FACILITY PROGRAM DESCRIPTIONS
PURPOSE
Villa Victoria and Luxury Vila is a non-medical licensed facility that is open 24 hours a day, 7 days a week and 365 days a year with adequate staffing on duty at all time. It offers a family home for adult persons 18 years to 59 years who can no longer live alone or with family, and to enable each resident to live his/her live as fully as possible.
OUR PHILOSOPHY
Focus on the resident principles of normalization, choice, variety of integrated age-appropriate activities through our highly trained and bilingual employees, along with individual case managers, the Long-Term Care Department staffs and even the residents and their family.
MISSION STATEMENT
To provide accessible, world-class services to individuals affected by mental illness, through culturally proficient mental health rehabilitation programs and staffs.
GOALS
- Our primary goal is emphasizing wholeness, wellness of the individual with mental illness in natural environments, at home, at work, in the community and during leisure time and providing our residents with the highest standard of quality care in our facility.
- The role of our treatment team is to fully inform the residents and motivate them to express personal goal, guide the person through the training and rehabilitation, using behavioral modification techniques. We are committed to exploring needs and barriers in the person's goal attainment. Success is measured by the people's dignity of choice and risk in the process of individual achievements though this dedicated service models included here:
- To make each resident feel at home and become part of a caring family or community and advocates strongly for resident rights, as well as bring about stability for our residents in the community.
- To provide specialized culturally proficient services for all high-risk ethnic groups, to ensure good communication among staffs and clients.
- To provide, quality behavioral care facility for individual with mental illness/disabled adults.
- To teach staff the methods of working with individual with mental illness that will stimulate maximum growth.
- To facilitate sharing of resources between individual with mental illness and talents as well as building their own choices.
- To build trust and partnerships between resident's families and community members to expands and improve social interaction, and opportunities for individual with mental illness.
- To maintain health and well-being, ensuring safety and medication compliance, avoiding frequent relapse through implementation of recreational activities and encouragement of family /community involvement.
GOALS FOR CLIENTS
- Each resident will be stimulated to his/her greatest potential for social, physical, and intellectual activity.
- Residents will be provided with all the services agreed upon in the admission agreement.
- Residents will be trained in accordance with the objectives identified on their individual service/program plan.
Villa Victoria and Luxury Vila OBJECTIVES
- Dedicated to the promotion of wellness (mental, emotional, physical and spiritual), and world-class care services for resident's rehabilitation, which fosters resident's empowerment and independence, dedicated service models include:
- Person-centered services
- Empowerment of the individual
- Positive and valued community presence and participation
- Positive relationships with family, friend and neighbors
- Good quality of life
- Villa Victoria and Luxury Vila Facility will operate co-ed severe deficits of behavioral challenges.
- Villa Victoria and Luxury Vila Facility will develop and train a humane and caring staff. An eight hours orientation will be given to the new staff.
- Villa Victoria and Luxury Vila Facility will speak to at least three community groups per year about behavioral challenges in care facilities.
CLIENT OBJECTIVES
- Client objectives will be specified in their appraisal/needs and service plans and which will be reviewed every six months by the facility team and annually by facility team and caseworker.
POLICY METHODS
- Villa Victoria and Luxury Vila Resident with behavioral challenges, unsafe conditions, inappropriate behavior and any other behavior that is against the facility policies, will be tabled by the Therapeutic treatment team/staffs. A new needs and service plan or individual program plan will be developed and completed by the administrator to assist the residents in ensuring safety at all times.
- Frequent arrangement with case managers, guardians and Relatives will be made promptly and appropriately to Communicate concerns about residents and ways they can assist the facility in ensuring safety of our residents while respecting the privacy of other residents in ours facility.
- Client confidentiality will be observed as required, and no information released without a signed release of information.
- Villa Victoria and Luxury Vila will ensure the rights and welfare of all clients, staffs and follow all CCL regulations.
DISCIPLINE POLICES
DISCIPLINE
- The client shall be disciplined appropriately based on the offence such as verbal redirection, or with holding privilege/s.
NO CORPORAL PUNISHMENT IS ALLOWED IN THE FACILITY. IT IS A VIOLATION OF PERSONAL RIGHT. CORPORAL PUNISHMENT BY A STAFF SHALL LEAD TO IMMEDIATE TERMINATION OF EMPLOYMENT.
ABUSE, NEGLECT AND EXPLOITATION
- Villa Victoria and Luxury Vila philosophy of support and respect, forbids any form of abuse, neglect and exploitation, or any use of corporal punishment. All staff and volunteers are legally, ethically and morally obligated to report immediately any abuse, neglect, exploitation or use of corporal punishment. It is also the responsibility of an employee to intervene to prevent actual abuse by anyone. Failure to do so may subject the individual to disciplinary action.
