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How to Fulfill the Adult Foster Home Floor Plans Oregon 2012 2018 Form in the Folliwng Steps on the Computer?

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Adult Foster Home Floor Plans Oregon 2012 2018 Form : Personalize, Finish and download

>> Sreenivasan: THERE ARE ABOUT.12 MILLION AMERICANS WHO DEPEND.ON SOME FORM OF LONG TERM CARE..THAT CAN RANGE FROM NURSING.HOMES TO ASSISTED LIVING..AS BABY BOOMERS AGE, THE DEMAND.FOR LONG-TERM CARE IN THE U.S..IS EXPECTED TO OUTPACE SUPPLY.AND FUNDING WITHIN A DECADE..THERE IS NO ONE WAY TO MEET THAT.NEED, AND STATES ARE LOOKING AT.A PATCHWORK OF SOLUTIONS..ONE APPROACH IS ADULT FOSTER.CARE..SPECIAL CORRESPONDENT JOANNE.ELGART JENNINGS REPORTS FROM.OREGON..ADULT FOSTER CARES HAVE BEEN.AROUND THERE FOR MORE THAN 40.YEARS IN THE STATE..THIS STORY IS PART OF OUR.ONGOING SERIES ABOUT POVERTY AND.OPPORTUNITY IN AMERICA: \"CHASING.THE DREAM.\".>> Reporter: WHEN STEVE LARRENCE.WANTS TO VISIT HIS ELDERLY.MOTHER, IT'S A SHORT WALK TO HER.CARE FACILITY..IT LOOKS LIKE MOST OF THE OTHER.HOMES IN THIS SUBURBAN PORTLAND.NEIGHBORHOOD..>> HI MOTHER..>> HI..>> HOW ARE YOU DOING?.>> I'M DOING WELL..>> MOTHER WAS A VERY ACTIVE.PERSON..SHE WAS ONE OF THOSE KIND OF.PEOPLE JUST GO, GO, GO, GO, GO,.GO, GO..>> Reporter: BUT AT 99-YEARS-.OLD, MARJORIE LARRENCE IS NOW.PARTLY BLIND..AND AFTER SUFFERING MANY FALLS,.SHE CAN'T WALK ANYMORE..>> HOW'S YOUR LEG DOING?.>> IT'S DOING WELL..>> NO PAIN TODAY?.>> NO..>> Reporter: 13 YEARS AGO, WHEN.LARRENCE REALIZED HIS MOTHER.COULD NO LONGER LIVE ON HER OWN,.HE DIDN'T WANT TO PUT HER IN A.LARGE NURSING HOME..>> I WANTED ADULT FOSTER CARE.BECAUSE I'D SEEN THE ADVANTAGES.OF THE INDIVIDUAL CARE YOU GET.HERE AND HAVING YOUR OWN ROOM..YOU DON'T FEEL LIKE YOU'RE IN AN.INSTITUTION, YOU FEEL LIKE.YOU'RE LIVING WITH A FAMILY..>> THERE YOU GO..>> Reporter: THAT'S BECAUSE.MARJORIE LARRENCE IS LIVING WITH.A FAMILY..IN THIS CASE, IT'S CARMEL.DURANO'S FAMILY, IN CARMEL.DURANO'S HOME..>> WHAT WE DO FOR YOU EVERY DAY..>> Reporter: I THINK A LOT OF.PEOPLE HEAR THE WORD FOSTER.CARE, THEY THINK OF KIDS BEING.TAKEN FROM THEIR FAMILIES AND.PLACED IN HOMES..WHAT DOES IT MEAN IN THIS.CONTEXT?.>> THE RESIDENTS ARE PLACED IN.YOUR HOME OR THEY CHOOSE YOUR.HOME TO LIVE LIKE A NORMAL, YOU.KNOW, IT'S LIKE A NORMAL HOME..I THINK YOU FOSTER A HOME-LIKE.ATMOSPHERE FOR THEM, COMPARED TO.LIVING IN ASSISTED LIVING OR A.NURSING HOME..