North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0200 - DEFINITION OF TERMS › Section 06R .0201 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
As used in this Subchapter, the following definitions shall
					 apply:
(1) "Activities of Daily Living
				  (ADL)" means eating, dressing, bathing, toileting, bowel and bladder control,
				  transfers, and ambulation.
(2)
				  "Adaptable space" means space in a facility that can be used for several
				  purposes and without sacrificing the health, safety or welfare of the
				  participants. For example, an activities room that is used for crafts in the
				  morning, used to serve lunch and used for exercise activities in the
				  afternoon.
(3) "Adaptable activity"
				  means an activity where participation can be varied from individual, small
				  group, or large group, and can occur seated, standing or lying down.
(4) "Adult" means an individual 18 years of
				  age or older.
(5) "Adult Day Care
				  Center" means a day care program operated in a structure other than a single
				  family dwelling.
(6) "Adult Day
				  Care Home" means a day care program for up to 16 people operated in a single
				  family dwelling where the owner resides.
(7) "Adult Day Care Program" means the
				  provision of group care and supervision in a place other than their usual place
				  of abode on a less than 24-hour basis to adults who may be physically or
				  mentally disabled. This term is used to refer to adult day care programs, adult
				  day health programs, and combined adult day care and adult day health programs
				  (i.e., combination programs).
(8)
				  "Alzheimer's Disease" means a progressive, degenerative disease of the brain
				  resulting in impaired memory, thinking and behavior. Characteristic symptoms of
				  the disease include gradual memory loss, impaired judgement, disorientation,
				  personality change, difficulty in learning and loss of language
				  skills.
(9) "Ambulatory" means a
				  person who is mobile and does not need the continuing help of a person or
				  object for support (except a walking cane).
(10) "Capacity" means the number of
				  participants for which a day care program is certified.
(11) "Caretaker" (or "Caregiver") means an
				  adult who provides an impaired adult with supervision, assistance with
				  preparation of meals, housework, or personal grooming.
(12) "Certification" means the process
				  whereby an adult day care program is approved as meeting the North Carolina
				  Adult Day Care Rules in
				  10A NCAC
				  06.
(13) "Certifying agency" means the Department
				  of Health and Human Services, Division of Aging and Adult Services.
(14) "Dementia" means the loss of
				  intellectual functions (such as thinking, remembering, and reasoning) that
				  interferes with a person's daily functioning.
(15) "Direct Participant Care" means the
				  opportunity for employees, volunteers, or individuals with whom the facility
				  contracts either directly or through an agency, to physically interact with, be
				  in the presence of, or supervise participants.
(16) "First Aid Kit" means a collection of
				  first aid supplies, such as bandages, tweezers, scissors, disposable nonporous
				  gloves, adhesive tape, antiseptic, micro shield or face mask, liquid soap, or
				  cold pack, for treatment of minor injuries or stabilization of major
				  injuries.
(17) "Governing Body"
				  means the individual(s), organization, agency, corporation, or other entity
				  that has legal responsibility for policy, management, administration,
				  operation, and financial liability for the adult day care or adult day health
				  program.
(18) "Group process" means
				  at least three persons engaged in a common activity.
(19) "Instrumental Activities of Daily Living
				  (IADL)" means meal preparation, medication intake, housekeeping, money
				  management, phone use, laundering, reading, shopping, communication such as
				  speaking, writing, signing, gestures, using communication devices and going to
				  health activities.
(20) "Medication
				  schedule" means a listing of all medications taken by participants with
				  dosages, route of administration, and times medications are to be
				  taken.
(21) "Mental health
				  disability" means disorders with psychological or behavioral symptoms or
				  impairment in functioning due to a social, psychological, genetic, physical,
				  chemical or biological disturbance.
(22) "Modifiable activity" means an activity
				  that can be simplified and adapted as a participant's abilities decline or
				  improve.
(23) "Non-ambulatory"
				  means a person who is bedfast.
(24)
				  "Nucleus area" means adult day care programs located in a multi-use building
				  and refers to the area not shared by any other programs that are located in the
				  building but used only by the adult day care program.
(25) "Nursing care" means skilled nursing
				  care or intermediate care.
(26)
				  "On-site" means the area certified for the day care program.
(27) "Owner" means the person who is
				  responsible for management, operation, and financial liability of a day care
				  home or day health home.
(28)
				  "Other special needs disease or condition" means a diagnosis, disease or
				  disability, such as AIDS/HIV, that benefits from monitoring or oversight by
				  program staff in a supervised setting.
(29) "Participant" means a person enrolled in
				  an adult day care program.
(30)
				  "Personal care" means tasks that range from assistance with basic personal
				  hygiene and grooming, feeding, and ambulation, to medical monitoring and other
				  health care related tasks.
(31)
				  "Physical therapy program" means a series of activities prescribed by a
				  licensed physical therapist or activities administered under the supervision of
				  a physical therapist.
(32) "Program
				  director" means the person responsible for program planning, development and
				  implementation in a day care program.
(33) "Progress notes" means written reports
				  in the participant's file of staff discussions, conferences, or consultation
				  with family or caregiver, for the purpose of evaluation of a participant's
				  progress and any other information as required by Rule.0501 in this Subchapter
				  regarding the participant's situation.
(34) "Related disorders" means dementia or
				  impaired memory characterized by irreversible memory dysfunction.
(35) "Respite care," as a component of adult
				  day care programs, means a service provided to give temporary relief to the
				  family or caregiver. Respite is provided to families caring for children or
				  adults with disabilities or families caring for frail or disabled older
				  adults.
(36) "Responsible party"
				  means the caretaker with primary day-to-day responsibility for an impaired
				  adult.
(37) "Semi-ambulatory" means
				  a person who needs and uses the assistance of objects such as a wheelchair,
				  crutches, walker, or other appliance or the support of another person on a
				  regular and continuing basis to move about.
(38) "Senior center" means a community or
				  neighborhood facility for the organization and provision of services including
				  health, social, nutritional and educational services and a facility for
				  recreational and group activities for older persons.
(39) "Special care services" means services
				  by a certified adult day care program that promotes itself as providing
				  programming, activities or care specifically designed for persons with
				  Alzheimer's or other dementias, or related disorders, mental health
				  disabilities, or other special needs diseases or conditions.
(40) "Supervising agency" means the county
				  department of social services in the county where the day care program is
				  located. Pursuant to
				  G.S.
				  108A-14(a)(5), the county
				  department is responsible for seeing that certification standards are
				  maintained and for making a recommendation to the Division of Aging and Adult
				  Services regarding certification.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. January 1, 1981;
Amended Eff. July 1, 1990; January 1, 1986;
					 July 1, 1984;
Temporary Amendment Eff. September 28,
					 1999;
Amended Eff. July 1, 2007; July 17, 2000;
Readopted Eff. September 1, 2019.