ALLEGED ABUSE
- Alleged abuse shall be thoroughly investigated to protect everyone's rights. Documentation shall occur as part of this process, indicating measures to be taken to avoid re-occurance.
DISCIPLINARY AND LEGAL ACTION
- Staff will be suspended until investigation is complete. Should allegations be substantiated, employee shall be dismissed and legal action taken if deemed appropriate by the Human Right Committee.
REPORT TO LICENSING
- Abuse should be reported to CCL over the phone within the first twenty-four (24hrs) and within seven days in writing. It should also be reported to the police, ombudsman, and Adult protective services (APS) within the first 24hrs.
PHYSICAL RESTRAINT IS PROHIBITED
CONFIDENTIALITY:
- It is the goal of Villa Victoria and Luxury Vila to maintain the confidentiality of client records in accordance with the rights of the clients as required by law.
Behavior Management
Villa Victoria and Luxury Vila philosophy regarding the use of behavioral interventions recognizes the central importance of these techniques in assisting mentally disabled individuals towards more autonomous and normalized lifestyles. The role of positive reinforcement as a consequence for adaptive behavior development is paramount in our philosophy. Villa Victoria and Luxury Vilais deeply committed to the "Least Restrictive Treatment Model" for the reduction or elimination of maladaptive behavior. The use of positive or neutral measures (e.g. differential reinforcement of incompatible behavior, extinction, stimulus change, and satiation) will be the treatments of choice for dealing with problematic behavior.
- Villa Victoria and Luxury Vila recognizes that each resident has the right to be in the least restrictive environment and that behavior modification may be required to assist a resident in remaining in a community setting. As stipulated in the policy, all appropriate positive reinforcement techniques will be considered for treatments of client in managing maladaptive behavior. Moreover, the staffs are aware of following prohibited aversive interventions:
- Any stimuli, which have the quality of being, have being demeaning or humiliating so as to fall outside the bounds of generally accepted social interaction.
- Corporal or unusual punishment including placement in a locked room, or disciplined by another resident.
- Mental abuse.
- Verbal abuse.
- Prone restraint.
- Denial of an adequate nutritional diet.
- Withholding of monetary allowances.
- Interference of daily functions including eating and sleeping.
- Denial of resident rights guaranteed by state and federal law.
- All incoming residents with existing services needs which includes a behavior management plan will be reviewed by administrator, Psychologist, or Consultant.
PERSONS ACCEPTED FOR CARE
- Persons eighteen (18) to fifty-nine (59) years of age are eligible to apply and reside at Villa Victoria and Luxury Vila.
- Prior to accepting a resident, the administrator will schedule an interview with the applicant and (if applicable) his/her responsible person.
- During the interview, the facility program will be described and a pre-admission appraisal of the applicant will be made.
- The administrator will explore the service needs, medical history, functional capabilities and emergency information of the applicant to complete the admission process.
- Mental health assessment of the client is also done. The client is informed about the community mental health awareness.
ENTRANCE CRITERIA
- Client's admission, treatment, and discharge decisions. Our program is designed for ambulatory clients and to meet the needs of severe deficits behavioral challenge habits of disabled persons.
- Villa Victoria and Luxury Vila shall accept any client with no recent history of suicide or violent behavior in the past five years.
- Admissions are on the basis of the client's needs not on the basis of race, color, religion or national origin.
- Villa Victoria and Luxury Vila shall accept any clients with restricted health conditions like: Diabetes, but not limited to and a licensed professional will be haired to administer the tests and injections or the client will be mentally and physically capable of performing his/her own glucose testing with or urine specimens and administering his/her own medication.
- The licensed professional shall review the performance of the procedures at least twice a month and provide written documentation outlining the procedures as well as providing staff training every six months and diabetes up date to the facility.
- Villa Victoria and Luxury Vila shall accept any clients with diagnosis of mental illness who are registered sex offender only with no recent history within five (5) years old.
Person's ages 18 to 59 years old requiring or needing support and services including ambulatory persons that exhibit diagnosis of mental illness in this following areas: severe deficits in self-help, disruptive and self-injurious behavioral challenges needing care in a supervised 24-hour adult residential setting are considered eligible for program services. Dual diagnosis, Obsessive-Compulsive Disorder, Anxiety Disorders/Generalized Anxiety Disorder Acute Stress Disorder Agoraphobia, Panic Disorder, Posttraumatic Stress, Disorder Separation, Anxiety Disorder, Social Phobia, and Specific Phobia. Mood Disorders: Bipolar I Disorder /Bipolar II Disorder, Cyclothymic Disorder, Dysthymic Disorder, and Major Depressive Disorder.
PERSONALITY DISORDERS
Antisocial Personality Disorder, Avoidant Personality Disorder, Borderline Personality Disorder, Dependent Personality Disorder, Histrionic Personality Disorder, Schizoid Personality Disorder, and Schizotypal Personality Disorder. Narcissistic Personality, Disorder Obsessive-Compulsive Personality Disorder Paranoid Personality Disorder.
