Punjab Management of Senior Citizen Homes for Elderly Persons Scheme, 2019
Published vide Notification No. S.O.128/C.A.56/2007/Ss.19 and 32/2019, dated 22.11.2019
Last Updated 25th December, 2019 [pu962]
(a) "Act" means the Maintenance and Welfare of Parents and Senior Citizens Act, 2007 (Central Act 56 of 2007);
(b) "Department" means the Department of Social Security and Women and Child Development ;
(c) "Grantee" means any Non-Government Organization or Voluntary Association receiving grant-in-aid under clause 11 of the scheme;
(d) "Government" means the Government of Punjab in department of Social Security and Women and Child Development; and
(e) "Senior Citizen Homes" means homes registered under clause 3 of the scheme.
(2) The words and expressions used in this scheme, but not defined, shall have the same meaning as assigned to them in the Act and rules made thereunder. 3. Manner of registration of Senior Citizen Homes. - (1) All institutions of housing elderly persons, whether run by the Government or voluntary, shall be registered under this scheme, irrespective of being registered or licensed under any other Act for the time being in force. (2) All such institutions shall make an application in Form 1 together with a copy each of rules, byelaws, memorandum of association, list of governing body, office bearers, list of trustees, balance sheet of preceding three years, statement of past record of social or public service provided by the institution to the State Government and a declaration from the person with regard to any previous conviction record or involvement in any immoral act or that it has not been black listed by the Central or State Government; (3) The State Government shall, after inspection that adequate provisions exist in the institution for the care and welfare of elderly, health, education, boarding and lodging facilities, may issue a registration certification to such institution in Form 2. (4) The State Government, where adequate facilities do not exist in the institution applying for registration, shall issue an order before the expiry of one month from the date of receipt of the application that the institution is not entitled for registration. (5) The State Government, while taking a decision on the application for registration, may consider the following matters, namely:(i) registration of the institution under any law for the time being in force;
(ii) details of physical infrastructure, water and electricity facilities, sanitation and hygiene, recreation facilities;
(iii) financial position of the institution and maintenance of documents along with audited statement of accounts for the previous three years;
(iv) arrangements of safety, security and transportation;
(v) details of other support services run by the institution persons;
(vi) details of linkages and networking with other governmental, nongovernmental, corporate and other community based agencies on providing need-based services to elderly persons;
(vii) details of existing staff with their qualification and experience;
(viii) details of beneficiaries alongwith their AADHAAR numbers;
(ix) a declaration from the person or the institution regarding any previous conviction record or involvement in any immoral act; and
(x) any other criteria as specified by the State Government.
(6) The period of registration of an institution shall be five years, and it shall be subject to renewal in every five years. (7) The State Government shall conduct a detailed inspection or review annually after registration with regard to the facilities, staff, infrastructure, and compliance with the adequate standards of care, protection and management of the institution. (8) If the inspection or the annual review reveals that there is unsatisfactory compliance with the standards of care, protection, and management of the institution or the facilities are inadequate, the State Government may, at any time, serve notice on the management of the institution and after giving an opportunity of being heard, declare within a period of sixty days from the date of the detailed inspection or annual review, as the case may be, that the registration of the institution, shall stand withdrawn or cancelled from a date specified in the notice and from the said date, the institution shall cease to be an institution. (9) When an institution ceases to be an institution registered under this scheme, that house shall be managed by the State Government. (10) All institutions shall be bound to seek renewal of registration three months prior to the expiry of the period of registration and in case of their failure to seek renewal of registration before the expiry of the period of registration of the institution, the institution shall cease to be an institution registered under sub-clause (3) and provisions of sub-clause (8) of this clause shall apply. (11) An application for renewal of registration of an institution shall be disposed of within sixty days from the date of receipt of application. (12) The decision on renewal of registration shall be based on the annual review done in the year in which the renewal is sought. 4. Committees. - (1) The State Government shall constitute a State Grant-in- Aid Committee and the District Level Inspection Committees. (2) The State grant-in-aid Committee shall comprise of four members, namely:-
(i) Director, Department of Social Security and Women and Child Development; |
Chairman |
(ii) Additional Director, Social Security; |
Member |
(iii) Joint Director, Social Security; |
Member |
(iv) Deputy Director, Social Security. |
Member-Secretary |
(i) Deputy Commissioner; |
Chairman |
(ii) Civil Surgeon; |
Member |
(iii) District Social Security Officer; |
Member-Secretary |
(iv) two members of the civil society working in the area of welfare of senior citizens; and
(v) two representatives of the District Red Cross Society.
