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CONTRACT ~NFORMATION SHEET
oATE: 10/28/16
I
Contract No.: P-16-601-P Vendor Number:
Contract Title: Work Experience & Name/Address:
Supervised Training
Contract Period: 1 0/01/16 -09/30/17 Representative:
Using Agencies: 5610 Phone No.:
Email:
Terms: N45 ~~--------------~---
Total Contract Amt.: $0.00 ~~~------------~---
Buyer Name: Debbie Scharnick
Requisition No: _5_6_11_7_0_03_3_3 ________ ..f..--.. Org: 56107001
Supersedes:
.___ _ _,I RENEWAL ~ ADJUSTMENT [!]NEW
D TICKDATE .____ _ _,I REFERENCE (RFQ# I RFP#)
DESCRIPTION: Work Experience Activities & Supervised! Work Training
Vendor: Beverly Enterprises dba Golden Living Center !
I
0000258832
Purchasing Master
Agreement
RFSQ 17-023
SPECIAL INSTRUCTIONS: One year contract-May be ~xtended for two additional one year periods by mutual consent.
DISTRIBUTION:
DEPARTMENT: _D...:..SS'-----------
REQUISITIONER: Jessica Rangel
Dean Brawley
Rev l/2/15
Completed By: Date: Completed By: Date
I
PROCUREMENT AGREEMENT NUMJER: P-16-601-P
Error! Reference source not found. 1
October 3, 2016
CONTRACTOR TO COMPLETE:
Company:
Type of Entity:
0 Individual
0 Sole Proprietorship
GiJ;'Corporation
Print Name and Title
Signature (In Blue Ink):
0 Limited Liability Company
0 Limited Liability Partnership
0 General Partnership
Date
Date
~3tl £. E: . .Sq m «f 1(1+ hi ..Ad C!r+
ACCOUNTING USE ONLY
ORG No.: 5610/7001
Account No.: 7870
Requisition No.: 5611700333
(09/2015)
G:\PUBLIC\CONTRACTS & EXTRACTS\P\P-16-601-P MASTER AGREEMENT.!XlCX
Page 5
Issuance Date:
Closing Date:
Submittals:
Addressed To:
Mailing Address:
Mark Envelope:
Cost Limit for
Agreement(s):
REQUEST OR STATEMENT OF QUALIFICATIONS
NO. 17-023
C UNTY OF FRESNO
Work E perience Activities and
Supervised Work Training
September 29, 201
Wednesday, Octo er 12, 2016 2:00P.M.
Two (2) paper copi s of the Statement of Qualifications
Debbie Scharnick, urchasing Technician I
County of Fresno, P rchasin~
4525 E. Hamilton A enue, 2" Floor
Fresno, CA 93702
"RFSQ -Work Exp rience Activities and Supervised Work Training"
No Cost to Vendor
STATEMENT OF QUALIFICATIONS (SO ) PACKAGES RECEIVED AFTER THE TIME AND DATE
STATED ABOVE WILL BE RETURNED U OPENED TO THE VENDOR.
Inquiries and Updates: Requests for clari ication regarding this Request for Statement of Qualifications
(RFSQ) must be submitted in writing via email to Debbie Scharnick, Purchasing Technician I, at
dscharnick@co.fresno.ca.us, and receive by the County no later than 10:00 A.M., Tuesday, October
4, 2016. Such information as is reasonably available and will facilitate preparation of responses hereto,
requests for clarification and associated res onses, and any addenda to this RFSQ will be posted at:
htt s:!/www2.co.fresno.ca.us/0440/Bids/Bid Home.as x and will not otherwise be distributed.
Title
City State Zip Code
~~-~(£ 3-:::::::.....!../ ---=-)-=-5"4...!._')-_---=..:::::::........!~~...:_::__ __ -----=.hc..:::...:r~rt1('-!....:c ··~-'-1...¥---->...,;;..~:..t::.J£::. 17 J f{l ~ .ttJm
Telephone Fax Number E-Mail Address
Request for Statement of Qualifications
17-023
TABL OF CONTENTS
PAGE
I. GENERAL INFORMATION .................................................................................... 2
II. INTRODUCTION AND OVER lEW ....................................................................... 2
Ill. SERVICES TO BE PROVIDE BY CONTRACTOR .............................................. 3
IV. AGREEMENT TERM .............................................................................................. 3
V. RFSQ SUBMITTAL REQUIRE ENTS ................................................................... 4
VI. SELECTION PROCEDURE .................................................................................. 5
VII. APPEALS .............................................................................................................. 6
Attachment:
A. Work Experience/Community Servi e Qualification Survey
G:\Public\Requests for Qualifications\FY 2016-1 \17-023 Work Experience Activities and Supervised Work
Training\17-023 Work Experience Activities and Supervised ork Training.doc
1
Request for Statement of Qualifications
17-023
I. GENERAL INFORMATION
II. INTRODUCTION AND OVERVIEW
Provide work experience and supe ised training to Welfare-To-Work clients.
Overview
The County of Fresno, on behalf of he Department of Social Services (DSS), is requesting
Statements of Qualification from pu lie or private non-profit organizations and qualified, private
for-profit vendors to provide Work E perience or Community Service activities to Welfare-To-
Work (WTW) clients. The two core ervices requested are:
• Work Experience: An unp id and supervised work activity that provides basic job skills
and provides a needed service.
• Community Service: Tem crary supervised training activities that serve a useful
community purpose and assist cl ents with obtaining basic job skills or enhancing existing job
skills. Assignments to this activit can only be used by public or private non-profit
organizations.
Partnering with the County of Fresn could provide the organization with a supported workforce
at no increase in labor burden, as al WTW clients have an active Case-Managing Job Specialist
(CMJS) and will not require any co pensation from the vendor.
Background
The County is seeking community p rtners to provide supervised work and training activities for
WTW clients who have limited work experience or limited work skills. Partnering with the County
of Fresno could provide an organiza ion with an additional work force to assist with extra work
not being completed by an organiza ion's current staff. Placements at work sites generally last
up to 6 months, depending on the n eds of the client and availability of work activities. However,
placements can be extended up to 2 months at the discretion of the Department.
WTW clients are assigned an activ case managing Job Specialist to assist the WTW client with
understating the organization's nee s and adhering to work requirements. The maximum
monthly hours a participant can assi t is determined by the value of the participant's benefits,
divided by the State of California's inimum wage. This will be calculated and monitored by the
assigned CMJS. Note: The maximu weekly hours a WTW client can work is 40 hours and will
vary by client
Target Population
Services are targeted at WTW clien s who may have limited work history, job skills, or limited
English proficiency. Each client will e assessed by a DSS CMJS for work history, job skills,
aptitude, and educational history. 0 ce assessed, the collected information is used to create a
WTW Employment Plan and used t match a WTW client with an available Work
Experience/Community Service acti ity. Case management will be performed by the CMJS who
will assist the client with additional s pportive services, such as transportation and child care.
