Orange County NC Website
<br />donated by Carol Woods to reduce the upfit expense and the paint was paid for by the <br />Friends of the Senior Center. <br />Policies and Programming <br />The state standards for certification provide developing centers a blueprint for the types of <br />policies they need. The Central Orange Adult Day Health Center went above and beyond <br />these standards by creating policies that will deliver care which promotes independence <br />and self-care, maintains a participants' health and well-being and improves their quality of <br />life. The policies were formed with the input of social workers, physical therapists, <br />occupational therapists, nurses, and others with experience in the field of geriatrics and <br />adult day services. (Policies available) <br />The programming components, consisting of social, therapeutic and educational activities, <br />were developed with the cooperation of students dedicated to providing innovative and <br />progressive engagement of older adults. These were students and interns in such fields as <br />occupational therapy, nursing, and social work. <br />Staffing <br />Collaboration was key to establishing the highly qualified staff at the center. The <br />Department on Aging has contracted with the UNC School of Nursing who will provide a <br />Registered Nurse (RN) who can also supervise nursing students, giving them more <br />exposure and experience with the older adult population. The Department also has <br />contracted with Home Health Solutions, who will provide a nurse's assistant responsible <br />for the personal and health care needs required by some participants. Staffing <br />agreements with both agencies were signed, and all staff were hired and trained in <br />December, 2002. <br />Certification Process <br />With renovations, furnishings, policies and staffing in place, the center was due for its <br />certification process. This extensive process involved inspections by the County's Fire <br />Marshal, Building Inspections Division, and the State's Division of Environmental Health. <br />The Department of Social Services also designated an adult day specialist who conducts <br />an initial review of all the materials that make up the certification package (which contains <br />over 80 pages of documents). The Department of Health also reviews the health care <br />component of the center. When the package passed the county requirements, it was sent <br />to the State Division of Aging and a state inspector reviewed the package and the physical <br />environment itself, right down to measuring the square footage available to participants. <br />After extensive state program review and further modifications, the N.C. Division of Aging <br />issued a state adult day care operators license in March, 2003. <br />