reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0600 - CERTIFICATION PROCEDURE › Section 06R .0602 - CHANGES IN PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
Whenever there is a change in program director or operator,
					 the qualifications of the new staff person as meeting the standards in Rule
					 .0305 or.0306 of this Subchapter must be documented in writing to the county
					 department of social services no later than the effective date of the change.
					 The adult day care consultant of the Division of Aging shall be notified in
					 writing of the change and the county department of social services'
					 satisfaction that standards are met.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff.
					 January 1, 1986;
Amended Eff. July 1, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0700 - CONSTRUCTION REQUIREMENTS FOR DAY CARE HOME › Section 06R .0701 - RESIDENTIAL BUILDING CODE REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Adult Day Care Homes initially certified after January 1,
					 2003 and those that make structural building modifications after this date
					 shall meet the residential building code requirements of the North Carolina
					 Commercial Building Code. The requirements shall include:
(1) standard wood frame, brick, block or
				  veneer construction;
(2) attic
				  shall not be used for storage;
(3)
				  porches and stoops shall be protected by handrails;
(4) steps shall be protected by handrails;
				  and
(5) all entrances, pathways and
				  exits shall adhere to the North Carolina State Accessibility Code.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1978;
Amended Eff. July 1, 2007;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0700 - CONSTRUCTION REQUIREMENTS FOR DAY CARE HOME › Section 06R .0702 - FIRE AND SAFETY REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Adult Day Care Homes shall:
(1) have fire extinguishers of the type
				  recommended by the fire inspector and governed by the North Carolina Fire
				  Prevention Code, centrally located in the kitchen;
(2) provide automatic station products of
				  combustion type smoke detectors as required by the North Carolina Fire
				  Prevention Code;
(3) provide listed
				  heat detectors in the attic and basement from the approved list in the North
				  Carolina Fire Prevention Code; and
(4) provide a fire safety and evacuation plan
				  to be prepared according to requirements of the North Carolina Fire Prevention
				  Code.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1978;
Amended Eff. July 1, 2007;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0700 - CONSTRUCTION REQUIREMENTS FOR DAY CARE HOME › Section 06R .0703 - OTHER

