1990-01 Hospice SupportPAGE 1 OF 9
RESOLUTION NO, 90-1
• A RESOLUTION OF THE CITY COUNCIL
SUPPORTING HOSPICE OF OKEECHOBEE IN ITS
ATTEMPT TO OBTAIN A GRANT FUNDED THROUGH THE
COMMUNITY SERVICES BLOCK GRANT, FEDERAL FISCAL YEAR
1990
WHEREAS, THE CITY COUNCIL OF THE CITY OF OKEECHOBEE,
FLORIDA RECOGNIZED THE BENEFITS OF THE HOSPICE ORGANIZATION TO
THE RESIDENTS OF THE CITY OF OKEECHOBEE; AND
WHERAS, THE CITY OF OKEECHOBEE DESIRES TO SUPPORT
HOSPICE IN ITS ATTEMPT TO OBTAIN A GRANT THROUGH THE COMMUNITY
SERVICES BLOCK GRANT;
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF
THE CITY OF OKEECHOBEE, FLORIDA;
SECTION 1, THAT THE CITY OF OKEECHOBEE DOES HEREBY
SUPPORT HOSPICE IN ITS ATTEMPT TO OBTAIN
A GRANT THROUGH THE COMMUNITY SERVICES
BLOCK GRANT,
SECTION 2. THAT THIS RESOLUTION SHALL TAKE EFFECT
UPON ITS ADOPTION.
INTRODUCTED AND ADOPTED BY THE CITY COUNCIL OF THE CITY OF
OKEECHOBEE, FLORIDA IN REGULAR SESSION ASSEMBLED THIS 2nd -DAY OF
JANUARY, 1990.
ATTEST;
BONNIE S. THOMAS, CMC
CITY CLERK
CITY OF OKEECHOBEE, FLORIDA
•
OAKLAND R. CHAPMA
MAYOR
CITY OF OKEECHOBEE, FLORIDA
COMMUNITY SERVICES BLOCK GRANT APPLICATION Page 2 of 9
FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS
FEDERAL FISCAL YEAR 1990
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POSTMARK DATE: USE ONLY
DATE RECEIVED, CONTRACT NO:
REVISION RECD; ALLOCATION AMOUNT $
DATE APPROVED:-- -- CASH MATCH$ IN-KIND$
DCA OONSULTANT. FROM TO
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applicable to your organization.
INSTRUCTIONS: Please complete all parts in this Application which are
does not a If any part 1 ..
Do not use white-out (correction pp y• write "N/A-.
rection fluid`` on
s-asszcaz-szzz=ssszszsssza-zzsssszsszsss-zs-sY:.this
application.
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I • APPLICANT CATE[`[�tty
[ ) Migrant/Seasonal FarmworkerlOrganizationigible y Local Government
II. GENERAL ADMINISTRATIVE NFORMATION
a• Name of ApplicarftITY OF OKEECHOBEE
b- Applicant's Address: 55 SOUTH EAST THIRD AVENUE
City: OKEECHOBEE, FL
Zip Code 34972
Telephone: ( )
County :
C- Applicant's Mailing Address (if different from above):
Zip Code
d• Chief Official or Executive Director's Name: OAKLAND R. CHAPMAN
Title: MAYOR OF C I TY COUNC I L
e• Name of Official to Receive State Warrant: _ LO -A PARKER
. FINANCE DIR,
Address: 55 SOUTHEAST THIRD AVENUE
OKEECHOBEE, FL
_ Zip Code 34972
f. Contact Person: LOLA PARKER . _
Title:F I NANCE D I RECTOR
Mailing Address: SS cnirrur7AnT
- OKEECHOBEE FL zip code: 34977
Telephone: ( g 1 3 -763-337) ..
g• Federal ID 0: _050032057
####################################R#######################f####•####1t#t#fftf tf Yrf Rtt�ff
III. SUBGRANTEE INF�RnfnrTnN
a•' Will these funds be transferred to a„subgrantee? p(I yes [ ) No
b• Give the number of subgrantees included in this application:
Ak List for each (attach additional pages if necessary):nNF
Subgrantee Name:
Address:
MAILING ADDRESS PHYSICAL LOCATION
p n r n
wFcNR,-u ons
• K �T) (1KFFrunD FI ��i9/
Contact Person: PHYL I S S P ,
Telephone: (813 467-2321
COLLINSON
APPLICANT: CITY OF OKEECHOBEE
SUBGRANTEE: HOSPICE OF OKEECHOBEE, INC.
