
Utilities 17,609
Telephone 4,745
Rents (Bldgs.) 6,137
Bldg. Maint. 2,835
County Contract 12,892
Postage 130
Printing 375
0
0
44,723
0
44,723 ".
•
TOTAL 124,099
13,789
0
137,888
0
amount o2 rroJectea rrogram
Income Budgeted
0
Indicate method of utilizing Meal Contribution/Program Income:
N/A Deductive-Alt=rnative (Program Income is used to reduce the charges against Federal
funds during the current budget period.)
N/A Cost Sharing Alternative (Program Income is used to support matching requirements
during the current budget period.)
--3-
TITLE III -B SOCIAL SERVICES BUDGET
- BY ACTIVITIES
*Priority services (Items 1,2,3a) must equal 50% or more of the TOTAL Title III
amount.
Title III -B
Match
OtherResources
SOCIAL SERVICES
*1. Access Services
a. Information & Referral
b. Transportation/Escort
c. Outreach
d. •
Subtotal (..5.% of S/S Funds)
51,571
3,330
0
16,761
3,329
0
463
0
0
FR 799
6 0
*2.
In -Home Services
a. Homemaker -Home Health Aid
b. Visiting
c. Chore Maintenance
d. Telephone Reassurance-.''
Subtotal' (_j of S/S Funds)
_699
•
•
f.�
._._.-
..'
''."
i
0.•''"
rte.
,/'
*3.
Community Services •
*a. Legal Services
b. Senior Center Operations
o. Social/Recreational' Services
d. Residential Repair
Subtotal (45% of S/S Funds)
0
0 0
54,190
7,130 0
1,114
0 0
0
0 0
55.304
7.130 0
4.
Services in Care Facilities
(_% of S/S ponds)
.•'��
5.
Senior Center Facilities
( % of S/S Funds)
•'-.. .0'
.�'...•
l _.--•' /
6.
Nursing Home Ombudsman
( % of S/S Funds)
.. �--..--
TOTAL
124,099 13,789 • 0
*Priority services (Items 1,2,3a) must equal 50% or more of the TOTAL Title III
amount.
S �,cCE ', R
•
AMQLTNT .
I.
NON-FEDERAL LOCAL MATCH
1. Local Revenues - City/County City 19,109
(qualifying as local matching funds5ounty 1,289•
20,398
2. Estimated Program Income (Meal Contributions, etc.)
31,125
(qualifies as local matching funds)
3. Community Development Act funds
(Federal cash which qualifies as local matching funds)
4. General Revenue Sharing
(Federal cash which qualifies as local matching funds)
5. Other - Cash Sources
(such as private contributions which qualify as local
match)
•
6. Other - In Kind Contributions
*
TOTAL: NON-FEDERAL LOCAL MATCH
51,523
II.
OTHER RESOURCES (List By Sources)
A. Other Non -Federal Cash
Sub -Total for A
0
B. Local In -Kind
Sub -Total for B
.
- -
0
C. USDA Commodities
94,579
Sub -Total for C
94,579
TOTAL: OTHER_RESOURCES - (1+41+C)
94,579
III.
TOTAL: NON-FEDERAL LOCAL MATCH & OTHER RESOURCES
146,102
0 1
SUBCONTRACTORS Cl, C2, III -B COMBINED BUDGET
JUSTIFICATION BY LINE ITEMS
(L) Admin. Personnel
- Director (101)
Center Supervisor (101)
• Sr. Clerk -Steno (101)
Outreach Worker (101)
3 Meal Site Managers II (101)
3 Meal Site Managers I & II(101)
Account Clerk ' (101)
Receptionists:
Sr. Clerk -Typist (101)
Clerk I (101)
Custodian (101)
Sub -Total
Fringe Benefits
Insurance -Unemployment
Insurance -Liability
Nutritionist Consultant
Total
(109)
(385)
(389)
(301)
(2) Other Admin. Costs
Office Supplies (244)
Postage (328)
Xerox Rental . (332)
Office Equip. Maint. (347)
Printing (362)
- Total
(3) Admin. Travel
- Staff Vehicle Expenses
Lease Car Fuel (216
Lease Car Maint. (317
Lease Car Rental (332
• Out-of-town Travel (352
Kitchen Supervisor (333
Outreach Worker (333
Total
Page 1 of 3
Combined Cl. C2. III -8
Cl C2 III -B
Total
Total Total Other
Federal Non -Fed. Resources
$ • $ $ ,
Grand
Total
$
Other
Federal Non -Fed. Resources
$ $ $
Other
Federal Non -Fed. Resources
$ $ $
Other
Federal Non -Fed. Resources
$ $ $
11,453 562
1,302
13,318
11,453 15,182
26,635
6,355
769
7,124
14,248
14,248
6,308 0
5,837 471
12,145 471
12,616
11,287
11,287
11,287
•
35,272
35,272
35,272
21,961 3,796 .
21,961 3,796
25,757
5,188
273
5,461
5,461
7,116
3,050
10,166 .'.
10,166
6,588
2,824
9,412
9,412
6,212
2,662
8,874
8,874
$ 71,181 $ 4,358 $ -0-
$ 12,329 $ 1,302 $ -0-
$ 56,769 $ 13,789 $ -0-
$140,279 $ 19,449 $ -0-
$159,728
10,214
1,450
9,164
20,828
20,828
785
110
702
1,597
1,597
3,552
625
4,177 -
8,354
8,354
4 114
670
4,784
4,784
$'89,846 $ '4;358 $''''-04'
$'15,184 $ 1;302'$'"'-0-"$'70;812'$'13,789
$' -0-
$175;842 $ 19;449'$ ' -0-
$195,291
$ $ $
$ $ $
$ $ $
$ $ $
$
953
55
378
1,386
1,386
485
15
130
630
630
1,380
1,020
2,400
2,400
380
380380
1,470
375
1,845
1,845
$ 4,668 $' --0.L.'$'" -0. "
$' "'70'$ -0- $ -0-"$
'1;903'$ -0- $ -0-
$ 6,641'$ -0-'$' ' -0-
$ 6,641
$ $ $
$ $ $
$ $ $
$ $ $
$
1,530
1,530
1,530
378
378
378
3,510
3,510
3,510
849
212
1,061
1,061
330
54
384
384
60
660
-.$ .-0-..$....
'$ 6,597.$.. .-0 ..
0 ..
.714.$.... --.$. -0-..$..
.212'$ -0-.$ -0--
$ '7;523'$""-0-'$ '-0-
$ 7,523
(4) Raw Food
,Commodities
' • Total
(230
(471
(5)„ Transportation
Transp. of Food:
Kitchen Van Repair $ 570 (317
Kitchen Van Fuel 2,340 (216
Food Delivery to
Centers 4,836 (301
Sub -Total $7,746
Soc. Service Related Transp:
Center Sup'r. $ 384 (333
MSM II 1,704(333
MSM I & II 1,152(333
Recreation Aide 384(333
Sub -Total $3,624
Total
(6) Food Storage - Commodities (332
(7) Labor
Nutrition Personnel:
Kitchen Supervisor (101
4 Cooks (101
Nutrition Clk.(Sr.Clk7Typ.X10
Trades Helper (101
3 Cook Aides (Crewmen) (101
Social Services Personnel:
(All are included in Admin.
Personnel)
Sub -Total
Fringe Benefits (109
Insurance -Unemployment (385
Insurance -Liability (389
Total
Page 2 of 3
Combined Cl, C2, III -B
Cl C2 III -B
Total
Total Total Other
Federal Non -Fed. Resources
$ 32,006 $ 32,074 $
94,579
Grand
Total
$ 64,080
94,579
Other
Federal Non -Fed. Resources
$ 30,862 $ 27,716 $
81,275
Other
Federal Non -Fed. Resources
$ 1,144 $ 4,358 $
13,304
Other
Federal Non -Fed. Resources
$ $ $
$ 30,862 $'27,716 $'81;275'
$"1;144 $"4;358'$'13;304'
$ " =0= $' ' -0-'$' -0-'
$ 32,006 $ 32,074'$ 94,579
$158,659
$ $ $
$ $ $
$ $ $
$ $ $
$
•
7,338
408 •
7,746
7,746
1,152
2,472
3,624
3,624
8,490 $"' -0-'$ -0-"$"
-0-
'408 $ -0- $ '
$"2;472'$'"'-0-'$' " -0- I$ 11,370 $ -0-'$ ' -0-
$ 11,370
6,502 $ -0- $ -0-
$ 1,058 $ -0- $ -0-
$ -0- $ -0- $ -0-
$ 7,560 $ -0- $ -0-
$ 7,560
$ $ $
$ $ $
$ $ $
$ $ $
$
•
11,209
1,825
13,034
13,034
28,944
4,712
33,656
33,656
) 8,801
1,433
10,234
10,234
1 7,592
1,236
,828
8,828
1 19,578
3,187
22,765
22,765
$ 76,124 $ -0- $ -0-
$ 12,393 $ -0- $ -0-
$ -0- $ -0- $ -0-
$ 88,517 $ -0- $ -0-
88,517
1 9,277
1,510
10,787
10,787
761
124
885
885
1 3,981
648
4,629
4,629
$ 90,143 $ ' -0- $ -0-
$'14;675 $••• -0= $' '-0-
$' ' -0-'$• '-0- $ -0-'
$104,818'$ '-0-'$' --0-
$104,818
(8) & (9) Equipment & Supplies
Paper Goods:
Congregate $16,128
° Home Delivered 4,032
Cleaning Sup.,
Centers,Kitchen 5,040
Sub -Total $25,200 (209)
Kitchen Equipment Repair (347)
Total
(10) Utilities
Light, Heat & Power
Utilities
Telephone
Rents: (Total, $14,824)
Washington $12,274
Woodlawn 1,530
First Lutheran�1L,020
Bldg. Maintenance
Total
(312)
(313)
(344)
(332)
(345)
(11) Meal Delivery Costs
Labor (Transit) (301)
(12) Other Costs
Health Cards (460)
Recreation Supplies (252)
Recreation Equip. Repair (347)
County Contract (301)
Catering Contract (301)
Total
GRAND TOTALS
c
Page 3 of 3
Combined C1, C2, III -B'
C1C2
III -B
Total
Federal
$•
Total
Non -Fed.
$
Total
Other
Resources
$
Grand
Total
$
Federal
$
• Other
Non -Fed. Resources
$ $
Federal
$
Other
Non -Fed. Resources
$ $
Other
Federal Non -Fed. Resources
$ $ $
16,128
16,128
16,128
4,032
4,032
4,032
1,008
4,032
5,040
5,040
$ 17,136
$ -0-
$ ' -0-
$ 4,032
$ -0-
$ -0-
$ 4,032 $ -0-
$ -0-
$ 25,200
$ -0-
$ -0-
$ 25,200
5,093
829
5,922
5,922
$ 22,229
$ -0-
$ -0-
$ 4,861
$ -0-
$ -0-
$ 4,032'$ ' -0-
$ -0-
$ 31,122'$ -0-
$ -0-
$ 31,122
$
$
$
$
$
$
$ $
$
$
$
$
$
4,939
17,237
22,176
22,176
1,563
372
1,935
1,935
1,186
4,745
5,931
5,931
5,278
859
6,137 •
14,824
14,824
1,530
1,020
2,835
2,835
5,670
5,670
$ 18,351
$ -0-
$ -0-
$ ' 859
$ -0-
$ " -0-
$'31;326'$ " ' -0-'$" '.0- I$ 50,536
$' -0-
$' -0-
$ 50,536
$ -0-
$ -0-
$ -0-
$ 11,968
$ -0-
$ -0-
$ -0- $ -0-
$ -0-
$ 11,968
$ -0-
$ -0-
$ 11,968
$
$
$
$
$
$
$ $
$
$
$
$
$
140
140
140
300
300
300
150
150
150
•
12,892
12,892
12,892
10,838
10,838
10,838
$ 10,978
$ -0-
$ -0- I$ -0-'$ ' -0-
$ -0-'1$ 13,342'$ '" -0-
$ -0- $ 24,320
$ =04.
$ -0- $ 24,320
$288,666
$ 32,074
$ 81,275 $ 50,941 $ 5,660
$ 13,304 $124,099 $ 13,789
$ -0- $463.706
$ 51,523
$ 94,579 $609,808
BUDGET EXPLANATIONS AND/OR JUSTIFICATIONS
1. Explanation of mechanism for accounting for separation of costs
between IIIB, C-1, C-2.
2. Explanation and justification of one-time expenditures, such as:
equipment, renovations, etc.
1. Costs were distributed between III -B, C-1, and C-2 according to guidelines
furnished by the CBCOG, AAA, using appropriate columns for expenses involved,
i.e., cooks' salaries distributed between C-1, 86%, and C-2, 14%, under
Meal Costs, Labor.
2. Only one-time expenditures provided under budget as requested are those for
equipment repair and building maintenance as required or when need arises.
1
•
SUMMARY .BUDGET FOR NUTRITION: CONGREGATE MEALS - T€ITLE Crl
l.a. IIIC-1 Non-FedCas
Director 11,453 562
Center Supr. 6,355
Sr. Clk.-Steno 6,308
MSM I&II 21,961 3,796
Account Clerk 5,188
Receptionists 13,704
Custodian 6.212
71,181 4,358
Nutr.Clerk 8,801
Trades Helper 7,592
3 Cook Aides 19,578
76,124
*Note: Approximately 86% of total raw food costs is
expected to be used in the congregate meals program;
however, only $30,862 will be picked up by federal
sources, remainder to be paid 1y other local resources,
if needed.
Indicate method of utilizing Meal Contribution/Program Income:
N/A Deductive Alternative (Program Income is used to reduce the charges against Federal
funds during the current budget period.)
X Cost Sharing Alternative (Program Income isused to support matching requirements
during the current budget period.)
NON FEDERAL`iIATCH
TOTAL
OTHER
BUDGET CATEGORY.
TITLE D1 C 1
CASH
IN KLYD
BUDGET
RESOURCES
1. Project Management
a. A4minis,rative Personnel
(include Fringe)
From Below
71,181
4,358
Fringe
14,551
Nutritionist
4,114
89,846
4,358
94,204
b. Other administrative Costa
Office Sup./Postage
953/485
-Xerox/Off.Equip.Main_.1,380/380
Printing
1,470
4,668
CTravel Out-of-town
849
Staff Vehicle
•5;418
Kitchen Supervisor
' 330 .
A.,s47
6,597
Total Project Management Costs
101,111
4.358
I
105.469
2. Meal Costs
a. Raw Food*
30,862
27,716
58,578
Commodities
81,275
•
b. T rtaon of Food
7,338
tic gcil1Van
1,152
8,490
n 4Nu
C. Food Storage
6,502
6,502
d. Labor
From Below
76,124
Fringe
14,019
•
90,143
90,143
e. Equipment
Kitchen Equip. Rpr.
5,093'
5,093
e. Supplies
Paper Goods
16,128
Cleaning Supplies
1,008
17,136 •
17,136
g. utiitiesBld$ Maint.