>> Reporter: FIVE ELDERLY.RESIDENTS LIVE IN THIS ADULT.FOSTER HOME..THAT'S THE MAXIMUM ALLOWED UNDER.OREGON LAW..AS WITH TRADITIONAL NURSING.HOMES, RESIDENTS HERE RECEIVE.24-HOUR CARE AND CAN ACCESS A.RANGE OF SERVICES FROM PREPARED.MEALS TO ASSISTANCE WITH HYGIENE.TO PHYSICAL AND EMOTIONAL.SUPPORT..>> HOW ARE YOU FEELING TODAY?.>> Reporter: FOR THOSE WHO.REQUIRE IN HOME MEDICAL CARE, A.NURSE OR DOCTOR IS CALLED IN..MEDICAID, MEDICARE, OR PRIVATE.INSURANCE MOST OFTEN COVERS THE.EXPENSE..THE COST OF ADULT FOSTER CARE.RANGES FROM ABOUT $3,500 TO.$5,000 A MONTH..AGAIN, THOSE ON MEDICAID ARE.COVERED..IN ANY CASE, IT'S ABOUT HALF THE.AVERAGE COST OF A BED IN A.NURSING HOME IN OREGON..CARMEL DURANO HAD JUST EMIGRATED.FROM THE PHILIPPINES WHEN SHE.FIRST OPENED HER HOME TO ELDERLY.RESIDENTS 27 YEARS AGO..>> IN THE PHILIPPINES, OUR.GRANDPARENTS ARE ALWAYS AROUND.US..IT SEEMS LIKE THE.GRANDCHILDREN'S LIVES CAN CENTER.AROUND THE GRANDPARENTS WHO WERE.EXPECTED TO LOVE THEM AND.RESPECT THEM..>> Reporter: IT WAS A NATURAL.FIT FOR DURANO..SHE WAS ABLE TO RAISE HER.CHILDREN AND RUN A BUSINESS.CARING FOR ELDERLY PEOPLE, ALL.UNDER THE SAME ROOF..>> I HAD THREE SMALL BOYS THEN.AND I FIGURED, YOU KNOW, INSTEAD.OF WORKING OUTSIDE I CAN DO THE.ELDERLIES AND MY OWN FAMILY AT.THE SAME TIME..>> Reporter: DURANO'S SISTER,.WHO RUNS ANOTHER ADULT CARE HOME.IN THE NEIGHBORHOOD FREQUENTLY.VISITS..AND THEIR 78-YEAR-OLD-MOTHER.LIVES HERE TOO..DURANO'S KIDS HAVE SINCE.GRADUATED COLLEGE..BUT SHE WILL ALLOW EMPLOYEES TO.BRING THEIR CHILDREN TO WORK ON.OCCASION..PAULA CARDER, A RESEARCHER AT.PORTLAND STATE UNIVERSITY'S.INSTITUTE ON AGING, HAS BEEN.STUDYING OREGON'S ADULT FOSTER.CARE SYSTEM FOR THREE YEARS..SHE'S IMPRESSED WITH THE QUALITY.OF CARE THAT'S DELIVERED AT A.COST LOWER THAN OTHER ELDER CARE.SETTINGS..>> THE FOLKS WHO LIVE IN ADULT.FOSTER HOMES IN MANY WAYS LOOK.MORE LIKE PEOPLE LIVING IN WHAT.WE CALL MEMORY CARE UNITS..THEY'RE CARING FOR PEOPLE WHO.HAVE SIMILAR KINDS OF NEEDS IN.TERMS OF ASSISTANCE WITH EATING,.ASSISTANCE WITH USING THE.BATHROOM, MOBILITY, AND STAYING.IN THE RESIDENCES UNTIL THEY.DIE..>> Reporter: AND WHY IS THAT.IMPORTANT?.>> THAT'S IMPORTANT TO ME.BECAUSE SOMETIMES PEOPLE WORRY.THAT ADULT CARE HOMES CAN'T.PROVIDE A HIGH LEVEL OF CARE TO.PEOPLE WITH MULTIPLE CHRONIC.ILLNESSES AND DISABILITY AND.DEMENTIA AND THE EVIDENCE SHOWS.THAT THEY CAN, AND THEY DO, AND.THEY CHARGE MUCH LESS..