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APPLY  FOR

ADULT DAY CENTER

PERSONAL INFORMATION

Current living arrangement
Marital Status
Race / Ethnicity
Religion
Language Spoken
Highest Education Level
Veteran Status

EMERGENCY INFORMATION

Where should all billing be sent to?

ONE LIFE ADC QUALIFICATIONS

The members of One Life Adult Day Center will be adults 55+,or intellectually disabled adults this includes emotional, physical, or mental impairments who require mild to moderate assistance and supervision. 

 

Communication

  • Members must be able to make their needs known

  • Members must be able to follow simple instructions of the instructor 

  • If members speak another language a interpreter will be needed

Feeding

  • Members must eat independently or with minimal assistance 

Toileting/ Hygiene 

  • Members must be able to use the restroom independently (if not caregiver will need to be on site and assigned for member by Director )

  • Members must display good toileting hygiene.

Participation

  • Members must be willing to participate in social activities while at the Adult Day Center. 

  • Activities include 

  • Light Exercise / Stretching 

  • Puzzles, board games, bingo,

  • Arts & Crafts 

  • Music Therapy & Sing-a -longs

  • Journaling / Meditation

 

  • Members must be willing to maintain at the adult day center or secure area onsite with supervision. This ensures that the members are safe at all times. 

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