(5) The District Level Inspection Committee shall inspect all the Senior Citizen Homes in the district as per norms specified in Form 3. (6) The inspection of the facilities provided to the housing elderly persons in the district shall be carried out at least once in every three months. (7) The District Level Inspection Committee shall submit the report of the findings to the State Government and shall also make suggestions for improvement and development of the Senior Citizen Homes. (8) The District Level Inspection Committee shall interact with the elderly persons during the visits to the institution to determine their well-being and to elicit their feedback. (9) The District Social Security Officer shall take necessary follow up action on the report of the District Level Inspection Committee. 4A. Admission in the Senior Citizen Home. - (1) The Deputy Commissioner of the district concerned is the final authority to provide orders authorizing the admission of elderly persons in Homes. However, in case of odd hours or emergency, the Additional Deputy Commissioner or the Sub-Divisional Magistrate or the District Social Security Officer, as the case may be, can issue orders for short period of stay. (2) At the time of admission of persons to Senior Citizen Home, the following documents are required; namely:-(a) Application form;
(b) Age proof (Aadhar Card or Voter Card or Voter List or Marksheet of 10th Class or Retirement Certificate or in case of Orphan, Self Declaration or Certificate from Civil Surgeon is sufficient) and,
(c) Will of Property and list of belongings for the future course of action
5. Release from Senior Citizen Home. - (1) The Deputy Commissioner of the district concerned is the final authority to provide releasing orders. However, in case of odd hours or emergency, the Additional Deputy Commissioner or the Sub-Divisional Magistrate or the District Social Security Officer can issue orders which are to be ratified by the Deputy Commissioner. (2) A resident can be released from Senior Citizen Home on following grounds, namely:-(a) on mutual consent of family after the conciliation;
(b) on self-declaration by resident;
(c) on application of guardian with the consent of senior citizen; and
(d) on any complaint received from majority of residents.
6. Death of a person. - (1) On the occurrence of death of a person in a Senior Citizen Home, the procedure to be adopted shall be as under, namely:-(i) the Home must ensure that the Civil Surgeon or the Senior Medical Officer concerned must declare such person's death;
(ii) the Home must inform any family member of such person and the body of the person shall be handed over to the relatives or, in the absence of any claimant, the last rites shall be performed under the supervision of the person-in-charge of the Home according to his ritual rites and after retaining a photograph of the person for future reference;
(iii) the Home must inform the District Administration and the Municipal Corporation or the Municipal Committee or Panchayat, as the case may be, for the purpose of issuance of death certificate.
7. Programmes admissible for assistance under the Scheme. - (1) An estimate of the funds and other logistics required for each Old Age Home having a capacity of one hundred and fifty persons, being built and managed by the Department has been worked out after consideration of various relevant factors. The head-wise figures are described in Annexure 1 to 8.Option 1
Estimated cost for Government managed Senior Citizen Home (150 Residents) including construction of building |
S.No. |
Head |
Reference |
Expenditure (in Rupees) |
1 |
Land |
Annexure -1 |
2,00,00,000 |
2 |
Physical Infrastructure |
Annexure -2 |
3,40,00,000 |
3 |
Manpower |
Annexure -3 |
28,23,600 |
4 |
Non- Recurring Expenses |
Annexure -4 |
67,40,000 |
5 |
Furnishings, linen, etc |
Annexure -5 |
14,68,500 |
6 |
Clothing |
Annexure -6 |
61,95,000 |
7 |
Toiletries |
Annexure -7 |
10,67,400 |
8 |
Diet |
Annexure -8 |
45,18,000 |
|
|
Total |
7,68,12,500 (7.07 crores) |
Option 2
Estimated cost (to the Government) of adopting a Senior Citizen Home (150 residents) run by an NGO was worked out likewise. |
S. No. |
Head |
Reference |
Expenditure (in Rupees) |
1 |
Manpower |
Annexure -3 |
28,23,600 |
2 |
Non-Recurring Expenses |
Annexure -4 |
67,40,000 |
3 |
Furnishing, linen etc |
Annexure -5 |
14,68,500 |
4 |
Clothing |
Annexure -6 |
61,95,000 |
5 |
Toiletries |
Annexure -7 |
10,67,400 |
6 |
Diet |
Annexure -8 |
45,18,000 |
|
|
Total |
2,28,12,500 (2.03 crores) |
(a) The Non-Government Organizations or Voluntary Associations should be a registered body under the Societies Registration Act, 1860 or licensed under the Companies Act, 2013 or any other law for the time being in force or a Public Trust registered under any law for the time being in force;
(b) The Non-Government Organizations or Voluntary Associations should be a registered organization under this scheme;
(c) All Non-Government Organizations or Voluntary Associations shall comply with statutory approvals and clearances as applicable;
(d) The Non-Government Organizations or Voluntary Associations should have an experience of working at least two years for the welfare of public at large;
(e) The said organization shall have a properly constituted managing body with its powers, duties and responsibilities clearly defined and laid down in a written Constitution. It shall have an appropriate administrative structure and a duly constituted Managing Committee or Executive Committee;
(f) The organization is initiated and governed by its own members on democratic principles;
(g) The aims and objects of the organization and programmes in fulfilment of those aims and objects are specifically laid down;
(h) The organization shall not run for profit to any individual or a body of individuals;
(i) The organization should possess proven credentials and capabilities to handle such projects; and
(j) All the members of the organization must be active members, there shall not be any bogus or sleeping member, if found, any such organization shall be barred.
10. Procedure for submission of proposals and release of grant-in-aid. - (1) Any Non Government Organization or Voluntary Association who wishes to receive grant-in-aid as per option 2 under clause 8 shall make an application in Form 1 to the District Social Security Officer who shall forward the same to the Director Social Security alongwith the recommendations of the District Level Inspection Committee. (2) The application form shall clearly indicate the target group of beneficiaries to be covered and in addition to the documents mentioned under sub-clauses (2) and (5) of clause 3, the following additional documents are required, namely:-(i) information relating to the grants received or likely to be received from other departments of the Government of Punjab or any other source for the same project; and
(ii) a bond in a format specified by the Government, on a non-judicial stamp paper, for the amount of grant-in aid being sought, duly executed by the controlling authority of the institution or organization.
