zilongwang/ReadingBank huggingface dataset:
Staff training on the unique social practices, customs, and beliefs of the under-served populations in their service area Evidence of staff trained in the prevention, transmission and infection control in the healthcare setting of sexually transmitted infections including HIV Pharmaceutical training for clinical staff involved in dispensing medications CPR training and certification for all licensed medial staff providing direct care Staff training in emergency procedures and plans Staff training on blood born pathogen transmission/OSHA training Staff training on encouraging family involvement in the decision of minors to seek family planning services and on counseling minors on how to resist being coerced into engaging in sexual activities Documentation of staff continuing education Documentation of performance evaluations as required by agency personnel policy Evaluation Questions: Does the agency keep written documentation of staff meetings? Does the agency keep training records on each employee? Does the agency have established orientation/in-service training for all staff, including family planning program requirements, philosophy, policies and goals of operation? MPR 15 Provide services without the imposition of any durational residency requirement or requirement that the patient be referred by a physician. Reference: 2 CFR CH. 1 (10-1-00 Edition) §59.5 (b)(5) Indicator 15.1 See Michigan Title X Family Planning Standards & Guidelines 9.9 To fully meet this indicator: There is a written policy that services are provided without residency requirements or physician referral. (9.9) Documentation Required:
Non-discrimination policy for residency and physician referral Evaluation Questions: None MPR 16 Provide that the family planning medical services will be performed under the direction of a physician with special training or experience in family planning. Reference: 42 CFR CH. 1 (10-1-00 Edition) §59.5 (b)(6) Indicator 16.1 See Michigan Title X Family Planning Standards & Guidelines 8.5.4 9.6 18.A,B 29.B.1,2 29.E.2.c,e To fully meet this indicator: The medical director must be a licensed, qualified physician, with special training or experience in family planning. (8.5.4) The medical director approves and signs protocols and standing orders annually (within the past 12 months). (9.6; 18.A,B; 29.E.2.e) Clinicians other than physicians performing medical functions do so under protocols and/or standing orders approved by the medical director. (8.5.4.A,B) The medical director directs medical services and participates in quality assurance activities. (29.E.2.c) Prescription of pharmaceuticals must be done under the direction of a physician who must have a drug control license for each clinic location in which storage and dispensing occurs. (29.B.1.a; 29.B.2) Documentation Required: Evidence that all mid-level providers have agreed to follow clinic procedures, protocols, and standing orders are signed and approved by the medical director Medical director’s professional and drug control licenses for each clinic location Approved protocols and standing orders Curricula vitae of medical director Evaluation Questions:
Nombre: ________________________________________________ Evaluación del proyecto – Mi familia Final Project Points Introduction slide has project title, name, date, homeroom, and ”Español 1” ________ / 5 All six slides have one introduction sentence, three descriptive sentences, and a photo ________ / 15 All grammar, spelling, and accent marks are correct ________ / 10 Slides have a color background or theme ________ / 5 Slides are neat, easy-to-read, and professional (all font is same size and color, etc.) ________ / 5 Total ________ / 50 Criteria 4 3 2 1 0 Pronunciation Accurate throughout, near native Understandable with very few errors Some errors but still understandable Poor pronunciation, very anglicized Did not present Fluency Smooth delivery Fairly smooth Unnatural pauses Halting, hesitant, long gaps Did not present Easily understood Understood OK Difficult to understand Incomprehensible Did not present Vocabulary Extensive use of targeted vocabulary Some use of targeted vocabulary Minimal use of targeted vocabulary Fails to use targeted vocabulary Did not present Performance Lively, enthusiastic; good eye contact General enthusiasm; some eye contact Low energy; limited eye contact Reads from paper, monotonous; no eye contact Did not present Total Project Grade: ________ / 100 TOTAL _____ / 50
Do you have a Lasting Power of Attorney Yes/No Last Updated: B – Spouse/Partner’s information Your Spouse/Partner’s Details Full Name: Date of Birth: Address: Telephone numbers: Day: Evening: : Address for correspondence (if different): Occupation: Country of Domicile National Insurance No: Email address: SECTION 2 – Marriage/Cohabitation Date of Cohabitation: Date of Marriage: Place of Marriage: Wife’s other surname(s): Who has Marriage Certificate: Client/Spouse Religion: Last lived together at: Date of separation: What is the reason for the breakdown in the relationship? Grown apart/adultery/unreasonable behaviour/already separated (please provide details) Any previous proceedings between parties: Did you enter into any form of agreement? Yes/no (if yes, please provide a copy of the same SECTION 3 – Children Note: If any child is born before marriage please confirm who the father is.
