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HomeMy WebLinkAboutCOM 0603.007 2010-2012 6xy aleol!npepuelsn!enney@opsnnd OZL96 !,1eMeH 6io weappepuelsii!ennetonnnnn OAUQ Mogwea b£ 0i L£-196(809):xed Joaoanp angnsax3 LfL£-196(909)maid odemsnn wed VNfldfl)l 31VH w N01133NNOO 213AI0321V3 IIVMVH S213d1311 21OIN3S w 52131N30 AVQ 1lfOd a I ` bdo lima aNvisi ImiMgH '%* -i ir � 1V y oy, 118Z 8 0 avv a}°4 4a21 L"SO •oN •wwo3 aepueleo sawgoe Algi.uow pue aepualeo lenuue `sologd OVIH poda' lenuue OVIH poddns 4o saanna 1 ueid alp pue ueid `Meinaano pefoid 6uiplin8 MGIAJGAo OVIH MOIMeno O J3IH :slue uoo (OVIH) '3U1 'ono HInpd pUelsl iieMeH pue (oaolH) uogeaodao3 i.uauadolanea Apunwwoo pueisi iieMeH 1ll,!M ;aafoad 6uipline uogeaogelloo V ;senbeN p!V-ui-4ueJO 'a)19ed uogeuaaolui HAWAII ISLAND COMMUNITY DEVELOPMENT CORPORATION 100 Pauahi Street Suite 204 Hilo, Hawaii 96720 Phone 808-969-1158 Fax 808-935-6916 Equal Housing Opportunity Provider The Mission of the Hawaii Island Community Development Corporation (HICDC) is a 501(c)(3) non-profit corporation is to assist low and moderate income residents of the island of Hawaii in securing affordable housing. HICDC's primary activity is in the development of affordable housing, particularly self help housing and senior housing. Property management of the senior housing projects is contracted to outside entities. Self help housing is the most viable method for low and very low income families to attain homeownership. Through this program families secure the financing, property, and home construction technical assistance necessary to complete the self help homes. To date 256 self help homes have been built by our family builders on the island of Hawaii. Senior housing is a growing need area and one in which HICDC has been pursuing since 1996. The senior projects completed to date include a total of 209 units in seven projects, one of which was completed for another non-profit corporation. HICDC has utilized state, federal and county funding sources to complete these projects. Currently HICDC has another project underdevelopment, a 60 unit senior rental project financed, in part, HUD, Low Income Housing Tax Credits, and interim loans from the State of Hawaii and the Rural Community Assistance Corporation. The HICDC staff is comprised of seven persons. The average tenure of the five full time employees is 12+ years. The dedication of this group is what drives the non-profit and deserves much of the credit for the success enjoyed. Board of Directors: H. Peter L'Orange, President Guido Giacometti, Vice President Alice Kawaha, Secretary/Treasurer Ross Wilson, Director Virginia Goldstein, Director Gilbert DeMotta, Director Hawaii Island Community Development Corporation Affordable Housing History Self Help Homes Completed Subdivision Lots Completed 1992 10 Ainakea 1996 20 Keaau 1993 8 Pacific Paradise Gardens 1 1997 1994 7 Pacific Paradise Gardens 2 1998 40 Ouli 1996 19 Kalaoa View Estates 1&2 1999 1997 20 Keaau Loop 1&2 2000 1998 8 Nani Malio 2001 21 Hawi 1999 7 Panaewa - DHHL 2002 12 Ouli 1 2003 20 Puukapu 2000 10 Keaukaha - DHHL 2008 24 Kumakua Phase 1 10 Ouli 2 2011 19 Kumakua Phase 2 2001 3 Panaewa - DHHL 8 Ouli 3 Total 144 10 Pacific Paradise Gardens 3 2002 9 Hawi 1 2003 7 Kawaihae - DHHL 12 Hawi2 2004 10 Pacific Paradise Gardens 4 10 Ouli 4 2005 10 Pacific Paradise Gardens 5 2006 10 Pacific Paradise Gardens 6 2007 14 Panaewa - DHHL 2008 19 Kekaha - DHHL TA Partner 10 Pacific Paradise Gardens 7 2010 11 Kumakua 1A/1B 11 Kumakua 1C 2011 8 PPG8 Total 273 Under Development Self Help Housing 2012 11 Kumakua 2A 9 Hwn Para Park 1 Low Income Elderly Apartments Completed 35 Pepeekeo Subd 1998 30 Hualalai Elderly Phase 1 2013+ 45 Kumakua P3 Subd 2002 36 Hualalai Elderly Phase 2 2003 21 Keaau Elderly(dev. consultant) 100 Sub Total Self Help 2004 32 Kamuela Senior Housing 2007 30 Hualalai Elderly Phase 3 Senior Housing 30 Kinoole Senior Residences 2012 60 Mohouli Sr Phase 1 2010 30 Ainakea Seniore Residences 2013+ 60 Mohouli Sr Phase 2 60 Kamakana Sr 1 &2 Total 209 Hilo Adult Day Care Total 482 180 Subtotal Senior Hsg Units Finished 280 Total Housing 1 {a yam x , 4 46:04 tac4.,/5- 1:ttc-=- HAWAII ISLAND ADULT CARE,INC. Caring Service since 1976 34 Rainbow Drive, Hilo, Hawai'i 96720 Ph: 808-961-3747/Fax: 808-961-3740 www.hawaiiislandadultcare.org Hawaii Island Adult Care, Inc. Overview A) History: Due to a national Office of Aging mandate to provide dignity to aged kupuna and deter premature institutionalization into long term care, HIAC opened its doors in January 1976 as an adult day care center • 1981 — Incorporated into a federally tax exempt corporation • 1988 - Opened Kona Adult Day Center • 1988—Started Senior Helpers —in-home care and Hale Kupuna, small group home was opened • 2010 opened Honomu Adult Day Center B) Programs: • Hilo & Honomu Adult Day Centers, 106 participants enrolled • Senior Helpers Hawaii — in-home chore and personal care, serving 56 clientele • Caregiver Connection —support for caregivers, support group, respite program • Hale Kupuna —small group home for five economically needy elders C) Goals for our community elder Kupuna and disabled adults: • To remain living in their own homes as long as possible • To have dignity • • To maintain their independence • Be with family & community • Deter pre-mature institutionalization into long term care facilities • Support caregivers with their employment and/or relief from care-giving Real goal -to have participants/clients pass away while living at home, their lives fulfilled in dignity; caregivers, though sad, also very happy to have fulfilled their job of having them living at home to their passing. Our adult day center participants are: lawyers, one judge, nurses, teachers, many small business owners, laborers, housewives, all who have built our communities to make what we have today. D) Budget: All agency, $1,678,080 -46 employees; Hilo & Honomu Adult Day Centers, $1,192,750—32 employees (Honomu is a very small new program). E) Adult Day Centers save State Medicaid dollars: an important plus is that when a family decides they can no longer take care of their loved one at home, and places them in long term care, we look back at the years we have served them and know that we have saved the state Medicaid dollars. • On the average, anyone entering a long term care facility becomes a Medicaid patient within three months, and the average stay is three years. For every 10 participants we take care of, for those who would definitely be in an institution except for our adult day care program, we save the state over 3/4 million dollars in Medicaid monies each year. F) Building history & HIAC progress for another site: • Built 1923 - 89 years old; half of one wing is already condemned. • As of 2010, one year leases (with one month to vacate) with county because their insurance won't cover the building for anything anymore. • Occupancy at risk because of earthquake or other big issues, relocating means the relicensing process which can take months, loss of service to community. • Board researched other buildings before considering new. • Acquired land with Hawaii County Office of Aging, it has some flood issues. • 2009-2010 - completed feasibility study. G) Where we are now: • 2011, Keith Kato, HICDC, opened the door to wanting our adult day center on the new senior housing project site in Hilo. He follows the Maui model of the national mandate "aging in place", where three adult day centers now have been built on senior housing sites. • This is a Win-Win situation, Keith Kato has the building experience and the senior housing clientele will be able to use the facility for some activities and join in on the celebrations we have for events year round. • The national push is to keep more elders living at home; as the senior housing kupuna age, more will become participants of the day center, to be able to remain independent and live in their homes. • In facing the future of the tsunami wave of baby boomers, this is a key time to be prepared with a strong new building to last throughout those years. HAWAII ISLAND ADULT CARE, INC. BOARD OF DIRECTORS 2012 • £ r . zt ..s r .`v r-:- -r s... BEERS, Jeanne (2013) Registered Nurse IGNACIO, Jay(2013) HELCO, President .�}t*gyp; ,`.�- r, , � � '�', �:: � .�� . .: � � T--�-�--a E..�__..��...�.�,.-.,.. ,.s ._...v�f �:..3...,�. ��c.' F'7„f J .,gym AH CHIN, Judy (2012) Retired County Bldg Dept Supervisor ip "'.k Ran '°'� .rj2 • ,T} 774 ONISHI, Richard (2012) Computer Analyst IKAWA, Irma(2013) Vice Pres./Sec. Big Island Candies HONDA, Cary(2012) CPA IKEDA,Roxann (2013) BOH-Asst.Vice President& Branch Manager,Waiakea Branch KAGAWA, Evelyn (2014) Business Owner-Retired MCKINLEY, Mary(2013) Planning Deparment MIN, Marvin (2013) Gas Co. Manager NAKAHARA, Jan (2012) RN Case Manager NHWW WALDO, Barbara (2013) Retired Public Relations YAMADA, Nancy (2013) Retired BOH/Asst. Mgr. WOO,A.Stephen Jr., MD Retired { Hawaii Island Adult Care, Inc. Caregiver Comments — 2011 Safe haven. Kind and compassionate workers/volunteers. Reasonable fees. Enjoyable and meaningful activities. Although only recently a part of HIAC, my mother utters high praises and offers words of thanksgiving each day she is part of this loving, caring ohana. Once again enjoying the company of former co-workers and old friends, Mom is in her element! I am at peace during the day, knowing she is in good hands, among folks who show her respect and shower her with love. Karen Maedo All the people at HIAC are so pleasant and cheerful. Harvey says it's like they all took a "happy pill" before going to work. They are all very caring and loving as evidenced in their interaction with those who need care and with each other,too. When my mother was living with us and either Harvey or I took her to HIAC for day care, I always felt such a peace knowing that I could go to work and not worry about her at all, that she was being well taken cared of, being served a nutritional lunch and snacks,too! On occasion, we would leave my mother at HIAC during a Saturday when Harvey and I had to go to Kona for the day. Again, we felt very good about the fact that she would be fine at HIAC while we were gone. I am extremely grateful to Hawaii Island Adult Care for being available to care for my mother and do it so well and with so much love and aloha. Helene Tajiri I'm going to tell you the story of how HIAC became a valuable partner to my family. In April of 2001,my father, Kotoku Curly Miyashiro at age 83,had a stroke which partially paralyzed him on his right side. Since he was still mobile, my mother, Masako Milly Miyashiro, cared for him at home. As Dad grew weaker with age and subsequent strokes, it was time to seek additional assistance. Fortunately through consultation with Services for Seniors, we were made aware of various community resources for the elderly. That's when HIAC became a part of our family. Dad started in 2003 or 2004 on a half day twice or 3 times a week. The van transportation was an important part of the service. This provided relief for my mother who was responsible for Dad's care 24 hours a day. Dad was not able to communicate well due to the stroke affecting his speech, but he had previously found joy in talking to and being around people, especially the elderly. So I know that he appreciated and enjoyed being at HIAC. Dad was a regular client till the end of 2006 when he was hospitalized. After an extended hospital stay he passed away in Sept. 2007. I then became Mom's caregiver upon Dad's death as she was already showing signs of dementia. It was apparent that she needed more stimulation than sitting at home in front of the TV. She resisted all attempts to join in any of the P&R senior programs. Finally came the fateful day that I said she had to become a client of HIAC. The first several attempts to get her here was met with tremendous resistance and I physically had to carry her down the house stairs and put her into the car. Thankfully the staff assured me that she was not the only client that put up a fuss about coming to the wonderful facility,which eased my guilt. She finally accepted the fact that she would be a regular client and did so for 6 days a week. While not an avid participant in all activities, she did enjoying singing and she does have a loud voice. Luckily for the staff and other clients, she at least could carry a tune. She remained a client till the end of August 2010. Considerably weakened and under Hospice care for several months, she passed away peacefully at home, a week later. It was always a pleasure visiting HIAC and the staff while my parents were clients. They were given compassionate care coupled with a sense of humor and keen understanding of the frailty of mind and body of the people they served. This is why the staff, the front line employees that care for clients like Dad and Mom, are such an important component of the success of HIAC. I have no hesitation in recommending families