(3) On basis of the recommendation of the District Level Inspection Committee, the grant- in-aid shall be released by the State Grant-in-Aid Committee. The recommendations for arrears of grants shall be considered only if there is also a specific recommendation for the release of grant-in aid for the current financial year. (4) The grantee shall be open to inspection by any officer of the State Government or any agency or any person or persons authorized in this behalf including third party inspections at any time. (5) If grantee has already received a grant from some other Government sources for the purpose for which the application is being made under this Scheme, the assessment for grant shall normally be made after taking into account the grant received from such other sources. (6) The grantee shall maintain a separate joint or current account in the name of the President or Secretary of the organization or association for the grants received under the Scheme, which shall be open to inspection or audit at any time by the Comptroller and Auditor-General of Punjab or any officer deputed by the Government in this behalf. Where the grantee is State Government, the District Social Security Officer concerned shall be the Drawing and Disbursing Officer for the grants received under this scheme. (7) The grantee shall maintain a separate record of all assets acquired wholly or substantially out of the Government grant in the Stock Register which shall be open to inspection or audit at any time by Comptroller and Auditor-General of Punjab or any officer deputed by the Government in this behalf. (8) If State Government is not satisfied with the conduct of grantee or finds that the rules or guidelines prescribed are being violated by the grantee, it reserves the right to terminate the grant-in-aid and may recover the amount of grant-in aid already sanctioned with interest. (9) The grantee shall change the location of the Home only with the prior approval of the Government. 11. Management and Monitoring of Senior Citizen Homes. - (1) If such grantee fails to provide the necessary amenities as specified in section 19 of the Act, as amended from time to time, Government, after following the due procedure, may terminate the grant to such institutions. (2) The following minimum standards are to be followed by the grantee, namely:-(a) Nutrition – Variety of food stuff (as per local conditions) in an adequate quantity, good quality and containing an average of 1700 calories and 50 grams protein shall be provided to the beneficiaries every day. The daily indicative menu shall be clearly mentioned on notice board.
Morning Tea |
Coffee/ Tea and Biscuits/ Rusks/ Fan Puffs |
Breakfast |
Daliya/ Cornflakes (with Milk)/ Idli/ Vada/ Upma/ Oats/ Poha/ Chiwda/ Parantha/ Toast/ Paav/ Dhokla (daily) |
|
Plus |
|
Boiled Egg or Seasonal Fruit (twice a week) |
Lunch |
Chapati, Rice, Dal/ Sambhar, One Green Vegetable, Curd, Salad (daily) |
|
Plus |
|
Special Meal (Veg/Non-Veg) and Sweet (Halwa/ Kheer, etc) (once a week) |
Evening Tea |
Coffee/ Tea and Biscuits/ Rusks/ Fan Puffs |
Dinner |
Chapati/ Rice/ Dosa/ Utthapam, Dal/ Sambhar, One Seasonal Vegetable/ Khichdi |
(b) Medical facilities/ Medicare- The grantee shall have a first aid kit (as advised by the Doctor), glucometer, BP monitoring machine, weighing machine and general medicines as prescribed by the Doctor. The grantee must ensure presence of doctor 24X7 or a tie up with the Civil Hospital to deal with emergencies.
(c) Physical aids and assisted living devices– Devices such as wheelchairs, hearing aids, dentures, spectacles, crutches, walkers, etc. shall be made available to the residents under RASHTRIYA VAYOSHRI YOJANA (RVY). The grantee may place requirement (in proforma prescribed in RVY) of assistive devices to Artificial Limbs Manufacturing Corporation (ALIMCO) (implementing agency of RVY) through District Administration. The District Administration shall forward the application for requirement of devices to Artificial Limbs Manufacturing Corporation (under intimation to this Ministry).
Where the Government is the grantee, the requirement of devices for the inmates of the projects shall directly be placed to the Artificial Limbs Manufacturing Corporation by the District Administration concerned.(d) Recreation – At each centre, the implementing agency must provide books, 3-4 Magazines, 2-3 newspapers (in regional/ local language), Outings at nearby places (1 in a month)- religious/ cultural, Games like caroms, chess, cards, one cable connection, one computer with internet connection, with a separate reading room.
(e) The grantee shall ensure the services of minimum staff as specified in the Annexure -3.
(f) Security- The necessary security arrangements shall be made in the centres by the grantee.
(g) Clothing – Keeping in view the local climate, weather conditions and traditional norms, all the residents must be provided clothing articles as per Annexure -6.
(h) Rooms – Properly ventilated rooms with sufficient space between the beds for the easy movement of the residents shall be provided alongwith provision for storage of the belongings of the beneficiaries. Floors shall be anti-slippery.
(i) Bathrooms and toilets –The grantee must ensure separate toilets for females and males. There shall be at least one toilet with western style fixed or removable commodes. The grantee shall have ramp facilities and railings for easy access to the inmates at bathrooms and toilets, wherever required. The bathrooms and toilets shall have anti-slippery tiles and railings for hand support.
