N.J. Admin. Code § 10:164A-4.1

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:164A-4.1 - Scope of services or required services

(a) A structured, supervised program shall be provided for clients based on a care plan developed through an assessment of individual strengths and deficits related to physical, social, emotional and cognitive functioning. The care plan shall be reviewed on a quarterly basis, modified as necessary, and shall include identified short term and long term goals of implementation. Discharge planning, initiated at the time of admission, shall address the potential for progressive deterioration which would alter the appropriateness of day care and necessitate helping the caregiver to access alternative resources. The discharge plan may be incorporated into the client's care plan.

(b) A minimum of five hours of structured programming per day shall be provided to clients funded through this program.

(c) The agency shall provide an area for individual client attention and supervision, as appropriate.

(d) Clients shall receive a hot meal and nutritious snacks. Each meal shall contain at least one-third of the Food Nutrition Board Recommended Dietary Allowances, 10th edition, Washington, DC: National Academy Press, 1989, incorporated herein by reference, as amended and supplemented, and shall contain three or more menu items, one of which is or includes a high quality protein food such as meat, fish, eggs, or cheese. Provisions shall be made for clients on special diets.

(e) Transportation shall be provided or arranged for clients within the agency's catchment area except when a family member has chosen to fulfill that responsibility. No client shall be transported more than one hour each way by the agency. Agencies shall not charge transportation costs to families if transportation is factored into their cost proposal.

(f) Counseling and referral services shall be routinely available to family members and caregivers of clients served under this program. Counseling may be on a one-to-one basis or in the form of support groups sponsored by the agency. In the event that the agency does not sponsor a support group, it may refer caregivers to other support groups for caregivers of individuals with dementia within the catchment area. Referral activities shall include identifying and assisting caregivers and assessing other services which will aid them in sustaining their roles.

(g) The agency shall provide information about other programs and services for which the client may be eligible. The agency shall coordinate referral efforts with its county New Jersey Easy Access, Single Entry (NJ EASE) care manager.

(h) The agency shall conduct outreach efforts, via media and other avenues, to inform caregivers of the benefits to be derived from adult day services. The Department shall not accept advertising costs that exceed more than one percent of the agency's total program operating budget for adult day service programs funded under this chapter.

(i) Educational programs for family members related to the management of dementia shall be provided by the agency. The center may provide educational programs using existing staff or may enter into written agreement(s) with other local agencies for the provision of this service.

N.J. Admin. Code § 10:164A-4.1

Amended by R.2006 d.380, effective November 6, 2006.
See: 38 N.J.R. 2365(a), 38 N.J.R. 4694(a).
In (h), inserted "program".