needing HIAC's services to come by and see for themselves that their loved one will be properly cared for while they can enjoy some time for themselves. To HIAC,thanks for caring for our ohana. While we may not say it often enough, we do appreciate what you do. And please pass this message of appreciation to all your employees and volunteers. Dwayne Miyashiro HIAC's current support for the East Hawaii Community HIAC's Hilo Adult Day Center takes care of seniors and elders who have a varied levels of need due to the requests from families who are willing to take care of their loved ones at home even if the care is not easy. Current enrollment is 108, 60 to 75 average daily, open six days per week. If HIAC had to close their doors due to serious building issues or an earthquake, below are the cost estimates to the Medicaid system along with what HIAC does for the community on a regular basis. Participants who would be placed in long term care (LTC) facilities are those having too many physical limitations (ADLs) or have advanced Alzheimer's disease. The families could not do it at home in a number of cases, even if ending their employment. For a minimum six month interuption of services: • Current estimate: 40% would be placed in a LTC facility 38 individuals Cost of instititutionalized life care at the Medicaid rate: $7,445/monthly Six months total cost: $1,697,460 Some families quit their jobs, to stay home with their loved one 25 individuals Cost of institiutionalized life care at the Medicaid rate: $7,445/monthly Six months total cost: $1,116,750 Most end up as Medicaid within three months, many immediately along with those already being paid for by Medicaid for adult day care (20-23% of HIAC participants). Overall savings per year: For every 10 individuals who would be in a long term care facility, $893,400 is saved in Medicaid funds annually, this is based on the level of care some need, and the fact that each year several do enter LTC facilities after being adult day care participants for some time. In fiscal year 2010-2011, 10 participants did enter LTC facilities, one had been a participant for three years, another younger partipant for over 20 years (a Medicaid client), the others were less than one year each. Whichever scenario is reviewed, a $7,000,000 investment in a new building for Hilo Adult Day Center will clearly pay for itself in far less than 10 years. HAWAII ISLAND COMMUNITY DEVELOPMENT CORPORATION 100 PAUAHI STREET, SUITE 204 • HILO, HAWAII 96720 Hilo Adult Day Center Grants in Aid (GIA) Request $7.0 million appropriation for the Hawaii Island Community Development Corporation Purpose: To construct a new adult day care facility for the 100+ clients currently being served by a temporary facility. The current facility is the old Hilo Memorial Hospital, originally constructed in 1924. The structure has sustained damage from earthquakes over the years and the County of Hawaii is allowing the continued use of the property only on a month to month basis. The proposed facility would be integrated into the Mohouli Senior complex being developed in Hilo. This new facility would be a functional modern facility designed to meet the needs of the community for decades to come. Amount Requested: $ 7.0 million Expending Entity: Hawaii Island Community Development Corporation Development Entity: Hawaii Island Community Development Corporation 501(c)(3)Tax Exempt Non-Profit Organizaiton Developer of over 400 income affordable housing units for low income families on the island of Hawaii Operating Entity: Hawaii Island Adult Care, Inc. 501(c)(3)Tax Exempt Non-Profit Organization Hilo adult day care has been serving the east Hawaii community since 1976 with centers in Hilo and Honomu, Hale Kupuna Small Group Home, home services through Senior Helpers and caregiver support through the Caregiver Connection. AN EQUAL HOUSING OPPORTUNITY -EQUAL OPPORTUNITY EMPLOYER- ADMINISTRATION: (808) 969-1158 FAX (808) 935-6916 • H Y L,---.—.—. ,—— „ .J Y L_._l I " ‘ I7,6 LL, ,L1b,— T -t-, ./ i . . \‘„Ce7c o K -‘ /---- ----'�.. �, \\ ' 1 I II ■I •pig j 1 11I •1 D 0 C.� L. I I ECM ■I • H' r •.1 1 01 ■1 ■ `° ° I .i t I ° I I • IN I 1 1 - q 1 ■■■■■ u■■■r, 11 I I II I I a r . j 1 j c fl 1 1 . L xi. , ■ Ad ci , fj(/ --<--- + ForrO 1 L, L-1 i i *1 N 0,4 1-'-` ma li 4.1. N 1 -in OOO ‘ ,_ i _._ a )3 1 i ID 0 r (( ' L , ., 0:0:0■ . ❑❑❑ At Mb;AL ii f Ram=1 `.t I. oI I • J ■i 7 U \ i y w° LL O Ic-b 1 \ tit tj ter- - a ® 1*11 ' (1 Z ROAD , -G•_ 1- -I 1 i "�=1 'NEWAY - _ - � a Ln1.ara 1' .EIi ,-,l £,,/.-r _-in�3.11Miiii♦ Fail Iw !. Ip E3 i �1 �; IE I 1I a,' 6 �i- 1 A -I i 11 OI IZ D,f4n" Mahal I ii All ,I ® OQQ��Iy'; FF.]tda �0 EC • �11 a z, ! is oe it 1 ml I ark a I YI moiergi ; wry .�... iI .1 1 I ; am nl�ial—=11♦k�1 nl .wro:I ee ili ini al 11 €il 1 .i � s i'° a ....r nrl Ii♦ i♦I�I,I - g I - - 11i-I ,It ,��� I EN gili♦er�Ar�j �i■iI1 ( i� /•. ! \ a: 1 �,..�� I n rn , 4,3„...,, i �m 12. up air sl \ x o 6 0 0 0 0 0 PROPERTY LINE 1 N \� - I \\\^ , .,N L ; ice% I: - 6 / IsA%wt•'i/AIMIION10010001 . STALLS la �y. \ \ / \ \ \ \ \ \ \ \ \ \ \\ \ \ \ \ `\ \ \ \ \ �'\ \ \ \\ \ \ \ \ \ ,,\ \ \ \ \ \ \ \ \ \ \ \ \ ,\ ,\ \ — , \ „taco-- "� \ ,*4-J-L 0-01315A g HOUSE OF REPRESENTATIVES STATE OF HAWAII STATE CAPITOL 415 SOUTH BERETANIA STREET HONOLULU,HAWAII 96813 January 31, 2012 The Honorable David Y. Ige, Chair and Member of the Senate Committee and Ways and Means Hawaii State Capitol Honolulu, HI 96813 The Honorable Marcus R. Oshiro, Chair and Members of the House Committee on Finance Hawaii State Capitol Honolulu, HI 96813 I am writing this letter in support of construction of a new building for the Hawai`i Island Adult Care (HIAC) to relocate the current Hilo Adult Day Center Program. The Hawaii Island Community Development Corporation (HICDC) would like to build a new faculty for HIAC and is requesting a grant-in-aid from the State for this purpose. The project will be constructed next to HICDC's planned 60 unit senior housing project at the Hamakua/Mauka corner of the Komohana— Mohouli Street Intersection. In closing I offer my whole hearted support to the Hawaii Island Adult Care, Inc. and the Hawaii Island Community Development Corporation in their request for a grant-in-aid to construct a new adult care faculty in Hilo. `0 wau iho na me ka ha'a ha'a V'PCircAtZet.,i Faye P. Hanohano Luna Maka'ainana, 'Apana `eha Mai ha Moku `0 Keawe .;., William 1.'1'n1,:tha i- Nana ing 1)rector �4'illi;rut Y. Komi :1` `" *'l 11,1x,r i • -e � Walter K.l1.Liu ►� ; ! s I nit. 1 , /•u :tng 1)n'ectrn •trEOSN ./ County of Hawaii Office of the Mayor 25 Aupuni Street,Suite 2603 • lido.Ilan ai'i 06720 • (X0%)961-S211 • Fax M8)061-6563 KONA: 74-5044 Ane Keohokainle I ,Bldg.C' • Kailua-bona,lIa.cai'i 06740 (80X13'3-1444 • fax(Ri0/ 323-44 40 January 26, 2012 The Honorable David Y. Ige. Chair and Members of the Senate Committee on Ways and Means Hawaii State Capitol • Honolulu, HI 96813 The Honorable Marcus R. Oshiro, Chair and Members of the I louse Committee on Finance Hawaii State Capitol Ilonoluiu, HI 96813 The Hawaii Island Adult Care, Inc. (HIAC)operates an adult day care program at 34 Rainbow Drive in Hilo. This program is located in the former Hilo Memorial Hospital, currently under the jurisdiction of the County of Ilawai`i. A large portion of this building has been abandoned by the County because of structural and other safety concerns. The County no longer maintains any offices in this building. Although the HIAC appreciates having use of the space for many years,they believe it is time to move. Should another earthquake hit the building, the HIAC may be forced to halt their operations until suitable quarters can be found,and the state licensing process to operate an adult day care program is completed. Currently, HJAC's enrollment is 108, serving 60-75 people per day, and provides an active organized day program with meals,baths, and restorative care. Staff also administer medications. More than 70%of HIAC's participants are over 80 years of age, most are frail with some dementia. The remainder have Alzheimer's disease and/or other debilitating conditions. HIAC has served the community for 36 years and participants have come from as far away as Waikoloa and Ka'u. Besides being an excellent program for older persons, adult day care allows family caregivers to continue working and/or receive respite during the day. Additionally, adult day care is the most economical alternative to in-home and institutional care. County of liawai'i is an Equal Opportunity Provider and Employer. The Honorable David Y. Ige "Ihe Honorable Marcus R. Oshiro Page 2 January 26, 2012 The Hawaii Island Community Development Corporation (HICDC) would like to build a new facility for HIAC and is requesting a grant-in-aid from the State for this purpose. The project will be constructed next to HICDC's planned 60-unit senior housing project at the Ilamakua/Mauka corner of the Komohana—Mohouli Street intersection. Building an adult day care center on the senior housing site follows a model set by Hale Mahaolu on Maui, for which its director received a "Best Practices" award from the federal Department of Housing and Urban Development. The HICDC,a private non-profit corporation, has built senior housing and self-help housing projects island-wide since 1981. With the aging of our population, the need for good alternatives to long-term institutional care is real. The purpose of this letter is to offer my wholehearted support to the Hawaii Island Adult Care, Inc. and the Hawaii Island Community Development Corporation in their request for a grant-in- aid to construct a new adult day care facility in Hilo. Aloha, William P. Kenoi MAYOR • County oil larvai`i is an Equal Oppcmunity Provider and Employer. � `�FN\,6 Alan R. Parker William P. Kenoi :. Executive on Aging Mayor .f7TF GFN►'�'.' County of Hawaii OFFICE OF AGING Aging and Disability Resource Center, 1055 Kino'ole Street,Suite 101, Hilo, Hawai'i 96720-3872 Phone(808)961-8600• Fax(808)961-8603• Email: hcoa @hawaiiantel.net West Hawai'i Civic Center,74-5044 Ane Keohokalole Highway, Kailua-Kona 96740 Phone(808)323-4390• Fax(808)323-4398 February 22, 2012 The Honorable David Y. Ige, Chair, Senate Ways & Means The Honorable Marcus R. Oshiro, Chair, House Committee on Finance and Distinguished Members of Both House and Senate Committees: The Hawaii County Office of Aging is very supportive of the plans to relocate the Hilo Adult Day Center to be part of the Mohouli Heights Senior Neighborhood Project. The Hilo Adult Day Center has a long history of excellence in the provision of support services for frail elderly and their caregivers and their current location has served them and the Hilo community well for over thirty years. However, the building is rapidly deteriorating and we are concerned that a possible earthquake or other circumstance could render the building unsafe leaving over a hundred needy clients and families without the support they need to keep these individuals at home. The planned center being made a part of a senior housing complex already entering the building stage, will enable expenditures to occur within the year to help stimulate the economy and ensure decades of support for our islands family caregivers. Located just off of Mohouli Street, the center will be less than a mile from our Aging and Disability Resource Center and very centrally located. As the Hawaii Directory of Public Officials 2112, so appropriately states: "Facilities Matter." Thank you for allowing me to make comments on this very exciting prospect for the Hilo Adult Day Center as well as for our entire aging services network and community. Sincerely Yours, Alan R. Parker Executive on Aging Hawaii County is an equal opportunity provider and employer. An Area Agency on Aging • NEIL ABERCROMBIE of s "1 WESLEY LUM,PhD,MPH GOVERNOR OF HAWAII P f �,'' 3 DIRECTOR I r LORETTA FUDDY,ACSW,MPH Telephone DIRECTOR OF HEALTH (808)586-0100 STATE OF HAWAII EXECUTIVE OFFICE ON AGING Fax NO. 1 CAPITOL DISTRICT (808)586-0185 250 SOUTH HOTEL STREET,SUITE 406 HONOLULU,HAWAII 96813-2831 January 30, 2012 The Honorable David Ige The Senate State Capitol, Room 215 Honolulu, Hawaii 96813 • The Honorable Marcus Oshiro House of Representatives State Capitol, Room 306 Honolulu, Hawaii 96813 Dear Senator Ige and Representative Oshiro, I am pleased to write this letter of support for a new adult day care facility in Hilo, Hawaii. It is my understanding that the Big Island legislators are currently working with Hawaii Island Adult Care and the Hawaii Island Community Development Corporation on a grant-in-aid to enable the construction of a new adult day care facility as part of a new senior housing complex in Hilo, Hawaii. The Executive Office on Aging would be happy to be named as the expending agency to ensure that the adult day care facility is built. Should you have any questions,please feel free to contact me at 808-586-0100 or at wesley.lum@doh.hawaii.gov. Sincerely, bu,"„,,,,,e2 Wesley Lum, PhD, MPH Director 655 KTLAUEA AVENUE CHARLENE Y.IBOSHI � t;i,°F,+;4h +, HILO,HAWAII 96720 PROSECUTING ATTORNEY ;c° _ q?, AX:(808)961-8908 �, ,,\��,I,1��.