2,835
Utilities/Phone
7,688
•
Rents
'•7,828
18.351
18,351
h. Other
Catering Contract
10,838
Health Cards
140
10,978
10,978
Total Meal Coca
187,555
27;716
-0-
215,271
81,275
TOTAL COSTS
288,666
32,074
-0-
320,740
81,275
Amount oe Participant Meal Contributions Budgecad
26,767
2.d. IIIC-1
-0-
Amount of Projected Program Income
Budgeted
Kitchen Supr. 11, 209
l.a. IIIC-1 Non-FedCas
Director 11,453 562
Center Supr. 6,355
Sr. Clk.-Steno 6,308
MSM I&II 21,961 3,796
Account Clerk 5,188
Receptionists 13,704
Custodian 6.212
71,181 4,358
Nutr.Clerk 8,801
Trades Helper 7,592
3 Cook Aides 19,578
76,124
*Note: Approximately 86% of total raw food costs is
expected to be used in the congregate meals program;
however, only $30,862 will be picked up by federal
sources, remainder to be paid 1y other local resources,
if needed.
Indicate method of utilizing Meal Contribution/Program Income:
N/A Deductive Alternative (Program Income is used to reduce the charges against Federal
funds during the current budget period.)
X Cost Sharing Alternative (Program Income isused to support matching requirements
during the current budget period.)
SUMMARY BUDGET'FOR NUTRITION: HOME DELIVERED MEALS —
I
C -2s
BUDGET CATEGORY
TITI2nic.a.,
NONFEDERAL MATCH
TOTAL
BUDGET
OTHER
RESOURCES
CASH IPI KIND
1. Project ManagementDirector'
a. administrative Personnel
1,302
.
(include Fringe) Center Shier.
7694
,
Outreach Worker
117287
Account Clerk
273
Fringe
2,185
Nutritionist
.670
1,302
0
16,486
0
b. Other Admi ni �T"'R9e t.ObLS
15,184
Office Supplies
55
Postgge
15
70
0
0
70
11
e. Travel
Kitchen supervisor
54
Outreach Worker
660
714
0
0
714
0
Total Project Management Costs
15,968
1,302 1
17,270
2. Meal Cosa
_
a. Raw Food *
1,144
4,358.
0•
5,502
Commodities ,
13,304
b. Transponation of Food
408
0
0
408
0 w
c. Food Storage
1,058
0
0
1,058
0
d. Lor Supervisor, Clerk,
•
Cooks, Crewmen, Trade
Helper & Fringe
14,675 '
0
0
14.675
0
e. Equipment
Kitchen Equip. Rpr.
829
0
0
829
0
L Supplies •
kaker Goods
4,032
0
0
4,032
0
g. Utilities
Rents
859
0
0
859
0
3. Meal Delivery Costs
a. Lir (Transit)
b. Thermo Carriers
c. Maintenence of Equipment
d. InsuraneafFees
e. Mileage
11,968.
_
11,968
.
Total Meal Delivery Coats
34,973
4,358
39,331
4. Other
TOTAL COSTS
50.941
5.660
0
54;601 _.
13.304
Amount of Particlpart Meal Contributions Budgeted
Amount of Projected Program Income Budgeted
*NOTE: Approximately 14% of total raw food costs is expected to be used in the
home delivered meal program; however, only $1,144 will be picked up by
federal sources, remainder to be paid by other local resources, if needed.
Indicate method of utilizing Meal Contribution/Program Income:
N/ Deductive Alternative (Program Income is used to reduce the charges against Federal
• funds during the current budget period.)
X Cost Sharing Alternative (Program Income is used to support matching requirements
during the current budget period.)
i - ;/ THE PROFILE OF THE DEFINED SERVICE AREA
Th'—Three Year Area Plan for the Coastal Bend Council of Governmc7nts Area Agency o
Aging lists 11 defined service areas or counties in the region (p.D-1-d) and
states: "It will be the policy of the Coastal Bend Area Agency on Aging in the area
of Service Delivery - (1) To consider as the target population or constituents for
each service provider all persons over age 60 in the defined service area,(D-3-e).
In three separate paragraphs describe: (1) The Elderly Population of the defined
service area; (2) The General Population of the defined service area; (3) The
geographic and/or social dimension of the defined service area.
(1) The Elderly are estimated to number 23,000 in Nueces County, or ten percent
(10%) of the total population. The ethnic breakdown of that number is:
5% Black, 27% Mexican American, and 68% Anglo. Thirty-six percent (36%)
of these elderly fall below the poverty level. 'While this is a lower per-
centage than in many other counties, the number accounted for 48.1% of
the poverty level elderly in the Coastal Bend Region.
1977 census estimates show the elderly population to be 29,400 or 11.7%
of the total population; a growth rate of 27.1%. 19,700 seniors are
reported to be over 65 years or 7.9%, a growth of 32.4%.
Included in the services area are eleven nursing homes with a resident
count of 1,328. Of this number, 1,138 (85.7%) are seniors (60 + years).
The capacity exists for 1,521 beds, which indicates that there is an 87.3%
occupancy rate. (attached are specificfigures for each home)
(2) The 1970 population count in Nueces County was 237,544. Of this number,
204,525 lived in Corpus Christi. Other major population centers in the •
county included Robstown, 11,217; Bishop, 3,466; San Pedro, 5,234 (adjacent
to City of,Robstown); Port Aransas( 1,218; Ague Dulce, 742; and Driscoll,
626.
(3)
Ethnically, Nueces County registered 50.6% Anglo, 43.6% Mexican American and •
5.8% other. -
Nueces County is 838 square miles offlat, rich coastal soil. The County has
a high_mineral value (oil, gas, building material) and a diversified economy,
including agriculture (sorghum, cotton), shipping, manufacturing, and tourism.
Because of the coastal nature of the area, and the economic stability of the
Port of Corpus Christi, to some extent, Nueces County serves as the hub of the
Coastal Bend Region.
Most of the county is urban oriented, and serves as the economic, educational,
medical, social and tourist center for the entire region.
See attached chart for additonal statistical data -
11970 Census Data.
(2 Attachments)
B - r
STATUS OF THE AREA'S OLDER POPULAT] ON N uEC6S COU,v ; y
(Based on Best Available Information)
A. General Population Information:* 1. Total Area Population :- ,2.5 7/ Z 53
cy
2. % Area Population Rural gll /,3. % /a 3. % Area Population Urban Z g (o_/ %
B. Older Population Information*
1. Total 60+ Population 60+ population
_ 2. H. 7.
a. Total Black P„,53— a. % Black
cit
b. Total Hispanic 13 8 8 — $
c. Total Am. Indian �' 1 b. % Hispanic `1 776-"
d. Total Other Minority c. % Am. Indian
e. Non -Minority d. % Other Minority -
3. Total 60+ Rural - i 2,/30 .• 4.% Non -Minority _ `fs�d
5. Total 60+ Urban % 60+ Rural /,r-2
7. Total Below Poverty Level 3 8 % Be+ wrbon
y Level 76 X
*Source of information: "The Elderly P ulation: Estimates by County, t1977", pulshed by
Indicators of Need the Office of Human Development Services, Administration 604 1'.rs.
on Aging.
Need (: _ -
(7) Income: Number below povertySOURCES OF INFORMATION:'
(Mr. Joe Garza, Social SecurityAdm.) .5 7QO
(2) Housing: Number in substandard housing (Ruthmary Price, Housing 3 /06)
Authority) y- -
(3) Health: Number with mental/physical disabilities (Social Sec.) ,537E0. 80
(4) Education: Number needing continuing education (Del Mar)
ii000
(5) Employment: Number unemployed (Texas Employment Commission, 44,_
CETA Program)
(6) Social Services:
Cc
• Access Services:
Number needing transportation (City Transit, Operation Bridge)
Number needing I & R• services(SCS** La Retama Library)
• In -Home Services:
Number needing homemaker/home health aid (UpJohn)
Number needing visiting/telephone reassurance(SCS, Telecare:of
Number needing •chore se.rvices(Chore Program) Spohn Hosp., RSVP)
Number needing' -home -delivered meals (SCS)
Community Services:
Number needing legal services (Legal Aid)
Number needing social/recreational services (SCS, 13 local
Number needing residential repair services (Neniunohmmp
rov,)Number needing congregate meals (SCS)
-.Institutional Services:
Number institutionalized needing advocacy services
(13 local nursing homes)
**SCS indicates Senior Community Services
statistical information.
U
.s-oa
pry- The /4 /AEA' r fo
"page 3-I
(1)
B2
CURRENT HUMAN SERVICE PROVIDED
NON-SOCIAL SERVICE CATEGORIES
60+ Persons
Being Served
Income Obtain best information available from the Social Security Office.
• Persons currently receiving S.S.I (Social Security Admin.)) 3 4/57
• Persons receiving Social Security (Social Security Adm.)
/ 71
(2) Housing Obtain best information available from local Housing Authority.
• Persons living in public housing (Housing Authority) / �� y
• Persons receiving some level of rent subsidy (Hous.Auth.) _ __ sal
• Persons receiving some other housing support Unavailable
• Persons using property homestead exemption 65+(office Tax rl��
Office)
Health Obtain best information available from Social Security Office
and/or H.S.A.
• Persons served annually through Medicaid (Social Security) 3/.780
• Persons served annually through Medicare (Social Security) / 9 "2,66) .
(4) Education Obtain best information available from High Schools, Universities,
Community Colleges, and Senior Centers.
(3)
• Persons enrolled in adult education programs (Del Mar, / DD O
Institute of Lifetime Learning) �—
(5) Employment Obtain best information available from unemployment office.
• Persons employed in the work force (full-time) (TEC)*
• Persons who are employed part-time (MR -MR State School)
• Persons employed through CETA (CETA Program)
• Persons 55 and over employed through Title V (Older Worker
Program)
*TEC indicates Texas Employment Commission.
13
1/3
SD
CURRENT SOCIAL SERVICE PROVIDED
(From All Resources)
(6) Social Services
• Access Services
- Persons receiving information and referral services (SCS,
La Retama Library)
- Persons receiving transportation services(SCS, Operation
Bridge)
- Persons receiving reduced mass transit fare
- Persons receiving outreach services (SCS)
- Persons receiving case management services
• In -Home Services
- Persons receiving home delivered meals (SCS)
- Persons receiving homemaker/home health aide services
- Persons receiving visiting nurse services
- Persons receiving telephone reassurance or home(SCS)
visitation services
- Persons receiving chore services
- Persons receiving home repair ser'ices
• Community Services
- Persons receiving congregate meals (SCS)
- Persons participating in senior center programs (SCS)
- Persons in day care, and day hospitals
- Persons receiving legal services (Legal Aid)
- Persons participating in volunteer activity (SCS)
• Institutional Services
- Persons receiving skilled nursing care
- Persons receiving intermediate or custodial care
B:3 O
tWOuecteRTEO
Est. # Persons 6(
Served in Current
Program Year
5-700
-ice---
/ gDO
Unavailable
X32
Unavailable
33G
Unavailable:.
Unavailable
SOD
Unavailable
Unavailable
J 0/D
3/o3_
Unavailable
A i?4o
SOD
Unavailable
Unavailable
ESTIMATE OF UNMET NEED
This information reflects the needs that
exist after considering the available services
(1) Housing
• Persons in need of housing assistance.
B4 O
Persons 60+ Remaining
In Need
(Housing
Authority)
502.
(2) Health
• Persons in need of health care. Unavailable
(3) Education
• Persons in need of education services.(Del Mar) 3/
(4) Employment ,c�
• Persons in need of additional employment. (See Below) / 60 8
Source ---` Applications:
TEXfJJ EhfP4OyMENr ( 3)
/v1 WMi2 (300)
7-ITGE . J (/3-)
• O miEJ21 Nor R6G1J TEREO65-0,
TbTrtL &b8)
(6) Social Services
(All information below
from SCS)
BS O
Number of
Persons in Need
• Access Services
- I•& R services 6 000
- Transportation services Unavailable
- Outreach services 3000
- Case management services Unavailable
• In -Home Services
- Home delivered meals "100
- Homemaker/home health aide services Unavailable
- Visiting nurse services "
- Chore Services/Home Repair
- Telephone reassurance or home visitation
services
11667°
Home Repair Unavailable
• Community Services
- Congregate meals /MO
Some type of Senior Center programs OO
- Day care Unavailable
• Institutional Services
- Skilled nursing care
- Intermediate or custodial care ��
NUECES COUNTY LONG TERM FACILITIES
Name of Facility
Capacity
41 of Beds
Present
Census
Number of
Census 60+
Corpus Christi Manor
62
60
48
*Corpus Christi Nursing Center
204 .
178
158
*Lynnhaven
180
175
160
Retama Manor West
106
78
65
*South Park Manor
194
184
173
Retama Manor (Robstown)
98
79
74
The Hearth
107
100
97
*Retama Manor North
180
146
121
*Medicenter
174
163
153
*Retirement & Nursing
116
99
89
Human Development Center
100
66
-
TOTALS
1,521
1,328
1,138
* Homes that have residents who are senior volunteers, who work for agencies within
the community. (In some cases, they volunteer within their own residence.)
There are presently 63 RSVP volunteers who visit in the nursing homes, averaging
1000 hours each month.
08-80
AiiprCHMEAIT to
/\
THE PROFILE OF THE SERVICE PROVIDER
DL)ibe in chart form and/or narrative the following components of the Provider t�
ving the elderly:
(1) The staffing pattern of the component serving the elderly.
(2) The organizational chart of the contracting agency, indicating where the elder-
ly component is situated.
(3) The governing body of the contracting agency - officers, members, meeting time
and place.
(4) The Senior Advisory Board - officers, members, meeting time and place.
(1) Attached chart
(2) Attached chart
(3) Mayor Luther Jones
City Council:
(4)
Edward L. Sample, Mayor Pro Tem.
Dr. Jack Best
David Diaz
Jack K. Dumphy
Betty N. Turner
Cliff Zarsky
City Manager: R. Marvin Townsend
The City Council meets each Wednesday in the Council Chambers at the
City Hall at 2:00 p.m.
Attached list
The Senior Community Services Advisory Council meets regularly each month,
on the first Thursday, at 3:00 p.m. at the Lindale Senior Center.
(3 Attachments)
ACCOUNT CLERK I
DIRECTOR
SENIOR CLERK-
CLERK-TYP
I RSVP COORDINATOR
PROJECT ASS'T/H
VAN OPERATOR
-1 CLERK -TYPIST I
COMMUNITY SERVICE
OFFICER
I
436 VOLUNTEERS
6 Banquete
7 Bishop
22 Robstown
401 Corpus Christi
I
WORK STATIONS
SUPERVISORS
1 Banquete
1 Bishop
6 Robstown
84 Cor us Christi
1 KITCHEN SUPERVISOR
ROBS OWN
1 Kitchen l
COOK COOK AIDE
SENIOR CLERK(
CORPUS CHRISTI "--
1 Kitchen II
1 1
3 3
COOKS COOK AIDES
RECREATION
AIDE
11 1.
MEAL SITE AIDE MEAL SITE MANA- ICU
RECEPTIONIST GER I - Bishop
NUTRITIONIST
CONSULTANT_
1
TRADES
HELPER
1
R'.
ME;
MA
2 BUS
OPERATORS
CITY OF CORPUS CHRISTI
\ Gt'�'/
CITIZEN;
•
DEVELOPMENT
SOVIETS
NUBIAN
ORGANIZATIONAL CHART
CIVIL
DEFENSE
TOURIST AND
GONvENTIDN
ADMINISTRATIVE
PLANNING
ovnTcnvEN
MINFEEZENIIME
POLL
PIA LK
VITLITIER
GAS
wAA
TRANBIT
1 1 /
INSPECTION, NTMb / \ EWlp ITT
1 BOLDING 1 -1 BRAINY
{ COLISEUM 1 N.RIN
11'11'
NGG , 1 lit/ UNE
1 -1 •41.4g,5'
FINANCE
ACCEUNTI
{ RY1Krt.DIxO
...