It is the intent of the County to enga e several contractors under a master agreement to provide
the professional services described erein.
The County reserves the right, a its sole discretion, to terminate this RFSQ process or
negotiations with a selected Contra tor and either perform the work with its staff or begin a new
RFSQ process. Nothing herein, or in the process, shall be construed as having obligated the
G:\Public\Requests for Qualifications\FY 2016-1 \17-023 Work Experience Activities and Supervised Work
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Request for Statement of Qualifications
17-023
County to pay for any expenses ncurred by respondents to this RFSQ, or to the selected
Contractor(s) prior to Board of Sup rvisors' approval of a Contractor services agreement.
Ill. SERVICES TO BE PROVIDED BY ONTRACTOR
Work experience and supervised tr ining to Welfare-To-Work clients.
Organizations must be able to provi e all of the following:
• A structured learning experienc that takes place at a worksite for a limited period of time
that is based upon the needs of the WTW client. This can include on-the-job training, exposure
to various aspects of the workplace, job shadowing, community services, and other elements
that will assist WTW clients with gai ing work experience and enhancing their skills.
o Note: Clients are not allowe to drive while participating in any work experience or
community services placement.
• Assurance that all work or com unity service experience placements will not displace or
partially displace current employees; displace seasonal employees in the construction industry;
used to fill promotional positions for current employees; filling positions created by termination,
layoff, reduction in work force, or re ulting for a strike/labor dispute; will not replace previously
contracted services prior to its expir tion date; and must ensure that the client will not cause the
denial of protections afforded to oth r workers on the worksite under State and Federal
workplace health, safety, and repre entation laws.
o Note: Notices regarding the dis laced employee grievance process must be posted at each
work site.
• A liaison to work with the DSS MJS to ensure workplace safety, monitor progress of the
WTW client, assist with site visits, a d respond to problems reported by the DSS CMJS. The
liaison must be able to track and re art the progress of each placed WTW client and assist with
monthly monitoring meetings with th CMJS and WTW Client.
• A work site that complies with a I Federal, State, and local regulation including the Fair Labor
Standards Act of 1938, Workforce I vestment Act, and all applicable health and safety
standards.
• A work experience that shall no discriminate against any trainee because of race, color,
religion, sex, national origin, age, di ability, marital status, or political affiliation or belief.
Additionally, the work experience m st comply with the Americans with Disabilities Act.
IV. AGREEMENT TERM
The term of the Agreement will be o e (1) year, unless prior to its expiration its term is extended
in writing, for no more than two addi ional one-year terms, by mutual consent of the Director or
his/her designee and the Contractors). There will be no hourly or cost rates presented in the
Agreement and will be in effect fort e entire duration of the Agreement. Specific project work
may be extended or may be transfe red to another Contractor if work is not concluded by the
end of the Agreement.
There will be no fees paid to any co tractor as a result of this Agreement.
G:\Public\Requests for Qualifications\FY 2016-1 \17-023 Work Experience Activities and Supervised Work
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Request for Statement of Qualifications
17-023
Where specific functions are requir d by law to be performed by the County or where specific
functions are listed in the Agreemen as to be performed by the County, County staff will perform
the actual work function.
Contract Term
The anticipated contract term shall e for one (1) year.
Renewal
Agreement may be renewed for a p tential of two (2) one (1) year periods, based on the mutual
written consent of all parties.
V. RFSQ SUBMITTAL REQUIREMEN S
Submit one (1) original and one (1 copy of your Statement of Qualifications no later than the
RFSQ closing date and time as st ted on the front of this document, to the County of Fresno
Purchasing Office at the address on the front of the document.
A. The submittal will enable the Selecti n Committee to appraise the general competence and
qualifications of the appraisal firms. Please provide the listed information in the following
sequence:
1. Firm name, address and phon
2. Type of organization (sole-pro rietorship, partnership, or corporation)
3. Firm principals who will be res onsible for the project, and their educational background,
credentials, training and experience
4. Key personnel (including propo ed sub-contractors, if applicable) who will work on the
project with their educational backgr und, credentials, training and experience on comparable
projects
5. List of current staff, including j b classification
6. Firm qualifications
7. Firm organization chart
8. List current projects or commit ents for similar services in your office
9. List the name and phone numb r of at least five relevant client references
B. REQUIRED QUALIFICATIONS
Eligible Applicants
Eligible applicants are private, for-pr fit organizations and private or public non-profit
organizations that can provide supe ised work activities to WTW clients. Non-profit
organizations need to possess an In ernal Revenue Service Classification as a 501(c)(3) non-
profit organization or similar.
Reguired Qualifications
All applicants must include the folio ing in their letters of qualification:
• Fully completed Work Experien a/Community Service Qualification Survey (Attachment A).
G:\Public\Requests for Qualifications\FY 2016-1 \17-023 Work Experience Activities and Supervised Work
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Request for Statement of Qualifications
17-023
The information below must be prov ded on each response:
• Provide the location of the wor site. If applying for multiple work sites, please submit a
Work Experience/Community Servi e Qualification Survey for each work site.
• Identify the type of organizatio .
• Identify which of the core servi es the organization would like the WTW client to perform.
(e.g. type of placement, duties that ill be performed, and what necessary service will be
performed).
• Identify the capacity to which t e organization can perform the service (e.g. number of
positions and length of project).
• Indicate the organization's abili y to carry out the requested services (e.g. staff that will train
the client, work with the Case Mana ing Job Specialist).
• Copy of general liability insura ce with an individual insurance minimum of $500,000 per
occurrence and $1,000,000 general aggregate. Workers Compensation Insurance is not
required as it will be provided by the State of California.
• Copy of the organization's 501 c)(3) for verification.
DO NOT SUBMIT MORE INFORMATION HAN REQUESTED IN THIS RFSQ
VI. SELECTION PROCEDURE
A Selection Committee (hereinafter eferred to as "the Committee") will be formed to evaluate
the SOQs and to make recommend tions. The Committee will consist of representatives of the
Department. The Committee will sc en the SOQs to narrow consideration to those firms with
qualifications and experience deem d especially qualified for this commission.
The Committee will address the foil wing criteria in its evaluations of the SOQs:
Award Criteria
• Completed Work Experience/ ommunity Service Qualification Survey.
• Clearly identified core services the organization would like the WTW client to perform.
• Provide a liaison to work with SS CMJS to monitor progress of the WTW, client assist
with site visits, and respond to probl ms reported by the DSS CMJS.