Foreign assets: Valuable personal property: (cars/jewellery/paintings/watches etc) Please include make and model and name of registered owner Bank accounts Please list all accounts in your sole name. If more space is required please provide the same information on a separate sheet using the same paragraph headings as below: Bank Name Type of Account (current/savings etc) Balance month end (i.e. worst point of month) Main purpose of account Please list all accounts in your joint names. If more space is required please provide the same information on a separate sheet using the same paragraph headings as below: Bank Name Type of Account (current/savings etc) Balance month end(i.e. worst point of month) Main purpose of account Please list all accounts in your spouse/partner’s sole name. If more space is required please provide the same information on a separate sheet using the same paragraph headings as below: Bank Name Type of Account (current/savings etc) Balance month end(i.e. worst point of month) Main purpose of account
Helping my child with Reading O Transitioning to college and/or career O Helping my child with relationships with other kids O Supporting my child's learning in elementary school O How to talk to my child’s teacher O Supporting my child's learning in middle school O Study skills O Supporting my child's learning in high school O Organizational skills O Supporting positive behavior at school O Other: Explain using the box below O Supporting positive behavior at home O Communication Strongly Disagree Disagree Neutral Agree Strongly Agree Don’t Know/ Not Applicable My child's school encourages me to support my child's learning at home. O O O O O O My child’s school is very good about staying in touch with me (for example, letters, phone calls or e-mails). O O O O O O When my child’s school communicates with me, it is easy for me to read or understand. O O O O O O If I have a question, concern or comment about my child, the teacher, principal or guidance counselor gets back to me right away. O O O O O O I receive regular updates from the teacher(s) on my child’s progress. O O O O O O Educational Quality Strongly Disagree Disagree Neutral Agree Strongly Agree Don’t Know/ Not Applicable
My child's school is an exciting place. O O O O O O O My child's school is a boring place. My child’s school is well regarded in the community O O O O O O O My child’s school is poorly regarded in the community My child’s school cares about families O O O O O O O My child’s school doesn’t care about families My child’s school welcomes parents O O O O O O O My child’s school keeps parents out My child’s school values parents’ ideas O O O O O O O My child’s school ignores parents’ ideas Your Child’s Grade Level. Pre-Kindergarten O 6th O Kindergarten O 7th O 1st O 8th O 2nd O 9th O 3rd O 10th O 4th O 11th O 5th O 12th O Your race/ethnicity. African American O Asian/Pacific Islander O Hispanic O Multiracial O Native American O White O Other:__________________________ O Your gender. Male Female O O Other: _____________ O Thank you for taking the time to complete this survey!
Reporting/Documentation/Evaluation Participate in agency data collection and analysis, specifically Performance Measurement System. Enter all data in a timely manner Develop and maintain treatment plans, including setting treatment goals and delineation of services to be provided, in a timely manner. Respond to emails and phone calls within 24 hours. Conduct and coordinate evaluation of the program according to program requirements in order to improve and advance service delivery and outcomes. Supervision Meet with supervisor as required on a weekly basis and comes prepared by bringing up-to-date charts for review and discussion. Consult with supervisor as necessary when crises or situations out of the norm arise with assigned families. Be prepared for and provide input at team and other agency meetings. Community Collaboration and Training Participate in community activities related to the program as assigned. Collaborate and work cooperatively with community partners and referral sources. CORE COMPETENCIES— All ReadyKids Employees will… Strive for High Quality: Maintain the highest integrity in all aspects of agency and program operations and duties. Maintain flexibility when performing duties and interacting with others. Set appropriate priorities and plan work systematically. Maintain appropriate professional boundaries with clients, colleagues and donors. Protect privacy and confidentiality of clients, colleagues and donors. Participate in professional development and supervision to seek guidance, expand knowledge and use of best practices. Embrace a Performance-Based Culture: Set and make progress toward performance-based goals established for self, program, and the agency. Seek and utilize data on an ongoing basis to inform decision-making in completion of all job duties. Reflect on individual, program and agency results for continuous learning and quality improvement. Be accountable for individual and program results and give and receive feedback to improve individual, program, and agency performance. Participate as an Effective Team Member: Treat people in a caring and respectful fashion, mindful of individual, cultural and ethnic differences. Be respectful in verbal and written communication to and about clients and colleagues.
PERSONAL INFORMATION FULL NAME SEX MALE FEMALE ADDRESS PHONE EMAIL MARITAL STATUS □Single □Married □Divorced □Widowed □Remarried DATE OF BIRTH ANNIVERSARY BAPTISM FAMILY INFORMATION SPOUSE’S FULL NAME DATE OF BIRTH BAPTISM If your spouse is not a member, does he/she wish to join at this time? Yes No PHONE EMAIL PLEASE LIST THE OTHER MEMBERS OF YOUR HOUSEHOLD. NO. NAME PHONE SEX DATE OF BIRTH AGE BAPTIZE MALE FEMALE YES NO Please turn to the next page
Family Violence Risk Assessment and Risk Management Framework Referral Information We recommend you print out a copy of the DVRCV Domestic & Family Violence Referral Options booklet and keep it in the cover of this manual. This resource is updated quarterly and is available on the DVRCV website Statewide Services Centre Against Sexual Assault (CASA) Victorian Sexual Assault Crisis Line (after hours) Ph: 9349 1766 Ph: 1800 806 292 (toll free) Ph: 9344 2725 (administration) Child Protection Crisis Line To report concerns of child physical and/or sexual abuse. Ph: 131 278 (24 hrs toll free) Child FIRST Contact details for Child FIRST services are available on the website: inTouch For immigrant women who are victims of family violence. Ph: 9413 6800 (9am-5pm Mon-Fri) Ph: 1800 755 988 (toll free) Ph: 9413 6501 (administration) 9429 0057 (fax) Men’s Referral Service Telephone counselling and referral for men who use violence towards family members. Provides initial counselling and referral for partners and advice to agencies requiring assistance. Ph: 9428 2899 (9am-9pm Mon-Fri) Ph: 1800 065 973 (toll free) Updated April 2012 Women’s Family Violence Services Crisis accommodation and support for Aboriginal women and spouses of Aboriginal men. Ph: 1800 796 112 Ph: 0438 528 525 (9am-5pm Mon-Fri) Ph: 9482 5744 (9am-5pm Mon-Fri) 9482 5733 (fax) Magistrates Courts For Magistrates Courts locations and contacts please go to: Women’s Domestic Violence Crisis Service of Victoria (WDVCS) Crisis support, information, referral to safe accommodation (refuge) for women. Ph: 9322 3555 (24-hrs) Ph: 1800 015 188 (toll free for country callers only) Ph: 9928 9600 (administration) Victoria Police Identify and investigate incidents of family violence, provide safety and support to affected family members and prosecute persons accused of criminal offences arising from family violence. Ph: 000 only in an emergency, otherwise contact your local police station
E) Report income from pensions/retirement/all other income. Report all income that applies in the “Pensions/Retirement/All Other Income” field on the application. F) Report total household size. Enter the total number of household members in the field “Total Household Members (Children and Adults).” This number MUST be equal to the number of household members listed in STEP 1 and STEP 3. If there are any members of your household that you have not listed on the application, go back and add them. It is very important to list all household members, as the size of your household affects your eligibility for free and reduced price meals. G) Provide the last four digits of your Social Security Number. An adult household member must enter the last four digits of their Social Security Number in the space provided. You are eligible to apply for benefits even if you do not have a Social Security Number. If no adult household members have a Social Security Number, leave this space blank and mark the box to the right labeled “Check if no SSN.” STEP 4: CONTACT INFORMATION AND ADULT SIGNATURE All applications must be signed by an adult member of the household. By signing the application, that household member is promising that all information has been truthfully and completely reported. Before completing this section, please also make sure you have read the privacy and civil rights statements on the back of the application. A) Provide your contact information. Write your current address in the fields provided if this information is available. If you have no permanent address, this does not make your children ineligible for free or reduced price school meals. Sharing a phone number, email address, or both is optional, but helps us reach you quickly if we need to contact you. B) Print and sign your name and write today’s date. Print the name of the adult signing the application and that person signs in the box “Signature of adult.” C) Mail Completed Form to: Bloomfield Food Service 390 Park Ave. Bloomfield CT, 06002 D) Share children’s racial and ethnic identities (optional). On the back of the application, we ask you to share information about your children’s race and ethnicity. This field is optional and does not affect your children’s eligibility for free or reduced price school meals.
