1. orange grove centerannual report 2009 - 2010

2. allies for lifeHaving nalized another successful yearin the provision of care to individualswith developmental disabilities, whilethe nations economic crisis continuesto impact many elements of our system,recocowe are thankful for a nation, state, andlocal community that value its citizenswith disabilities. Although we have fur-ther taken austere measures to weatherthe nancial climate which besets ournation and state, we continue to wit-ness philanthropy in many sectors thatmake our survival possible.The theme of this years Founders Dayprogram is Allies for Life. We willcelebrate our 57 years of successfulservice to individuals with intellectualdisabilities on the same day that our na-suppsuppsuppp tion remembers a day that shall livein infamy. Just as our nation pulledtogether in unparalleled adversity, ouragency remains steadfast in its missionand will demonstrate our ability to winthrough to victory.The board of directors and manage-ment staff are acutely aware of thehighly committed individuals throughwhom our services are provided. Theyenrich the lives of every individual thattakes advantage of our services with Teresa Jenkinscec eceletheir compassion, conscientious ap-proach to care, and deliberate aim to-ward perfection. As is often relayed byour volunteers and staff, it is clear thattheir lives are vastly enriched throughtheir service. Dillard EdgemonBoard President, 2009-2010 ON THE COVERTonya Clay, Photography by Dennis Wilkes Design by Leslie Smith, OGC Development and Public Relations Orange Grove CentersPerson of the Year -1- 3. There are many examples of how volunteers and staff members have performed heroically throughtheir course of service. Board members devote untold portions of their lives to the perpetuationof Orange Groves mission. Board members not only devote at least two days a month throughcommittee meetings and board meetings, but also give of their personal nances in order to meetthe nancial needs of the agency.Although we were sorry to see Avery Smith and Buddy Haile rotate off the board this year, we arehonored by their service and vigilance to the work of their respective committees. We were alsopleased to add Larry Cash to our honorary board member list as one who has made a lifelong com-mitment to the work of Orange Grove. Board members continue to evaluate, guide and structureour organization in legal matters, policy development, fund-raising endeavors, nancial manage-ment, human resource coordination, information technology, facility and vehicle maintenance andoperational initiatives.The staff members who devote their lifes work to Orange Grove deserve equal praise for theirsteadfast commitment to the people we serve. Each year, we pay homage to staff members whotook actions which resulted in the saving of life and the myriad personnel actions which constituteperformance above and beyond the call of duty. We recognize approximately 100 people andthats just the ones we know about. There are so many others who slip passed us because theirdutiful responses to a day at The Grove are reex actions.When one staff member was recently honored for responding wisely to a potentially life threaten-ing circumstance, his response was, I just did what I was trained to do. Although his humilitywas clearly reected in his statement, he also helped to pay proper respect to the training depart-ment which performs admirably day in and day out.One of the best compliments we can receive, outside the opinions of the people we serve, is fromthe unbiased observer in the community. One of our staff members (Betty Bradford) was recentlyapproached by a gentleman while she was shopping with one of the people we serve. He said thathe had been observing the two of them and was most impressed with the manner in which shecared for and interacted with the person in her care. He said he wanted to contribute to a workso worthy of support and left her with a hundred dollar bill. His motivations were as pure as theycome. He was not motivated by a tax write-off or recognition. He was a young man and undoubt-edly had many fanciful dreams which would cause his money to leave his possession. However, aglance in our direction compelled him to join the effort. His actions spoke volumes in terms ofOrange Groves quality of care and its philosophy at work.We wish that every person in our community in need of Orange Groves services could obtain them.However, the economic circumstances of our state have caused a ghastly backlog of services. Un-fortunately, there are a growing number of people on the waiting list and it is growing larger everyday. Even though we must remain ever vigilant to the day-to-day care of the individuals currentlyin our system, it is also incumbent on us, and the government, to ensure that the service systemmatures and evolves to effectively respond to the exponential increase in demand for communityservices.We pledge to continue voicing our suggestions as to how existing state re-sources could be reallocated by our primary funding source to create a morecost efcient system and remain steadfast to our mission.Kyle Hauth Executive Director-2- 4. adult servicescommunity supportsOrange Grove Center continues to support more peopleSupported Employmentwith intellectual disabilities than any other providerSupported Employment supports clients who are interested in commu-agency in the state of Tennessee. Our services include: nity work, by providing assessment, job development and job coaching.Accepts referrals from the Division of Rehabilitation Services.adult comprehensive training (act)School-to-Work Program147 recipients served in classroom settingsThe transitional School-to-Work Program supports referrals from theDivision of Rehabilitation Services to help job-ready individuals fromFocus is on providing appropriate and benecial indi- area high schools