>> Reporter: IN OREGON, ADULT.FOSTER CARE IS REGULATED BY THE.STATE'S DEPARTMENT OF HUMAN.SERVICES OR D.H.S., THE SAME.AGENCY THAT REGULATES OTHER.ELDER CARE FACILITIES LIKE.ASSISTED LIVING..LICENSEES MUST MEET SEVERAL.REQUIREMENTS INCLUDING LIVING ON.SITE OR PROVIDING A QUALIFIED.RESIDENT MANAGER, PASSING A.BACKGROUND CHECK, HAVING A HOME.THAT MEETS STRUCTURAL AND SAFETY.REQUIREMENTS, COMPLETING A.TRAINING COURSE, PASSING AN.EXAM, AND BEING RECERTIFIED EACH.YEAR..CARDER SAYS REGULATION IS KEY TO.ADULT FOSTER CARE AS IT IS WITH.ALL ELDERLY CARE..>> AND IT SETS UP AN EXPECTATION.AND PROFESSIONALIZATION OF THE.OPERATORS WHEN YOU LICENSE AND.REGULATE IT..IT GIVES CONSUMERS AND THEIR.FAMILIES, YOU KNOW, A PEACE OF.MIND TO KNOW THAT IT'S BEING.OVERSEEN..IT ALLOWS THE STATE TO PROVIDE.TECHNICAL ASSISTANCE AND IF.NEEDED, SANCTIONS AGAINST ADULT.FOSTER CARE OPERATORS WHO ARE.NOT DOING A GOOD JOB..>> Reporter: NOT DOING A GOOD.JOB CAN INCLUDE NEGLECT, OR EVEN.ABUSE OF ELDERLY CLIENTS..ACCORDING TO OREGON'S D.H.S.,.EVERY YEAR THERE ARE ABOUT 1,000.CASES OF ELDER ABUSE IN ALL.LONG-TERM SETTINGS..AND THE AGENCY SAYS THE RATE OF.ABUSE HOVERS AT ABOUT 3% FOR ALL.CARE FACILITIES INCLUDING ADULT.FOSTER HOMES..INSPECTORS NORMALLY DROP IN.UNANNOUNCED AT LEAST ONCE A.YEAR..>> HI, HOW ARE YOU?.>> Reporter: THIS PARTICULAR.INSPECTION AT ANOTHER ADULT.FOSTER HOME WAS ANNOUNCED IN.ADVANCE SO WE COULD GET.PERMISSION TO FILM..INSPECTOR KENDAHL BATISTE-BALL.STARTS WITH A REVIEW OF.PAPERWORK, AND AN AUDIT OF.MEDICATIONS..>> THE MEDICATION AUDIT USUALLY.COMES FIRST BECAUSE WE REALLY.WANT TO MAKE SURE THAT MEDS ARE.SAFE AND BEING ADMINISTERED AS.PRESCRIBED, THAT THERE'S.DOCTOR'S ORDERS IN PLACE, AND.THAT ALL THE MEDICATIONS ARE IN.HAND..>> Reporter: NEXT, BATISTE-BALL.LOOKS FOR ANY POTENTIAL SAFETY.HAZARDS..>> I'M JUST GLANCING FOR.EXTENSION CORDS OR NON SURGE.PROTECTED MULTI-PLUG ADAPTORS..OKAY, YOU LOOK GOOD..MAKE SURE YOUR TOILET FLUSHES..YOU HAVE VENTILATION..>> Reporter: AND FINALLY, SHE.INTERVIEWS RESIDENTS TO SEE IF.THEY HAVE ANY COMPLAINTS..PAT, WHO JUST GAVE US HER FIRST.NAME, CAN'T REMEMBER HOW MANY.YEARS SHE'S LIVED HERE, BUT SHE.SAYS IT'S BEEN A FEW..>> I'M NOT HERE BECAUSE I CHOSE.TO BE HERE..I'M HERE BECAUSE I WAS PUT HERE..>> I AM SORRY THAT'S YOUR.SITUATION, BUT FOR WHAT IT IS,.THIS ISN'T A BAD SITUATION..I JUST WANT TO MAKE SURE YOU'RE.NOT BEING ABUSED..>> OH NO..NOTHING LIKE THAT..>> AND THAT YOU'RE GETTING ALL.YOUR NEEDS MET AND YOU'RE.GETTING FOOD..YEAH..YEAH, GOOD..NO COMPLAINTS AT THIS POINT..>> Reporter: SOMETIMES, OF.COURSE, THERE ARE ACCUSATIONS OR.INSTANCES OF NEGLECT OR ABUSE..>> THERE IS TIMES WHEN THERE ARE.REALLY UNSAFE PRACTICES.HAPPENING IN THE HOME AND WE.HAVE TO RESPOND ACCORDINGLY..