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From YouTube: Elder Care Committee Meeting - March 29, 2023
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A
Welcome
to
the
Wednesday
March
29th
meeting
of
the
Elder
Care
committee:
do
we
have
a
quorum
night?
Yes,
we
do.
We
do
have
a
quorum.
A
I
I
just
want
to
thank
everybody
who
came
out
to
the
press
conference
this
morning
for
the
taxing
the
tax
exemption
legislation
that
will
be
put
on
the
agenda
for
next
month,
right
that
will
increase
the
income
guidelines
for
eligibility
to
receive
property
taxes,
reduction
for
seniors
and
something
that
you
know
long
overdue,
I
think
and
we're
tired
of
penalizing
people
for
having
earned
money
throughout
their
life
and
then,
when
they
get
older,
sometimes
they're
taxed
out
of
their
house
houses
paid
for
and
all
their
money.
A
That
comes
in
goes
to
pay
taxes,
but
this
will
reduce
some
of
the
taxes
that
they
will
be
required
to
pay
and
when
we
pass
it-
and
so
I
just
want
to
thank
people
for
supporting
that
and
those
who
weren't
there.
But
when
you
get
the
information,
if
you
have
any
questions,
it's
going
to
come
back
to
the
committee
so,
but
just
think
I
want
to
thank
those
that
were
there
this
morning
and
thank
the
staff
for
such
a
good
job
of
setting
it
up
at
lifepath
today.
A
A
You
so
much
can
we
get
a
motion
for
our
first
and
yes,
sir.
We've
got
a
motion
for
the
first
item
on
the
agenda
approved
previous
minutes.
A
B
A
C
Lego
is
a
company
that
works
as
our
human
resource
department.
They
do
all
of
our
solicitation
through
20
different
platforms
to
find
staff
for
the
nursing
home.
We
originally
went
through
cab
because
we
because
we
realized
how
successful
they
would
be
in
finding
staff
for
us.
We
pay
a
monthly
fee
of
5
000
a
month
for
the
lack
office
work
that
they
do,
such
as
reference
checks
and
interviews,
and
so
that
every
person
who
we
hire.
If
we
don't
hire
anyone,
there's
no
fee
to
everyone.
We
hire
there's
a
500
fee.
A
That
you
were
looking
for
a
new
two-year
contract,
but
the
the
initial
proposal
said
they
were
eligible
for
maybe
two
one-year
contracts.
A
C
That
I
put
two
years
because
if
I
didn't
it
would
look
strange
what
happened
the
first
year,
so
it
really
will
be
a
a
two-year
agreement
with
a
Lego.
This
is
the
second
year
of
the
RFP
that
went
out.
The
first
year
is
already
10
months
into
so
I
would
be
back
here
next
week
to
ask
for
another
contract.
So
I'm
basically
doing
this
at
the
same
time
asking
for
the
additional
money,
because
we
went
over
the
hundred
thousand
dollars
going
to
no
longer
go
to
camp
and.
E
A
D
F
C
Platforms,
including
like
indeed,
and
of
works
and
so
on,
and
they
do
all
of
our
advertising
for
us,
so
we
no
longer
advertise
for
staff.
We
no
longer
do
the
initial
interviews.
We
don't
do
any
background
tracks
other
than
those
required
by
the
New
York
State
Department
of
Health
such
as
fingerprinting,
but
they
do
all
of
that
work.
They
lead
out
those
people
that
are
not
good
candidates
and
don't
qualify.
Okay,
they
make
our
appointments
for
us.
C
C
C
D
F
F
C
Exactly
and
one
of
the
problems
that
we
had
and
I
stopped
him
I
started
again.
They
also
recruit
per
diems
for
us
so
and
and
we,
if
they
put
a
per
diem
ad
in,
we
got
20
applicants
that
say
we
hired
15.
and
they're
mandated
to
work
every
other
weekend.
That's
why
we
hire
them,
and
hopefully
one
hour
or
two
other
days
during
the
week
per
diems,
go
all
over
the
place,
they're
very
fluid,
whether
they're
going
to
stay
or
not
so
we're
spending,
500
500
and
the
retention
was
terrible.
C
C
The
recruitment
slowed
down
to
a
crawl.
Were
we
only
getting
one
or
two
applicants
a
week?
