SUBCHAPTER 06S – ADULT DAY HEALTH STANDARDS FOR CERTIFICATION

 

SECTION .0100 ‑ INTRODUCTION AND DEFINITIONS

 

10A NCAC 06S .0101        INTRODUCTORY STATEMENT

Subchapter 06S contains standards for certification of adult day health programs.  The standards relate to all aspects of operation of an adult day health program including administration, facility and program operation. In order for payment to be made for adult day health services provided to individuals who are eligible for this service under Title XIX of the Social Security Act, the provider must be certified as meeting these standards.  Certification is the responsibility of the adult day health program, the county departments of health and social services and the Department of Health and Human Services, Division of Aging.

 

History Note:        Authority G.S. 131D‑6;

Eff. September 1, 1990;

Amended Eff. July 1, 2000.

SUBCHAPTER 06S – ADULT DAY HEALTH STANDARDS FOR CERTIFICATION

 

SECTION .0100 ‑ INTRODUCTION AND DEFINITIONS

 

10A ncac 06S .0102        DEFINITIONS

(a)  Adult day health services is the provision of an organized program of services during the day in a community group setting for the purpose of supporting an adult's personal independence, and promoting his social, physical, and emotional well-being.  Services must include health care services as defined in Rule .0403(a) of this Subchapter and a variety of program activities designed to meet the individual needs and interests of the participants, and referral to and assistance in using appropriate community resources. Also included are food and food services to provide a nutritional meal and snacks as appropriate to the program.  Transportation to and from the service facility is an optional service that may be provided by the day health program.

(b)  The community group setting is:

(1)           a day health center, which is a program operated in a structure other than a single family dwelling; or

(2)           a day health home, which is a program operated in a single family dwelling limited to 16 adults; or

(3)           a day health program in a multi-use facility, which is a day health center established in a building which is used at the same time for other activities; or

(4)           a combination program, which is a program offering both adult day care and adult day health services.

(c)  In addition to Paragraphs (a) and (b) of this Rule, the definitions of terms set forth in 10A NCAC 06R .0200 shall apply.

 

History Note:        Authority G.S. 131D-6; 143B-153;

Eff. September 1, 1990;

Temporary Amendment Eff. October 1, 2001;

Amended Eff. July 1, 2007; August 1, 2002.

 

SECTION .0200 ‑ ADMINISTRATION

 

10A NCAC 06S .0201        ADMINISTRATION

Administrative and personnel requirements as set forth in 10A NCAC 06R .0301, .0303, .0304, .0305(a)(1) and (3) through (8), .0305(b) and .0307 shall be met.

 

History Note:        Authority G.S. 131D‑6;

Eff. September 1, 1990;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0202        PROGRAM GOALS

The program shall have stated goals to guide the character of the services given.  The goals shall be in writing and consistent with the definition of adult day health services as stated in Rule .0102 of this Subchapter.

 

History Note:        Authority G.S. 131D‑6;

Eff. September 1, 1990;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0203        STAFFING PATTERN

(a)  The staffing pattern in day health centers and homes shall be dependent upon the enrollment criteria and the particular needs of the participants who are to be served.

(b)  There shall be a minimum of one full‑time equivalent staff position with responsibility for direct participant care for each five participants.  In combination programs, there shall be a minimum of one full‑time equivalent staff position with responsibility for direct participant care for each six participants.

(c)  Substitutes shall be used to maintain the staff‑participant ratio and to assure supervision of the delivery of the health care services whenever regularly scheduled staff are absent.

 

History Note:        Authority G.S. 131D‑6; 143B-153;

Eff. September 1, 1990;

Amended Eff. July 1, 2007.

 

10A NCAC 06S .0204        STAFF REQUIREMENTS

(a)  Standards as set forth in 10A NCAC 06R .0305(a), (b) and (d) shall be met by adult day health programs.