• Provide the required generalli bility insurance.
• Provide supervision of client.
• Non-profit organizations must rovide a copy of their 501 (c) (3).
• For profit Businesses must pro ide a copy of their Business License.
• Clearly identified type of organi ation.
• Meets the minimum requireme ts stated within this RFSQ.
• Have an office located within t e County of Fresno.
The County reserves the right to conduct a ackground inquiry of each proposer which may include
collection of appropriate criminal history info mation, contractual and business associations and
practices, employment histories and reputati n in the business community. By submitting a SOQ to the
County, the proposer consents to such an inquiry and agrees to make available to the County such
books and records the County deems necessary to conduct the inquiry.
G:\Public\Requests for Qualifications\FY 2016-1r\17-023 Work Experience Activities and Supervised Work
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Request for Statement of Qualifications
17-023
VII. APPEALS
Appeals must be submitted in writin within seven (7) working days after notification of proposed
recommendations for award. A "No ice of Award" is not an indication of County's acceptance of
an offer made in response to this R SQ. Appeals should be submitted to County of Fresno
Purchasing, 4525 E. Hamilton Aven e, Fresno, California 93702-4599 and in Word format to
gcornuelle@co.fresno.ca.us. Appe Is should address only areas regarding RFSQ
contradictions, procurement errors, selection discrepancies, legality of procurement context,
conflict of interest, and inappropriat or unfair competitive procurement grievance regarding the
RFSQ process.
Purchasing will provide a written re ponse to the complainant within seven (7) working days
unless the complainant is notified ore time is required.
If the protesting bidder is not satisfi d with the decision of Purchasing, he/she shall have the
right to appeal to the Purchasing A ent/CAO within seven (7) working days after Purchasing's
notification; except if, notified to ap eal directly to the Board of Supervisors at the scheduled
date and time.
If the protesting bidder is not satisfi d with Purchasing Agent/CAO's decision, the final appeal is
with the Board of Supervisors.
G:\Public\Requests for Qualifications\FY 2016-17\17-023 Work Experience Activities and Supervised Work
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17-023
Work Experience/Com munty Service Qualification Survey Attachment A
Employer Name: Employer Category:
'Bevel hi En.Jer dl~S 1 nr. d h'l I!Jr'JidJYl G Vl·n.:, rell-k r
Address: . ' I D Private Non-profit*
130Lo ~. Su YV1Yl(r A-ve. '·
City: Zip Code D Public Non-profit*
h)v.)\e { q,,~ ;;_)" ~ Private Business
Contact Person: *Must provide SOl(c) (3) /-/.e,(Jf i ~fN
Phone Number: I Extensior:
55'7-K3t/ -2..'5'-f.;)._
Fax Number:
~-?ot.f -57t.p'")_
Type of Service to be Provided: E:( Work Experie nee D Community Service
Worksite location
Address: Wo~~~i ~te~+~~ ( t3otp c: -~l.A m ne '(" Ave
city: f==DW)e{ Phone Number: sst::J-83v-.Js '-ld-
Zip Code: q 2J.f; 2-c;-Extension:
Job A~-h v\ t4 ~~~tsMvt+-Duties to be Performed:
Sec. cd-\-ac.Jrtec( Number of Positions Available~ 1
Minimum Requirements for the Position:
$.ee.. a~V\~
Length of Project:
~-~y:)\(\~
Weekly Hours Available (Maximum 40 hours/wee ): Special Clothing I Equipment Requirements:
LtCJ
CAO)eot -1--oRcl sY"\oc.s
! ~~\~)S CCt.Su.~l
,--
Wornl\155~ Date:
tD }3} /0
"-... ;:._.--<.J ~
JOB DESCRIPTION
1 Job Code:
L
1 lob Title:
Family /Level: Activities Hourly 0504
GENERAL PURPOSE
Assist in the development organization, coordination and i plementation of comprehensive recreation services and programs that meet the
needs and interests of each resident
ESSENTIAL JOB DUTIES
• Facilitate group programs as assigned in a timely and e
• Complete required documentation as assigned
• Contribute to resident care planning preparation
• Provide individual programming as assigned
• Maintain recreation department supplies and equipmen
• Work with volunteers as assigned
• Assist with planning and leadership of special events
CODE OF CONDUCT
Must adhere to the Company's Code of Conduct and Busin ss Ethics policy including documentation and reporting responsibilities
QUALIFICATIONS
·-----···---·-·---~---------------·--+------------~-------------·
• High School graduate or equivalent
• Must have ability to read, write and follow oral and wri en directions at a level necessary to accomplish the job
• Must meet state/federal regulations if applicable
• Must be capable of maintaining regular attendance
KNOWLEDGE, SKILLS, ABILITIES &. BEHAVIO
• Knowledge of the practical application of recreation se
• Must be able to relate positively and favorably to reside ts, families and to work cooperatively with other employees at all levels
• Must be able to maintain confidentiality regarding patie t and company proprietary information
-~~!~!~~~--~~~-~~~~-~! __ ~g~~~-~~T~----------------------------------------------------------------·-'-··-----------------------------·---.. ----
Mobility, reaching, bending, lifting (minimum of 10 pounds , fine hand coordination, ability to read and write, the ability to understand and
follow written and oral instructions and directions, ability t travel, and ability to remain calm under pressure
Job Description Review:
I understand this job description and its requirements; a d that I am expected to complete all duties as assigned. I understand the job
functions may be altered from time to time.
Employee's Signature Employee's Printed Name Date
Supervisor or Orientation Leader's Signature Supervisor or Orientation Leader's Printed Name Date
cc: Personnel File
Individual Employee
This job description is intended to describe the general ature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibiliti ~ duties and skills required of employees so classified. The Company
reserves the right to modify job duties and qualification at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a 'Sition description.
Assistant Activity 0504.doc-09/12/2011-AEA0014
17-023
Work Experience/Com munty Service Qualification Survey Attachment A
Employer Name: Employer Category:
'Bevel h1 ~ i'llet oil ~s 1 nl.. d:kx 1oldtt' G Vl·Yl~ ('e~t-k f"
Address: I • 0 Private Non-profit*
130L> (:j . ~U I'VWl~( A-ve. '
City: Zipq~;~ D Public Non-profit*
F0t0\e { 2)' ~ Private Business
Contact Person: *Must provide SOl{c) (3) J-ietof ,· ~rw
Phone Number: I Extensior:
'jg:J-K3t./ -2-5'-IJ--
Fax Number:
5!:1-f'?:>t.f-57{f; -:L
Type of Service to be Provided: E::( Work Experie rce D Community Service
Worksite Location
Address: won~te supervisor:
~3oft, e -~LA_m ne -r A-ve t:(OJ .Se-+i-\.(
city: FbvJ\e{ Phone Number: 55'1-83</-..:2$ t./d--
Zip Code: q 2f-t; 2-c;-Extension:
J~le: If SSJ 5}t; vr1
Duties to be Performed:
f..IVS\'1'\P ss ~;(e_ Se <:. ct -\-tacJ...t&ec( Number of Positions Available: l
Minimum Requirements for the Position:
s:ee. a~V\~
Length of Project:
~-50'<\.~
Weekly Hours Available (Maximum 40 hours/wee ): Special Clothing I Equipment Requirements:
Lt() Cl~ -\-o~ol S~D!:.-S
~S\~)S Cet~U.A-l
,.---.