who will graduate at the end of the year, or who havevidualized programming in a safe and positive environ-graduated and need help with skill building and job development. Thement. transitional program includes work adjustment training, heavy equip-ment training (certicate), job readiness training and job placementEmphasis is on vocational skills, daily living skills and services.the arts.Community EnclavesIndividuals have the opportunity to participate in theGroup employment opportunities through contracts with communityDiscovery Curriculum. Participation exposes individuals employers. Currently supports 107 clients in meaningful jobs locatedto a variety of new activities and potential interests, at various sites in the Chattanooga area. Enclaves include:some of which could become the foundation of futurevolunteerism, employment or other community involve-ment. Chattanooga BakeryTennessee Valley AuthorityErlanger Hospital Camp JordanThe advent of themed classrooms has further enhancedChambliss Childrens Home NHC HealthCareopportunities for active engagement in novel activities Memorial Hospital Southern Champion Trayand new environments. This year, participants have be-Komatsu America Corporation CARTA / Incline Railwaygun changing rooms throughout the day to offer optimalFirst Choice (mobile crew)UTCaccess to activities.Community enclaves also include, 11 recycling enclaves for the City ofCommunity-based activities also supplement the pro- Chattanooga and the Town of Signal Mountain.gramming to enhance the learning environment.Community Participation Community Participation exposes individuals to new life experiences and volunteering or work opportu- nities. This year, volunteer oppor- tunities have been created with United Way, Nature Center, Meals on Wheels and Saint Barnabas.Direct support staff help individu-als with their needs and ensure aseamless transition into communi-ty activities. This includes utiliz-ing various stafng ratios, provid-ing ongoing follow-up, and takinga proactive approach to planningand problem-solving. -3- 5. personal assistance Orange Grove Centers Personal Assistant Program provides service to 66 individuals who live at home with their families. Personal Assistants help with community activities, food prep- aration and health and wellness issues. Our program continues to grow despite the budget restraints from the State of Ten- nessee. We expect great results from this program in the new scal year. The staff of 73 will continue to provide excellent care to those valuable people who are placed in our program. recycling center It has been a successful year at the John F. Germ Recycling Center. With this years increase in curbside availabil- ity in Chattanooga; we have seen an increase in recyclable materials. One hundred and twenty people with intellectual disabilities have a job because of the partnership between Or-industrial training center (itc) ange Grove Center and the City of Chattanooga. Sixteen of these individuals work part-time in community jobs, and thisThe Industrial Training Center is presently providing work for includes the 11 community enclaves we operate for Chatta-approximately 150 individuals daily. nooga and the Town of Signal Mountain.Contract related matters: This year, the Warner Park Recycling Convenience Center wasStarted new e-recycling operation closed for two months for construction to the ChattanoogaProcured one new contract and worked with 13 Zoo. The city plans to renovate this convenience center incompanies the upcoming year. New bins will be purchased and the oldest drop-off center will be brought up-to-date.Companies served: Columbus McKinnon (Dixie Industries) We serve 155 businesses through our Recycle Express program. Georgia-Pacic This service provides weekly recycling collection to businesses Kiwanis Club and employs 12 individuals. Meri-Meals Norforlk Southern We began our document destruction program, Better Shred PSC than Read, on October 1, 2009. As Orange Grove Centers rst Racemark International federal NISH contract, we began servicing six government of- Rock Tenn ces from Chattanooga to Nashville. During our rst year of Starkey Printing operation, we initiated service agreements with 59 other com- Suburban mercial companies. This program employs nine individuals. WNA Woodbridge We successfully completed audit reviews from NISH, Secure 5R Processors Document Alliance (SDA), the federal government and the Na-Contract revenue: $162,090 tional Association for Information and Destruction (NAID). We were recently awarded AAA certication from NAID. This is theITC is always searching for partnerships with new communityelite certication that all document destruction professionalsbusinesses.Quality,expertiseandtimelinessseek to obtain.allow us to compete competitively among industry leaders. -4- 6. childrens servicesNinety-ve students received instruction, per their Individualized Education Programs (IEPs), by 12certied special education teachers and one waiver teacher, with assistance from 33 paraprofes-sionals and two personal assistants.Extensive services were provided to our students through Therapy Services: Speech, Occupationaland Physical Therapies, School Nursing and Nutrition Departments.All teachers provide IEP instruction, following the State of Tennessee, Department of Educationsguidelines for the Tennessee Comprehensive Assessment Program (TCAP-ALT), as required by theIndividuals with Disabilities Education Improvement Act (IDEIA) and the No Child Left Behind (NCLB)legislation for the third through eleventh grades. Instruction may include goals written in theareas of academics, prevocational/vocational, community integration, work-based learning, sen-sory, cognitive, daily living, gross and ne motor development, social/emotional and self-help skill day program nursesdevelopment. The Day Program nurses provide ser-The School Department