Current through Register Vol. 39, No. 2, July 15, 2024
Adult day care programs initially certified after January
					 1, 2003, or those that make structural building modifications after this date,
					 shall comply with the North Carolina building codes where are hereby
					 incorporated by reference, including subsequent amendments and additions.
					 Copies of the building codes may be obtained from the North Carolina Department
					 of Insurance, Office of State Fire Marshall, 2101 Mail Service Center, Raleigh,
					 NC 27699-2101, or telephone (919) 661-5880, at a cost of fifty dollars
					 ($50.00); or available at the following website:
					 http://www.ncdoi.com/OSFM/default.asp
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1978;
Amended Eff. July 1, 2007;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0800 - CERTIFICATION INFORMATION › Section 06R .0801 - THE CERTIFICATE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The certificate
				  shall be issued by the Division of Aging and Adult Services, when requirements
				  for certification have been met under the rules of this Subchapter. The
				  certificate shall be posted in the facility and visible to anyone upon entry
				  into the facility.
(b) The
				  certificate shall be in effect for 12 months from the date of issuance unless
				  revoked for cause, voluntarily or involuntarily terminated, or changed to
				  provisional certification status.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. January 1, 1986;
Amended Eff. July 1, 2000;
Readopted Eff. September 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0800 - CERTIFICATION INFORMATION › Section 06R .0802 - PROVISIONAL CERTIFICATE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A provisional
				  renewal certificate shall be issued by the Division of Aging and Adult Services
				  when:
(1) The certification renewal process
				  identifies violations and a plan for corrective action is in place. The
				  provisional certification will continue until corrections have been made and
				  the Division is informed or until revoked.
(2) Corrective action has not been completed
				  by the completion date established in a corrective action plan. The provisional
				  certification will continue until corrections have been made and the Division
				  is informed or until revoked.
(3)
				  Renewal materials have not been submitted by the applicant per the Division's
				  requested date, but were received by the Division prior to the expiration date
				  of the current period of certification. The provisional certificate will remain
				  in place until revoked or until replaced with full certification.
(4) There is an exigent circumstance such as
				  an extreme weather event including a hurricane, major flooding, fire or
				  earthquake, that prohibits the provider from satisfying the requirements of the
				  adult day care program. If an exigent circumstance prohibits an adult day care
				  program from meeting the requirements for recertification, the Division of
				  Aging and Adult Services may issue a provisional certification for up to 180
				  calendar days from the date of the exigent circumstance.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0800 - CERTIFICATION INFORMATION › Section 06R .0803 - TERMINATION OF CERTIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
The certificate will automatically terminate under the
					 following conditions:
(1) In a private
				  for-profit program, when ownership in its entirety is transferred; in a
				  private, non-profit program, when the board of directors is dissolved; in a
				  public agency, when the board of that agency is dissolved;
(2) When the program moves to another
				  location;
(3) When the required
				  certification renewal materials are not received by the Division of Aging by
				  the expiration date of the current period of certification.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff.
					 January 1, 1986;
Amended Eff. July 1, 2000; July 1,
					 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0800 - CERTIFICATION INFORMATION › Section 06R .0804 - DENIAL OR REVOCATION OF CERTIFICATE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				  certificate shall be denied or revoked by the Division of Aging and Adult
				  Services at any time for failure to comply with the rules of this
				  Subchapter.
(b) When a program
				  fails to comply with the rules of this Subchapter at the time initial
				  certification is requested, the certification shall be denied by the Division
				  of Aging and Adult Services. A notice setting forth the particular reasons for
				  the denial shall be delivered personally or by certified mail to the applicant.
				  Such denial becomes effective 20 days after the receipt of the notice. If the