••'e FAX (808)861-8906 I 4r (808)934.3403 DALE A.ROSS i t; ; ,;r„+/� :t % (808)934-3503 FIRST DEPUTY :=+ -,:: PROSECUTING ATTORNEY � ;.• WEST HAWAII UNIT •''• •.)•*Ni M; • `� ' 81-980 HALEKI'i ST,SUITE 150 r�r��oF+t < KEALAKEKI,JA,HAWAI'I96750 PH:(808)322-2552 OFFICE OF THE PROSECUTING ATTORNEY FAX:(808)322-6584 January 20, 2012 Senator Gilbert Kahele Representative Clift Tsuji Hawai'i State Capitol Honolulu,HI 96813 Re: Support for New Hilo Adult Day Care Center Dear Senator Kahele and Representative Tsuji: The Hawai'i County Office of the Prosecuting Attorney has recently established an Elder Abuse Prosecution and Prevention Unit. This Unit is tasked with expediting the prosecution of elder abuse and financial exploitation cases and enhancing awareness and prevention of elder abuse through inter-agency collaborations and community education. As a result of the work of this Unit,we recognize the essential role elder adult daycare plays in our community. The Hilo Adult Care Center serves all adults, including elderly, who are mentally and physically impaired. The respite care provided by Hilo Adult Care Center for the elders' families and caregivers cannot be underestimated. Until mid-2007,Hilo's current adult day care facility(the old Hilo Memorial Hospital) was home to the Office of the Prosecuting Attorney. The current building conditions have prompted the Hilo Adult Care Center to seek a more suitable site near the senior housing complex planned for Mohouli St.. We appreciate the tough fiscal times throughout the state and county. Within the resources available,the Hawaii County Office of the Prosecuting Attorney supports the responsible funding of the adult care services and site development for this non-profit organization. The services provided are essential to our community's physical and emotional well-being. Very truly yours, #111 CHARLENE Y. I: •SHI Prosecuting Atto ey Hawaii County is an Equal Opportunity Provider and Employer :=1.7Ti:li NEILABERCROMBIE GOVERNOROF HAWAII 8xy , = LORETTA J.FUDDY,A.C.S.W.,M.P.H. a i ! d3i °� INTERIM DIRECTOP,OF HEALTH STATE OF HAWAII DEPARTMENT OF HEALTH P.0.BOX 3378 HONOLULU,HI 96801-3378 Dear Hawaii Island Legislators, State Capitol. 1/12/12 This letter is to support capital funding for the construction of a new facility for the Hilo Adult Day Center. This building will be built by Hawaii Island Community Development Corporation(HICDC) on their new senior housing site in Hilo, for Hawaii Island Adult Care, Inc. (HIAC) to relocate the current Hilo Adult Day Center program. The current facility at the Old Hilo Memorial Hospital is a very poor condition, there has been structural damage to the building, wood is very termite ridden and the county has a 1- month termination provision in the current lease. In case of an environmental event such as earthquake, HIAC may be forced to halt their operations until suitable quarters can be found and the state licensing process to operate an adult day care program is completed. As you could imagine this could take months if not years leaving many voting families with no acceptable alternative. A much needed new building for the current active adult day care is one key in facing this future. Currently HIAC's enrollment is 108, serving 60-75 people per day,providing an active organized day program with meals, bathing, medication and restorative care. The activities provide mental stimulation and physical activity to help aged elders continue to live at home as long as possible ("aging in place") and have a social life. More than 70% are over 80 years old, most are frail elders with some dementia, the remainder have Alzheimer's disease, are stroke debilitated and/or other conditions. HIAC has served the East Hawaii community for 36 years, adult day care participants have attended from many districts, even seventy miles away, Waikoloa and Ka'u. Adult day care saves the tax payer Medicaid money by delaying aged elders entry into long term care. Most patients in long term care end up as Medicaid patients within three months of entry and the average stay is three years. For every 10 persons who would have been in long term care if not attending adult day care,per year Medicaid saves $743,400; full time long term care (one person/$7,445 per month), full time adult day care including Saturdays (one/$1,250 per mo). An estimated 40% of Hilo's adult day participants would be in a long term care institution if the program did not exist. Many of my patients and their families utilize this program so the mother or father can remain at home but the family is still able to work while mom or dad is at day care. I have many patients and families who, if not for HIAC would have either been institutionalized, or at some other risk of injury long ago if not for this our one and only day care program on the East Side of Hawaii. Thank you forour assist. .e and support of this meaningful project. • cerely Jacq Ane Gardner RN,PHN,MSN,APRN,PA-C Keawe Street,Suite 205 Hawaii Island 117 Hilo,Hawaii 9672o ' 12, Phone: (808)935-7178 b Chamber of Commerce Fax: (808)961-4435 Am- ofaohMMERCE Email:admin@hicc.biz www.hicc.biz January 23, 2012 Hawaii Island Legislators 2011-12 Board State Capital sident Jonesi ata RE: Hawaii Island Adult Care, Inc. Y CIP Appropriations Request President-Elect Vaughn Cook I am writing on behalf of the membership of the Hawaii Island Chamber of Vice President Commerce, which represents both large and small businesses on Hawaii Island Judith Fox-Goldstein and has approximately 240 member businesses comprising more than 500 Treasurer individual members and are writing in support of Representatives Tsuji's and Charles Erskine Senator Kahele's request for$7 million in CIP appropriations to fund the construction of a new facility for the Hilo Adult Day Center. Past President Mike Gleason Should the appropriation be approved, this building will be built by the Hawaii Directors Island Community Development Corporation on their new senior housing site Howard Ainsley in Hilo, for Hawaii Island Adult Care, Inc. ("HIAC") to relocate the current Mitchell Dodo Hilo Adult Day Center Program. Charles Esrkine Stan Fortuna,Jr. The current building which presently houses HIAC is the Old Hilo Memorial Judith Fox-Goldstein Hospital and it is in extremely bad condition. There is structural damage, Jay Ignacio including dry rot and termite damage, which presents severe safety concerns. Ka'iu Kimura HIAC has appreciated Hawaii County providing them with the location, but Karina Leasure due to its poor condition, the County would like no residents utilizing the Marco Mangelsdorf building. Keith Marrack Eugene Nishimura Currently, HIAC's enrollment is 108, serving 60-75 people per day, and Spencer Oliver provides an active organized day program with meals,bathing, medication and Glenn Santos restorative care. The activities provide mental stimulation and physical activity Margaret Shiba to help aged elders continue to live at home as long as possible ("aging in Kimberly Shimabuku place") and have a social life. More than 70% are over 80 years old, most are Alice Sledge frail elders with some dementia, the remainder have Alzheimer's disease, are Mele Spencer stroke debilitated and/or other conditions. HIAC has served the East Hawaii Art Taniguchi community for 36 years and adult day care participants have attended from Ron Terry many districts, even seventy miles away, including Waikoloa and Ka'u. Steve Ueda William Walter Not only is adult day care good for the elders, it is necessary for their family caregivers, who are able to continue working or get some respite/relief during the day. Also, adult day care for those who can no longer take care of themselves, is the most economically reasonable alternative as compared with in-home care or long term care institutionalization. Hawaii Island Legislators January 23, 2012 Page 2 Adult day care also provides for dignity,being a part of family and community and true happiness for the adult children who otherwise feel extremely guilty if placing their loved one in a facility or care home. Adult day care saves the tax payer Medicaid money by delaying aged elders entry into long term care. Most patients in long term care end up as Medicaid patients within three months of entry and the average stay is three years. For every 10 persons who would have been in long term care, if not attending adult day care, per year Medicaid saves $743,400; full time long term care (one person/$7,445 per month), full time adult day care including Saturdays (one/$1,250 per mo.). An estimated 40% of Hilo's adult day participants would be in a long term care institution if the program did not exist (For instance, those with advanced mental and physical limitations, including Alzheimer's disease). With the boomer generation beginning to hit 70 in 2016, and by 2020, almost one in four individuals on our island will be 60 years or older, the need for good alternatives to long term care institutionalization is real. A much needed new building for the current active adult day care is one key in facing this future. We understand the challenges of this economy and the State's budget situation, but feel this project and request merits approval. We hope you agree. Very truly yours, Jon Y. Miyata Rtgai d ent 0 t Gommeo„, P o Gp a • 1. Since 195 Japanese Chamber of Commerce & Industry of Hawaii January 16, 2012 Hawaii Island Legislators State Capitol Honolulu, Hawaii Dear Senators and Representatives of Hawaii Island, The Japanese Chamber of Commerce and Industry of Hawaii supports the$7 million CIP request for construction of a new facility for the Hilo Adult Day Center(HIAC). This much needed facility will replace the present facilities in the old Hilo Memorial Hospital. The HIAC program provides a valuable service to the community. Unfortunately, after 36 years of service in its present deteriorated facilities,continuation of this program is being threatened. Undoubtedly,without this valuable program and service, many of the current clients would prematurely require expensive long-term care facilities or in-home services. The current facilities at the old Hilo Memorial Hospital on Rainbow Drive are in poor condition and structural integrity is questionable. What will happen when the next earthquake hits Hilo? We must find a new home for HIAC to continue operating for many years to come. We urge you to support this CIP appropriation for the Hilo Adult Day Center. Thank you for your kind consideration. Sincerely, Michael Kaleikini Ariz ent Affairs Chair President President-elect 714 Kanoelehua Avenue,Hilo,Hawaii 96720-4565 P.O.Box 7436,Hilo,Hawaii 96720-8981 Phone: (808)934-0177 Fax:(808)934-0178 E-mail: jccih @jccih.org Hawaii island Economic Development Board ISLAND OF OPPORTUNITY 16 January 2012 Hawaii Island Legislators Hawaii State Capitol Aloha, As we celebrate the life and vision of Dr. Martin Luther King today,it is my privilege and pleasure to submit this letter on behalf of Hawaii island Economic Development Board(HIEDB)in support of the Hilo Adult Day Center(HADC)and plans by Hawaii Island Community Development Corporation(HICDC) in partnership with Hawaii Island Adult Care, Inc. (HIAC)to build new facilities and relocate the HADC from its current location. Currently housed in the old Hilo Memorial Hospital which is structurally damaged and termite infested, should there be an earthquake for example, HADC and its clients will be in jeopardy with the former possibly losing its license pending identification and approval of new facilities and the latter losing the care that HADC provides. Adult day care provides a safety net not just to the participating kupuna and their families respectively, but also to our broader community collectively in numerous socio-economic ways. Perhaps most importantly,we should recall the words of the late Senator Hubert Humphrey who in his last speech in November 1977 said in part "... the moral test of government is how that government treats those who are in the dawn of life,the children;those who are in the twilight of life,the elderly..."as well as those of Dr.King whose dream included that the"unalienable Rights of Life, Liberty and the pursuit of Happiness" be guaranteed for all human beings. HIEDB recognizes that like Dr. King,our kupuna helped build the foundation of and bring to fruition the dreams and opportunities that are available to us today and our children tomorrow. HIEDB is proud to support this initiative which allows our community to be measured by the manner in which we care for our elderly...with compassion,gratitude,dignity, respect,and solidly demonstrate the Aloha for which Hawaii is recognized worldwide. Mahalo for your time and consideration, Please do not hesitate to advise if we may be