>> Reporter: IF AN INSPECTOR.WERE TO COME ACROSS ONE, SHE.WOULD REFER IT TO A STATE OR.COUNTY INVESTIGATOR, DEPENDING.ON WHERE IT OCCURRED..BY CHANCE, SEVERAL WEEKS AFTER.WE VISITED CARMEL DURANO'S ADULT.FOSTER HOME, ONE OF HER.RESIDENTS ALLEGED BEING LEFT.LYING ON THE FLOOR AFTER A FALL.AND FILED A COMPLAINT..FOLLOWING A THREE-MONTH-LONG.INVESTIGATION, OREGON'S.DEPARTMENT OF HUMAN SERVICES.DETERMINED THAT DURANO'S.FACILITY \"FAILED TO FOLLOW THE.RESIDENT'S CARE PLAN, WHICH IS.CONSIDERED NEGLECT OF CARE AND.CONSTITUTES ABUSE.\".FRED STEELE IS OREGON'S.OMBUDSMAN FOR LONG TERM CARE..HIS JOB IS TO BE A WATCHDOG AND.INDEPENDENT ADVOCATE FOR ALL.ELDER CARE RESIDENTS, REGARDLESS.OF FACILITY..>> PROPER CARE PLANNING IS A.FAIRLY SIMPLE THING FOR.RESIDENTS AND THAT SOMETHING.SIMPLE AS RECOGNIZING THE.ASSISTANCE THAT THAT RESIDENT.NEEDED AND THAT ASSISTANCE JUST.SIMPLY NOT BEING PROVIDED AND.WHAT I READ AS ALMOST AN.INDIFFERENCE BY THAT CAREGIVER.THAT WAS SUPPOSED TO BE.AVAILABLE..>> Reporter: IN HER DEFENSE,.DURANO SAID IT WAS THE FIRST.SUCH ACCUSATION IN HER 27 YEARS.OF RUNNING HER FACILITY..>> NO INSTANCE HAPPENED BEFORE,.YOU KNOW, WE NEVER HAD AN.INCIDENT LIKE THIS BEFORE..>> Reporter: SHE SAYS MOST.RESIDENTS USE A CALL BUTTON WHEN.THEY NEED HELP..>> IT'S A LOUD NOISE..IT WILL MAKE YOU JUMP OUT OF.YOUR BED AND GET DISORIENTED..IT'S VERY LOUD..>> Reporter: THE DAY OF THE.INCIDENT, DURANO LEFT HER MOTHER.WHO HAD BEEN WORKING WITH HER.FOR 27 YEARS IN CHARGE OF THE.RESIDENTS WHILE SHE WENT OUT..HER MOTHER SAYS SHE DIDN'T HEAR.A CALL BUTTON OR CRIES FOR HELP..>> DURING THE INVESTIGATION THEY.TOLD US THAT SHE CAN'T BE LEFT.ALONE ANYMORE BECAUSE SHE'S.OLDER..SHE'S 78 ALREADY, BUT SHE WAS A.HOME HEALTH CAREGIVER..>> Reporter: DURANO SAYS THE.INCIDENT WAS A WAKEUP CALL FOR.HER AND THAT HER MOTHER IS NO.LONGER PROVIDING CARE..>> IT WAS JUST A TEACHING MOMENT.THAT MAYBE WE NEED TO REASSESS.EVERYTHING..>> Reporter: UNDER NEW.LEADERSHIP, OREGON'S DEPARTMENT.OF HUMAN SERVICES HAS BEEFED UP.ENFORCEMENT OVER THE PAST FIVE.YEARS..ADULT FOSTER HOMES WITH REPEATED.LICENSING VIOLATIONS HAVE BEEN.FORCED TO CLOSE AT A HIGHER RATE.THAN PREVIOUSLY AND AT A HIGHER.RATE THAN OTHER CARE FACILITIES..AS FOR STEVE LARRANCE, WHEN HIS.MOM MARJORIE TURNS 100 IN.SEPTEMBER, SHE'LL HAVE SPENT 14.YEARS IN CARMEL DURANO'S CARE..I ASKED HIM IF HE WAS CONCERNED.ABOUT THE ABUSE CHARGE..LARRANCE SAID HE STILL HAS FULL.FAITH..HE SAID THERE WERE MANY TIMES.HIS MOTHER NEEDED URGENT.ASSISTANCE IN THE MIDDLE OF THE.NIGHT AND SHE WAS, \"ATTENDED TO.QUICKLY.\".HE ADDED THAT SHE ALWAYS FEELS.CARED FOR..

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