				  provider appeals pursuant to Rule.0806 in this Subchapter, the Division of
				  Aging and Adult Services shall reinstate a provider if applying for a renewal
				  certificate, unless the health, safety and welfare of a participant is at risk
				  as determined by the Division of Aging and Adult Services, until administrative
				  appeals have been exhausted.
(c)
				  When the Division of Aging & Adult Services revokes a certificate when a
				  violation has not been corrected by the date established by a corrective action
				  plan, the Division of Aging & Adult Services shall issue a notice setting
				  forth the particular reasons for the revocation and the notice shall be
				  delivered personally or by certified mail to the applicant. Such revocation
				  becomes effective 20 days after the receipt of the notice. If the provider
				  appeals pursuant to Rule.0806 in this Subchapter, the Division of Aging &
				  Adult Services shall reinstate the provider, unless the health, safety and
				  welfare of a participant is at risk, until administrative appeals have been
				  exhausted.
(d) In accordance with
				  150B-3(c), if the Division finds that the health, safety, or welfare of the
				  participants requires emergency action and incorporates this finding in its
				  notice, the certificate shall be summarily suspended. Notice of the summary
				  suspension shall be effected by serving the program director by personal
				  delivery or certified mail. The summary suspension will be effective on the
				  date specified in the notice or upon service of the notice, whichever is
				  later.
(e) When a program receives
				  a notice of revocation, the program director shall inform each participant or
				  caretaker of the notice and the reason for the revocation.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. January 1, 1986;
Amended Eff. July 1, 2000; July 1,
					 1990;
Readopted Eff. September 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0800 - CERTIFICATION INFORMATION › Section 06R .0805 - PENALTY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) If the program
				  is in willful violation as specified in Rule.0102 of this Subchapter, a penalty
				  may be imposed.
(b) The amount of
				  the penalty, within the limitation established by
				  G.S.
				  131D-6, shall be determined based on the
				  degree and extent of the harm or potential harm caused by the willful
				  violation.
(1) Where a violation presents a
				  clear and immediate danger to the participants a civil penalty of one hundred
				  dollars ($100.00) per day will be imposed effective from the day that
				  corrective action was to have been completed.
(2) Where a violation has the potential to
				  endanger the participants' health, safety or welfare a civil penalty of fifty
				  dollars ($50.00) per day will be imposed effective from the day that corrective
				  action was to have been completed.
(3) Where a violation does not directly
				  endanger the participants a civil penalty of ten dollars ($10.00) per day will
				  be imposed effective from the date on which corrective action was to have been
				  completed.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0800 - CERTIFICATION INFORMATION › Section 06R .0806 - PROCEDURE FOR APPEAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) When the
				  program is notified by the Division of Aging and Adult Services of a negative
				  action, the program may ask for an informal review by Division staff. For the
				  purpose of this Rule, a "negative action" shall include a violation, statutory
				  penalty, provisional certificate, termination, revocation, summary suspension,
				  or denial. If the informal review is not, satisfactory to the governing body or
				  its designee, the governing body or designee may request a hearing.
(b) The program may request a hearing with
				  the Office of Administrative Hearings within 60 days after receipt of written
				  notification from the Division of a negative action.
(c) Except as provided for in Rule.0804(d) of
				  this Subchapter, upon receipt of a request for a hearing, the enforcement of
				  the negative action shall be suspended pending the final decision or until the
				  governing body or its designee has exhausted the appeal process.
(d) The petition for a hearing shall be filed
				  with the Office of Administrative Hearings in accordance with
				  G.S.
				  150B-23 and
				  26 NCAC
				  03.0103.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
					 150B-22;
Eff.
					 January 1, 1986;
Amended Eff. July 1, 2000; March 1, 1992; July 1,
					 1990;
Readopted Eff. September 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0900 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS, MENTAL HEALTH DISABILITIES OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06R .0901 - DISCLOSURE

