reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter K - NUTRITION SERVICES › Section .0200 - SERVICE PROVISION › Section 06K .0203 - MENU PLANNING REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Agencies providing congregate nutrition or home delivered meal services must
				  comply with the following menu planning requirements:
(1) Each meal served shall contain at least
				  one-third of the current daily Recommended Dietary Allowances as established by
				  the Food and Nutrition Board of the National Research Council of the National
				  Academy of Sciences. If a nutrition program provides additional meals, then the
				  nutrient analysis of the combined food items may be used to document that at
				  least two-thirds of the Recommended Dietary Allowances have been provided for
				  two meals per day or 100% of the Recommended Dietary Allowances for three meals
				  per day, rather than each individual meal providing one-third of the
				  nutrients.
(2) All foods must be
				  identified on the menu in order to calculate nutrient value.
(3) The calorie content must be at least 700
				  calories per meal.
(4) The sodium
				  content shall not exceed 1,300 mg per meal.
(5) Recipes for all foods used in combination
				  must be supplied to the person responsible for certifying the menu to
				  facilitate nutrient analysis. When recipe ingredients are changed, the recipe
				  must be re-submitted for approval by the licensed
				  dietitian/nutritionist.
(6) All
				  prepared or breaded meat items or meat in combination must be specified on the
				  menu.
(7) The form of vegetable or
				  fruit used (fresh, frozen, dried, or canned) must be indicated on the menu for
				  nutrient analysis.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter K - NUTRITION SERVICES › Section .0200 - SERVICE PROVISION › Section 06K .0204 - ELIGIBILITY FOR SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Congregate
				  Nutrition Program.
(1) Target Population.
(A) Congregate nutrition services shall be
				  available to persons 60 years of age and older and their spouses, regardless of
				  age. Spouses under the age of 60 are eligible for services when the person 60
				  and over is receiving nutrition services.
(B) Area Agencies on Aging shall establish
				  written procedures that will also allow congregate nutrition programs the
				  option to offer a meal, on the same basis as meals are provided to persons 60
				  years of age and older, to individuals providing volunteer services during the
				  meal hours and to individuals with handicaps or disabilities who have not
				  attained 60 years of age but who reside with an eligible older adult or reside
				  in housing facilities occupied primarily by the elderly at which congregate
				  nutrition services are provided. Disability status shall be verified by
				  reviewing a notice of disability benefit award. Nutrition service providers
				  shall maintain a current copy of the notice of benefit award for each person
				  served.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter K - NUTRITION SERVICES › Section .0200 - SERVICE PROVISION › Section 06K .0205 - ADMINISTRATION REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143B-181.1(c);
Eff. November 1, 1993;
Amended Eff. July 1, 2003;
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 K - NUTRITION SERVICES › Section .0200 - SERVICE PROVISION › Section 06K .0206 - PROHIBITED ACTIVITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Funds shall not
				  be used to purchase vehicles to deliver home delivered meals to
				  participants.
(b) Prohibited
				  service activities:
(1) Medical treatment or
				  medication shall not be provided or administered by program staff or
				  volunteers.
(2) Financial
				  transactions except those related to service cost sharing shall not be carried
				  out by program staff or volunteers.
(3) Unapproved meals may not be provided to
				  participants.
(4) Gifts from
				  participants may not be accepted by program staff or volunteers.
(5) Meals shall not be provided to residents
				  of long term care facilities, guests, ineligible handicapped persons under age
				  60, adult day care or adult day health care participants, and paid staff under
				  age 60 without reimbursement of the full cost of the meal. Participants in
				  adult day care or adult day health care programs are eligible for nutrition
				  services on the days they do not attend day care or day health care
				  programs.
(6) Therapeutic diets may
				  not be served unless a physician's order is on file and the nutrition program
				  has the capability to provide the service.
