Utah Admin. Code 432-150-6

Current through Bulletin No. 2024-21, November 1, 2024

Section R432-150-6 - Adult Day Care Services

(1) A licensed nursing care facility may provide adult day care without an additional license from the department.

(2) The licensee shall submit policies and procedures for adult day care to the department for approval.

(3) The governing body shall designate a qualified director to be responsible for the day-to-day program operation.

(4) The director shall maintain written records on-site for each client and staff person, that includes the following:

(a) demographic information;

(b) an emergency contact with name, address, and telephone number;

(c) client health records, including the following:

(i) record of medication including dosage and administration;

(ii) a current health assessment, signed by a licensed practitioner; and

(iii) level of care assessment;

(d) signed client agreement and service plan; and

(e) employment file for each staff person that includes:

(i) health history;

(ii) background clearance consent and release form;

(iii) orientation completion; and

(iv) in-service requirements.

(5) The licensee shall have a written eligibility, admission, and discharge policy that includes the following:

(a) intake process;

(b) notification of responsible person;

(c) reasons for admission refusal, including the director's written, signed statement;

(d) resident rights notification; and

(e) reason for discharge or dismissal.

(6) Before the licensee admits a client to the facility, the licensee shall ensure the following are addressed in writing to determine client eligibility for the program:

(a) current health status;

(b) medical history;

(c) immunizations;

(d) legal status; and

(e) psychological factors.

(7) The licensee shall ensure that the director or designee, the responsible person, and the client if competent develops a written, signed client agreement that includes:

(a) rules of the program;

(b) services to be provided and cost of service, including refund policy; and

(c) arrangements regarding the following:

(i) absenteeism;

(ii) visits;

(iii) vacations;

(iv) mail;

(v) gifts; and

(vi) telephone calls.

(8) The licensee shall ensure the following:

(a) the director or designee develops an individual client service plan that is implemented for the client within three days of admission to the program;

(b) the director or designee ensures the service plan includes the specification of daily activities and services; and

(c) the director or designees shall reevaluate, and change if necessary, the client's service plan at least every six months.

(9) The licensee shall maintain the following incident report documentation that outlines the actions taken, including actions taken to avoid future incident or injury following any:

(a) client death;

(b) injuries;

(c) elopement;

(d) fights or physical confrontations;

(e) situations that require the use of passive physical restraints;

(f) suspected abuse or neglect; and

(g) other situations or circumstances affecting the health, safety, or well-being of a client while in care.

(10) The director shall notify and review the incident report with the responsible person no later than when the client is picked up at the end of the day.

(11) The licensee shall post and implement a daily activity schedule.

(12) The licensee shall:

(a) ensure clients are directly supervised at all times and are encouraged to participate in activities;

(b) provide at least 50 square feet of indoor floor space, excluding hallways, office, storage, kitchens, and bathrooms, per client designated for adult day care during program operational hours;

(c) maintain any indoor and outdoor areas in a clean, secure, and safe condition;

(d) provide at least one bathroom designated for client use during business hours;

(e) provide separate male and female bathrooms designed for client use if serving more than ten clients;

(f) ensure staff supervision is provided continually when clients are present;

(g) ensure one staff member provides continuous, direct supervision when eight or fewer clients are present;

(h) provide continuous, direct supervision at a ratio of one staff to every eight clients; and

(i) if one-half or more of the clients are diagnosed by a physician's assessment with Alzheimer's or other dementia, the ratio is one staff for every six clients, or fraction thereof.

Utah Admin. Code R432-150-6

Amended by Utah State Bulletin Number 2024-01, effective 12/12/2023