Rule 111-8-1-.12 - Services(1) The scope of services provided or arranged by the center shall be based on the written description of the program.(a) Adult day centers may provide a social model adult day care program or a medical model adult day health care program, which are differentiated by the intensity and scope of service delivery.(b) Each model or program shall comply with all the general licensing standards as well as the program specific requirements outlined herein.(2)Core Services. Core services provided by all centers shall include at a minimum the following: (a) Supervision commensurate with the needs of the participants;(b) Social and leisure activity programming which takes into consideration individual differences in health and functioning, lifestyle, ethnicity, religious affiliation, values, experiences, needs, interests, abilities and skills;(c) Individual and group activities that encourage creativity, social interaction, and physical activity appropriate to each participant's functional status and abilities; and(d) Nutrition, for all centers open for more than four (4) hours per day.(3)Optional Services. Optional or additional services that may be arranged for or provided by the adult day center include the following:(b) Assistance with the self-administration of medications.(4)Adult Day Health Services. In addition to the above core services, centers that provide adult day health services shall provide an ongoing program of therapeutic activities designed to meet, in accordance with the assessment or reassessment, the physical, mental and psychosocial well-being of each participant. The activity program shall be multifaceted and reflect each individual's needs, abilities, and interests and include the following:(c) Medication administration;(e) Occupational therapy; and(5)Individual Plan of Care. The services provided by the center shall be in accordance with the participant's individual plan of care.(a) The individual plan of care shall be completed by the Director or his/her designee, implemented within three business days of admission, and shall include the following:1. Signature of the participant or representative as evidence of their involvement;2. A review of the participant's functional abilities and disabilities, personal habits, likes and dislikes, medical condition and any other information helpful to developing the plan;3. A statement of the activities and services the center will provide in order to meet the participant's needs and preferences;4. The expected outcomes and the frequency of reevaluation of the plan;5. The participant's usual travel arrangements to and from the site, the usual time for arriving and leaving, and any plan for using transportation services; and6. The participant's usual times of arrival and departure not to exceed 14 hours in a 24 hour period. In addition to the above, for adult day health care centers, the individual plan of care shall also include:
7. The frequency and intensity of services to be provided; and8. Identification of the therapeutic service provider who will provide any therapeutic services;(b) The plan shall be reviewed and updated at least bi-annually or more often as warranted by changes in the participant's functioning, health condition, preferences or services. Changes shall be documented in the participant's record; and(c) For adult day health services, the center shall document at least quarterly how each participant is responding to the individual plan of care.(6) The center shall have a written agreement with any agency, program, or other service provider that provides essential services not provided directly by and otherwise the responsibility of the center. This written agreement shall include the nature and extent of the services provided and shall be updated annually. The center shall ensure that such services comply with the requirements of these rules.(7) If the center uses animals as part of the program of activities, any such animals shall be tolerant of people on the premises, and be currently inoculated against rabies, if applicable. Documentation of immunizations for all animals that live onsite or are provided by the center shall be maintained at the center.Ga. Comp. R. & Regs. R. 111-8-1-.12
O.C.G.A. § 49-6-81.
Original Rule entitled "Services" adopted. F. Dec. 18, 2014; eff. Jan. 7, 2015.