(7) Except on an emergency basis, nutrition
				  site(s) shall not be closed or combined on a temporary or permanent basis
				  without the prior written approval of the Area Agency on Aging Administrator
				  assuring that options for maintaining services for participants have been
				  considered.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter P - ADMINISTRATION OF ADULT DAY CARE SERVICES › Section .0100 - SERVICE DESCRIPTION: DEFINITION OF TERMS › Section 06P .0101 - DEFINITION OF TERMS

Current through Register Vol. 39, No. 2, July 15, 2024
As used in this Subchapter, the following terms have the
					 meanings specified:
(1) "Adult" means
				  an individual eighteen years of age or older.
(2) "Program activities" means the activities
				  and services provided by the adult day care program, including but not limited
				  to social and educational events, crafts, physical activity, and
				  outings.
(3) "Certification" means
				  the process whereby an adult day care program is approved as meeting adult day
				  care standards.
(4) "Activities of
				  daily living" means self-care activities necessary to maintain one's home and
				  to care for personal needs.
(5)
				  "Own home" means a residence an individual maintains for himself or is
				  maintained for him by his caretaker, including relatives. Own home does not
				  include any group living arrangement.
(6) "Nursing care" means care in a skilled
				  nursing facility or intermediate care facility.
(7) "Group care" means homes for the aged,
				  family care homes, group homes for developmentally disabled adults, skilled
				  nursing facilities, intermediate care facilities and other group living
				  facilities which provide care, services and supervision.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1979;
Amended Eff. January 1, 1986; July 1, 1984;
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 P - ADMINISTRATION OF ADULT DAY CARE SERVICES › Section .0200 - CLIENT ELIGIBILITY: FEES AND CHARGES › Section 06P .0201 - LIMITATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Limitations on the provision of day care services for
					 adults receiving state or federal funds include the following:
(1) Day care services for adults shall be
				  provided on a time-limited basis to individuals enrolled in adult day care who
				  are no longer able to maintain themselves in an independent living situation
				  and for whom placement in group care is necessary. Under these circumstances,
				  adult day care services may continue to be provided for a maximum of 90 days
				  after entering the group care facility. State and federal funds may not be used
				  to support the provision of adult day care for individuals in group care beyond
				  this 90 day period, except in the circumstances of Item (2) of this
				  Rule.
(2) Day care services for
				  adults shall be provided on a time-limited basis for individuals preparing to
				  leave a group care facility for an independent living arrangement. Under these
				  circumstances, adult day care services may be provided for a period of up to 90
				  days prior to the individual's discharge from the group care facility.
				  Continued eligibility for adult day care after discharge from the group care
				  facility shall be determined on the basis of basic eligibility criteria and
				  need for the service as stated in
				  10A NCAC
				  71R.0501 or
				  10A NCAC
				  05A.0101(6) and (12). State
				  and federal funds shall not be used to support the provision of adult day care
				  for individuals in group care prior to this 90-day period, except in the
				  circumstances of Item (1) of this Rule.
(3) If a day care program's written admission
				  criteria limit the number of persons with certain conditions which can be
				  served at any one time and an eligible client with such a condition cannot be
				  accepted because the program has its maximum number of persons with that
				  condition, the client must be considered for enrollment at the first opening
				  for persons with that condition.
(4) Adult day care participants shall be:
(a) adults who do not need nursing
				  supervision but who require complete, full-time daytime supervision in order to
				  live in their own home or the home of a relative; or
(b) adults who need help with activities of
				  daily living in order to maintain themselves in their own home; or
(c) adults who need intervention in the form
				  of enrichment and opportunities for social activities in order to prevent
				  deterioration that would lead to placement in group care; or
(d) adults enrolled in an adult day care
				  program who need time-limited support in making the transition from independent
				  living to group care, or adults who need time-limited support in making the
				  transition from group care to independent living.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter P - ADMINISTRATION OF ADULT DAY CARE SERVICES › Section .0300 - PAYMENT METHODS FOR DAY CARE CENTERS/HOMES › Section 06P .0301 - GENERAL POLICY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Day care
				  services for adults may be provided directly by staff of county departments of
				  social services or under a purchase contract with another provider.
