Adult day care coordinators direct adult day care centers. Although specific duties vary depending on the size of the center and the services it offers, the general responsibility of coordinators is to ensure that their centers provide the necessary care for clients. Such care may include attention to personal hygiene and providing meals, medications, therapies, and social activities.
Although coordinators working in small day care centers may actually perform some services for clients, this is not the norm. Instead, coordinators usually oversee various staff members who provide the caregiving. A large center, for example, might have a nurse, physical therapist, social worker, cook, and several aides. Coordinators are responsible for staff hiring, training, and scheduling. They may meet with staff members either one-on-one or in group sessions to review and discuss plans for the clients.
Overseeing meal planning and preparation is also the responsibility of the adult day services coordinator. In most centers, clients are given a midday meal and usually juices and snacks in the morning and afternoon. Coordinators work with a cook or dietitian to develop well-rounded menus that take into account the nutritional needs of the clients, including any particular restrictions such as diabetic or low-sodium diets. The coordinator may also oversee purchasing and taking inventory of the center's food supply.
The coordinator schedules daily and weekly activities for the day care clients. Depending on the particular needs and abilities of the clients, a recreational schedule might include crafts, games, exercises, reading time, or movies. In some centers, clients are taken on outings to shopping centers, parks, or restaurants. The coordinator plans such outings, arranging for transportation and any reservations or special accommodations that may be necessary. Finally, the coordinator also organizes parties for special events, such as holidays and birthdays.
Finding new activities and visitors for the center is also part of the job. Coordinators might recruit volunteers to teach crafts or music to the clients. Often, religious or civic groups come to such facilities to visit with clients. Some such groups institute buddy programs, in which each group member pairs with a day care client to develop an ongoing relationship. The day care coordinator must authorize and monitor any group visits, activities, or programs.
In addition to planning and overseeing the activities of the center and its clients, the adult day care coordinator also works closely with client family members to make sure that each individual is receiving care that best fits his or her needs. This relationship with the client's family usually begins before the client is placed in the day care center.
When a family is considering placing an elderly relative in day care, they often have many questions about the center and its activities. The coordinator meets with family members to show them the center and explain how it is run. The coordinator also gathers information about the potential client, including names and phone numbers of doctors and people to contact in case of emergency, lists of medications taken with instructions on when and how they should be administered, and information on allergies, food choices, and daily habits and routines.
After the client is placed in the center, the coordinator may meet periodically with the client's family to update them on how the client is responding to the day care setting. If necessary, the coordinator may advise the family about social services, such as home health care, and refer them to other providers.
Adult day care coordinators may have other duties, depending on the center and how it is owned and operated. For example, they may be responsible for developing and adhering to a budget for the center. In centers licensed or certified by the state, coordinators may ensure that their centers remain in compliance with the regulations and have necessary documentation. They may also be responsible for general bookkeeping, bill payment, and office management.
In addition to supervising centers, coordinators may also promote and advertise to the community. They may help with fund-raising, prepare press releases, and speak to various service clubs.
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