CSBG WORK PLAN
PROGRA14 AREA: EMERGENCY ASS ISTANCF
Page 3 or 9
GEOGRAPHIC AREA TO BE SERVED: OKEECHOBEE COUNTY & VICINITY
OBJECTIVE/IMPACT ON POVEM
1. Objective: Describe units of tangible services
and number of unduplicated clients to be served.Describe
2. Impact Stateeentl When the objective is accow-
plished. what i*pact will it have on poverty?
i
ACTIVITIES I STAWT
the sequential steps to be taken DATE
to accomplish the objective.
END
DATEagency
" WMICATION STATWENT
Indicate any other program in your
or other agencies in the
community which provides similar
services. Explain how you trill
avoid duplication of •mice..
x+/1/90
9/30/90
NO OTHER PROGRAM
1. TO PROVIDE 12 UNDUPLICATED
PLAN IS TO PROVEDE AT LEAST TWO REGISTERED NURSES
EXISTS IN THIS AREA
PATIENT/FAMILIES WITH A TOTAL OF
TO SHARE THE CALL HOUR DUTIES TO ASSURE THERE IS 24
TO SERVE THE MEDI-
33-4 HOURS OF AVAILABLE EMERG-
HOUR COVERAGE, (EMERGENCY COVERAGE IS TAKEN CARE OF
CALLY INDIGENT TERM-
ENCY MEDICAL SERVICES BY A REG-
DURING THE 40 HOUR WORKING DAYS BY THE NURSES ON REG-
INALLY ILL PATIENT/
ISTERED NURSE IN THE HOME.
ULAR DUTY AND THEY ARE COMPENSATED FOR THIS IN THEIR
FAMILIES IN THE HOME,
2. THOSE WE WILL BE CARING FOR
REGULAR SALARIES,)
'
ARE THOSE WITH NO FINANCIAL
NURSES MUST BE AVAILABLE 24 HOURS A DAY, SEVEN DAYS A
MEANS TO COVER THESE EXPENSES.
WEEK, READY TO RESPOND TO ANY TYPE OF EMERGENCY THAT
IN OTHER WORDS, THE MEDICALLY
ARISES, NURSES GO TO THE HOME AT ANY TIME OF THE DAY
INDIGENT,
OR NIGHT WHENEVER A PATIENT OR HIS FAMILY FEEL THERE 1
IT IS A PROVEN FACT THAT THOSE
IS ANY TYPE OF EMERGENCY, IT IS NOT UNUSUAL FOR A
WHO RECEIVE HOSPICE SUPPORT TO
NURSE TO SPEND THREE OR FOUR HOURS OR EVEN MORE IN THE
HELP THEM COPE WITH THE DEATH OF
HOME UNTIL THE EMERGENCY IS RESOLVED.
THEIR LOVED ONE WITH THE ACCOMP-
ANYING BEREAVEMENT SUPPORT ARE
USUALLY ABLE TO RETURN TO THE
WORK FORCE MUCH SOONER THAN THOS
WHO RECEIVE NO HELP DURING THE
TIME THEIR LOVED ONE IS TERMIN-
ALLY ILL AND AFTER.
