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HomeMy WebLinkAboutCOM 0667.035 1998-2000Stephen K. Yamashiro Mayor GRANT APPLICATION FOR: Legal Name of Organization: Mailing Address: Facility /Site Address: Director /Site Manager: Organization President: Contact Person (Grant Writer) Total annual budget of organization: County of 3amaii DEPARTNIENT OF FINANCE 25 Aupunt Street, Room 118 • Hilo, Hawaa 96720 -4252 (808) 961-8234 • Fax (808) 961 -8248 HAWAII COUNTY NONPROFIT GRANTS (FY 2000 -01) HUMAN SERVICES NONPROFIT GRANTS REVIEW COMMITTEE (HSNPGRC) FISCAL YEAR ENDING:June 30, 2001 DATE OF APPLICATION: January 28 , 2000 (Program Tille) Kona Adult Day Center, Inc. Amount of request for County funds: $ 20,000 - Kona Adult Day Center, Inc. P.O. Box 1160. Kealakekua HT 96750 81 -989 Halekii St., Kealakekua, HI 96750 Ken Ono, Executive Director Estela Halverson Ken Ono $ 325,722 Has the applicant applied for any other funds from the County of Hawaii this fiscal year? 0 Yes Source /Department: fiNo Agency /Program(s): 0 Social Services 0 Youth Programs O Elderly Programs Check Category (ies) (.5 Culture and Arts V Education Other / f I 7 6 Comm. mm. o FS /7E 2 1 CA9E-6 /ve/e_ File No. ADM Briefly define the program for which funding is being requested: Phone: 322 -7977 Phone: 322 -7977 Phone: 322 -7977 IT to 5ranreJ ODr lw Harry A. Takahashi Director S. K. Schutte Deputy Ref. To: Se Ref. Date FEB 2 3 2000 Day Care and Day Health encompasses unique services ranging from social and recreational therapy to medical care, therapy and maintenance at the highest level of functioning. The Day Health component is undergoing major expansion this year and will meet the needs of a growing population of people needing health services while continuing to remain at home. Kona Adult Day Care and Day Health program is the only Day Care and Day Health program on Hawaii's west side. 1 I. QUALIFYING STANDARDS FOR APPLICANTS III. • . • • An applicant must meet all of the following standards: Be chartered or otherwise authorized to do business in the State for charitable purposes and exempted from the Federal income tax by the Internal revenue Service. Have a governing board whose members serve without compensation and have no conflict of interest between their regular occupations and the services provided. )0 Have bylaws or policies which describe the manner in which business is conducted, including management, audit, fiscal policies and procedures, policies on nepotism, and policies on management of potential conflict of interest. Have at least one year's experience with the service or activity for which the appropriation is sought or can otherwise demonstrate to the satisfaction of the County sufficient expertise to successfully carry out the service or activity. Be licensed and accredited in accordance with applicable requirements of Federal, State and County laws. II. GRANT CONDITIONS The applicant agrees to comply with the following terms & conditions prior to receiving a grant award. A. Comply with applicable Federal and State laws prohibiting discrimination against any person on the basis of race, color, national origin, religion, creed, sex, age, or handicap. B. Agree not to use any public funds for purposes of entertainment or perquisites. C. Comply with such other requirements as the Director of Finance may prescribe to ensure adherence by the nonprofit organization with Federal, State, and County laws, and established standards for fiscal and program management. D. Allow the Director of Finance, the committees of the council and their staffs, and the Legislative Auditor access to records, reports, files, and other related documents in order that the program, management, and fiscal practices of the nonprofit organization may be monitored and evaluated to assure the proper and effective expenditure of public funds. RECORDS AND REPORTS A. The applicant shall follow generally accepted accounting procedures and practices and shall Maintain books, records, documents, and other evidence, which sufficiently and properly account for the expenditure of County funds. The books, records and documents shall be subject at all reasonable times to inspection, reviews, or audits by the County expending agency, the Director of Finance, and the Legislative Auditor, or by their representatives. B. The County expending agency, Director of Finance, or County Council may request periodic written reports on the use of County funds. C. The nonprofit organization shall submit a final written report to the Legislative Auditor within sixty (60) days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant and a listing of other funding sources and amounts obtained during the award period. 2 IV. OUARTERLY ALLOCATION V. GRIEVANCE PROCEDURE VI. DISCLOSURE OF INFORMATION VII. CONTINUED ELIGIBILITY VIII. ACKNOWLEDGMENT IX. (Legal Name of Organization) • • All information, data, or any other material provided to the County by virtue of this application shall be subject to the Uniform Information Practices Act (UIPA), ch. 92F, Hawaii Revised Statutes. All such material is deemed government record and shall be open to the public and may be provided to other public and/or private funding sources. Under no circumstances shall grant funds be disbursed in a lump sum payment. Grant funds will be disbursed to Grantees only through a quarterly allocation process. The disbursement of grant funds can be formulated on an equal quarterly apportionment basis. The applicant will adopt and maintain a grievance procedure to assure proper accounting for any concerns and complaints about its programs or services that may arise from its members, employees, clients or from other members of the public. Any applicant or recipient who withholds or omits any material facts or deliberately misrepresents such facts to the County of Hawaii shall: I) Immediately be disqualified from consideration for Nonprofit Grant funding; OR 2) be in violation of the terms of the Grant Agreement of County funds in which case a grant agreement can be terminated by the County and the recipient or provider may be liable to reimburse all or a portion of any funds received therein. Kona Adult Day Center, In.c Adult Day Care /Health hereby agrees to administer the (Program Title) in accordance with the regulations, policies and procedures prescribed by the Hawaii County Finance Department. Distribution of grant funds is limited to grantees, which are in compliance with County regulations, policies and procedures. The County reserves the right to withhold grant distributions at any time the grantee is not in compliance. It is the policy of the County of Hawaii and for those who do business with the County to provide equal employment opportunities to all persons regardless of race, physical disabilities, color, religion, sex, age, or national origin as mandated by the Federal Civil Rights Acts, as amended, and any other federal or state laws relating to equal employment opportunities. AMENDMENTS TO THE APPLICATION/EVALUATION The applicant assures that it will submit to the HSNPGRC for prior review and approval, a written request and justification for any changes, additions, or deletions to any portion(s) of the grant application or a duly executed Grant Agreement of County Funds. The applicant will cooperate and assist in any effort undertaken by the HSNPGRC to evaluate, inspect or otherwise monitor the effectiveness, feasibility, and/or cost efficiency of any and all practices, policies and procedures or activities pursuant to this application or any grant designation or allocation received as a result of this application. 3 • • Y. AUTHORITY AND CAPACITY OF APPLICANT The applicant certifies that it has the authority and capacity to develop and submit this application, and to fully administer the program(s) pursuant to this application. UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Signatuje .f PresidendChai . so' Date Signa // , t/t., re o Executive Director/Manager 4 %yt -00 Date F NARRATIVE QUESTIONS • • Kona Adult Day Center, Inc. Hawaii County Human Services Nonprofit Grants FY 2000 — 2001 A. Overview 1. Describe the program for which funding is being requested. Funding is being requested for Adult Day Health services which is described as supportive services provided in a protective setting for part of a day by an organized program for elderly and disabled adults. The basic objective of the program is two -fold: 1) provide an enrichment program for clients through the socio - medical model adult day health program and 2) provide respite from continuous caregiving for primary caregivers and their families. Kona Adult Day Center (KADC) is a community- based, freestanding adult day center, conceived in 1986 and implemented in December 1988, to provide an alternative for caregivers that would enable an impaired family member to remain in the home as long as appropriate. Thus far, the need for respite is greatest among caregivers of persons with Alzheimer's disease or related dementia. Until Kona Adult Day Center opened, there were no community -based adult day services for residents of West Hawaii/Kona. KADC is still the only adult day program in West Hawaii. The community has benefited tremendously by having this long term care alternative available to those in need. The Center provides supervision, protective care, socialization and health monitoring for its participants. The impact of KADC within the community is very positive. Health and social services providers within the long term care network have interfaced with the program, with referrals flowing back and forth between various providers on a routine basis. Physicians who utilize adult day services for their patients have looked upon the program as a necessary health intervention which meets the social, wellness, and functional maintenance needs of their patients. Local physicians agree that their patient load of those aged 60+ is increasing rapidly and that the number of patients diagnosed with Alzheimer's disease and related dementia is intensifying. Needless to say, after eleven years of operation, KADC has made a niche for itself in the community and within the long -term care continuum. The Kona Adult Day Center program is recognized statewide by providers of adult day services as a model of adult day health service provision. Kona Adult Day Center was originally licensed through the Department of Human Services as an adult day care facility. "Day care" is defined as a social model of care, while "day health" is a medical model of adult care. In 1995, after rigorously adapting to State of Hawaii's strict requirements for adult day licensing, KADC was surveyed by the Department of Health and proudly received its adult day health license. The Center is the only freestanding, nonprofit adult day health program in the State of Hawaii. All other day health programs are affiliated with a hospital. 