continues to receive state school approval from the Tennessee Department vices to all of Childrens Services, asof Education. The school program maintains a positive working relationship with all six Local Edu- well as the medically fragile adults incation Agencies (LEAs) receiving student referrals from Hamilton, Catoosa, Dade, McMinn, MarionACT. These nurses manage the Sickand Rhea counties. Bay area, and serve as rst respond- ers for the Day Program.Work-based learning program work sites in the community include Girls Preparatory School (GPS)through September, and Merimeals, Community Kitchen and Applebees training sites. The Day Program nurses staff six classrooms, a medication room, sickThe University of Tennessee at Chattanoogas Collaboration Course provided hands-on training for bay area and six buses. Three of thesix UTC students within our classrooms and personal mentoring from their assigned teacher andfull-time nurses working in the Dayother signicant staff. Additional in-service training was provided on professionalism, ethics, in-Program are certied in Developmen-structional procedures, Universal Precautions, Supervision of Paraprofessionals, Behavior Supports,tal Disabilities Nursing. Approximate-positioning, equipment and lifting procedures, development of an IEP, and the evaluation of thely, 3,000 skilled nursing contacts arenal case presentations. made each month.This years program included the selection of a new textbook with staff developing chapter quizzes In addition to the routine responsibili-to accompany the text. The course is designed for them to enhance their skills in Special Education, ties, the Day Program nurses accom-and to assist them with the necessary training to become special educators. Several former UTC pany classrooms on outings away fromCollaboration Course students have continued their careers as OGC teachers.the center. These outings include classroom eld trips, vocational workThis year, Orange Grove Center was named a Cool School by WRCB Channel 3.sites and therapeutic riding. The Day Program nurses are instrumental inAs a continuation of the autism spectrum disorder training sessions, six new individuals were chosen maintaining the medical portion offor ASD training group inclusion with Karen Weigle and Team Centers providing insight, counsulta-the ISPs, IEPs, Physical Status Reviewstion and training. In addition, several center-wide and departmental training sessions included such and Health Passports.topics as, Understanding Autism, Understanding Autism: Assessment, Understanding Depres-sion in Children, Bipolar Disorder in Children, Behavioral Strategies for Persons with Develop-The Day Program nurses work closelymental Disabilities, Positive Behavioral Supports and Social Skills for Students with Autism. with several colleges in the area, pro- viding the nursing students with clini-Orange Grove continues to explore both evolving and novel educational approaches to the studentcal exposure to the I/DD population.on the autism spectrum; we are heavily invested in the pursuit of evidence-based practices.Nurses are a vital part of the success of the Day Program. When medicalNine students graduated from Childrens Services. Eight students were funded through Hamiltonneeds are met, individuals are able toCounty Schools, and one student from Catoosa County Schools. Each student was awarded a specialparticipate to their fullest potentialeducation diploma. in their individual specic programs.-5- 7. recreationRecreation had a full regimen of activities over the yearto include:Weekly gym and pool classes for all of Childrens Servicesmusic A new therapeutic riding program for ChildrensServicesOrange Grove Chorus and Dancers presented over 20 public performances,The nations rst special needs water ballet troupeincluding Go!Fest and Christmas at the Courthouse.Zumba classesDouble G Camp (73 campers attended)The Rhythmic Arts Project (T.R.A.P.) was added as a weekly program, withAthletes, coaches, medical and dental staff invited to18 clients participating. participate at the National Games in NebraskaMonty Parks was selected by the Tennessee Board of Education, and the Recipients participated in Special Olympics events:Tennessee Arts Commission as one of only 250 teachers to attend the 201071 athletes - local bowling tournamentTennessee Arts Academy in Nashville, TN.84 athletes - local track and eld competition16 athletes - local aquatics meetWe provided music classes for over 300 clients from Childrens, ACT and ITC 13 athletes - State Summer Games in track and eld,Departments.aquatics and volleyball8 athletes State volleyball tournament (placingWe welcomed Christine Mashburn-Paul, member of the Chattanooga Ballet,third)as our new dance instructor.10 athletes Skiing and snowboarding at the StateWinter GamesA fund was established to upgrade and expand the music program fund-16 athletes - Local basketball tournament (bothed to honor the name, Sharon Thorn. Plans have been formulated to teams placing third)ensure the continuation of the program to be robust and inclusive.16 athletes State basketball tournament (rst andthird places)We mourned the loss of music advocate, Debbie Hilbert. Her legacy willHoliday and seasonal dances: Summer, Halloween,be memorialized in the expanded music room. Christmas, Valentines and St. Patricks Day -6- 8. transportationTransportation is currently operating with a staff consisting of: 24 CDL bus drivers,two mechanics, one eet manager, one assistant coordinator, dispatcher/trainer,one coordinator, two van drivers and one bus assistant. Our part-time staff positionsinclude: four van drivers and 13 regular assistants. All of our bus drivers successfullycompleted the TN Department of Safety School Bus Driver Training for 2010.OGC Transportation maintains driver les on: 454 drivers who are on our insurance/approved drivers list 315 staff have completed