Worksrii\155\) Date:
tO }3} /0
'-::....-<-J -----.J
JOB DESCRIPTION
Executive Director
---------------~------
GENERAL PURPOSE
t--··-·-·--·--···-···-···-······-····-··-····--······---······-----··········-------~---·--·------·------~l-------·--·---------------------·-------------·-·--··--·---------············-·····-····--·--·-········---·--·-·---···-····
Responsible for the completion of all business office tasks erformed at the location, including but not limited to payroll/personnel, accounts
payable and general administration. Implement procedure for timely and appropriate record keeping, billing, data management, statistical
analysis and information system reports.
1--------~----------------------------l------------------------------------------------
ESSENTIAL JOB DUTIES
i··--····--···--····-····-··-·········-·-----···--·-·-··--·-············•·-------C ... --......... --.. -·---+----------·-·-------·----------··-------·--·-·-----·-·-····-·········--·-··-···•····-·•·····-····--····--·····
• Maintains all personnel records, employee medical reco ds, and mandatory periodic reports in accordance with company retention
policies and procedures
• May assist families with Medicaid eligibility process, incl ding documenting in appropriate systems all follow-up and monitoring until
process complete
• Processes Accounts Payable in accordance with busine office policy and procedure
• Prepares reports for administrator as assigned utilizing he computer data system
• Maintains select patient/resident records (paper or ele ronic)
• Coordinates the daily flow of financial information I doc mentation to and from the central billing office (CBO) to facilitate the timely
billing and collection of accounts receivable
• Performs all duties as trust fund custodian in accordan with Resident Trust Fund policies and procedures including weekly
reconciliation
··------··------------···-··-···---···--·-···---------·--··--------------------f---·-------------------------··-------------·-·--·--·-;----·-·---,----··-·------j
CODE OF CONDUCT
Must adhere to the Company's Code of Conduct and Busin ss Ethics policy including documentation and reporting responsibilities
-----------------
QUALIFICATIONS ................................................... ____________________________________________________________________________________ +----------------------------------'-·-·-----------------·--·-····--------------j
• High school diploma or equivalent
• Minimum 1 year accounting, bookkeeping or record ke ping experience, in a medical setting preferred
• Must be capable of maintaining regular attendance
KNOWLEDGE, SKILLS, ABILITIES & BEHAVIO ----------------------+-------------------------
• Knowledge of methods, practices and terminology used in medical, financial, and statistical work helpful
• Excellent organizational skills, including the ability to pri ritize and manage multiple tasks in a dynamic, fast-paced environment
• Computer skills at a level necessary to accomplish the j b
• Must be able to maintain confidentiality regarding patie t, employee and company proprietary information
• Must have the ability to relate professionally and positiv ly and work cooperatively with patients, families, and other employees at all
levels
This job description is intended to describe the general nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibilitt ~ duties and skills required of employees so classified The Company
reserves the right to modify job duties and qualificatio at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a osition description.
Business Office Assistant 2657.doc -12/09/2014-AN.
Sedentary work involves lifting no more than 10 pounds a a time and occasionally lifting or carrying articles like docket files, ledgers, and
small tools. Although a sedentary job is defined as one w ich involves sitting, a certain amount of walking and standing is often necessary
in carrying out job duties. Jobs are sedentary if walking a d standing are required occasionally and other sedentary criteria are met.
lob Description Review:
I understand this job description and its requirements; nd that I am expected to complete all duties as assigned. I understand the job
functions may be altered from time to time.
Employee's Signature
Supervisor or Orientation Leader's Signature
cc: Personnel File
Individual Employee
Employee's Printed Name Date
Supervisor or Orientation Leader's Printed Name Date
This job description is intended to describe the genera nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibili e~ duties and skills required of employees so classified 771e Company
reserves the right to modify job duties and qualificatio s at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a osition description.
Business Office Assistant 2657.doc-12/09/2014-AN.
17-023
Work Experience/Com munty Service Qualification Survey Attachment A
..
Employer Name: Employer Category:
'BevelhL ~()~l'dl~.S J nc. d~ f!_,_.JJ •. ,G l0rt~ Cettk r
Address: I I D Private Non-profit*
J30U, ~. S:LI \'Y\ Yl' ( A-ve. ~,-,
City: Zip Code D Public Non-profit*
FOw\e-f q,3~ 2,-~ Private Business
Coa;.ct Person: ,(;( ,. ;;e JY./ *Must provide SOl( c) (3)
Phone Number: I Extensior:
jSJ-23'-1 -2..sY.J-
Fax Number:
r:E1-f'oc.r-571:.p -:2-
Type of Service to be Provided: E:( Work Experie nee D Community Service
Worksite Location
Address: Wo~e Supervisor:
~3oft, c: -Su '«\ ne .r l+ve (t/l( .~+~\.(
city: hvJ\e( Phone Number: 55'1-83¥-.2S t./d-
Zip Code: q 2J.t; 2-c;-Extension:
Job Title: r2cccJ'{d~ CJ.eiL
Duties to be Performed:
YV\fohcct! Se~ ct-\-\-a~c( Number of Positions Available:
l
Minimum Requirements for the Position:
s:ee a~V\~
Length of Project:
~-50'~
Weekly Hours Available (Maximum 40 hours/weel ): Special Clothing I Equipment Requirements:
t..tCJ
cAO)eot +o~ct S~D~S
\3M.s,~>s chsu.~t
:
r--
Works?ii\10\) Da~eO }3} /0
'-:..---<-' "------..)