Current through Register Vol. 39, No. 2, July 15, 2024
The rules of this Chapter are established to govern the
					 disclosure requirements for adult day care programs that provide or promote
					 themselves as providing special care services for persons with Alzheimer's or
					 other dementias, mental health disabilities, or other special needs diseases or
					 conditions. Only those centers that meet these requirements may advertise or
					 represent themselves as providing special care services as defined in Rule
					 .0201.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Temporary Adoption Eff. September 28, 1999;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0900 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS, MENTAL HEALTH DISABILITIES OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06R .0902 - POLICIES AND PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
Adult day care programs shall have written special care
					 services policies and procedures implemented by staff and available for review
					 within the center. In addition to the applicable policies and procedures
					 established by this Subchapter, adult day care centers that provide special
					 care services shall write policies and establish procedures that
					 address:
(1) The philosophy of the
				  special care service that includes a statement of mission and objectives
				  regarding the specific population to be served by the center that shall address
				  the following:
(a) an environment that
				  maintains and promotes the use of skills for daily living;
(b) a structured program of daily activities
				  that allows for flexibility to respond to the needs, abilities, and preferences
				  of participants;
(c) individualized
				  service plans that address the maintenance of participant's abilities and
				  promote the highest possible level of physical and mental functioning, as
				  determined by program staff and the participant's current status; and
(d) methods of behavior management that
				  preserve dignity through design of the physical environment, physical exercise,
				  social activity, medication administration, proper nutrition and health
				  maintenance.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0900 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS, MENTAL HEALTH DISABILITIES OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06R .0903 - THE FACILITY - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to meeting general requirements for facility
					 grounds in Rule.0401(a) of this Subchapter, an adult day care center or home
					 providing special care services shall assure that participants receiving this
					 service have access to an outside area. This area shall be secured or
					 supervised when participants have a physical or cognitive impairment and their
					 safety and well-being would otherwise be compromised.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0900 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS, MENTAL HEALTH DISABILITIES OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06R .0904 - ENROLLMENT - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to meeting enrollment policies and procedures
					 requirements in Rule.0501(a) of this Subchapter, an adult day care center or
					 home that provides special care services shall:
(1) Provide disclosure information to a
				  participant or the responsible party of a participant seeking enrollment in a
				  center or home providing special care services. The disclosure information
				  shall be written and address policies and procedures listed in Rule.0902 of
				  this Subchapter.
(2) Obtain the
				  participant's medical examination report that shall specify a diagnosis,
				  disability or condition consistent with the special care service offered by the
				  program.
(3) Ensure that a
				  participant transferring from adult day care services to special care services
				  meets the criteria for that special care service. Family or responsible persons
				  shall agree to the transfer decision.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. July 17, 2000;
Readopted Eff. September 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0900 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS, MENTAL HEALTH DISABILITIES OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06R .0905 - INDIVIDUAL SERVICE PLANS - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to meeting individual service plan requirements
					 in Rule.0501(b) of this Subchapter, an adult day care center or home providing
					 special care services shall assure that the individual service plan is based on
					 the participant's needs, interests and level of abilities. It shall specify
					 programming that involves environmental, social and health care strategies to
					 help the participant attain or maintain the maximum level of functioning
					 possible and compensate for lost abilities.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0900 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS, MENTAL HEALTH DISABILITIES OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06R .0906 - PROGRAM PLAN - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to meeting program plan requirements in Rule
					 .0501(c) of this Subchapter, an adult day care center or home providing special
					 care services shall assure that the program plan provides for a balance of
					 activities that promote an optimum level of functioning in all activity areas
					 including personal care activities.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0900 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS, MENTAL HEALTH DISABILITIES OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06R .0907 - STAFF ORIENTATION AND TRAINING - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
An adult day care center or home providing special care
					 services shall assure that special care services staff receive at least the
					 following orientation and training:
(1) Prior to assuming responsibility for a
				  special care service, the program director shall document receipt of training
				  specific to the population(s) to be served.
(2) The program director shall have in place
				  a written plan for training staff that identifies content, sources, evaluations
				  and schedules of training. The plan shall be reviewed and updated
				  annually.
(3) The program director
				  shall assure that within a month of employment, each staff person assigned to
				  special care services shall demonstrate knowledge of the needs, interests and
				  levels of abilities of the participants. This shall be documented in the
				  center's files.
(4) Within six
				  months of employment, each staff person assigned to special care service shall
				  complete three training experiences. The training shall include, but not be
				  limited to, population specific techniques for communication, behaviors and
				  activities of daily living.
(5)
				  Each staff person working directly with participants in special care service
				  shall complete a minimum of two population specific educational or training
				  experiences annually.
(6) All
				  training experiences of each staff person shall be documented in the center's
				  files.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0900 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS, MENTAL HEALTH DISABILITIES OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06R .0908 - REQUIREMENTS FOR SPECIAL CARE SERVICES UNIT