(b)  The program director for adult day health programs with a capacity of 10 or fewer participants may also serve as the health care coordinator provided that the individual meets all the requirements set forth in 10A NCAC 06R .0305(b) and in Paragraph (c) of this Rule and if requirements in Rule .0203 of this Section related to program capacity are met.  If requirements of 10A NCAC 06R .0305(b) and Paragraph (c) of this Rule are met, and the capacity is greater than 10 participants, the program director may serve as the substitute health care coordinator for up to but not exceeding three consecutive weeks.

(c)  Health Care Coordinator of Adult Day Health Programs:

(1)           Adult day health programs shall have a health care coordinator to coordinate the delivery of health care services and participate in direct care as specified in Subparagraph (c)(2) of this Rule.  The health care coordinator shall be on‑site a minimum of four hours per day and any additional hours necessary to meet the requirements for the provision of health care services as set forth in this Subchapter.

(2)           The nursing responsibilities of the health care coordinator, consistent with the Nursing Practice Act, include:

(A)          completing preadmission health assessment for initial acceptance into program, including problem‑identification and care planning;

(B)          implementing the health care components of the established service plan which include medication administration, wound care, enteral or parenteral feedings, bowel or bladder training and maintenance programs, tracheotomy care and suctioning, and delegating nursing care tasks to unlicensed personnel; 

(C)          monitoring participant's response to medical treatment plan and nursing interventions and revising plan of care as necessary;

(D)          reporting and recording results of the nursing assessment, care rendered and participant's response to care;

(E)           collaborating with other health care professionals and caregivers regarding provision of participant's health care;

(F)           educating other staff members to emergency procedures and providing information to staff and caregivers about health concerns and conditions of participants;

(G)          providing first aid treatment as needed; and

(H)          making certain health and personal care services as outlined in 10A NCAC 06S .0403 are provided to participants consistent with the participant's service plans.

(3)           The health care coordinator:

(A)          shall be either a registered nurse or a licensed practical nurse licensed to practice in North Carolina;

(B)          if the health care coordinator is a licensed practical nurse, supervision shall be provided by a registered nurse consistent with the Nursing Practice Act G.S. 90-171 and 21 NCAC 36 .0224 through .0225.  Copies of these Rules may be obtained from the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714, telephone (919) 733-2678, at a cost of two dollars and fifty cents ($2.50) for up to 10 pages and twenty-five cents ($.25) for each additional page, or available at the following website:  http://reports.oah.state.nc.us/ncac.asp.  The licensed practical nurse shall also receive on-site supervision by a registered nurse as needed, or at minimum, every two weeks.

(C)          shall have knowledge and understanding of the physical and emotional aspects of aging, the resultant diseases and infirmities, and related medications and rehabilitative measures;

(D)          shall be at least 18 years of age;

(E)           shall present, prior to beginning employment, a written medical statement completed within the prior 12 months by a physician, nurse practitioner, or physician's assistant, certifying that the employee has no illness or health condition that would pose a risk to others and ability to perform the duties assigned on the job; and

(F)           shall provide at least three reference letters or the names of individuals with whom a reference interview may be conducted, including at least one former employer.  The individuals providing reference information shall have knowledge of the applicant coordinator's background and qualifications.

(d)  Staff Responsible for Personal Care in Adult Day Health Programs.  All day health program staff providing personal care shall present evidence of meeting the following qualifications prior to assuming such responsibilities:

(1)           successful completion of nurse's aide, home health aide or equivalent training course, or

(2)           a minimum of one year of experience in caring for impaired adults.

 

History Note:        Authority G.S. 131D‑6; 143B-153;

Eff. September 1, 1990;

Amended Eff. September 1, 2007; July 1, 2007; May 1, 1992.

 

SECTION .0300 ‑ FACILITY REQUIREMENTS FOR CENTERS AND HOMES

 

10A NCAC 06S .0301        REQUIREMENTS

(a)  General requirements governing facilities, construction, equipment and furnishings for adult day care as set forth in 10A NCAC 06R .0400 shall apply to adult day health.