AUDITING
STAFF
BUDGET ..)10
EVALLIATICN
DATA
ABFEET
3.
ft
SENIOR COMMUNITY SERVICES ADVISORY COUNCIL
1. Mrs. Barbara Alvarez
4406 Lamont (11) 853-5469
Work: 888-5301, Ext. 306
' 2. Dr. Roemer Best
3544 Santa Fe (11) 854-5683
3. Mr. Charles C. Bradshaw
3221 Ocean Drive (04) 883-8205
4 4. Mrs. Catherine Chambers
246 Leming (04) 888-6454
,� 5. Mrs. Josephine Dobson
4438 Wesley Drive (12) 992-9688
4.- 6. Mrs. Felipita Lopez
1409 14th Street (04) 882-8700
7. Mr. James R. Muzzy
. 414-N. Chaparral, Apt. 1004 (01) 884-6546
,* 8. Mrs. Flora Pockrus
1914 Hawthorne (04) 882-8608
4- 9. Mrs. Elizabeth Price
4309 Loma Alta (10) 241-1981
10. Dr. Charlotte Rappsilber
225 Waverly (12) 991-3282
Work: 991-6810, Ext. 248
Mr. C. C. Sampson
2318 Summers (07) 884-7006
12. The Reverend Rudy Sanchez
3334 Casa De Amigos (11) 852-8072
Work: 884-3582
4-11.
4, 13'. Mr. Albert Struller
4945 Willowbrook (11) 992-9540
•
'- 14. Mr. Joseph Tassler
113 Tarlton (15) 883-8898
* 15. Mr. Sergio Tremolada
5025 Golden Eye Dr. (13) 991-4770
*16. Mrs. Virginia Vargas
820 Bloomington (16) 852-0229
*17. Mrs. Evelyn Wilson
5607 Everhart Rd., Rm. 403 (11) 854-3816
•
.Revised
1/22/80
Term to 12-26-81
Term to 12-26-80
Term to 12-26-81
Term to 12-26-81
Term to 12-26-80
Term to 12-26-81
Term to 12-26-81
Term to 12-26-80
Term to 12-26-80 '
Term to 12-26-81
Term to 12-26-81
Term to 12-26-80
Term to 12-26-81
Term to 12-26-80
Term to 12-26-80
Honorary Life Member
Term to 12-26-80
C
/-I Tr AC111,1 Carr r0- /.6.(4)
THE PROFILE OF THE PERSONNEL IN THE DELIVERY OF SERVICES
Profile:
1. .The Project Management staffing pattern (Administrative Personnel).
2. The staffing of senior centers.
3. The personnel utilized in meal costs.
4. The utilization of STEP/CETA/other personnel, funded other than by AAA.
5. The utilization of senior volunteers.
6. Other.
(1) Senior Community Services Director, Sandra Gonzales
Center Supervisor, Allen Ketcham
Administrative Secretary, Connie Dowell
Account.Clerk, Belen Galvan (4 hours)
(2) Briarwood - staffed by RSVP volunteers - contact persons:
+ Richard Tolen
(4) BobBie Burkhart
First Lutheran - Velma Darwin (4 hours), Older Worker Program
Greenwood - Mary Louise Barrera, Site Manager
Juanita De La Fuente, Receptionist
Meal Site Aides - Victoria Ledesma ),
. - Belen Garcia
Recreation Aides - Maria Lopez
Tillie Mendoza
Custodian - Victor Limon - CETA
Older Worker Program
Lindale - Florence Henry, Site Manager
Hortencia Hinojosa, Receptionist
Meal Site Aide - Lenna Alford,. Older Worker Program
Custodian - Raul Gamez
Wayside - San Juanita Vela, Site Manager (6 hours)
Washington - Mildred Jackson, Site Manager
Receptionist - Vacant (CETA)
Custodian - Oristez Miller - Older Worker Program
Woodlawn - Edna Koonce, Site Manager (6 hours)
Zavala - Carrie Stoney, Site Manager (6 hours)
Meal Site + Recreation
Aides - Rosa De Leon - Older Worker Program
Jesus Gutierrez - Older Worker Program
Banquete - Site Manager - Vacant'
Bishop - Janie Dominguez, Site Manager (6 hours)
Robstown - Cora Upshaw, Site Manager
Meal Site Aide, Lydia Chapa - Older Worker Program
Custodian - Vacant
Van Drivers - Arnold Garza, Jimmy Herrera
Edna McDonald - In -Kind, City of Robstown
(Continued on P.2
8-3
THE PROFILE OF THE PERSONNEL IN THE DELIVERY OF SERVIC$S, PAGE 2
(3) Nutritionist Consultant - Sharon Basile
Kitchen Supervisor - Faye Angell
Outreach Worker - Diana Hurd
Nutrition Clerk - Tommie Koehn
Corpus Christi Kitchen
Freddie Gonzales
Mike Lerma
Ramona Moreno
Marjorie Merriweather
Anita Santoya
Robstown Kitchen
Maria Rocha
Lupita Pena
Crewman (Cook aide) - Valentina Torres - CETA
Trades Helper - Vacant
(5) Although the count varies from time to time, the number of senior volunteers
involved in our senior center activities remains fairly constant.
A typical monthly statistical report:
Total number of volunteers: 184
Mexican American - 107
Black - 10
Anglo - 67
Total number hours: 6,6951
Recreation - 2,861
Nutrition - 3,4387 3/4
Telephone Reassurance - 8414
Escort Service - 1751
Home Delivered Meals - 42
Continuing Education - 45
All of the senior volunteers are registered with the Retired Senior Volunteer
Program.
B-3
C
• jg T. 'THE PLAN OF OPERATION -FOR SERVICE DELIVERY - TITLE III -B
Qce componnts of a comprehensive and coordinated seice delivey system thQ
mfunded are services which (1321.75 (b))are listed on the following page.
(1) Access (2) In Community (3) In Home (4) To residents.
Define measurable objectives followed by action plans to accomplish each objective
for each service to be delivered.
Access Outreach - Home visitation is provided to Project participants and to
the elderly of the community on an on-call and/or referral basis. Home
delivered meal recipients are provided with extensive home visitation
by personnel assigned to evaluation and re-evaluation of home delivered
recipients. The program will make 75 home visits per month.
Information and Referral - This service is provided from each center and
meal site five (5) days a week, fifty-two (52) weeks a year, except holidays.
The elderly community may call well advertised numbers to obtain information
on available services. Follow-up is done on those cases which are involved
or are of a particularly serious nature. The Centers supervisor makes
random calls periodically to recipients of the service in order to measure
the appropriateness of the referral and accuracy of the information provided.
The program will handle 350 calls per month.
Escort - The transportation program carries most of the elderly needing
transportation to doctors' offices, social service agencies and to other
necessary appointments.. Occasionally a senior citizen requires personal
assistance when visiting an agency or in obtaining services. The meal site
manager and/or outreach worker will be involved in transportation•and.person-
ally assisting an elderly person in need of special attention. The program
will escort 21 persons needing individualized attention on a monthly basis.
Individual Needs Assessment and Service Management - Individual assessments
are an on-going process. The in -take form used to certify a person wishing
to participate in the program provides the staff with the necessary tool for
needs assessment and service management. Each program participant is surveyed
to determine their particular needs and appropriate services are then offered.
Intake forms are reviewed as needed and periodically updated as personal
situations change. (See attached form.)
Service in the community, Congregate Meals - Congregate meals are served
five (51 days per week, except holidays. Eleven centers and meal sites
serve 617 Csix hundred seventeen) meals per day. The meals are hot and
well balanced. Each item on the menu is analyzed -- taking into account health
and religion requirements as well as ethnic, cultural, and regional preferences.
A nutritionist is employed by•contract to assure that the meals are properly
balanced.
Continuing education - Educational programs are scheduled at the senior centers
and meal sites. Guest speakers are invited to speak on subjects of interest
to the elderly community. The Institute of Lifetime Learning, Corpus Christi
Chapter, enlists instructors to teach courses at the centers at no cost to the
program. The Institute does charge a nominal fee to persons who enroll in the
program. At least one program will be -offered per month at the Senior Centers.
THE PLAN OF OPERATION FOR SERVICE DELIVERY -TITLE III -B, PAGE.2
•
7. Health - Blood pressure screening is the only regularly scheduled health-
related activity occuring at the Congregate sites. Meal site managers and
volunteer nurses take blood pressure readings and advise the participants
of any abnormally high reading. Blood pressure screening will be scheduled
in each center/meal site at least once a month.
Upjohn Healthcare Services Inc. has come to the larger centers to screen for
the unintentional misuse of prescribed drugs. Drug counseling is also offered
by the Upjohn staff at no cost to the program. The Upjohn volunteers are
registered nurses.
8. Legal Services - The majority of centers and sites are used as intake centers
for Cctal Bend Legal Services on a regular basis. Meal site managers refer
participants with legal problems to the Legal Aide staff.
9. Program Development and Coordination Activities - In the main, it is the
responsibility of the professional staff to involve themselves in program
development and coordination activities. ,
Extensive coordination with other agencies occurs before and during the Senior
Citizen's May Fair. The Fair brings together the services and opportunities
available to senior citizens. All the major service providers participate in
this event.
Prpgram development is done only to the extent it does not involve program
expansion. Due to limited monetary resources, expansion is not possible;
however, other opportunities not involving long-term fiscal or programmatic
commitment are explored. The program has, over the past year, concentrated
on medical problems. The Nueces County Medical Auxiliary has been working
with the program in surveying the elderly community's use of prescription
drugs as well as their relationship with their physicians. In the next year,
the program will do a study on the effects of retirement. Depression among
the elderly will be the focus of this study.
Program development is presently geared toward strengthening the statistical
information available to program supervisors, administration funding sources
and potential funding sources.
10. Advocacy - The Program serves as an advocate to the elderly in assuring the
best possible use of resources, the best possible delivery of services and
the best possible program administration.
11. Counseling - The program provides short-term social services counseling, i.e.,
financial and lifestyle adjustment, mental/physical well-being, housing and
home -related, nutritional and personal hygiene, and utilization of community
programs. The program will counsel 150 persons per month.
12. Emergency Services - Disaster Relief -'Senior Community Services, as part of
the City of Corpus Christi, is on-call 24 hours a day during times of natural
disaster. Disaster shelters operated by the Red Cross are available to elderly
persons who have been evacuated or have chosen to leave their homes.
B-4
THE PLAN OF cPERAT±ON FOR SERVICE DELIVERY - TITLE III-B,.PAGE•,3
12. A shelter especially designated for the elderly and handicapped is usually
available. Relocation, assistance in obtaining financial assistance and
other support -services are provided by Senior Community Services after a
natural disaster has occured.
13. Physical Fitness and Recreation Services - Senior Centers and meal sites
strive to be the focal point of social, mental and physical activity.
Activities, which are developed primarily by participants, encourage social..
support systems through interaction among participants. Educational programs
are developed to stimulate the mental capacities of participants. Exercise
programs are geared to the physical capacity of those interested in increasing
their physical abilities. All of the programs described are available to
elderly persons living in the vicinity of the centers and meal sites as well
as to the meal program recipients.
Recreational activities, particularly dances, are popular at all centers.
Each center will continue providing a well rounded recreational program. A
total of 1,500 persons will be involved in recreation per month.
14. Multipurpose Senior Centers - There are four senior centers which operate as
community focal points/multipurpose centers; they are Lindale Center, Greenwood
Center and Washington Center in Corpus Christi, and Robstown Center in Robstown,
Texas. Service providers are urged to come to the focal point - collocation of
services - as their schedule permits. Information and referral services are
high priority at these centers as they receive calls for.services frequently.
Staff are trained to monitor lists of persons requesting services, follow-up is
done and current information with respect to services available is kept.
0
Multipurpose centers are differentiated from meal sites in that they (1) are open
eight (8) hours per day or longer; (2) have a full complement of personnel, i.e.,
meal site manager, recreational aides, meal site aides, receptionist, custodian;
(3) provide a variety of services; (4) serve larger numbers of elderly persons;
and (5) are in a vantage point with respect to community exposure.
15. Shopping Assistance - Provision is made for shopping assistance as needed, to
program participants to assist them in the selection of proper.food items which
will improye.their nutritional intake. Non -program elderly will be accommodated
as time. and space permits on Transit van services. The service is well advertized
and will service as many persons as is feasible.
In -Home Services
16. Counseling - Homebound recipients are counselled by the Outreach Worker and meal
site managers assigned to outreach services. Homemaker and other services are
suggested if indicated. Housing, nutritional and health counseling are also
provided.
17. Telephone Reassurance - Staff members or volunteers enlisted by staff members
call participants on a regular basis'if requested. The condition of the person
being called is noted and any unusual circumstance is brought to the attention
of the Outreach Worker or meal site manager.
B-4
TODAY'S DATE /
SENIOR COMMUNITY SERVICES INFORMATION FORM
Participant's Name
Last First Middle
Present Address
treet City Zip
Home Phone( ' ) Date of Birth / /
CENTER NUMBER
I. Medical Information
1. In case of emergency, call:
Name Name
ge
Address Address
Phone Phone
Relationship Relationship
2. My physicians are:
Name Home Phone Office Phone
Home Phone Office Phone
Name
3. Blood Type Allergies
4. I am being treated for the following conditions: (Such as diabetes, heart
attack, high blood pressur.'e)
5: I am taking the following prescription medications:
Pharmacy:
6. I am taking the following drugs which are not prescription medicines:
7. My medications and drugs are kept:
B. Hospital 'preferred:
it
`
9.
Health Insurance: Medicare No. Medicaid No.
Private health insurance policy with
Number of Policy
0
10. I am a veteran Yes No
11. Religion Clergyman Phone No.
12. Currently, have you any of the following illnesses?
Arthritis, rheumatism, or
chronic bursitis
Heart trouble
High blood pressure
Low blood pressure
Asthma
Emphysema or chronic
bronchitis
Tuberculosis
Stomach or intestinal
disorders
Glandular disorders
Liver disease •
Urinary tract disorders
Skin disorders
Bone disorders
Diabetes
Cancer or leukemia
•
Multiple gclerosis' "
" .
. •'
..•
Muscular dystrophy
Problem with nerves, or
emotional problems
Glaucoma or cataracts
Speech impairment
Hearing loss
Dental problems
•
Alcohol problem
Other physical problems or current illnesses?
Hospitalized within the past year? How long?
Other comments for the physicians
A.
II. Ethnic Identification
a. Eastern European
b. Western European
c. Carribean Hispanic d. Mexican -American
Hispanic
e. American Indian/
Alaskan Native
f. Asian/Pacific Islander
g. Afro American not of
Hispanic Origin
h. Other
III. Gender
a. Male---- f 1
b. Female --
0
IV. Financial
PLEASE INDICATE INCOME RANGE
Income not in A
Income is 0
Column A
Q
Income is up to $500
Income is up to $1,000---- Q3
Income is up to $1,500 ----
Income is up to $2,000---- (�
Income is up to $2,500----1-61
Income is up to $3,000----ni
Income is up to $3,500----n
Income is up to $4,000----
Place the appropriate
number in the above box.
191
C.O.G. Data
a, b = 1
c, d = 2
e=3
f=4
g=5
h=6
Place the appropriate
number in the above box.
Place the appropriate
number in the above box.
INDEPENDENT OF SPOUSE'S FINANCES!
