New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 164A - ADULT DAY SERVICES PROGRAM FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS › Subchapter 4 - SERVICES FOR CLIENTS AND FAMILIES › Section 10:164A-4.1 - Scope of services or required services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A structured, supervised program shall be
				provided for clients based on a care plan developed through an assessment of
				individual strengths and deficits related to physical, social, emotional and
				cognitive functioning. The care plan shall be reviewed on a quarterly basis,
				modified as necessary, and shall include identified short term and long term
				goals of implementation. Discharge planning, initiated at the time of
				admission, shall address the potential for progressive deterioration which
				would alter the appropriateness of day care and necessitate helping the
				caregiver to access alternative resources. The discharge plan may be
				incorporated into the client's care plan.
(b) A minimum of five hours of structured
				programming per day shall be provided to clients funded through this
				program.
(c) The agency shall
				provide an area for individual client attention and supervision, as
				appropriate.
(d) Clients shall
				receive a hot meal and nutritious snacks. Each meal shall contain at least
				one-third of the Food Nutrition Board Recommended Dietary Allowances, 10th
				edition, Washington, DC: National Academy Press, 1989, incorporated herein by
				reference, as amended and supplemented, and shall contain three or more menu
				items, one of which is or includes a high quality protein food such as meat,
				fish, eggs, or cheese. Provisions shall be made for clients on special
				diets.
(e) Transportation shall be
				provided or arranged for clients within the agency's catchment area except when
				a family member has chosen to fulfill that responsibility. No client shall be
				transported more than one hour each way by the agency. Agencies shall not
				charge transportation costs to families if transportation is factored into
				their cost proposal.
(f) Counseling
				and referral services shall be routinely available to family members and
				caregivers of clients served under this program. Counseling may be on a
				one-to-one basis or in the form of support groups sponsored by the agency. In
				the event that the agency does not sponsor a support group, it may refer
				caregivers to other support groups for caregivers of individuals with dementia
				within the catchment area. Referral activities shall include identifying and
				assisting caregivers and assessing other services which will aid them in
				sustaining their roles.
(g) The
				agency shall provide information about other programs and services for which
				the client may be eligible. The agency shall coordinate referral efforts with
				its county New Jersey Easy Access, Single Entry (NJ EASE) care
				manager.
(h) The agency shall
				conduct outreach efforts, via media and other avenues, to inform caregivers of
				the benefits to be derived from adult day services. The Department shall not
				accept advertising costs that exceed more than one percent of the agency's
				total program operating budget for adult day service programs funded under this
				chapter.
(i) Educational programs
				for family members related to the management of dementia shall be provided by
				the agency. The center may provide educational programs using existing staff or
				may enter into written agreement(s) with other local agencies for the provision
				of this service.