(j) Hygiene and Sanitation- All the rooms, veranda or courtyard, kitchen , bathrooms and toilets shall be cleaned at least two times a day.
(k) The grantee shall make miscellaneous payments including payments for electricity, water, internet, stationery, postage, maintenance of furniture, generator or inverter, cost of fuel for cooking, replacement of bed sheets.
(l) Non-Recurring expenditure shall be provided as per norms specified in Annexure-4.
Form 1
[See clauses 3(2) and 11(1)]
Application For Registration Of Senior Citizen Home (Whether or not seeking grant-in-aid) UNDER THE PUNJAB MANAGEMENT OF SENIOR Citizen Homes For Elderly Persons Scheme, 2019
(For 1st Instalment and New Cases)
Part A 1. Detail of Applicant/ Institution which proposes to run the Senior citizen home:(i) Type of Institution ........................................
(ii) Name of the Institution / Organization...........................
(iii) Registration number and date of Registration of the Institution/ Organization under the relevant Act (Annex- Relevant documents of registration and bye-laws, memorandum of association)................................................ ............
(iv) Period of validity to run the Institution / Organization.................................
(v) Complete address of the Applicant/ Institution/ organization........................
(vi) STD code/Telephone No..................................................................
(vii) STD code/ Fax No.........................................................................
(viii) E-mail address.............................................................................
(ix) Capacity of the organisation....................
(x) Whether the organization is of all India character, if yes, give address of its branches, in other states........................................
(xi) Whether the Institution/ Organization had been denied registration earlier Yes/No
(xii) Ref. No. of application which resulted in denial of registration as senior citizen home :
(a) Date of denial........................
(b) Which department has denied the registration.............?
(xii) Reason for denial of registration as senior citizen home....................................
2. Details of the proposed senior citizen home(i) Name of the proposed senior citizen home ............................
(ii) Type/Kind of senior citizen home .........................................
(iii) Complete address/ location of proposed senior citizen home or organization
(iv) STD code/ Telephone No..................................
(v) STD code /Fax No...............................
(vi) E-mail address................................
3. Connectivity (Name and Distance from the proposed senior citizen home):(i) Main Road........................
(ii) Bus –stand......................
(iii) Railway Station....................
(iv) Any landmark................
(v) Nearest Hospital..........
4. Infrastructure(i) No. of Rooms (Mention with measurement)..................
(ii) No. of toilets (mention with measurement)...................
(iii) No. of Kitchen (mention with measurement) .......................
(iv) No. of sick room...............................
(v) Annex -Copy of blue print of the building (authentic sketch plan of building)...
(vi) Arrangement to deal with unforeseen disaster also mention the kind of arrangement made:
(i) Fire
(ii) Earthquake
(iii) Any other arrangement
(iv) Arrangement of Drinking water
(v) Arrangement to maintain sanitation and hygiene:
(vi) Pest Control
(vii) Waste disposal
(viii) Storage area
(ix) Any other arrangement
(x) Rent agreement/ building maintenance estimate (whichever is applicable)(Annexcopy of Rent agreement)
5. Facilities Available(i) Recreational facility..............................
(ii) Health Checkup arrangement, frequency of checkup, type of checkups proposed to be done........................
(iii) Any other facility that shall impact the overall development of the senior citizen....
6. Staffing(i) Detailed staff list.........................................................
(ii) Education and Experience of the staff ....................................
(iii) Name of partner organizations
(iv) Name of the chief functionary of the organization
7. Background of the Applicant (Institution / Organization)(i) Major activities of the organization in last two years a. (Annex copy of Annual Report)
(ii) An updated list of members of the management committee/ governing body in the enclosed format (Annex- resolution of the annual meeting)
(iii) List of assets/ infrastructure of the organization
(iv) Details of existing bank account of the home indicating branch code account no.
(v) Balance sheet of the organization.
I have read and understood(a) The Maintenance and Welfare of Parents and Senior Citizens Act 2007
(b) Senior-Citizens-Act-2012-Punjab rules
(c) The Punjab Management of Senior Citizen Homes for Elderly Persons Scheme,2019
I declare that no person associated with the organization has been previously convicted or has been involved in any immoral act or in any act of child abuse or employment of child labour and that the organization has not been blacklisted by the Central or the State Government at any point of time. ...............................(Name of the Organization / Institution) has complied with all the requirements to be granted registration as a Senior Citizen Home under The Punjab Management Of Senior Citizen Homes For Elderly Persons Scheme, I undertake to abide by all the conditions laid down by the Central/ State Act, Rules, Guidelines and Notifications in this regard. Signature of the authorized signatory: ................................... Name: Designation: Address......................................... District............................................. Date.......................... Office stamp: Signature of:Witness no.1: .......................................
Witness no.2: .............................................