FULL LEGAL NAME OF INDIVIDUAL RECEIVING SERVICES SERVICE MONTH / YEAR HOURLY RATE $ HOURLY REIMBURSED RATE $ MAXIMUM DAILY RATE DATE FROM TO TOTAL HOURS PER DAY (REQUIRED) NOTES: DESCRIPTION OF ACTIVITIES OF THE INDIVIDUAL THAT OCCURRED DURING RECEIPT OF PAID SERVICES. THIS DESCRIPTION MUST SUPPORT THE TIME BILLED (REQUIRED) 1 AM PM AM PM 2 AM PM AM PM 3 AM PM AM PM 4 AM PM AM PM 5 AM PM AM PM 6 AM PM AM PM 7 AM PM AM PM 8 AM PM AM PM 9 AM PM AM PM 10 AM PM AM PM 11 AM PM AM PM
DATE FROM TO TOTAL HOURS PER DAY (REQUIRED) NOTES: DESCRIPTION OF ACTIVITIES OF THE INDIVIDUAL THAT OCCURRED DURING RECEIPT OF PAID SERVICES. THIS DESCRIPTION MUST SUPPORT THE TIME BILLED (REQUIRED) 12 AM PM AM PM 13 AM PM AM PM 14 AM PM AM PM 15 AM PM AM PM 16 AM PM AM PM 17 AM PM AM PM 18 AM PM AM PM 19 AM PM AM PM 20 AM PM AM PM 21 AM PM AM PM 22 AM PM AM PM 23 AM PM AM PM 24 AM PM AM PM
DATE FROM TO TOTAL HOURS PER DAY (REQUIRED) NOTES: DESCRIPTION OF ACTIVITIES OF THE INDIVIDUAL THAT OCCURRED DURING RECEIPT OF PAID SERVICES. THIS DESCRIPTION MUST SUPPORT THE TIME BILLED (REQUIRED) 25 AM PM AM PM 26 AM PM AM PM 27 AM PM AM PM 28 AM PM AM PM 29 AM PM AM PM 30 AM PM AM PM 31 AM PM AM PM SUPPORT COORDINATOR’S SIGNATURE DATE PROVIDER’S SIGNATURE DATE SIGNATURE OF PARENT/GUARDIAN DATE MO 650-0674 (1-03)
23 Family Relationships Institute Inc. 26 497 501 316 RelateWell 24 Family Support Newcastle Inc 37 539 393 582 Family Support Newcastle Inc 25 Gateway Health 76 640 576 694 Gateway Health Limited 26 Interrelate Limited 43 932 956 053 Interrelate 27 Lifeline Darling Downs and South West Queensland Limited 97 075 403 959 Lifeline Darling Downs and South West Queensland Limited 28 LifeWorks Relationship Counselling and Education Services 50 071 373 950 LifeWorks Relationship Counselling and Education Services 29 Lutheran Church of Australia, SA & NT District Inc 26 735 070 692 Lutheran Community Care 30 MacKillop Family Services Limited 79 078 299 288 Mackillop Family Services 31 Manning Support Services Inc 88 845 915 950 MSS 32 Men’s Information and Support Association Inc 36 295 742 511 33 Men's Outreach Service Inc 24 744 105 088 Mens Outreach Service Inc 34 Ngala Community Services 35 129 500 223 Ngala Community Services 35 Northern Rivers Social Development Council Ltd (formerly known as Youth Connections North Coast Inc) 77 398 196 862 Social Futures 36 Relationships Australia - Northern Territory Inc 61 874 389 726 Relationships Australia NT 37 Relationships Australia (NSW) Limited 73 000 509 982 Relationships Australia NSW 38 Relationships Australia (QLD) 38 110 021 755 Relationships Australia (QLD) 39 Relationships Australia (Victoria) Inc. 51 263 215 677 Relationships Australia Victoria 40 Relationships Australia (Western Australia) Incorporated 32 105 234 326 Relationships Australia Western Australia 41 Relationships Australia Canberra & Region Inc 34 199 851 375 Relationships Australia Canberra and Region 42 Relationships Australia South Australia Limited 19 119 188 500 Relationships Australia South Australia 43 Relationships Australia Tasmania Incorporated 88 890 705 424 Relationships Australia Tasmania 44 Roman Catholic Archbishop of Perth Catholic Marriage Education Services 68 046 084 588 Catholic Marriage and Fertility Services 45 Roman Catholic Church For The Archdiocese Of Canberra And Goulburn As Trustees For CatholicCare 90 046 512 373 CatholicCare Canberra & Goulburn
Members of the Family Law Council are appointed by the Attorney-General under subsection 115(2) of the Family Law Act 1975 (the Act). Appointment is for a period of up to 3 years and members may be re-appointed. Under the Act, Council shall consist of a Judge of the Family Court and any such judges, persons appointed or engaged under the Public Service Act 1999, officers of the Public Service of a State, family counsellors, family dispute resolution practitioners and other persons as the Attorney-General thinks fit. The Act does not specify the number of members of Council. It has been the policy of successive governments that Council membership attempts to encompass equity and diversity in gender and cultural background and cover a range of geographical locations. Members of the Family Law Council during the year 2014-2015 were as follows: Name Position Date of current appointment Expiry of term Professor Helen Rhoades Melbourne Law School, University of Melbourne, Victoria 9 July 2013 8 July 2016 Judge Kevin Lapthorn Federal Circuit Court, Queensland 9 July 2013 8 July 2016 Dr Rae Kaspiew Senior Research