(b) The purchase contract shall be developed
				  annually between the governing body of the day care program and the county
				  department of social services specifying the terms of service, reimbursement
				  and operation of the day care program.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1979;
Amended Eff. March 1, 1992; July 1, 1990; November 1,
					 1984; July 1, 1984;
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 P - ADMINISTRATION OF ADULT DAY CARE SERVICES › Section .0400 - ROLE RESPONSIBILITIES IN PROGRAM CERTIFICATIONS › Section 06P .0401 - STATE DIVISION OF AGING AND ADULT SERVICES RESPONSIBILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
The Division of Aging and Adult Services is responsible
					 for:
(1) Consultation. The adult day
				  care consultant in the Division of Aging and Adult Services shall be available
				  to county departments of social services and day care providers regarding the
				  development of adult day care services, interpretation of the North Carolina
				  Adult Day Care and Day Health Services Standards for Certification and related
				  issues. The regional service representatives shall be available to county
				  departments of social services for consultation regarding the development of
				  adult day care services as part of a county social services system;
(2) Certification. The Division of Aging and
				  Adult Services shall be responsible for all actions regarding initial
				  certification and annual recertification of adult day care programs based on
				  the report and recommendations of the county department of social services and
				  the adult day care consultant in the central office; and
(3) Monitoring. The Division of Aging and
				  Adult Services shall establish criteria for the local department of social
				  services adult day care consultant to make announced and unannounced monitoring
				  visits to certified adult day programs. An administrative letter identifying
				  the criteria shall be signed by the Division Director and sent to all county
				  departments of social services directors and adult day care
				  providers.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1979;
Amended Eff. July 1, 2007; October 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 P - ADMINISTRATION OF ADULT DAY CARE SERVICES › Section .0400 - ROLE RESPONSIBILITIES IN PROGRAM CERTIFICATIONS › Section 06P .0402 - COUNTY DEPARTMENT OF SOCIAL SERVICES RESPONSIBILITY

Current through Register Vol. 39, No. 2, July 15, 2024
The county department of social services has the following
					 responsibilities in certification of adult day care programs:
(1) The county department of social services
				  must designate a social worker to act as adult day care coordinator.
(2) The adult day care coordinator in the
				  county department of social services is responsible for consultation to service
				  providers regarding initial and ongoing development of adult day care
				  programs.
(3) The county department
				  of social services is responsible for all activities at the local level
				  concerning program certification, including initial and recertification reviews
				  and supervision of the day care program to insure that standards are met on an
				  ongoing basis. In order to carry out this responsibility, the adult day care
				  coordinator must become familiar with all aspects of program operation
				  including administration, activities and services provided and client and
				  program records.
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 1979;
Amended Eff. July 1, 1984;
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 P - ADMINISTRATION OF ADULT DAY CARE SERVICES › Section .0500 - PROGRAM CERTIFICATION › Section 06P .0501 - DAY CARE PROGRAMS SERVING MORE THAN ONE COUNTY

Current through Register Vol. 39, No. 2, July 15, 2024
A day care program may serve more than one county. If a
					 program elects to serve more than one county, the following steps must be
					 taken:
(1) Enrollment criteria must
				  specify the geographical area served, including a statement of the counties
				  involved;
(2) An agreement must be
				  negotiated with each county department of social services that plans to
				  purchase adult day care services;
(3) The supervisory county department of
				  social services must be notified of the day care program's plans and how it
				  intends to deal with the following issues:
(a)
				  the proximity of the day care program to other counties that it serves and the
				  length of time involved in transporting persons;
(b) the extent to which the other counties
				  have funds available to purchase adult day care services and whether or not
				  there are individuals living in the area who could pay the cost of service
				  themselves;
(c) the logistics of
				  referral to and assistance in using appropriate community resources for persons
				  who do not live in the county in which the day care program is
				  located.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter P - ADMINISTRATION OF ADULT DAY CARE SERVICES › Section .0500 - PROGRAM CERTIFICATION › Section 06P .0502 - THE DSS-OPERATED ADULT DAY CARE CENTER

Current through Register Vol. 39, No. 2, July 15, 2024
County departments of social services which wish to operate
					 adult day care programs must meet the following requirements:
(1) The day care program must have a minimum
				  capacity of at least six participants;
(2) Responsibility for program certification
				  and monitoring must be assigned to a staff member other than the day care
				  director. The staff member with this assigned responsibility must carry out all
				  activities described in Rules.0402 of this Subchapter.