I
said:
well,
we
better
sought
this
redeemed
pool
again,
even
if
we
could
keep
15
60
percent,
if
not
all
greater
number,
now
at
least
we're
getting
a
flow
of
people
and
then
it's
up
to
our
our
staff
to
keep
them.
So
he
started
around
three
weeks
ago.
We
already
hired
20
people.
C
Are
getting
we
are
paying
a
per
diem
rate
greater
than
I,
don't
want
to
call
them
competitors,
but
hospitals,
other
nursing
homes.
Our
per
diem
rate
is
excellent.
So
that's
why
they
come.
They
see
that
ad
they're
there,
but
when
we
start
making
them
work
and
they
sign
a
document
how
many
hours
they
have
to
work
every
week
and
they
have
to
work
every
other
weekend
and
every
fourth
holiday
they
have
redid
ad
upon
higher.
C
A
C
Or
whatever
you
want
to
call
it,
you
have
any
idea
how
long
they
stay,
or
there
are
some
people
that
we
hired
seven
eight
months
ago,
they're
still
there,
because
they
they're,
adhering
to
their
agreement.
I
would
say
it's
probably
from
the
initial
per
diems
that
we
hired
I
would
say.
30
to
40
percent
of
the
people
are
still
there.
That
was
my
next
question.
It's
a
new
group.
It's
it's
closer
to
70
percent,
because
we're
doing
things
a
little
differently
to
try
to
keep
them
we're
more
accommodating.
To
be
honest,.
B
C
E
E
E
C
Advertising
advertising
individual
background
checks,
references,
okay,
setting
up
the
interviews,
maybe
with
us
we
had
a
meeting.
Today
we
meet
every
Wednesday,
okay,.
E
C
E
C
Would
say
that
if
they
continue
on
the
same
path
now,
it
may
reach
your
point
in
time
where
our
positions
are
all
filled
and
then
you're
not
paying
500,
because
you
don't
need
anything
right
now.
They've
been
unbelievably
successful,
I'm
really
focusing
more
on
nursing
with
per
diems,
but
they've
been
unbelievably
successful
in
Environmental,
Services
dietary
Department,
finding
a
social
worker.
For
us
we
looked
nine
months
for
assistant
director
of
nursing.
They
found
someone
in
a
month.
D
C
C
E
C
C
D
C
They're
required
to
find
200
people
for
you
over
time
or,
however
long
it
takes
that's
their
commitment,
that's
how
they
do
it.
This
agreement
that
they
have
with
us
is
the
only
one
of
kind
you
pay
a
monthly
fee
for
their
basketball
to
score
like
the
interview
advertising
Etc,
and
then
we
pay
the
500
per
person
on.
D
A
You
very
much
resolution
passes
second
item.
I
know.
D
C
E
C
Care
will
be
a
new
company
and
therefore
a
new
contract.
They
only
deal
with
our
professionals
and
that
would
be
pcas.
That
would
be
our
needs,
which
is
not
certified.
Nursing
assistance
for
personal
care
attendants
and
their
primary
responsibility
will
deal
with
handling
the
one-to-ones
that
are
at
the
nursing
home.
We
do
not
want
to
hire
pcas
New,
York,
State
Department
of
Health
regulatory
requirements
really
want
people
who
are
providing
that
care
to
be
certified,
and
our
budget
by
the
way
does
not
have
that
title.
C
It's
either
certified
nursing
assistant
or
nothing
or
LPN,
registered
nurse.
There's
no
pcas,
and
we
really
don't
want
to
change
it,
because
the
requirement
is
that
they
be
certified.
However,
we
do
have
certified
nursing
assistants
and
other
professionals
providing
one-on-one
care,
because
the
one-on-one
care
of
the
four
residents
right
now
in-house
are
24
7..
C
They
have
to
be
watched
all
the
time
because
of
the
local
men,
possibly
because
it
falls
they're
always
walking
around
the
building
wandering
into
other
rooms,
and
it
opens
the
door
to
numerous
deficiencies
and
we
did
receive
its
efficiency
recently,
for
what
they're
arguing
is
proper
supervision
of
our
day
rooms
as
an
example,
if
someone
fell
and
had
an
injury,
this
is
somewhat
related
to
that
and
we're
trying
to
really
fix
the
deficiency
by
having
pcas
through
an
agency
which
is
actually
less
money
than
we're
spending.
Now
we're
spending
double
this.
