Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 66 - REGISTRATION AND CERTIFICATION STANDARDS FOR ADULT DAY SERVICES PROGRAMS › Section 411-066-0020 - Standards for Adult Day Services Programs

Current through Register Vol. 63, No. 7, July 1, 2024
(1) SERVICE PLANS. ADS program participants
			 must have a service plan that is based on individually assessed service needs
			 and the ADS program's ability to provide services to meet the participants
			 need. The service plan must include the following:
(a) Intake Screening. The intake screening
			 must be completed by the ADS prior to admission to determine the
			 appropriateness of the ADS program for the participant and that the
			 participant's needs are within the scope of the ADS program.
(b) Application. An application or enrollment
			 agreement must be completed and include all of the following:
(A) Applicant's personal identifying
			 information.
(B) Information
			 regarding health, safety, and emergency needs.
(C) Identification of services to be
			 provided.
(c)
			 Assessment. A written assessment of the participant must include all the
			 following:
(A) Functional abilities and
			 disabilities.
(B) Strengths and
			 weaknesses.
(C) Personal
			 habits.
(D) Preferences, interests,
			 likes and dislikes.
(E) Medical
			 condition and medications.
(F)
			 Personal care.
(G) Assistance
			 required with activities of daily living.
(H) A statement on the ability to live
			 independently.
(I) Any other
			 information helpful to developing the service plan, such as life
			 history.
(d) Written
			 Service Plans. The service plan, which is based on the assessed needs,
			 strengths, and abilities of the participant, must include realistic long and
			 short-term objectives. The service plan must:
(A) Specify number of days per week of
			 attendance.
(B) Define the services
			 to be provided.
(C) Explain how the
			 service meets the assessed need.
(D) Identify staff responsible for providing
			 or monitoring service delivery.
(E)
			 Include an activity plan that is based on the interests, needs, and abilities
			 of the participant.
(e)
			 A disclosure statement that describes the ADS program's range of care and
			 services, including:
(A) Criteria for
			 admission and discharge; and
(B)
			 Fees and arrangements for payment, including insurance coverage or other
			 payment sources.
(f)
			 Coordination of Care. The need for coordination of care must be considered for
			 each participant. If coordination of care is needed and the participant is
			 receiving services from another agency or resides in a community-based care
			 setting, the ADS service plan must be developed to acknowledge, and not
			 duplicate, the services provided by that agency or facility.
(g) Service Documentation and Reassessment.
(A) Progress notes on each participant must
			 be written at least quarterly, reflecting a review of the service
			 plan.
(B) Reassessing the
			 participant's needs and reevaluating the appropriateness of the service plan
			 must be completed not less than semiannually.
(C) A reassessment of the participant's needs
			 and service plan must also be completed as needed when significant changes
			 occur in the participant's functional ability, service needs, health status, or
			 living situation.