2) What unique or significant service will be provided? At a minimum, KADC's adult day health services shall include the following activities: • Development and continual monitoring of individual service plans which are consistent with medical reports of the adult's health condition and activity limitations. • Provision of leadership, assistance and supervision by staff in the individual's participation in all appropriate program activities. • Provision of leisure, recreational and socialization activities that provides interaction between staff and participants and among participants. 13. Problem /Need • • • Provision of individual or group physical conditioning exercises and simple calisthenics, constructive games or crafts that maximize the individual's physical and mental capabilities, and help to strengthen and improve limb and motor coordination. • Provision of reminders, encouragement and assistance by staff to enable the individual to maintain or to improve personal hygiene, selfcare, and attention to health care needs, including the provision of staff supervision of self - administered oral and non -oral medications. • Provision of counseling by staff to individual and to the individual's family caregivers, if any, to assist in simple decision - making and problemsolving, to resolve adjustment problems, to build upon available family support, and to increase awareness on the part of the individual and/or family caregiver of appropriate social services and health/medical care resources in the community, including the provision of referral services to secure needed services. 3) What specific outcomes are to be achieved? • Participant's hygiene /selfcare will be maintained or improved. • Participant's socialization/interaction skills will be maintained or improved. • Participants and families will express satisfaction with KADC services. • Participants will be maintained at home and within the community for 6 months with adult day health care services. 4) How will the proposed program empower participants /clients to become self - sufficient and facilitate positive social change? KADC participants will empower to become more self - sufficient by constant encouragement and reinforcement of independent care by Center staff. Participant's personal hygiene, socialization skills and general well being will be' improved through attendance of the adult day health program. Positive social change occurs when caregivers are relieved of the burden of full -time caregiving, allowing them to continue with job, family matters and personal goals with the knowledge that their loved ones are cared for in a safe, secure and encouraging environment. 1) What is the problem/need that the proposed program is designed to meet? Adults who attend KADC cannot be adequately cared for in the home setting but are not yet ready for nursing home placements. KADC is dedicated to providing a health, social and recreational program that enables impaired adults to experience feelings of belonging, friendship, accomplishment and independence in a caring and secure social environment. KADC is an essential link in the continuum of long term care within the West Hawaii community. 2) Who is the target population and what are the specific needs? KADC provides services to the impaired adults, 18 years or older, who meet the eligibility requirements for adult day care /day health services. These persons include the frail, vulnerable elderly, and other adults who require protective and/or supervised care in a safe environment. In specific terms, these include the following persons: those with Alzheimer's disease or related dementia disorders, those with physical disabilities, such as stroke or Parkinson's disease, those with mental retardation or other stable chronic Mental conditions, and those requiring socialization and stimulation in order to remain functional and active members of their home and community. 3) What is the geographic area to be served facility and hours of operation? The geographic areas served by KADC include North and South Kona, specifically north to the Kona Palisades area and south to Kealia. The 6,000 square foot facility is located in Kealakekua, across from the Kealakekua post office on Halekii Street. The center is open Monday through Friday from 7:30 a.m. to 5:00 p.m., excluding holidays. C. Collaboration /Coordination 1) What specific measures will be taken to collaborate /coordinate with other commtnity resources to achieve maximum program efficiency and cost effectiveness? KADC coordinates services for older adults through participation in the "Interdisciplinary Team ". Coordinated through the Department of Health Case Management Coordination project, the Interdisciplinary Team meets once per month in the KADC conference room to confidentially discuss "at risk" adults. The Team has many clients in common and works to efficiently and cost effectively improve their lives through coordination of community services. Members of the Team include Public Health Nursing, Services for Seniors, Coordinated Services for the Elderly, West Home Health Services, Winn's Claims, Legal Aid Society Hawaii, Care Resources Hawaii, Veterans Administration, Hospice of Kona, Center for Independent Living, and Kona Adult Day Center. The Team representatives assist clients, and when appropriate their families, with issues of health, social, recreational, financial, adaptive medial equipment, legal and transportation. In August 1998, the KADC Board took the opportunity with the resignation of the Executive Director to reassess KADC's management and clinical structure with the goal of strengthening both elements at a reduced financial cost. KADC entered into an agreement in September 1998 with Kona Health Services to provide an Executive Director (Ken Ono), all clinical nursing services, and a Medical Director, at a savings of approximately $1,100 per month. Robin Seto, M.D., a board certified internist and board certified gerontologist is the Medical Director. 2) How will these measures reduce or eliminate any existing duplication of services to your designated target group? Through the Interdisciplinary Team's collaborative efforts, each client's needs are identified and processed on an individual basis. The Team's case management eliminates any duplication of services or funding. D) Goals and Oblectives: 1) What are the major goals/benchmarks of the proposed program? The Kona Adult Day Center has established the following program goals and objectives: ** Program Goals for the Individual: a) The client will be able to associate with a place and a group corresponding to his or her own sense of identity. b) The client's maximum level of independence will be assessed and maintained through individual program planning. c) Mentally and physically impaired adults will be maintained at their highest level of functioning, thus preventing or delaying further deterioration. d) Health monitoring as well as protective and supportive care for the frail and disabled adults will be included in care planning and services. e) The participant's knowledge of and access to elderly services available in the community will facilitated. f) Premature or inappropriate institutionalization in a nursing home or a hospital will be prevented. 3 • • g) Socializing, peer interaction, and continued relationships with the community will be ensured. h) Isolation and prejudice often associated will frail and disabled adults will be reduced. ** Program Goals for Families and Other Caregivers: a) Families that desire to keep elderly members in the home will be given relief from full - time care of an impaired older adult. b) Family members will be enabled to continue productive careers instead of being homebound with an elderly, disabled spouse, parent or other family member. c) Families and other caregivers will be assured that elders dependent upon them are being cared for appropriately during the day. ** Program Goals for the West Hawaii Community: a) An integral component of the community service network and of the long -term care continuum will be made available to the West Hawaii community. b) The medical community and other resources statewide will be provided a liaison in the area of geriatrics, especially Alzheimer's disease and other related disorders. 2) What specific objectives/ action steps are planned for each goal? During initial assessment of each participant, an individual plan of care is developed. This plan of care, approved by the client's personal physician is shared with the participant's family and is updated on a six - month basis. The individual plan of care clearly defines the goals planned for the participant. Each individual plan of care will specify how the objectives are to be carried out, who will oversee each objective and will record the results of each step. 4 3) What is the timeline (start and end dates) for each action step? a) Intake and Assessment: The program director and the nursing coordinator receive referrals from various sources (hospital discharge planner, physicians, home health care agencies, Nursing Home Without Walls, Public Health Nursing/Case Management Coordination Project, families, Department of Human Services caseworker, Coordinated Services for the Elderly, and others). b) The intake and assessment processes include ascertaining pertinent information for social and medical assessments, baseline survey for caregiver burden, physician history and physical, determination of appropriateness for day health services, and home, hospital, or office visit with the client and family. c) Assessment needs result with the formulation of a plan of care prior to enrollment. The care plan will include the need to coordinate other agency /community services to meet the identified needs of the client. d) Nursing coordinator must receive TB clearance and history and physical report from client's physician prior to client