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 1979;
Amended Eff. July 1, 1990; July 1, 1984;
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 Q - ADULT DAY CARE › Section .0100 - SCOPE OF ADULT DAY CARE › Section 06Q .0101 - ADULT DAY CARE STANDARDS

Current through Register Vol. 39, No. 2, July 15, 2024
Agencies providing Adult Day Care services with funds
					 administered by the North Carolina Division of Aging and Adult Services shall
					 comply with the North Carolina Division of Aging and Adult Services
					 Certification Standards for Adult Day Care, as established by the North
					 Carolina Social Services Commission in
					 10A NCAC
					 06R, which is hereby adopted by reference,
					 including subsequent amendments and editions.
Authority
					 G.S.
					 143B-181.1(a)(11);
					 143B-181.1(c);
Eff. July 1, 1992;
Readopted Eff. July 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter Q - ADULT DAY CARE › Section .0200 - REQUIREMENTS › Section 06Q .0201 - REPEALED - MAXIMUM REIMBURSEMENT RATES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143B-181.1(a)(11);
					 143B-181.1(c);
Eff. July 1, 1992;
Readopted Eff. July 1, 2019;
Repealed Eff. November 18, 2021 pursuant to
					 G.S.
					 150B-21.7.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0100 - INTRODUCTION › Section 06R .0101 - CERTIFICATION REQUIREMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Subchapter 06R contains standards for certification of adult day care programs.
				  The standards relate to the operation of an adult day care program including
				  administration, facility, and program operation. Adult day care programs, as
				  defined in
				  G.S.
				  131D-6, shall be required to meet these
				  standards. Programs meeting the exemptions in
				  G.S.
				  131D-6(d) shall meet these
				  standards for certification only if receiving funds administered by the
				  Division of Aging and Adult Services for social services programs established
				  by the Older Americans Act and Title XX of the Social Security Act.
				  Certification is the responsibility of the county department of social services
				  pursuant to
				  G.S.
				  108A-14(a)(5) and the
				  Department of Health and Human Services, Division of Aging and Adult
				  Services.
(b) Any program making
				  application for certification or application for renewal of certification shall
				  be in compliance with all standards for certification. If all standards are not
				  being met, certification shall be denied or the adult day care program shall be
				  issued a provisional certificate as provided for in Rule.0802 of this
				  Subchapter. Certification of any program in willful violation of standards as
				  defined in Rule.0102(e) of this Subchapter shall be revoked. Procedures in
				  G.S.
				  150B-3 shall be followed.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. July 1, 1979;
Amended Eff. July 1, 2007; October 1, 2000; July
					 1, 1990; January 1, 1986;
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 .0100 - INTRODUCTION › Section 06R .0102 - CORRECTIVE ACTION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Adult day care
				  programs shall be inspected annually and monitored in accordance with the
				  Division of Aging and Adult Services criteria to assure compliance with the
				  rules governing adult day care programs. These visits shall be announced and
				  unannounced. Where a violation of
				  G.S.
				  131D-6 or of this Subchapter is identified by
				  staff of the county department of social services, the Division of Aging and
				  Adult Services, or any State or local government inspector such as
				  environmental health specialists, building and fire safety inspectors, the
				  program director of the adult day care program shall be notified in writing of
				  the nature of the violation by that inspector and requested to take corrective
				  action by the county department of social services. Pursuant to
				  G.S.
				  108A-14(a)(5), the county
				  department of social services shall determine, in consultation with the program
				  director, the date by which corrective action shall be completed based upon the
				  severity of the violation and the effect of the violation on the participants
				  of the program.
(b) Where a
				  violation is a danger to the participants' health, safety or welfare, the
				  program director or his or her designee shall take corrective action at the
				  time the violation is identified to correct the source of danger or to remove
				  the participants from the source of danger. The corrective action shall be
				  documented in writing within 72 hours.