Part–B (Additional Information To Be Filled By Nongovernmental Organisations Seeking Grant-In-Aid)
1. |
Financial year for which grant-in-aid is applied |
|
__________________ |
2. |
Name of Organisation |
|
__________________ |
3. |
(a) Nature of the Project |
|
__________________ |
|
(b) Date of commencement of the Project |
|
_____ / _____ / _____ |
|
(c) Year of Commencement of Grant-in-aid from Punjab Government for the Project |
|
__________________ |
|
(d) Whether the Project is recognised by the Deputy Commissioner |
|
Yes/No |
4. |
Date of Registration of the Organisation |
|
_____ / _____ / _____ |
5. |
Address of Registered Office |
|
__________________ |
|
|
|
Telephone No.: |
|
|
|
Email: |
6. |
(a) Complete Address of location/ location where programme/ project/ scheme is being implemented |
|
__________________ |
|
(b) Nearest Railway Station/Bus stand |
|
__________________ |
7. |
Whether building is |
|
Lease / Donated (Please indicate against appropriate box) |
*Please indicate: Type of Project |
|||
8. |
(a) Is the building being utilized exclusively for this Programme? |
|
__________________ |
|
(b) If no, provide details of usage |
|
__________________ |
9. |
|
|
__________________ |
|
(a) Covered Area |
|
(in sq. metres) |
|
(b) Number of rooms |
|
|
10. |
Whether separate project-wise accounts have been maintained for grants sanctioned earlier? |
|
__________________ |
|
|
|
Yes/No |
11. |
Whether bank statement attached? |
|
Yes/No |
12. |
Details of bank accounts in which grant-in-aid released during previous financial year: |
S. No. |
Grant-in-aid for Financial Year |
Sanction Letter Number |
Dated |
Recurring Amount |
Non-recurring Amount |
Bank A/c No. |
Name and Address of Bank |
Person Operating the Joint Account |
1. |
2. |
12. |
Whether the statements of accounts submitted along with the application: |
|
|
(Please indicate against appropriate box) |
|
13. |
List of other sources of grant- in – aid funding (if any )with the name of the scheme / project , purpose amount, etc. (separately) |
|
14. |
The amount of support sought from the Punjab Government for the year |
|
|
|
|
Cost Head Group |
Rs. (lakhs) |
|
(a) |
Recurring |
|
(b) |
Non-recurring |
|
(c) |
Total |
|
15. |
Whether List of Beneficiaries added as per Form – I |
|
Yes/No |
16. |
Whether List of Managing Committee added as per Form – II |
|
Yes/No |
17. |
Whether List of Employees added as per Form – III |
|
Yes/No |
18. |
Whether the Organisation is registered with NITI AAYOG in the NGO-PS Portal ? If so, indicate the registration number. |
|
Yes/No |
____________________ |
|||
|
(mark above against the appropriate box) |
|
|
19. |
Financial year for which grant-in-aid is applied |
|
____________________ |
20. |
Name of Organisation |
|
____________________ |
21. |
|
|
|
|
(e) Nature of the Project |
____________________ |
|
|
(f) Date of commencement of the Project |
|
_____ / _____ / _____ |
|
(g) Year of Commencement of Grant-in-aid from Punjab Government for the Project |
|
____________________ |
|
(h) Whether the Project is recognised by the Deputy Commissioner |
|
Yes/No |
22. |
Date of Registration of the Organisation |
|
_____ / _____ / _____ |
23. |
Address of Registered Office |
|
____________________ |
|
|
|
Telephone No.: |
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|
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Email: |
24. |
|
|
|
|
(c) Complete Address of location/ location where programme/ project/ scheme is being implemented |
|
____________________ |
|
(d) Nearest Railway Station/Bus stand |
|
____________________ |
25. |
Whether building is |
|
Owned / Rented / On Lease / Donated (Please indicate against appropriate box) |
*Please indicate: Type of Project |
|||
26. |
|
|
|
|
(c) Is the building being utilized exclusively for this Programme? |
|
____________________ |
|
(d) If no, provide details of usage |
|
____________________ |
27. |
|
|
____________________ |
|
(c) Covered Area |
|
(in sq. metres) |
|
(d) Number of rooms |
|
____________________ |
28. |
Whether separate project-wise accounts have been maintained for grants sanctioned earlier? |
|
Yes/No |
29. |
Whether bank statement attached? |
|
Yes/No |
30. |
Details of bank accounts in which grant-in-aid released during previous financial year: |
S. No. |
Grant-in-aid for Financial Year |
Sanction Letter Number |
Dated |
Recurring Amount |
Non-recurring Amount |
Bank A/c No. |
Name and Address of Bank |
Person Operating the Joint Account |
1. |
2. |
31. |
Whether the statements of accounts submitted along with the application: |
|
(Please indicate against appropriate box) |
32. |
The amount of support sought from the Punjab Government for the year ______ |
|
|
|
Cost Head Group |
Rs. (lakhs) |
|
(a) |
Recurring |
|
(b) |
Non-recurring |
|
(c) |
Total |
|
33. |
Whether List of Beneficiaries added as per Form – I |
Yes/No |
34. |
Whether List of Managing Committee added as per Form – II |
Yes/No |
35. |
Whether List of Employees added as per Form – III |
Yes/No |
36. |
Whether the Organisation is registered with NITI AAYOG in the NGO-PS Portal? If so, indicate the registration number. |
Yes/No |
|
(mark above against the appropriate box) |
|
Form 2
[See clause 3(3)]
Government of Punjab
Department of Social Security and Women & Child Development
(Disability Branch)
Certificate Of Registration
(Under The Punjab Management Of Senior Citizen Homes For Elderly Persons Scheme, 2019)
After perusal of the documents submitted as per Form 1 is granted registration No.............as a Senior Citizen Home Under The Punjab Management Of Senior Citizen Homes For Elderly Persons Scheme, 2019 with effect from.............. for a period of ........years. The.........................(Name of the Institution) which has the capacity of...................... Senior citizens shall remain bound to follow the following Act, Rules and Scheme guidelines framed by the Central/ State Government and any changes made therein from time to time.(a) The Maintenance and Welfare of Parents and Senior Citizens Act 2007
(b) Senior-Citizens-Act-2012-Punjab rules
(c) The Punjab Management Of Senior Citizen Homes For Elderly Persons Scheme, 2019
Dated this ................. Day of ................. 20..................... (Signature) Seal
(Director, Department of Social Security and Women & Child Development)
Form 3
[See clause 4(5)]
Inspection Form By Inspection Committee
(Fill as applicable)
Date of visit: ............................ Time of visit: .............................. Name of the officials inspecting the Home:1. ...................................