enrollment. e) After completion of intake paperwork by client, family, physician and appropriate resources, client is admitted to KADC. f) Respite/ Vacation: A client's position may remain open during a period not to exceed ten successive days for vacation, or if the caregiver in need of respite should arrange care for the client at another location. g) Discharge: Discharge is based on the broad goals of the client, family, or referral source and in most cases, will be included in the individual's care plan. When discharge is anticipated or eminent, the nursing coordinator and case manager will implement the discharge plan. Discharges are frequently influenced by a change in the status of the client, in the social/home support system, or in the primary caregiver's ability to continue to provide for the needs of the client. Discharge procedures include, at a minimum: a discharge summary including recommendations for continued care; referrals to community service agencies, care homes, institutions, and the like; and, a follow -up call or letter by the KADC program director on the client's status one month or sooner after discharge. F. Evaluation: 4) What significant client- centered outcome(s) will the program achieve? a) 90% of the participant's hygiene /self care will be maintained or improved; b) 90% of the participant's socialization/interaction skills will be maintained or improved; c) 90% of the participant's families will express satisfaction with Kona Adult Day Center services; d) 90% of the participant's will be maintained at home for a minimum of 6 months with adult day health services. E. Service Delivery: 1) What methodology will be used in the proposed program's delivery of service(s)? Individualized Plan of Care: KADC develops an individualized plan of care for all of its clients. The care plan summarizes findings from: a) Physician History and Physical, b) Nursing Assessment, c) Social Assessment, d) Recreational Assessment, e) other summaries and referral information. The care plan is developed through a case management approach involving the nursing coordinator, the activities director, the program director, other staff members and the participant's family when appropriate. Goal setting and development of objectives form the cornerstone of the care plan development. Services provided within the adult day health center determined to significant in achieving goals and objectives are identified in the care plan, These services often include exercise, attention to toileting routine, assistance with eating, and the like. In addition, clients are evaluated for their functional acuity level which help staff identify clients that require more care and supervision. An applicable goal for all clients is to maintain the highest functional level possible and to prevent premature deterioration. KADC has implemented dual programming, i.e., programming activities that benefit two distinct types of clients: those with cognitive impairments - -- Alzheimer's disease or other related disorders and those with physical impairments. The care plan is tailored for these two broad types of clients, thereby making the experience at KADC more meaningful or appropriate for each client. Individualized Discharge Plan: KADC develops an individualized discharge plan, as all clients enrolled at the Center will be discharged. The reasons for eventual discharge may be identified at the beginning of enrollment, especially if enrollment is for a specified length of time. In all cases, discharge is based on the broad goals of the client, family, or referral source and in most cases, will be included in the individual's care plan. When discharge is anticipated or eminent, the nursing coordinator and the program director will implement the discharge plan. Discharge procedures include at a minimum: a) a discharge summary including recommendations for continued care, b) referrals to community service agencies, care homes, institutions, and the like, and c) a follow -up call or letter from KADC program director or nursing coordinator on the client's status one month or sooner after discharge. 1) What process will be used to evaluate the program and service(s)? Program effectiveness is measured through annual surveys, one specific to caregivers and one specific to referral sources. These surveys describe strengths and weaknesses of the program and assist KADC staff and Board of Directors in preparing future short and long -range goals. The KADC adult day health program is licensed through the Department of Health and undergoes an extensive annual site visit to include facility, program/record keeping, operational, administrative and fiscal review. Quarterly and annual evaluation reports are required by most KADC funding sources, including Department of Human Services, Hawaii Island United Way, Hawaii County, and May Templeton Hopper Foundation. The Standards and Guidelines for Adult Dav Services developed by the National Institute on Adult Day Services, a branch of the National Council on Aging, provides important benchmarks which Kona Adult Day Center has elected to follow. 5 • H. Viability: • • 2) How will this process measure the outcomes specified in Item D, (1-4)? The surveys, site visits and quarterly /annual reports will provide KADC staff, administration and Board of Directors with information to ensure the quality of its program. G. Program Fees: 1) Does your organization charge a membership fee for service participants? There are no "membership" fees for KADC participants. 2) Does the proposed program charge participants a fee for service(s) provided by your organization? a). A participant fee rate sheet is attached. b). Describe how you will ensure that all interested participants the entire fee. 11 be included despite an inability to pay Financial access may include use of available funding sources through the Department of Health, the Department of Human Services, scholarship through the May Templeton Hopper Foundation, scholarship through the Theresa Hughes Foundation, partial or full tuition payment through Services for Seniors, the Salvation Army, The Alzheimer's Association, and most importantly through the KADC Tuition Assistance corporate donation, used as scholarship money for low- income eligible participants. The TAF is overseen by a committee comprised of four members of the KADC Board of Directors and funds approximately $48,000.00 in scholarship money annually. As proven by the number of applicants in the recent year, more scholarship money is needed. This need is reflected in the attached budget. 1) What is your justification or rationale for the expenditure of public funds for the proposed program? Public dollars are saved. By meeting the physical, medical and social needs of older adults, especially those with Alzheimer's disease, Kona Adult Day Center can help prevent acute care costs and nursing home placement. Day health services are a cost - effective, providing care for a frail and dependent age group and providing support and respite for caregivers who can continue with their lives and their jobs, as well. As life expectancy increases, the likelihood of acquiring disability or Alzheimer's disease /related dementias increases significantly. The need for KADC's specialized program will undoubtedly continue. 2) What are your financial and programmatic plans to sustain the proposed program beyond the upcoming fiscal year? KADC Board of Directors and Executive Director will continue to monitor the program finances and quality of service, ensuring that the program will be sustained through the upcoming fiscal year and beyond. I. Budget Please see attached Budget forms. Organizational/Agency Information A. Board of Directors: • • 1) Has the organization's Board of Directors received formal training within the past two (2) fiscal years? Please see attached certification of training from Help for Non - Profits in October 1997. 2) What are the primary roles and responsibilities of your organization's Executive Director? a) Serve as Chief Operations Executive of the organization; b) Serve as Professional Advisor to the Board; c) Recommend appropriate policies for consideration; d) Implement effectively all policies adopted by the Board; e) Inform the Board fully and accurately regarding the program; 0 Interpret the needs of the program and present professional recommendations on all problems and issues considered by the Board; g) Develop a budget (in conjunction with the finance committee) and keep the Board up -to -date on budget; h) Recruit the best personnel and develop a competent staff and supervise it; i) Devote time to improving staff; j) Assist the Board in developing and conducting community information programs; k) Assist the committees of the Board to achieve their objectives, the Executive Director is an ex officio member of the following committees: finance, fund development, and marketing. 