PSYCHOTIC DISORDERS
Brief Psychotic Disorder, Delusional Disorder Schizoaffective Disorder, and Schizophrenia Shared Psychotic Disorder.
COMPATIBILITY OF CLIENTS
Resident's functioning and activity levels will be comparable to other clients that reside in similar facilities.
- Complete Interview will be set-up and done with clients and case managers.
- Complete Pre-admission stage of application.
- Review Physical examinations and T.B. clearances.
- Review and complete functional capability and assess physical condition.
- Review all prescribes diet and medications.
- Complete admission agreement with clients and case managers.
- Set-up orientation of facility for clients.
- Review of needs and services to be done within 90 days of Post-admission.
- Based on the entrance criteria stated above, the facility will nsure that clients are carefully screened for admission in such a manner that all clients admitted to the facility have compatible diagnosis.
- This will ensure that all clients are safe and secured at all times.
- The facility will not admit a client who is blind and on a wheelchair along with another client who has history of severe physical aggression toward others.
- The facility will ensure that the placement of one client does not compromise the health and safety of other clients that resides at the facility.
EXIT CRITERIA
- Persons with communicable tuberculosis.
- Persons who require inpatient care in a health facility.
- Persons who have needs in conflict with the other residents.
- Person who requires more care and supervision than the facility can offer and conditions which require 24 hour nursing care or oversight.
- Villa Victoria and Luxury Vila only accepts ambulatory residents. Persons with special needs will be evaluated on an individual basis.
- Persons who are killers.
- Persons who has no mental illness/ persons ages 60 years and over without a waiver from CCL and not limited to this reasons only.
- Villa Victoria and Luxury Vila shall not accept any client who has recent history of suicide or violent behavior in the past five years.
- Villa Victoria and Luxury Vila shall not accept any clients with diagnosis of mental illness who are registered sex offender with recent history within five (5) years old.
PRE-ADMISSION APPRAISAL
If the applicant is accepted, the admission agreement is completed, the resident is given a copy of his/her rights, and the emergency information form is filled out and resident is to sign the personal right form and provide emergency information to them.
Applicant/Case manager is given admission forms package to be completed. Applicant will not be accepted until all the forms are completed and returned.
NEEDS AND SERVICES PLAN
- The clients shall have needs and service plan or individual program plan completed by the administrator/owners of the facility prior to admission.
- The needs and service plan should not be more than one year old. It should be reviewed and developed at least once a year by the administrator/owners of the facility.
If it appears that the applicant has a service need that the general program of Villa Victoria and Luxury Vila does not meet, advice will be sought to determine if there is a way that the needs can be met in this facility. If so, a plan of action to meet that needs will be developed, identifying the providers and setting up an evaluation process.
MEDICAL ASSESSMENT
- Prior to accepting any applicant, a physical exam, including results of a test for communicable tuberculosis, done within the last year, needs to be presented to the administrator.
- This will be evaluated by a licensed physician to determine the applicant's acceptability. If the applicant has a current caregiver, the administrator will attempt to contact her or him to further assess the applicant's acceptability.
- Prior to accepting any applicant, the licensee shall obtain and keep on file documentation of the client's medical assessment, which shall include the following:
- Results of an examination for communicable tuberculosis and other contagious/infectious diseases.
- Identification of the client's special problems and needs.
- Identification of any prescribed medications being taken by the client.
- A determination of the client's ambulatory status.
- Identification of physical limitations.
- Identification of the physician's primary diagnosis and secondary diagnosis if any. And not limited to this.
PERSONAL RIGHTS
All Facilities, Each person receiving services from a community care facility and/or a Residential Care Facility for the adult / elderly shall have rights, which include, but are not limited to, the following:
- To be accorded dignity in his/her personal relationships with staff and other persons.
- To be accorded safe, healthful and comfortable accommodations, furnishings to meet his/her needs. To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with daily living functions, including eating.
- Sleeping, or toiling; or withholding of shelter, clothing, medication or aids to physical functioning.
- To be informed, and to have his/her authorized representative, if any informed by the licensee of the provisions of law regarding complaints including, but not limited to, the address and telephone number of the licensing agency's complaint receiving unit, and of information regarding confidentiality.
- To attend religious services and activities of his/her choice, and to have visits from the spiritual advisor of his/he own choice. Attendance at religious services, ether in or outside the facility, shall be on a completely voluntary basis.
- To leave or depart the facility at any time, except for house rules for the protection of clients of for minors and others for whom legal authority has been established.
- Not to be locked in any room, building, or facility premises by day or night.
- Not to be placed in any restraining devices without advance approval by the licensing agency.
- To visit the facility with his/her relatives of authorized representative prior to admission.