Column B
W
Income
not in B
Income is up to $5,000----M
Income is up to $6,000----f T
Income is up to $8,000 ----
Income is up to $11,000--- ri
Income is
Income is
Income is
Income is
up to $16,000---1- 1
up to $22,000-71
up to $30,000 ---
over $30,000 ---
Will not give data
Place thel appropriate
number in the above box.
17)
18 1
U
Education
a. Elementary, less than 5 years -11]
b. Elementary, 5 to 7 years
c. Elementary, 8 years
d. High School, 1 to 3 years
e. High School, 4 years
f. College, 1 to 3 years
g. College, 4 years or more
VI. Services
Types of services now receiving:
Check all boxes that are appropriate.
a. None
b. Chore Program
c. Human Resources ---
d. Food Stamps
e. Medicare
f. Medicaid
g. SSI
h. Legal Aid
VII. Language(s) Spmken
a. English only
b. Spanish only
c. Bilingual (English and
Spanish)
d. Bilingual (English and
language other than
Spanish)
e. Polylingual
P1
Indicate language(s) other than English and Spanish
Place the appropriate
number in the above box.
Number ofboxes checked,
except for box a.
Place the appropriate
number in the above box.
VIII. Living Arrangements
1. a. Live alone
b. Live with others
2. a. Own own home (no mortgage) Q
b. Own own home (with mortgage)
c. Subsidized. renting
d. Non -subsidized renting
e. Live at other's dwelling, no rentrn
f. No permanent address
IX. Employment
a. Employed full-time
b. Employed part-time
c. Not employed
d. Volunteer staff
e. Seeking employment (not
employed now)
m
m
fel
.Nature of past or present employment
Place the appropriate
number in the above box.
Place the appropriate
number in the above box.
Place the appropriate
number in the above box.
X. Transportation
Indicate your main mode of transportation:
a. Car
b. City bus
c. S.C.S. van
d. Taxi
e. Walking
f. Other
DJ
f
j41
co
m
Place the appropriate
number in the above box.
0
XI. Marital Status
a. Single
b. Married U
c. Widowed 111
d. Divorced (�
e. Separated
Place the appropriate
number in the above box.
XII. General Questions
1. Recreation
What recreational programs would you like offered at the centers?
2. Agency Awareness
Would you know what agency to go to if you had the following problems?
NO YES
a. Legal problems
b. Drug problems
c. Day care of children
d. Emergency financial aid
e. To find a job
f. Housing discrimination
g. Welfare §ervices
h. Job discrimination
i. To get rid of junk cars
j. Recreation
k. Transportation
1. Nutrition
m. Will not give data
3. Continuing Education
a. I am interested in continuing education classes
b. I am interested in periodic lectures at centers
4. Volunteerism
a. Are you an RSVP volunteer:
NO YES
b. If not, would you be interested in the program?
STATEMENT OF CONFIDENTIALITY
Senior Community Services is a division of the Department of Planning
and Urban Development, City of Corpus Christi. All information, except for
the medical information that will be given to the physician in case of
emergency, is confidential and will be used only for the purpose of providing
services to you, as a senior citizen, and for statistical information.
I, the undersigned, authorize the use of the information I have provided
for the above -stated purposes.
SIGNATURE: DATE:
INFORME CONFIDENCIAL
Senior Community Services es una division del Departamento de Planacion
Y Desarrollo Urbano de la ciudad de Corpus Christi. Toda informacion, con
excepcion de la informacion medica que se dare en caso de emergencia, es
confidencial y sera usada solamente para el proposito de proveerle servicios
a'usted, comp ciudadano mayor, y para informacion estadistico.
Yo, el subscrito, autorizo el use de la informacion proveida para el
proposito mencionado arriba.
FIRMA: FECHA:
THE PROFILE ON INFORMATION AND REFERRAL IN THE DEFINED SERVICE AREA
Profile compliance with #1321.161.
The Centers providing intensive information and referral are the centers designated
as community focal points, Greenwood, Lindale, Washington, and Robstown. The Meal
Sites also provide information and referral but not to the extent offered by the
Centers. Greenwood Center, located on the westside (Spanish speaking) area of
Corpus Christi, and Robstown Center, located in a community with a large Spanish
speaking population, have a bilingual staff capable of giving information and
making referrals in English and Spanish. Lindale Center, although predominantly
English speaking, has bi-lingual capabilities and can provide information and make
referrals in either English or Spanish.
The form used for information and referral services asks for thenrame of the"person makin
request in order that follow up may be done. Also a list is developed of those
persons in need of services and opportunities.
Staff are trained at centers and meal sites to provide accurate and appropriate
information and referral.
The program will provide 350 persons with information and referral services per month.
Q -S
th
1 ri .
'Av I"I IL LI ...LMi di I
THE PRQFILE,ON TRANSPORTATION IN THE DEFINED SERVICE AREA
0
PROFILE:
1. The transportation needs.
2. The service provider's response to these needs.
3. The number, type, capacity of vans, etc.
4. The personnel involved in transportation.
5. The unmet needs.
The Older Americans Act funding does not support the transportation program.
Funding is provided through other sources: Nueces County Commissioners, ACTION,
and the Urban Mass Transit Administration (UMTA).
Senior Community Services coordinates closely with City Transit, Elderly and
Handicapped Division, in an attempt to see that the transportation needs of the
elderly in Corpus Christi are met. That department has one bus, eight vans
nad seven drivers. Three of the aforesaid vehicles are equipped with wheehchair
lifts. .
During the preceding twelve month period, E & H transportation provided 29,262
rides to senior centers for a monthly average of 2,439. 1,125 trips were made
for medical purposes, for a monthly average of 94. 778 rides were given for
other purposes, such as shopping, food stamps, banking, et cetera, for a monthly
average of 65.
'The County supports two vans in Robstown. These vans are used for rides to the
senior centers, medical facilities, food stamps, banking, stores, et cetera, for
an average of 962 rides per month.
In Bishop, the meal site manager furnishes transportation to the center and other
agencies, as above, for an average of 420 rides per month.
The Retired Senior Volunteer Program supports a van which is used to transport
seniors to agencies where their skills and experience are used to the benefit
of both agency and volunteer. An average of 350 rides are provided each month.
The County and RSVP vans are released by Senior Community Services to be used for
evacuation purposes in times of weather crises.
It is•an accepted frustration among senior service providers, that transportation
services do not meet the ever increasing need.
.4. V WM.RNM�'Tli`A!
THE PROFILE 01 MULTIPURPOSE SENIOR CENTERS IN THE DEFINED SERVICE AREA
Profile each center using the following forms.
Attached chart and forms will give a profile of Senior Community Services
Center and Meal Site operations.
(12 Attachments)
8 -7
08-28' 80
SENIOR COMMUNITY SERVICES
SENIOR CENTERS AND MEAL SITES
Center
Hours
Address
Phone
Number
Corpus Christi:
`
**Briarwood Apts.
11:30 A.M. - 12:30 P.M.
1701 Thames
991-8081
(Satellite)
**First Lutheran
11:30 A.M. - 12:30 P.M.
1201 Morgan
884-9676
(Satellite)
Greenwood
8:00 A.M. - 5:00 P.M.
4040 Greenwood
854-4628
Lindale
8:00 A.M. - 5:00 P.M.
3135 Swantner
854-4508
Wayside
9:00 A.M. - 3:00 P.M.
3312 Wayside
883-4183
Washington
8:00 A.M. - 5:00 P.M.
1114 Sam Rankin
882-6279
Woodlawn
10:00 A.M. - 2:00 P.M.
3757 UpRiver Road
883-7841
Zavala
9:00 A.M. - 3:00 P.M.
442 Mohawk
882-1561
Bagnuete:
r
**Banquete
12:00 P.M. - 1:00 P.M.
Farm Market 666
387-7621
(Satellite)
Bishop:
Bishop
10:30 A.M. - 3:30 P.M.
301 West Main
584-3211
Robstown:
Robstown
8:00 A.M. - 5:00 P.M.
206 North Sixth S:.
387-6396
**Only Meals are served at these locations.
Present actual number of participants served in nutrition programs at centers are as follows:
Briarwood: 15 Wayside: 40
First Lutheran: 18 Washington: 75
Greenwood: 185 Woodlawn: 40
Lindale: 115 Zavala: 65
Banquete: 25 Bishop: 15
Robstown: 82
F CENTER
Eria!wnnd Apartmrnta
DATE OPENED
STREET LOCATION 1701 Thames
MAILING ADDRESS (If 'Different)
CITY, STATE, ZIP Corpus Christi, Texas 78412
COUNTY
Nueces
AGENCY Senior Community Services
TYPE OF FACILITY '(Satellite) Meal Site
CENTER MANAGER Staffed by RSVP volunteers
TET.VPHONE :UMBER 991-8081
DAYS OPEN Mnnday through Friday (except Holidays)
HOURS OF OPERATION_ 11;30 - 12:30
SERVICES AND AVERAGE NUMBER OF PARTICIPANTS DAILY
NUTRITION 15
TRANSPORTATION
ESCORT
LNFORMATION & REFERRAL
��4- 4y$4043 0
�ti`r•
OUTREACH 5
4)
LEGAL
TELEPHONE REASSURANCE
RECREATION Bingo, Coffee hours
EDUCATIONtype of)
(Specify type of)
COUNSELING
(Specify type of)
EMPLOYMENT
(Specify type of)
HEALTH
(Specify type of)
OTHER
OTHER AGENCIES PROVIDING SERVICES AT CENTER
DHR ME/BR
SSA Other
OTHER
Titles
Briarwood Meal Site
Paid/Volunteer
STEP/CETA
0
Name
Part Time
Full Time
Bookkeeper
Case Worker
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
Cook
Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Home Repairman
I & R Specialist
Kitchen Aide -
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
• •Other
NO.PAID STAFF:AT THIS MEALSITE.
CENTER
STREET LOCATION
First Lutheran Church
1201 Morgan
DATE OPENED
MAILING ADDRESS (If Different)
CITY, STATE, ZIP Corpus Christi. Texas 78404
COUNTY Nueces
AGENCY
Senior Community Services
TYPE OF FACILITY (Satellite) Meal Site
CENTER MANAGER Velma Darwin
TELEPHONE NUMBER 884-9676
DAYS OPEN
Monday -through Friday (except Hol -Maya)
HOURS OF OEERATION_11:00 a.m. - 1:30 11..m.
SERVICES AND AVERAGE NUMBER OF PARTICIPANTS DAILY
NUTRITION 18
TRANSPORTATION
1
ESCORT 0
INFORMATION & REFEZRAL
OUTREACH 1
3
LEGAL 0
1hLEPHONE REASSURANCE
0
RECREATION Mnvies, Ringo
(Specify type of)
EDUCATION Travel Education
(Specify type of)
COUNSELING - General
(Specify type of)
EMPLOYMENT
(Specify type of)
HEALTH
(Specify type of)
OTHER
OTHER AGENCIES PROVIDING SERVICES AT CENTER
DHR MG/MR
SSA Other
OTHER ST
First Lutheran Church
Paid/Volunteer
STEP/SETA
Titles
0
Name
Part Time
Full Time
Bookkeeper
Case Worker
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
-Cook
'Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Hone Repairman
1 & R Specialist
Kitchen Aide -
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
•Other
Older Worker Program
Velma Darwin
Part Time
NAt CENTER
STREET LOCATION
Greenwood Senior (nnrnr
4040 Greenwood
DATE OPENED
MAILING ADDRESS (If Different)
CITY, STATE, ZIP Corpus Christi, Texas 78416
COUNTY
AGENCY
Nueces
Senior Community Services
TYPE OF FACILITY Multipurpose Senior Center
CENTER MANAGER Mary Louise Barrera
TET.FPHONE NUM3ER 854-4628/29
DAYS OPEN
Monday through Friday (except Holidays)
HOURS OF OBERATION_ 8 a.m. to 5 p.m.
SERVICES AND AVhNAGE NUMBER OF- PARTICIPANTS DAILY
NUTRITION 185
TRANSPORTATION
ESCORT
80
10
INFORMATION & REFERRAL
OUTREACH 2
LEGAL
4
15
TELEPHONE REASSURANCE
RECREATION
150
4
EDUCATIONtype of) 0
(Specify type of)
COUNSELING 35
(Specify type of)
EMPLOYMENT 2
(Specify type of)
RF ALTH 20
(Specify type of)
otani 40
OTHER AGENCIES PROVIDING SERVICES AT CENTER
DHR MH/MR
SSA.
Tax Aide when applicable .
Other Legal Aid. 10 weekly.
OTHER SO
v
Titles
Paid/Volunteer
STEP/CETA
Name
Part Time
Full Time
Bookkeeper
Case Worker
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
Cook
• Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Home Repairman
I & R Specialist
Kitchen Aide -
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
•Other
lder Worker Program
aid
aid
CETA
Older Worker'Program
Older Worker Program
elder Worker Program
Victoria Ledesma
Mary Louise Barrera
Juanita De La Fuente
Victor Limon
Otilia Mendoza
Maria Lopez
Belen Garcia
Part Time
Full Time
Full Time
Full Time
Part Time
Part Time
Part Time
iF CENTER
STREET LOCATION
Lindala Sanior
3135 Swantner
DATE OPENED
MAILING ADDRESS (If Different)
CITY, STATE, ZIP Corpus Christi. Texas 78404
COUNTY Nueces
AGENCY
Senior Community Services
TYPE OF FACILITY Multipurpose Senior Center
CENTER MANAGER
Florence Henry
TET,VPHONE NUMBER 854-4508/09
DAYS OPEN
MOndary Through Friday (except Holidays)
HOURS OF OPERATIOIL 8 a.m. to 10 p.m.
SERVICES AND AVERAGE NUMBER OF- PARTICIPANTS DAILY
NUTRITION 115
TRANSPORTATION 15
ESCORT 1
IFORMATION & REFERRAL 18
OUTREACH 5
LEGAL 1
TELEPHONE REASSURANCE 5
Arts and crafts;Classes: exercise, ballet and tap, ceramics, Spanish,
RECREATION German. sewing. pool. cards. dominoes. dances.
(Specify type of)
EDUCATION Spanish, German, Bridge classes
(Specify type of)
COUNSELING
(Specify type of)
F'NPLOYMENT
Referral, reassurance
Referred to individuals and agencies
(Specify type of)
HEALTH Rlnnd pressnra rheeks nntritinn films
(Specify type of) Widowed Persons,_ Clubs, RSVP, AARP,
OTHER Defensive Driving, Adult Learning
OTHER AGENCIES PROVIDING SERVICES AT CENTER
DER Yes MH/MR
q¢A Yes
Other Tax Aide Services
OTHER S1.—_ Lindale Senior Center
Titles
Paid/Volunteer
STEP/CETA
Name
Part Time
Full Time
Bookkeeper
Case Worker
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
Cook
Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Home Repairman
I & R Specialist
Kitchen Aide
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
•Other
Older Worker Program
Paid
Paid
Paid
Lenna Alford
Florence Henry
Raul Gamez
Hortensia Hinojosa
Part Time
Full Time
Full Time
Full Time
Ne ? CENTER %Ayside Meal Site DATE OPENED
STREET LOCATION 3312 Wayside
MAILING ADDRESS (If Different)
CITY, STATE, ZIP Corpus Christi. Texas 78415
COUNTY Nueces
AGENCY
Senior Community Services
TYPE OF FACILITY Meal Site
CENTER MANAGER
San Juanita Vela
TE7 SHONE NUMBER 883-4183
DAYS OPEN MOndav-through Friday (Except Holidays)
HOURS OF OEERATION_ 4!00 a_m_ to 100 p�m.