Defensive Driving from January 2009 to December 2009 162 staff have completed Safe Driver training (includes WTORS, lift safety, pre-trip inspection, basic driving skills) All bus drivers successfully completed TN Department of Safety School Bus Driver Training. Bus Drivers completed approximately 16 hours of safety training.Transportation currently operates 16 school bus routes and seven mini-bus/vanroutes. Presently, we are transporting 284 clients daily on our 27 regular door-to-door routes. Our route vehicles provide an average of 568 person trips each day. Fif-ty-eight of our bus passengers use wheelchairs. Two hundred and thirteen are adultpassengers. During the 2009 calendar year, Transportation received 74 requests forservice initiation or alteration (60 were accommodated, two are pending and 12were canceled). During the 2009 calendar year, Transportation accommodated 3082requests for eld trips, vocational trips and community integration trips, and pro- Staff Accomplishmentsvided over 29,776 person trips for all of 2009.OGC currently has 140 vehicles in its eet. This total includes 28 buses, 59 vans, 23 Denise Crosswhite attendedmini-vans, 11 pick up trucks, 10 automobiles, six mini-buses, one straight truck,and Transporting Students with Disabili-two brush trucks. Fifty-three of our vehicles are lift equipped. Our eet logged ties and Pre-Schoolers Conference in1,509,427 miles in calendar year 2009, and 731,298 miles for the rst six months of Orlando, FL.2010. Twenty-ve of OGCs buses were inspected by the Tennessee Department ofSafety. All passed without a single citation. She completedChildPassenger Restraint Systems on School Buses (nationalOGC maintenance staff performed 382 preventive maintenance services in 2009. training) anda radio systemOGC mechanics accommodated over 1,561 requests for service (including PMs) dur- inservice conducted by Comet Tracker.ing 2009. OGCs vehicle maintenance department consists of two mechanics and a She also completed an inservice regardingeet supervisor. Despite being woefully undermanned, our mechanics did a great WexOnLine.job keeping vehicles available for client services. Our present ratio of vehicle permechanics is 70/1. When vehicle equivalent units (VEUs) are considered, the ratio iseven more overwhelming (289/2).Tyrus Chislom attended the Tennes- see Association for Pupil Transporta-Through June 2010, Transportation has been busy with many operational and training tion Conference in Pigeon Forge, TN.projects. School Bus Mirror Training curriculum was initiated by OGC Transportation.OGC also initiated the Safety First Motorist Observation Program to help monitor the He completed First Observer trainingdriving behavior of our drivers. Also OGC vehicles began using government licenseadministered by FEMA and the Trans-plates providing a signicant monetary savings.portation Security Administration (U.S. Department of Homeland Security). HeOGC Transportation has completed a full transition of our fueling system from Fuel-was also re-certied as a Defensiveman to Wright Express. The two-way radios for our school buses were upgraded.Driver Instructor by the National SafetyVehicle maintenance data management system was also upgraded.Council.-7- 9. compliance and trainingCompliance and Training has continued to support all pro-grams to best meet the needs of the individuals served asLeslie Smithwell as meet all federal and state requirements. Trainingnew staff is essential and all new employees received train-ing through the College of Direct Support and additionalcomprehensive classroom training. Additional training asneeded and annual refresher training was also provided forall staff.We support our staff and honor them for jobs well done.Our annual September To Remember continues to offerstaff a month lled with activities that are fun and thatrecognize them for their dedicated work. At the FoundersDay celebration, four staff were recognized for their out-standing response for providing lifesaving measures to ourIndividuals.One response involved the removal of an individual fromtheir home while they were bathing when ames were seenby staff coming from the exhaust system in the bathroom.The staff were quick in ensuring the individuals safety,calling 911, and using the re extinguisher to stop the re.The individual was safe and there was minimal damage tothe home.day for our Individuals. The monitoring of these notes has given us a ninety-four percent accuracy in our Industrial Training and AdultThe Incident Management program continues to operate an ex-Comprehensive programs.cellent and procient system of monitoring to provide the safestenvironment for all individuals. There is a commitment to timely,We have developed a program we call, Just Right, where theappropriate, and corrective actions to all incidents. Focus groupIndividual Support Plan is developed and nalized with all Circlemeetings are held monthly to provide staff with an opportunity toof Support members present during the planning meeting and thenshare experiences and solutions to unique circumstances. is directly submitted to the Division of Intellectual Disabilities Ser- vices for approval. This ensures total understanding and agree-The April 2010 Quality Assurance Survey resulted in the agency re- ment of the plan and ensures better quality of implementation.ceiving a Four-Star Performance Rating. In eight domain areas, the This project is completed and our goal is to expand this system tocenter received the highest rating possible. Orange Grove Center all individuals in the near future.continues to maintain a close working relationship with other pro-vider agencies and the Division of Intellectual Disabilities Services. We are committed to working closely with families and continueWe are committed to providing the most accurate and efcient to meet with them through the quarterly family meetings and