Fellow, Australian Institute of Family Studies, Victoria 9 July 2013 8 July 2016 Mr Jeremy Culshaw Partner, Culshaw Miller Lawyers, Western Australia 9 July 2013 8 July 2016 Ms Kylie Beckhouse Executive Director, Family Law, Legal Aid NSW, New South Wales 7 June 2012 6 June 2015 Extended to 30 June 2016 Justice Robert Benjamin AM Family Court of Australia, Tasmania 7 June 2012 6 June 2015 Extended to 30 June 2016 Ms Jennie Hannan Principal Clinician, Family Law Services Consultant, Anglicare WA, Western Australia 7 June 2012 6 June 2015 Extended to 30 June 2016 Ms Colleen Wall Director, Nguin Warrup (Black Drum) Ltd, Queensland 7 June 2012 6 June 2015 Extended to 30 June 2016 Observers There are no provisions in the Act relating to the appointment of observers on Council. However, the Attorney-General has approved observers from agencies relevant to family law,
Necessaries Doctrine Allowed wife to buy necessities from a third party using her husband’s credit If the husband refused to pay, creditor could sue husband for the debt May creditors were unwilling to extend credit to women because in practice Definition of what was “necessary” depended on the family’s social position and was limited by the husband’s ability to pay Creditor had to rely on husband’s credit, not the wife’s, credit and it was difficult to know going into court whether the doctrine would apply The doctrine of necessaries in Indiana is: (1) Each spouse is primarily liable for his or her independent debts; (2) Typically, a creditor may look to a spouse for satisfaction of the debts of the other only if the spouse has otherwise agreed to contractual liability or can be said to have authorized the debt by implication under the laws of agency; (3) When there is a shortfall between a dependent spouse’s necessary expenses and separate funds, the law will impose limited secondary liability upon the financially superior spouse by the doctrine of necessaries. (Bartrom v. Adjustment Bureau, Inc.) Spousal Property Distribution upon Death Community property states: (regardless of will) surviving spouse is entitled to ½ of the property accumulated during the marriage Common law states: surviving spouse may be left out of the will entirely Dower: widow is entitled to life interest in 1/3 of her husband’s real property Curtesy: Widower acquired life interest in all of his wife’s real property if children were born into the marriage No longer exist in most jurisdictions All-non community property states have replaced them with the statutory elective share, allows a surviving spouse to elect to receive 1/3 or depending on the state, ½ of the estate of the deceased spouse Elective share typically applies to all property, not just real estate, it is gender neutral, and it provides full ownership, not just a life estate Wills and protection of children (majority rule) A parent may disinherit a minor or adult child for no reason, no matter how young the child is, and even if disinheritance leaves the child with no means of support; Like the testator’s other financial obligations, a legally enforceable obligation to pay child support must be satisfied before distribution of assets under the will; and
Annual Alzheimer Coffee Break Held On September 27th Our Annual Alzheimer Coffee Break Day (held on September 27th) raised $365 for the Alzheimer Society of London and Middlesex. Thank you very much to all that supported this great cause. And, a “Special Thank You” to our Ladies’ Auxiliary for hosting this successful event. TV Service in Resident Rooms As you know, residents/families may opt for cable TV service in their room for a monthly fee. Such service is provided by a third party TV service provider called “Hospitality Network”. Due to feedback received concerning the cost of the current TV package provided by Hospitality Network, we are currently exploring the notion of switching to a less expensive TV package, which would offer fewer channels. Only one TV package can be offered. But, as is the case currently, additional desired channels may be available - at additional cost. At this point, we would like to hear from residents/families about resident TV services. In particular, if you have any feedback as to “must have” channels, please let me know (Brent Kerwin, 519-245-2520, ext. 222, or via email at ). Doors to Resident Home Area Patios/Balconies In keeping with our provincial legislation, we keep our patio/balcony doors unlocked during the day, during the good weather, to give our residents access to the outdoors.