THIS CARE HELPS MAKE THEM MORE
SELF-SUFFICIENT THUS HELPING
THEM TO RETURN TO WORK AT AN
EARLIER DATE AND THUS HELPS TO
REDUCE THE NUMBER OF PERSONS ON
THE INDIGENT ROLES,
;
1
i
I EE: C I TY, OF OKEECHOBEE , INC,
). 1 CSRG PROGRAM AREA
I 1
I CS" FUNDS 1
CSBG WORT PLAN SUMMARY
1 TOTAL I OBJ. 1
MATCH I GRANT FUNDS I NO. 1
CS E%G
OBJECTIVES
Page 4 -of 9
I TOTAL
ICLIENTS/UNITS
I EMERGENCY ASSISTANCE
--------------------------------------------------------------------------------------------------------------------
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REGISTERED NURSES WIL�_BE_ON____�__1�_I�$_
- -
__I- (TO _MEET IMMEDIATE AND UR-
--- ------ ---------------------------
I° 5 25____Is_____1143____Is__6768_____-_1
-- - -----
5. 1-_'-CALL_24_HOURS-DAUL
-- -
FROM APR _1,_i._----/----_
- --
1 GENT NEEDS, •IlJCLUDING THE
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THROUGH SEPTEMBER30, 1990 (6 M01) /
----------------------------- ----------------------------------------------------------•--*--•------------------------------------------------------
INEED FOR HEALTH SERVICES),
-----------------------------------------------------------------------------------------------------------------------------------------------------
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TO ANSWER EMERGENCIES THAT THE I /
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TERMINAL PATIENT AND/OR FAMILY I
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MAY ENCOUNTER IN THE HOME .I
•--I------------ --------------------- --I,
--------------
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I-THE-KNOWLEDGE_THAT_HELP_
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------------------------------------------------------------------------
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A PHONE CALL AWAY MAKE_ IZ_PQS.S=•_____________
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I BLE -FOR-FAM I L I E S TO XEEP--IUf-LR-------- _------
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NE T HQC1 WN5.RE_J.1iEY_ SAKI--------------
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--=-----------------------•-----------LOVED_
-----
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LOVE _AND _CARS_FQiE._INFf1._DPP_OSF.I).---------------
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'f0 INSTITUTIONALIZATIONNtLj��-S ---------------
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RESPOND IMMEDIATELY TO ANY � j�- I
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GENCY , I /
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PAGE TOTAL (If war* then I page)
Is
1s
�s
h
GR, OTAL
19 5625
Is
1143 Is 6768
1)U1JUL I JUI'11'iHnT TAI� °F'tPp1lr'us=: CITY OF OKEECHOBEE
REYFTt1E a otAt cE
CS21. roan mmity.. ML7
LA.:,. n Luiv= ES
6. salaries including fringe..
1. Rent and Utilities.........
8. Travel .....................
9. Otber......................
10. SU27VTAL (lines. 6-y).......
S:JEIT,;r'EZ IYE.DOD
11. sa:arSes including fringe..
1.2. Aeat and thilities.........
13. Travel .....................
11. Otber.......................
15. S1'+STOTAL (lines 3.1-11).....
16. TOTAL JILiI+.:x.Dff.(lsae 10»15)
1 17% TO./.L CSB: ADr'x. M. f
(cot to exceed 159 of line 1)
,G&W --a ":):PAY TXFLN51
38. talarSes including fringe..
19• Rent and thilities.........
20. Travel .....................
21. Otber......................
(l) CSEc 71=3 (2) CASE PUTT I (3) 1>s -=n KATCH
ADMINISTRAT VE EXPENSESILL BE ABSORB D BY THE
CITY OF OKE CHOBEE. HOS ICE OF OKEECH BEE WILL=
NOT HAVE AN ADMINISTRATI E EXPENSES,
22. SLM"7TAl. (31nes 18-21 ).....
rim t'm
•I
TOTAL AJKJ (1!f T
SL'BAZ'M FJ JO;UY D= SSE
csB:, ?Una .................
23. S►Iaries incluairg fringe..
_
--
5625
2. Ca,b Kateb.................
2.3 %
18 , QL
13 l
1, 012
— -
3. In-xind Kateb..............
L. Toto Ksttb (lines 2+3)....
Q� 3�
------�•.�.1
26. Other ......................
1143
S• 7;.17A.1- ( lines 201) .........
21. SUBTOTAL (lines 23-26).....
--
-
-_—
6768
CS21. roan mmity.. ML7
LA.:,. n Luiv= ES
6. salaries including fringe..
1. Rent and Utilities.........
8. Travel .....................
9. Otber......................
10. SU27VTAL (lines. 6-y).......
S:JEIT,;r'EZ IYE.DOD
11. sa:arSes including fringe..
1.2. Aeat and thilities.........
13. Travel .....................
11. Otber.......................
15. S1'+STOTAL (lines 3.1-11).....
16. TOTAL JILiI+.:x.Dff.(lsae 10»15)
1 17% TO./.L CSB: ADr'x. M. f
(cot to exceed 159 of line 1)
,G&W --a ":):PAY TXFLN51
38. talarSes including fringe..
19• Rent and thilities.........
