Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0718 - What is the adult day care center's responsibility in developing the client's negotiated care plan?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Upon the department's or authorized case manager's referral of a COPES, RSW,
				  RCL, or other agency approved client to an ADC center, the ADC center must
				  respond in writing to the department or authorized case manager within two
				  working days, acknowledging receipt of the referral and the center's ability to
				  process and evaluate the referred client.
(2) The case manager will provide the
				  client's department service plan to the ADC center within five working days
				  after the client or client's representative has signed it.
(3) The ADC center must schedule and conduct
				  an intake and evaluation visit with the referred client or the client and his
				  or her authorized representative to determine the client's desire to attend the
				  ADC center and evaluate the ADC center's ability to meet the client's assessed
				  needs and specific goals as defined in the client's department service plan.
				  The intake and evaluation must be based on an interview with the client or the
				  client and his or her authorized representative.
(4) Within ten paid service days from the
				  date the client started attending the ADC center, the ADC center must complete
				  and provide a preliminary service plan to the client or the client and his or
				  her representative and the client's case manager that outlines the client's
				  strengths, deficits, and potential needs. The ADC center must determine whether
				  it can meet the client's needs, how it will meet the client's needs, and
				  whether it will accept the client into the program. The ADC center must not
				  accept a client whose needs the center cannot meet. The ADC center must
				  document in the client's file the date it accepted the client into the ADC
				  program. If the client is not accepted into the ADC program, the preliminary
				  service plan must include the reason(s) why the client was not
				  accepted.
(5) Within thirty
				  calendar days of the date the client was accepted into the ADC program, the ADC
				  center must work with the client or the client and his or her authorized
				  representative to develop and complete a negotiated care plan signed by the
				  client or the client's authorized representative and the ADC center.
(6) The negotiated care plan must limit the
				  frequency of services to the number of days authorized in the department
				  authorized service plan. The negotiated care plan must include:
(a) A list of the care and services the ADC
				  center will provide the client;
(b)
				  Identification of who will provide the client's care and services;
(c) When and how the ADC center will provide
				  the care and services;
(d) How the
				  ADC center will manage the client's medications and how the client will receive
				  his or her medications when attending the ADC center;
(e) The client's activity preferences and how
				  the ADC center will meet these preferences;
(f) Other preferences and choices about
				  issues important to the client, including, but not limited to:
(i) Food;
(ii) Daily routine;
(iii) Activities;
(iv) Services received and who will provide
				  the services received;
(v)
				  Individuals they interact with;
(vi) Grooming;
(vii) How the ADC center will accommodate the
				  client's preferences and choices; and
(g) If needed, a plan to:
(i) Follow in case of a foreseeable crisis
				  due to the client's assessed needs;
(ii) Reduce tension, agitation, and problem
				  behaviors;
(iii) Respond to the
				  client's special needs, including, but not limited to medical devices and
				  related safety plans, and if medical devices are used, ADC center staff must
				  ensure the medical device will not be used as a physical restraint for
				  discipline or staff convenience and must also ensure clients are free from
				  coercion while attending the ADC center;
(iv) Respond to the client's refusal of care
				  or treatment, including when the ADC center should notify the client's
				  physician or practitioner of the client's refusal; and
(v) Identify any communication barriers the
				  client may have and how the ADC center will use the client's behaviors and
				  nonverbal gestures to communicate with him or her.