2. .................................
3. .................................
A. General Information:i. Name and address of the Organisation:
..............................................................................................................
...................................................................................................................................
ii. Registration No. (Under The Punjab Management Of Senior Citizen Homes For Elderly Persons Scheme, 2019 ): ............................
Date of issue : .............................................................................
Date of expiry : ...............................................................................................
iii. Complete address of the senior citizen home :
.........................................................................................................
.......................................................................................................................
iv. Name of the Officer/Person-in-Charge:
....................................................................................
v. Contact No: ............................... Email Id:
........................................................
vii If Aided/supported: by State Government, Name of the Department:
viii If run by Government:
B. Status of Senior citizens:(i) Sanction capacity of the Home...............................
(ii) Are senior citizen of both sexes kept in the same home Yes/No
If yes, number of such male/female senior citizen as on today......................(iii) Are the bathing and sleeping facilities maintained separately? Yes No...................................................................
C. Infrastructure:• Building:
Rented:.................. Owned..................................
• Are CCTV cameras installed at the entrance Yes/No
• Security Adequate Inadequate
• Sufficient space to accommodate the senior citizens: Yes/No
• Space available:
No. of rooms / dormitories Details |
(whether well-maintained or not – ventilation/clothing/bedding/lockers/ hygienic) |
Provision of sick room / medical unit for senior citizens |
|
Counseling room |
|
• Is there a TV set available with Cable network
• Any other recreational activities, etc.
(Please specify)
Kitchen / Dining Room |
Adequate/inadequate |
Adequate water supply for washing, cooking |
|
Number of toilet/bathrooms for senior citizens |
Adequate/inadequate |
Open space for outdoor activities |
Adequate/inadequate |
• Medical facilities/ Maintenance of Health Cards: ..........................................
• Nutrition / Special Diet: .........................................................................
• Provision of safe drinking water: .........................................................................
• Is the number of senior citizen helpline (1098) displayed near the phone Yes No
• Counselling/ Guidance services/physiotherapist, etc. provided : ...........................
..............................................................................................................
• Other programmes and activities initiated: ..............................................................
E. Staff Details :
S.No. |
Name |
Designation |
Date of Joining |
Attendance at the time of visit |
Remarks |
|
|
|
|
|
|
|
|
|
|
|
|
• Formation of Senior Citizen Committee / Management Committee:
• Date of constitution of Management Committee and frequency of meetings held :
• ...........................................................................................................
G. Record Maintenance :
Staff attendance register |
Senior citizen attendance register |
Medical file / medical cards |
Personal belongings register |
Management Committee – minutes register |
Nutrition / Diet File |
Any other record maintained Yes No(please specify) |
Observations/Remarks: ................................................................................................................................................ |
Name of inspection Committee member:
Signature:
Name of inspection Committee member:
Signature:
Name of inspection Committee member:
Signature:
Name of inspection Committee member:
Signature:
List of Documents to Be Submitted Along with Application for 1st Instalment or New Casea. Accounts in 4 parts for the project for which grant-in-aid is sought and for the institution as a whole.
I. Income & Expenditure Statement
II. Receipt & Payments Statement
III. Balance Sheet
IV. Auditors Report
b. Activity Report of the Institution for the previous year.
c. Budget Estimates for the project for current year
d. Details of Beneficiaries.
e. Details of the Managing Committee.
f. Details of Employees.
g. Copy of Registration Certificate
h. Memorandum of Association / bye-laws / Articles.
i. Utilization Certificate in respect of grants released in the previous year
Note. - In the case of new projects, accounts should be audited and the accounts submitted for the preceding two years. The requirement of Utilisation Certificate (UC) does not apply in such cases.
Annexure -1
(See Clause 3)
Calculation of costs for an Old Age Home for 150 residents Land:• Total Requirement: Covered Area 28300 sq. ft.+ Open Area (7000 sq. ft.) =35300 sq. ft.
• Cost of Purchase: Rough estimate Rs.1.5 crore to Rs 2.0 crore, depending upon the location.
• Purchase: Land purchase cost for area of 28300+7000=35300 sq. ft. would vary from location to location; but funds are a major constraint.
• Lease: Land can be taken on lease from Red Cross or some Government Department or institution but availability is a constraint
• Donations: Land can be sought as donation from individuals/s through public advertisements but there is no certainty that such offers will be forthcoming.