(b)  Additional facility requirements are as follows:

(1)           Facility space shall be of sufficient dimension and size to allow for required program group activities.  Notwithstanding the space requirements of 10A NCAC 06R .0401:

(A)          day health centers and day health homes shall provide at least 60 square feet of indoor space excluding hallways, offices and restrooms for each participant;

(B)          combination programs shall provide at least 50 square feet of indoor space excluding hallways, offices and restrooms for each participant; and

(C)          day health programs or combination programs which share space with other programs or activities in a multi‑use facility shall have a nucleus area separate from other activities in the rest of the building and shall have a fire-resistant rated separation according to the North Carolina Building Code.  The nucleus area must provide at least 40 square feet of indoor space per participant excluding hallways, offices and restrooms, and a minimum of 20 square feet per participant must be provided in other space in the facility designated for use by the day health program.  When the other space is being used at the same time by individuals participating in other services provided in the multi‑use facility, the 20 square feet per participant is in addition to any minimum square footage requirement for other use of such space.  Shared facility space outside the nucleus area which may be used by the day health program and counted in meeting the 20 square feet per participant requirement includes craft, therapy and other activity areas.  Dining space may be included if also used for activities.  Offices, restrooms, hallways, kitchens and shared treatment rooms shall not be counted in meeting the 20 square feet per participant requirement.  Participation shall be open only to persons enrolled in the program and to visitors on a planned basis.  Involvement of day health participants in other activities in the building shall be on planned basis, as a part of the day health program plan, and supervised by a day health staff member.

(2)           Facilities shall have a minimum of one male and one female accessible toilet in accordance with the North Carolina Accessibility Code.  One toilet shall be available for each 12 adults, including staff and participants who utilize the facility.  One hand lavatory shall be provided for each two toilets.

(3)           The facility shall have a minimum of one private office for staff use with equipment and furnishings for administrative purposes and for conferences with individual participants and families.

(4)           The facility shall include a treatment room which is enclosed and private from the rest of the facility.  The treatment room shall meet the requirements of the North Carolina State Building Code.  The treatment room shall have a sink or have a door‑way that connects it to a room containing a sink.  The room shall contain a treatment table or bed with a waterproof mattress cover that will serve as a treatment table, storage cabinet for first aid and medical supplies and equipment, table or desk and two chairs.  The storage cabinet shall be kept locked.

(5)           The treatment room shall provide a means of insuring the privacy of the person on the treatment table.

(6)           The treatment room shall have the following medical supplies and equipment:

(A)          first aid supplies consisting of absorbent compress, adhesive bandages, adhesive tape, antiseptic, burn treatment, medical exam gloves, sterile pads and triangular bandage;

(B)          fever thermometer;

(C)          blood pressure cuff;

(D)          stethoscope;

(E)           medical scales, or scales that can be calibrated;

(F)           emesis basin;

(G)          bed pan;

(H)          urinal; and

(I)            wash basin.

 

History Note:        Authority G.S. 131D‑6; 143B-153;

Eff. September 1, 1990;

Amended Eff. July 1, 2007.

 

10A NCAC 06S .0302        CONSTRUCTION REQUIREMENTS FOR DAY HEALTH HOMES

Standards as set forth in 10A NCAC 06R .0700 shall be met.

 

History Note:        Authority G.S. 131D‑6;

Eff. September 1, 1990.

 

SECTION .0400 ‑ PROGRAM OPERATION

 

10A NCAC 06S .0401        PROGRAM OPERATION REQUIREMENTS

Program operation standards as set forth in 10A NCAC 06R .0501, .0502, .0505, .0506, .0507, .0508, and .0509 shall be met.

 

History Note:        Authority G.S. 131D‑6;

Eff. September 1, 1990;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0402        ADDITIONAL ENROLLMENT AND PARTICIPATION REQUIREMENTS

(a)  Adult day health programs may serve persons 18 years of age or older who need day health services in order to support their independence and who require one or more of the following during the hours of the day health program:

(1)           Monitoring of a medical condition; or

(2)           Provision of assistance with or supervision of activities of daily living; or

(3)           Administration of medication, special feedings or provision of other treatment or services related to health care needs.