weservices through the Discovery Curriculum and through electronic provide them many opportunities to express their needs and de-documentation. sires for their family members.The electronic Daily Note Exception Program has provided a means Compliance and Training is very committed to continued growthto ensure that daily notes are present each day but our staff have and improvement to our services, and has established a goal toalso developed a plan for viewing these notes and ensuring that allobtain national accreditation within the next few years.documentation is correct and that the notes reect a meaningful -8- 10. health care servicesWe welcomed Dr. Kristen Compton, who orchestrated theopening of our new Dental Services. Dr. Compton hasthe distinction of being one of only six dentists in theUnited States to receive post-graduate fellowship train-ing in special needs dentistry. Project Open W.I.D.E.,the expansion of Dental Services, was made possible bya grant from the Tennessee Council on DevelopmentalDisabilities.We have received donations from Dr. Mack Worthington,Blue Cross Blue Shield, Kiwanis Club of Chattanooga andTennessee Valley Authority, which have enabled us topurchase three AEDs (automated external debrillators),three metal cabinets, battery packs and external pads.These are critical instruments to have for life-threaten-ing issues. The AEDs have been placed for medical accessaround different sites at the center.We have also received a new donated DCS Vantage Ana-lyzer Hemoglobin/A1c from the Siemens Corporationfor detecting blood sugar averages for our diabetic pa-tients.Dr. Randall Brewer of ErlangerBehavioral Health has joined ourteam by coming on-site twice amonth to provide psych services.In May, we reached our highestmark of seeing 500 patients in ourclinic. We give an average of 7000meds a month in our med-room,schedule over 700 appointmentsboth in and outside the clinic andtransfer approximately 250 peopleto outside appointments.We continue our efforts in educat-ing the next generation of healthcare providers with internships,clerkships, rotations and tutorialsfor students across the country.-9- 11. human resourcesAs in all human service endeavors ourhumans represent our greatest asset. Thenumbers demonstrate that not everyone called workplace wellnessis chosen. Out of almost a thousand applicantsless than two hundred were hired. It is due to A Workplace Wellness Programthis high level of selectivity that we continuehas been implemented. As ato maintain a turnover rate below the national result, the following activitiesaverage; assuring both continuity of care andhave been offered:bonds of trust. A wellness fair was conducted inOur belief that a healthy workforce is anNovember, with over 50 venderseffective workforce led to our creation of our participating.Workplace Wellness Program. Now in its secondyear the program strives to encourage teamwork,Over 250 employees received anenhance health awareness, proactive lifestyles updated TB skin test.and the provision of a safe, supportive environ-ment.A walking program began with over 150 participants for theOur commitment to a healthy workforcerst quarter. There were 50 foris exhibited in our free biometric incen-the second quarter.tive program.Employees receivefreetesting of blood pressure, body mass index,Lunch and Learn sessions havecholesterol levels and nicotine use. Those begun with several sponsors.employees with healthy proles receivepremium discountson their health Weight Watchers at Work andinsurance payments;while thosewith weekly wellness trivia questions,suboptimalmeasuresreceive lifestyle with prizes, are ongoing. Therecoaching aimed at improved outcomes.were 25 participants for the rst quarter and ten forthe second.The statistics are used to help design, implement and evaluatehealth improvement programs. Examples of programs emanat- Tai Chi classes were conducted.ing from evaluating staff biometrics include a wellness fair, walk-ing program, healthy cooking classes, Weight Watchers group, taiThe volunteer program was able to place sevenchi instruction and ongoing Lunch N Learn health related seminars. volunteers, from the Families First Program, ingroup homes. These positions will enable the volun-Our periodic work fairs held at Orange Grove continue to introduce theteers to have the option of being hired. This will beopportunities, rewards and challenges of human services to our commu- contingent upon the volunteer being a good t withnity. This has been the initial introduction to supporting individuals with the clients and if they properly perform all jobintellectual and developmental disabilities as a life long career choiceduties.for many of our most distinguished direct support staff.OGC has six slots for Foster Grandparents. Three ofthem have retired. One has been added. Two havebeen interviewed. Photo by Leslie Smith- 10 - 12. acknowledgements Orange Grove Center gratefully acknowledges the generous support of individuals, corporations, foun- dations and organizations who have made investments in our comprehensive programs serving children and adults during the scal year.2NDS in Building Materials, Inc. Larry R. ClarkJohn F. GermAgents Midwest, LTD. Robert Clarke Robert H. GilesRobert AltermanRobert W. ClarkeVincenzina A. GiungnoAndrea AndersonGeorge H. Coleman Donald W. GodseyJennifer AndersonDavid N. CollinsHelen GoldmanLee M. AndersonCharles A. ComerJames S. GoodletRobert K. Anderson Community Foundation of Greater Chattanooga Gospel Way Baptist ChurchArch Chemicals Employees Charitable Fund Concord-Farragut Sertoma Club Charity FundGeorge S. GroveARJO Lift Co.Connector Manufacturing Co. Shelby R. GrubbsFreida F. Arnold Contractors Chemical CorporationGeorgia HagoodAstec Industries, Inc. Mary G. CookHerbert J. HaileAT&T FoundationArdon B. Cooper James P. HalsteadPatrick R. AtwoodRichard W. CouchHamico, Inc.Dianne Aytes