16 Del. Admin. Code § 3360-7.0
Current through Register Vol. 28, No. 3, September 1, 2024
Section 3360-7.0 - Admission Agreement, Assessment And Discharge7.1 The adult day care facility shall have written admission policies which describe admission and discharge criteria.7.2 The admission policies shall be discussed with each participant entering the program, and their representative, if any.7.3 The adult day care facility shall only admit those individuals whose needs can be met by the facility.7.4 All participants shall be 18 years of age or older and functionally impaired as defined at Section 2.0.7.5 There shall be a written agreement between the participant and the adult day care program. The agreement shall: 7.5.1 Specify the services to be provided by the facility, scheduled days, financial arrangements, transportation agreements, emergency procedures and conditions for dismissal or discharge and appeal;7.5.2 Be signed by the participant, if he is able, and representative, if any, and the adult day care facility;7.5.3 Be given to the participant and representative, if any, and a copy shall be kept at the facility; and7.5.4 Be reviewed and updated as necessary to reflect the change in the services or the financial arrangements.7.6 Assessment 7.6.1 The facility shall be responsible for conducting a written assessment of an applicant within 30 days prior to admission. The assessment shall include input as required from physicians, licensed nurses, social workers, physical and occupational therapists, and other personnel with expertise as required by the participant's needs.7.6.2 The assessment shall be completed by the adult day care facility in conjunction with the participant and her/his representative, if any.7.6.3 The assessment shall include at a minimum a description of the participant's: 7.6.3.1 Physical condition, including ability to perform activities of daily living, such as ambulating, eating, toileting, and sensory limitations such as sight, hearing, and speech completed by a licensed nurse;7.6.3.2 Social situation, including living arrangements and the availability of family and community support; and,7.6.3.3 Mental status, including any cognitive impairment and known psychiatric, emotional, and behavioral problems.7.6.4 The initial assessment shall be reviewed and updated on a scheduled basis, but at least annually. This reassessment shall become a permanent part of the participant's record.7.6.5 A reassessment shall be conducted when the needs of the participant change which indicate a revision to the plan of care is needed.7.7 Discharge 7.7.1 No participant shall be discharged from an adult day care facility except for the following: 7.7.1.1 The participant's needs can no longer be met by the program of care;7.7.1.3 Non-participation in the plan of care or non-compliance with the written admission agreement;7.7.1.4 The participant's own welfare or the welfare of the other participants; or7.7.1.5 Nonpayment of justified charges.7.7.2 The participant and her/his representative, if any, shall be informed of and participate in discharge planning. A minimum of 2 weeks notice shall be given by the adult day care facility to the participant and representative, if any. However, the notice period may be waived if the care needs of the participant undergo a sudden change which necessitates immediate transfer to a facility or program able to provide a higher level of care. If the notice provisions are waived, the facility shall be responsible for assisting in suitable placement for the participant.7.7.3 The adult day care facility shall develop a written plan of discharge which outlines the services needed by the participant upon discharge.16 Del. Admin. Code § 3360-7.0
25 DE Reg. 776( 2/1/2022) (Final)