SERVICES AND AVERAGE NUMBER OF- PARTICIPANTS DAILY
NUTRITION 40
TRANSPORTATION 2
ESCORT
0
INFORMATION & REFERRAL
OUTREACH
7
LEGAL 2
TELEPHONE REASSURANCE 5
RECREATTON 12
IDpecify UCATIONtype of)
8 English Class
(Specify type of)
COUNSELING 37 Nutrition, Health and Welfare
(Specify type of)
PLOYMENT
(Specify type of)
HEALTH
37 Exercises
(Specify type of)
OTHER
OTHER AGENCIES PROVIDING SERVICES AT CENTER
DHR ME/MR
SSA Other
OTHER S1._ _ 'WAyside Center
Titles
Paid/Volunteer
STEP/CETA
Name
Part Time
Full Time
Bookkeeper
Case Worker
Center Aide
Canter (Site) Manager
Chore Worker
Clerk/Typist
,Cook Aide
Cook
Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Home Repairman
I & R Specialist
Kitchen Aide -
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
' • Other
Paid
San Juanita Vela
Part Time
(6 hours)
Ni , CENTER Washington Senior Center
DATE OPENED
STREET LOCATION 1114 Sam Rankin
MAILING ADDRESS (If Different)
CITY, STATE, ZIP Corpus Christi, Texas 78401
COUNTY Nueces
AGENCY
Senior Community Services
TYPE OF FACILITY Multipurpose Senior Center
CENTER MANAGER Mildred B. Jackson
TE7.FPH0NE NUMBER 882-6279/70
DAYS OPEN
Monday through Friday (Except Holidays)
HOURS OF OPERATION____8:O0 a.m. — 5:00 p.m.
SERVICES AND ANt2AGE NUMBER OF PARTICIPANTS DAILY
NUTRITION
75
TRANSPORTATION 12
ESCORT
N/A
INFORMATION & REFERRAL
OUTREACH 3
LEGAL
1
3 (This service will be emphacioed in tho fntnre )
TELEPHONE REASSURANCE
RECREATION 35 to 40
EDUCATIONtype of)
(Specify type of)
COUNSELING •
(Specify type of)
CLOYMENT
(Specify type of)
SFALTH Exercise, movies on health. Blood Pressure checks
(Specify type of)
OTHER
Nutrition, Snrial Security, Um -glary
Home. Apartment, Nursing Home
Referral to agency
OTHER AGENCIES PROVIDING SERVICES AT C'EER
DHR MH/MR
SSA Other Crime Prevention, Police Department.
OTHER S Washington Senior Center
Titles
Paid/Volunteer
S i'hr / CETA
Name
Part Time
Full Time
Bookkeeper
Case Worker
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
Cook
Community Service
Custodian
Dietician
Driver
Driver Assistant
• Escort
Home Repairman
I & R Specialist
Kitchen Aide -
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
'•Other
Paid
lder Worker Program
Mildred B. Jackson
Oristez 0. Miller
Full Time
Part Time
NI ' CENTER Woodlawn Meal Site DATE OPENED
STREET LOCATION
3757 UpRiver Road
MAILING ADDRESS (If Different)
CITY, STATE, ZIP Corpus Christi, Texas 78407
COUNTY
AGENCY
Nueces
Senior Community Services
TYPE OF FACILITY Meal Site
CENTER MANAGER
Edna Konnre
TET•FPHONE NUMBER 883-7841
DAYS OPEN
HOURS OF OEERATION_
Monday through Friday (Except Holidays)
10 a.m. to 2 p.m.
SERVICES AND AVERAGE NUMBER OF PARTICIPANTS DAILY
NUTRITION 40
TRANSPORTATION
Varies
ESCORT 1
INFORMATION & REFERRAL 2
OUTREACH 1
LEGAL
TELEPHONE REASSURANCE
20
RECREATION Bingo, music, cards, games
EDUCATIy ON
type of)
(Specify type of)
COUNSELING •
Nutrition
(Specify type of)
EMPLOYMENT
(Specify type of)
NFALTH Blood Pressure Checks
(Specify type of)
OTHER
OTHER AGENCIES PROVIDING SERVICES AT CENTER
DHR MJEU R
SSA Other
OTHERS Woodlawn Meal Site
Titles
Paid/Volunteer
STEP/CETA
.lame
Part Time
Full Time '
Bookkeeper
Case Worker
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
.Cook
Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Home Repairman
I & R Specialist
Kitchen Aide -
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
'•Other
Paid
Edna Koonce
Part Time
(6 hours)
Ni F CENTER Zavala'Meal Site
DATE OPENED
STREET LOCATION 442 Mohawk
MAILING ADDRESS (If Different)
CITY, STATE, ZIP Corpus Christi, Texas 78405
COUNTY
AGENCY
Nueces
Senior Community Services
TYPE OF FACILITY Meal Site
CENTER MANAGER Carrie Stoney
TELEPHONE NUMBER 882-1561
DAYS OPEN
Monday through Friday (except Holidays)
HOURS OF OEERATION_
9 a.m. to 3 p.m.
SERVICES AND Av1 AGE NUMBER OF PARTICIPANTS DAILY
NUTRITION 65
TRANSPORTATION 5
ESCORT 1
LYFORMATION & REFERRAL 4
OUTREACH 4
LEGAL
TELEPHONE REASSURANCE
3
RECREATTON Cha1u'.a bin•
Nutrition
(Specify type of)
COUNSELING General
(Specify type of)
EDUCATION
0
9 19
(Specify type of)
EMPLOYMENT
(Specify type of)
HEALTH
Blood Pressure Cherke
(Specify type of)
OTHER
OTHER AGENCIES PROVIDING SERVICES AT CENI'UR
DHR `R/NR
SSA Other
el
OTHERS'.
Zavala Meal Site
Titles
Paid/Volunteer
STEP/CETA
Name
Part Time
Full Time
Bookkeeper
Case Worker
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
.Cook
Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Home Repairman
I & R Specialist
Kitchen Aide-
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
' • Other
Older Worker Prograa
Older Worker Prograa
Paid
Rosa De Leon
Jesus Gutierrez
Carrie Stoney
Part Time
Part Time
Part Time
(6 hours)
NA CENTER Banquete Meal Site
STREET LOCATION FM 666
DATE OPENED
MAILING ADDRESS (If Different) (Nn Mailing AAArass)
CITY, STATE, ZIP Banquete, Texas 78339
COUNTY
AGENCY
Nueces
Senior Community Services
TYPE OF FACILITY Meal Site (Satellite)
CENTER MANAGER (Position vacant at present time)
TE7,FPHONE NUMBER No Phone
DAYS OPEN
Monday.through Friday (Except Holidays)
HOURS OF 0EERATION_
12:00 noon to 1:00 p.m.
SERVICES AND ANtaAGE NUMBER OF PARTICIPANTS DAILY
NUTRITION
25
TRANSPORTATION ' ZS
tis
' ESCORT
INFORMATION & REFERRAL h4>
OUTREACH
'oma
LEGAL �4
TELEPHONE REASSURANCE
RECREATION
EDpecify UCATIONtype of)
(Specify type of)
COUNSELING •
Pool,. cards, domtnoeq
Health and Welfare Counseling
(Specify type of)
EMPLOYMENT
(Specify type of)
HEALTH
(Specify type of)
OTHER
OTHER AGENCIES PROVIDING SERVICES AT CENTER
DHR MR/MR
ec\
Other
OTHER S_
Titles
Paid/Volunteer
STEP/:ETA
.lame
Part Time
Full Time
Bookkeeper
Case Worker -
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
Cook
Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Home Repairman
I & R Specialist
Kitchen. Aide -
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
•Other
Paid
(Vacant)
*Employee assists at Robst
Center -
Part Time
(6 hours)*
wn
NA CENTER
Bishop '60 Site
STREET LOCATION 301 West Main
DATE OPENED
MAILING ADDRESS (If Different)
CITY, STATE, zip Bishop, Texas 78343
COUNTY
AGENCY
Nueces
Senior Community Services
TYPE OF FACILITY Meal Site
CENTER MANAGER
Janie Dominguez
TET.FPHONE :UMBER 584-3211
DAYS OPEN Monday through Friday (except Holidays)
HOURS OF OBERATION 9:00 a.m. to 3:00 p.m.
SERVICES AND AVERAGE NUMBER OF PARTICIPANTS DAILY
NUTRITION 15
TRANSPORTATION
ESCORT
20
3
INFORMATION & REFERRAL 2
OUTREACH 1
LEGAL 1
TELEPHONE REASSURANCE 1
RECREATTON 20
EDUCATIONtype of) 2
(Specify type of) 1
COUNSELING
(Specify type of)
EMPLOYMENT 0
(Specify type of)
HEALTH 2
(Specify type of)
OTHER
OTHER AGENCIES PROVIDING SERVICES AT CENn A
DER. Food Stamps - AFDC ME/MR
CCA Every three months Other
OTHER S_
Bishop Meal Site
Titles
Paid/Volunteer
STEP/CETA
Name
Part Time ,
Full Time '
Bookkeeper
Case Worker -
Center Aide
Center (Site) Manager
Chore Worker
Clerk/Typist
Cook Aide
Cook
Community Service
Custodian
Dietician
Driver
Driver Assistant
Escort
Home Repairman
t & R Specialist
Kitchen Aide -
Outreach
Program Director
Receptionist
Secretary
Telephone Reassurance
'•Other
aid
Janie Dominguez
Part Time
(6 hours)
NA CENTER Ytobstarn Senior Center
STREET LOCATION 206 North Sixth Street
DATE OPENED
MAILING ADDRESS (If Different)
CITY, STATE, ZIP Robstown, Texas 78380
COUNTY
AGENCY
Nueces
Senior Community Services
TYPE OF FACILITY
Multipurnosp Senior Canter
CENTER MANAGER Cora M. Upshaw
TETT PHONE NUMBER 387-6396
DAYS OPEN
HOURS OF OPERATION_
Monday through Friday (except Holidays)
8:00 a.m. — 5:00 p.m.
SERVICES AND AVtatAGE NUMBER OF PARTICIPANTS DAILY
NUTRITION 82
TRANSPORTATION 25
ESCORT
INFORMATION & REFERRAL
OUTREACH
As needed
LEGAL 4
TELEPHONE REASSURANCE
4
RECREATION Cards 11, Bingo 44, Pool 12, Dominoes 8
EDUecifyyCATIONtype of)
(Specify type of)
COUNSELING
(Specify type of)
FpLOYM NT
Health and Welfare 6
(Specify type of)
UFO= 14 Blood Pressure Screening
(Specify type of)
•
OTHER Tax Aide
OTHER AGENCIES PROVIDING SERVICES AT CENT*tt
DER MH/MR
SSA Other
PROFILE ON OUTREACH, TRAINING AND COORDINATION REQUIREMENTS IN THE D.S.A.
Profile, according to 61321.107, compliance for -
1. Outreach
2. Training
3. Coordination
1. Outreach.- All the meal site managers are trained to do outreach and home
visits. Each manager attends to the home visits in the area surrounding
his/her center or meal site. The managers, in doing gutreach, evaluate
the situation, call in the appropriate service, and invite the person to
the center or meal site.
An Outreach Worker concentrates on those requests to visit the homebound or
ill elderly. The Outreach Worker evaluates the situation and calls in the
appropriate_ service. If home meals are needed the person is either placed
on the homebound meal program or on a waiting list.
2. Training - Staff are given training as part of their staff meetings. They --
also attend any special training session sponsored by community agencies,
which pertains to their area of specialization.
The Outreach Worker receives ongoing specialized training in the techniques
of behavior shaping.
The Meal Site Managers are given inservice in management behavior objective
setting; training in elderly and aging laws; conducting meetings and parlia-
mentary procedures; gerontological concerns.
Additional planned workshops:
1st Quarter - Operant Conditioning - techniques in positively handling
the elderly in groups.
2nd Quarter - Reinforcement Schedule - how to handle specific problem
seniors.
3td Quarter - Geriatric Psychiatry - a look at mental disorder affecting
older people.
4th Quarter - Attitudes toward Death.
18-8
, J /� THE'PROFILE ON, THE OPPORTUNITY TO CONTRIBUTE IN THE DEFINED SERVICE AREA
(Th
Profile compliance with #1321.111
Participants contribute to the meal program at each center and meal site.
Contributions are on a voluntary basis. A suggested contribution schedule is
posted for the contributors benefit. The contributions allow the program to
serve more than the required number of meals for which the program has contracted.
Contributions are placed in unmarked envelopes and put into a locked money box.
Daily deposits are made by the staff.
Sample of suggested contribution schedule:
Yearly Income Suggested Contribution
$ 0 - $1,200 $ .10
$1,200 - $2,400 .20
$2,400 - $3,600 .30
$3,600 - $4,800 .45
$4,800 - $6,000 .60
$6,000 - $7,200 .80
$7,200 - $8,400 or more 1.10
B -`f
•
1'HE PROFILE•ON PREFERENCE PRIORITIES IN THE DEFINED SERVICE AREA
rofile the preference for older persons with greatest economic or social
needs in compliance with #1321.109.
Attached find graphs which demonstrate the socio-economic data on participants.
( Attachments)
-/O
NUICES
BAY
CONCENTRATIONS OF CERTIFIED PERSONS BY CENSUS TRACTS
(Corpus Christi only)
Shotflne
PJ:!•!2., •
"::XORPUS CHRIST/
BA Y
-
OM Primary Concentration of Certified Persons
// Secondary Concentration of Certified Persons
Data complied Aua
Oben!" Mold
0
W.Idro,r7-›*4
. 1 , Average Age:
J 68 years, 0 months
- •
Mali
Gender
-u
Female
1
T.
- -
Spanish Anglo
Ethnic Background
•
A Annual
,Mean Income
4' Per
1; Participant
1 $3,320.00
—17
—I -
. . . ..- — . .
2. 2 . 'I r 4 -1-4 • ,
Annual Income in Thousand
nrmumnr,,r nnAlltie
ra
0
cIDr
0
-h
;
ID
rt-
Alone Others
Living Arrangement
mr
n
- II
English
4
Spanish
Only
Languages
AUSTIN MEAL SITE
Bi -Lingual
Eng.+Span
WS"
.r
Average Age: •
_ 72 years, 11 months
Male
Gender
Female
0
m
0
- h
- ▪ 2
-s
-o
in
-7
2
Span sh Anglo
7% --
Alone Others
Ethnic Background Living Arrangement
Annual
Mean Income
Per
Participant -
$2,783.33
1 • 7
q r 1I -4 1 IF
Annual Income in Thousands
iL -1
-1i41-1-1,r-- --A
rnMoncrrr I PAP4IC %
a-
0..
N
0
-
w
r) •
English
Only
-- ---
Spanish
Only
Bi -Lingual
Eng.+Span.
Languages
BANQUETE MEAL SITE
�
Average Age:
72 yeur,,o months .
'-
Male
Gender
Female
r
-
•
7�— 0 ~
Black Spanish Ang o A one . Others
Ethnic Background Living Arrangement
/
[/
| Annual
Mean Income
Per
Participant
$2,055.55
11
r ^| r� �. |!