3) What are the primary roles and responsibilities of your organization's Board of Directors? a) Set policy, evaluate overall program and set strategic directions for the center. b) Counsel and advise — giving the benefit of its judgement, expertise and familiarity with the local setting; c) Consult with the Executive Director on all matters which the Board is considering; d) Delegate responsibility for all executive functions; e) Refrain from handling administrative details; f) Make all the staff responsible to the Executive Director; g) Share all communication with the Executive Director; h) Provide support to the Executive Director and staff in carrying out their professional duties; i) Support the Executive Director in all decisions and actions consistent with policies of the Board and the standards of the organization; j) Hold the Executive Director accountable for the supervision of the organization; k) Evaluate the work of the Executive Director. Set Standards of Performance for Executive Director. I) Actively take part in the Board committees to assure that the committees achieve their objectives. Clarify role of executive officers vs. general membership. President: a) Presides at all meeting of the corporation and the board of directors; b) Chairs the Executive Committee; 7 • • c) Assures that all policies established by the board of directors and provision of the organization's by- laws are carried out; d) Assures that the treasurer, secretary, committee chairs, executive d and other officers perform their duties and provide timely reports are determined necessary; e) Signs such documents as authorized by the board and/or required by the office; f) Chairs the annual performance review of the executive director; Vice - President: a) Assumes the duties of the president in his/her absence or inability to act; b) Provides oversight and support for a designated committee or group of committees as appointed by the president; c) Chairs major committees and/or activities as appointed by the president; d) Assumes other duties and responsibilities as appointed by the president and/or as authorized by the board. Secretary: a) Assures the accurate and timely preparation of the minutes of all meeting of the corporation and board of directors and signs them; b) Assures the timely distribution of minutes of board meetings to all members of the board of directors; c) Assures the timely and proper notification about meetings of the board of directors to the respective members; d) Maintains a record of attendance at meetings of the board of directors; e) Assures the safekeeping of the official records and documents of the organization, except those covered under the responsibilities of the treasurer; Treasurer: a) Assures the proper receipt and custody of all monies received by the organization in accordance with sound and generally accepted business practices; b) Assures the timely deposit of all payroll withholding as required by law and in accordance with sound and generally accepted business practices and assures the board that such practices are occurring; c) Provides and attests to the accuracy of a financial report to the board of directors at each meeting, clearly reflecting the financial position of the organization including all current and long -term indebtedness, cash position and other such details as are feasible and required; d) Assures that the organization's financial records are externally audited on an annual basis consistent with acceptable standards of accounting; e) Serves as chair of the finance committee. B. Past Performance 1) How effective has your organization/agency been in achieving program goals in the past two fiscal years? Include the following information: a) Quantitative data on numbers served; and b) Qualitative data showing number and % of participants achieving measurable outcomes. Please see attached information sheet titled "Past Performance ". C. Financial: 1) Have your organization's current program operations remained the same as last year? What major program or financial changes will be incurred next year? At KADC we have three levels of participant care: (1) the group with Alzheimer' disease whose functional level is low, (2) the group with physical disabilities whose functional level is limited in range of activity" but whose cognitive level is high, and (3) the group of physically fit and cognitively aware who need • • socialization and stimulating recreational activities. Over the past year our level of participant care and function has changed. Group one and two have increased while group three has decreased. This increase in our lower limited functional group require individualized attention and increased staffing. our supply and equipment needs have changed resulting in higher cost. We plan to continue community outings. The increase in group two will require more specialized transportation. It is our goal to provide quality health and activity program for each of these three groups. 2) What is the status of all of your organization's major contracts or agreements for the coming year (employment agreements, office leases, primary grants revenue /supplier, etc.)? State Department of Human Services, P.O.S.: contract effective through June 30, 1999 Nursing Home Without Walls: effective through June 30, 1999 County of Hawaii: effective through June 30,1999 Services for Seniors' effective while funding available Hawaii Island United Way: funding through December 31.1999 May Templeton Hopper: funding through December 31, 1999 Tuition Assistance Fund: Commitments equaling $24,000 from January — December 1999 Rental agreement with The Queen Emma Foundation: agreement on a year -to -year basis w/ each party able to give one -year notice to quit. Agreement with Kona Health Services, Inc. to provide administrative, clinical nursing, and medical director services, effective September 1, 1998 for three years. 2) How does the proposed program fit into your organization's long range financial plan? The development of the adult day health program is essential to achieving sufficient volume and mix of clients to enable the Center to be self - sufficient on a long term basis. D. Monitoring: 1) During the past two (2) fiscal years, what financial and/or administrative monitoring has your organization received from any and all funding sources? Please see attached list titled "Monitoring ". E. Alcohol, Tobacco, and Drug -Free Workplace policies and Information: 1) How does your organization address alcohol, tobacco, and other drug prevention information dissemination as part of your workplace and/or program environment? Kona Adult Day Center Personnel Policies address the issue of alcohol, tobacco and drugs in the following manner: Policy 606.6 Smoking: To maintain health and pleasant working condition, smoking will not be permitted within the buildings or program offices in which Kona Adult Day Center conducts business. "No Smoking" signs will be visible in all program and common areas. Policy 613.2 Drug Free Work Place: It is impossible for any staff member to efficiently perform the responsibilities of his or her position while under the influence of alcohol and drugs. Staff members are prohibited from working while under the influence of alcohol and/or drugs. The possession of such substances on the premises is strictly forbidden. Either offence necessitates termination. 9 • • • Kona Adult Day Center, Inc. Financial and Administrative Monitoring 1. State of Hawaii Department of Health Hospital and Medical Facilities Branch Sharon K. Matsubara, B.S.N., R.N., Surveyor 1-270 Queen Emma Street, Suite 1100 Honolulu, HI 96801 Telephone: (808) 586 -4090 Fax: (808) 586-4747 2. State of Hawaii Department of Human Services Purchase of Service Gail Ninomoto, Program Specialist 810 Richards Street, Room 400 Honolulu, HI 96813 Telephone: (808) 586 -5669 Fax: (808) 586-5700 3. Hawaii Island United Way Helen Hemmes, President and CPO P.O. Box 745 Hilo, HI 96721 Telephone: (808) 935 -6393 4. County of Hawaii Dept of Finance Harry Takahashi, Director 25 Aupuni St. Rm. 118 Hilo 96720 Telephone: (808) 961-8234 Fax: (808) 961 -8248 10 Kona Adult Day Center, Inc. Past Performance Kona Adult Day Center has been very effective in achieving program goals in the past two years. Listed under Programs /Service Description, D. Goals and Objectives the narrative itemizes: the goals of the program(individual, family, and community); the objectives /action steps planned for each goal; the timeline for each action step; and, the client centered outcomes to be achieved. KADC has realized their goals, objectives, and client centered outcomes. Quantitative Data: New admissions form 1/1/99 through 12/31/99 totaled 39 participants, an Average oft per month. Because of the frail nature of the participants, it is not unusual for there to be an average of two discharges per month as well. The average enrollment for that twelve month period was 39. The average daily attendance was 25. Qualitative Data: Program achievements can be found under #4) What significant client centered outcome(s) will the program achieve? a) 90% of the participant's hygiene /selfcare will be maintained or improved; b) 90% of the participant's socialization/interaction skills will be maintained; c) 90% of the participant's families will express satisfaction with Kona Adult Day Center; d) 90% of the participants will be maintained at home for a minimum of 6 months with adult day health services. 11 • 4 • • Kona Adult Day Center, Inc. FEES Note: KADC has established the following rates according to the general level of care required. Please see the attached sheet for a description of Levels I, II and III. Special Hourly Rate: $10.00/hour Daily Rate: (hours are 7:30 am to 5:00 pm) Level I $45 /day Level II $50 /day (Level III — rates may vary subject to assessment of care needs by RN) Full -time monthly rate: (five days per week, excluding holidays *) Level I Level II (Level III — rates may vary subject to assessment of care needs by RN) $725.00 /month $775.00 /month Holiday care rate (hours are 7:30 am to 4:00 pm) $50.00 /day Intake and Trial Day Fees: One -time fee for pre - enrollment appointments and processing $40.00 Trial day fee (The "trial day" fee is applied toward the regular intake fee of $40.00 when the participant enrolls in the program) Additional Services: Lunch (provided by the County Nutrition program) $.75 /day Bathing $20.00/bath Feeding $35.00 /month Active Therapy $65.00 /month Transportation by KADC Van: One Way $5.00 Round Trip $10.00 Note: Some individuals who meet income and other criteria may qualify for short term or long term tuition assistance. Contact Program Director for more information. (Effective 9/1/96; Form revised 6/10/98) $30.00 POSITION TITLE'::' : • ' : PRECEDING: FISCAL YEA R'•`.: ' ; -':. =: FISCAL; YEAR 2000 -01; ;_i', ;r I tem # ..n? Eniployee`'!:;'s- ; ;. a ,.., , {L ast Naine;First)?'r ;:: ; ;, :. • k -ss': "'` 4'+ ',Status,; ; :land ',Sala Total Agency Budget FY 99 -00 Total Program Budget FY 99 -00 Total Agency Budget FY 2000 -01 Total Program Budget FY 2000 -01 :.. Giant Request Only-° • ,Pr` ...d`;, ' ' ,r. x e '•' -,, -Enditures." 1- Tide: Program Director 3P' > {: FT - -- FT - -- Name: Tiqui, R r.,;;? -;; 22,045 - -- 22,582 2,258 �' Title: Activities Coord i'•rr• ^:'. FT - -- FT - -- Name: Tavares, D .x,$fi °'�;' 18,847 19,874 1,987 3. Title: Secretary/Bookkeeper s'`'` FT - -- FT Name: Gesford, Gail .r? 19,757 FT - -- - -- 19 , 282 FT - -- - -- - -- - -- 4' Title: Activities Asst. P "'• Name: Gouveia, M .,;•,.$!, 15,372 - -- 16,227 - -- 2,434 Title: Health Assistant ' 'f;P;;wv FT - -- FT - -- - -- 5 Name: Lorenzo, P $''S'` 15,372 - -- 14,997 - -- 2,250 6. Title: Health Asst. :, P PT - -- - -- . Name: Sween, A $:: 5,166 - -- 7,498 - -- 3,352 7 Title: Health Asst. PT - -- PT Name: Llanes, S ' '$.'`. 