C
This
will
be
around
28
dollars
an
hour,
but
it
would
be
for
approximately
four
people
on
a
24
7
basis
who
are
pcas
doing
our
one-on-ones.
So
we
handled
the
deficiency
to
show
that
we
now
have
appropriate
supervision.
The
residents
are
properly
cared
for
and
we're
not
wasting
the
time
of
nurses-
sometimes
I'll
be
honest.
Sometimes
we'll
have
there
are.
There
are
people
who
are
grounds
and
other
departments
that
work
additional
hours,
because
it's
all
overtime
hours
for
the
most
part
doing
our
one-to-ones,
because
you're
really
just
standing
next
to
someone
watching
them.
C
You
don't
to
have
a
certified
nursing
assistant
to
do
that.
I
could
do
what
anyone
could
do
it.
It's
just
monitoring
someone,
so
they
don't
walk
out
of
the
building
or
hurt
another
Resident
or
wander
into
a
room.
So
this
company
only
deals
with
PCs
and
handles
one
to
one.
That's
actually
their
advertisement.
C
We
got
permission
from
procurement
to
utilize
them,
as
well
as
the
legal
department
and
we're
going
to
give
this
a
try.
They
they
wanted
I
put
it
down
for
a
three-year
contract,
250
000
a
year.
It
would
what
they
asked
for
because
they
did
the
math.
It
was
almost
double
that,
but
I
said
not
so
fast
we're
going
to
give
you
150
000
a
year
on
average,
let's
see
how
it
goes
and
then
we'll
work
from
there.
A
C
C
E
That
is
a
little
odd
and
you
know
not
really
that
safe,
but
these
places
are
not
providing
one-on-one
babysitting
care
for
him
like.
So,
while
I
think
that
this
is,
you
know,
the
safety
of
the
patient
is
Paramount.
I'm,
also
wondering
like
kind
of
like
why
we're
doing
this,
but
other
facilities
are
not
as
conscientious
is
it
required
by
law?
Oh.
D
C
And
again,
this
is
mainly
for
Wanderers,
not
necessarily
those
with
dementia.
Then
we
would
need
20
people
right,
but
they
wander
into
a
room.
Another
person
may
have
dementia,
but
not
a
Wanderer
or
may
know.
What's
going
on
get
out
of
my
room,
they
push
the
resident
resident,
Falls
breaks
a
hip
level,
G
deficiency,
okay
or
a
deficiency
by
the
way
that
has
happened
to
us
around
three
years
ago.
E
C
C
We're
fighting
a
deficiency
now,
I
think
I,
hope
and
I
believe
we're
going
to
win
this
argument.
A
resident
was
there
five
years
in
those
five
years
in
that
five-year
period,
you
know
we're
restraint
free,
so
in
that
five-year
period
the
resident
may
have
fallen,
let's
say
15
times
no
injury
resident.
D
C
Around
it
was
a
year
ago,
president
fell
around
a
year
ago,
but
they
just
came
in
now
to
investigate
and
was,
and
it
was
with
injury
resident,
hurt
themselves
when
they
fell
to
hit
their
face
again.
I
had
to
have
a
couple:
sutures
family
complained
filed
the
hotline
complaint.
The
health
department
came
in
a
year
later
they
investigated
into
play,
complained
and
issued
a
level
Gene
deficiency
that
harmed
her
resident
I
go.
It
was
unavoidable
first
incident
in
five
years,
which
she
actually
hurt.
Herself
she's
Fallen
15
previous
times
you
can't.
C
Even
if
she
was
on
a
one-on-one,
you
could
still
fall
and
hurt
yourself.
You
could
stand
with
me
right
next
to
someone
and
they
could
pull,
and
they
said
it
wasn't
abuse
to
neglect
of
mistreatment.
They
said
it
wasn't
reportable.
They
said
all
your
documentation
is
perfect.
Okay,
but
we
gave
you
the
deficiency
on
the
accidents.
Well,
I
said:
accidents
is
either
devices,
okay,
supervision
or
or.
C
D
C
C
D
C
A
C
Well
right
now
we
asked
for
750
over
a
three
year
period:
oh
okay!
So
we're
averaging
we're
thinking,
150
000
a
year.
To
give
you
another
example,
you
know
we
had
a
resident,
also
Wanderer
but
kind
of
knows.
What's
going
on,
went
into
a
female
went
into
a
female's
room
and
we
found
the
two
laying
next
to
each
other.