JOB DESCRIPTION
; Job Code:
GENERAL PURPOSE -----
Responsible for maintaining the medical records according to established standards and policy as well as with state and federal regulations
ESSENTIAL JOB DUTIES
---------------------~----------------------------------------------~
• Maintain all medical records in designated area in acco ance with established policies and procedures
• Prepare admission packets and establish medical files
• Maintains open charts by filing all clinical documentatio daily as it is received
• Monitor and audit records for completeness and accura y at assigned intervals
• Process, transfer and discharge records and maintain a propriate records on discharged residents including preparation of bereavement
file, if applicable
• Prepare reports as directed and inform center or agen leadership of any deficiencies in documentation
CODE OF CONDUCT --------------------------------------------+--------
Must adhere to the Company's Code of Conduct and Busin ss Ethics policy including documentation and reporting responsibilities
QUALIFICATIONS
• High school diploma or equivalent
• Knowledge of medical terminology
\
•. At least one year previous clerical experience, preferab in a medical setting
Must have a valid driver's license and have 24-hour a ess to a motor vehicle and maintain personal auto liability insurance coverage
• Must be capable of maintaining regular attendance
f------------------------------------------------------------------------------------------------------------------------+----------------------------------------------------------------------------------------------------------------------------------------
KNOWLEDGE, SKILLS, ABILITIES & BEHAVIO
··-~·-~---~--.... ~ ....... ~~-~~~---~ .. ··--·----·-···-·--------------------
• Good verbal and written communication skills
• Must be able to maintain confidentiality regarding pati1nt and company proprietary information
• Must have the ability to relate professionally and positi~ely and work cooperatively with patients, families, and other employees at all
levels I
--~tl.!~!~ .. ~~ ~~-'?-~~~-~~-~!~~~!~-~~-"!!~-------------------------------------------------------------------------------------·------------------
Mobility, reaching, bending, lifting (minimum of 10 pound ), fine hand coordination, ability to read and write, the ability to understand and
follow written and oral instructions and directions, ability t travel, and ability to remain calm under pressure.
'--------------------------------------------------------------------------------------------------------------------+-----------------------------------------------------------------------------------------------------
I
! This job description is intended to describe the genera( nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibili~(es, duties and skills required of employees so classified The Company
reserves the right to modify job duties and qualificatioms at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a osition description.
Medical Records Clerk 0311.doc -12/09/2011-AEAO 14
Job Description Review:
I understand this job description and its requirements; nd that I am expected to complete all duties as assigned. I understand the job
functions may be altered from time to time.
Employee's Signature
Supervisor or Orientation Leader's Signature
cc: Personnel File
Individual Employee
i
I
Employee's Printed Name Date
Supervisor or Orientation Leader's Printed Name Date
This job description is intended to describe the general nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so classified 771e Company
reserves the right to modify job duties and qualificatio~s at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a position description.
MedicEI Rewnfs Cle'k 0311.doc-12/09/2011 -AEA+ 4
17-023
Work Experience/Com munty Service Qualification Survey Attachment A
Employer Name: Employer Category:
'&ve' hi ~ ().Je( ofl ~s 1 nr_. dbt /!,r)ldJYl L y}YL:, (l eJt-/( f
Address: 0 Private Non-profit*
130lo ~ · ~u rvn1~t' A-ve. f;
City: Zip q~de 0 Public Non-profit*
FOt.A:>\e .f ~{. 2) ~ Private Business
Contact Person: *Must provide SOl( c) (3) J-f.etof i Serw
Phone Number: I Extensio :
5S7-K3t./ -2.'5t../J-
Fax Number:
~~r;rt;q -57[.p'")_
Type of Service to be Provided: E1 Work Experie nee 0 Community Service
Worksite Location
Address: Wor~e Supervisor:
t 3o~p c: ~~LAm ne -r Ave r tt1 .5e-+ }.'" r
city: Fl;vJ\e( Phone Number: 55'1-f5.3t..} -:2$ L/d-
Zip Code: q 2:f..p 2-c;-Extension:
Jobr~DC<a I Co'[){ d. t
Duties to be Performed:
~tv1ces ncrbf Sec. ct k-\-ac_Wc( Number of Positions Available: I
Minimum Requirements for the Position:
$ee.. a~'A~
Length of Project:
~-~y)\(\~
Weekly Hours Available (Maximum 40 hours/wee1k): Special Clothing I Equipment Requirements:
Y.CJ
cAO)eot -\-o~ol S~D~S
~s,~>:s Cetsu.~t
r-Works?1(1\1Q"\) Date:
tO )3) /0
'-... .:--<-' "----.)
JOB DESCRIPTION
'Job Code: 0501
Job Title: Social Services Coordinator
Department: Social Services
, Reports To: Executive Director
GENERAL PURPOSE !
•
Identify and provide for each resident's social, emotional and psychological needs, and the continuing development of the resident's full
potential during his/her stay at the facility and to assist in the planning for his/her discharge.
ESSENTIAL JOB DUTIES
• Develop a social history, social assessment and care pl<\n which identifies pertinent problems and needs, realistic goals to be
accomplished and the specific action to be taken in resqlution of the problems and/or needs upon admission of each new resident.
Actively participate in interdisciplinary Care Plan meetings. Document progress notes which relate to each resident's care plan when
necessary and within policy timeframes. Assist the resiltlent and resident's family in discharge and placement planning. Organize
family groups to promote communication, education and support between family members, facility staff and administration, and
provide counseling as needed. Assist in the education of the community regarding aging, rights of residents, facility services and
other related topics. Actively participate in the pre-admission screening of all potential residents and provide information to
residents and families during admission. Orient the res(dent to the long-term care environment and facilitate adjustment upon
placement
• Interview, hire, train, supervise, evaluate and discipline,Social Services Department personnel. Make job assignments and set
priorities. Orient new staff and participate in recruitmemt and selection. Keep employees informed of changes that affect them.
Ensure universal precautions and infection control, isolation, fire, safety and sanitation practices and procedures are followed and
promptly address any hazardous conditions. Maintain records, manage budget and supplies. Meet Company policies and state and
federal regulations regarding Social Services
• Comply with, support and enforce Company policies involving all safety and infection control procedures to include the proper use of
mechanical lifts, gait belts and personal protective back1supports
• Understand, comply with and promote all rules regarding resident rights, promote positive relationships with residents, visitors and
regulators, to include presenting a professional appearance
----------~---·--------------'---·-----~-------~------:-:------------
CODE OF CONDUCT --
Must adhere to the Company's Code of Conduct and Busin¢ss Ethics policy including documentation and reporting responsibilities
I
QUALIFICATIONS
• Bachelor's Degree in Social Work, Psychology, or relatecj field. (Master's Degree in Social Work, where required)
• At least two years of social work experience in a health ~are delivery system preferred
• Health care experience preferred
• Must meet any state and/or Federal requirements for the position
• Basic understanding of computer technology, including email use
• Must be capable of maintaining regular attendance
---------------------------------------------------------------------~
This job description is intended to describe the general nature and level of work being petformed by people assigned to
this job. It is not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so
classified. The Company reserves the right to modify job duties and qualifications at any time. In addition to this job
descriJJtion; duties may further be delineated by an additional document referenced as a /)Osition descrif)tion.