(b)  Day health programs shall not enroll or continue to serve persons whose needs exceed the capability of the program.

(c)  Each individual's service plan, in addition to the requirements set forth in 10A NCAC 06R .0501, shall include the health needs and the goals for meeting the health needs of the individual.

 

History Note:        Authority G.S. 131D‑6; 143B-153;

Eff. September 1, 1990;

Amended Eff. July 1, 2007; March 1, 1992.

 

10a NCAC 06s .0403        HEALTH AND PERSONAL CARE SERVICES

(a)  In adult day health programs, the following health care and personal care services shall be provided:

(1)           assistance with activities of daily living including feeding, ambulation, or toileting as needed by individual participants;

(2)           health care monitoring of each participant's general health and medical regimen.  This includes documenting the periodic assessment of the vital signs, weight, dental health, general nutrition, and hygiene of each participant.  When health changes occur, positive or negative, the adult day care program staff shall notify the family, caretaker or responsible party of the changes.  The change in health status and notification shall be recorded in the participant's file;

(3)           assistance to participants and caregivers with medical treatment plans, diets, and referrals as needed;

(4)           health education programs for all participants on a regular basis, at least monthly, and health care counseling tailored to meet the needs of participants and caregivers; and

(5)           first aid treatment as needed.

(b)  Specialized services, e.g. speech therapy, physical therapy, and counseling, shall be facilitated by the adult day health program as ordered by a physician and as available through community resources.

 

History Note:        Authority G.S. 131D‑6; 143B-153;

Eff. September 1, 1990;

Amended Eff. July 1, 2007; March 1, 1992.

 

10A ncac 06S .0404        TRANSPORTATION

Standards as set forth in 10A NCAC 06R .0503 shall be met by adult day health programs.

 

History Note:        Authority G.S. 131D-6; 143B-153;

Eff. September 1, 1990;

Temporary Amendment Eff. October 1, 2001;

Amended Eff. July 1, 2007; August 1, 2002.

 

10A NCAC 06S .0405        EMERGENCIES AND FIRST AID

Standards as set forth in 10A NCAC 06R .0504 shall be met by adult day health programs.

 

History Note:        Authority G.S. 131D‑6; 143B-153;

Eff. September 1, 1990;

Amended Eff. July 1, 2007.

 

SECTION .0500 ‑ CERTIFICATION INFORMATION

 

10A NCAC 06S .0501        PROCEDURE

(a)  All individuals, groups or organizations operating or wishing to operate an adult day health program as defined by G.S. 131D‑6 must apply for a certificate to the county department of social services in the county where the program is to be operated.

(b)  A designated social worker will supply necessary forms and standards for certification and will make a study of the program.

(c)  The following forms and materials make up an initial certification package and must be submitted through the county department of social services to the state Division of Aging:

(1)           The program policy statement;

(2)           Organizational diagram;

(3)           Job descriptions;

(4)           Documentation showing planned expenditures and resources available to carry out the program of service for a 12 month period;

(5)           A floor plan of the facility showing measurements, restrooms and planned use of space;

(6)           Form DSS‑1498 (Fire Inspection Report) or the equivalent completed and signed by the local fire inspector, indicating approval of the facility, no more than 30 days prior to submission with the certification package;

(7)           Form DSS‑1499 (Building Inspection Report for Day Care Services for Adults) or the equivalent completed and signed by the local building inspector, or fire inspector or fire marshall if a building inspector is not available, indicating approval of the facility, no more than 30 days prior to submission with the certification package;

(8)           Form DSS‑2386 (Sanitation Evaluation Report) or the equivalent completed and signed by a local sanitarian, indicating approval of the facility, no more than 30 days prior to the submission with the certification package;

