Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 90 - Adult Day Care Program Licensure › Section 19 CSR 30-90.010 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The following definitions are listed to
				  establish understanding of these terms as applied to Chapter 90, Adult Day Care
				  Program Licensure.
(1) Adult
				day care program means a group program designed to provide care and supervision
				to meet the needs of five (5) or more functionally impaired adults for periods
				of less than twenty-four (24) hours but more than two (2) hours per day in a
				place other than the adult's own home.
(2) Adult day care provide means the person,
				corporation, partnership, association or organization legally responsible for
				the overall operation of the adult day care program.
(3) Adult day health care means an adult day
				care program certified to provide Medicaid reimbursed services to
				Medicaid-eligible participants in accordance with standards set forth in 19 CSR
				70-92.010.
(4) Alzheimer's special
				care unit or program means any adult day care program that provides a
				designated separated unit or program for participants with a diagnosis of
				probable Alzheimer's disease or related disorder, to prevent or limit access by
				a participant outside the designated or separated area; or that advertises,
				markets or promotes the adult day care program as providing Alzheimer's or
				dementia care services.
(5)
				Applicant means any person, corporation, partnership, association or
				organization which has submitted an application to operate an adult day care
				program, but has not yet been approved and issued a license or provisional
				license by the Division of Senior Services and Regulation.
(6) Associated adult day care program means
				an adult day care program which is located in a building also occupied by
				another organization established primarily to offer other services (for
				example: medical care, long-term care and human services) but has designated
				space and staff for an adult day care program which is in addition to the
				existing space and staffing requirements for the residents, patients or
				clients.
(7) Department means the
				Missouri Department of Health and Senior Services.
(8) Direct care staff means those staff (paid
				and volunteer) assigned to take care of the direct needs of
				participants.
(9) Division means
				the Division of Senior Services and Regulation of the Missouri Department of
				Health and Senior Services.
(10)
				Freestanding adult day care program means a program of adult day care services
				which does not share staffing or licensed space or any physical components of
				space, equipment, furnishings, dietary, security, maintenance or utilities
				utilized in the provision of services with any other organization.
(11) Functionally impaired adult. An
				individual aged eighteen (18) or older who, by reason of age or infirmity,
				requires care and supervision.
(12)
				Immediate danger means a situation or condition which presents a substantial
				likelihood of death, life-threatening injury or serious physical or mental harm
				to a participant.
(13) Individual
				plan of care means the adult day care provider's written description of the
				amount, duration and scope of services to be provided to each individual
				participant.
(14) License means the
				document issued by the Division of Senior Services and Regulation in accordance
				with the provisions of sections
				199.025 and
				660.403 through
				660.420, RSMo to an
				adult day care program which authorizes the adult day care provider to operate
				the program in accordance with the provisions of sections
				199.025, and
				660.403 to 660.420,
				RSMo and the applicable rules promulgated pursuant thereto.
(15) Licensed nurse means a person currently
				licensed under the provisions of Chapter 335, RSMo to engage in the practice of
				practical nursing or professional nursing.
(16) Long-term care facility means a
				"facility" as defined in section
				198.006(6)
				or a "long-term care unit" as defined in
				19
				CSR 30-20.040.
(17) Medical care facility means a hospital,
				rehabilitation facility or other facility holding a valid state license to
				operate, issued by the Missouri Department of Health and Senior Services, as
				defined by
				19
				CSR 30-20.040.
(18) Participant means an adult who by reason
				of age or infirmity requires care and supervision and who is enrolled in an
				adult day care program.
(19) Person
				means any individual, firm, corporation, partnership, association, agency or
				any other business organization, including but not limited to limited liability
				companies, regardless of the name used.
(20) Program director means the individual
				person responsible for the on-site general administration of the adult day care
				program.
(21) Provisional license
				means the document issued by the division in accordance with the provisions of
				sections 199.025, RSMo and 660.403
				through 660.420, RSMo to an adult day care program which is currently not
				meeting the requirements necessary to obtain a license.
(22) Related means any individual who is
				related to any of the following by reason of blood, marriage or adoption:
				parent, child, grandchild, brother, sister, half-brother, half-sister,
				stepparent, uncle, aunt, niece, nephew or first cousin.
(23) Volunteer means an individual who is
				utilized by the program to provide a direct care service to program
				participants with recurring contact whether or not supervised by other
				employees or volunteers.
*Original authority: 660.050, RSMo 1984, amended 1988,
					 1992, 1993, 1994, 1995, 2001 and 660.418, RSMo 1984, amended 1993,
					 1994.