Resident, Family, Friend and Responsible Party Newsletter – June ‘17 Dear Strathmere Lodge residents, family members, friends/responsible parties: Ministry of Health and Long Term Care - Inspections The provincial Ministry of Health and Long Term Care carries out inspections of the province’s 630 long term care homes to monitor adherence to provincial Long Term Care Homes legislation (i.e., Long Term Care Homes Act and Regulation 79/10). This legislation (200+ pages) is available on the province’s “E-laws” website (). The Ministry has “Compliance Inspectors” assigned to monitor/inspect for legislation adherence. Compliance Inspectors visit long term care homes unannounced, and will visit long term care homes for the following reasons: To conduct the mandatory annual “Resident Quality Inspection (RQI)”. These inspections are comprehensive, involve multiple inspectors (e.g., 4), and can last for approximately two weeks. While on-site, Compliance Inspectors will: interview residents (40), including the Home’s Residents’ Council President; interview families, including the Home’s Family Council President; interview staff; review the Home for safety/security and cleanliness; review residents’ clinical documentation; and observe residents in their home areas; To conduct a Complaint/Concern Investigation. Compliance Inspectors will investigate phone calls to the provincial “1-800 Concern/Complaint Line”; To investigate “Critical Incidents” following mandatory reports submitted by long term care homes to the Ministry. Long Term Care Homes legislation requires that we submit written reports to the Ministry on various matters, that include: a resident who may go missing for an extended time period; an outbreak of reportable/communicable disease; abuse/neglect; and a resident
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES TITLE X FAMILY PLANNING CLINIC DIRECTORY CLINIC LOCATIONS Bay County Health Department Coordinator: Kathy Janer Phone: 989-895-2077 Fax: 989-895-4014 Bay County Phone: 989-895-4015 Beaumont Teen Health Center - Taylor Coordinator: Jeff Cook Phone: 734-942-2273 ext. 224 Fax: 734-942-0490 Wayne County 26650 Eureka Road, Suite B Taylor, Michigan 48180 Phone: 734-942-2273 Benzie/Leelanau District Health Department Coordinator: Michelle Klein Phone: 231-256-0210 Fax: 231-256-7399 Benzie County 6051 Frankfort Highway, Suite 100 Phone: 231-882-2126 Leelanau County 7401 E. Duck Lake Road, Suite 100 Phone: 231-256-0200 Berrien County Health Department Coordinator: Kimberly Wilhelm Phone: 269-927-5664 Fax: 269-927-5680 Berrien County 2149 E. Napier Avenue PO Box 706 Benton Harbor, Michigan 49022 Phone: 269-926-5670 1205 N. Front Street, Suite 900 Phone: 269-684-2800 ext. 6529 Three Oaks, 49128 Phone: 269-756-2008 Central Michigan District Health Department Coordinator: Jaclyn Rosin Phone: 989-426-9431 ext. 1628 Fax: 989-426-6952 Arenac County 4489 W. M-61, Suite 3 Phone: 989-846-6541 Clare County 815 N. Clare Avenue Harrison, Michigan 48625 Phone: 989-539-6731 Gladwin County 103 N. Bowery Avenue Phone: 989-426-9431
Saginaw County 1600 N. Michigan Avenue Saginaw, Michigan 48602 Phone: 989-758-3670 Sanilac County Health Department Coordinator: Katie O’Mara Phone: 810-648-4098 ext. 112 Fax: 810-648-2646 Sanilac County 171 N. Dawson Street, Suite 123 Sandusky, Michigan 48471 Phone: 810-648-4172 St. Clair County Health Department Coordinator: Liz King Phone: 810-987-5300 Fax: 810-985-4487 St. Clair County 3415 28th Street Port Huron, Michigan 48060 Phone: 810-987-5300 Tuscola County Health Department Coordinator: Kristi Villalobos Phone: 989-673-1722 Fax: 989-673-7490 Tuscola County 1309 Cleaver Road, Suite B Caro, Michigan 48723 Phone: 989-673-8114 Western Upper Peninsula District Health Department Coordinator: Barb Auten Phone: 906-482-7382 Fax: 906-482-9410 Baraga County 303 Baraga Avenue L’Anse, Michigan 49946 Phone: 906-524-6142 Gogebic County 210 N. Moore Street Bessemer, Michigan 49911 Phone: 906-667-0200 Houghton County 540 Depot Street Hancock, Michigan 49930 Phone: 906-482-7382 Ontonagon County Ontonagon, Michigan 49953 Phone: 906-884-4485 Last Updated: 12/18/2017
EXT. WOODS – MOMENTS LATER There’s a car driving through the woods in the middle of nowhere. INT. CAR – CONTINUED Sarah is in the back with Matt, Kristi and Fred are in the front, Fred behind the wheel. MARY Sarah, please promise us you’ll behave. SARAH I didn’t ask to go on the first place. MARY And I didn’t ask you to dress like a professional pole dancer on the second place, and this is a really important dinner for your dad, it’s better if his kids are there. SARAH Why? FRED Because they want to see how I educate my kids. Sarah looks down at her phone. SARAH Well it’s 7:20 pm you have twenty minutes to get there, unless you don’t care what your boss thinks about your punctuality. MARY Sarah don’t talk like that to your father. The car speeds up. MARY Honey, slow down SARAH Mom we are in the middle of nowhere, it’s not like we are going to crush with another car. MARY That’s not the only way a car accident can happen, honey please slow down.
12. Matt looks up, scared. MAN(CONT’D) Are you aware of that? MATT Yes, I’m aware. The man crosses his legs. MAN Then tell me (beat) Why did you kill him? MATT I didn’t. The man gets up. MAN Look man, we can do this the hard way or the easy way, you either talk, or we make you talk. The man sits back down. MAN(CONT’D) Now tell me, why did you kill him? MATT I didn’t kill him! The man puts the lamp right on his face. MAN Than how did your fingerprints get in that gun?!? MATT I don’t know, I was sleeping when this whole thing happened. MAN Yeah right, and you didn’t heard the gunshot. MATT No. MAN What?!?!