. ' y :
o
•
English
Only
Spanish
On y
Languages
Annual Income in Thousands BISHOP MEAL SITE
COMPOSITE GRAPHS 9
Bi -Lingual
9i
•
Average Age:
69 years, 10 months
Male
Gender
Female
•
o% -
Spanish Anglo
Ethnic Background Living Arrangement
Alone Others
Annual
Mean Income
Per
Participant
$3,652.17
- ?"IIS
. 4 I 7 -I- - - , ,. �-{-
Annual Income in Thousands
+7
COMPOSITE GRAPHS 10
_
3
ma
0
v-
0 -
I
zr
_r
Languages
FIRST LUTHERAN MEAL SITE
Average Age:
69 years, 5 months
Male
Gender
Female
9�
---- 4v4
B ack Spanish Oriental Anglo
Ethnic Background
=C
Annual
Mean Income .
Per
Participant
$3,062.00
9'
a l-1-1 { -
f- 1 t- —F$- - 11 1 14
Annual
—I -
Annual Income in Thousands
COMPOSITE GRAPHS 11
c
0
0
v
-4
- 4
n
a
✓ t.
N
Id
Go
0
Alone Others
Living Arrangement
1 Pt%
{
1%i
M VI m w cn m w —I
7 V 0-IOl0 c, W f01 O110 I•
7 —• 7 7 • r7. r I.
i. r
'< N. '< N• N 7 N -{- 7 Jo
S 3 -0 l0 = 40 7
sv c Ni. c c0
7 0) W7
• —. - y
Languages
GREENWOOD CENTER
0
Average Age:
_71 years 4 months
1
=t3_yx
ale Female
Gender
-1-
-s.1-
COMPOSITE
xt-
��=Hi-= F=:xa
Spanish Anglo American
Indian
Ethnic Background
Annual
Mean Income
Per
Participant
$4,209.64
0
0
m
B■Cu■CC■C.Ciui ■0 ■
iii:i::i
0
Average Age: -
- 72 years, 3 months
•
Male
Gender
L
Female
- - - - .171
ndian Black Spanish Anglo
Ethnic Background
Annual
Mean Income
Per
Participant
$2,101.77
f _L 1Z -. ' .��LL
Annual Income in Thousands
-1-
COMPOSITE GRAPHS 13
Alone Others
Living Arrangement
_x_
English
Only.
1
3
Spanish
Only
Lanugages
ROBSTOWN CENTER
Bi -Lingual
Eng.+Spa¢
Average Age:
• .' 68 years, 0 months
so
Male
Gender
Female
•
•
Hz
S. COo
7 -
w
n
0 ec• 7
r*
9
Ethnic Background
Annual
Mean Income
Per
Participant
$2,587.50
Z=kJ it
Annual Income in Thousands
--
•ib
COMPOSITE GRAPHS 14
Q•
1
0
7
i
n
v
•
Y$
Alone Others
Living Arrangement
English Bi -Lingual
Only Eng.+Span.
Languages
WASHINGTON CENTER
Quin -
Lingual '
Average Age:
73 years, 1 month
Male Female
Gender
•
3
2
6
Black Anglo Spanish
Ethn'c Background
Annual
- Mean Income
Per
Participant
$2,875.00
s ?i -r# .1 0
Annual Income in Thousands
Alone Others
Liv'ng Arrangement
69:
CO to m CO V/ •w • %
O170 0 W IC N 10 I'
7 7 7 --, r 7 -I I-
N t< N N 7 N N 7
- S - SIO 7' 7-!O
+a +a
J
(1 `II.
- 1't_'L- 'rl _L0 --
COMPOSITE GRAPHS 15
Languages
WAYSIDE MEAL SITE
-S
0
w -
=
Average Age:
71 years, 8 months
_7 • "
- •
3
Male
CD
0•
0
-S
cytn
131
Female Indian Spanish Anglo
Gender Ethnic Background
•
11 -
English Bi -Lingual Bi -Lingual
Eng.+Span. English -E# )
Spanish
•EELanguages
4 7 - - • - 14. ir -1 0
Annual Income in Thousands WOODLAWN MEAL SITE
- Annual
Mean Income
Per
• Part'cipant
$3,253.09
a
o-
=
o •
--- -
Alone Others
Living Arrangement
7
12
7g.
COMPOSITE GRAPHS 16
Average Age:
71 years, 4 monihs
'
Male
Gender
Female
���
�
American Spanish
zox'an
. Ethnic Background
Annual
Mean Income
Per
Participant
$2,567.57
-
•
-• •^�/ •��
^ |� � �� ' i|*��Annual Income in Thousands
f
fD�
-5
0
�
131
cr
°
--
_
COMPOSITE GRAPHS 17
A one Others
Living Arrangements
'
~
MI CO
CO 1
tO
Languages
ZAVALA MEAL SITE
'7' ICI
14
CO
r
Average Age:
_78 years, 0 months
•
3
Male
Gender
Female
36
N 4 -
9
Sp
Black Spanish Anglo
Ethnic Background
- s1
• Annual
Mean Income
Per
Participant
. $2,646.55
• ( - 1 7 -!-a r.
Annual Income in Thousands
COMPOSITE GRAPHS 18
Alone Others
Living Arrangement
ix
English Spanish
Only Only
Languages
OUTREACH COMPONENT
(Home Delivered Meals)
_AgriJK
Bi -Lingual
Eng.+Span.
THE PROFILE. ON OTHER REQUIREMENTS IN THE DEFINED SERVICE AREA
Profile compliance with -
1.
Licensure and safety requirements, #1321.105.
Art
2. Maintenance of non-federal support for services #1321.113.
3. Advisory role of older persons to service providers #1321.115.
Senior Community Services complies with state and local safety and health require-
ments. All facilities are inspected on a regular basis by safety and health offi-
cials.
The eity of Corpus Christi provides the local match for the program. The match
requirement is 10%, the City has consistently overmatched in recent years.
Senior Community Services has had an Advisory Council for several years. The
Council is composed primarily of older persons. (See B-2 (4) for listing) The
Council meets monthly at the Lindale Senior Canter, on the first Thursday, at
3:00 p.m. Proposals, budgets and policy changes are reviewed and recommended,
or not recommended, for approval.
Site Councils, composed of participants at the meal sites, are active at each
of the centers and meal sites. Members provide input into the daily operation
of their individual centers/meal sites.
8-1/
THE PLAN'OF OPERp.TION•FOR SERVICE DELIVERY OF CONGREGATE NUTRITION SERVICES
('-1
Profile the compliance with 111321.141, 145, 147 and indicade
1. Meals - (number, type, 5 days a week except) - list holidays.
2. Menu
3. Meals to be prepared.
4. Meals to be delivered.
5. Other specifics on Congregate Meals, food stamps etc.
1. Meals - The program is contracted to serve 718 meals daily. Congregate sites
receive 617 meals, homebound recipients receive 101 meals. The meals are hot
and balanced to provide one-third (1/3) of the minimum daily requirement of
essential vitamins.
The meals are served five (5) days a week, 52 weeks a year except for New
Year's Day, Memorial Day, -Fourth of July, Labor Day, Thanskgiving Day and
Christmas Day.
Participants are advised that food stamps are accepted as contributions for
the meal.
All meals are prepared from a central kitchen and delivered by Transit vans to
six (6) Corpus Christi centers. Robstown cooks its own meals from the auxiliary
kitchen in Robstown, Texas. Meals•to Bishop Meal Site in Bishop, Texas, and
Banquete Meal Site in Banquete, Texas, are catered. The Community Action Cor-
poration of Soutb_Texas CCACOST) prepares meals for Banquete in Alice, Texas,
and for Bishop in Kingsville, Texas.
Attached are sample menus for one six week cycle.
.4
(6 Attachments)
8 -12-
MENU FOR JULY 28-31 and August 1, 1980
MONDAY
Pork and Cabbage Casserole 1 - 6 oz scoop of Casserole
Baked Beans in Tomato Sauce 1 - 4 oz scoop beans '
Whole Wheat Bread 1 - slice bread
Margarine 1 - pat margarine
Plums 2 - Plums
Milk 1 - k pt milk
TUESDAY
Carne Guisada 1 - 6 oz scoop Carne Guisada
Pinto Beans 1 - 4 oz scoop Beans
Toss Salad 1 - 4 oz scoop salad
Whole Wheat Bread 1 - slice bread
Margarine 1 - pat margarine
Applesauce 1 - 4 oz scoop applesauce
Milk • 1 - '-q pt milk
WEDNESDAY
Chicken Fry Steak w/Creamed Gravy 1 - portion steak w/ 1 - 2 oz -scoop gravy
Mashed Potatoes _ 1 - 4 oz scoop Potatoes
' Succatash 1 - 4 oz scoop Succatash
Plain Roll 1 - plain roll
Margarine 1 - pat margarine
' Pears w/Grated Cheese 1 - pear half w/ 2oz cheese
Milk 1 - k pt milk
THURSDAY
' Turkey Salad on Lettuce Leaf 1 - 4 oz scoop Turkey Salad on lettuce leaf
Tomato Wedges 1 - 4 oz scoop tomatoes
Spicy Peach Mold 1 - 4 oz scoop Peach mold
Whole Wheat Bread - 1 - slice bread
Margarine 1 - pat margarine
Pineapple Oatmeal Dessert 1 - 4 oz scoop dessert
Milk 1 - k pt milk
FRIDAY
Lasagna 1 - portion Lasagna
Seasoned Green Beans 1 - 4 oz scoop Beans
Toss Salad 1 - 4 oz scoop Salad
French Bread 1 - slice bread
Margarine 1 - pat margarine
Mixed fruit w/coconut 1 = 4 oz scoop mixed fruit
Milk 1 - k pt milk
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MENU FOR JULY 28-31 and August 1, 1980
MONDAY
Pork and Cabbage Casserole
Baked Beans in Tomato Sauce
Whole Wheat Bread
Margarine
Plums
Milk
TUESDAY
Carne Guisada
Pinto Beans
Toss Salad
Whole Wheat Bread
Margarine
Applesauce
Milk -
WEDNESDAY
Chicken Fry Steak w/Creamed Gravy
Mashed Potatoes
Succatash
Plain Roll
Margarine
Pears w/Grated Cheese
Milk
THURSDAY
Turkey Salad on Lettuce Leaf
Tomato Wedges
Spicy Peach Mold
Whole Wheat Bread
Margarine
Pineapple Oatmeal Dessert
Milk
FRIDAY
Lasagna
Seasoned Green Beans
Toss Salad
French Bread
Margarine
Mixed fruit w/coconut
Milk
SPICES & INGREDIENTS
MEAT: Fresh pork,cabbage,canned tomatoes,
fresh bell peppers,garlic & cumin powder,pepper,
flour,water. BEANS:Canned beans,onions,
catsup,prepared mustard. FRUIT: Plums
MEAT:Beef stew meat,comino,canned tomatoes,
garlic powder,tomato paste,fresh bell peppers
& onions,flour,black pepper. BEANS: Dry beans,
bacon,water. SALAD: Lettuce,tomatoes,ready
to serve dressing. APPLESAUCE: Canned apple
sauce.
MEAT:Beef cutlet,oil,flour. GRAVY:Flour,milk,
margarine,chicken base,black pepper. POTATO:
Instant potatoes,butter,black pepper. VEGETABLE:
Frozen succatash. DESSERT:Canned pears,processed
cheese.
TURKEY:Turkey roll,cooked eggs,mayonnaise,
celery,pimento,pickle relish. TOMATOES:Fresh
tomatoes. PEACH MOLD:Canned peaches,cinnamon,
orange gelatin,whole cloves,vinegar,water.
DESSERT:Canned pineapple, sugar,cornstarch,
vanilla,shortening,brown sugar,flour,rolled oats,
baking soda.
LASAGNA:Ground beef & pork, lasagna noodles,
tomato paste,onions,garlic,oregano,black pepper,
basil,mozzarella and parmessan cheese,cottage
cheese,water. BEANS:Canned beans,bacon,butter.
SALAD: Lettuce,carrots,tomatoes,ready to serve
dressing. DESSERT:Pineapple,peaches,pears w/
coconut.
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MENUS for August 4th
thru August 8th; 1980
MONDAY
Burritos w/Chili 1
Spanish Rice 1
Lettuce & Tomatoes w/mayonnaise 1
Saltine crackers 1
Margarine 1
Pineapple -Lemon Dessert w/Fresh Cherriesl
Milk 1
TUESDAY
BBQ Chicken
Potato Salad
Pinto Beans
Plain Roll
Margarine
Plum
Milk
WEDNESDAY
Diced Pork Salad on Lettuce Leaf
English Peas,Cheese &.Egg Salad
Tomato Aspic
Whole Wheat Bread
Margarine
Peanut Butter Chocolate Cake
Milk
THURSDAY
Quiche Loraine (Baked Eggs w/Bacon)
Broccoli Spears
Mixed Vegetable Salad
Saltine crackers
Margarine
Peach Shortcake
Milk
FRIDAY
Hamburger on Bun
Shoestring potatoes,.
Hamburger salad '
Cabbage,carrot & Raisin Salad
Vanilla Pudding w/Cherries
Milk
PORTIONS
- Burrito w/ 1 - 2 oz ladle chili
- 4 oz scoop Rice
- 4 oz scoop Lettuce & Tomatoes
- pkg crackers
- pat margarine
- 4 oz scoop dessert
- ki pt milk
1 breast; or 1 short thigh; or 1 wing & 1 leg.
1 - 4 oz scoop Potato Salad
1 - 4 oz scoop Pinto Beans
1 - Roll
1 - pat margarine
2 - plums
1 - k pt milk
1 - 4 oz scoop Pork salad on 1 lettuce leaf
1 - 4 oz scoop Salad
1 - 4 oz scoop Tomato Aspic
1 - slice bread
1 - pat margarine
1 - portion cake
1 - pt milk
1 - portion Quiche Loraine
1 - 4 oz scoop Broccoli
1 - 4 oz scoop Salad
1 - pkg crackers
1 - pat margarine
1 - portion cake
1 - pt milk
1 - pattie meat on 1 bun to make hamburger
1 - 2 oz scoop shoestring potatoes,
1 lettuce leaf; 2 slices tomato;pickles & onions
1 - 4 oz scoop salad
1 - 4 oz scoop dessert
1 - k pt milk
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
(
MENUS for August 4th
MONDAY
Burritos w/Chili
Spanish Rice
Lettuce & Tomatoes w/mayonnaise
Saltine crackers
Margarine
Pineapple -Lemon Dessert w/Fresh
Milk
TUESDAY
BBQ Chicken
Potato Salad
Pinto Beans
Plain Roll
Margarine
Plum
Milk
WEDNESDAY
Diced Pork Salad on Lettuce Leaf
English Peas,Cheese & Egg Salad
Tomato Aspic
Whole Wheat Bread
Margarine
Peanut Butter Chocolate Cake
Milk
thru August 8th, 1980
SPICES & INGREDIENTS
Meat: Purchased burrito. Ground meat,chili
powder, tomato paste,onions,garlic powder,
flour, comino,paprika,black pepper,water.
RICE:Rice,canned tomatoes,bell peppers, deyh
onions,comino,garlic & chili powder.SALAD:
Cherries Fresh lettuce & tomatoes. DESSERT: Pineapple,
pistachio pudding,marshmellows,whipped topping.