- To have his/her relatives or authorized representative regularly informed by the facility of activities related to care and supervision including but not limited to modifications to needs and services plan.
- To have communications to the facility from his/her relatives or authorized representative answered promptly and completely.
- To be informed of the facility's policy concerning family visits and other communication with clients. This policy shall encourage regular family involvement and provide ample opportunities for family participation in activities at the facility.
- To have visitors, including advocacy representatives, visit privately during waking hours provided such visitations do not infringe upon the right of other clients, unless prohibited by court order or the authorized representative.
- To wear his or her own clothes, to possess and control his/her own cash resources, to possess and use his/her own personal items, including his/her own toilet articles.
- To have access to his/her storage space for private use.
- To have access to telephones, to make and receive confidential calls, provided such calls do not infringe on the rights of other clients and do not restrict availability of telephone in emergencies.
- To mail and receive unopened correspondence unless prohibited by court order or by the authorized representative and for children to have ready access to letter writing materials and stamps.
- To receive assistance in exercising the right to vote.
- To receive or reject medical care or health-related services, except for minors and others for whom legal authority has been established.
- To move from the facility in accordance with the terms of the admission agreement. Reference: California Code of Regulations - General Licensing Regulations, Section 80072, Community Care Facilities; Section 81072, Social Rehab. Facilities; Section 83072, Small Family Homes; Section 84072, Group Homes; Section 85072, Adult Residential Facilities; Section 87072, Foster Family Homes; Section 87572, and Residential Care Facilities for the Elderly.
EXPLANATION: The California Code of Regulations, Title 22 requires that any person admitted to a facility must be advised of his/her personal rights. Facilities are also required to post these signs in areas accessible to the public. Consequently, this form is designed to meet both the needs of persons admitted to facilities and facility owners who are required to post these rights.
The back of this form describes the personal rights to be afforded each person admitted to a facility. The back of this form also provides the complaint procedures for the client/resident and representative/parent/guardian.
This form is to be reviewed, completed and signed by each client and/or representative upon admission to the facility. The client/resident and/or representative also has the right to receive a completed copy of the originally signed form. The original signed copy shall be retained in the client's file which is maintained by the facility.
TO CLIENTS OR AUTHORIZED REPRESENTATIVE
Upon satisfactory and full disclosure of the person right as explained, complete the following acknowledgment:
ACKNOWLEDGMENT: I/We have been personally advised of, and have received a copy of the personal rights contained in the California Code of Regulations, Title 22, at the time of admission.
RIGHTS OF CLIENTS AND FAMILIES
- Either the rights and wishes of clients and their families shall be the first consideration in the release of information, by oral or written means, which could possibly identify clients. The release of any information to unauthorized persons is in violation of the rights of clients, of the law and of the ethical practices of Villa Victoria and Luxury Vila.
Confidentiality Form
- Survey persons, staff, conservators or anyone reviewing client records must sign the assurance of confidentiality form, before having access to the record.
Access to Client Records
- Guardian or conservator, as well as the client shall be permitted access to client record upon written request to the administrator /licensee. Access is defined as the release of specific information and an opportunity to read the record, under the guidelines detailed in the procedure manual.
CLIENT'S RIGHTS PROCEDURES
- On the day of admission, clients will be given a client rights statement as shown in the House Policy Manual and the Admission Agreement.
- Villa Victoria and Luxury Vila staffs will explain these documents to the client, taking into account the client disability in order to facilitate as much understanding as possible.
- Client will be requested to sign document. If the state or staff, administrator, consultant and case manager have determined that the client is incapable of understanding rights and responsibilities, a relative or guardian must be present in order to sign documents.
- Administrator needs to record in the client's records the reasons for determining client is incapable of understanding.
- Client's signature of the client's Right statement and House Policies statement needs to be witnessed (signed) by a third party.
- A copy of the signed client's Right Statement is given to the client, family/guardian. A third copy is placed in the client's file.
Villa Victoria and Luxury Vila
NEIGHBORHOOD COMPLAINTS POLICY
- Villa Victoria and Luxury Vila has a neighborhood complaint policy, which should be followed by every employee upon receipt of any complaint.
- Additionally, Administrator, Licensee and Owner or a person designated by her will be available once a week to meet with residents or learn of problems in the neighborhood.
- The employee receiving the complaint will inform Nelly within 24 hours of receiving the complaint.
- Nelly will be responsible to resolve the complaint as soon as possible.
- Nelly will keep the staff informed of the process at the weekly staff meeting held once a week.
- Nelly agrees to work with the neighborhood to clarify and resolve all complaints/issues. Follow-up will consist of a phone call back to the plaintiff on the outcome of the complaint or incident reported.
- A written reply will be provided when the plaintiff asks for a written response.
- This form will be used at all time to take the neighborhood complaint.