Social Services Coordinator 0501.doc-8/30/2011-,f'.EA0014
. Job Code: 0501
Job Title: Social Services Coordinator
• Department: Social Services
Reports To: Executive Director
----~-·-·--------------------------·------------------
KNOWLEDGE, SKILLS, ABILITIES & BEHAVIORs
• Must have ability to read, write and follow oral and written directions at a level necessary to accomplish the job
• Must have knowledge of State and Federal guidelines
• Must have demonstrated skills in communication, documentation, assessment and social work methods techniques
• Must be able to maintain confidentiality regarding patient and company proprietary information
• Must be able to relate positively and favorably to residents, families and other employees at all levels
PHYSICAL AND SENSORY REQUIREMENTS
Mobility, reaching, bending, lifting (minimum of 10 pounds), fine hand coordination, ability to read and write, the ability to understand
and follow written and oral instructions and directions, ability to travel, and ability to remain calm under pressure
lob Description Review:
I understand this job description and its requirements; and that I am expected to complete all duties as assigned. I understand the job
functions may be altered from time to time.
Employee's Signature
Supervisor or Orientation Leader's Signature
cc: Personnel File
Individual Employee
Date
Date
This job description is intended to describe the general nature and level of work being performed by people assigned to
this job. It is not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so
classified. The Company reserves the right to modify job duties and qualifications at any time. In addition to this job
description, duties may further be delineated by an additional document referenced as a position description.
Social Services Coordinator 0501.doc -8/30/2011 -AEA0014
Work Experience/Communty Service Qualification Survey
Employer Name: Employer Category:
'Beve1h1 En~tdl!:it.s J m:.. dkx '!!aicl!f' GYJ·n..~ renAl(""
Address: I I D Private Non-profit*
130L> (::;. ~u YY\Yl~f' Ave. ,,
City: Zip Code: D Public Non-profit*
FO~JJ\e{ q,3(#.2.) ~ Private Business
Contact Person: *Must provide SOl(c) (3) 1-f.etd; SefN
Phone Number: / Extension:
5Sl-8:3t.f -2.'5'-/'-
Fax Number:
~-f'ol.f-574>'2-
Type of Service to be Provided: E:( Work Experience D Community Service
Worksite Location
Address:
Wor:ki ~re~t~~ { ~3ofe, c; ~~£Am. ne r A-ve
17-023
Attachment A
city: AJW)e( Phone Number: 55'1-83¥-.:25 '-/d-
Zip Code: q 2Jt; 2-c;-Extension:
Job Title: -· Duties to be Performed:
5oeu\cJLst-P\ n\rlc; ~ (\/l(PS I Se < a -\-\-a~c( Number of Positions Available: '~
Minimum Requirements for the Position:
$ee.. a~V\~
Length of Project:
6-r\-50'~
'•
Weekly Hours Available (Maximum 40 hours/week): Special Clothing I Equipment Requirements:
y.o Cl~ -\-o~ct S~D~S,
~~\t\l?>S l.hSU.ti...[
----worni\JG\) Date:
tO }3) /0
' '_.c.J ~
JOB DESCRIPTION
Job Title: Specialist Dining Services 1
Family /Level: Dining Services I 51
GENERAL PURPOSE
Create a positive experience for customers including residents and employees. Responsible for providing excellent customer service,
product and presentations while maintaining food safety and health code standards.
ESSENTIAL JOB DUTIES
• Assist with preparation of food as directed
• Assist with meal service and delivery of meals and snacks
• Assist with set up of dining rooms and other hospitality areas
• Clean service wear and maintain sanitation as assigned in the department
Support dining room programs and other hospitality areas
Follows Company, Local, State, and Federal guidelines for Food Safety, Food Handling and Required methods of Documentation.
CODE OF CONDUCT
adhere to the Company's Code of Conduct and Business Ethics policy including documentation and reporting responsibilities.
,'11~1-T"':::.;.ll .LVI'>:II
High School diploma or equivalent, preferred
Minimum one (1) year food service experience, preferred
Meet all local health regulations
Must be capable of maintaining regular attendance
KNOWr 1=nr.::r: "KTI I ~. ABILITIES&. BEHAVIORS
Ability to operate food service equipment
Good interpersonal skills
Strong verbal, reading and writing skills
Must be able to maintain confidentiality regarding patient and company proprietary information
Must have the ability to relate professionally and positively and work cooperatively with patients, families, and other employees at all
levels
PHYSICAL AND SENSORY Dt=niiTDI II >:II
Mobility, reaching, bending, lifting (minimum of 10 pounds), fine hand coordination, ability to read and write, the ability to understand and
follow written and oral instructions and directions, ability to travel, and ability to remain calm under pressure.
This job description is intended to describe the general nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so classified. The Company
reserves the right to modify job duties and qualifications at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a position description.
Specialist Dining Services 1 6015 GLC.doc-09/27/2015-DRS
Job Description Review:
I understand this job description and its requirements; and that I am expected to complete all duties as assigned. I understand the job
functions may be altered from time to time.
Employee's Signature
Supervisor or Orientation Leader's Signature
cc: Personnel File
Individual Employee
Employee's Printed Name Date
Supervisor or Orientation Leader's Printed Name Date
This job description is intended to describe the general nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so classified The Company
reserves the right to modify job duties and qualifications at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a position description.
Specialist Dining Services 1 6015 GLCdoc-09/27/2015-DRS
Work Experience/Communty Service Qualification Survey
Employer Name: Employer Category:
"& .. u?ihl i;n~l'di~S 1 nr.. db-t. f!J(JJdtr1 G.JJ.YL;,_, f'le~tk ,r
Address: I
130lo ~ · ~u I'VLY'I~ (' Ave.
D Private Non-profit*
\.
City: Zipq~~~2_) D Public Non-profit*
FO~\el' ~ Private Business
Contact Person: *Must provide SOl( c) (3) 1-f.etd i Serw
Phone Number: I Extension:
25'1-ZBt./ -:L<s'-f'-
Fax Number:
ssc::;-f?;;q ~57({;')_
Type of Service to be Provided: rJ Work Experience D Community Service
Worksite Location
Address: wora~te supervisor:
l3ofe, c: -SLAm ne of" Ave '((tit SL+i--\. r
17-023
Attachment A
city: FDW\e( Phone Number: 55'1-83</-..15 L/d-
Zip Code: q 2k 2-c;-Extension:
Job TiAl rJk_ +bvt {tl.{ t' ~~ Duties to be Performed:
Sec. ct +\-a~c( Number of Positions Available:'-1
1
Minimum Requirements for the Position:
~e.. a+\a_c-'A.a;\
Length of Project:
19-r\-50'~
Weekly Hours Available (Maximum 40 hours/week): Special Clothing I Equipment Requirements:
y.CJ ct~ +o~ol S"'D!':-~
'Bvtcs,~>s Chsu.~l
,....._
Works?-1Ci\l5~ Datto }3} 10
"-... ~ '----..)
