Take a head shot of the new member and input into Face Sheet in the marked area.
You will need to email the picture to the [email protected] email account or remove the memory card from the camera and save the picture to your computer. You do not need to resize the photo before adding it to the field sheet. It is easy to resize within Microsoft Word.
Add the member's full, legal name to both highlighted areas.
The admit date is the member's first day at program. You may not be able to enter this til the member actually has their first day. Please be ready to update the face sheet when they start.
Add the member's date of birth to the highlighted area. i.e. 10/17/1983. This information can be found in the members' Individual/Family Service Plan (IFSP).
Enter information about the members' living situation in the highlighted area. This includes the names of family members or care providers, the house address, phone contact information for home and family/home staff, and email addresses for these people if we have them. This information will typically come from 2 places and they are as follows:
Enter Emergency Contact information into the highlighted areas. This information is typically found on the "Identification and Emergency Information" form (LIC 601).
Enter the name and phone number of the members' HRC Counselor in the highlighted area. Also, include the members' UCI number. This will be on the members Idividual Family Service Plan (IFSP). To get the phone number of the counselor, please see the current listing of HRC contact numbers. This may be saved on Sharepoint or it can be found on the HRC website here.
Enter the persons' Medi-Cal number or other insurance number in the highlighted area. This is typically found in the Individual/Family Service Plan (IFSP), in the Health section.
Enter the name, address, and contact information for the members' primary physician. This information can typically be found on the members' IFSP or the Identification and Emergency Information (LIC 601) form.
This section is a short narrative description of the person. It should include the following information.
List all of the medications the member is currently taking. This information can typically be found in multiple locations and they are as follows:
Enter the members' allergies in the marked section. You may have to check multiple locations to find this information. The locations are as follows:
Add the members' seizure protocol to the marked section. This will be on the the InJOY "Seizure Parameters Worksheet while at Day Program" form under the Medical Assessment tab of the members' chart.
Add eating tips for the member to the marked section. These will most likely be in the Intake interview forms from the Program Director, but may also be found in the Individual/Family Service Plan (IFSP).
Add toileting tips tot he marked section. These can be found in the Intake Interview forms from the Program Director or in the members' Individual/Family Service Plan (IFSP).
Add the members' likes to the marked section. This information can be found in the Intake Interview Questionnaire filled out by the Program Director or in the members' Individual/Family Service Plan (IFSP).
Add the members' dislikes to the marked section. This information can be found in the Intake Interview Questionnaire filled out by the Program Director or in the members' Individual/Family Service Plan (IFSP).
Objectives will be added to the face sheet after the members' 30 day meeting. At this point you will receive a copy of the report that has the objectives and then add them to the marked section.
During the members' first 30 days at program the new member will be assessed by our behaviorist for any mal-adaptive behaviors that need to be addressed. The behaviorist will put together a behavior plan once enough information has been gathered. Once the behavior plan is completed, add the targeted behaviors to the marked section.
On the bottom right of the Face Sheet, indicate whether the member is a choking in the marked area. Ask the Program Director or the supervisor for the session the new member is in, if they are a choking risk.
Each time the Face Sheet is updated, make sure to indicate the date when you updated it in the footer of the document.