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to meeting all other special care services
					 requirements, an adult day care center with a special care services unit shall
					 assure the following:
(1) An area
				  designated as a special care services unit located within a center that also
				  serves other participants, shall have the unit providing special care separated
				  by closed doors and located so that other participants, visitors or staff do
				  not have to pass through the section to reach other areas of the
				  building.
(2) A special care
				  services unit separated by closed doors from the rest of the adult day center
				  shall meet equipment and furnishing requirements as stated in Rule
				  .0403(a)(1),(2),(3) and (b) of this Subchapter.
(3) At least one toilet shall be located in
				  the unit.
(4) An area designated as
				  a special care services unit shall provide space on the unit for each
				  participant as stated in Rule.0401(d)(1) of this Subchapter.
(5) An area designated as a special care
				  services unit within an adult day center shall meet existing adult day care
				  staffing ratio requirements as stated in Rule.0305(c)(2) of this
				  Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0100 - INTRODUCTION AND DEFINITIONS › Section 06S .0101 - INTRODUCTORY STATEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
Subchapter 06S contains standards for certification of
					 adult day health programs, which are a type of adult day care, set forth in
					 42 USC
					 3032c, and referenced in
					 G.S.
					 131D-6.1(a). The standards
					 relate to all aspects of operation of an adult day health program including
					 administration, facility, and program operation. In order for payment to be
					 made for adult day health services provided to individuals who are eligible for
					 this service under Title XIX of the Social Security Act, the provider must be
					 certified as meeting these standards. Certification shall be the responsibility
					 of the adult day health program, the county departments of health and social
					 services in accordance with
					 G.S.
					 108A-14(a)(5), and the
					 Department of Health and Human Services, Division of Aging and Adult
					 Services.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
					 42 USC
					 3032c;
Eff. September 1,
					 1990;
Amended Eff. July 1, 2000;
Readopted Eff.
					 November 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0100 - INTRODUCTION AND DEFINITIONS › Section 06S .0102 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) "Adult day
				  health services" means the provision of an organized program of services during
				  the day in a community group setting for the purpose of supporting an adult's
				  personal independence, and promoting his or her social, physical, and emotional
				  well-being. Services shall include health care services as defined in
				  Rule.0403(a) of this Subchapter, different types of program activities designed
				  to meet the individual needs and interests of the participants, and referral to
				  and assistance in using community resources to meet the needs of the
				  participant. This definition includes the provision of food and food services
				  to provide a nutritional meal and snacks as appropriate to the program in
				  accordance with
				  10A NCAC
				  06R.0502. Transportation to and from the
				  service facility may be provided by the adult day health program.
(b) "Community group setting" means:
(1) a day health center, which is a program
				  operated in a structure other than a single family dwelling;
(2) a day health home, which is a program
				  operated in a single family dwelling limited to 16 adults;
(3) a day health program in a multi-use
				  facility, which is a day health center established in a building that is used
				  at the same time for other activities, such as school or church; or
(4) a combination program, which is a program
				  offering both adult day care and adult day health services.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0200 - ADMINISTRATION › Section 06S .0201 - ADMINISTRATION