JOB DESCRIPTION
: Family /Level: Nursing Aide 3133
GENERAL PURPOSE
Provide support and assistance to nursing personnel and assist in maintaining a positive physical and psychosocial environment for residents.
c::.::.cn 1.iAL JOB DUTIES
• Clean patient equipment and resident's personal care and grooming items per established procedure
• Ensure residents closets, bedside stands, drawers, and closets are clean, orderly and odor free
• Complete admission inventory of clothing and belongings including labeling
• Distribute personal laundry
• Monitor and replenish resident care articles
• Answer call lights and provide non-care giving tasks; i.e., change TV, open windows, adjust articles within patients reach
• Relay requests for actual care assistance to nursing staff
• Transport residents to meals, activities, care conferences
• Assist with passing trays in the dining room and to residents who do not require feeding assistance.
CODE OF CONDUCT 1--~~:~=--=: __ ~:_: ___ : ... ::.=.~~-----------------·-·····--·--··------------------------------------------------------~---------------------------~---------------------·
Must adhere to the Company's Code of Conduct and Business Ethics policy including documentation and reporting responsibilities.
QUALIFICATIONS
I
I
• High school diploma or equivalent, preferred
• Ability to read, write and follow oral and written directions at a level necessary to accomplish the job.
• Must be capable of maintaining regular attendance
·~~~~~~~~~~--~~~~~!.i~~!fj~:t;~~~~~VI~~-===:==~==~-------------------~=-~~--=-~:=~~~:~~---=~~
• Must be able to maintain confidentiality regarding patient and company proprietary information. !
I
• Must have the ability to relate professionally and positively and work cooperatively with residents, families and other employees at all levels. i
PHYSICAL AND SENSORY REQUIREMENTS
Mobility, reaching, bending, lifting (minimum of 10 pounds), fine hand coordination, ability to read and write, the ability to understand and
follow written and oral instructions and directions, ability to travel, and ability to remain calm under pressure.
Job Description Reyiew:
I understand this job description and its requirements; and that I am expected to complete all duties as assigned. I understand the job
functions may be altered from time to time.
Employee's Signature Employee's Printed Name Date
Supervisor or Orientation Leader's Signature Supervisor or Orientation Leader's Printed Name Date
cc: Personnel File
Individual Employee
This job description is intended to describe the general nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so classified. The Company
reserves the right to modify job duties and qualifications at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a position description.
Aide Hospitality 3133.doc-09/12/2011-AEA0014
I
Work Experience/Communty Service Qualification Survey
Employer Name: Employer Category:
'&vel hi i;()~l'dl~S 1 nt.. dkx ~cildtt GYI·rL~ relt-k f
Address: I
130lo ~ · ~u 'I'V1Y1lr A-~ D Private Non-profit*
\..
City: Zipq~~;?_)' D Public Non-profit*
FOw\-e.f ~ Private Business
Contact Person: *Must provide SOl( c) (3) J-f.etof,. ~J:.bl
Phone Number: I Extension:
5Sl-K3t.f -2..'5'-/J.---.
Fax Number:
£:7-fol.f ·57lp'::L
Type of Service to be Provided: r::( Work Experience D Community Service
Worksite Location
Address: wora
1
ite supervisor:
t3oft, e ~~(A mne -r A-ve c i uU Se+ }.\. f
17-023
Attachment A
city: FDW\e( Phone Number: 55'1-83«/-..:2$ '-I'd-
Zip Code: q 2J.t; 2-~ Extension:
Job Title: · I Duties to be Performed: ~;cJaJ1S\-fr'rA.I n--\em Y\ tf' Se ~ ct. -\-\-ac_hec( Num8\er of Positions Available: ::l
Minimum Requirements for the Position:
s:ee a+\c&'A-a;\
Length of Project:
(9y-)-50'~
Weekly Hours Available (Maximum 40 hours/week): Special Clothing I Equipment Requirements:
Y-(J
CAD)eot -+o~ol S~D~S,
~<f>\r'\tl)S ChSUt:\... [
,.--.,
Worksr~~rr\1Q""J Date:
tO }3) /0
'-. :--<-' '----.}
JOB DESCRIPTION
' Reports To: Specialist Maintenance 3
GENERAL PURPOSE
Assist in ensuring the building(s), equipment and utilities are maintained in good working order and grounds are properly maintained in
accordance with company policies.
ESSENTIAL JOB DUTIES
• Make rounds, assess, and make minor repairs. Assist with large repairs . Conduct preventative maintenance as assigned to include
but not be limited to facility logs such as water temperature, call lights, generator and fire alarms. May assist in training of new
employees. May be responsible for Maintenance Department in the absence of the supervisor.
• Ensure work schedules are followed and coordinate services with other departments . Advise supervisor of supply and/or repair
needs.
• Comply with Company policies involving all safety and infection control procedures to include the proper use of mechanical lifts, gait
belts and personal protective back supports.
• Attend and participate in educational activities, in-service training, and staff meetings; assist in orientation and training other staff .
• Participate in Quality Improvement activities as assigned .
• Other duties as assigned or needed .
_ .................. _ .... -.................. -.............. -.. -·-~-'"·-----·-'"·-····----·-··-·-·--·-····----····-··--·-·-·--·---··~-·--·---~ .. -·-··----·-·-·---~·--·-.. ·------------·--·-.. ·-·-----------.. ·-·-----------··-·
CODE OF CONDUCT
Must adhere to the Company's Code of Conduct and Business Ethics policy including documentation and reporting responsibilities.
QUALIFICATIONS
• Ability to read, write and follow oral and written directions at a level necessary to accomplish the job .
• Experience in maintenance
• Must be capable of maintaining regular attendance
KNOWLEDGE, SKILLS, ABILITIES &. BEHAVIORS --
• Must be able to maintain confidentiality regarding patient, employee and company proprietary information
• Must have the ability to relate professionally and positively and work cooperatively with patients, families, and other employees at all
levels
···-·--····--·--·-·--··----··-·--··----···------···-----·--------·------·-------~----------·-----------·--·-··-
PHYSICAL AND SENSORY REQUIREMENTS ......................................................................... ,_ ............... _~--··-·-·····-·-·-----·--·-····----·--···-= ............ --.--.................... ---·-··----·-···-·-·-···--··-· .. ···-.. --··--···· .. ---·---·----···---··-·-·-·~--------·---···-·-··-··-·-··--·-·---··'····---..... _ .... ________ ...... --.................. -.. ·-··
Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. If
someone can do medium work, we determine that he or she can also do sedentary and light work.