(9)           Written notice and the effective date, if a variance of local zoning ordinances has been made in order for property to be utilized for an adult day health program;

(10)         A copy of the articles of incorporation, bylaws and names and addresses of board members, for adult day health programs sponsored by a non‑profit corporation;

(11)         The name and mailing address of the owner if a proprietary program;

(12)         A medical statement of each proposed staff member certifying to freedom from communicable disease or condition and to good health signed by a licensed physician, physician assistant or nurse practitioner no more than 30 days prior to submission with the certification package.  When such certification cannot be made, employment may commence, continue, terminate, or be reassigned based on an assessment on whether the employee's work tasks would pose a significant risk to the health of the employee, co‑workers or the public, or whether the employee is unable to perform the normally assigned job duties; and

(13)         DSS‑6205 (Adult Day Health Certification Report).  This form must be submitted by the county department of social services with a copy to the program.

(d)  The following forms and materials make up a certification package for the renewal of a certification and must be submitted through the county department of social services, no more than 60 days prior to the end of the current period of certification, to the state Division of Aging:

(1)           Form DSS‑1498 (Fire Inspection Report) or the equivalent completed and signed by the local fire inspector, indicating approval of the facility, no more than 12 months prior to submission with the certification package;

(2)           Form DSS‑1499 (Building Inspection Report for Day Care Services for Adults) or the equivalent when structural building modifications have been made during the previous 12 months, completed and signed by the local building inspector, or fire inspector or fire marshall if a building inspector is not available, indicating approval of the facility, within 30 days following completion of the structural building modifications;

(3)           Form DSS‑2386 (Sanitation Evaluation Report) or the equivalent completed and signed by a local sanitarian, indicating approval of the facility, no more than 12 months prior to submission with the certification package;

(4)           A medical statement for each staff member certifying to freedom from communicable disease or condition and to good health signed by a licensed physician, physician assistant or nurse practitioner no more than 12 months prior to submission with the certification package.  When such certification cannot be made, employment may commence, continue, terminate, or be reassigned based on an assessment on whether the employee's work tasks would pose a significant risk to the health of the employee, co‑workers or the public, or whether the employee is unable to perform the normally assigned job duties;

(5)           An updated copy of the policy statement, organizational diagram, job descriptions, names and addresses of board members if applicable, and a floor plan showing measurements, restrooms, and planned use of space, if any changes have been made since the previous certification package was submitted;

(6)           Documentation showing planned expenditures and resources available to carry out the program of service for a 12 month period; and

(7)           DSS‑6205 (Adult Day Health Certification Report).  This form must be submitted with the certification package by the Department of Social Services to the Division of Aging at least 30 days in advance of the expiration date of the certificate, with a copy to the program.

(e)  If during the study of the program it does not appear that all standards can be met, the county department will so inform the applicant, indicating in writing the reasons, and give the applicant an opportunity to withdraw the application. Upon the applicant's request, the application will be completed and submitted to the Division of Aging for consideration.

(f)  Following review of the certification package, a pre‑certification visit may be made by staff of state Division of Aging.

(g)  The Division of Aging will promptly notify in writing to the applicant and the county department of social services of the action taken after a review of the certification package and visit, if made.

 

History Note:        Authority G.S. 130A‑148; 131D‑6; 143B‑153;

Eff. May 1, 1992;

Amended Eff. July 1, 2000; March 1, 1993.

 

10A NCAC 06S .0502        CHANGES IN PERSONNEL

The requirements in 10A NCAC 06R .0602 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D‑6; 143B‑153;

Eff. March 1, 1992;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10a NCAC 06s .0503        THE CERTIFICATE

The requirements in 10A NCAC 06R .0801 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D‑6; 143B‑153;

Eff. March 1, 1992;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0504        PROVISIONAL CERTIFICATE

The requirements in 10A NCAC 06R .0802 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D‑6; 143B‑153;

Eff. March 1, 1992;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0505        TERMINATION OF CERTIFICATION

The requirements in 10A NCAC 06R .0803 shall control for this Subchapter. Subchapter.