20 Pam Kissoondyal FL Y Y Y Y Y Y Y 21 Marcy Meachum mmeachum@scsdb.org SC Y Y Y Y Y 22 Edgenie Bellah TX Y Y Y Y Y Y 23 Jana Villamez ARK Y Y Y Y Y 24 Danna Conn danna.conn@VANDERBILT.EDU TN Y 25 Rachel Simpson scalesr@tsbvi.edu TX Y Y 26 Jessica Hall MO Y Y 27 Shannon Cannizzaro STC383@live.com CO 28 Stella Chang yhchang@hawaii.edu HI 29 Phyllis McGowan pmcgowan@iowa-braille.k12.ia.us IA Y Y 30 Maria McCarrick mariamccar@comcast.net IL 31 Sonu Rangnekar sonurangnekar@gmail.com NEC 32 Deanna Rothbauer MN 33 Yvette Cedeno yvettecedeno@hotmail.com PR 34 Veronica Tuck Tuck.Veronica@aidb.state.al.us AL Y Y Y Y Y Y 35 Lynne Hamelberg Lhamelberg1@udayton.edu OH 36 Silvia Verga Silvia.Verga@qc.cuny.edu NY Y Y Y Y Y 37 Tammy Willey Tammy.Willey@uvm.edu VT 38 Megan Cote NCDB Y Y Y Y Y Y 39 Ian Carroll Ian.Carroll@uvm.edu VT 40 Angie Walton Angiewalton2017@gmail.com TN Y Y Y Y 41 Lisa Lawter OK Y Y Y TOTAL (Mark Schalock joined the 4/11/17 meeting) (Elizabeth Bell joined the 6/2017 meeting) 19 18 17 18 13
of new experiences and achieving positive outcomes. To achieve this we work with a qualified and experienced staff team who are very child focussed and knowledgeable about the children and young people who come to The Big House. We ensure that we offer a range of different activities and resources for them to be involved in, and a range of experiences to enable them to achieve positive outcomes. Our Location The Big House is situated in the village of Edwinstowe, eight miles from Mansfield, eight miles from Worksop and two miles from New Ollerton. We are well situated for recreation centres, swimming pools, farm parks, horse riding, cinemas, youth clubs, theatres, fairgrounds, adventure playgrounds, bowling alleys, soft play areas and country parks, all of which can be reached within about thirty minutes. Our Home We take a maximum of 8 children residentially between the ages of 10 and just before their 18th birthday. We endeavour to match peer groups to ensure the best mix for children and young people for each stay. The house is well-decorated and comfortable with a large range of indoor activities and games for use by the children and young people. Outside, the grounds are extensive and incorporate a large, totally safe play area for the young people. There are plenty of trees, shrubs, flower beds, swings, cycles (and track) and equipment designed to challenge and to improve dexterity and mobility. There is a room with sensory activities which can also be used to view films on the big screen! All our meals are home cooked on site using the best fresh ingredients, offering lots of choice. We are currently having a purpose built home which will be completed Summer 2015! Our Approach The Big House operates within the philosophy of a non-oppressive approach. The staff will encourage this practice by actively; Giving children and young people assistance and support to understand and follow their racial, cultural, religious and linguistic background. Allowing children and young people to follow any requirement of dress, diet or daily routine relating to their race, religion or culture. Helping children and young people to understand and learn any elements of their background they feel is important to them. In consultation with parents, carers, children and young people, we assess and endeavour to meet the needs of all children and young people in the home having regard to their gender, ethnic origin, culture, sexual orientation, religion, disability, dietary requirements, legal status and mental health. All details are recorded on the young person’s individual residential action plan and conducted in a person centred approach.
Equipment & Supplies/ Materials: Professional Development: Accreditation Costs: Staff Benefits: Please include all benefits except Staff Bonuses and Salary Other Expenses: Staff Benefits: Staff Bonuses and Salary Staff or Substitute Name Title Care Level (INF, YOT, OLT; PRE; Current Annual Salary Bonus Requested Additional Salary Requested Amount Requested
STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY STORYTIME KIT FAMILY
Section F: Declaration of Other Parent/Partner Name: Address: National Insurance Number: Employer’s name and address and contact details. Please indicate if you are an office holder or self-employed and the nature of the employment. I confirm that I meet the following conditions: I have at least 26 weeks’ employment (employed or self-employed) out of 66 weeks prior to the relevant week (see definition in Section E). I have average weekly earnings of at least £30 during at least 13 of the 66 weeks prior to the relevant week. I confirm I am the father or mother of the child or partner, civil partner or spouse of the mother of the child. I agree to inform your employee immediately if I cease to meet the two conditions above. I consent to your employee taking SPL and ShPP as set out in Sections C and D above. I consent to providing details of my employer and for them to be contacted to confirm dates and eligibility. If you are the mother/main adopter: I confirm I am entitled to statutory maternity leave, statutory maternity pay or maternity allowance. I confirm that at the time of the birth or placement of the child I will share responsibility for the care of the child with your employee. I have curtailed my maternity leave and pay/adoption leave and pay/maternity allowance or will have done so by the time your employee commences SPL. I consent to you processing the information contained in this declaration. Signature:
