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Julien Care Facility, DubuqueOther services: Vocational | Day Habilitation | Residential RCF DAC took over operations of the Residential Care Facility (RCF) at Julien Care, located in Dubuque, IA, in June 2006. The RCF program is community-integrated and offers a variety of services, both in-house and through local community resources to disabled individuals requiring licensed residential services. The RCF unit is licensed for 72 beds. RCF individuals need support and guidance in activites of daily living and may need personal care assistance. Individuals must be at least 18 years of age and may be dependent elderly, chronically mentally ill, mentally retarded, or developmentally disabled, with or without physical disabilties, but must not require nursing services. RCF individuals must be able to function for up to 20 minutes independently and without direct staff supervision or protection. No persons may be admitted to or retained in RCF services who are actively self-injurious, assaultive to others, destructive to property, abusing substances, or require more services to meet individual needs than can be provided in the RCF program. All RCF consumers must be able to toilet, eat, dress, etc. with verbal, gestural, or physical prompts, not to include hand-over-hand prompts. For referral information, please contact the Administrator of the Julien Care Facility, David Smith at RCF/PMI DAC took over operations of the Residential Care Facility for Persons with Mental Illness (RCF/PMI) at Julien Care in June 2006. The RCF/PMI program offers an assortment of services both in-house and through local community resources to adults with cognitive disabilities who require licensed residential services for persons with mental illness. The RCF/PMI unit is licensed for 9 beds and utilizes trained staff to provide each consumer with the support, training, and rehabilitiation needed to avoid transfer to a more restrictive setting and to prepare for advancement to a less restrictive setting. Services are provided based on individual consumer needs, including assessment, evaluation, medication administration, medication management, crisis intervention, and behavior management. Opportunities for access to the community are also offered. Development of skills is focused in the following areas: coping skills, personal self-help and living skills, community living skills, social skills, money management skills, and recreation and leisure-time skills. Persons appropriate for services offered by the RCF/PMI must have a primary diagnosis of mental illness or his/her primary barrier to functioning in a less restrictive setting must directly involve a psychiatric condition. These persons may experience acute or chronic psychiatric symptoms. Persons meeting the above criteria and having a secondary diagnosis of severe, moderate, mild, or borderline mental retardation, developmental disability, physical disability (but must be mobile), and/or substance abuse/dependence may also be appropriate for this residential service for persons with mental illness. Persons appropriate must be at least 18 years old. For referral information, please contact the Administrator of the Julien Care Facility, David Smith at 563-583-1791 or email the Administrator at dsmith@juliencare.com. Julien Care Facility In addition to operating the aforementioned RCF and RCF/PMI, the Julien Care Facility also has a full nursing department and kitchen and employs 6 staff in its housekeeping and maintenance programs. The Julien Care Facility employs approximately 50 staff total. RCF and RCF/PMI Accreditation DAC, Inc.'s RCF and RCF/PMI is surveyed on an annual basis by the Healthier Facilities Division of the Iowa Department of Inspections and Appeals. DIA is the state agency responsible for inspection and licensure of all Chapter 135C health care facilities in Iowa. The mission of the Health Facilities Division is "to promote the quality and optimal outcomes of services through a survey process that centers on enhancing the lives of the people served." A representative or group of representatives from DIA conducts an unannounced visit to the facility each year to determine compliance with state and federal regulations. Compliance is determined through observation, interview of individuals, staff, and families, and in-depth record review.
Home and Community-Based Services, Habilitation and other Residential Services![]()
DAC, Inc.'s HCBS (Home and Community Based Services) and Habilitation programs currently serve approximately 75 adults and children. To qualify for these programs, individuals must have a diagnosed brain injury, mental retardation or chronic mental illness. Many of the individuals served are adults who receive 24-hour support in DAC-owned homes. In the HCBS and Habilitation programs, each person has an individualized plan created to assist that person in becoming as independent as possible. In the Habilitation program there is a strong emphasis on supports that assist with the acquisition, retention, or improvement in skills related to living in the community.
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