(c) Where a violation has the potential to
				  endanger the participants' health, safety, or welfare, the program director
				  shall take corrective action. The date specified for the completion of the
				  corrective action shall be no later than 30 days of written
				  notification.
(d) Where a violation
				  does not endanger the participants' health, safety or welfare, such as a
				  violation of administrative or record keeping standards, the program director
				  shall take corrective action. The date specified for the completion of the
				  corrective action shall be within 90 days of written notification.
(e) Failure to take corrective action as
				  required by Paragraphs (b), (c), and (d) of this Rule constitutes a willful
				  violation of the standards for certification of adult day care programs.
				  Willful violation shall lead to disciplinary action as set forth in Rules
				  .0802,.0804, and.0805 of this Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
					 42 USC
					 3026(a)(13)(E);
Eff. January 1, 1986;
Amended Eff. July 1, 2007; June 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 .0300 - ADMINISTRATION › Section 06R .0301 - GOVERNING BODY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Responsibility
				  for management rests with the governing body of the day care program. In a
				  private for-profit program, responsibility for management rests with the owner
				  or board of directors; in a private, non-profit program, with the board of
				  directors; in a public agency, with the board of that agency.
(b) The governing body of a day care program
				  shall establish and maintain management procedures, including:
(1) approval of organizational
				  structure;
(2) adoption of an
				  annual budget;
(3) regular review
				  of financial status, making sure that the program is under fiscal management;
				  This includes conducting a review of the annual budget, monthly accounts of
				  income and expenditures to reflect against the projected budget, and an annual
				  audit;
(4) appointment of the
				  program director who shall delegate responsibility for conduct of specific
				  programmatic and administrative activities in accordance with policies adopted
				  by the governing body; and
(5)
				  adoption of written policies regarding operation, including;
(A) program policies outlining program goals;
				  enrollment and discharge criteria and procedures; hours of operation; types of
				  services provided, including transportation if offered; rates and payments; and
				  management of medications. The policies shall be designed so copies may be
				  given to interested parties who request information about the day care
				  program;
(B) personnel policies;
				  and
(C) any other policies deemed
				  necessary by the governing body, such as agreements with other agencies and
				  organizations.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0300 - ADMINISTRATION › Section 06R .0302 - PROGRAM GOALS

Current through Register Vol. 39, No. 2, July 15, 2024
The adult day care program shall have written goals to
					 ensure the health, safety and welfare of the participants are met. These goals
					 shall also meet the definition of adult day care services as stated in
					 10A NCAC
					 71R.0903.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. July 1, 1978;
Amended Eff. July 1, 1990; January 1,
					 1983;
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 .0300 - ADMINISTRATION › Section 06R .0303 - AGREEMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) When a day care
				  program is located in a multiple-use facility (e.g., school, church) there
				  shall be a written agreement regarding the facility's cooperative use. The
				  agreement shall contain the following as they apply to the adult day care
				  program: time of use, maintenance of space, use of equipment, security,
				  liability, and insurance.
(b) For a
				  program to utilize space currently certified or licensed for another purpose by
				  a state agency, such as the North Carolina Division of Health Service
				  Regulation or the North Carolina Division of Child Development, a letter from
				  the licensing agency shall be obtained granting permission to use the space for
				  a purpose other than the original licensed one.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1978;
Amended Eff. July 1, 2007; 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 R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0300 - ADMINISTRATION › Section 06R .0304 - INSURANCE

Current through Register Vol. 39, No. 2, July 15, 2024
The governing body shall provide for liability insurance
					 coverage for the facility and vehicles used by the program.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. July 1, 1978;
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 .0300 - ADMINISTRATION › Section 06R .0305 - PERSONNEL: CENTERS: HOMES WITH OPERATOR AND STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  General Requirements
(1) The owner of adult
				  day care homes initially certified after January 1, 2003, or homes that make
				  structural modifications to the home after this date, shall reside in the
				  home.
(2) Staff positions shall be
				  planned and filled to develop and direct the activities of the goals that meet
				  the requirements of Rule.0302 in this Section.
(3) There shall be a Statewide criminal
				  history records search of all newly-hired employees of adult day care programs
				  for the past five years conducted by an agency contracted with the North
				  Carolina Administrative Office of the Courts.