E
C
We've
decided-
and
this
has
been
the
same
way
for
around
five
or
six
months
now,
out
of
all
the
people
that
lived
there,
only
four
people
so
there's
other
people
that
have
dementia
and
it
may
wander
yeah,
but
they're
not
wandering
whether
into
other
rooms
and
bothering
other
residents.
That's
the
difference.
A
B
Just
to
step
in
it
to
follow
up
with
what
Jen
just
set
up
many
years
ago,
I
had
a
relative
who
had
dementia
was
eventually
diagnosed
as
Alzheimer's,
and
she
was
in.
D
A
C
Much
even
higher
yeah
and
if
a
resident
evokes
now,
we
have
like
10
different
ways
to
stop
a
resident
from
getting
out
for
more
bombs,
laid
doors
cameras,
Security
on
and
on
and
on.
If
you
have
an
allotment
of
any
one
of
these
residents,
why
they
somehow
or
another
get
out
it's
a
media.
The
media,
Jeopardy
IJ
in
school,
close
to
admissions
automatic,
fine,
correct
I
mean
it
goes
on
and
on
and
on
so
at
the
rate
of
28
dollars,
an
hour
which
this
is.
C
F
Coming
Pam
yeah,
just
a
quick
thing
and
yeah
I
have
variance
with
parent
with
Alzheimer's
for
12
years,
so
totally
with.
F
The
pain
and
horrible
just
a
question,
though
these
are
pcas,
so
can
they
help
patients
toilet
transfer?
Can
they
do
things
like.
C
Can
if
we
train
a
PCA
to
do
feeding
as
an
example,
we
have
a
feeding
program
where
we
can
train
people
how
to
feed,
including
family
members.
Yes,
anything
that
we
train
them
to
do
and
we
certify
that
they
have
been
trained
there's
each
one
of
those
things
you
just
mentioned
has
X
number
of
hours
of.
C
F
F
C
F
D
C
Have
a
grounds
guy
that
works
probably
three
or
four.
You
know
days
a
week
couple
hours
a
day,
it's
just
thing:
wood,
feeding
and
one-on-ones.
C
Goes
through
that
that
works
for
us,
except
those
people
already
licensed
like
a
registered
nurse,
does
not
have
to
go
through
a
background
check
because
that's
done
by
the
Department
of
Education,
but
if
you're
a
CNA,
you
think
or
print
you
background
track.
You
work
in
grounds.
You
work
in
dietary
thing
of
finger
background
track.
E
E
I,
just
have
one
more
question
going
to
Joanne's
question
about
what
else
they
do,
while
they're
supervising
the
one-on-one.
Can
they,
you
know
I,
it's
sometimes
nice.
Do
they
like
play
cards
with
them
like
war
or
crazy.
D
F
E
C
C
She's
walking
she
goes
by
my
office
like
10
times
a
day,
but
someone's
always
with
her
right.
She
just
keeps
walking
but
we're
afraid,
she'll
walk
right
out,
you
know
and
she
has
a
tendency
to
walk
into
other
residence
rooms
and
that's
a
big
problem
for
us,
and
you
know
we
have
these
other
proportions
that
sometimes
work
like
we
have
these
red
stop
signs.
D
C
A
Thank
you
I'm
glad
to
see
all
of
these
things
in
place
and
I
just
want
to
publicly
thank
you
for
a
woman
that
I
that
was
put
in
the
nurse
at
Shaffer
place
about
a
few
months
ago,
and
she
has
passed
away,
but
I
just
want
to
publicly
thank
you
for,
and
your
staff
for
how
they
treated
her.
The
last
couple
of
months
of
her
life
and
I
know
she
was
comfortable.
A
There
I
felt
very
confident
in
recommending
to
her
daughter
that
she
come
there
and
you
lived
up
to
you
know
your
reputation
and
I.
Think
I
mentioned
it
to
Mr
camiso
that
a
couple
weeks
ago,
someone
described
it
as
it's
like
a
five-star
resident
so
and
I
just
want
to
share
that
with
you
publicly
well.
Thank
you.
C
But
it's
the
staff
do
a
job
every
single
day,
recognized
by
some
so
I.
Thank
you
so
much
for
your
words
but
they're
in
it
every
day,
and
they
just
do
a
phenomenal
job.
I
can't
even
tell
you
the
effort
that
they
put
forth
every
single
daycare.