Current through Register Vol. 39, No. 2, July 15, 2024
Administrative and personnel requirements as set forth in
					 10A NCAC
					 06R.0301,
					 06R.0301 .0303,
					 06R.0301 .0304,
					 06R.0301 .0305(a)(1) and (3)
					 through (8),.0305(b) and .0307 shall be met.
Authority
					 G.S.
					 131D-6;
Eff. September 1,
					 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0200 - ADMINISTRATION › Section 06S .0202 - PROGRAM GOALS

Current through Register Vol. 39, No. 2, July 15, 2024
The program shall have stated goals to guide the character
					 of the services given. The goals shall be in writing and consistent with the
					 definition of adult day health services as stated in Rule.0102 of this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
Eff. September 1,
					 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0200 - ADMINISTRATION › Section 06S .0203 - STAFFING PATTERN

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The staffing
				  pattern in adult day health centers and homes shall be dependent upon the
				  number of enrolled participants and the needs of the participants, in
				  accordance with
				  10A NCAC
				  06R .0501.
(b) There shall be a minimum of one full-time
				  equivalent staff position with responsibility for direct participant care for
				  each five participants. In combination programs, there shall be a minimum of
				  one full-time equivalent staff position with responsibility for direct
				  participant care for each six participants.
(c) Substitute staff in accordance with
				  10A NCAC
				  06R.0305 shall be used to maintain the
				  staff-participant ratio and to assure supervision of the delivery of adult
				  health care services whenever regularly scheduled staff are absent.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
					 42 USC
					 3032c;
Eff. September 1,
					 1990;
Amended Eff. July 1, 2007;
Readopted Eff.
					 November 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0300 - FACILITY REQUIREMENTS FOR CENTERS AND HOMES › Section 06S .0301 - REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) General
				  requirements governing facilities, construction, equipment, and furnishings for
				  adult day care as set forth in
				  10A NCAC
				  06R.0400 shall apply to adult day
				  health.
(b) Additional facility
				  requirements are as follows:
(1) Facility
				  space shall be of sufficient dimension and size to allow for required program
				  group activities. Notwithstanding the space requirements of
				  10A NCAC
				  06R.0401:
(A) adult day health centers and adult day
				  health homes shall provide at least 60 square feet of indoor space excluding
				  hallways, offices, and restrooms for each participant;
(B) combination programs shall provide at
				  least 50 square feet of indoor space excluding hallways, offices, and restrooms
				  for each participant; and
(C) adult
				  day health programs or combination programs that share space with other
				  programs or activities in a multi-use facility shall have a nucleus area
				  separate from other activities in the rest of the building and shall have a
				  fire-resistant rated separation according to the North Carolina Building Code.
				  The nucleus area must provide at least 40 square feet of indoor space per
				  participant excluding hallways, offices, and restrooms, and a minimum of 20
				  square feet per participant must be provided in other space in the facility
				  designated for use by the adult day health program. When the other space is
				  being used at the same time by individuals participating in other services
				  provided in the multi-use facility, the 20 square feet per participant is in
				  addition to any minimum square footage requirement for other use of such space.
				  Shared facility space outside the nucleus area that may be used by the adult
				  day health program and counted in meeting the 20 square feet per participant
				  requirement includes craft, therapy, and other activity areas. Dining space may
				  be included if also used for activities. Offices, restrooms, hallways,
				  kitchens, and shared treatment rooms shall not be counted in meeting the 20
				  square feet per participant requirement. Participation shall be open only to
				  persons enrolled in the program and to visitors on a planned basis, as
				  referenced in
				  10A NCAC
				  06R.0510. Involvement of adult day health
				  participants in other activities in the building shall be on planned basis, as
				  part of the adult day health program plan, and supervised by an adult day
				  health staff member.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0300 - FACILITY REQUIREMENTS FOR CENTERS AND HOMES › Section 06S .0302 - CONSTRUCTION REQUIREMENTS FOR DAY HEALTH HOMES

Current through Register Vol. 39, No. 2, July 15, 2024
The adult day health facility shall meet the standards set
					 forth in 10A NCAC
					 06R.0700.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
					 42 USC
					 3032c;
Eff. September 1,
					 1990;
Readopted Eff. November 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0400 - PROGRAM OPERATION › Section 06S .0401 - PROGRAM OPERATION REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Program operation standards as set forth in
					 10A NCAC
					 06R .0501,
					 06R .0502,
					 06R .0505,
					 06R .0506,
					 06R .0507,
					 06R .0508, and.0509 shall be
					 met.
Authority
					 G.S.
					 131D-6;
Eff. September 1,
					 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0400 - PROGRAM OPERATION › Section 06S .0402 - ADDITIONAL ENROLLMENT AND PARTICIPATION REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Adult day health programs shall serve persons 18 years of age or older who need
				  adult day health services in order to support their independence and who
				  require one or more of the following during the hours of the adult day health
				  program:
(1) Monitoring of a medical
				  condition;
(2) Provision of
				  assistance with or supervision of activities of daily living; or
(3) Administration of medication, special
				  feedings, or provision of other treatment or services related to health care
				  needs. For the purpose of this Rule, "special feedings" shall mean the enteral
				  or parenteral nutrition provided through a tube in the nose or stomach or
				  through the veins intravenously.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0400 - PROGRAM OPERATION › Section 06S .0403 - HEALTH AND PERSONAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				  adult day health programs, the following health care and personal care services
				  shall be provided:
(1) assistance with
				  activities of daily living including feeding, ambulation, or toileting as
				  needed by individual participants;
(2) health care monitoring of each
				  participant's general health and medical regimen. This shall include
				  documenting the assessment of the vital signs, weight, dental health, general
				  nutrition, and hygiene of each participant in accordance with
				  10A NCAC
				  06R.0501. When positive or negative health
				  changes occur, the adult day care program staff shall notify the family,
				  caretaker, or responsible party of the changes. The change in health status and
				  notification shall be recorded in the participant's file;
(3) assistance to participants and caregivers
				  with medical treatment plans, diets, and referrals as needed;
(4) health education programs for all
				  participants on a monthly basis, and health care counseling tailored to meet
				  the needs of participants and caregivers; and
(5) first aid treatment as needed.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0400 - PROGRAM OPERATION › Section 06S .0404 - TRANSPORTATION

