07-006, Live Oak Adult Day Services (2)
EXHIBIT A
PROJECT PROPOSAL COVER SHEET
Name of Applicant: Program Year:
LIVE OAK ADULT DAY SERVICES 2006-2007
Contact Person: Title: Project # (For Office Use OnIYj---
Colleen Hudgen Executive Director
Address: City: State: I Zip Code:
1147 Minnesota Avenue San Jose CA 95125
Telephone number: Fax Number: E-mail Address:
408 971-9363 408 971-9079 liveoak@att~lobal.net
Name of ProjecUProgram:
Senior Adult Day Care/Caregiver Respite
ProjecUProgram Location:
20920 McClellan Road Cupertino, CA 95014
Project Type:
o Single Family o Homeownership o New Construction o Mixed Use
o Multifamily o Rental o Rehabilitation [XJ Public Service
Project Description:
Please describe the project with as many details as possible. Include general information, such
as the number of units, number of Cupertino residents that will be served, services that will be
provided, etc.
The LIVE OAK adult day care center at 20920 McClellan Rd. will serve frail, dependent,
low-income Cupertino seniors with a specialized program of recreation, mental stimulation,
companionship and nutrition. In addition, the same number of family caregivers will have
access to important respite and support services which will enhance their ability to maintain
their senior loved ones living in the home environment. Services will target disabled Cupertino
seniors with mobility and self-care limitations due to chronic a~e-related aisorders whicIi place
them at high risk of social isolation and premature institutionalIzation. Typical conditions of
program seniors include dementia, onset of Alzheimer's, Parkinson's Disease, stroke, cardiovas-
cular disease and severe depression. The majority of senior clients reside in the cities of
Cupertino and Sunnyvale. The day care program is structured to maximize the social experience
of all participants while enhancing overall health through personal attention, mental stimulation,
peer companionship and nutritious meals. Activities include arts and crafts, music, games, pet
therapy, reminiscing, current events, seated exercise, birthday parties, etc. Sliding-scale fees
(0-$52/day) make the program accessible and affordable for low-income and indigent clients.
Families are encouraged to contribute what they can toward the cost of care for their senior
participant, but most can afford only a small portion of the actual cost of service; several clients
attend at no charge. No one is refused enrollment due to inability to pay. Adult day care gives
much-needed respite to caregivers, reducing the stress associated with administering 24-hour
care to dependent elders. Counseling, referrals and Caregiver Support Workshops help families
maintain their dependent senior loved one in the home environment, avoiding the emotional and
financial trauma of institutional placement.
City of Cupertino General Funds will be allocated toward helping five Cupertino low-income
seniors receive adult day care services at a significantly reduced rate of$5/day, and benefiting
their caregivers with respite and support, as well as operating expenses to mamtain
full enrollment, quality services, and adequate staff-to-client ratio at the Cupertino site.
EXHIBIT B
CITY OF CUPERTINO
PROJECT WORK PLAN
FY 2006/2007
AGENCY NAME LIVE OAK ADUL T DAY SERVICES
'DATE PREPARED December 12.2006
PROJECT NAME Adult Day Care/Caregiver Respite
Cupertino Center
Specific Activities
Products or Milestones to be accomplished
(Use Specific Numerical Data When possible)
Benchmarks or Beneficiaries
For Each Quarter
Quantify When Possible
rt rd 3n1 4th TOTAL
Locate appropriate Cupertino seniors.
Enroll six Cupertino low-income seniors
in adult day care program.
Provide social, life-enhancing recreational
program for frail seniors in Cupertino and
respite for their family caregivers.
Provide nutritious meals and snacks to
all senior clients.
Providc referrals to appropriate social
. .
serVIce agencies.
Provide training/educational programs
for agency staff and volunteers.
Incrcase outreach efforts to educate
public about adult day care.
City rj'Cupertino
Complete in-home visits and intake forms.
Six seniors enrolled and participating in
day care program.
Schedule, conduct daily activities, contract
with entertainers & instructors, meet with
caregivers to determine needs for service.
2
1
6
2
ONGOING
Two meals (breakfasts and lunches) plus
snacks served per day to all participants.
Interviews held with client and family
to determine special needs and services.
ONGOING
ONGOING
Staff and volunteers convened to partici-
pate in educational classes, training, etc.
1
1
4
1
Set up booth at Health Fairs, schedule
speaking engagements at corporate and
local businesses, issue press releases for
agency fundraising events. open houses. etc.
2
2
2
2
8
Standard Application for Funding FY 06/07
5
EXHIBIT C
Proposed Implementation Time Schedule
Fiscal Year 20 06 _ 07
AgeIlcy Name: LIVE OAK ADULT DAY SERVICES
Date: December 4. 2006
Project Namc: Senior Adult Day Care/Careqiver Respite
Ct' t
uper lno cen er
-.------- , ......... . Jul ", Aug ISep Oet Nov' Dee Jan Fcb Mar Apr May Jun
S ~ci fie Activit ics
-- I
--1
LOCaEe-appropr ia te Cupertino seniors. Enroll I
I
six low income seniors in day care program. 1 1 1 1 1 1 l
Iprovide social, recreation program for frail
0 N r f"\ T ~ ,..
Cupertino seniors and respite for caregivers.*
\provide nutritious meals (breakfastw & lunches) 0 N G 0 I 1'\ G
& snacks to all senior clients. *
Provide referrals to appropriate social 0 G 0 I "'. r:.
service aaencies. N
Provide training/educational programs for agenc' 1
staff and volunteers. 1 T 1
IIncrease outreach efforts to educate public
labout adult day care. 1 1 1 1 I I 1 1
* Specific numbers per month are dependent upon days of service, number of clients attending program, holidays,
etc.
~.,.,'
~
EXHIBIT D
BUDG~T
For Grant Amount
FY 20~/20~
Agcncy Name: LIVE OAK ADULT DAY SERVICES
Project Namc: Senior Adult Day Care/Caregiver Respite
Cupertlno center
Date Prepared: December 4, 2006
PRO.me
1\p[>
Eng
Arc
Acq
--
ORY BUDGET FOR YEAR I
I
- --
IE.s:
nuc!
cfits
1 assist.-individua's 8.737
, EXPENSE:
It
'phone/Fax
ting
vel
i ties
ce Supplies
age
ipment Maintenance
/Repair
~CT EXPENSES:
oUllting Services
iting Fees
Inmce
is Bacon Compliance
'T CONSTRUCTION:
raisal
ineerillg Services
hitectural/Dcsign
uisitioll
L: 8,737
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