SIGNED: _____________________ DATE: __________________ (Employee) SIGNED: _____________________ DATE: __________________ (Manager) APPLICATION FOR KIT/SPLIT days Please complete and return to payroll.ss@hscni.net. If you require assistance with the completion of this form please do not hesitate to contact a member of the Human Resources Department. Please note that KIT/SPLIT days cannot be applied for on HRPTS. Name _______________________________________________ Organisation & Directorate _____________________________ Job Title/Grade __________________ Staff No ______________ Date(s) Length of time SIGNED: _____________________ DATE: __________________ (Manager)
MEDICARE PREVENTIVE WELLNESS VISIT INITIAL AND SUBSEQUENT MEDICAL/SOCIAL HISTORY □ As cited in EMR Past Personal Illnesses or Injuries: Injury or Illness Date Hospitalized Medications, Supplements and Vitamins □ per EMR Social History Notes (including diet and physical activities ) □ per EMR Family History: □ per EMR Drug Allergies □ per EMR Tobacco Use: □ per EMR Alcohol Use: □ per EMR Drug Use: □ per EMR MPE (welcome to Medicare visit) G0402 V70.0 AWV Initial (Annual Wellness Visit) G0438 V70.0 DEPRESSION SCREEN 1. Over the past two weeks, have you felt down, depressed or hopeless? □ Yes □ No 2. Over the past two weeks, have you felt little interest or pleasure in doing things? □ Yes □ No FUNCTIONAL ABILITY/SAFETY SCREEN 1. Was the patient’s timed Up & Go * test unsteady or longer than 30 seconds? □ Yes □ No 2. Does the patient need help with the phone, transportation, shopping preparing meals, housework □ Yes □ No laundry, medications, or managing money? 3. Does the patients home have rugs in the hallway, lack grab bar in the bathroom, lack handrails on the stairs □ Yes □ No or have poor lighting? A “yes” response to any of the questions regarding depression or function/safety should trigger further evaluation. *Stand up from a chair and walk a distance of about 10 feet turn around and walk back and sit down in the chair using normal footwear and any assistance devices. FINDINGS □ per EMR Height: Weight: Blood Pressure: BMI: Visual Acuity: L R: Hearing evaluation: Current Physician/Provider: □ per EMR Name____________________ MRN#___________________ DOB:_________________ page 2
Other: Other: Other: *other is not to be included in total score Notes: CHILD GROWTH AND DEVELOPMENT Ask the parent to reflect on the child growth and development resources they may or may not have and may seek to access, along with their stage of attaining each item (as applicable). *To be completed within 2 months after enrollment, ongoing every 6 months DATE: Do you have this in place? Are you interested in more related resources? Original Family Need (score 0, 1, or 2) On IFSP (Y/N) 1ST UPDATE 2ND UPDATE 3RD UPDATE 4TH UPDATE 5TH UPDATE *Developmental assessment or evaluation *Vision screening *Hearing screening *Well child visits *Immunization records Dental health Prenatal Growth and development Stages of development Developmental activities Attachment, nurturing Self-regulation – as identified by parent and/or developmental screen & monitoring Social emotional development – as identified by parent and/or developmental screen & monitoring
section chief, and branch directors. Others if possible. Signage 1 Tables Able to seat all command staff Telephones 3 Telephone lists 1 per phone Trash cans Other Supplies AED As required Fire extinguisher Ad required “Point to” cards Wheelchairs and other Items identified by the Whole Community Liaison Unit Supervisor This plan is written using the concept that not everyone has access to computers and is supported by “paper documents”. Surge protectors, extension cords, computers, and other logistical needs related to automation will be left for the jurisdiction.
2. DETAILS OF PERSON MAKING REFERRAL Name: Agency: Professional role: Address: Telephone number: Mobile number: Email address: 3. REASON FOR REFERRAL Please be specific about the parent/s’ or carer/s’ mental health diagnosis/needs and who you have gained the information from. For example, the safe carer, CPN, etc. 4. PLEASE LIST THE MEDICATION BEING PRESCRIBED AND FOR WHAT PURPOSE Medication Purpose
5. DETAILS OF SIGNIFICANT ADULTS Name Date of birth M/F Address and contact number Relationship to child Ethnic origin and religion 6. DETAILS OF SIGNIFICANT CHILDREN/YOUNG PEOPLE Name Date of birth M/F Address and contact number (if different to child and relevant) Relationship to child Ethnic origin and religion 7. PLEASE LIST OTHER AGENCIES INVOLVED Agency contact name and position held Telephone/email Summary of involvement
GLO 5: Personal Decisions and Community Connections infant health and wellness childhood illnesses sudden infant death syndrome child abuse shaken baby syndrome parenting goals and values GLO 6: Diversity in Society cultural differences of prenatal and infant care philosophy of nurturing and caring for infants Assessment Criteria Percentage Value Very good to excellent understanding and application of concepts and skills 80-100% Good understanding and application of concepts and skills 70-79% Basic understanding and application of concepts and skills 60-69% Limited understanding and application of concepts and skills. 50-59% Does not yet demonstrate the required understanding and application of concepts and skills; students with a final grade of less than 50% are not granted course credit. Less than 50% Please note… In order to re-write a missed test you must bring in a note explaining your absence. You cannot re-submit (for a higher grade) any assignment that has been handed in past the deadline.