(4) There shall be a written job description
				  for each position, full-time or part-time. Each job description shall specify
				  qualifications of education and experience; to whom the employee reports; and
				  duties.
(5) References, including
				  employment verification from former employers, shall be required in recruitment
				  of staff.
(6) There shall be an
				  established review process discussing employment performance for each employee
				  at least annually and following any probationary period. The review process
				  must be approved by the governing body.
(7) There shall be a written plan for
				  orientation and staff development of new employees and volunteers and ongoing
				  development and training of all staff. Documentation from the orientation,
				  staff development and training shall be recorded, including
				  attendance.
(8) There shall be a
				  written plan for staff substitutions in case of absences. The plan shall
				  include the coverage of responsibilities in each job description as well as
				  maintenance of staff-participant ratio as required in Paragraph (c) of this
				  Rule. Substitute staff shall have the same qualifications and training as those
				  required by the position and in this Subchapter. Substitutes are not required
				  to have current certified CPR and First Aid training as long as other staff are
				  present with this training at all times. Trained volunteers may be used instead
				  of paid substitutes.
(9) Prior to
				  beginning employment, each new employee shall present a written medical
				  statement, completed within the prior 12 months by a physician, nurse
				  practitioner or physician's assistant, certifying that the employee has no
				  illness or health condition that would pose a health risk to others and that
				  the employee can perform the duties assigned in the job.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0300 - ADMINISTRATION › Section 06R .0306 - PERSONNEL: DAY CARE HOMES: ONLY STAFF PERSON IS OPERATOR

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The operator of an adult day care program
				  shall meet the qualifications of director as defined in Rule.0305 of this
				  Section.
(b) There shall be a
				  minimum of one staff person during all hours of operation meeting the
				  requirements set forth in Rule.0305 of this Section.
(c) A day care home shall have substitute or
				  relief staff to enable the day care home to remain open on days when the
				  operator is not available to supervise the program. The substitute or relief
				  staff shall meet the requirements for this position as set forth in Rule.0305
				  of this Section.
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1978;
Amended Eff. September 1, 2007; July 1, 2007; May 1, 1992;
					 July 1, 1990; July 1, 1984; January 1, 1981;
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 .0300 - ADMINISTRATION › Section 06R .0307 - PERSONNEL: VOLUNTEERS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) When volunteers
				  are used in an adult day care program, adequate planning prior to the placement
				  of the volunteers shall take place in order to provide the volunteer with a
				  written description of his duties and responsibilities. This written
				  description shall outline in detail the tasks to be performed, qualifications
				  for performing them, and specifics of hours, days and length of commitment
				  needed from the volunteer.
(b) The
				  volunteer shall take part in a formal or informal orientation and training
				  session to inform him of the goals of the program, the operation and daily
				  schedule of the program, specific needs of the adults being served and any
				  necessary specialized approaches the volunteer shall be expected to
				  use.
(c) Paid staff of the program
				  shall be properly informed of the use of a volunteer prior to his working in
				  the program, staff's responsibility and role and the volunteer's responsibility
				  and role. Paid staff shall be involved in planning for the volunteer and shall
				  assist in writing up the duties the volunteer shall perform.
(d) Provision shall be made to evaluate the
				  volunteer in his execution of the job.
(e) Provision shall be made for recognition
				  and appreciation of the volunteer.
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 1978;
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 .0400 - THE FACILITY › Section 06R .0402 - BUILDING CONSTRUCTION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult day
				  care building shall meet the approval of the local building inspector in terms
				  of structural soundness and fire safety.
(b) The program shall provide at least one
				  entrance at ground level with no steps or an entrance ramp with rails and a
				  maximum slope of 1 in 12 (eight percent). The ramp shall be covered with a
				  securely fastened non-skid floor covering which is secured at both
				  ends.
(c) Facilities where 16 or
				  fewer adults are served in a single family dwelling shall meet building
				  construction requirements for adult day care homes specified in Section.0700 of
				  this Subchapter.