of assistance in bringing this dream to fruition. Sincerely, Jacqui L.Hoover Executive Director&COO Hawaii Innovation Center at Hilo• 117 Keawe Street,Suite 107• Mo.HI 96720-2811 Pti(808)935.2180 Fax(808)935-2187 hiedb@hiedb.org www �Q 0 Barry K.Taniguchi 50 E.Puainako Street,Hilo Hawaii 96720 KTA Phone(808)959-2817,Fax(808)959-8050 E-mail: barry_taniguchi@ktasuperstores.com SUPER STORES January 30,2012 To: Hawaii Island Legislative Delegation Re: Hawaii Island Adult Day Care Funding Aloha. I write in support of funding for a new facility for Hawaii Island Adult Care(HIAC). For more than 35 years, HIAC has provided adult daycare services to our elderly citizens who might otherwise need to be in long-term care institutions. HIAC serves 108 of our citizens and the need for adult daycare is growing. One of every 14 people on Hawaii Island is 75 or over. One in seven is over 65. Ours is a family-centered island. We want to keep our respected elders at home,where they continue to influence our young people and remind us of our responsibilities. Many of us need to work and need to feel secure that our elders,like our children,are safe and invigorated. HIAC provides active, stimulating programs set to the levels the individual elder can handle. Despite its success,HIAC faces disruption any day. It is housed in the old Hilo Memorial Hospital,which is structurally damaged. The property owner,the County of Hawaii,seeks to close the facility to tenants because of its condition. Indeed, should another earthquake shake the building, it is unlikely it would be cleared for continued use. If the location is closed,we would be without the HIAC program services for at least six months while approvals and licensing are undertaken. Service interruption will place families in a tough spot and it is likely that many elders would be forced into inpatient facilities at a much higher cost to the families or to the Medicaid system. More than 70 percent of HIAC's clients are older than 80 years old. HIAC seeks to have a new facility,built by Hawaii Island Community Development Corporation(HICDC)on its new senior housing site in Hilo. Locating adult daycare with senior housing is a growing model and has been recognized as a best practice by the federal Department of Housing and Urban Development. Sincerely, 7,‘",(2",44 Barry K.Taniguchi President KTA Super Stores aaa0111. HPM NPM CUSTOM PASTAS ROOFING HPM TRUSS NPM WOOD PROTECTION NPM DOORS MICHAEL K.FUJIMOTO I PRESIDENT AND CHIEF EXECUTIVE OFFICER BUILDING SUPPLY 16-166 MELEKAHIWA STREET•KEA'AU,HAWAII 96749•PHONE:(808)966-5636•FAX (808)966-7564 MICHAEL.FUJIMOTO @HPMHAWAILCOM•WWW.HPMHAWAII.COM January 26, 2012 Hawaii Island Legislators, State Capitol Dear Honorable Legislators: On behalf of HPM Building Supply (HPM), I am writing you to humbly request your support of a $7 million CIP appropriation to fund the construction of a new facility for the Hilo Adult Day Center in Hilo. This building will be built by Hawaii Island Community Development Corporation (HICDC) next to their new senior housing site for Hawaii Island Adult Care, Inc. (HIAC). This new building will allow HIAC to relocate the current Hilo Adult Day Center program from their current dilapidated facility at the Old Hilo Memorial Hospital. Phase 1 of HICDC's 60 unit new senior housing project is slated to begin construction in March 2012 on the corner of Mohouli St. and Komohana St. This year, HPM will be celebrating our 91st year as a proud and grateful member of our Big Island community and as a committed citizen; we feel a real responsibility to garner support to make this project a reality. Key points supporting this project include the following: • The current facility at the Old Hilo Memorial Hospital is a very poor condition, there has been structural damage to the building, wood is very termite ridden and the county has a 1-month termination provision in the current lease. HIAC has appreciated having the location for many years but it is time to move, and the county would like no residents in the old hospital due to its physical condition. • Currently, HIAC's enrollment is 108, serving 60-75 people per day, and provides an active organized day program with meals, bathing, medication and restorative care. The activities provide mental stimulation and physical activity to help aged elders continue to live at home as long as possible ("aging in place") and have a social life. More than 70% are over 80 years old, most are frail elders with some dementia, the remainder have Alzheimer's disease, are stroke debilitated and/or other conditions. HIAC has served the East Hawaii community for 36 years, adult day care participants have attended from many districts, even seventy miles away, Waikoloa and Ka'u. • Not only is adult day care good for the elders, it is very necessary for their family caregivers, who are able to continue working or get some respite/relief during the day. Also, adult day care for those who can no longer take care of themselves is the most economically reasonable 1 ��, aaaOli.. RPM CUSTOM MSTAI ROOFING HPM TRUSS PPM WOOD PROTECTION HPM DOORS HPMMICHAEL K.FUJIMOTO I PRESIDENT AND CHIEF EXECUTIVE OFFICER BUILDING SUPPLY 16-166 MELEKAHIWA STREET•KEA'AU,HAWAII 96749•PHONE:(808)966-5636•FAX:(808)966-7564 MICHAEL.FUIIMOTO @HPMHAWAII.COM•WWW.HPMHAWAII.COM alternative as compared with in-home care or long term care institutionalization. • Adult day care saves the tax payer Medicaid money by delaying aged elders entry into long term care. Most patients in long term care end up as Medicaid patients within three months of entry and the average stay is three years. For every 10 persons who would have been in long term care if not attending adult day care, per year Medicaid saves $743,400; full time long term care (one person/$7,445 per month), full time adult day care including Saturdays (one/$1,250 per mo). An estimated 40% of Hilo's adult day participants would be in a long term care institution if the program did not exist. (Those with advanced mental and physical limitations including Alzheimer's disease. • With the boomer generation beginning to hit 70 in 2016, and by 2020, almost one in four individuals on our island will be 60 years or older, the need for good alternatives to long term care institutionalization is real. A much needed new building for the current active adult day care is one key in facing this future. Thank you for your support of this much needed project. Please feel free to contact me for further information at 808-966-5636. Sincerely, (7----.\\loll /----"" -... Ar.4--- C: 2 • January 24,2012 Hawaii State Legislature State capital Honolulu, Hawaii Dear Big island Legislators, Aloha! My name is Marvin Min and I am on the Board of Directors for the Hawaii Island Adult Care (HIAC).Out of the many organizations that I volunteer on,this organization provides me with the biggest "manao"as it is the right thing to do for our kupuna's and adults who have done so much to make Hawaii what it is today and who have taken care of us when we needed their support,guidance and knowledge. Now,in the elder years or unable to care for themselves, unable to drive or have family close by to provide for them, HIAC is the answer. HIAC provides for them and gives them comfort,care and most of all,a big smile. I was also a part of the HIAC's strategic planning group. Part of the strategic plans was to develop its mission and value statement and to fully understand the needs for the Hawaii Island,the demographics of its clientele,the core functions of HIAC,and to identify risk and develop a mitigation plan.The most important part was to plan for the future of HIAC and to address the sustainability of this much needed organization,which is to relocate from its old Hilo Hospital on Rainbow Drive to another facility that provides for better structurally built security for our future. After a year or more of planning for the future relocation of the facility,it was decided that the most economical and best solution for HIAC was to form a joint partnership with the Hawaii Island Community Development Corp(HICDC).They have the expertise in building projects and were successful in another adult care project on Maui. As in the movie"The Perfect Storm",where all three storms was transitioning from far away and temperature,wind direction,etc brought together three small storms to create this Perfect Storm,the same energy and"manao" is developing for the HIAC's building project.The planning and development has gained momentum and energy,where the partnership of HICDC is so ripe and provides the best solution,where HIAC will help lower the cost of health care tremendously and make a huge impact on reducing institutionalizing of our kupuna's,where this project will create much needed construction jobs,where this project will also keep our employees of HIAC employed and also create more jobs as HIAC grows and where the demographics and baby boomers era needs are evident.This is the Perfect Project) I humbly ask for your support for HIAC's request for Grant in Aid.The timing is right and we will meet the growing demands in our community for years to come. M halo NuiLoa,« Marvin Min HIAC,Board of Director Hawaii Island Legislators State Capitol Dear Hawaii Island Legislators, I have worked full-time at the Life Care Center of Hilo (nursing facility) as the Director of Social Services for the past 17 years. I have also worked part-time for the Alzheimer's Association (1999-2005, 2008-Present). In my work I have seen the importance of the work accomplished by the Hawaii Island Adult Care. When someone is discharged to the community from a nursing facility to the community, I find that the Elder succeeds in remaining in the community longer if they attend day care. When someone in the community who suffers from dementia attends day care, the caregiver survives the caregiving experience. The value of day care in terms of increasing the quality of life of our Elders and their family members is invaluable. Day care is a safe place where stimulation occurs while the Elder's family members can work or get their errands done. Hawaii Island Adult Care does a marvelous job but it is in an old building. I feel the State of Hawaii needs to support this program in helping the Hawaii Island Adult Care develop a new and improved building. Our state needs to show our Elders that they are important members of our society. By helping Hawaii Island Adult Care build a new building, we are saying that our Elders are a priority. Please consider this cause. ididy Chris Ridley, LCSW 808-443.7360 services 1055 Kinoole Street, Suite 105 ° for Ph: (808) 935-1144 W Fax: (808) 935-1143 S eniors, Inc. E-mail:sfsbigisland @hotmail.com January 12, 2012 To Hawaii Island Legislators, State Capitol: It is with great pleasure that I write this letter of support to erect a new day care building for Hawaii Island Adult Care (HIAC) at the site of HICDC's 60 unit senior housing project at the Hamakua/Mauka corner of the Komohana-Mohouli Street intersection. HIAC has been serving our community for over 36 years and for the past 22 of those years I have had the pleasure of working with them in meeting the needs of our frailest kupuna who would otherwise been prematurely placed in an institution. This is a special day care facility, full of activities and interactive support. Their current enrollment is at 108 and they serve 60-75 people per day. Their service includes not only activities but meals, bathing, medication management and restorative care. They provide mental stimulation and physical activity to help aged elders to continue to live at home as long as possible and have a social life. More than 70% are over 80 years old, most are frail elders with some form of dementia, the remainder have Alzheimer's disease, are stroke debilitated or have other chronic conditions. Although most of their clients are from the East Hawaii community,there are participants who live as far away as Ka'u and Waikoloa. HIAC also provides respite for caregivers who sometimes put their own lives on hold to take care of their parents, but they need a break,too. Then there are the working caregivers who need to have a safe place for their loved ones while they continue to work. Most importantly, HIAC helps to save the tax payer Medicaid money by delaying aged elders entry into long-term care. For every ten persons who are in long-term care if not attending adult day care per year Medicaid saves $753,400. An estimated 40% of current adult day care participants would be institutionalized if not attending day care. These are the ones with advanced mental and physical limitations including Alzheimer's disease. HIAC's facility is really living on borrowed time. It is located on Rainbow Drive at the site of the Old Memorial Hospital. There has been structural damage to the building, wood is very termite ridden and the county has a 1-month termination provision in the current