Appendices Timeline of FCVPP activities Table : FVPP timeline of activities 2013-2016 Month Governance Community Created Media Campaign Sisters Day Out Dilly Bag (Young) men's program Early Years Cultural Safety Program 2013 Jan Feb Mar Apr Coordinator appointed May MDAS Early Years team informs 70+ families of FCVPP events. Jun July Aug SC Mildura Sept Oct 6 commercials designed and created with NBS Productions and aired with MDAS subsidy. Mildura Warrakoo Nov Mildura Dec SC 2014 Jan SC Delivered one day at all sites to MDAS and associated staff Feb Swan Hill Mar Swan Hill Apr May Jun
West Central Family Support PO Box 248 Chamberlain, SD 57325 email: Jason Vaverka 605-734-4094 877-731-8889* Haakon, Hughes, Stanley, Sully, Jones, Lyman, Jackson, Mellette, Bennett, Todd, and Tripp counties Central Area PLANS 221 South Central Ave Suite 33 Pierre, SD 57501 email: Nancy Cremer 605-224-5336 Ext. 523 800-224-9495* Corson, Campbell, Walworth, Dewey, Ziebach, Stanley, Hughes, Potter, Haakon, Sully, Jackson, Jones, Lyman, Mellette, Bennett, Todd, McPherson, Edmunds, Faulk, Hyde, Hand, Brule, Buffalo, Gregory, and Tripp counties Northeast South Dakota Family Support Contacts Aberdeen Area Family Support PO Box 134 Aberdeen, SD 57402 email: Tami 605-216-3359 McPherson, Brown, Marshall, Faulk, and Edmunds counties Northeast Family Support PO Box 5 Webster, SD 57274 email: Kathy Breske 605-345-2413 877-340-2413* Roberts, Grant, Hamlin, Codington, and Deuel counties Northeast Family Support 3 202 S. Main St. Suite 511 Catherine Diede 605-262-0431 Brown, Spink, Day, Clark, Codington, and Hamlin counties
Watertown, SD 57201 email: Mitchell Family Support PO Box 1265 Mitchell, SD 57301 email: Jessica Lang 605-996-5801 800-456-0728* Beadle, Buffalo, Hyde, Hand, Jerauld, Sanborn, Brule, Aurora, Davison, and Hanson counties Southeast Area PLANS 811 E. 10th St Sioux Falls, SD 57103 email: Emily Pogue 605-367-5265 800-715-9295* Kingsbury, Brookings, Jerauld, Sanborn, Miner, Lake, Moody, Aurora, Davison, Hanson, McCook, and Minnehaha counties Southeast Area PLANS 2 811 E. 10th St. Sioux Falls, SD 57103 email: Chad Hindberg 605-367-7144 800-715-9295* Minnehaha Sioux Falls ONLY Family Support Contacts Sioux Falls Family Support 1 3200 Gateway Lane Sioux Falls, SD 57106 email: Christi Henderson 605-444-6200 Sioux Falls Only Sioux Falls Family Support 2 3200 Gateway Lane Sioux Falls, SD 57106 Connie Lamb 605-444-6200 Sioux Falls Only
Southeast South Dakota Family Support Contacts Southeast Family Support 1 PO Box 349 Scotland, SD 57059 email: Nikki Kavanagh 605-583-3060 888-816-5880* Yankton, Charles-Mix, Douglas, Hutchinson, Bon Homme, and Gregory counties Southeast Family Support 3 610 W 23rd Street, Suite 11 Yankton, SD 57078 email: Carol Borchard 605-202-0940 Turner, Lincoln, Yankton, Clay, and Union counties Southeast Family Support Program (4) 908 N West Ave Sioux Falls, SD 57104 Email: Marissa Bucher 605-444-6200 Minnehaha, Turner, Lincoln, Union, Clay, Yankton Southeast Area PLANS 1 811 E. 10th St. Sioux Falls, SD 57103 email: Emily Pogue 605-367-5265 800-715-9295* Charles-Mix, Douglas, Hutchinson, Bon Homme, Turner, Yankton, Lincoln, Clay, and Union counties Southeast Area PLANS 2 811 E. 10th St. Sioux Falls, SD 57103 email:
Once complete, please return to your local FSP Team using the contact details below Family Support Team Manager Telephone Email Address Surrey Heath and Runnymede Emily Bell 01276 707333 For referrals: Surrey Heath Borough Council, Surrey Heath House, Knoll Rd, Camberley, GU15 3HD North East (Epsom & Ewell, Elmbridge and Spelthorne) Charlene Edwards 01372 474375 For referrals: Elmbridge Borough Council, Civic Centre, High Street, Esher, Surrey, KT10 9SD Guildford Helen Dowlatshahi 01483 444089 For referrals: Guildford Borough Council, Millmead House, Millmead, Guildford, Surrey, GU2 4BB South East (Reigate & Banstead, Mole Valley and Tandridge) Duane Kirkland 01737 276316 For referrals: The Town Hall, Castlefield Road, Reigate, RH2 0SH Waverley Julie Shaw 01483 523245 For referrals: Waverley Borough Council, Council Offices, The Burys, Godalming, Surrey, GU7 1HR Woking Adam Thomas 01483 743812 For referrals: Tel: 01483 74381 Woking Borough Council, Civic Offices, Gloucester Square, Woking, Surrey, GU21 8YL
Holiday entitlement is 25 days per annum pro rata. Holiday entitlement increases by one day per year after five years’ service to a maximum of 30 days. Annual leave year runs from 1 April – 31 March. TRAVEL Travel throughout the locality will be required for which mileage or public transport expenditure will be reimbursed whichever is the cheaper. Car mileage is paid at the NJC recommended rate is paid. Castlepoint Association of Voluntary Services
15’ Warm up Avoid the use of visual images for this topic Set discussion ground rules Review the language of avoidance and deflection Set ground rules Review the language of avoidance and deflection PLS Worksheet: Get Ready! 20’ Predict and read Students predict one thing they expect to read and write one question for each section of the booklet Students scan the PLS Booklet to check their predictions and answer their questions Develop the reading strategies of prediction and questioning Scan for details PLS Worksheets: Predict! Read and Check! (PLS) booklet 15’ Vocabulary Students match words, parts of speech and synonyms Students locate and copy sentences illustrating the target words Teach pronunciation as needed Apply vocabulary building strategies PLS Worksheet: Build your Vocabulary! 40’ Read and summarize Students read these PLS booklet sections: Overview of family violence and abuse, Keeping your family safe and Find out about services. Students summarize the key details Summarize information Identify what to do in a situation of family violence and where to get help PLS Worksheet: Read and Summarize! (PLS) booklet 40’ Giving Advice Students put the conversation in order, either by writing a number in the adjacent box, or the teacher can cut the dialogue into strips Students analyze the conversation for vocabulary , register and functional language Students practice giving advice using phrases identified in the dialogue Apply language analysis strategies Give advice PLS Worksheet: Give Advice! 30’ Research Students work independently or in pairs to find the information Go over answers Identify where to get more information about family violence PLS Worksheet: Find out More! Computer lab