(d) All facilities
				  initially certified after January 1, 2003, or those that make structural
				  building modifications after this date shall meet the North Carolina State
				  Building Code, which is hereby incorporated by reference, including any
				  subsequent amendments or additions and can be obtained through the North
				  Carolina Department of Insurance, 1202 Mail Service Center, Raleigh, NC
				  27699-1202 at a cost of eighty dollars and 00/100 ($80.00).
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1978;
Amended Eff. September 1, 2007; July 1, 2007; July 1,
					 1990; July 1, 1984; January 1, 1981; September 1, 1978;
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 .0400 - THE FACILITY › Section 06R .0403 - EQUIPMENT AND FURNISHINGS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  The adult day care facility shall have the following equipment and furnishings:
(1) at least one straight back chair or
				  folding chair for each participant and each staff person, excluding those
				  participants or staff in wheelchairs or other specialized seating equipment.
				  Each chair shall support the weight of the individual participant or staff
				  person sitting in the chair;
(2)
				  table space for all participants to be served a meal at a table and for program
				  activities;
(3) chairs or sofas
				  that allow for position changes, are upholstered or cushioned and water and
				  stain resistant, so that at least half of the participants can relax and rest
				  at the same time. If all participants take a daily rest period at the same
				  time, the facility shall have enough of this seating for all participants. The
				  seating requirement does not apply if the participant utilizes a wheelchair or
				  other specialized seating equipment; and
(4) a quiet space or room with a minimum of
				  one bed or cot so that participants can lie down as needed separate from other
				  program activities.
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 .0503 - TRANSPORTATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For programs
				  providing or arranging for public transportation, the adult day care program
				  shall have a transportation policy that includes routine and emergency
				  procedures. For the purposes of this Rule, "routine procedures" shall mean
				  maintenance of vehicle and actions taken to minimize risk to participants when
				  transported. For the purposes of this Rule, "emergency procedures" shall mean
				  accidents, medical emergencies, weather emergencies and escort issues of the
				  participants, including pick-up and drop-off of participants to ensure their
				  safety.
(b) When the adult day care
				  program provides transportation, the following requirements shall be met:
(1) Each person transported shall have a seat
				  in the vehicle.
(2) Participants
				  shall be transported no more than 30 minutes without being offered the
				  opportunity to have a rest stop.
(3) Vehicles used to transport participants
				  shall be equipped with seatbelts. Participants shall be instructed to use
				  seatbelts while being transported.
(4) Vehicles shall be equipped with a first
				  aid kit and a fire extinguisher.
(5) A copy of the transportation policy shall
				  be located in the vehicle used for transport.
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 .0504 - EMERGENCIES AND FIRST AID

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A fire
				  safety and evacuation plan, approved by the Office of the State Fire Marshal or
				  its designee, shall be prepared and maintained by each adult day care program
				  in compliance with the North Carolina State Building Code and Fire Prevention
				  Code, which is hereby incorporated by reference, including any subsequent
				  amendments or editions, and can be accessed at no cost at
				  www.ncdoi.com/OSFM/.
(b) Plan for
				  Emergencies. A written plan for handling emergencies shall be established and
				  displayed in the facility and in a location visible to participants and staff.
				  For the purpose of this Rule, an "emergency" is any dangerous or unexpected
				  situation that would require immediate action by a staff member. All staff
				  shall know the plan. The plan shall:
(1)
				  relate to medical and non-medical emergencies. For the purpose of this Rule, a
				  "medical emergency" is any dangerous or unexpected situation that would require
				  a participant to receive immediate medical care by a staff member;
				  and
(2) specify responsibilities of
				  each staff member in an emergency.
Quarterly drills in handling emergencies, such as medical
					 emergencies, natural disasters, and facility security shall be conducted.
					 Monthly fire drills shall be conducted. All drills shall be documented
					 including the date and kind of emergency.
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 .0505 - MEDICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All adult day
				  care programs shall have written policies on participant medication use,
				  medication administration order changes and medical disposal.
(b) Medications shall be administered
				  according to the participant's medication schedule as defined in
				  Rule.0508(a)(4) (E) of this Section or as authorized by the participant's
				  caregiver.
