Utah Admin. Code 432-270-30

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

Section R432-270-30 - Adult Day Care Services

(1) Type I and type II assisted living licensees may offer adult day care services and are not required to obtain a separate license from Utah Department of Health and Human Services. If the licensee provides adult day care services, they shall submit policies and procedures for department approval.

(2) The licensee shall ensure that a qualified director is designated by the governing board to be responsible for the day-to-day program operation.

(3) The licensee shall ensure that the director has written records on-site for each resident and staff person, to include the following:

(a) demographic information;

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

(c) resident 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 resident 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 training requirements.

(4) The licensee shall ensure there is a written eligibility, admission, and discharge policy to include the following:

(a) intake process;

(b) notification of responsible party;

(c) reasons for admission refusal that includes a written, signed statement;

(d) resident rights notification; and

(e) reason for discharge or dismissal.

(5) Before a licensee admits a resident, a written assessment shall be completed to evaluate current health and medical history, immunizations, legal status, and social psychological factors.

(6) The licensee shall ensure that the director or designee develops a written resident agreement, with the resident, the responsible party and the director or designee, that is completed and signed by each party and include the following:

(a) rules of the program;

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

(c) arrangements regarding absenteeism, visits, vacations, mail, gifts, and telephone calls.

(7) The director, or designee, shall develop, implement, and review the individual resident service plan. The licensee shall ensure the plan:

(a) includes the specification of daily activities and services;

(b) is developed within three working days of admission; and

(c) is evaluated semi-annually.

(8) The licensee shall ensure that written incident and injury reports document the following:

(a) resident death;

(b) injuries;

(c) elopement;

(d) fights or physical confrontations;

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

(f) suspected abuse or neglect; and

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

(9) The licensee shall ensure that the director and responsible party reviews each injury report and ensures that each report is kept on file.

(10) The licensee shall ensure a daily activity schedule is provided, posted, and implemented as designed.

(11) The licensee ensure residents are provided direct supervision at all times and encouraged to participate in activities.

(12)

(a) The licensee shall ensure a minimum of 50 square feet of indoor floor space is provided per resident designated for adult day care during program operational hours.

(b) Hallways, office, storage, kitchens, and bathrooms may not be included in the calculation.

(c) The licensee shall ensure indoor and outdoor areas are maintained in a clean, secure, and safe condition.

(d) The licensee shall ensure at least one bathroom designated for resident use is provided during business hours. For licensees serving more than ten residents, the licensee shall ensure there are separate male and female bathrooms designated for resident use.

(13) The licensee shall ensure;

(a) continual staff supervision is provided when residents are present;

(b) a staff to resident ratio of one staff for every eight residents is maintained; and

(c) a ratio of one staff for every six residents is maintained when one-half or more of the residents are diagnosed by a physician's assessment with Alzheimer's, or related dementia.

Utah Admin. Code R432-270-30

Amended by Utah State Bulletin Number 2020-19, effective 9/15/2020

Amended by Utah State Bulletin Number 2023-22, effective 11/9/2023