This job description is intended to describe the general nature and level of work being performed by people assigned to
this job. It is not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so
classified. The Company reserves the right to modify job duties and qualifications at any time. In addition to this job
description duties may further be delineated by an additional document referenced as a position description.
Specialist Maintenance 1 0803-2/21/2014-LDB0072
Job Description Review:
I understand this job description and its requirements; and that I am expected to complete all duties as assigned. I understand the job
functions may be altered from time to time.
Employee's Signature
Supervisor or Orientation Leader's Signature
cc: Personnel File
Individual Employee
Employee's Printed Name Date
Supervisor or Orientation Leader's Printed Name Date
This job description is intended to describe the general nature and level of work being performed by people assigned to
this job. It is not intended to be an exhaustive list of all responsibilities_ duties and skills required of employees so
classified. The Company reserves the right to modify job duties and qualifications at any time. In addition to this job
description, duties may further be delineated by an additional document referenced as a position description.
Specialist Maintenance 1 0803-2/21/2014-LDB0072
Work Experience/Communty Service Qualification Survey
Employer Name: Employer Category:
'&vtNhl i;n.Jeiott~.s 1nr_. d~ t!.<.IJ..r. LVI·YL~ reJt-k,..
Address: ' 0 Private Non-profit*
130~ ~. Su Y\1\Yl.~ f' A-ve. \
City: Zipq~~~;?_~ 0 Public Non-profit*
FOL-0\~ .f g) Private Business
Contact Person: *Must provide SOl( c) (3) J-f.etot,. Serw
Phone Number: / Extension:
5S1-&3tf -2..'5'-/)-.
Fax Number:
S~J~K'bt.J -57~?-
Type of Service to be Provided: EJ Work Experience D Community Service
Worksite Location
Address: Wo~~e Supervisor:
t 3ole> c:: -"StA m ne ~ A-ve Xtli -~++-lf
17-023
Attachment A
city: ~e{ Phone Number: ssq-K3¥-.1s t.Jd-
Zip Code: q 2J.p 2-c;-Extension:
Job T~~citUtS\-Ct¥\-l( C\ l Suvo lu
Duties to be Performed:
Se ~ ct -\-\-ac.hec( Numbe~ of Positions Available: l
I \ I
Minimum Requirements for the Position:
~e. a~V\~
Length of Project:
I9Y\ -5 D1 t'\.~
Weekly Hours Available (Maximum 40 hours/week): Special Clothing/ Equipment Requirements:
y.o ct~ -\-o<?d sY'\D~S
~~,~>:s Cetsu.~t
,..--.
Works~l\j()\) Date:
tO }3) /0
' -_.c.J -----.J
JOB DESCRIPTION
Job Code: 0508
• Job Title: Specialist Central Supply
· Family /Level: Supply Central I Support Intermediate (52)
GENERAL PURPOSE
-··--·---~~-·--····-··~-------~~--·--"
___________ .. ........_ ......
Administer the distribution and inventory of resident care supplies in accordance with facility policies and regulations
ESSENTIAL JOB DUTIES
r-·
• Inventory and monitor central supply levels; work with management to analyze supply usage and determine target inventory level and
reorder points. Order, receive and restock in accordance with procedures; secure emergency or critical items; monitor cost and maintain
related records. Reconcile input at end of month to invoice and ensure appropriate markup
• Inventory and stock supplies maintained at nurses station in supply points; record inventory and cost data and provide data to the
business office and/or input in to the computer.
• Distribute appropriate supplies
• Maintain a safe and orderly work area; and conduct label reconciliation
• Assist with Nursing Department activities to include administrative support; assisting residents, families and visitors, and running errands
to include travel to supply sources
••••••••••''""-••••"--"-'"""''''"''""'''""""'"--"·-••-•••••••-•••••-•"•""--"••••-•---··-••••·-·--------···•--·-----·---·-----·••---,.,-,,,_ ·····-·-···-·-··-··-·-~-.. -···-·-·-··----.. -·---···--·--·---·--···---···-··-""'"'''""'""'-·--"""''""""""'"'''
CODE OF CONDUCT
-·--·---··--~----.. --....._-··-
Must adhere to the Company's Code of Conduct and Business Ethics policy including documentation and reporting responsibilities
QUALIFICATIONS -.•
• High School diploma or equivalent
• Related administrative experience at a level necessary to accomplish the job
• Must have the ability to read, write and follow oral and written directions at a level necessary to accomplish the job
-·---'"··-····-.. --.......... ____ ._ ... ,_. _______________________ ,. _____ ....... _ ..... _ ...... -.... _, __ , ______ ,_, __ , _____________ ......... -.. -----·--·-··-·--··----·-----·------··--··~ .. ----··-·-·-----··-·--·····--· ··-··-·····---·-··········-·-··-·····----····-·······
KNOWLEDGE, SKILLS, ABILITIES & BEHAVIORS
.............. ---··--··--··--------·-----··----····-------~-----·---·----------~------------·--·----------
• Basic computer knowledge and ability with an aptitude to learn company software
• Capable of maintaining regular attendance
I • Ability to maintain confidentiality regarding patient, employee and company proprietary information
• Must have the ability to relate professionally and positively and work cooperatively with patients, families, and other employees at all
levels.
PHYSICAL AND SENSORY RFnll' lt:I'U;:)
Mobility, reaching, bending, lifting (minimum of 10 pounds), fine hand coordination, ability to read and write, the ability to understand and
follow written and oral instructions and directions, ability to travel, and ability to remain calm under pressure
.
This job description is intended to describe the general nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so classified. The Company
reserves the right to modify job duties and qualifications at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a position description.
Specialist Central Supply 0508-3/19/2014-LDB0072
Job Description Review:
I understand this job description and its requirements; and that I am expected to complete all duties as assigned. I understand the job
functions may be altered from time to time.
Employee's Signature
Supervisor or Orientation Leader's Signature
cc: Personnel File
Individual Employee
Employee's Printed Name Date
Supervisor or Orientation Leader's Printed Name Date
This job description is intended to describe the general nature and level of work being performed by people assigned to this job. It is
not intended to be an exhaustive list of all responsibilities, duties and skills required of employees so classified. The Company
reserves the right to modify job duties and qualifications at any time. In addition to this job description, duties may further be
delineated by an additional document referenced as a position description.
Specialist Central Supply 0508-3/19/2014-LDB0072