20. Travel .....................
21. Otber......................
(l) CSEc 71=3 (2) CASE PUTT I (3) 1>s -=n KATCH
ADMINISTRAT VE EXPENSESILL BE ABSORB D BY THE
CITY OF OKE CHOBEE. HOS ICE OF OKEECH BEE WILL=
NOT HAVE AN ADMINISTRATI E EXPENSES,
22. SLM"7TAl. (31nes 18-21 ).....
SL'BAZ'M FJ JO;UY D= SSE
23. S►Iaries incluairg fringe..
21. Rent and Vtilities.........
1012
25. Travel .....................
26. Other ......................
21. SUBTOTAL (lines 23-26).....
5625 131
1012
6768
28. TOT,'—'PAJCAAI! Erp1?iSE......
(lines 22.27)
5625 131
1012
6768
29. SECONWT ADFC1. L70'L.AST...
MWD TOTAL MPENSE
30. Line 16.28.29 .............
5625 31
1012
6768
0
•
0
0
CITY OF OKEECHOBEE PAGE L-OF__g
HOSPICE OF OKEECHOBEE, INC.
GRANTEE BUDGET DETAIL
AUDIT AND ADMINISTRATIVE EXPENSES WILL BE DONATED BY THE CITY
OF OKEECHOBEE AND NO CSBG FUNDS WILL BE USED FOR THAT PURPOSE.
•
CITY OF OKEECHOBEE PAGE? OF 9
HOSPICE OF OKEECHOBEE, INC, - -
SUB -GRANTEE CASH AND IN-KIND MATCH
IN-KIND MATCH
LINE ITEM # �C)URCE TYPE AMOUNT VALUE PER TOTAL
UNIT
23 VOL. R,N, IN-KIND 506 HOURS $2.00 $1,012
CASH -MATCH
23 MEMORIALS/
DONATIONS (SEE TREASURERS STATEMENT) 131
TOTAL CASH & IN-KIND MATCH
0
$1,143
Page 1 of
ATTACHMENT A
APPLICANT SUBMISSION FORM
• FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS
COMMUNITY SERVICES BLOCK GRANT APPLICATION
FEDERAL FISCAL YEAR 1990
SUBMITTED BY: _CITY OF OKEECHOBEE
(APPLICANT)
Application is hereby made for funding through the Community Services Block
Grant under the Community Services Block Grant Act of 1981 (PL 97-35), as
amended, and the Community Services Block Grant Program Administration
Rule 9B-22, Florida Administrative Code, effective March 1984.
THE APPLICANT CERTIFIES THAT THE DATA IN THIS APPLICATION AND IT VARIOUS
SECTIONS, INCLUDING BUDGET DATA, ARE TRUE AND CORRECT TO THE BEST OF HIS
OR HER KNOWLEDGE AND THAT THE FILING OF THIS APPLICATION HAS BEEN DULY
AUTHORIZED AND UNbERSTANDS•THAT IT WILL BECOME PART OF THE AGREEMENT
BETWEEN THE DEPARTMENT AND THE APPLICANT.
_OAKLAND CHAPMAN �(
Name (typed)
Signature
MAYOR OF CITY COUNCIL
Title:
ATTESTED BY: BONN T F q. THOMAS, M C K
Name (typed)
Signature
CI TY CLERK
Title
APPLICATIONS MUST BE POSTMARKED BY THE DUE DATE, FEBRUARY 7-
9
RECEIVED NO LATER THAN CLOSE OF BUSINESS ON FEBRUARY 6,
FOR FUNDING. 1990 TO BEA
r�
Form:DCA/cas
90-I
•
•
CITY OF OKEECHOBEE PAGE 9 OF 9
HOSPICE OF OKEECHOBEE, INC, - -
SUB -GRANTEE CSBG BUDGET DETAIL
LINE ITEM # DETAILS
23 NURSES ARE PAID $2,00 PER HOUR FOR BEING AVAILABLE AMOUI,
AND FOR GOING ON EMERGENCY CALL TO THE FAMILY
HOME,
EMERGENCY PAY IS ONLY FOR THE HOURS OUTSIDE THE NORMAL
40 HOUR WORKING WEEK, THEREFORE, THEY ARE PAID
FOR 123.DAYS OF 16 HOURS EACH FOR THE FIVE WORKING
DAYS IN EACH WEEK WHICH MAKES A TOTAL OF 1968 HOURS $ 3,9:
WEEKEND & HOLIDAY CALL IS FIGURED AT 39 DAYS AT
24 HOURS FOR A TOTAL OF 1416 HOURS
2,8:
$ 6,7E
BREAKDOWN:
$5625 CSBG MONIES
1012 506 VOLUNTEER NURSE HOURS
131 CASH MATCH
$6/b8
0