 

History Note:        Authority G.S. 131D‑6; 143B‑153;

Eff. March 1, 1992;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06s .0506        DENIAL OR REVOCATION OF CERTIFICATE

The requirements in 10A NCAC 06R .0804 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D‑6; 143B‑153;

Eff. March 1, 1992;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10a NCAC 06s .0507        PENALTY

The requirements in 10A NCAC 06R .0805 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D‑6; 143B‑153;

Eff. March 1, 1992;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0508        PROCEDURE FOR APPEAL

The requirements in 10A NCAC 06R .0806 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D‑6; 143B‑153;

Eff. March 1, 1992.

 

10a NCAC 06s .0509        CORRECTIVE ACTION

The requirements in 10A NCAC 06R .0102 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D‑6; 143B‑153;

Eff. March 1, 1992;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

SECTION .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS

 

10A NCAC 06S .0601        DISCLOSURE

Disclosure standards as set forth in 10A NCAC 06R .0902 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D-6; 143B-153; S.L. 1999-334;

Temporary Adoption Eff. September 28, 1999;

Eff. July 17, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0602        THE FACILITY – SPECIAL CARE SERVICES

In addition to meeting the general requirements for facility grounds as set forth in 10A NCAC 06S .0401(a), an adult day health home or center or combination center providing special care services shall assure that participants receiving this service have access to an outside area. This area shall be secured or supervised when participants have a physical or cognitive impairment and their safety and well-being would otherwise be compromised.

 

History Note:        Authority G.S. 131D-6; 143B-153; S.L. 1999-334;

Eff. July 17, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0603        ENROLLMENT – SPECIAL CARE SERVICES

In addition to meeting enrollment and participation requirements in Rule .0402 of this Subchapter, an adult day health home or center or a combination center providing special care services shall meet the Enrollment – Special Care Services standards set forth in 10A NCAC 06R .0904.

 

History Note:        Authority G.S. 131D-6; 143B-153; S.L. 1999-334;

Eff. July 17, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0604        INDIVIDUAL SERVICE PLANS – SPECIAL CARE SERVICES

The Individual Service Plans – Special Care Services standards as set forth in 10A NCAC 06R .0905 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D-6; 143B-153; S.L. 1999-334;

Eff. July 17, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0605        PROGRAM PLAN – SPECIAL CARE SERVICES

The Program Plan – Special Care Services standards as set forth in 10A NCAC 06R .0906 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D-6; 143B-153; S.L. 1999-334;

Eff. July 17, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0606        STAFF ORIENTATION AND TRAINING – SPECIAL CARE SERVICES

The Staff Orientation and Training – Special Care Services standards as set forth in 10A NCAC 06R .0907 shall control for this Subchapter.

 

History Note:        Authority G.S. 131D-6; 143B-153; S.L. 1999-334;

Eff. July 17, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

 

10A NCAC 06S .0607        REQUIREMENTS FOR SPECIAL CARE SERVICES UNIT

(a)  In addition to meeting all other special care services requirements, an adult day health center or combination center with a special care services unit shall assure the following:

(1)           A special care services unit separated by closed doors from the rest of the center shall meet equipment and furnishing requirements set forth in 10A NCAC 06R .0403(a)(1),(2),(3) and (b).

(2)           An area designated as a special care services unit shall provide space on the unit for each participant as stated in Rule .0301(b)(1)(A),(B) of this Subchapter.

(3)           An area designated as a special care services unit within the center shall meet existing adult day health staffing ratio requirements as stated in Rule .0203(b) and (c) of this Subchapter.

(b)  The Requirements for Special Care Services Unit standards as set forth in 10A NCAC 06R .0908(1),(3) shall control for this Subchapter.

 

History Note:        Authority G.S. 131D-6; 143B-153; S.L. 1999-334;

Eff. July 17, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.