Donnee CoxTom HammelJane J. AytesTom and Claudette Cox Edith HardmanWilliam Baer Jeffrey P. Cummings Walter E. HartlineT. M. Bahner Beverly F. Custer Billy HartmanGlenn BairdAlexander M. Cutler Kyle HauthBaker, Donelson, Bearman, Caldwell & Berkowitz, PC Milad H. Dabitt C. W. HayesBank of America Charitable FoundationRobert Dann John E. HenegarPatricia A. Bartlett Joe W. DavisCarroll J. HenleyMichael A. Barto Larry W. DavisLamar HenryBASF Corporation Richard D. DavisPamela F. HenryRussell Bean Stephen S. DeakinsRobert W. HesselMary Beasley Teresa DelaneyKathryn K. HicksF. M. Bell Alan W. DerthickHorizon Wine and Spirits, Inc.Jacque Benderman Roger W. DicksonSid HuntleyJames C. Berry James F. Dorris Sid HuppCharles E. BestThomas O. DuffE. B. HutchinsonCharles R. BestJames F. Dunbar Craig A. IngvalsonBi-Lo Charities, Inc.Tucker Duncan Mitchell J. IvesJim L. BinderJames H. Dyar Irma J. JacksonBlueCross BlueShield of TennesseePatricia M. Eaker James P. Roberts TrustBOTA Dillard L. EdgemonJax LiquorsMaurice E. Bratton James D. Eggers Charles F. JerabekAndy Bricard Bruce Elrod Cheryl V. JohnsonSally BrownMary EvansDonald J. JohnsonBroyhill Family Foundation, Inc. Exceptional Parent Magazine James L. JohnsonNancy B. Bryan Sharon N. FarberLouise H. JohnsonJohn R. BuhrmanM. S. FergusonJohnson, Hickey and MurchisonRichard W. Buhrman Christene Fincher M. K. JonesBarton Burns Patrick Fischer R. S. JonesSue W. BurtonVirginia Flanagan Neil L. KaplowitzLarry L. CashFoundation HomesRichard L. KaufmanLouise B. Chadburn Julian D. and Kaye FoustMorton J, KentTim Chapin Frank E. Fowler Key Bonding CompanyWilliam ChapmanSamantha Franklin Fletcher KiblerChattanooga Allergy Clinic, PLLC Paul FreemanBuford KizzarChattanooga Christian Community Foundation Friends at Chattem, Inc.William KizzarChattanooga Lodge No. 199Friends at Spring Creek Elementary School Lavonne KnightGary ChazenJack L. Fryar Knights of Columbus, Council 14079Thomas C. Cheetham George Gannaway Knights of Columbus, Council 6099- 11 - 13. Patricia A. Kopach Patricia A. KopachWayne LaFevorLisa PalazzoDaniel J. LaGraffMichael J. PatrickPerk F. Lawrence Steven PattersonMichael J. Levin Tommy PerkinsGregory LewisJoseph M. PlevaJohn D. LewisJohn T. PollockPaul T. LewisJames D. PooleMark J. Lichtenstein Rea Magnet Wire Company, Inc.George LiptonOscar E. ReeceDavid B. Longley Josephine ReelLookout Mountain Beautiful Garden Club Charles M. Renneisen Kiwanis Club of Chattanooga presented aJeffrey S. LorberbaumJames J. Reynoldscheck for the purchase of Automated ExternalRonnie LoweJohn ReynoldsDebrillators to Childrens Services.Dr. Andrew LunnStephen ReynoldsEdward A. MajorasThomas M. Reynolds Steven M. StroumMallen Family Foundation Michael S. Rhyne Dennis SullivanBette S. MaloneRich Richcreek SunTrust BankCarol S. MangumRobert M. Riddle Edward N. TaliaferroReba MartinRidgedale Temple Association, Inc. Ray N. TaylorBetty J. Mathers Vicki Riedel The Childrens Dental Center of AtlantaJoe T. MathisJames K. Riley The Electrical Manufacturers Club, Inc.Gaye B. MaughonRobert L. and Kathrina H. Maclellan Foundation The Oldham Family Charitable FundPaula E. MayhewJohn T. RobertsBillie J. ThomasWinona B. McArthur Harry Robinson Doris M. ThorneEmily J. McCabeB. R. RodgersMichael TomshackThomas N. McCausland Jerry RosenblumRuth N. ToonWalter S. McFarlandSusan G. Rouse Robert J. TotaroPeter McIlroyNikki RozzellCharles TrantKatrina McIntosh Sandra A. Sartno James J. TricoglouMcKenzie Charitable Foundation Martin A. SchneiderTruistTerry McRoySchwab Charitable Fund TWH ArtchitectsC. D. MeadowsDavid L. Scott Ben L. TyberGary E. Meredith Arthur N. SeesselHarold B. TyberMerrill Lynch & Co. Foundation Inc.Leopoldo C. Seguel United Way of Southeastern PennsylvaniaMerrill Lynch/Private Client Group Kenneth SeitzUnum GroupRenee MiddletonClarence ShattuckWarren B. WaddellRichard R. MillerDoris A. ShropshireDouglas G. WarnerIvan S. MisrachJack M. Sink Douglas W. WarwickHugh MitchellJohn S. SirockmanWear Solutions, LLCHugh J. MooreRobert H. Siskin Allison S. WebbChristine E. MorganEdward E. Slaten Edna K. WeekleyMorgan Stanley Avery SmithBlair WeigelHal M. MorrisEasley S. SmithMorris WeinbergHelen T. MortonParke SmithWeldon F. Osbourne Foundation, Inc.Tillman E. MynattRandolph W. SmithTrey WhiteAndrew Nardo Southern Champion Tray Madeleine W. WhittenJohn R. Nelson Joe T. Spencer Robert B. WilenskyNew Salem Baptist Church Catherine L. Spruill Anne M. WilkinsMolly C. Nolen Vince J. StaffordClaude WilliamsLinda NorwoodWalter H. StamperMorris L. WilliamsEdward C. OBrienMarnie W. SteenVance L. WilsonOlin Corporation James F. SteffnerJ. M. WorthingtonJ. E. Oliver Steve Edison Builders, Inc.William A. WynotScott Ossewaarde Janet J. StrangDavid J. YanikAnne S. PalazzoThornton StrangBrewster L. Yates- 12 - 14. nancial highlightsRevenue Actual Government 86% 29,009,721 Fees7% 2,400,538 Contributions2% 665,468 Workshop5% 1,761,097Expense Actual Salaries & Fringes This program is funded (in part) by the 24,213,774 Tennessee Division of Intellectual Dis- 72%ability Services, Tennessee Departmentof Health, Tennessee Division of Reha- Supplies bilitation Services, United Way of Ham- 2,118,326ilton County, Hamilton County Govern-6%ment, USDA, TDOT, Tennessee Councilon Developmental Disabilities and many Overhead private contributors. 