THURSDAY
Quiche Loraine (Baked Eggs w/Bacon)
Broccoli Spears
Mixed Vegetable Salad
Saltine crackers
Margarine
Peach Shortcake
Milk •
FRIDAY
Hamburger on Bun
Shoestring potatoes,catsup,mustard &
Salad Dressing
Cabbage,carrot & Raisin Salad
Vanilla Pudding w/Cherries
Milk
CHICKEN:Fresh fryers,BBQ sauce. POTATO SALAD:
Instant potato,boiled eggs,pimentos,celery,
pickle relish,may:,nn,ise,mustard. BEANS:Dry
beans,bacon,water. FRUIT: Fresh plum
Pork Salad: Canned pork,celery,cook eggs,
olives with pimentos,onions,lemon juice, lettuce,
black pepper. SALAD: Canned peas,cheddar
cheese,boiled eggs,black pepper,may:.nn ise.'
TOMATO ASPIC:Tomato sauce,lemon gelatin,
vinegar,onion,tabasco sauce,cloves,celery,
water,mayonnaise. CAKE:Flour,sugar,coco, dry
milk,baking powder,baking soda, shortening,
eggs,vanilla,peanut butter,salt,water.
Quiche Loraine: Eggs,bacon bits,canned milk,
cheese,pie crust. VEG:Frozen broccoli.SALAD:
Canned.mixed vegetables,mayonneise. CRACKERS:
Purchased crackers. CAKE: Flour,sugar,eggs,
dry milk,shortening,baking powder,salt,vanilla,
water, canned peaches.
HAMBURGER: Meat pattie,purchased bun, lettuce,
mustard,tomato,pickles & onions, cateup,
Purchased shoestring potatoes. SALAD: Cabbage,
carrots,raisins,lemon juice,mayonneise.
DESSERT: Canned pudding with c':erries.
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MONDAY
MENUS FOR AUGUST llth thru 15th, 1980
PORTIONS
Spagetti w/Meat Sauce 1 - 4 oz scoop spagetti
Green Beans 1 - 6 oz scoop Meat Sauce
Lettuce Wedge w/1000 Island Dressing 1 - 4 oz scoop Green Beans
French Bread 1 - slice bread
Margarine 1 - pat margarine
Pears w/Grated Cheese 1 - 4 oz scoop dessert
Milk 1 - k pt milk
1 - 4 oz lettuce w/dressing
TUESDAY
Liver and Onions /Gravy 1 - portion liver with onions/gravy
Blackeyed Peas [[�� • 1 - 4 oz scoop peas •
Yellow Hominy/�C 1 - 4 oz scoop hominy
Whole Wheat Bread 1 - slice bread ,
Margarine 1 - pat margarine
Red Jello w/Peaches 1 -4 oz scoop dessert
Milk 1 - pt milk
WEDNESDAY
King Ranch Chicken 1 - 6 oz scoop chicken
Zucchini Squash 1 - 4 oz scoop squash
Whole Wheat Bread 1 - slice bread
Margarine 1 - pat margarine
Cantaloupe 1 - portion cantaloupe
Milk 1 - kZ pt milk
THURSDAY
Tuna Cakes
Lima Beans
Carrots in Mustard Sauce
Crackers
Margarine
Prune -Pineapple Dessert
Milk
FRIDAY .
Creole Turkey Gumbo
Buttered Corn
Whole Wheat Bread
Margarine
Rosy Applesauce
Milk
2 - Tuna Cakes
1 - 4 oz scoop beans
1 - 4 oz scoop carrots
1 - pkg crackers
1 - pat margarine
1 - 4 oz scoop dessert
1 - k pt milk
1 - 6 oz scoop gumbo
1 - 4 oz scoop corn
1 - slice bread
1 - pat margarine
1 - 4 oz scoop applesauce
1 - z pt milk
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MENUS FOR AUGUST llth thru 15th, 1980
• _4JNDAY
Spagetti w/Meat Sauce
Green Beans
Lettuce Wedge w/1000 Island Dressing
French Bread
Margarine
Pears w/Grated Cheese
Milk
TUESDAY
Liver and Onions/Gravy
Blackeyed Peas
Yellow Hominoy
Whole Wheat Bread
Margarine
Red Jello w/Peaches
Milk
WEDNESDAY
King Ranch Chicken
Zucchini Squash
Whole Wheat Bread
Margarine
Cantaloupe
I4ilk
THURSDAY
Tuna Cakes
Lima Beans
Carrots in Mustard Sauce
Crackers
Margarine
Prune -Pineapple Dessert
Milk
FRIDAY
Creole Turkey Gumbo
Buttered Corn
Whole Wheat Bread
Margarine
Rosy Applesauce
Milk
SPICES & INGREDIENTS
Spaghetti & Sauce: Ground beef, deyh celery,
onions,bell pepper,chili powder, garlic powder,
comino,canned tomatoes,tomato paste,cheese,
regular spagetti,margarine. GREEN BEANS:Canned
beans,bacon,onions. Salad:Lettuce with ready to
serve dressing. Dessert:Canned pears,cheddar
cheese.
MEAT: Beef liver,flour,oil & pepper,onions.
Gravy:Beef base,onions,flour,butter,gravy
color,black pepper. PEAS:Canned blackeyed peas,
bacon,pepper. HOMINOY:Canned hominoy,butter,
pepper. DESSERT:Strawberry jello,canned peaches.
CHICKEN: Canned chicken,tortillas,cheese,
mushroom suoup,onions,canned tomatoes,
jalapeno peppers. SQUASH: Zucchini,onions,
butter,pepper. FRUIT: Cantaloupe.
TUNA CAKES: Tuna fish,onions,eggs,catsup,
shortening,mashed potatoes,dry bread crumbs.
BEANS: Canned Limas,bacon,onion;pepper.CARROTS:'
Canned carrots,prepared mustard,brown sugar,
butter. DESSERT:Canned prunes & pineapple,
marshmellows,whipped topping.
GUMBO:Turkey roll,frozen okra,dehyd onions,
garlic powder,dehy green pepper & celery,flour,
butter,black pepper,parsley. CORN.Canned corn,
butter,pepper. APPLESAUCE:Canned applesauce,
strawberry gelatin,water.
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MONDAY
MENUS FOR AUGUST 18th thru 22nd, 1980
PORTIONS
'Swiss- Steak w/Onions & Gravy 1 - Portion Beef Cutlet
Scalloped Potatoes 1 - 4 oz scoop potatoes
Okra and Tomatoes 1 - 4 oz scoop Okra and Tomatoes
Whole Wheat Bread 1 - slice bread
Margarine 1 - pat margarine
Pears 2 - Pear Halves or 1 - 4 oz scoop Diced
Milk 1 - 1 pt milk
TUESDAY
Beef Open Face Sandwich 1 - 4 oz scoop meat on 1 piece bread
Seasoned Green Beans 1 - 4 oz scoop beans
Cucumber & Onion Salad w/Tomatoes 1 - 4 oz scoop Cucumbers and onions
Margarine 1 - pat margarine
Peach Cobbler 1 - 4 oz scoop cobbler
Milk 1 - 1 pt milk
WEDNESDAY
Carne Guisada
Pinto Beans
Toss Salad
Saltines
Margarine
Pineapple Upside Down Cake
Milk
THURSDAY
Oven Fried Chicken
Mashed Potatoes
Vegetable Medley
Plain Roll
Margarine
Fruit in Season
Milk '
FRIDAY
BBQ Pork on Bun
Baked Beans
Cabbage -carrot slaw, Vinegar Dressing
Jellied Applesauce w/Topping
Milk
1 - 6 oz scoop meat
1 - 4 oz scoop beans
1 - 4 oz scoop salad
1 - pkd crackers
1 - pat margarine
1 - portion cake
1 - 1 pt milk
1 breast; or 1 thigh; or 1 wing & 1 leg.
1 - 4 oz scoop potatoes
1 - 4 oz scoop vegetable medley
1 - roll
1 - pat margarine
1 - fresh fruit
1-1ptmilk
1 - 4 oz scoop meat on bun.'
1 - 4 oz scoop beans
1 - 4 oz scoop salad
1 - 4 oz scoop dessert
1 -1 pt milk
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MONDAY
MENUS FOR AUGUST 18th thru 22nd, 1980
SPICES & INGREDIENTS
SWISS: Steak /Onions & Gravy
Scalloped Potatoes
Okra and Tomatoes
Whole Wheat Bread
Margarine
Pears
Milk
TUESDAY
Beef cutlet,flour,oil,water,onions,pepper.
Gravy: Beef base,onions,flour,butter,black
pepper,gravy color. POTATOES: Fresh potatoes,
butter,flour,milk,onion.OKRA & TOMATOES:
Frozen okra,canned tomatoes,onions,garlic,
black pepper, DESSERT: Canned pears.
Beef Open Face Sandwich - - BEEF SANDWICH: Canned beef,gravey,bread.
Seasoned Green Beans Beef base,onions,flour,butter,black pepper.
Cucumber & Onion Salad w/Tomatoes BEANS: Canned beans,bacon,pepper,butter.
Margarine SALAD: Cucumbers,onions,tomatoes,vinegar.
Peach Cobbler pepper. DESSERT: Canned peaches,sugar,salt,
Milk cornstarch,lemon juice,oatmeal,butter,
cinnamon.
WEDNESDAY
Carne Guisada MEAT: Beef stew meat, comino,canned tomatoes,
Pinto Beans garlic powder, tomato paste, fresh bell peppers
Toss Salad onions, flour,black pepper. BEANS:Dry beans,
Saltines onions,bacon,water. SALAD:Lettuce,tomatoes,
Margarine carrots,ready to serve dressing. CAKE:Canned
Pineapple Upside Down Cake pineapple,flour,butter,dry milk,shortening,
Milk eggs,vanilla,baking powder,brown sugar,salt.
THURSDAY
Oven Fried Chicken
Mashed Potatoes
Vegetable Medley
Plain Roll
Margarine
Fruit in Season
Milk •
FRIDAY
BBQ Pork on Bun
Baked Beans
Cabbage -carrot slaw, Vinegar Dressing
Jellied Applesauce w/Topping
Milk
CHICKEN: Fresh chicken,flour,cornmeal,
black pepper, oregano. POTATOES:Instant
potatoes,milk,butter,black pepper.Vegetable
Medley: Frozen peas, carrots,cauliflowe'r &
asparagus, butter,cornstarch. DESSERT:Fruit
in season
BBQ Pork on Bun: Canned pork, BBQ sauce,
purchased bun. BEANS:Canned beans,catsup,
prepared mustard,onions. SALAD:Cabbage,
carrots,pepper,vinegar and sugar. DESSERT:
Canned applesauceGelatin,applesauce,celery,
,pineapple tidbits, dry topping,water.
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MONDAY
f
MENUS FOR AUGUST 25th thru AUG 29, 1980
PORT IONS
2 - slices bread & 1-4 oz scoop chicken
1 - 4 oz scoop potato salad
1 - 4 oz scoop salad
1 - 4 oz cup tomato juice
1 - 4 oz scoop peaches
1 - k pt milk
Chicken Salad Sandwich
Potato Salad
Cabbage -Carrot -Raisin Salad
Tomato Juice
Canned Peaches
Milk
TUESDAY
Calabasa con Puero 2 - 4 oz scoop calabasa con puero
Pinto Beans 1 - 4 oz scoop beans
Lettuce Salad/Italian Dressing 1 - 4 oz scoop salad
Cornbread 1 - portion cornbread
Margarine 1 - pat margarine
Fresh Pear 1 - Pear
Milk 1 - k pt milk
WEDNESDAY
Polish Sausage 1 - Sausage
Blackeyed Peas 1 - 4 oz scoop blackeyed peas
Cabbage Salad 1 - 4 oz scoop salad
Whole Wheat Bread 1 - slice bread
Margarine 1 - pat margarine
Rosy Applesauce 1 - 4 oz scoop applesauce
Milk 1 - k pt milk
THURSDAY
Roast Turkey w/Gravy
Orange Sweet Potatoes
Corn & Green Beans
Whole Wheat Bread
Margarine
Cranberry Crunch
Milk
FRIDAY
Beef Strogonoff
Egg Noodles
Seasoned Broccoli
French Bread
Margarine
Tapioca Pudding
Milk
1 - slice turkey & 2 oz ladle gravy
1 - 4 oz scoop sweet potatoes
1 - 4 oz scoop corn &'green beans
1 - slice bread
1 - pat margarine
1 -portion
1 - 'k pt milk
1 - 8 oz scoop beef strogonoff over 4 oz noodles
1 - 4 oz scoop broccoli
1 - slice bread
1 - pat margarine
1 - 4 oz scoop pudding
1 - i pt milk
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MENUS
MONDAY
(-
•
FOR AUGUST 25th
Chicken Salad Sandwich
Potato Salad
Cabbage -Carrot -Raisin Salad
Tomato Juice
Canned Peaches
Milk
TUESDAY
Calabasa con Puerco
Pinto Beans
Lettuce Salad/Italian Dressing
Cornbread
Margarine
Fresh Pear
Milk
WEDNESDAY
Polish Sausage
Blackeyed Peas
Cabbage Salad
Whole Wheat Bread
Margarine
Rosy Applesauce
Milk
THURSDAY
Roast Turkey w/Gravy
Orange Sweet Potatoes
Corn & Green Beans
Whole Wheat Bread
Margarine
Cranberry Crunch
Milk
FRIDAY '
Beef Strogonoff
Egg'Noodles
Seasoned Broccoli
French Bread
Margarine
Tapioca Pudding
Milk
thru AUG 29, 1980
SPICES & INGREDIENTS
SANDWICH:Canned chicken,celery,cooked eggs,
pickle relish,mayonnaise,pimentos,black pepper.
POTATO SALAD: Instant potatoes,boiled eggs,
pimentos,pickle relish,mayonnaise,celery,
mustard. SALAD:Cabbage,carrots,raisins,lemon
juice, mayonnaise. DESSERT:Canned peaches.
JUICE:Canned tomato juice.
MEAT:Mexican squash,canned pork,corn,onions,
tomatoes, bell pepper,black pepper. BEANS:
Dry pintos,bacon,onion. SALAD:Lettuce w/ready
to serve dressing. CORNBREAD:Cornmeai,flour,
milk,eggs,butter,baking powder,shortening.
DESSERT:Fresh Pear.
SAUSAGE: Sausage,BBQ Sauce. PEAS:Canned blackeyes
bacon,black pepper. SALAD:Cabbage,fresh green
onions & tomatoes,mayonnaise,mustard,vinegar,
sugar,salt pork. DESSERT:Canned applesauce,
strawberry gelatin,water.
TURKEY & GRAVY: Turkey rolls, Gizzards & livers,
boiled eggs,chicken stock & base food coloring,
flour,water. POTATOES: Canned sweet potatoes,
canned orange juice,cornstarch,sugar,brown sugar,
butter. VEGETABLE:Canned corn & green beans,
butter,pepper. DESSERT: Canned cranberries,
rolled oats, dry milk,flour,light brown sugar,
butter, cinnamon, salt.
MEAT:Canned beef, canned tomatoes,dehyd celery &
onions,worchestershire sauce, bay leaf, flour,
mushrooms & liquid + water,Sour cream. NOODLES:
Purchased egg noodles. BROCCOLI:Frozen broccoli,
butter,pepper. DESSERT: Ready to serve Tapioca.
