Document Type

Capstone Project (Open Access)

Degree Name

Bachelor of Arts (B.A.)


Health, Human Services and Public Policy


Direct care staff of adults with developmental disabilities are not provided with information about changes to clients' physical and mental health. The Gateway Center of Monterey is a non-profit organization that provides a day program for adults with developmental disabilities to assist clients to live as independently as possible. Factors Contributing to this issue include time constraints, inadequate information provided to staff to adjust individual care, and staff resources being taxed to accommodate clients' changing needs. The communication deficiency led to clients’ changing needs not being met, staff needing to be equipped to accommodate changing needs, and communication breakdown between staff members. A daily communication log was developed and given to staff to increase communication between staff in different classrooms of the Day Program. The daily communion log is posted for staff to document clients' healthcare changes that all staff can reference to adjust clients’ care during the day program. The communication log resulted in a source to provide information to staff that needed to be improved about their clients changing health to modify how they cared for clients. The information provided met staff members’ goal to be better prepared to serve their clients. It is recommended for staff to incorporate communication from the residential and medical departments during the day program for clients changing needs.