14,924 - -- 14,997 - -- 0 TOTAL.POSITION ;COUNT ` ;. P,, •y a :* [FOTAL`SALARIE$ `. .. - ,• ' ; (to 'be,'reflected'tn ., Talile 4): "' -' $: ,:' Continued on ner t page AGENCY /ORGANIZATION: Kona Adult Day Center, Inc. INSTRUCTIONS: PROJECT NAME BUDGET TABLE I DETAILS OF PERSONNEL SERVICES All admin strative and Direct Program Salaries must be included. (Please exclude non - program positions 2. a) P= Indicate if whether employee is - F/T =Full Time Employed (30 -40 hours per week) NT= Part-Time Employed (20 or less hours per week) b) Salaries ON TITLE _ r ;'" ;: 7 POSITION . FISCAL =;.; ';; L YEAR 2000 -01' FISCAL Item # 4 ' , ,,'., r . mployeer;':j';ti { i,; :. , (L asf , N a tne,Eirst) Y:::'•: : '< '' +;;; i ,_ yg ° :.^ ; e5.. *,✓ .iStatus {i _';,&!?d.. I„kSal Total Agency Budget FY 99 -00 total Piogyyi�Dudget Total [iud�cl Agency 6 FY 2000 -01 Total Pt g ram g FY 2000 -01 Grant Request Only 1.. •Expenditures 8 • Title: Health Asst. r',=g; FT PT 0 Name: Foster, 14 $ • ;..: 14,924 9,921 0 9. Tit Health Asst. '= :S[�` PT PT 1 Name: Toyama, B <<$:: 2,066 2,066 0 Title: Name: Title: Name: Title: Nd Name: Title: Name: Title: Name: T9T4I,'OSJTION CO UNT 9 9 .4 91,41- ,S0A�2IEsx; . # >a :2% ,,( fobs; i*t ed'• �tir'4bfe` y ., >;:;;,i;;" 127,968 127,444 12,281 iMcTPI ICTI(INS - I All administrative and Direct Proeram Salaries must be included. (Please exclude non - program positions) AGENCY /ORGANIZATION: 2. a) Kona Adult Day Center, Inc. b) Salaries PROJECT NAME BUDGET TABLE I DETAILS OF PERSONNEL SERVICES P= Indicate if whether employee is - F /'F =Full Time Employed (30 -40 hours per week) NT Employed (20 or less Hours per week) DESCRIPTION PRECEDING FISCAL YEAR FISCAL YEAR2000 -01 Item # Employee Benefits%Payroll Taxes _ Total Agency Budget FY 99 -00 Total Program Budget FY 99 -00 Total Agency Budget FY 2000 -01 Total Program Budget FY 2000 -01 Grant Request Only Projected • Expenditures 2. EMPLOYEE BENEFITS (TOTAL) 17,429 19,560 1,369 Health Insurance 15,206 17,017 1,191 Dental Insurance 2,223 2, 543 178 * Other Benefits (Specify) 0 0 0 3. PAYROLLTAXES(TOTAL) 13,436 18,156 1,452 FICA 5 % 6,398 8,533 683 SUI(Unemploymentlns.) 3 % 3,839 5,188 415 Workers' Compensation 2 % 2,559 3,450 276 TDI (Disability) .5 % 640 865 78 TOTAL ' " (ta be'refle%tedin:Table4). _ ,'" 30 865 37,716 3,000 AGENCY /ORGANIZATION: Kona Adult Day Center, Inc. TABLE 2 EMPLOYEE BENEFITS /PAYROLL TAXES PROJECT NAME: UST itemize as attachment(s). Applicable only to the ` Grant Request Only Protected Expenditures' column. . DESCRIPTION ` ' ' PRECEDING FISCAL YEAR FISCAL YEAR 2000 -01 Item # Expenses . Total Agency Budget FY 99 - 00 Total Program Budget FY 99 -00 Total Agency Budget FY 2000 -01 Total Program Budget FY 2000 -01 Grant Request Only Projected Expenditures 1. PROFESSIONAL FEES (TOTAL) 85,162 83,387 0 Legal 4,000 2,000 Accounting/Bookkeeping 4,750 4,475 Audit Fees 3,500 4 , 000 * Administrative Fees 7 % 25,000 35,000 III * Other Nursing Contract 47,912 37,912 _ 2. SUPPLIES (TOTAL) 4,430 5,000 641 Office 825 900 0 Program 2,575 3,100 641 Consumable 1,030 1,000 0 3. TELEPHONE 4,080 3,940 198 4. POSTAGE & FREIGHT 927 840 80 5. OCCUPANCY (TOTAL) 35,672 22,415 0 Rent 7,650 9,900 1 Utilities 11,588 8,375 Janitorial 11,742 11,400 * Repairs and Maintenance 3,000 3,000 6. EQUIPMENT (TOTAL) 0 0 0 * Purchase * Rental * Repairs and Maintenance AGENCY /ORGANIZATION: Kona Adult Day Center, Inc. TABLE 3 DETAILS OF OTHER CURRENT EXPENSES PROJECT NAME: * = MUST itemize as attachment(s). Applicable only to the "Grant Request Only Projected Expenditure" column. D . :.•.:' .;..:,,..DESCR4PTION?;!;:.',. ". � •. -._ ;' ; ; .:° ".r: PRECEDING FISCAL YEAR" ':;',,,;';r.; -' _. .. _ ,..FISCAL'.YEAR2000 O L:. ;.... 'new :: Or.'l'" . i i , l � ' , i . . :'' - Ai „ " /"' , EX enses. . %� : �` """ ' `' `” ' ` ' ' "' ° Y ;` � " ') " „' # t . '^�'Y` ` :`? Total Agency Budget FY 99 - 00 Total 1'rogram Budget FY 99 - 00 Total Agency Budget FY 2000 - 01 Total Program Budget FY 2000 - 0I ,'' Grant Request Only ' Projected Expenditures 7. INSURANCE(TOTAL) r t "`' 6,468 - „ -r" 6,498 .. .,..... 0 General Liabilit 1,460 �,` 1,416 ” Fire 1,720 ::, P ? ?; :1 J''�.; `. '.' 1,668 Auto 2 000 , :.` °,: 7 .„ >... �•.. ;c }; 2,164 , .. ,.. .. NDOA (Board Insurance) 1,288 .�'.wr ":� 1,250 8. PRINTING (''" , ::i ` ^' 1,440 , . , .... • 1,740 , .. 400 9 PUBLICATION & SUBSCRIPTIONS 750 : "'ji ;'; 700 , 250 10. TRAVEL(TOTAL) ., ' f:p::..it$ 60O ; ''S?:t .`,_ ";gti a, ... 180 u, C. .l �::. .... ... 150 Air Fare 400 %:.,.''•'i } `. }'. s::'.:" : '�'. 110 110 Per Diem 0 ;i ^ .: t.q 70 . ; 40 Auto Rental 200 ")' k!�'+ ; "v', 0 r 0 ;• 11. AUTO MILEAGE REIMBURSEMENT '. "tW'�` i'''" 35O _ , ., 350 12. AUTO GASOLINE PURCHASES 6,600 600 .' s %: * %" t' "» :,a;;.�. 000 6,000 ' 13. MEMBERSHIP DUES .'r... { ; 0 `it "` ,. ... .., ., 0 "i'i� =` �,. 'a . �.' 0 • 14. STAFF TRAINING ti. t;i�.:' Y 750 .. . t _ ..- . .- .,. 1 500 -. , .. 300 •1 5. OTHER Fundraising Expense ;< . 1,500 4,050 0 Security — Bldg Alarm ,i..l 800 .. �, _': <: Ili.. 696 '.y'd. ,j irvi �. �. .;..,. 0 '',TO r e 0 ecl e d.in Table S):e` " -y. • AGENCY /ORGANIZATION: Kona Adult Day Center, Inc. PROJECT NAME: TABLE 3 (Continued) DETAILS OF OTHER CURRENT EXPENSES (OPERATING COSTS) * = MUST itemize as attachment(s). Applicable only to the "Grant Request Only Projected Expenditure" column. DESCRIPTION PRECEDING FISCAI, YEAR FISCAL YEAR 2000 _ 2001 Rein 1) Expenses It ; 1 it „1.1 (, ;3 tntat Agency nndgct , FY 99 -00 t total ['ingrain Mudge l'Y 99 -00 to nI Agency Budget I ' Y 00 -01 Tow ['ingrain Budget t Y 00 -01 Grant Request Only Projected Expcn4ituim 15. Other (Continued) , r Therapy Consultant 500: - - -- 3,000 - - -- 1,250 Activity Consultant 100 - - -- _ X 500 - - -- 0 Personnel Requitment 50 - - -- 50 - - -- 0 Community Education 1,100 - - -- 1,500 - - -- 900 Misc 3,968 - - -- 1,000 - - -- 300 'I O PAL (to be reflected in Table 5) 78,150 -- AGENCY /ORGANIZA'T'ION: Kona Adult Day Center, Inc. I'Itu1EC'I' IJrl�lli: I A111.1i 3 (Continued) DETAILS or OTHER CURRENT EXPENSES (OPERATING COSTS) + = M th UST Remi as aliacluuenl(s). Appl cable only to e "( ,t_ini Repics t Only 19IJCCic c d I.xpcndum cuhnun • ^...., "..;:.. - '• s . ostpons +- <,.� . ;• �, ::, -: ` �:. }; Vi t:;: :; . � ?.i� ?::,. •� y .,�. ,,µ , ;:5= ,.,a� >;' ?�: „�y,,;, $ �, Ft y r r °• ,„ . > • . •,+ S r • r , , x t, . PRECpDINCFISCAE?Y E AR' ;:FIS CAli YEAR' 2000' Total Agency Budget FY 99 -00 Total Program Budget FY 99 -00 Total Agency Budget FY 2000 -01 Total Program Budget FY 2000 -01 - Gran[ Request (Table 1) TOTAL POSITION COUNT (P) 9 9 (Table 3) TOTAL OF OTI1ER CURRENT EXPENSES 155,579 (Table 1) TOTAL SALARIES ($) 127,968 127,444 :. . , ... . ''TOTAI;'BUDGET.'' -T' • . "'� :.. 314,412 (Table 2) EMPLOYEE BENEFITS /PAYROLL TAXES 30,865 37,716 O : .:TOTALPERSONNE6COST5 _ -� 158,833 165,160 OTAENUMBER Of POSITIONS .;b' 9 9 y'h.b l• 1 �'.': n : p. `::.'; a.,:. ^ '...: e • .:.• _. ,.. :,.. ...: pense .,- NO ... ,' - :.. .. . • �p,, ;�,� , .: .,. _,. , . •`..{'. ... ,: .. •PRECEDING�FISCAli:YEAR ; ; , .. : , :. ..... . , ; i py •: .: _ ;. �: } :�; : �,, : ;c' �.: s � . %FI • °: LYE; 000 =01 ,„:`� :: ^ ,:. . ;,:Grant Request Only .' . ..., Total Agency Budget FY 99 -00 Total Program Budget FY 99 -00 'total Agency Budget FY 2000 -01 Total Program Budget FY 2000 -01 (Table 4) TOTAL PERSONNEL SERVICES 158,833 165,160 15,281 ' (Table 3) TOTAL OF OTI1ER CURRENT EXPENSES 155,579 460,562 4,719 :. . , ... . ''TOTAI;'BUDGET.'' -T' • . "'� :.. 314,412 325,722 20,000 AGENCY /ORGANIZATION: Kona Adult Day Center, Inc. PROJECT NAME: TABLE 4 SUMMARY OF PERSONNEL REQUIREMENTS Personnel Requirements: Salary ($) and Number of Positions (P) TABLE 5 SUMMARY OF EXPENSES Total Budget Summary of Personnel Services and Other Current Expenses • Revenue Sources `?, : ' PRECEDING' FISCAL %YEAR 1999- 00` = = ; ' F '; `FISCAL YEAR'2000 -01 Total Agency Amount Total Program Amount Amount Requested Amount Projected County of Hawaii 14,325 20,000 State of Hawaii 0 0 • Federal Funds 0 0 .. ',tY�` ,t.'a�, +•4= .';- .:•..;..... Private Foundations* 19,700 30,000 United Way Funds 15,000 15,000 Admissions 0 " ' 0 Donations 18,800 :. ;. ,, 20,000 Fundraising 13,700 16,000 Pay Phone 0 ,; ' '<' 0 Vending Machines 0 A ° - 0 Service/ProgramFees 15,050 .., ..,- . 17,000 Third-party reimbursement(s) 50,000 55,000 Tuition 134,700 i° ;..'- ' s;.£,. :: i : ..;;. : .145,000 Others (Please list) Interest income 500 500 _TOTAL REVENUES. -- 281,775 65,000 253,500 AGENCY /ORGANIZATION: Kona Adult Day Center, Inc. - I'lease list funding source on a separate sheet and indicate the amo int requested TABLE 6 Summary of Income PROJECT NAME: • Kona Adult Day Center, Inc. • Table 6 Summary of Income Supplement Private Foundations Fiscal Year 1999 -2000 May Templeton Hopper $15,550 Hawaii Community Foundation 2,500 Misc. 1,650 Total: $19,700 Fiscal Year 2000 -2001: May Templeton Hopper $15,550 Hawaii Community Foundation 5,000 Atherton Foundation 3,500 Misc. 5,950 Total: $30,000 Name Degree & Field of Study Admin. Staff Staff of Grant Program Othe r stare Full Time Part Time Position Title Kenneth T. Ono* Bachelors -Bus M- Health Adm Adm ✓ `� Executive Director Rowena Tiqui High School " we Program Director Delta Ono, R.N.