Annexure -2
(See Clause 3)
Calculation of costs for an Old Age Home for 150 residents Physical Infrastructure:
Sr. No. |
Facility |
Area in sq. ft.for 150 residents |
1 |
Room(15*15=225) attached bathroom X 20625 (50)=225+50=275*75 rooms |
20625 |
2 |
Superintendent Room |
225 |
3 |
Office Room |
225 |
4 |
Dining + Kitchen + Store |
2000 |
5 |
Common Entrance & Corridor |
3000 |
6 |
Recreational Room |
1000 |
7 |
Library |
250 |
8 |
Doctor/Dispensary Sick Room |
250 |
9 |
Store |
500 |
10 |
Counseling Room |
225 |
|
Total Covered Area |
28300 |
|
Cost of Construction per sq.ft.@ Rs.1200 |
|
|
Total Cost of Construction (approx.) = |
Rs.3.40 crore |
|
Open area required, approximately 7000 sqft |
|
Annexure - 3
[See Clause 10 (2)(e)]
Calculation of costs for an Old Age Home for 150 residents Manpower:
Sr. No. |
Category/ Post |
Qualification |
No. of Vacancies |
Salary Per Month |
Annual Expenditure |
1 |
Superintendent |
Graduate with minimum experience of 3 years in managing a similar centre. |
1 |
15,000 |
1,80,000 |
2 |
Counselor |
Post-graduate in Social Work/ Psychology to assess the emotional status of residents and to provide counselling services. Should attend 2 hours every day. |
1 |
10,000 |
1,20,000 |
3 |
Yoga Teacher/Trainer |
A trained yoga instructor who must visit the centre at least thrice a week for a minimum of one hour per visit. |
1 |
1,500 |
18,000 |
4 |
Attendants (Male and Female) |
Trained attendants, male and female to provide nursing and basic geriatric care. |
6 |
10,000 |
7,20,000 |
5 |
Cook |
|
2 |
8,500 |
2,04,000 |
6 |
Cook cum helper |
|
2 |
8,200 |
1,96,800 |
7 |
Sweeper |
4 hours per day |
2 |
6000 |
1,44,000 |
8 |
Caretaker |
|
6 |
8200 |
5,90,400 |
9 |
Security Guard |
|
6 |
8200 |
5,90,400 |
10 |
Doctor |
Civil Hospital |
0 |
0 |
0 |
11 |
Miscellaneous Expenditure |
|
|
|
|
|
(OE, Computer etc.) |
|
5000*12 60,000 |
||
|
|
|
Total Rs. |
28,23,600 lac |
Annexure - 4
[See Clause 10 (2)(I)]
Calculation of costs for an Old Age Home for 150 residents Non-Recurring Expenses:
Sr. No. |
Item/Facility |
Quantity |
Cost per Unit |
Total Cost Rs. |
1 |
Beds |
150 |
5,000 |
7,50,000 |
2 |
Almirah |
150 |
10,000 |
15,00,000 |
3 |
Dining table set for 150 |
|
|
3,00,000 |
4 |
Office chairs |
30 |
1,500 |
45,000 |
5 |
Library chairs |
50 |
1,500 |
75,000 |
6 |
Library almirah |
15 |
10,000 |
1,50,000 |
7 |
Computer set |
3 |
60,000 |
1,80,000 |
8 |
Computer table |
3 |
5,000 |
15,000 |
9 |
TV (50 inch) |
1 |
1,00,000 |
1,00,000 |
10 |
Kitchen utensils |
Full set |
5,00,000 |
5,00,000 |
11 |
Washing machine 7 ltr fully automatic |
6 |
25,000 |
1,50,000 |
12 |
Refrigerator 290 ltr |
3 |
30,000 |
90,000 |
13 |
Deep freezer |
3 |
45,000 |
1,35,000 |
14 |
Geyser |
75 |
10,000 |
7,50,000 |
15 |
Cooler |
100 |
8,000 |
8,00,000 |
16 |
CCTV (complete set) |
6 |
50,000 |
3,00,000 |
17 |
Ro commercial |
3 |
50,000 |
1,50,000 |
18 |
Water cooler 50 ltr |
3 |
50,000 |
1,50,000 |
19 |
Contingency (minor repair, sticks, walker, fire extinguisher etc. as per requirement |
|
6,00,000 |
|
|
|
|
Total expenditure Rs. |
67,90,000 |
Annexure - 5
[See Clause 10 (2)(h)]
Calculation of costs for an Old Age Home for 150 residents Furnishings and Linen:
Sr. No. |
Item |
Priovision per Person |
Rate per unit Rs. |
Total Cost Exp. Rs. |
Total Exp. @ 150 Rs. |
1 |
Mattress |
1 per 2 years |
1,950 |
1,950 |
2,92,500 |
2 |
Cotton durries |
1 per 4 years |
650 |
650 |
97,500 |
3 |
Cotton Bed Sheet & Pillow cover |
2 at the time of admission and subsequently 2 after every 6 months |
350 |
1,400 |
2,10,000 |
4 |
Cotton Blanket/Khes |