lease. The next earthquake may be the last time the facility will be open for care. They would have to find a suitable place and still go through the State licensing process to operate as an adult day care which could take months. I strongly support HIAC's efforts to procure funds for this much needed facility. Thank you for your consideration. P / j , / Debra M.Nakaji 4 Executive Director Island-Wide Case Management Metro are COMPASSION.CARING-COMMtTMENT "Promoting INDEPENDENCE white Preserving Your DIGNITYin the Comfort of Home" ***t*************M*t***A******MR***kM**************t*t*************4*****k*********t****A*********;****k** January 12, 2012 Jose Enovejas, Community Relations Coordinator 327 Kinoole st. Hilo, HI 96720 Ph.: (808)935-6235 Email: metrocarehawaii0l @gmaii.com To: Hawaii Island Legislators,State Capitol I am writing this letter in support of the$7million CIP appropriation to fund the construction of a new facility for the Hawaii Island Adult Care. This funding is crucial to the relocation of the current Hilo Adult Day Center program because the first phase of the new senior housing site in Hilo will begin in March, and this project is slated to follow. Thus,the funding request needs to be approved soon in order for the plans of construction to flow through smoothly. Another reason why the Hawaii Island Adult Care facility needs to be relocated is the fact that the current facility is in very poor condition. Currently,there has been structural damage to the building,the wood is termite ridden, and the county has a 1-month termination provision in the current lease. Also,the county does not want residents in the current location due to its physical condition. If there were to be another severe earthquake,the Hawaii Island Adult Care facility may be forced to stop their operations until suitable quarters can be found. The Hawaii Island Adult Care plays a vital role in our community because it provides an active organized day program with meals, bathing, medication, and restorative care to our local elderly population. These activities allow participants to be mentally stimulated and physically active which assists the elderly to continue to live at home as long as possible, which furthers the concept of"aging in place." The facility also allows the elderly to have a social life instead of staying at home and doing nothing. The majority of the Hawaii Island Adult Care participants are over 80 years old,frail with some dementia,and the rest of the participants have Alzheimer's disease, are stroke debilitated, and have other conditions. Where would these participants go if it were not for the Hawaii Island Adult Care? The Hawaii Island Adult Care has served the east Hawaii community for 36 years. Many of the participants that have attended come from many districts of the Big Island. Some have even Corporate Address:327 Kinoole St.,Hilo,HI.96720 *Tel.:(808)934-8334*Fax.:(808)933-9304*Web:bttp://MetroCareHawaii.com Metro are i1 A W Ai 3, IV. 1. C: COMPASSION*CARING*COMMITMENT "Promoting INDEPENDENCE while Preserving Your DIGNITYin the Comfort of Home" kk*k kk*k*k***k k*k£k*k***£*k*£****k******k*kkk**k**k**kk***t k*kk*£********k k k*********k***k*k*****k**Mkk**£ come from as far away as Waikoloa and Ka'u. The benefits of adult day care not only pertain to the elderly, it also allows their family caregivers to continue working or get some kind of respite care. The Hawaii Island Adult Care assists those who can no longer care for themselves, and is one of the most reasonable alternatives in comparison to in-home care or long term care institutionalization. As you contemplate your decision whether or not to be in favor of funding the construction of a new facility for the Hilo Adult Day Center, please keep in mind the various families you will be helping within our community. By permitting the funds for the relocation of the Hawaii Island Adult Care,you will be continuing to give many families that extra option to choose from for their elderly members of their family. Please take to heart the various reasons that I have stated in this letter, and allow representative Tsuji and Senator Kahele's request for a $7million CIP appropriation to fund the construction to fall through so that the Big Island community can continue to take advantage of such a wonderful organization as the Hawaii Island Adult Care. Sincerely, k:.. Jose Enovejas ------ Corporate Address:327 Kinoole St.,Hilo,HI.96720 *Tel.:(808)934-8334*Fax.:(808)933-9304*Web:htr :IIIVIetroCareHawai{.com 1206 Malawaina Place Hilo, Hawaii 96720 January 12,2012 Hawaii Island Legislators State Capitol Honolulu, Hawaii It is with great pleasure that my wife and I support Hilo Adult Day Center and their effort to seek financial support for a new facility in Hilo. After providing this valuable service to our community for 36 years in the deteriorated facilities at the old Hilo Hospital,their continuation is threatened and in dire need of a new home. The day care program for the elderly is unique and offers an alternative to long-term care institutionalization or in-home care for the elderly. Long-term care is extremely costly to families and the State of Hawaii and the Federal Government, HIAC has been successful in prolonging the avoidance of institutionalization of the elderly population on the Big Island. it is truly a win-win-win program for the individual clients,their families,the State of Hawaii,and the Federal Government. On a personal note, HIAC provided day-care assistance to my 80+year old father-in-law in the 1980's until his health deteriorated to the point necessitating institutionalization. My own mother participated in the HIAC program for more than a year before health issues required hospitalization,then institutionalization. 'I realize that the HIAC program enabled my mother remain at our home much longer than the alternative of long-term care. Please support the$7 million CIP appropriation to fund construction fora new facility for Hilo Adult Day Care Center. I believe it would be a wise investment and will remain an asset to our community for many years. Sincerely, Barry T.Mi +no 5-1-1\ • January 24, 2012 Dear Hawaii Island Legislators, I am writing this letter in support of construction of a new building for the Hawaii Island Adult Care (HIAC) to relocate the current Hilo Adult Day Center program. My involvement with the Hilo Adult Day Center program is that I am a pharmacist and preceptor to pharmacy students in the Doctor of Pharmacy program with the University of Hawaii at Hilo, College of Pharmacy. As a clinical education coordinator I work with the center to have students actively participate in experiential rotations at HIAC as part of the curriculum. Ninety students in their first professional year at the college spend time at the center. The first day is spent discussing the needs of the elderly, especially those with cognitive impairment or dementia, viewing activity at the center, and learning how to gather health and medication information from the medical record. The second day is spent interacting with the residents and "talking story". Students also work on the development of informational materials relative to wellness and medication safety to share with residents, staff, and visitors. Comments from students at debriefing sessions and thru reflection statements has shown the rotation to be a rewarding experience for the students and valued by the residents at the center. Sample student reflections as submitted: "I gained in the Adult day care rotation an appreciation for the problems of the elderly, and an appreciation of how many drugs the elderly take and the drug interactions that can cause problems in them. I took away a new understanding of the problems of the elderly and the short and long term care facilities that take care of them on a daily basis. I also took away some great lessons from the women who I talked to during the Adult Day Care rotation. I also became a lot more comfortable with talking to elderly people or people with memory problems." "At the Adult Day Care rotation it became very apparent how important it is to be able to establish a relationship with your patients, especially those from demographics that you are not accustomed to interacting with." "I also gained a higher level of comfort in conversing with the elderly. This is something I hadn't really done much in the past,so it was beneficial to me to speak with various people from various cultures and in various states of health." "The adult day care was informative as it gave me a chance to a face on what we have been learning in class. Up until then we have been studying, dosage forms, drug interactions, bioavailability, and biochemistry;you start to forget that the name on the prescription you're looking at is an actual person, not just some variable in an equation. So it was very refreshing to spend a day looking over charts and then the next day meeting the people that correspond to those charts. When I met the patient I expected them to maybe be a little forgetful and I would have to repeat myself a few times, however when I met them it was much worse than that. They could only remember a few memories from their child hood and told me the same story nearly thirty times From her chart I was expecting that she would have little trouble keeping track of their medications with just simple reminding. However, after meeting them I could see that there is no way that they could manage their own medications. This really showed me the importance of understanding your patients and making sure you provide instructions appropriate for the patient." "The day that we were scheduled to go to the Hilo Adult Day Care Center could not have been any more perfect. The facility decided to celebrate Thanksgiving the day that we were there, and because they had live music playing, we were able to dance with some of the clients toward the end of our visit. It was a great way to end our day with them. I was able to talk story with a handful of clients there, and while they seemed to be perfectly content with the usual activities that the facility provides them with, I think that they enjoyed having us students dance with them to these old songs that they were familiar with. The lady that I happened to danced with used to be a dancer, and she seemed to really enjoy my attempt at dancing with her. That was easily my favorite part of the day. I thoroughly enjoyed my visit to the facility, and left feeling like I was able to make a few people smile that day." Since my first encounter with the Hilo Adult Day Center in the spring of 2010, it was evident to me that the center was providing a quality and valuable service to the residents and the community. The active organized day program, including meals, bathing, medication and restorative care, is delivered in a caring and nurturing environment. The activities provide mental stimulation and physical activity to help aged elders continue to live at home as long as possible, have a social life, and provide for family caregivers to continue to work or to get some respite/relief during the day. Although it is apparent that efforts are taken to keep the current building bright and lively in areas where the residents spend their day, the facility is in very poor condition, and should another earthquake hit the building HIAC may be forced to halt their operations in the building. Many of the residents are frail elders and it is important to have them in a safe place. A new facility, built nearby the new senior housing site in Hilo would not only allow for the staff at the center to provide even better care, but could ease the transition for those who may ultimately need to move to senior housing. In closing, I would like to again state my strong support for appropriation of funds to construct a new facility for the Hilo Adult Day Center. Thank you for your consideration of this very important program. Sincerely, Pa/ e-11( Patricia Juscza P.O. Box 735 Hilo, HI 96721 February 20,2012 The Honorable David Y. Ige,Chair And Members of the Senate Committee on Ways and Means This letter is in regards to HIAC and the importance of their impact on my life. My mother goes to HIAC daily and she has been attending since August of 2011. Before then,she lived alone in her Senior Housing Apartment in Honolulu but with time she started to be more confused and was not able to remember things. My sister was going to put her into a home because that would have been the best solution for her on Oahu. We brought my mother to live with my daughter and me here in Hilo. Being a single parent, HIAC has been the best place for my mom. I can leave her there every day knowing that she is safe and being cared for. They are able to give her that quality of life that she totally deserves;a place where she has friends that she sees everyday and a place where she has fun and interact with others. If HIAC didn't exist where would I send my