(c) A record of all
				  medications given to each participant shall be updated at a minimum of once
				  every quarter and as needed and shall document the following:
(1) participant's name;
(2) name, dosage, quantity and route of the
				  medication;
(3) instructions for
				  giving medication;
(4) date and
				  time medication is administered; and
(5) name or initials of person giving the
				  medication. If initials are used, a signature equivalent to those initials
				  shall be entered on this record.
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 .0506 - HOURS AND DAYS OF OPERATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Whenever participants are present at the adult day care program, the program
				  participants shall be supervised and services shall be provided.
(b) The program shall operate for a minimum
				  of six hours per day.
(c) Day care
				  programs shall provide supervision of participants and program activities at
				  least five days per week, except that a facility may be closed for holidays,
				  hazardous weather conditions, emergency situations, and vacations. The county
				  department of social services shall be notified of late openings or early
				  closures on days when hazardous weather conditions exist or when emergency
				  situations arise. For the purpose of this Rule, an "emergency situation" is any
				  dangerous or unexpected event that would require immediate action by a staff
				  member.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. July 1, 1978;
Amended Eff. July 1, 2007; March 1,
					 1992;
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 .0500 - PROGRAM OPERATION › Section 06R .0507 - AVAILABILITY AND ACCESSIBILITY OF PROGRAM POLICIES

Current through Register Vol. 39, No. 2, July 15, 2024
The adult day care program policies shall be provided to
					 the participant's family member, responsible party or caretaker at the time of
					 enrollment and available on request [.0301(b)(5)(A) or (c)(3)(A) of this
					 Subchapter].
Authority
					 G.S.
					 131D-6;
					 143B-153;
Eff. July
					 1, 1978;
Amended Eff. July 1, 2007; 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 R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0500 - PROGRAM OPERATION › Section 06R .0508 - RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Individual
				  Participant Records. Each adult day care program shall maintain records to
				  document the progress of each participant and to document program operation.
				  These records shall be kept in a locked file. An individual folder for each
				  participant shall be established and maintained and include the following:
(1) a signed application recording:
(A) the participant's full name;
(B) the participant's address and telephone
				  number;
(C) the date of birth,
				  marital status and living arrangement of participant;
(D) the time of day participant will arrive
				  and time of day participant will leave the program;
(E) the travel arrangements to and from the
				  program for the participant;
(F)
				  the name, address and telephone number of at least two family members, friends
				  or caregivers of the participant who can be contacted in emergencies;
(G) the name, address and telephone number of
				  a licensed medical service provider who will see the participant upon request
				  of the participant; and
(H) the
				  personal concerns and knowledge of the caregiver that may have an impact on the
				  participant's health, safety, and welfare.
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 .0509 - PROGRAM EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each adult day
				  care program shall have in writing a plan for an annual internal evaluation of
				  its operation and services. The plan shall include the timetable for initiating
				  and completing the annual evaluation, the parties to be involved, the areas
				  that will be addressed and the methods to be used in conducting the
				  evaluation.
(b) The following
				  parties shall be involved, to the extent considered appropriate, as determined
				  by the governing body or program director, in the evaluation process:
(1) the governing body;
(2) the program director;
(3) the staff;
(4) the participants;
(5) the families or caregivers of
				  participants; and
(6) the local
				  department of social services.
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 .0510 - DAY CARE PROGRAMS IN MULTI USE FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
Adult day care programs established in buildings which are
					 used at the same time for other activities must adhere to the following
					 guidelines:
(1) The day care program
				  must be self-contained with its own staff and separate area.
(2) Participation is open only to persons
				  enrolled in the program and to visitors on a planned basis. Depending on the
				  nature of the other activities in the building, it may or may not be
				  appropriate for day care participants to share in them on a planned basis. Such
				  involvement must be as part of the day care program plan and must be supervised
				  by a day care staff member. (Examples of appropriate involvement might include
				  senior center crafts and social events and lunch at a congregate meal
				  site.)
Authority
					 G.S.
					 143B-153;
Eff. January 1,
					 1981;
Amended Eff. July 1, 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.