* Diploma Reg. Nurse Nursing Coordinator Doris Tavares High Schoo v. Activity Coordinator Marvaleen Gouveia High School `� ✓ Activity Assistant Gail Gesford High School `'' Secretary /Bookkeeper Health Assistant Stephanie Llanes Nurse Assistant IV A-- Marilyn Foster Nurse Assistant ve ve Health Assistant Bert Toyama Bachelors - Engineering Health Assistant Aileen Rabang Nurse Assistant Health Assistant *Under contract and emp_oyed , through KONA HEALTH SERVICES e Staff Information Sheet COUNTY OF HAWAII HUMAN SERVICES NONPROFIT GRANTS (FY 2000 -01) v Nursing Coordinator 1 Nursing Assistants ICoua Achill Day Cenlcr Organ!zational Chart Board of Directors Execullke Director Program DlrccLir J Office Manager t Activity Coordinator 1 Activity Assistants • STAFF NAME GESFORD, GAIL GOUVEIA, MARAVLEEN LLANES, STEPHANIE ONO R.N., DELTA ONO, KEN RABANG, EILEEN TAVARES, DORIS TIQUI, ROWENA TOYAMA, BERT KONA ADULT DAY CENTER, INC. P.O. BOX 1360, KEALAKEKUA, HAWAII 96750 (808)322 -7977; FAX (808)322 -0614 PERSONNEL LIST JOB DESCRIPTION SECRETARY/BOOKKEEPER FULL TIME ACTIVITY ASSISTANT FULL TIME HEALTH ASSISTANT ON CALL NURSING COORDINATOR PART TIME EXECUTIVE DIRECTOR PART TIME HEALTH ASSISTANT PART TIME ACTIVITY DIRECTOR FULL TIME PROGRAM DIRECTOR FULL TIME HEALTH ASSISTANT ON CALL Revised 1/12/00 FULL TIME; PART TIME; OR ON CALL Name Natsuko Aoki Retired Nurse Joined BOD 9/98 Mike Asam 75 -369 Hoene Street H.C.F.C.U. Kailua -Kona, Hawaii 96740 9 years on BOD; 7 years as president N. Pat Ryan Keahou Rehab Joined BOD 8/98 Kaoru Uyeda Department of Health 9 years on BOD • Kona Adult Day Center, Inc • P.O. Box 618 Kealakekua, Hawaii 96750 Board of Directors Residence Business Telephone Estela Halverson 78 -7206 Puuloa Road B: 0 President Kailua -Kona, Hawaii 96740 H: 324 -1541 Educator F: 324 -1541 call first 3 years on BOD; President as of 9/98 ;Marketing Committee Barbara Kossow 73 -4354 Malalo Place Bank of Hawaii B: 322 -9377 Vice - President Kailua -Kona, Hawaii 96740 P.O. Box 8 H: 325 -5203 Bank of Hawaii Kealakekua, Hawaii 96750 F: 322 -9465 3 years on BOD; VP as of 9/98; Fund Development Ken Apilado .: P.O. Box 892 Bank of Hawaii B: 326 -3945 Treasurer Kealakekua, Hawaii 96750 75 -5595 Palani Road H: 322 -9757 Bank of Hawaii Kailua -Kona, Hawaii 96740 F: 326 -3919 9 years of BOD; 9th year as Treasurer; Chairperson of Finance Committee H.C.F.C.U. P.O. Box 747 Kealakekua, Hawaii 96750 Catherine Hamilton 72 -1039 Mamalahoa Highway Clark Realty Corp. Clark Realty Corp. Kailua -Kona, Hawaii 96740 4 years on BOD; Tution Assistance Committee; Fundraising Committee Marjorie Mulhail 78 -7253 Puupele Road Retired Business Kailua -Kona, Hawaii 96740 9 years on BOD; 9 years as VP; Chairperson of Fundraising Committee 75 -1038 Mamalahoa Highway Holualoa, Hawaii 96725 82 -1034 Hookipa Place Captain Cook, Hawaii 96704 3i- 9-6 Reginald Morimoto 78 -6852 Walua Road First Hawaiian Bank B Secretary Kailua -Kona, Hawaii 96740 P.O. Box 618 H: 322 -2051 First Hawaiian Bank Kealakekua, Hawaii 96750 F. 322 -3150 9 years of BOD; 7th year as Secretary 8: 0 H: 323 -2030 F: 0 B: 322 -0980 X127 H. 0 F: 322 -0890 8: 326 -9774 H: 325 -3424 F: 329 -3336 B 0 H. 322 -9255 F: 0 Edwin Ueda P.O. Box 539 B: 0 Businessman Kealakekua, Hawaii 96750 H: 323 -2848 6 years on BOD; Tuition Assistance Committee F: 0 B: 0 H: 323 -3336 F. 0 • B: 0 H: 329 -3521 F: 329 -3521 call first The Kona Adult Day Center Board of Directors meets on the fourth Thursday of each month at 4:00 p m. in the conference room at the Center. SECTION 3 03 of the KADC By -Laws states that a director "shall hold office until the next annual meeting and thereafter until their succossors are duly appointed and qualified ". Revised' 4/99 • February 2d00 March 2000 April 2000 May 2000 June 2000 July 2000 August 2000 September 2000 October 2000 November 2000 December 2000 Kona Adult Day Center, Inc. P.O. Box 1360 Kealakekua, HI 96750 322 -7977 Board of Directors Meeting Schedule January 2000 Thursday, January 20, 2000 4:00 p.m. Thursday, February 24, 2000 4:00 p.m. Thursday, March 23, 2000 4:00 p.m. • Thursday, April 27, 2000 4:00 p.m. Thursday, May 25, 2000 4:00 p.m. Thursday, June 22, 2000 4:00 p.m. Thursday, July 27, 2000 4:00 p.m. Thursday, August 24, 2000 4:00 p.m. Thursday, September 28, 2000 4:00 p.m. Thursday, October 26, 2000 4:00 p.m. Thursday, November 16, 2000 4:00 p.m. Thursday, December 28, 2000 4:00 p.m. • • 1. Major Responsibilites A. Program Administration 1, Fiscal Management KONA ADULT DAY CENTER POSITION DESCRIPTION FOR EXECUTIVE DIRECTOR a. Coordinates with the board to ensure financial stability and sound fiscal management for the adult day center. b. Prepares budget and consults with the treasurer, finance committee, and accountant. c. Oversees program accounting procedures to ensure that the accounting system complies with all legal and funding requirements. d. Responsible for overseeing the preparation of regular, detailed financial reports to the board. e. Implements fiscal control practices to achieve financial accountability and maximum efficiency in the use of program resources, including but not limited to the following: 1) Establish written procedures for purchase of supplies and equipment. 2) Require written authorization for those who handle funds or sign checks. 3) Authorizes and monitors expenditures on an ongoing basis to ensure that they remain within budgeted limits. 2. Payroll and Employee Benefits 1. Oversees proper, efficient, and timely execution of payroll. 2. Provides payroll service with accurate and timely information related to employee status. 3. Oversees proper and smooth provision of employee benefits. 3. Personnel Management 0 a. Assists the personnel committee of the board in the developing of personnel policies and job descriptions and to design the total staff structure for the program. b. Provides linkage between the board of directors and staff. c. Recruits, interviews, and selects staff members. • d. Conducts regular staff meetings. e. Oversees staff supervision. f. Conducts periodic review and, evaluation of staff job performance. g. Manages employee grievances according to established personnel policies h. Oversees staff development and training. i. Discharges employees when necessary. page 2 Executive Director Position Description B. Program Development 11. Other Responsibilities • • 1. Public Relations and Community Education a. Builds public and community support for the Center. b. Speaks to community groups. c. Participates in community workshops, seminars, and training. d.: Participates with interagency organizations, case management teams, and the like. e. Oversees publication and distribution of quarterly newsletters. 2. Fund - raising and Grant writing a. Administrates fund - raising campaigns In coordination with the board of directors. b. Oversees donor stewardship program. c. Oversees office procedures governing the recording, depositing, accounting and authorized expenditure of fund raising monies. d. Grant writing for operational or capital funds. e. Writes to foundations and philanthropies to obtain funding support for needy clients. f. Adm inistrates special tuition funds, e.g. Kupuna Villas Assistance Fund. C. Facility Management 1. Oversees the fulfillment of certification and licensure requirements. 2. Maintains adequate client census levels. 3. Provides guidance and procedures to manage problems arising from the day to day operation of the program and services. 4. Provides inforamtion requested by funding bodies, public officials, service agencies, and others who are in need of such information. • 5. Oversees adequate management of the center office to ensure proper office practices are instituted and maintained. A. Liason to the Board of Directors I. Functions as an ex officio to the board of directors. 2. Accounts to the board for all actions and decisions. 3. Assists, when needed, the preparation of agendas for board meetings; oversees the mailing of kagendas and other materials to the board members. 4. Attends board meetings. 5. Provides and interprets information required by the board for , policy formulation and for planning and development. 6. Presents regular reports to the board related to all phases of program operation. page 3 Executive Director Position Description C. Other duties, as directed by the Board of Directors. 111 Qualifications: A. Experience, training and education B. Skills and knowledge C. Other Requirements 1. Valid driver's license to the State of Hawaii. 2. Availability to travel off island as needed. IY. Supervision • • 7. Makes recommendations to the board about the program regarding changes in direction, plans for future growth and expansion, etc. 8. Provides linkage between board and staff. 9. Provides assistance with developement of program gods. 10. Provides information and makes recommendations about the facility, including condition, safety, need for renovations, repairs, need for addtional space, etc. 1 1. Provides information, makes recommendations, and offers assistance when needed to special committees of the board. 1. Experience in health, human or social services. 2. Bachelors degree from an accredited college or university, or substantial evidence In work history of an ability to carryout the duties and responsibilities of the position. 3. One year of administrative experience in health, human or social services. 4. Experience in the adequate supervision of others. 1. Understanding and acceptance of the precepts of adult day care. 2. Familiarity with the needs of the population to be served and dedication to the philosophy of service. 3. Ability to organize, plan, and implement ideas and services. 4. Ability to exercise sound judgement and decision making. 5. Ability to develop and manage budgets and fiscal planning. 6. Ability to communicate with staff and an ability to oversee conflict resolution. The executive director Is directly accountable to the board of directors and receives direction, supervision, and guidance from this body. • • •xhibit B KENNETH T. ONO P.O. Box 275 Captain Cook, HI 96704 Ph: 328 -8740 EDUCATION 1965 - 68 Hilo High School 1968 - 72 Bachelor of Business Administration (BBA) - Univ. of Hawaii 1974 - 76 Master of Health Administration (MHA) - Duke University 1974 Administrative Intern, Veterans Administration Hospital - Durham, North Carolina 1976 - 77 Administrative Resident, St. Joseph's Hospital - Lewiston, Idaho EMPLOYMENT 1996 - Present Owner /President - West Home Health Services, Inc. . Captain Cook, Island of Hawaii Provide skilled nursing, physical therapy, occupational therapy, medical social services, and other services to patients in their home. Medicare and Medicaid certified Agency with accreditation with commendation by the Joint Commission on Accreditation on Healthcare Organizations. Chair of the Kona - Kohala Chamber of Commerce. 1 993 - 1 996 President and Chief Executive Officer - Wilcox Health System and its subsidiaries. Kauai, Hawaii The Health System is the parent company of Wilcox Memorial Hospital, G.N. Wilcox Health Center Properties, Wilcox Hospital Foundation, G.N. Wilcox Health Services, and Wilcox Medical Clinic. Wilcox is the major healthcare provider on the Island of Kauai with revenues of $72 million per year, a labor force of 750 employees, and 85 medical staff members. Within first year, turned system around from money - losing for the previous six years to money- making vertically integrated operation. Expanded services such as school health clinic, physician medical group ownership, federal rural funding for economic development, new emergency department, insurance managed care risk contracting, and islandwide health planning with the community. Significant interaction with government officials and legislators and received $2 million from the 1995 Legislature and Governor. • • 1988 - 1993 President, The Queen's Medical Center -West Hawaii, Kailua -Kona Island of Hawaii Responsible for the coordination and implementation of a number of major initiatives involving facilities, program development, and liaison activities among physicians, hospitals, insurance carriers, and government officials on the Big Island. Activities included the SHPDA Big Island Plan, West Hawaii Regional Medical Center, and North Hawaii Community Hospital. Also served as Executive Director of Kona - Kohala Healthcare, a joint venture between The Queen's Health Systems and local physicians from 1988 -1990. 