mom? Who would take care of her? Would I have to quit my job? How would I be able to care for my child and myself if I don't work? How would I be able to send my daughter to college right now and pay for what she needs? What about my mom's dignity to live life and not spend it in a home alone? The other day,we were at the Hilo Bay Front watching my daughter paddle and a cruise ship was being pulled out to sea and my mom said, 'Look! I saw that ship today when we went riding by the beach.' She actually remembered what she did and saw that day;she never remembers what she does every day but I felt happy to hear her say that. I'm shocked to know that HIAC's lease with the county is on a month to month basis. If anyone who cares can fix the problem,you can. You need to take care of our Seniors,and it starts here with you. Love your parents, We are so busy growing up, We often forget they are also growing old. Thank you very much! Sincerely, MALitild ok:Z,) Dianne Justice February 20,2012 The Honorable Marcus R.Oshiro,Chair And Members of the House Committee on Finance This letter is in regards to HIAC and the importance of their impact on my life. My mother goes to HIAC daily and she has been attending since August of 2011. Before then,she lived alone in her Senior Housing Apartment in Honolulu but with time she started to be more confused and was not able to remember things. My sister was going to put her into a home because that would have been the best solution for her on Oahu. We brought my mother to live with my daughter and me here in Hilo. Being a single parent, HIAC has been the best place for my mom. I can leave her there every day knowing that she is safe and being cared for. They are able to give her that quality of life that she totally deserves;a place where she has friends that she sees everyday and a place where she has fun and interact with others. If HIAC didn't exist where would I send my mom? Who would take care of her? Would I have to quit my job? How would I be able to care for my child and myself if I don't work? How would I be able to send my daughter to college right now and pay for what she needs? What about my mom's dignity to live life and not spend it in a home alone? The other day,we were at the Hilo Bay Front watching my daughter paddle and a cruise ship was being pulled out to sea and my mom said,`Look! I saw that ship today when we went riding by the beach.' She actually remembered what she did and saw that day;she never remembers what she does every day but I felt happy to hear her say that. I'm shocked to know that HIAC's lease with the county is on a month to month basis. If anyone who cares can fix the problem,you can. You need to take care of our Seniors and it starts here with you. Love your parents, We are so busy growing up, We often forget they are also growing old. Thank you very much! Sincerely, WitiCke) 01-4thWatirCei3 Dianne Justice February 17, 2012 The Honorable David Y. Ige, Chair and Members of the Senate Committee on Ways and Means Hawaii State Capitol Honolulu, HI 96813 Dear Mr. Ige et al, I cannot begin to tell you how much HIAC has filled a tremendous need in our lives.--not just for my family and me, but especially for my uncle who has been a client there for a little over a year now. He has been receiving excellent care from a staff who has shown the utmost respect and compassion for all those receiving their daily care. Uncle has shared with us the "good service" he is given and has found joy in the activities in which he participates. HIAC has provided a safe and affordable center for my uncle,and it has given us much-needed respite as well as assured opportunities for me to continue to work or"have a life" and, more importantly,still have him remain at home instead of being placed in a residential setting. (I had taken him out of a residential placement on Oahu in April, 2010, because he was so unhappy there.) I am ever so grateful for HIAC,and I am asking for your support in continuing to fill the needs of our loved ones. Thank you very much. Most sincerely yours, 4/1eA/Ln..- ok L*L- Sherron T. lopa 40 Paipai Street Hilo, HI 96720 Tel: 808-959-6127 February 17,2012 The Honorable Marcus R. Oshiro, Chair and Members of the House Committee on Finance Hawaii State Capitol Honolulu, HI 96813 Dear Mr.Oshiro et al, I cannot begin to tell you how much HIAC has filled a tremendous need in our lives.--not just for my family and me, but especially for my uncle who has been a client there for a little over a year now. He has been receiving excellent care from a staff who has shown the utmost respect and compassion for all those receiving their daily care. Uncle has shared with us the "good service" he is given and has found joy in the activities in which he participates. HIAC has provided a safe and affordable center for my uncle,and it has given us much-needed respite as well as assured opportunities for me to continue to work or"have a life" and, more importantly,still have him remain at home instead of being placed in a residential setting. (I had taken him out of a residential placement on Oahu in April, 2010, because he was so unhappy there.) I am ever so grateful for HIAC,and I am asking for your support in continuing to fill the needs of our loved ones. Thank you very much. Most sincerely yours, Sherron T. lopa 40 Paipai Street Hilo, HI 96720 Tel: 808-959-6127 --%Eh/140m, .11 Nn10-1 CL 1-0 avi • c_gir, e a 1r arid '`14--• d'12471b(z)5 41 ite/Vta4b Cer?-7-)o-)1' HEE- eh) C;) S 1-7-Zasar)aS Jé2 ± P5 14 46,c(Civ ear ta)i AGV tr) )71 y' 4?-11"7/ .5 17-7A, PLEA102-A-- 4Aak 7 k-- 41-€1 ii(rUsig 1V)(2S Th, 97-1 cr-h-,--• I t.e S t.) -fi="4 9(2) r i 1 4.4-1-e i LS I v h _s S e x'e..41Y-c -ko 3.0 +4/24E- oeic,2 „vt.. e.5-yyzes Acrxy-ic. ze3 (km) 604-wok_ arld inc55 44 crAe_ e_kes oD -1-15-ua6 ; berAA-cce r Acise;40-,Ess ciox-e,61-nce Au-- ry) It__ ; V c4- 1:2?. 6511 srl Piot- s.gc___ beA`74.61 )--. 615v) .- 673 6243.4.4-,„ 04i. 5.0 ra_iteru_e gyffer . _lui,1cE5 .(2_74 -rev-14 at ujA tr„ i2)4pecc■-) ca.._ 77/a'ki _k) . - ' ' ^ _ ` ^ ^` ` ` � '`� ' '` ` `' ' . =^ ~ rs ai /46 Y-)ezS e _pe,a4 7)->15 _ 31-)e)a--) akia _flaw 4.0. doui,ce „6-rzci ?Mem -740 us in-ev)Ala (doctjAtv- ilt_iyate-tf);51_- mime/3a) �, . ` � February 20, 2012 The Honorable David Y. Ige, Chair And members of the Senate Committee on Ways and Means Hawaii State Capitol Honolulu, HI 96813 Dear Sir: I am writing this letter to ask for your support of the Hawaii Island Adult Care (HIAC) facility in Hilo. About 10 years ago,my wife suffered a brain hemorrhage after delivering our only son. The injury to her brain left her paralyzed on her left side, as well as other cognitive difficulties similar to people who suffer from strokes; Needless to say, my wife is not able to care for herself and requires assistance with her daily living tasks. Managing this kind of situation has been quite a challenge for me since there are very few resources on the Big Island for people dealing with traumatic brain injuries. The Hawaii Island Adult Care is one of the few facilities that can provide my wife with a safe,nurturing and stimulating environment. As the sole provider of the family, I work 40 plus hours a week as a school counselor and would not be able to do so without the support that HIAC provides for me and my family. I can continue to do the work that I love and provide for my son because of HIAC. I hate to think about what I would do without the services of the Hawaii Island Adult Care. Please continue your support for one of the only facilities available for my wife in Hilo. Mahalo nui, 77666/-60 Tim Kudo February 20, 2012 The Honorable Marcus R. Oshiro, Chair And members of the House Committee on Finance Hawaii State Capitol Honolulu, HI 96813 Dear Sir: I am writing this letter to ask for your support of the Hawaii Island Adult Care (HIAC) facility in Hilo. About 10 years ago,my wife suffered a brain hemorrhage after delivering our only son. The injury to her brain left her paralyzed on her left side, as well as other cognitive difficulties similar to people who suffer from strokes.' Needless to say, my wife is not able to care for herself and requires assistance with her daily living tasks. Managing this kind of situation has been quite a challenge for me since there are very few resources on the Big Island for people dealing with traumatic brain injuries. The Hawaii Island Adult Care is one of the few facilities that can provide my wife with a safe,nurturing and stimulating environment. As the sole provider of the family, I work 40 plus hours a week as a school counselor and would not be able to do so without the support that HIAC provides for me and my family. I can continue to do the work that I love and provide for my son because of HIAC. I hate to think about what I would do without the services of the Hawaii Island Adult Care. Please continue your support for one of the only facilities available for my wife in Hilo. Mahalo nui, Tim Kudo The Honorable David Y. Ige, Chair and the Members of the Senate Committee on Ways and Means Hawaii State Capitol Honolulu, Hi 96813 Dear Honorable David Y. Ige, Chair My name is Aiko Sadahira and my husband Saburo Sadahira has been a client at HIAC since 2010. I am the the sole caregiver for my husband who will be 90 years of age and has been diagnosed with dementia for many years. Since being his sole caregiver,we do not have any children, caring for him was becoming very challenging. Looking for help so that we both could have 'quality of life'for our remaining years, we found the staff and program at HIAC a very welcoming blessing. Now he's with other people everyday at the center-enjoying playing cards and singing Japanese songs. I am now also able to enjoy my hobbies and doing shopping during the day. HIAC is in need of a new building. The wonderful staff there really makes what they have there for the clients very warm and welcoming. I am very grateful that my husband is able to go to HIAC so that we're able to have 'quality of life'for the clients and their families. Much 'mahalo'to the staff at HIAC! Sincerely, Ca.e Aiko Sadahira Feb. 21, 2012 The Honorable Marcus R. Oshiro, Chair and Members of the House Committee on Finance Hawaii State Capitol Honolulu, Hi 96813 Dear Honorable Marcus R. Oshiro, Chair My name is Aiko Sadahira and my husband Saburo Sadahira has been a client at HIAC since 2010. I am the the sole caregiver for my husband who will be 90 years of age and has been diagnosed with dementia for many years. Since being his sole caregiver,we do not have any children, caring for him was becoming very challenging. Looking for help so that we both could have'quality of life'for our remaining years, we found the staff and program at HIAC a very welcoming blessing. Now he's with other people everyday at the center-enjoying playing cards and singing Japanese songs. I am now also able to enjoy my hobbies and doing shopping during the day. HIAC is in need of a new building. The wonderful staff there really makes what they have there for the clients very warm and welcoming. I am very grateful that my husband is able to go to HIAC so that we're able to have'quality of life'for the clients and their families. Much 'mahalo'to the staff at HIAC! Sincerely, itG1 Aiko Sadahira Feb. 21, 2012 February 23, 2012 The Honorable David Y. Ige, Chair and Members of the Senate Committee on Ways and Means Hawai'i State Capitol 415 South Beretania Street Honolulu, HI 96813 Dear Senator Ige and Members: The Hawai'i Island Community Development Corporation has applied for a State Grant-In-Aid at the state legislature, with the Hawai'i Island Adult Care (HIAC) as the partner, for a new facility. We strongly support their request for state funding. After my mother, 77, broke her leg over a year ago, it was her desire, as well as ours, to bring her home from a 24-hour restorative care facility and keep her home as long as we are able to care for her properly. My mom started attending HIAC shortly after her return home, and we can see how the activities and interactions at HIAC benefit my mom by keeping her mind and body active and strong. Being a government worker and currently receiving a pay cut due to furloughs, I understand the difficulty to provide funding during these tough economic times. However, there is definitely a growing need for a new facility in our community where they will take care of our loved ones while we are at work. Thank you for allowing us the opportunity to comment. Sincerely, IIP 'Y. Aret;___ Ly V. Miyamoto P.