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
1•MEALS ARE NOT TOTALLY SALT.FREE
MENUS FOR SEP 1st thru 5th,,1980
MONDAY
r
PORTIONS
HOLIDAY CLOSED FOR LABOR DAY
TUESDAY
Ham w Raisin Sauce 1 - Slice Ham with 1 - 2 oz ladle sauce
Sweet Potatoes 1 - 4 oz scoop Sweet Potatoes
Buttered Cauliflower 1 - 4 oz scoop Cauliflower
Wheat Bread 1 - slice bread
Margarine 1 - pat margarine
Pineapple Tidbits 1 - 4 oz scoop pineapple
Milk 1 - '%L pt milk
'WEDNESDAY
Sliced Turkey,Salami,Cheese 1 slice each of turkey,salami and cheese
Mustard '1 pk mustard
Perfection Salad on Lettuce 1 - 4 oz scoop salad on lettuce leaf
Wheat Bread 1 - slice bread
Margarine 1 - pat margarine
Tropical Apples 1 - 4 oz scoop tropical apples
Milk 1 - pt milk
THURSDAY
Beef Paprika
Seasoned Corn
Seasoned Okra
Whole Wheat Bread
Margarine
Peanut Butter Balls
Milk
FRIDAY
1 - 6 oz scoop meat
1 - 4 oz scoop corn
1 c 4 oz scoop okra
1.- slice bread
1 - pat margarine
1 - Peanut Butter ball
1 - kZ pt Milk
Chicken & Corn Casserole 1 - 4 oz scoop casserole
Seasoned Collard Greens, 1 - 4 oz scoop greens
B1Dekeyed Peas 1 - 4 oz scoop peas
Biscuit 1 - biscuit
Margarine 1 - pat margarine
Peaches 1 - 4 oz scoop peaches
Milk 1 - 3Z pt milk
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
MENUS FOR SEP 1st thru 5th, 1980
MONDAY
HOLIDAY
TUESDAY
Ham w Raisin Sauce
Sweet Potatoes
Buttered Cauliflower
Wheat Bread
Margarine
Pineapple Tidbits
Milk
WEDNESDAY
Sliced Turkey,Salami,Cheese
Mustard
Perfection Salad on Lettuce
Wheat Bread
Margarine -
Tropical Apples
Milk
THURSDAY
Beef Paprika
Seasoned Corn
Seasoned Okra
Whole Wheat Bread
Margarine
Peanut Butter Balls
Milk
FRIDAY
Chicken & Corn Casserole
Seasoned Collard Greens
Blackeyed Peas
Biscuit
Margarine
Peaches
Milk
SPICES & INGREDIENTS
CLOSED FOR LABOR DAY
HAM & SAUCE:Baked ham; Raisins,cornstarch,
sugar. Potato:Canned sweetpotato,butter.
Cauliflower: Frozen cauliflower,butter.
Dessert:Canned pineapples.
COLD CUTS: Turkey roll,salami,cheese.
Purchased mustard.SALAD: Lime gelatin,water,
vinegar,lemon juice,satt,sugar, fresh cabbage,
celery,& green peppers,pimintos and paprika.
DESSERT: Canned sliced apples,sugar,flour,
butter,orange juice,yellow food coloring.
BEEF PAPRIKA:Canned beef,fresh onion,garlic,
catsup, worchestershire sauce,brown sugar, dry
mustard,paprika,cayene pepper,water,noodles,
flour. CORN: Canned corn,butter,pepper. OKRA:
Frozen okra;butter. DESSERT: Peanut butter,
peanut granules,sugar,flour,butter,milk,salt,
coconut,oatmeal,vanilla.
MEAT:Canned chicken,canned corn,cheese,butter,
pimientos,flour,salt & pepper,minced onions,
GREENS: Canned collards,bacon. PEAS: Canned
blackeyed peas,bacon,pepper. BISCUIT:Flour,
dry milk,shortening,baking powder,salt.
DESSERT: Canned peaches.
MENUS ARE SUBJECT TO CHANGE DEPENDING ON AVAILABILITY OF FOOD
MEALS ARE NOT TOTALLY SALT FREE
9E PLAN OF OPERATION FOR SERVICE DELIVERY OF OCNGREGATE NUTRITION SERVICES
Explain how you will comply with 1,11321.144(a)
"The Area Agency on Aging may award nutrition services funds received under
this part to provide meals and other nutrition services."
1. Outreach
2. Nutrition Education
3. Assessment of needs
Outreach - Covered in Part 1 , Page B-8
Nutrition Education - The staff nutritionist is responsible for development of a
Nutrition Education Program. Each month a nutrition education program is pre-
sented at a center or meal site. In the next year she will be developing a
weight watchers program at specific centers.
Assessment of Needs -
An apprppriate sampling of participants will be involved in a survey to
ascertain the adequacy of their nutritional intake. The results of the
survey will be incorporated in the nutritionist's planning and for the
participants' nutrition education program.
a -/3
._Tr AN OE. OPERATION'FOR SERVICE DELIVERY OF HOME DELIVERED NUTRITION SERVICES C-2
.11
Ex plain,according to #1321.141 (b) 2, and 1421.145(b), your plan of opera-
tion for home delivered meals.
1. The assessment of needs.
2. The criteria for priorities and preference.
3. The manner of delivery, etc.
4. The arrangement for service in weather related emergencies.
5. Other specifics on Home Delivered Meals.
The assessment of needs is done by a specially trained Outreach Worker. The
primary source of information concerning the needs of the applicant is the
applicant himself. This is done by asking the applicant to state his/her
needs in his/her own words. The resulting data is placed in the "Presenting
Problem" of the Senior Community Services Need Evaluation Form. If the needs
stated are found to be appropriate and the applicant's environment is "one -
of -need" (no family to come and help, no spouse to help with cooking, etc.),
then the criteria for priorities and preference are utilized.
In an effort to objectify and make consistent the use of a needs assessment
tool, three -categories of impairment and 13 to 17 questions within each
category were created. Each of the 44 questions is rated from 1 (no impairment)
to 4 (total impairment). Therefore, each applicant will have a needs evaluation
score of anywhere between 44 to 176. The scores are ranked and those with top
priority and preference are then placed on home delivery meal routes.
The assessments and priorities control are done on the attached form (see
"Directions for Home Delivery Need Evaluation Form" and "Home Delivery Need
Evaluation Form").
3 The meals are delivered by City Transit, with the Nutrition Program assuming
the cost of the delivery.
4. During weather related emergencies, homebound recipients will be evacuated .
& from their homes if necessary. Shelters equipped to handle the elderly,
5. handicapped or ill usually provide meals to the people at the shelter. In
extremely bad weather, i.e., hurricanes, meals are not delivered until the
weather has improved.
(2 Attachments)
DIRECTIONS FOR HOME DELIVERY NEED EVALUATION FORM
General Points
1) Interview to be in an informal conversational style.
2) Family members shouldnot be allowed to answer for participants.
3) Reduce the opinion variables to the most minimal point possible.
The three categories of impairment are taken directly from paragraph 2.a.iii.
of the eligibility guidelines.
I. Physical Impairment.' '
1. Hospitalization or Extended Care Facility. Rationale: If physical
health is problematic enough that hospitalization is periodically
required, then we consider it a physical impairment.
2. Eyesight. Rationale: The lack of visual ability creates many secon-
dary problems for participants.
a. Can you read a newspaper, your Bible, other books?
b. Do you watch T.V.?
c. Do you know your corrected vision strength?
d. Do your glasses help you?
3. Hearing. Rationale: The lack of auditory abilities creates primary
and secondary problems for participants.
a. Do you wear a hearing aid?
b. Can you hear me all right?
c. Do you listen to radio, phonograph?
4. Speech: Rationale: 'The loss of speech because of a disorder (such as
a stroke) can create intense secondary problems.
Caution: Interviewer must be aware of cultural and dialectic
pattern differences which are generally not considered
as a speech impediment.
5. Illness. (In this case illness can be defined as a handicap)
Rationale: The loss of mobility, dexterity, or a particular skill is
considered an impairment.
a. Does your illness interfere with your daily acitivites?
6. Medicines.
a. Do you know what your medicines are for?
' b. Have you ever taken too much by accident?
c. Are you able to open the containers?
d. Do you find the timing confusing?
7. Exercise. Rationale: The loss of the ability for intentional exer-
cise is perceived as an impairment for a participant.
a. Do you now, or have you ever had an exercise period?
b. Has anything (physical) interferred with your exercising?
ATTAcHMENT +.
8. Walking. (Mobility in the home, walking to stores, etc.)
a. Do you use a cane or walker?
b. Can you climb steps or stairs?
c. Do you use a wheelchair?
d. Can you walk to the store or shops?
9. Health. Rationale: It is believed that the participants are able
to reflect their own general physical status.
a. Do you rate your own physical status as:
1) Good, 2) Fair, 3) Poor, 4) Very poor?
10. Loss of Leg(s).
11. Loss of Arms(s).
12. Loss of Foot/Feet.
13. Loss of Eye(s).
10, 11, 12 and 13 can be asked at the
same time. Loss includes either the
actual'physicalldss or the'lOts"of use
of the particular appendage(s).
II. Social Impairments.
General Rationale: These items are meant to determine an individual's
ability and opportunity to interact with others on a social plane.
14. Phone:
a. Do you have a phone?
b. How often do you use the phone?
c. Do you have any problems with people on the phone?
15. Money. Rationale: Utilizing our currency base is seen as an impor-
tant social skill.
a. Do you pay your own bills? (Possible abuse of a participant's
financial resources by other persons can be checked here.)
b. Do you have any particular troubles with checks, checking
accounts, money handling (making change, etc.)?
16. Bathing. Rationale: The success of social intercourse can be de
pendent on cleanliness and the lack of intense body odor.
a. Do you have bathing facilities?
b. Are you able to utilize the bathing facilities?
17. Grooming.
a. Do you have any particular problems caring for your hair?
(Washing, shaving, haircuts, cleaning your teeth, etc.)
18. Clothing.
a. Are you able to buy and repair your own clothing?
b. Do you have problems with dry cleaning or washing your clothes?
•
19. Home Tasks.
a. Do you have any particular problems with household tasks?
20. Conversation.
Will be rated by interviewer during needs assessment meetings.
The standards will be the interviewer's own experiences concern-
ing average conversational ability.
21. Transportation.
a. Do you have and use your own transportation?
b. Do you have any particular problems with transportation?
22. Family Activities.
Does the family live close?
23. Housing Conditions.
Interviewer's own observation, be specific -- no opinions.
24. Outside Activities.
Non -family, non -group.
25. Regular Visits, Internal:
Those visits received from outside.
26. Regular Visits, External.
Those visits made to others.
27. Group memberships. .
Clubs or organizations
4=0, 3=1, 2=2, 1=3
III.Mental Impairments.
General Rationale: The staff is aware of the role of emotional support
in the prevention of mental disorder through the reinforcement of per-
ceived self-esteem and reduction of anxiety and hostility. The outreach
worker will be active in the secondary prevention of mental disorder
only in the form of recognition and referral. Any form of secondary
treatment is strictly forbidden. The outreach worker will also be con-
cerned with primary and tertiary prevention.
Primary - Education, consultation and counseling of community
leaders such as legislators, social agency workers,
ministers, etc.
Secondary - Therapeutic treatment.
Tertiary'- Community -wide effort aimed at reducing the rate of
defective functioning induced by mental disorder.
•
28. Affect. Appropriate affect can be defined as reasonable level of
facial and gesticular intensity.
a. Flat affect - no smiles, no frowns, no matter what. A mono-
tone voice: Generally no gesticulation.
b. Inappropriate affect - expressions of joy when you normally
should be sad.
29. Modd Swing.
a. The rapid periodical changes in emotional content.
b. Rapid changes in intense emotions.
c. Moods that are inappropriate for thought content.
30. Hostility. Overt verbal or physical acts of aggression.
a.
b.
c.
Threatening gestures.
Non -elicited verbal abuse.
Actual physical striking.
31. Anxiety. Free floating - intens4 long-lasting, subjective feelings of
discomfort.
a.
b.
Are you nervous for long periods of time?
Does your nervousness interfere with your daily activities?
(Note: Other than coming to the center.)
32. Grandiose - Inappropriate statements of power'and importance.
33. Erotic. Stated ideas of sexual molestation, physical sexual acting
out or general preoccupation with sexual -activity. - (Caution: Many _-
times this may actually be true.)
a. Extreme statements: "All the men in the neighborhood. . "
b. Overt sexual gestures to the interviewer.
34. Paranoid. Stated persecutory thoughts which seem not to be affected
by experiential logic. (Caution: Many times may actually be the case.)
35. Memory. Loss of the ability to retain information in the long-term
memory.
a. What did you do last Christmas?
b. Repeat four' digits backwards.
36. Fears: Exaggerated and/or specific fears focused on one particular
entity or obstruction.
37. Orientation. The ability to understand and to verbalize person, place,
and time.
a. What is your name?
b. What year is this?
38. Blocked Thinking. Suddenly interrupted thought as evidenced through
verbalization. I must tell you, I . . ." Unable to continue without
difficulty.
39. Logorrhea. Excessive, endless, trivial talk.
40. Despondent. Impoverished thought and inadequate intensity.
a. Crying.
b. Statement of severe disappointment.
c. Inappropriate or flat expression of anger.
41. Sleep: Manifested insomnia.
a. Have you been sleeping soundly?
42. Crisis: Severe situational disorder in participant's environment.
43. Concentration. The lack of ability to maintain attention.
44. Obsession. Recurrent thoughts that involuntarily intrude upon thought.
We will also include compulsive behavior in this category.
a. Ritualistic behavior.
b. Inappropriate, repetitive acts.
' HOME DELIVERY NEED EVALUATION FORM
Date of evaluation or reevaluation
Ilst
2nd
3rd 4th 5th
6th 17th
7
Name of Participant (Last, First, Middle)
(Date of Birth
AddreeG
Phone No.
Center Number:
Directions to Home:
Presenting Problem (Briefly describe the circumstances that brought the seniors case
to the attention of S.C.S.) -
Source of Referral • -
Source of Interview Data
Name of Senior's Physician
1
Phone No.
Name of Guardian or Managing Conservator
Phone No.
Name of Person to be notified in case of emergency -Phone
No.
Medications
Purpose of Medications
Dosage
1
FrrrAsi-tMeur fin
—PrgE 13 i f
Unless otherwise noted: •+
No impairment or self-sufficient
Slight impairment o; some. assistance. .
Severe impairment or much assistance needed
Total impairment or completely dependent
I. Physical Impairments
1. No. of days requiring Dat
hospitalization in Evalua
of
past six months. (1=0,
2=3, 3=10, 4=11+)
2. Eyesight - with aid
3. Hearing - with aid
4. Speech ----
5. Does illness interfere
with normal activities
6. Assistance required in
taking medication
7. Regular exercise
8. Walking
9. Rates own health
10. Loss of leg(s)
11. Loss of arm(s)
13. Loss of eye(s)
il-.-
•RRRRUR
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12. Loss of foot/or feet
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II. Social Impairments
14. Use of phone
15. Handle money 16. Bathing ---
17. Grooming
18. Clothing
19. Home tasks
20. Conversation —
21. Transportation ----------
22. Family activities —
23. Housing condition -------
24. Outside activities —
25. Regular visits internal --
26. Regular visits external ---
27. Group memberships
III. Mental Impairments
28. Affect
29. Mood swing
30. Hostility
31. Anxiety
32. Grandiose
33. Erotic
34. Paranoid
35. Memory —
36. Fears 37. Orientation
38. Blocked thinking
39. Logorrhea
40. Despondent
41. Sleep
42. Crisis
43. Concentration
44. Obsessive
Pertinent criteria:
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Additional data: