Free Form 02AG022E (SUOA-S-56-A) - Oklahoma

*02AG022E-001*
OKLAHOMA DEPARTMENT OF HUMAN SERVICES
OLDER AMERICANS ACT (OAA) TITLE III

Cumulative Program Performance Report
Date: Area Agency on Aging (AAA) name Number of full-time equivalency (FTE) Number of minority FTEs Number paid with OAA funds Fiscal Year reporting period: Start End

A,

AAA STAFFING PROFILE 1. Agency executive/management staff 2.

3. 4. 5. B.

Other paid professional staff by functional responsibility a. Planning...................................... b. Development............................... c. Administration ............................. d. Service delivery .......................... e. Access/care coordination............ f. Other ........................................... Clerical/support staff........................... Volunteers .......................................... Total AAA staff and volunteers....... 0

0

0

PROFILE OF COMMUNITY FOCAL POINTS AND SENIOR CENTERS 1. Total number of focal points designated under OAC 340:105-10-42 in operation in the past fiscal year. 2. Of the total number of focal points in number 1 above, how many are multi-purpose senior centers? 3. Total number of senior centers, regardless of funding source, in the planning and service area (PSA). 4. Total number of senior centers in number 3 above that received Title III operating or direct service funds during the past fiscal year.

C.

SERVICE PROVIDERS Service activity

a. Total number of providers

b. Total number of minority providers

c. AAA direct service providers

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

Personal care ............................................ Homemaker ............................................... Chore......................................................... Home delivered meals............................... Adult day care/health................................. Case management .................................... Congregate meals ..................................... Nutrition counseling................................... Assisted transportation.............................. Transportation ........................................... Legal assistance........................................ Nutrition education .................................... Information and assistance ....................... Outreach....................................................

Total unduplicated providers in the PSA: Total unduplicated minority providers in the PSA:

OKDHS revised 12-15-2003

02AG022E(SUOA-S-56-A)