North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0500 - PROGRAM OPERATION › Section 06R .0501 - PLANNING PROGRAM ACTIVITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Enrollment Policies and Procedures
(1) Each
				  adult day care program shall have written program policies including enrollment
				  policies that define the population served. These policies shall serve as the
				  basis for determining who shall be accepted into the program and for planning
				  activities for the participants. The planned activities shall be created to
				  meet the needs of the participant to satisfy their service plan. The enrollment
				  policies shall outline the criteria for people whose needs cannot be met by the
				  planned activities. The enrollment policies shall provide for discharge of
				  participants whose needs can no longer be met by the adult day care program. If
				  a day care program serves semi-ambulatory or non-ambulatory persons, it shall
				  be stated in the enrollment policies.
(2) Prior to enrollment, the applicant,
				  family members or caregiver shall have a minimum of one personal interview with
				  a program staff member. During the interview, the staff shall complete initial
				  documentation identifying support networks, activities enjoyed by the
				  participant, medical care needs, any spiritual, religious or cultural needs,
				  and a determination of whether the program can meet the individual's expressed
				  needs. The staff person doing the interviewing shall sign the determination of
				  needs and the applicant, family member or caregiver shall sign the application
				  for enrollment. These signed documents shall be obtained before the
				  individual's first day of attendance as a participant in the program.
(3) A medical examination report signed by a
				  physician, nurse practitioner or physician's assistant, completed within the
				  prior three months, shall be obtained by the program within 30 days of
				  enrollment. This report must be updated annually no later than the anniversary
				  date of the initial report. The requirements for the medical examination report
				  shall be found in Rule.0508 of this Section.
(4) At enrollment, or in the initial
				  interview, the program policies shall be discussed with the applicant, family
				  member or caregiver and a copy of the program policies shall be
				  provided.
(5) Documentation of
				  receipt of and agreement to abide by the program policies by the applicant,
				  family member or caregiver shall be obtained by the program and kept in the
				  participant's file.
(6) The program
				  policies shall contain:
(A) a discharge policy
				  outlining the criteria for discharge and notification procedures for discharge,
				  the timeframe and procedures for notifying the applicant, family member or
				  other caregiver of discharge, and referral or follow-up procedures;
(B) a medication policy as specified in Rule
				  .0505 of this Section;
(C) a
				  description of participant's rights while enrolled in the adult day care
				  program;
(D) the grievance policies
				  and procedures for families;
(E)
				  the advance directives policy;
(F)
				  the non-discrimination policies;
(G) the procedure to maintain
				  confidentiality;
(H) the policy on
				  reporting suspected abuse or neglect;
(I) the description of the geographical area
				  served by the program; and
(J) the
				  inclement weather policies.