Okla. Admin. Code § 310:605-13-1

Current through Vol. 41, No. 24, September 3, 2024

Section 310:605-13-1 - Required services

Each adult day care center shall provide supervision of participants, assistance with activities of daily living, planned activities, social services, nutritious meals, and emergency and first aid services.

(1)Supervision of participants. Supervision and monitoring of participants shall include, but not be limited to, the following:

(A) Knowledge of participant's whereabouts while attending the program.

(B) Assistance as needed in interaction with other participants and staff.

(C) Observing functional status to determine if a change in the participant's plan of care is needed.

(2)Activities of daily living. Provisions shall be made for assistance and training in walking, feeding, toileting, personal care, and other activities of daily living according to each participant's plan of care. Assistance shall be provided by those qualified by licensure or certification.

(3)Planned activities.

(A) The adult day care center shall provide planned activities during at least one-half (1/2) of daily operations, with a minimum of four (4) hours of planned activities.

(B) Activities shall be planned to meet the needs, interests and abilities of participants.

(C) Participants shall be encouraged but may refuse to participate in any given activity.

(D) All activities shall be adequately supervised by program staff.

(E) A monthly schedule of activities shall be planned and shall be displayed prior to the first day of the month.

(F) Daily activities shall be posted in a visible location.

(4)Social services.

(A) The center may, upon request by a participant or his or her legal guardian, recommend to participants and their family available counseling services, if needed and desired, either within the center or by arrangement with resources in the community.

(B) Social services shall be directed toward the following:

(i) Maintaining the maximum social functions of the participant.

(ii) Assisting with personal, family, and adjustment problems.

(iii) Safeguarding and fostering the human and civil rights, human dignity and personal worth of each participant.

(5)Nutrition and food service.

(A) The adult day care center shall provide or make arrangements for a minimum of one meal daily which is of suitable quality and quantity for participants who are in the center for four (4) or more hours. The meal shall meet at least one-third (1/3) of an adult's current recommended dietary allowance (RDA) of the Food and Nutrition Board, National Academy of Sciences-National Research Council.

(B) Food shall be stored, prepared, and served in accordance with the Rules and Regulations for Food Service Establishments adopted by the State Board of Health.

(C) Food that is not prepared on site shall be prepared in a facility which meets the local and state health regulations.

(D) Poisons and other dangerous materials shall be stored in a non-food preparation and/or storage area.

(E) Potable water shall be available to all participants as needed.

(F) Menus shall be planned and written for a minimum of a two-week cycle, if meals are prepared on site.

(G) The menu shall be dated for the week of service and posted in a prominent area for the availability to the participant, family, or participant's designated representative.

(H) A therapeutic diet shall be provided for a participant when prescribed in writing by a physician.

(I) A qualified dietitian/nutritionist shall be provided for consultation with staff on basic and special nutritional needs and proper food handling techniques.

(J) Appropriate food containers and utensils shall be available as needed for use by handicapped participants.

(K) Dining areas shall be sufficiently equipped with tables and chairs to meet the needs of each participant including participants using wheelchairs.

(L) Garbage shall be stored, bagged, and dispose of in accordance to local and state health regulations.

(6)Emergencies and first aid.

(A) Written detailed plans for handling emergencies shall be established and shall be displayed in a conspicuous place within the facility.

(B) The plan shall relate to non-medical and medical emergencies and the responsibilities of each staff position shall be specified.

(C) All staff shall be knowledgeable about the plan.

(D) Each participant shall provide an emergency information sheet, medical history, and a signed liability release form for use in an emergency.

(E) The name and telephone number of participant's family member, caregiver, or responsible party shall be on file and retrievable by the staff.

(F) Emergency phone numbers shall be conspicuously posted to include ambulance, hospital, fire, and police when 911 is not available.

(G) There shall be at least one staff person on duty at all times who is trained in CPR.

(H) There shall be conducted regular drills for all staff in handling different kinds of emergencies and documented as to date, kind of emergency, and individual receiving training. Emergency drills shall be conducted at least once every three months.

(I) Any sickness, or accidents involving a participant, resulting in physical injury or suspected physical injury to the participant shall be reported to the director who shall arrange for appropriate action.

(J) Any participant who shows symptoms of illness or infectious disease shall be given the necessary attention and/or removed from the group.

(K) The provider shall have available a room for participants who require removal from the group due to temporary illness.

Okla. Admin. Code § 310:605-13-1

Added at 8 Ok Reg 2983, eff 5-28-91 (emergency); Added at 9 Ok Reg 1989, eff 6-11-92; Amended at 11 Ok Reg 901, eff 12-17-93 (emergency); Amended at 11 Ok Reg 2635, eff 6-25-94; Amended at 20 Ok Reg 1182, eff 5-27-03