• :ox 676 Pepe'ekeo, HI 96783 e a' of m �mom9 b February 21 , 2012 The honorable David Y. jge, Chair and Members of the Senate Committee on Ways & Means hawaii State Capitol Honolulu, hawaii 9681 3 Dear honorable Chair Ige & Members of the Senate Committee, My name is Susan A. Kaneshiro, the primary care giver for my aunt, Alice Imai who suffers from dementia. Alice is a client at ILIAC six clays a week so I can go to work and contribute towards* our financial obligations. because of hIAC and its wonderful, caring staff, I am able to rest assured that my aunt is in good hands while I am at work. Without them, I would have no alternative except to put Aunty Alice in a nursing home which she absolutely refuses to go. That thought just scares her. I am, therefore, so grateful that Aunty Alice is able to live at home with us and loves attending the kilo Adult Day Center. It also allows me to have some time to do other things as I also take care of my mom. I humbly ask for your support to hIAC as they continue to be a blessing in meeting our needs right here on the big Island of hawaii. Your assistance in this matter is greatly appreciated! Sincerely, C6,Z4,Qty,-1)01)(Plynic2-1 Susan A. Kaneshiro February 24, 2012 The Honorable David Y. Ige,Chair and the Members of the Senate Committee on Ways and Means Hawaii State Capitol Honolulu, HI 96813 Our family, along with our grandmother who is a client of Hawaii Island Adult Care, is in favor of, and strongly urges your support on funding for a new Hawaii Island Adult Care Facility. Our elderly grandmother suffers from Alzheimer's and is unable to care for herself. While we provide the necessary and primary care for her,we are unable to provide close and constant supervision during the workweek. The Hawaii Island Adult Care is very important to us. They offer the care and supervision necessary while we are unavailable. We have comfort and peace of mind in knowing the level of care being provided—constant mental stimulation, activities, nourishment,compassion,support and safety. The funding will allow Hawaii Island Adult Care to construct and operate a facility that is more centrally located and capable of facing the future increase in the elder population. Sincerely, Christine Carter and Family February 24,2012 The Honorable Marcus R.Oshiro,Chair and Members of the House Committee on Finance Hawaii State Capitol Honolulu, HI 96813 Our family, along with our grandmother who is a client of Hawaii Island Adult Care, is in favor of, and strongly urges your support on funding for a new Hawaii Island Adult Care Facility. Our elderly grandmother suffers from Alzheimer's and is unable to care for herself. While we provide the necessary and primary care for her,we are unable to provide close and constant supervision during the workweek. The Hawaii Island Adult Care is very important to us. They offer the care and supervision necessary while we are unavailable. We have comfort and peace of mind in knowing the level of care being provided—constant mental stimulation,activities, nourishment,compassion,support and safety. The funding will allow Hawaii Island Adult Care to construct and operate a facility that is more centrally located and capable of facing the future increase in the elder population. Sincerely, Christine Carter and Family • • E" Q! N l- .ti O v1:4 1 ,,c, 1■.* ....1(.:1) W NI Z ( E ra / QMII• /mmi:� Quo et C76( 4 a i +; .,. 4 Ci) Alt (:1. T+ 4� • W cc •!a '�' a' N by Z N C U c� rn 's1 el. a. L w $ L O .1 O 0 O OUz `...0, . 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O 0 3 S < n , r �� 5. . f9 N fD F u Fr 0,1 • m mt. _ v• O 0 , O,w w v, 7 0 — A, 1111I: r N �` i all �... [?AY CE " fir. ,, ' — A-4' ,,,, , .40 wir ,, „ell t ti, rf x4 - «. P ,,� . Hawaii Island Adult Care, Inc . 2011 Annual Report FY July 1 , 2010 - June 30, 2011 Hawaii Island Adult Care,Inc. 34 Rainbow Drive Hilo,Hawaii 96720 PH. (808)961-3747 FAX(808)961-3740 www.hawaiiislandadultcare.org BOARD OF DIRECTORS Jeanne Beers/President Jay Ignacio/Vice President-Governance Judy Ah Chin/Vice President- Internal Affairs Richard Onishi/Vice President- External Affairs Irma Ikawa/ Secretary Cary Honda, Roxann Ikeda, Evelyn Kagawa, Mary McKinley, Marvin Min, Jan Nakahara, Henry Nakamoto, Barbara Waldo,Nancy Yamada. Stephen A. Woo Jr., MD/Associate Member HIAC STAFF Executive Director: ACTIVITY LEADERS Paula Uusitalo Virginia Bly Kalei Galario Health Services/GHW Director: Joyce Branco Markus Grohs Maile Young,LPN Kanani Brown Lindsay Lambert Melissa Cardoza-Fernandez Diana Liborio Center Program Coordinator: Rachel Carrigan Elizabeth Logsdon Rita Charvea Lucinda Chavez Andrew Matias Shigeko Chinen Rosella Mauga Fiscal Officer: Sharah Day Melva Purdy Richard Costello Salena Espejo Marvin Skyles Jessie Ferris Olena Taylor Bookkeeper: Laurie Yoneda Mona Vance Senior Helpers Hawaii,RN Supervisor: Summer Tawney,RN SENIOR HELPERS HAWAII Senior Helpers Hawaii, Coordinator: Kanani Alfiche America Padasdao Judye Coppolla Chelsea Brown Janice Pon Leona Caravalho Kehau Racpan Office Manager: Linda ChongTim-Castro Aida Ricafrente Stacey Furtado Eufemia DelaCruz Maria Fe Tan • Pammy Dudoit Loriella Tenorio File Clerk: Marion Maikui Francine Texeira Momi Tellio Achunsion Mwarey HR/Clerical Assistant Kauwela Kane WEEKLY VOLUNTEERS Art Therapist Mitzi Hayashida,Beatrice Abe,Doris Watanabe,Olga Shkredko Lori Thal Honomu DC Director/Admin Liaison Tracey Kapuni Program Assistants: Lee Wana Melca Tellio We are a 501 (c)(3)Agency Fully licensed,insured&bonded r, f .� . �J/L, ,,,,---- , 1 4116F4 A 0 4 404-07 -... qv,, --- Hilo &Honomu Adult Day Centers, Senior Helpers Hawaii, Caregiver Connection, Hale Kupuna Message from the Board President itt i I feel fortunate to live in East Hawaii where we have one of the best Day Care Cen- ters in the State. Success of the program comes from a variety of factors, of utmost impor- tance is the prominent role of the staff. Although the building is archaic and has a cold de- serted look, once inside the staff treat each client and family member as their own. They ireprovide quality care in a safe, comfortable environment where the clients can enjoy their day. Allowing family members respite knowing their loved ones are in good hands. My involvement with the Executive Director, Staff, and Board Members has been inspiring as we all work together to fulfill HIAC's Mission. A special Thank You to everyone for giving generously of their time, positive energy and commitment to making HIAC a success. Jeanne Beers, RN President Message from the Executive Director We had a pretty good year! Day Center enrollment has been increasing every year, and we reached 100 enrolled in March! We were lucky that the Rotary Club of Hilo Bay chose us for their Weinberg project, kH twenty eight Rotarians came in February to do painting, cleaning, fixing screens, and mak- ing dividers to segregate the front large room, into a smaller activity area. The Rotoract Club of UHH came a second time in March to continue the work, and then Nordic PCL (builders of Target) chose us for their"Give back to Community Day". They came in April and May, painting the ramp, fixing and replacing more screens, painting the front foyer and the Golden Heart Wing. The center has never looked so good! The best part of this year however was celebrating our 35th anniversary in June with the center cleaned, painted and polished! It was a very nice celebration enjoyed with Bill Takaba, Alan Parker, Dwayne Miyashiro, Representatives Clift Tsuji & Mark Nakashima, and Senator Gil Kahele and other com- munity members. A very big thank you to the staff, the Board, the families and the community for supporting HIAC for another good year! Paula Uusitalo Executive Director Hawaii Island Adult Care, Inc. Mission Statement: To provide quality community based care to elders and disabled adults and support for their families on the island of Hawaii. January 1976, inspired by the Hawaii County Office of Aging. Hawaii Island Adult Care, Inc. (HIAC) opened its doors at the Kaumana Baptist Church as the only adult day care center for the East Hawaii community. In 19.81, HIAC incorporated as a non-profit federally tax organization and also moved into the Old "Memorial" Hospital on Rainbow Drive . In the 1980's, HIAC started the Kona Adult Day Center,began the Senior Helpers program providing in-home care and opened Hale Kupuna, a small group home,with a lease of a home from the May Templeton Hopper Fund. HIAC's purpose is to provide for aged elders and disabled adults needing care,to give them the opportunity to remain living in their own homes,provide dignity and self-worth,help them maintain their independence as long as possible and to be with fam- ily and community. Additional goals include prevention of premature institutionalization into long-term care and providing much needed respite for caregivers or the opportunity for caregivers to remain employed. We graciously thank all of our funders and partners in helping us with funding to provide services to all who need help,regard- less of ability to pay,and for our caregiver program.We are a Hawaii Island United Way affiliate and are partially funded by the Hawaii-Pacific Combined Federal Campaign and Office of Aging, with Title 111-B Federal Funds. We partner with Service for Seniors,County of Hawaii Human Services Grant,Friends of Hawaii Charities,Give Aloha Campaign,HEI Charitable Founda- tion,Harry&Jeanette Weinberg Foundation,Hawaii Community Foundation,Hawaii Visitor Industry Charity Walk,Koehnen's Interiors, Margaret A. Cargill Foundation, May Templeton Hopper Fund, McInemy Foundation, OOA Kupuna Care Program, QExA-Evercare&Ohana Health Plans,HMSA Foundation,and Young Brothers. We also are truly appreciative for our communities which continue to support us at the golf tournament and year round in many other ways. With everyone's help we continue to successfully make a difference in the lives of the individuals and families we serve. ta , �s. i i `P .. tit 4 ,"..7144°' 44' - 411, 4111* 4101110101004 j �" .,• MOP IH LO ADULT i DAY CENTER IlN1to __ a tom` 1+hb.' ' ..'�m._"� ���� a�te �I�' t � l � 1"'�Air."4- ■r(■}} off, t #, ,,,,,,.. ,.. //ie. , -=1,,,.,ii; „4,79111' 1r i",t4., a 0111 t t * a. _ . _ . . , _, .. ...,. _ .. ,.. . , . . HIAC's Four Services: 1. Adult Day Care Centers-A safe,healthy,socially active day program for aging elders&disabled adults. a. Hilo Adult Day Center-34 Rainbow Drive Hilo Including specialized care for persons with Alzheimer's disease. Licensed for 105 daily,current enrollment 106. b.Honomu Adult Day Center-Licensed for 10,currently open Wednesdays&Fridays. 2. Senior Helpers Hawaii (In-home Care) - Gives relief to homebound elderly, disabled adults and their caregivers by placing our professional workers in their home for personal care and home chore services.We serve an average of 56 clients monthly. 3. Caregiver Connection -Gives counseling support and provides professional education/training for the families and individuals i caring for the elderly,physically/mentally challenged and individuals or persons with Alzheimer's or related symptoms. Care- giver Support group meets every third Thursday of the month. We provide professional "people to people" help for family caregivers by sharing ideas, experiences and coping techniques, especially for those caring for loved ones with Alzheimer's disease or related challenges. 4. Hale Kupuna Small Group Home-Provides a safe,supportive affordable housing alternative for economically and so- cially and needy elderly,—houses 5 individuals. THE HILO AND HONOMU ADULT DAY CENTERS ✓yr 1iI1d S « low i ° , ,ir ,, ,,,„ „,r. ,,,„ ■41, 4,1 , s g It 1' ''<.':4 I i ill ''''' t 14 iMir 'Y HILO ADULT DAY CENTER •, J ,, , . lilt HONOMU ADULT DAY CENTER , 1 ww min Or t SENIOR HELPERS HAWAII 8,0:1.40,; ; 3J wSq� r* � w , * qaidle • few li- '111Y - 1/4 ‘ ‘11114 CAREGIVER CONNECTION 1 HIAC Fiscal Year 2011 ANNUAL REPORT 1 Unaudited Statement of Assets, Liabilities and Fund Balances for the year ending 6/30/11 I 1 ASSETS 1 1 CURRENT ASSETS 1 Cash $ 159,125 Accounts Receivable 282,539 I Pledges Receivable 10,725 I Prepaid Expenses 37,627 1 Suspense-Evercare/Ohana (29,405) I Total Current Assets 460,610 I 1 NON-CURRENT ASSETS Restricted Bldg/Endow.Fund 9,934 ; 1 Total Non-Current Assets 9,934 FIXED ASSETS 1 Construction in Progress-Bldg* 71,666 1 Equipment 224,099 1 Property&Improvements 22,194 1 Vehicles 174,372 • Accumulated Depreciation (388,826) I I Net Value Fixed Assets 103,504 ; I 1 TOTAL ASSETS $ 574,048 : I I I I I LIABILITIES&FUND BALANCE I CURRENT LIABILITIES I Accounts Payable $ 52,691 Accrued Liabilities 90,327 1 1 Total Current Liabilities 143,018 ; I I FUND BALANCE Current Year Net Surplus/(Deficit) (3,031) 1 1 Unrestricted/Temporarily Restricted 424,127 Permanently Restricted Building Funds 9,934 I I Total Fund Balance 431,030 I I TOTAL LIABILITIES& FUND BALANCE $ 574,048 1 1 I 1 *Construction in Progress:Architect Fees/Feasibility study for new bldg project. 