2,909,063 9% Under Title VI of the Civil Rights Actof 1964, federal law protects individu- Otherals from discrimination.Facilities,programs and services sponsored by 4,301,823Orange Grove Center are available to 13%all eligible persons regardless of race,color, national origin, age, sex or dis-ability. - 13 - 15. Person of the Year... tonya clayTonya Clay enrolled in OGCs school program in 1978 at the age of six. Tonya entered the ICF residential program, living at the Glen-wood residence in January 1994.Tonya reveals that her life changed dramatically when she received her rst head joystick control power wheelchair. Prior to this,she had been totally dependent on others for her mobility. She has honed her driving skills and now travels freely through OGC, herhome and the community. It is amazing to watch her maneuver through narrow doorways. Her therapists relate, She can turn thatchair on a dime.She is also very much aware of the mechanical operation of her wheelchair, and will contact support staff if she nds a problem andeven can tell them how to x it in many instances.Tonya is a formidable sales person, generating money for class projects. She has keen observation skills and communicates pertinentinformation to staff no matter the issue.Of all of Tonyas accomplishments, she is the voice and protector of those individuals who are most vulnerable - those who have no wayor very limited abilities to communicate their needs or fears. This last year, Tonya literally saved one of her housemates from whatcould have been a life threatening situation. She has the admiration of all those who support her every day.For several years Tonya has requested to move to a new and smaller home. Her dream is soon to be a reality. In April of 2011, Tonyawill move to her dream home in the community. - 14 - 16. morton j. kentnutrition serviceshabilitation center Nutrition Services serves approximately 550 meals per day.Additionally, we provide catering services and picnic lunch-Established in 1994 as the centers primary research, innovation and pro- es to classrooms for outings. Our meals are customized togram development generator, the Hab Center continues to impact on meet the dietary and texture needs for each client.both in-house and national issues.There are four serving lines: main cafeteria, therapeuticWhile it may not receive the splash that other projects involving the Hab dining area, recycling center kitchen, and La Carte. TheCenter enjoy, one of our most fundamental (and daily) features is our department consists of 15 kitchen and two administrativeresearch desk.staff.We provide teachers, clinicians, therapists, parents, educators and train-Monthly, we cater an average of 12 meetings. Annually, thisers (both in and out of the center) with requested research and informa-department provides food services for Breakfast for Cham-tion on over 6,000 rare disorders, evolving therapies, the law, ethics, pions, United Way department meetings, the United Waybest practices and statistics and data related to both individual clients Leadership Breakfast, the Staff Appreciation Cookout andas well as populations and groups. We provide both proles and entire the Fall Festival.portfolios on subjects ranging from Autism to Zellweger Syndrome.Funding is provided by the School Nutrition Program and theOther activities in our portfolio include working with the U. S. Depart-Child and Adult Care Food Program.ment of Health and Human Services to get people with intellectual anddevelopmental disabilities formally recognized as a medically under-served population among other programs designed to enrich the lives ofour clients at Orange Grove and across the country.Bi-Annual HealthThe Habilitation Center has been tapped by the Tennessee DepartmentInspection Scoresof Intellectual and Developmental Disabilities in planning and evaluatingnovel approaches to health care delivery.Main kitchen:Included in the innovations portfolio are special projects in multi-sensory95 and 96environments, EmFinders technology for locating lost clients, and crisisintervention training for law enforcement and personnel.Recycling kitchen:97 and 97The Habilitation Center was recognized as the citys foremost center ofinnovation by WTCI with the coveted Be More Award.Total meals: 121,161 Total income: $228,207 - 15 - 17. intermediate care facilities services The Intermediate Care Facilities Department is committed to providing active treatment for the 80 individuals served in 16 group homes scattered through- out the Chattanooga area. Active treatment takes the form of case manage- ment, therapy services, nursing and direct support professionals assisting in and teaching daily living skills. This past year we have had the opportunity to provide eight individu- als, whom have previously lived in state run facilities outside of the Chattanooga area, the privilege to move back home when we opened our two new Alton Park area homes. One of the homes is named after John Strang, an individual who has been served by Orange Grove Center for 51 years. These homes were built with the needs of the individuals in mind. An open oor plan was created in order to provide easy access to all areas in the home for those who use wheelchairs. An overhead lift system was installed in the bathrooms to provide better transfer access. A therapy room and sun room were added to the oor plan to provide more opportunities for active treatment. The kitchens were created to pro- vide more efcient food storage and meal preparation. Every inch of these homes is packed with state of the art equipment.residential habilitationThis past year has seen the scope of the support in eight of the homes expand to allow the option of aging in place. These homes were alreadyaccessible, but with the addition of the sprinkler systems the evacuation time and safety margin were increased. This factor has contributedto a reduction in our vacancy rate as individuals who no longer can self evacuate can remain in Res Hab homes.We have also been able to provide emergency support to three individuals who reside within the greater Chattanooga area who were in direneed of support. The Residential staffs ability to embrace a new admission and provide the nurturing and support needed to be successful isphenomenal.We have collaborated with the YMCA Y-CAP program for children at risk on a garden project at the Main Street homes. They have turned theback of the property into a sustainable garden all while forging friendships,producing great vegetables and learning the value of diversity.Residential Services coordinated with the United States Census Bureau to be sure all people who live at OGC were counted in this yearsCensus. Enumerators from the Nashville eld ofce visited OGC.