Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 10 - Facility regulation › Part 7 - Licensing Adult Day Care Programs › Section 216-RICR-40-10-7.5 - Requirements for Adult Day Care Programs

Current through June 14, 2024
7.5.1
Admission Policies and Procedures
A. Each adult day care program shall define
				  the target population(s) it serves.
B. Each adult day care program shall have a
				  written policy on participants who are appropriate for enrollment.
C. Each adult day care program shall have a
				  mission and philosophy statement that reflects the needs of the participants
				  and the care and services it provides.
D. Each participant shall have a
				  physical/mental condition that indicates a need for nursing care, supervision,
				  therapeutic services, support services, and/or socialization.
E. Each adult day care program shall serve
				  only participants whose needs are compatible with the program's
				  resources.
F. No less than
				  fifty-one percent (51%) of the program's average daily number of participants
				  shall be fifty-five (55) years of age or older.
G. Prior to an individual's acceptance as a
				  participant, the program shall require a notice from the applicant's primary
				  care physician (or other authorized provider acting within the scope of his/her
				  practice) including a medical history and documentation that a physical
				  examination has taken place within the past year. Physician's (or other
				  authorized provider acting within the scope of his/her practice) documentation
				  shall include, but not be limited to, the following:
1. A list of current medications and
				  treatments;
2. A list of
				  immunizations (e.g., tetanus, pneumococcal, influenza) with dates; and
				  indication of TB test results, if test has been given;
3. Any special dietary
				  requirements;
4. A statement
				  indicating any limitations to the individual's participation in program
				  activities;
5. Recommendations for
				  therapy, when applicable.
H. In a documented crisis situation, the
				  program may allow up to thirty (30) days after enrollment in the program for
				  receipt of the complete physician's documentation as required in §7.5.1(G)
				  of this Part.
I. The program shall
				  have procedures for orientation of the participant and/or family to policies,
				  services, and facilities.
J. The
				  program shall assure that all participants or their authorized representatives
				  review all consents and permission documents and either sign where indicated or
				  state in writing that they have read and understand the documents and are
				  unwilling to sign them. Copies of these signed documents shall be filed in the
				  participant's individual record.
K.
				  The participant (or their authorized representative) and family shall be
				  informed of the program's procedures for advance directives.
L. Program policies shall define the target
				  population, admission criteria, discharge criteria, medication policy,
				  participant rights, confidentiality, and grievance procedures.