1986 - 1988 Executive Director, South Bay Family Medical Group - Redondo Beach, California Chief Executive Officer of 11- physician primary care medical group. Group grew from four to eleven physicians in two years. Responsible for PPO and HMO risk contracting, physician compensation plan, ancillary services growth, and office building development. 1981 - 1986 American Medical International (AMI) - Los Angeles, CA Executive Director /Chief Executive Officer AMI South Bay Hospital - Redondo Beach, California CEO of first district hospital in California to be leased (30 years) to an investor owned company. Responsible for transition to AMI financial, personnel, and other operational systems. Negotiated with unions. Established new fifteen member hospital board of directors composed of equal representation from the community, medical staff and AMI. Grew 203 -bed hospital from a $28 million to a $48 million per year operation in 2 '/ years. Developed three satellite physician offices occupied by active hospital medical staff members. Established two medivans to transport patients from home to physician office and hospital funded by hospital auxiliary, foundation and hospital district. Implemented fully integrated flexible labor staffing which reduced labor expense per unit of service by thirty percent. Selected 1985 Young Man of the Year by the Redondo Beach Chamber of Commerce. • American Medical International (con't.) 1972 - 1981 Various other positions • • Operations Assistant, AMI Pacific Southwest Region - Brea, CA As Assistant Regional Director for Operations, responsible for operational consultant support services for 12 hospital region with annual revenues of $250 million.. Worked very closely with each hospital CEO in areas of staffing, equipment selection, personnel and wage administration, major construction, materials management, and planning. Directed activities of regional office specialists in nursing, labor management, laboratory, radiology, medical records, quality assurance, purchasing, pharmacy, food service and plant operations. Developed CON's for $53 million, $36 million, $20 million, and $12 million hospital projects. Responsible for operational transition for newly acquired 99 -bed and 203 -bed hospitals to AMI systems, policies, and procedures. Served as Interim Hospital CEO as required. Associate Administrator, AMI Community Hospital of Santa Cruz, Santa Cruz, CA PRESENT PROFESSIONAL AND COMMUNITY ACTIVITIES PERSONAL • • Board Member, Hawaii Supreme Court Disciplinary Board Member, State Emergency Medical Services Commission Chair, Kona - Kohala Chamber of Commerce Immediate Past President and current Board Member, American Cancer Society, West Hawaii Unit PAST ACTIVITIES Board of Trustees, Healthcare Association of Hawaii Treasurer, Chairman of Finance Committee, and Board Member, North Hawaii Community Hospital Board Member, Hawaii Community Federal Credit Union Club Service Director and Treasurer, Kona Rotary Club Board Member, Kona Adult Day Care Center Secretary, County of HI Emergency Medical Services Commission Member, University of Hawaii Chancellor's Advisory Committee for UH -West Hawaii President, Community Organization for Educational Development Member, Ke Ola o Hawaii Health Services Committee, University of Hawaii School of Medicine Vice - Chair, State Health Planning and Development Agency Big Island Planning Committee Chair, SHPDA Garden Island Planning Committee Honorary Chair - March of Dimes, Kauai Walk -A -Thon Board Member, Kauai Chamber of Commerce Board and Executive Committee Member, American Cancer Society, Pacific Division Married - wife registered nurse; two daughters Excellent health. Hobbies include fishing, camping, horseback riding, sports and social activities. 4 it 193 Kona Adult Day Center, Inc. Program Director Major Responsibilities: I. Personnel a. Assists executive director in conducting and evaluating performance of activity coordinator and nursing coordinator. Assists each coordinator in conducting and evaluating performance of their respective staff. Evaluation is given three months after employment date and annually thereafter. b. Assists in developing orientation and training programs for staff. c. Assists in developing, coordinating, implementing, and evaluating staff training programs and opportunities for professional growth and development. d. Recruit, train, orient volunteers and assist with their placement in various manpower needs of the program. e. Develops and implements recognition program for volunteers as well as staff. f. Develops good working relationships with all community programs. g. Coordinate, execute and evaluate effectiveness of empioytnent arrangements of agencies working with KADC, such as Alu Like, State Employment Service, etc. II. Community Relations a. Assists in making presentations to various community organizations. b. Plans staff participation in workshops and training sessions for professionals, paraprofessionals, caretakers and staff. c. Develops, coordinates, and evaluates procedures, forms, policies for client intake, referral, assessment, careplanning and discharges. d. Networks with referral sources in the comrflnnity and provides information about center services. for e. Makes regular contact with community agetwies, hospital social worker, physician offices in order to obtain referrals. f. Assists or participants in community education sessions. • • Kona Adult Day Center, Inc. Program Director Page 2 11I. Program a. Plans, coordinates, implements and evaluates safety procedures with staff. b. Develops proper procedures for storing medicine medical supplies and for proper maintenance of medical equipment. c. Develops, coordinates, and evaluates procedures, forms, policies for client intake, referral, assessment, care - planning, and discharges. d. Develops, coordinates, and evaluates procedures to ensure family input in care planning. e. Develops, evaluates support/educational programs for family members. f. Acts as a liaison with community agencies and programs. g. Coordinate and evaluate nutrition component of programs. h. Develops, implements, evaluates health program. i. Develops, implements, evaluates activities program. 1V.. Participant Care Coordination a. Intake and Assessment 1. Receives referrals from family and community agencies /physicians and screens referrals for appropriateness of day care services. 2. Conducts intake and social/financial assessments. 3. Conducts home or hospital visits if appropriate. 4. Schedules appointments with families, agencies, physicians, in order to complete intake and assessment. • 5. Reviews center policies and procedures and all applicable information with the family /caregiver prior to enrollment. 6. Coordinates enrollment and attendance days with nursing coordinator. 7. Determines need for resource coordination and referral. 8, Processes Department of Human Services applications. 9. Processes Tuition Assistance Fund applications when indicated. • Kona Adult Day Center, Inc. Program Director Page 3 ' b. Care Planning and Evaluation 1. Participates with activity and nursing/health staff in the planning and evaluation of individual care plans. 2. Participates on community multidisciplinary teams to coordinate community resources for client and family. 3. Assists family /caregiver in planning long term care goals, including financial planning 4. Coordinates and conducts discharge planning and follow -up c. Counseling and support 1. Provides family /caregiver support and education in order to maintain integrity of social support system. 2. Facilitates KADC Caregiver Support Group and attends support groups within the community when indicated. 3. Identifies caregiver and family educational and training needs and plans training sessions. 4. Refers families for counseling when indicated. V. Supervision This position receives direct supervision and direction from the executive director. This position follows all applicable policies, guidelines, and procedures established under KADC. VI. Qualification Requirements for this Position 1. Education, Training, and Experience a. Graduate from an accredited college /university b. Prior work experience with the elderly c. Experience in the supervision of others d. Knowledge of community and good working relationship with professional personnel and community agencies e. Management capability Kona Adult Day Center, Inc. Program Director Page 4, Qualifications (continued) • • f. Demonstration of organizational and planning skills g. Knowledge and experience in working with cognitively and physical impaired elderly /adults and ability to incoporate this knowledge into the planning of the program. h, Ability to exercise good judgement and tact in dealing with client, caregiver, and the public;to provide leadership and gain acceptance and cooperation of others; empathize with, understand and influence individuals toward program goats and objectives. 2. Other Requirements a. Possess valid Hawaii State driver's license. b. Availability to travel off island as needed. • ROWENA L. TIQUI 78 -131 Ehukai Street #B Kailua -Kona HI 96740 (808) 322-6133 RESUME EXPERIENCE: Current Caretaker Oversee the operation of a small estate in Keauhou, Kona. Includes the main house, guest house and maids quarters. Supervise a yardman and housekeeper. 2/97 - 6/97 Caregiver Took care of ninety -two year old Gretchen Giacontetti until she passed away on June 23, 1997. Her care included, planning and preparing her meals, feeding, changing, bathing and transporting her to and from doctor appointments. 