Current through Register Vol. 39, No. 2, July 15, 2024
For adult day health programs providing or arranging
					 transportation, the standards of
					 10A NCAC
					 06R.0503 shall apply.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
					 42 USC
					 3032c;
Eff. September 1,
					 1990;
Temporary Amendment Eff. October 1, 2001;
Amended
					 Eff. July 1, 2007; August 1, 2002;
Readopted Eff. November 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0400 - PROGRAM OPERATION › Section 06S .0405 - EMERGENCIES AND FIRST AID

Current through Register Vol. 39, No. 2, July 15, 2024
Adult day health programs shall meet the standards set
					 forth in 10A NCAC
					 06R.0504.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
					 42 USC
					 3032c;
Eff. September 1,
					 1990;
Amended Eff. July 1, 2007;
Readopted Eff.
					 November 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0500 - CERTIFICATION INFORMATION › Section 06S .0502 - CHANGES IN PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
The requirements in
					 10A NCAC
					 06R.0602 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. March
					 1, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0500 - CERTIFICATION INFORMATION › Section 06S .0503 - THE CERTIFICATE

Current through Register Vol. 39, No. 2, July 15, 2024
The requirements in
					 10A NCAC
					 06R.0801 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. March
					 1, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0500 - CERTIFICATION INFORMATION › Section 06S .0504 - PROVISIONAL CERTIFICATE

Current through Register Vol. 39, No. 2, July 15, 2024
The requirements in
					 10A NCAC
					 06R.0802 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. March
					 1, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0500 - CERTIFICATION INFORMATION › Section 06S .0505 - TERMINATION OF CERTIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
The requirements in
					 10A NCAC
					 06R.0803 shall control for this Subchapter.
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. March
					 1, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0500 - CERTIFICATION INFORMATION › Section 06S .0506 - DENIAL OR REVOCATION OF CERTIFICATE

Current through Register Vol. 39, No. 2, July 15, 2024
The requirements in
					 10A NCAC
					 06R.0804 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. March
					 1, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0500 - CERTIFICATION INFORMATION › Section 06S .0507 - PENALTY

Current through Register Vol. 39, No. 2, July 15, 2024
The requirements in
					 10A NCAC
					 06R.0805 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. March
					 1, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0500 - CERTIFICATION INFORMATION › Section 06S .0508 - PROCEDURE FOR APPEAL

Current through Register Vol. 39, No. 2, July 15, 2024
The requirements in
					 10A NCAC
					 06R.0806 shall apply to this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
					 42 USC
					 3032c;
Eff. March 1,
					 1992;
Readopted Eff. November 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0500 - CERTIFICATION INFORMATION › Section 06S .0509 - CORRECTIVE ACTION

Current through Register Vol. 39, No. 2, July 15, 2024
The requirements in
					 10A NCAC
					 06R.0102 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. March
					 1, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06S .0601 - DISCLOSURE

Current through Register Vol. 39, No. 2, July 15, 2024
Disclosure standards as set forth in
					 10A NCAC
					 06R.0902 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Temporary Adoption Eff. September 28, 1999;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06S .0602 - THE FACILITY - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to meeting the general requirements for
					 facility grounds as set forth in
					 10A NCAC
					 06S.0401(a), an adult day
					 health home or center or combination center providing special care services
					 shall assure that participants receiving this service have access to an outside
					 area. This area shall be secured or supervised when participants have a
					 physical or cognitive impairment and their safety and well-being would
					 otherwise be compromised.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06S .0603 - ENROLLMENT - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to meeting enrollment and participation
					 requirements in Rule.0402 of this Subchapter, an adult day health home or
					 center or a combination center providing special care services shall meet the
					 Enrollment - Special Care Services standards set forth in
					 10A NCAC
					 06R .0904.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.