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t! <br />C� <br />• <br />As soon as one resident is admitted, around the clock care must be provided. An LPN will be hired <br />and trained as a supervisor and health/personal care giver. The administrator, social director, and LPN <br />will alternate hours, with at least one present from 7:00 am to 10:00 pmt, seven days a week. The <br />CNA will initially work 10:00 pm to TIDO am shift, staying primarily in the dementia unit but also <br />making rounds in the other sections, with "check in" supervision by the LPN. The night shift <br />employee will have primary responsibility for laundry and cleaning the areas other than occupied <br />resident rooms, except for vacuuming where the noise would be disruptive to residents' sleep. <br />Cooking and kitchen clean up duties will be rotated among staff until a chef is hired. <br />Third Mouth, 9 residents <br />A chef will be hired this month. The chef will develop menus with the administrator, and will order, <br />receive and store groceries. The chef, initially working six days a week, will cook breakfast and lunch <br />(the main meal of the day), wash dishes, clean the kitchen and dining room, and do advance <br />preparation of dinners and lunch for the seventh day. Other staff will finalize and serve dinner, with <br />cleanup by the night shill. The other staff will be responsible for meals one day per week during the <br />chef s day off <br />Fourth Month, 14 residents <br />Two CMAs will be hired to alternate on a 9 pm to 7 am shift. One aide will provide personal care, <br />cleaning and cooking assistance during the day. The night hours will still be used for cleaning and <br />laundry, <br />Fifth Month, IS residents <br />Another LPN will be hired this month for evening work, and a fourth CNA will be added. A Lead <br />CNA will be hired for dementia care. There will still be only one person on duty between 11 pmt and <br />7 am. A full time housekeeper will be hired. A cooly will also be hired to work four ten-hour days. <br />The chef will also have four ten-hour days, with the overlap allowing the chef extra time for ordering <br />and stocking food, altering menus, etc., and providing necessary time off for each of the two <br />employees. <br />Sixth Month, 22 residents <br />Two more aides will be essential, one of whom will be a Lead CTIA for the night shift. There will <br />now be two aides on duty in the facility at all times, along with a nurse each day. Two part time <br />assistant cooks will be hired to assist with lunch each day and to do advance dinner preparation The <br />waintenancefgrounds keeper position will become full time, in order to keep up with increasing <br />needs in the dementia unit. <br />Seventh Month, 26 residents <br />Two additional aides will be hired. Also, a half tiane receptionist will be added for weekend clays <br />and other times when the administrative assistant is out. <br />Eighth Month, M residents <br />There will be thirty residents, so one additional full time aide will be employed. A third full time <br />