1 HIAC Fiscal Year 2011 ANNUAL REPORT 1 ▪ Unaudited Statement of Revenue, Public Support & Expenditures for the year ending 6/30/11 I I REVENUE&PUBLIC SUPPORT ; I I REVENUE Client Tuition&Fees 1,328,811 Rental Income 4,598 Interest Income/Misc 2,710 : Total Revenue 1,336,119 : 1 I PUBLIC SUPPORT(Primarily Client based funding) Hawaii Island United Way 22,000 f I May Templeton Hopper Grant 78,887 I County of Hawaii Grant 20,000 ; Weinberg/Charity Walk/Cargill/Other 50,161 Friends of HIAC Drive Scholarships 4,680 USDA Lunch Program&Lunch Donations 68,891 I Other Grants 12,431 Private Donations 8,902 ; I SEE program reimbursements 9,508 I Fundraising 29,824 1 I � Total Public Support 305,284 � � TOTAL REVENUE&PUBLIC SUPPORT $ 1,641,403 I 1 PROGRAM&SUPPORT EXPENSE SALARIES,TAXES&BENEFITS I Administrative 128,336 Program 799,358 I Payroll Taxes&Benefits 270,429 I Total Salaries,Taxes&Benefits 1,198,123 OPERATING EXPENSE I Program Supplies/Lunch Program 75,875 � Program&Staff Support 54,217 ; Equipment,Repairs&Maintenance 15,219 Utilities 33,041 Vehicle Expenses 17,603 Business Travel 6,061 Insurance 19,836 I Professional Services 19,983 I Other Expenses 12,304 Direct Client Assistance 175,728 i Depreciation Expense 16,444 i I Total Operating Expense 446,311 � TOTAL PROGRAM& SUPPORT EXPENSE $ 1,644,434 NET SURPLUS/(DEFICIT)FOR FY 2011 $ (3,031) I e ' , : �, a is 't Telco i)resents the tm_ i,..,,: ' - 5 Annual Hawaii island Adult Care ( HIAC) G;olf Tournament Y July 21, 2010 @ Hilo Municipal Golf Course .1t, z.VER SPONSOR R = N.. 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NORDIC PCL, C; Ivk7ING BACK TO THE CONIMUNITN A 7 April& May 2011 r :.,... : ' - if - .; ; ./T. ,.•34 ' • ' 4 -..„... . ., 1 il ., ANA- . , ir ,. . . ,.,..1 it.c1,,,,. . ..... 1111 . ...,.. ..—. ,. _...., . 1 :. .. .., iii .1L-- ' piwil 1 ill !„.., , At 111 ., ,.. , ..„4? . ".•,1 ' .1'.% * !t.... --' or l'ilLH. , ,...4 - ,, ,,„ . . , 4 .,,, ....g„,,i ii"""-- . /• '',, m - ''',., -- t, 4 r i ,,..$ li' $f ` 9 )„, a. gia"'"-- :" -4 e i )- lit ENDO PAINTING SEV�w. : ..„.$ : it ■ ;roa kd " r'a rru 6� ¢ _E Ca ,7 ,; w � � ..„, .„, ,,,,,,' ) .4 CLU B HIF�II ,O G ROBOTICS 1. :,--k,,;,,„4-,,,,, . . ,,,.., ,,..,..„ ,„,-. akt,,,,,,..4,,,,,,, , ,,,, ,. .,, , A F s j' -E., ALAKAI MECH F`aNA ■ OUR PRECIOUS VOLUNTEERS.... n Vivre ,Zu I. 1. " • 0[E ," _ te». I P ate. IMO ': _. ,T a y $ ^,ate."". �`',r x � � RSVP , i .,, ,.,*.4::.,„...,„„:1:„..,..z.:,,,,',-:,, ..--• _.. . ,, I "t yY b tt -, '' ''..4*** . 4. 'X::, ' :2•1'''•.1''' :. ,,,' ' ': 4i.' Ififtiiillit 131,4;',4 ': • ''''43t, 4 KUPUNAS r3 air ;+' 0 11. 1,41:: s 4,... •,,,..4.'..:-:::. .•.?,,,,. ...?, ,,,,--,- '71*. ,if's 11 v '� F ' .. ALU LIKE SUMMER PROGRAM i ''''''''''''''''' -4 14 001.,WA.i ,:1"::::,f74:-."1,1911"'714 94,V4 4 i 411 441 ke ri,_.1-:yv,,,,- ' � ' gig: ljt.' . 1:" , „.-00 •• a e q „..'" hex M . S4`V 1 G k G`y *s"p ,/ St 111 Ina .1410/1. • S t d. to tt_ e ' ,.o ' Slob f c �� 4. .!r sr 40 le t I. .44'/ ' ' 4 N Adili Our participants enjoying their activities! AL" / q. %.470*2 -1 W1f41114h 1 a Cdtfd Ytd 44r 2012 CALENDAR .. .. A 7.-,3..gi.,•".-'.....1; *.'......L.7„ri I I, .. • l t 1 {: ♦ 9 nnn� r- .• M r // M" Jk '''' ,'9 // Sig . �. M. (I CI 2 i p,, T M ;.., _ „ ,, t .., .. s t 1 �! .» >V, _ .� 4 �,��. .` t r ■ i 11 Pict” 1 ' .,41, .4,11‘,.,*, i ■ • ti:', . e.jit' fip � � ► V �l0. � ._ �:,, # , til 1 .' I r* - #:).,„,, N N. , ---, - ., ,-,, g -11,4 ,,,.. .*. . . -,,,,,- ., . ,, . ,...,,,,:N . t *1f'i1 ". w w R , , / CD P CD fi � ,. 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CD 6 w �- c) A) c Alliv C "D CD CD p CD (IQ IAMPU*,,,, 77;;:;:l',, ,, -- - ,,:,,- ..,,,,,i,„,,,,,,,,„,,, MARCH DAILY 7-8:45am Morning Orientation 9am-Exercise/Activities 11am-Lunch&Leisure 2012 12:30pm-Rest Time 1:00pm-Exercise/Activities 5pm-Center Close AINFLOOR 5 6 7 VOLCANO OUTING AM CERAMICS AM TAI CHI-FAITH AM HONGWANJI JAPANESE SONGS GHW ART ST.PATRICK'S MURAL ST.PATRICK'S DAY COLORING CLOVER DESIGN RECREATION SEWING ST.PATRICK'S DAY CRAFT JAPANESE WORDS NAIL CLINIC CROCHET BLACK JACK SING-A-LONG CONCENTRATION TABLE THERAPY PM CREATIVE PAINTING SPELLING BEE MASSAGE PM ST.PATRICK'S PINS PM ICECREAM RIDE TABLE GAMES CLOVER DESIGN MURAL SEWING ST.PATRICKS DAY CRAFT FANS KICKBALL CROCHET MASSAGE LEG MASSAGE TABLE THERAPY ST.PATRICK'S DAY POSTER NAIL CLINIC HANGMAN CROSSWORDS GROUP WALK PM2 SEWING PM2 STAFF MTG. PM2 WORD FUN SING TALK STORIES 12 CERAMICS 13 TAI CHI-FAITH 14 �o AM RAINBOW DESIGN AM GHW ART AM ���II� LS.ST ORIGAMI EVERYTHING GREEN 0,(C�� lCIE'RZ ST.PATRICK'S DAY CRAFT BLACK JACK II r . �7 ^� ST.PATRICK'S V.I.P.MASSAGE RAILING EXERCISE \`pII��7d � alb" ��11 TABLE THERAPY KICKBALL 1,,11-4111 .1 " ��'y �� ST.PATRICK'S DAY GUESSING GAME PM PC MEETING PM CREATIVE PAINTING HANGMAN LEG MASSAGE RAINBOW DESIGN PM ST.PATRICK'S PINS COLORING MASSAGE EVERYTHING GREEN SPELLING BEE ST.PATRICK'S DAY CRAFT BACK MASSAGE ST.PATRICK'S DAY TABLE ART SHUFFLEBOARD LANAI HULA MAGNETIC DARTS GROUP EXERCISE ST.PATRICKS DAY CARDS BLACK JACK BEAN BAG TOSS BACK MASSAGE MEMORY GAME PM2 RAINBOWS RECREATION PUZZLES PM2 STAFF MTG. PM2 WORD FUN 19 PRINCE KUHIO PLAZA CRUISE 20 PRINCE KUHO WALK OUTING 21 AM CERAMICS AM TAI CHI-FAITH AM g.,014 ‘M PAPER FLOWER DESIGN GHW ART (A1 'IM�J CRAFT FLOWERS STORY BOOK TIME 4`v ���� �� �" ��� HAWAIIAN ART HAWAIIAN LEIS W �� I"' LEG MASSAGE MATH GAMES V7MIN Ng/ REMINISCING MIMED ©©L ©C �4MDIER97'�3 PM HAWAIIAN MASKS PM TAPA DESIGN PM PAPER FLOWER DESIGN HAWAIIAN ART CRAFT FLOWERS HAWAIIAN LEIS gC©O'V'D DM/n� CR BLACK JACK SPELLING BEE Lam. LJ LJL,�LJ\J HAWAIIAN ART WORD GAMES ^^n�E /1 UMERY BASKETBALL IL��w G=J �J\J�JUjJ I�'nw'I�LII-' TABLE THERAPY OUTDOOR EXERCISE PM2 BLACK JACK PM2 STAFF MTG. PM2 FLASH CARDS SING KICKBALL 26 27 RAINBOW FALLS WALK 28 STAMP PRINTING AM tr M AM T AI CHI-FAITH AM BEADING ��� D�C �.� GHW ART DOYOSINGING LJ�I GREETING CARDS WORKBOOK VRN 2-°,35aL3U-1 SMALL DO CUSHI COMPLETING NP BINGO BACK NECKCE SFT PM CERAMICS COLORING WORD GAME PICTIONARY PM CREATIVIE PAINTING PM COLLAGE MASSAGE RECREATION RECIPES TABLE ART LEG MASSAGE MASSAGE WORD ASSOCIATION COMPARE&MATCH GOLFING SPELLING BEE PIN CUSHION COMPLETING CRAFT RECREATION LETS SING NECKLACES TABLE THERAPY BALLOON TOSS PUZZLES PM2 TABLE ART PM2 STAFF MTG. PM2 WORD FUN GUESS THE ITEMS 7/7 'ityniac tfilt HAWAII ISLAND ADULT CARE,INC. �\ Story Of My Life Nancy Ogawa I was born on the Big Island in Holualoa, near . Kona on October 9, 1925. My parents both came to Ha- waii from Japan. Father worked on a coffee plantation, on lease land and Mother was a housewife. The coffee was picked, processed and packaged right there. We were ten children, 7 girls and 3 boys. All of the children helped pick the coffee after school, vacation time and on the weekend. We had a hard life. Eventually the land was sold and we all moved away to Hilo, Honolulu and one brother went to Maui. I attended Holualoa Elementary School but only two of the boys went to high school. We were a large family and school was expensive. No one FIO went to college. I did graduate from ninth grade. We went to Japanese school to learn language and sewing. I met my husband at the Palace Thea- ter in Hilo. He was the manager for the Palace and Hilo theaters. I often went to watch the movies. After dating for about a year, we got married after NI the war. My husband had a house in Hilo, up Kaumana, a nice quiet place, so we moved in there. We started our family with one girl and two boys. The T children were lucky to go to the theater for free since their father was theater manager. I was a housewife and stay at home mom. After high school my children went to college and two went to school in Honolulu. My two children, my son and daughter live in Honolulu and one son lives in Hilo. Now I live CO with my son and his family. I'm a grandmother of five grandchildren. My hus- band, who has passed away, and I traveled to Japan, Las Vegas, Nevada and to Honolulu often. My family thought I should not stay at home getting stale but go out to meet people and have something to do. Now I attend the Center and enjoy it. I especially enjoy the exercise classes and I've made plenty of friends. There are nice people here. :7r6) �IC� 1 2 TRIPLE 777 OUTING 3 AM G DAY AM ST.PATRICK'S DAY CRAFT AM FFLAG CEREMONY&EXERCISE SHELL CRAFT WEATHER REPORT/CURRENT EVENTS Dt r PUZZLE PLAY SIMPLE CRAFT C BLACK JACK LUNCH/REST TIME RECREATION PM CHI GONG-JOE PM LEG MASSAGE PM PM STRETCH KICKBALL BALLOON TOSS APAN:S: f}��yy�, SHELL CRAFT MUSIC WORD BALL TOSS BINGO "ALOHA CLUB" J �fij1/ MASSAGE PM2 PUZZLES PM2 SINGING CARDS BALLOON TOSS 9 10 AM { r r r r. r AM f 1 4C G34G°�� ]IM]EET 1g AM DAILY ARRIVAL/TEA TIME I( ry��//��nn MM//��nnnn FLAG CEREMONY&EXERCISE LNLr.�LS0°000U/rAil© WEATHER REPORT/CURRENT EVENTS ENTERTAINMENT fiCOG']D ffi2GQDCG3O LUNCH/REST TIME PM CHI GONG-JOE PM AFTERNOON RIDE PM PM STRETCH LIFE STORY RECREATION , ,[z UV [M 5E1' 1I°CIDZ7= MATH CARDS CUT&PASTE Z= .EWCM 13E1 0�L fJ RAILING EXERCISE TABLE THERAPY FREESTYLE ART GOLF PUTTING iX1 Q� HANAFUDA FIND THE WORD PUZZLE FLOWER CRAFT MATH WORKBOOK NAIL CLINIC BALL TOSS WEEDING "ALOHA CLUB" PM2 TABLE GAMES PM2 SING FILL-INS T yg x 15 P 17 AM POT 0 GOLD ST.PATRICK'S DECO. AM ST, PA yCK'S DAY AM DAILY ARRIVAL/TEA TIME ' GROUP EXERCISE �y FLAG CEREMONY&EXERCISE COMPLETING PROJECTS CELE _ ZION WEATHER REPORT/CURRENT EVENTS ST.PATRICK'S ORNAMENTS i� HANGMAN RECREATION ` Ae SERENADERS C LUNCH/REST TIME ST.PATRICK'S MIND BINGO �'' Iw!tr.* -,,,, SERENADERS PM CHI GONG-JOE PARTICIPANT FOCUS POT O'GOLD PM PUZZLES SING-OUT PM PM STRETCH COMPLETING PROJECTS GROUP SINGING ST. SIN G-A-LONG PATRICK'S DAY ORNAMENT BINGO 'ALOHA CLUB" SING-A-LONG ST.PATRICK'S GROUP GAMES PM2 ORNAMENTS PM2 SINGING SINGING HANGMAN 22 PRINCE KUHIO MURAL 23 LAUPAHOEHOE TRAIN OUTING 24 AM HAPPY THINGS AM RECREATION AM DAILY ARRIVAL/TEA TIME TABLE THERAPY SEWING HAWAIIAN ART FLAG CEREMONY&EXERCISE COLOR&CUT SPELLING WEATHER REPORT/CURRENT EVENTS ALOHA CARDS MIND BINGO MATH&SPELLING BEE KUHIO MIND BINGO TABLE THERAPY LUNCH/REST TIME SPELLING BEE PM AFTERNOON RIDE PM SEWING HAWAIIAN ART PM PM STRETCH CHI GONG-JOE HAWAIIAN HALE SIMPLE COLORING MURAL WORD BINGO BALLOON TOSS YARN FUN BLACK JACK "ALOHA CLUB" COLORING HANAFUDA ALOHA CARDS PUZZLE GAMES PM2 COLORING PM2 SINGING HANGMAN 29 30 31 AM PASTEL DRAWING AM AM DAILY ARRIVAL/TEA TIME CUT&PASTE FLAG CEREMONY&EXERCISE BAKING COOKIES WEATHER REPORT/CURRENT EVENTS ZABUTONS TABLE EXERCISE PAPER BEADS LUNCH/REST TIME SHUFFLEBOARD SPELLING BEE PM PM STRETCH HANAFUDA BALL GAMES PM CHI GONG-JOE PM PUZZLE&CARD GAMES LIFE PORTRAIT , "ALOHA CLUB" NAIL CLINIC li BAKING 111 11 ZABUTONS 11 PAPER BEADS GROUP GAMES PM2 SEWING PM2 PUZZLES SINGING HANAFUDA HAWAII ISLAND Paula's Diary ADULT CARE, INC. To those of you who had a bit of time to write to the legislators, we thank you! For the building, 34 RAINBOW DRIVE we did a presentation to the joint House Finance and Senate Ways& Means committees last week, and turned in all the additional letters. We are still hopeful, but as you know the state HILO, HI 96720 does not have much extra, and the schools, and other priorities of the legislators come first. 808-961-3747 There are a lot of applicants as well. www.hawaiiislandadultcare.org If you do have any friends at the Capitol please put the word in about our current building,and about the fact that financing an adult day care building has a fast return in Medicaid savings for Senior Helpers Hawaii the state. We keep our kupuna living at home, it is very good for them and the family, and it (In-Home Care) saves the state a lot of Medicaid dollars per month, since most kupuna entering a nursing available 7 days a week home end up on Medicaid within three months. Our building is a good investment for the state. 961-3747 ext. 114 Thank our ou for all support Summer Tawney, RN Supervisor y your pport in this arena!! Judye Coppola, Senior Helper A tax time reminder: If you help financially for the care of your elder loved one,you may be Coordinator able to deduct those costs. Ask your tax advisor about this, it never hurts to check. MARCH BIRTHDAYS Have a great March!! MASAKO K. 3/5 FUMIKO A. 3/7 KATHERINE S. 3/10 "Mimi .1 srrrr YOSHIO T. 3/11 ,` i SADIE F. 3/15 V � ,.., 71 FUSAYO M. 3/20 �' j ALICE I. 3/21 g Er 0 SALOME M. 3/21 CHIYOKO N. 3/24 ` MITSURU S. 3/26 "" ,. HOLIDAYS FOR 2012. ' Center open ALL STATE HOLIDAYS, FEDERAL HOLIDAYS open: MEMORIAL DAY 5/28 '. LABOR DAY 9/3 �` COLUMBUS DAY 10/8 '" FEDERAL HOLIDAYS closed: ' FOURTH OF JULY 7/4 ' THANKSGIVING DAY 11/22 7i, ¢' ' �� Everyone Welcome!! ' r � :.. Caregiver Support Group ' ' is::: Meets every third Thursday "■� ` 9 AM, here at HIACIII `� _ Tuesday, February 14, 2012 \ " =`k Valentines Day Celebration with Kai `n Y t 4 i 14Ik If 4 i 00., „ , W. rr ■! f' .;.may, *4 i1 ',44� . ligi Yu'..40t '01IV .�: . i i F 8 'ISLE• 1 x , - y 4f ;, _ GI+ —""'mot 1 }g�,r. .. a a ,...:: 1E ..r. .� ? F1'aiv�jl� �L.E If i• «st ' "vim di ,,_._...._ . . r,:. .w ii,1 or ,, ii(i1:44'''''''. ,,,,,,,. ,,,, 'IVI li° Tyr k�E tP r, _ ill, . h,, ...;. .. . .,... .... .., . . ,.,„ ,. , , ...., ,„ ...• )10,-. L filialk 01. ,, „,,,, „, , , ,,,,,,,,.. . ...... .,. .. ... .. . c , ,, *F> 7 _____. , , k.:.,. .tt.,,,,rt: . „...... . . ,... .. ,,. ... . ,,,,,,,,,‘„. ,tot .....:.:x,„:„,„440,,,,:.:,: „... ,, ,44''' • ''''.'.:.", '', OteCilffraik:. 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