- 16 - 18. supported livingSupported Living assists individuals to lease their own home in the community. We are funded by thedivision of intellectual services to provide stafng support for the individuals. Currently, we are serv-ing 36 individuals in 23 homes throughout the Chattanooga area. We offer three models of supportdepending on the individuals level of need. We have the traditional live-in manager, an off-site teamleader model and our newest endeavor is a seven on/seven off model.Supported Living homes support one to three individuals in a more individualized program. We supportseveral individuals who have severe challenging behaviors who cannot reside with others or in a larger setting. This year, we have begun work-ing with the intensive consultation team from the division to assist us in continuing to support these individuals in a community setting.Supported Living has the support and assistance from a team of nurses. This year, we were able to add an RN who is based in the SupportedLiving building to complete the ongoing nursing oversight for our more intense individuals.We now have Orange Grove vehicles in 14 Supported Living sites. Our goal is by 2012 to have OGC vehicles in all Supported Living sites.Individuals in Supported Living enjoy numerous activities and events throughout the year. We offer an annual Halloween party at GreenwayFarms. Also, the individuals enjoy the numerous parties sponsored by organizations throughout the city for people who are supported by OrangeGrove. We have several individuals who enjoy Double G Camp. A few of them enjoy the full overnight week-long experience, but the RecreationDepartment offers a day camp alternative for individuals who cannot stay overnight and would otherwise miss out on the camp experience.therapy servicesProfessional expertise is in no short supply in the Therapy Services department at Orange Grove Center. We are very fortunate to havehighly trained physical therapists, physical therapy assistants, occupational therapists, occupational therapy assistants and speechlanguage pathologists. Many of the therapy experts have advanced training in neurodevelopment evaluation and treatment, multi-sensory environments, and augmentative communication. Their unique approach to client care is provided every day with the totalcare of the client as their focus.Therapeutic activities that enhance performance in the classroom as well as the home and community are considered and discussedwith the family and OGC team. Therapeutic equipment recommended by the therapy team is an integral part of the clients life atschool and at home, often helping a child achieve standing for the rst time or communicating through a high tech voice output device.As a result of occupational therapy intervention, many clients benet from experiencing multi-sensory environments tailored to meettheir unique sensory diets. The therapists are able to pass along to direct care staff and families the training they need to support the clients through many daily activities. Clients enjoy the benets of the three hydrotherapy pools which offer relaxation as well as the opportunity to perform skills such as walking without the hindrance of gravity. As part of awareness of special population needs, the speech language pathologist often schedules and attends swallow studies which are radiographic pictures of the swallowing process. Mealtime preparation of food textures and consistencies for the client may be adjusted based on that as- sessment. Client health and safety is always rst and it is not unusual to see a therapist climbing on a bus or van as part of that total approach in providing care to check the clients position in their wheelchair while being transported. Multiple clinics are offered at OGC so that clients can be assessed in a familiar environment. Custom seating systems are constantly being designed by this therapeutic team. Therapy Services at Orange Grove are all inclusive, and available to clients other than those that attend the center based on referrals.- 17 - 19. board of directors, 2009-2010Dillard Edgemon President Michael A. Barto ChairmanBill LuskVice PresidentSusan Gouger RouseVice PresidentThomas H. CoxTreasurer Dr. Bruce HutchinsonAssistant Treasurer Thomas A. CaldwellSecretaryJohn F. GermMember-At-Large Herbert J. Haile, Jr.V-Pres. Building/MaintenanceJerry Summers V-Pres. Legal Committee John BuhrmanBarton C. Burns Larry CashTom CoferHeidi HoffeckerDaniel J. LaGraffadministrative staff, 2009-2010 Sharon MatthewsHugh J. Moore, Jr.Front row (left to right): Bev Witt, Andrew Skip NardoDirector of ICF/MR and Therapy Services;Neal PinkstonLynn Porter, Director of Health Care Services; Rosie RussellCarla Walker, Director of Human Resources; Richard Sadowitz, MDand Janet Brewer, Director of Fiscal Services.S. Scott ShortBack row (left to right): Dr. Kristin Compton,Avery SmithDirector of the OGC Dental Clinic; Ruth Toon, Dr. Ben TyberDirector of Residential Habilitation; Dr. RickRader, Director of the Morton J. Kent HONORARY BOARDHabilitation Center; Gail Walker, Director ofSupported Living; Jenny Foster, Director of T. Hicks ArmorCompliance and Training; Tera Roberts,T. Maxeld BahnerDirector of Adult Services; Kyle Hauth,Charles A. ComerExecutive Director; Dianne Aytes, DeputyMorton J. KentDirector; and Darcy Owens, Director ofHelen C. MahnChildrens Services.Emily C. McKenzie William R. Russell Janet Strang *Denotes board members whose service has ended - 18 - 20. orange grove center 615 Derby Street I Chattanooga, TN 37404 I 423.629.1451 I 423.624.1294 (fax) w w w. o r a n g e g r o v e c e n t e r. o r g