2 at the time of admission and subsequently 1 after every 1 year |
700 |
1,400 |
2,10,000 |
5 |
Cotton filled quilt |
1 at the time of admission and subsequently 1 after every 2 years (in addition to blanket) |
950 |
950 |
1,42,500 |
6 |
Cotton Towels |
2 per quarter |
180 |
1440 |
2,16,000 |
7 |
Curtains |
4 per bed room |
500 |
2,000 |
3,00,000 |
|
|
Total |
|
9790 |
Rs.14,68,500 |
Annexure - 6
[See Clause 10 (2)(g)]
Calculation of costs for an Old Age Home for 150 residents Clothing for Women:
Sr. No. |
Item |
Quantity |
Rate per unit |
Total Exp. (Annual) |
Total Exp. @150 |
1 |
Salwar Kameez |
5 sets per season(6 months) |
1000 |
10,000 |
15,00,000 |
2 |
Undergarments |
4 sets per quarter |
150 |
2400 |
3,60,000 |
3 |
Woolen Sweaters(Full Sleeves) |
4 per season |
400 |
3200 |
4,80,000 |
4 |
Woolen Shawls & scarf/Cap |
2 per season |
500 |
2000 |
3,00,000 |
5 |
Nightwear |
2 sets per quarter |
500 |
4000 |
6,00,000 |
6 |
Socks |
3 sets per quarter |
50 |
600 |
90,000 |
7 |
Shoes |
2 per six month |
500 |
2000 |
3,00,000 |
8 |
Handkerchiefs |
2 per month |
25 |
600 |
90,000 |
9 |
Slippers |
1 half yearly |
150 |
300 |
45,000 |
Sr. No. |
Items |
Quantity |
Rate per unit |
Total Exp. (Annual) |
Total Exp. @150 |
1 |
T-shirts & Lower/Kurta Pajama |
2 sets half yearly |
700 |
1400 |
2,10,000 |
2 |
Pant Shirt |
4 sets |
1500 |
6000 |
9,00,000 |
3 |
Undergarments |
3 sets per quarter |
200 |
600 |
3,60,000 |
4 |
Woollen Jerseys(Full Sleeves) |
4 as per need |
600 |
2400 |
3,60,000 |
5 |
Woollen caps |
2 per season |
100 |
400 |
60,000 |
6 |
Socks |
3 sets per quarter |
50 |
600 |
90,000 |
7 |
Shoes |
2 sets half yearly |
500 |
2000 |
3,00,000 |
8 |
Handkerchiefs |
2 per month |
25 |
600 |
90,000 |
9 |
Slippers |
1 half yearly |
200 |
400 |
60,000 |
|
Total |
|
7150 |
22750 |
Rs.61,95,600/- |
Annexure - 7
[See Clause 10 (2)(i)]
Calculation of costs for an Old Age Home for 150 residents Toiletries:
Sr. No. |
Item |
Quantity per person |
Rate per unit |
Total Exp. |
Total Exp. @150 |
1 |
Hair Oil |
100 ml per month |
25 |
300 |
45,000 |
2 |
Toilet soap |
2 per month |
25 |
600 |
90,000 |
3 |
Tooth Brush |
1 in every 3 months |
25 |
100 |
15,000 |
4 |
Toothpaste |
100 gm tube per month. |
30 |
360 |
54,000 |
5 |
Comb |
1 every three months |
20 |
80 |
12,000 |
6 |
Shampoo |
4 pouch per month |
2 |
96 |
14,400 |
7 |
Bathing Soap |
2 bars of 125 gm per month |
25 |
300 |
45,000 |
8 |
Washing soap |
2 bar in 1 month |
25 |
600 |
90,000 |
9 |
Surf detergent |
6 kg in year |
300 |
300 |
45,000 powder |
10 |
Moisturiser or Cold Cream |
250 ml in a month |
40 |
480 |
72,000 |
11 |
Bath Tub & Mug |
1 set per annum |
300 |
300 |
45,000 |
12 |
Shaving set |
4 sets per year |
3600 |
3,600 |
5,40,000 |
|
|
(100 older men) |
|
|
|
|
|
Total |
4417 |
7116 |
Rs.10,67,400 |
Annexure - 8
[See Clause 10 (2)(a)]
Calculation of costs for an Old Age Home for 150 residents Diet:
Sr.No. |
Item |
Quantity per Day |
Cost per Month |
|
1 |
Atta |
600 gms. |
390 |
|
2 |
Rice |
100 gms. |
120 |
|
3 |
Sugar |
40 gms. |
60 |
|
4 |
Refined |
25 gms. |
75 |
|
5 |
Milk |
300 ml |
450 |
|
6 |
Dahi |
200 gms. |
360 |
|
7 |
Dal |
120 gms. |
45 |
|
8 |
Vegetables |
250 gms. |
360 |
|
9 |
Onion |
50 gm |
60 |
|
10 |
Adrak/Lahsun |
05 gm |
30 |
|
11 |
Masala |
05 gm |
45 |
|
12 |
Haldi |
05 gm |
30 |
|
13 |
Mirch |
05 gm |
30 |
|
14 |
Tea Leaves |
05 gm |
30 |
|
15 |
Paneer |
100 gm |
100 |
|
16 |
Egg |
04 piece/ per week |
112 |
|
17 |
Salt |
25 gm |
20 |
|
18 |
LPG Gas |
|
137 |
|
19 |
Any other item |
|
56 |
|
|
Total |
|
Rs.2510 |
|
Per month |
2510x150 |
Rs.3,76,500 |
|
|
Per year |
3,76,500x12 |
Rs.45,18,000 |
|