1995 - 1997 Hale Koa Hotel Front Desk Cashier Checked guests in/out (i.e. Verified eligibility {must be military). Complete proper forms. Explain hotel policies /procedures, directions. restaurant. spa and pool hours . Accept pay- ments, cash, check, charge cards. Handle phone inquiries. Create reservations. Priority. customer service. 1989 to 1994 University of Hawaii Federal Credit Union 1993 - 1994 Member Sen Representative Did all credit union transactions out in the field of membership (i.e. Community Colleges, UH School of Medicine- Queens Hospital and other affiliates of the University of Hawaii system), except for cash. For security reasons we were not allowed to handle cash transactions. Opened new accounts. accepted deposits. took loan applications, closed loans. etc.(Also did presentations to eligible groups to inform them of our benefits) 1989 - 1993 Administrative Assistant to the Chief Executive Officer Handled calls correspondence, inquiries and related communique's with the CEO. Scheduled meetings and appointments with members of the Board of Directors. managers. vendors. employees. etc. Made travel arrangements and hotel accommodations to seminars, workshops and other out of town meetings for CEO, Managers and Board of Directors. This position also required a lot of interaction with people in all phases of the financial industry. It was very important for me to be aware of changes and the newest technologies happening within the financial industry. 1977 to 1988 First Federal Savings and Loan Association of Hawaii 1977 - 1979 Teller 1979 - 1980 Senior Teller 1981 - 1988 Operations Supervisor /Supervised 20 jellerr clerks. receptionists and assistant operations supervisors inclusive. Responsible for the daily operations and handling of all cash and check transactions; new accounts: certificate renewals; ATM transactions and balancing; staff scheduling; and continuous education of the above, staff. Maintaining a harmonious and efficient team was the biggest challenge of this position, especially so because of the varying ages. sexes, races, personalities and religions. Continue Resume Page 2 • • 1968 to 1976 Teller with American Security Bank (aka. First Interstate; a.k.a. First Hawaiian Bank) Handled all cash and check transactions: sold travelers checks, money orders, drafts, and cashier's checks. Responsible for balancing all transactions at days end. EDUCATION: Waipahu High School, Waipahu, Hawaii. Educational Courses offered through: American Institute of Banking (AIB - banks) Institute of Financial Education (IFE - savings and loans) Hawaii Credit Union League (HCUL - credit unions) _ (Note: Courses too numerous to list. available upon request) Dale Canegie Institute NOTE: ,otary Public for 16 years)Current Commission expires April 22. 1998. PERSONAL: Enjoy reading and listening to mellow music. specifically `oldies' of the '50 and '60's. I have a collection of approximately 500 original movie videos I enjoy watching. I also collect Coca -Cola memorabilia from all over the world. O • • Kona Adult Day Center, Inc. Position Description Secretary /Bookkeeper 071399 Location of this position This position operates out of the Kona Adult Day Center, located on Halekii Street, Kealakekua, Hawaii and whose mailing address is P.O. Box 1360 Kealakekua, HI 96750. Major Responsibilities A. Maintains efficient and organized office operations, including: 1. Maintain accurate filing information systems for client medical record and other confidential documentation. 2. Maintain visit logs, time sheets, and statistical reports. 3, Maintains efficient filing system for office operations, personnel files, correspondence, forms and the like. 4. Maintains the Center's gerontology reference library system for use by clients' families, community agencies, and professionals. _ 5. Maintain inventory system and orders supplies as necessary. 6. Answers telephone, records messages, and relays messages. 7. Maintain current telephone register of staff, consultants, volunteers, clients and their families /caregivers. 8. Oversees the repair and maintenance of office equipment, renews maintenance contracts. B. Maintains accurate record of monetary transactions and fiscal information, including: 1. Prepares, sends out, and record receipt of monies from monthly client billing . statements. Answers inquiries from clients, families, and payors. 2. Documents all fiscal /billing information pertinent to Center operations and maintains this system for efficient retrieval of information. 3. Makes bank deposits when necessary. 4. Maintains accurate records of all donations, in -kind donations, and annual giving pledges and of all expenses related to KADC fundraising activities. 5. Maintains accounts payable system and prepares checks for payment for Executive Director signature. 6. Collects and prepares semimonthly pay period staff payroll information for transmission to KADC accountant. Maintains employee vacation, sick leave, workers compensation and other records. 7. Assist KADC accountant in the routine transmittal and receipt of KADC fiscal information relating to billing, accounts payable and the like. C. Performs clerical duties as directed by the Executive Director including: 1. Preparation, photocopying, distributing, mailing the minutes of various board and administrative meetings. 2. Preparation and mailing of KADC newsletter. 3. Preparation of financial reports, statistical reports, and the like. 4. Preparation of Center manuals, updating of manual material according to need and as directed by the Executive Director. 5. Recording minutes of KADC staff meetings. 6. Preparation of correspondence, purchase orders for DHS reimbursements, client intake /assessment /evaluation reports, monthly activity calendars, and the like. D. Other responsibilities 1. Assist in the greeting of clients in the morning. 2. Oversee clerical functions of the Center. 3. Other responsibilities as assigned and directed. Qualifications A. High school diploma and certificate demonstrating secretarial training or equivalent experience. B. Typing skill of 60 words per minute, knowledge in the use of office equipment and machines, including computer experience. C. Sensitivity to the needs and concerns of the elderly, especially the frail elderly, and their families. D. Good organizational skills. E. Flexibility and ability of accept direction. F. Ability to function as a member of a team. G. Current Hawaii's driver's license and clean driving abstract. Supervision This position reports to and receives direct line supervision from the KADC Executive Director. • • 07/39 Date GAIL GAFORD • P.O. BOX 861 Na'alehu, HI 96772 (808)929 -9695 • nBJECTIVE: Desire long -term employment ATTRIBUTES: *18 years experience in the accounting field *Excellent organizational and managerial skills *Quick study, able to accommodate all areas within a company EDUCATION: WAPATO SENIOR HIGH SCHOOL. Graduated 1972. Studied numerous accounting /clerical courses. YAKIMA VALLEY COMMUNITY COLLEGE. 1973 -74, Studied numerous accounting /clerical courses. EXPERIENCE: NA'ALEHU FRUIT STAND Na'alehu, HI 96772 December'.1994 to present KITCHEN: Responsible for packaging baked goods, cooking orders, stocking, backup and pumping propane. KONA RANCH HOUSE, INC. 75 -5653 0ioii St., Kaiiva -Kona, HI 96740 September 1987 to February-1992. ADMINISTRATIVE ASSISTANT: 'Responsible for all accounting facets of a 120 seat restaurant: accounts payahie, accounts receivable, hank deposits, sales computation (liquor & food) P.C., labor costs, payroll (for 65 people), timely employment reports to state, Liquor inventory control., change orders, meal count and all office procedures includinc correspondence. Also worked the hostess /cashier position, supervising waits, bus help and ,sts (approximately 10 people)- RICK SAUVE BAIL BONDS, INC. 215 S. 24th Ave, Yakima, WA 98902 September 1974 to May 1987 OFFICE MANAGER (sole office personnel ): Responsible for securing collateral to hail people out of jail (i.e. mortgaces, cars, guns, jewelry, co- signers, etc.). Return people to jail when necessary. Worked with the court system, County Auditor's office, title companies, sheriff's office and the police department. Handled accounts payable, accounts receivable, hank deposits, correspondence and occasionally full charge responsibilities of this nationwide, 24 -hour, 7 -day a week business. MACHINES PROFICIENT WITH: Computer programs: Lotus 123 Spread- sheet, Quicken, Quickhooks Pro, Voikswriter, Windows; 10 -Key, Type 60 -80 wpm. REFERENCES: Anne & Bill Brye, Owners /Operators Kona Ranch House, Inc. (808)329 -7061 Rick Sauve, Owner /Operator Rick Sauve Bail. Bonds, Inc. (509)575 - 5333 Stephen K. Yamashiro Mayor County of 3athaii DEPARTMENT OF FINANCE 25 Aupum Street, Room 118 • Hiio, Hawaii 96720-4252 (808) 961-8234 • Fax (808)961 -8248 HAWAII COUNTY NONPROFIT GRANTS (FY 2000 -01) FINANCIAL QUESTIONNAIRE Please include as an attachment an explanation for all "NO" answers to questions #1 thru 11 below: Yes I 0 (5 No 2. 3. 4. 5. 6. 7. 8. 9. 10. I1. 12. As the grant applicant, 1 cert that the agency has satisfactorily responded to each of the above questions and explained as needed. 1 hereby cert5 that this inforntatton is true and correct to the best of my knowledge. Agency: Kona Adult Day Center, Inc. Phone 32 _ - 797 sadl / 0/ ( 9-€3 lidag Atilt Prepared by: Gail Gesford /Secretary /Bookkeeper Print Name/Title Certified by: Kenneth T. Ono Has the agency operated continuously for the past three (3) years? Has the agency operated with a positive cash flow for the past (3) years? Does your Board of Directors approve a detailed cash flow budget before the beginning of each fiscal year? Do your Board meeting minutes show that quarterly financial statements are approved? Is your equity balance at least 20% of your Total Liability balance? Is your Total Current Asset balance larger than your Total Current Liability balance? Are bank reconciliations and accounting performed by someone other than the check signatory? Are you fully insured for the agency's vehicle(s) and building(s)? Is your Workers' Compensation at least 2% of payroll? Are you current (not delinquent) on all payroll and payroll tax payments? Is the agency free of any pending litigation, liens or judgments? Within the past 12 months, has the agency applied for vendor or bank credit and was denied credit? If yes, please explain. Print Name of Executive Director Date gnature Date Harry A. Takahashi Director S. K. Schutte Deputy