SUBCHAPTER 06S – ADULT DAY HEALTH STANDARDS FOR CERTIFICATION
SECTION .0100 ‑ INTRODUCTION AND DEFINITIONS
10A NCAC 06S .0101 INTRODUCTORY STATEMENT
Subchapter 06S contains standards for certification of adult day health programs, which are a type of adult day care, set forth in 42 USC 3032c, and referenced in G.S. 131D-6.1(a). The standards relate to all aspects of operation of an adult day health program including administration, facility, and program operation. In order for payment to be made for adult day health services provided to individuals who are eligible for this service under Title XIX of the Social Security Act, the provider must be certified as meeting these standards. Certification shall be the responsibility of the adult day health program, the county departments of health and social services in accordance with G.S. 108A-14(a)(5), and the Department of Health and Human Services, Division of Aging and Adult Services.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Amended Eff. July 1, 2000;
Readopted Eff. November 1, 2019.
10A ncac 06S .0102 DEFINITIONS
(a) "Adult day health services" means the provision of an organized program of services during the day in a community group setting for the purpose of supporting an adult's personal independence, and promoting his or her social, physical, and emotional well-being. Services shall include health care services as defined in Rule .0403(a) of this Subchapter, different types of program activities designed to meet the individual needs and interests of the participants, and referral to and assistance in using community resources to meet the needs of the participant. This definition includes the provision of food and food services to provide a nutritional meal and snacks as appropriate to the program in accordance with 10A NCAC 06R .0502. Transportation to and from the service facility may be provided by the adult day health program.
(b) "Community group setting" means:
(1) a day health center, which is a program operated in a structure other than a single family dwelling;
(2) a day health home, which is a program operated in a single family dwelling limited to 16 adults;
(3) a day health program in a multi-use facility, which is a day health center established in a building that is used at the same time for other activities, such as school or church; or
(4) a combination program, which is a program offering both adult day care and adult day health services.
(c) In addition to Paragraphs (a) and (b) of this Rule, the definitions in 10A NCAC 06R .0201 shall apply.
History Note: Authority G.S. 131D-6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Temporary Amendment Eff. October 1, 2001;
Amended Eff. July 1, 2007; August 1, 2002;
Readopted Eff. November 1, 2019.
SECTION .0200 ‑ ADMINISTRATION
10A NCAC 06S .0201 ADMINISTRATION
Administrative and personnel requirements as set forth in 10A NCAC 06R .0301, .0303, .0304, .0305(a)(1) and (3) through (8), .0305(b) and .0307 shall be met.
History Note: Authority G.S. 131D‑6;
Eff. September 1, 1990;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0202 PROGRAM GOALS
The program shall have stated goals to guide the character of the services given. The goals shall be in writing and consistent with the definition of adult day health services as stated in Rule .0102 of this Subchapter.
History Note: Authority G.S. 131D‑6;
Eff. September 1, 1990;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0203 STAFFING PATTERN
(a) The staffing pattern in adult day health centers and homes shall be dependent upon the number of enrolled participants and the needs of the participants, in accordance with 10A NCAC 06R .0501.
(b) There shall be a minimum of one full‑time equivalent staff position with responsibility for direct participant care for each five participants. In combination programs, there shall be a minimum of one full‑time equivalent staff position with responsibility for direct participant care for each six participants.
(c) Substitute staff in accordance with 10A NCAC 06R .0305 shall be used to maintain the staff‑participant ratio and to assure supervision of the delivery of adult health care services whenever regularly scheduled staff are absent.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Amended Eff. July 1, 2007;
Readopted Eff. November 1, 2019.
10A NCAC 06S .0204 STAFF REQUIREMENTS
(a) Standards set forth in 10A NCAC 06R .0305(a), (b), and (d) shall be met by adult day health programs.
(b) The program director for adult day health programs with a capacity of 10 or fewer participants may also serve as the health care coordinator provided that the individual meets all the requirements set forth in 10A NCAC 06R .0305(d), Paragraph (c) of this Rule, and requirements in Rule .0203 of this Section. If requirements of 10A NCAC 06R .0305(d) and Paragraph (c) of this Rule are met, and the capacity is greater than 10 participants, the program director may serve as the substitute health care coordinator for no more than three consecutive weeks.
(c) Health Care Coordinator of Adult Day Health Programs:
(1) Adult day health programs shall have a health care coordinator to coordinate the delivery of health care services and participate in direct care as specified in Subparagraph (c)(2) of this Rule. The health care coordinator shall be on‑site a minimum of four hours per day and any additional hours necessary to meet the requirements for the provision of health care services to satisfy the participants' service plans as set forth in this Subchapter.
(2) The nursing responsibilities of the health care coordinator, consistent with the Nursing Practice Act, G.S. 90-171.19, shall include:
(A) completing preadmission health assessment for initial acceptance into the adult day health program, including problem‑identification and care planning;
(B) implementing the health care components of the established service plan that include medication administration, wound care, enteral or parenteral feedings, bowel or bladder training and maintenance programs, tracheotomy care and suctioning, and delegating nursing care tasks to unlicensed personnel;
(C) monitoring a participant's response to a medical treatment plan and nursing interventions and revising a participant's service plan as necessary;
(D) reporting and recording results of the nursing assessment, care rendered, and the participant's response to care;
(E) collaborating with other health care professionals and caregivers regarding provision of the participant's health care;
(F) educating other staff members about emergency procedures and providing information to staff and caregivers about health concerns and conditions of the participants;
(G) providing first aid treatment as needed; and
(H) ensuring health and personal care services as outlined in 10A NCAC 06S .0403 are provided to participants consistent with the participant's service plans.
(3) The health care coordinator:
(A) shall be either a registered nurse or a licensed practical nurse licensed to practice in North Carolina;
(C) shall have knowledge and understanding of the physical and emotional aspects of aging, the resultant diseases and infirmities, and related medications and rehabilitative measures;
(D) shall be at least 18 years of age;
(E) shall present, prior to beginning employment, 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 risk to others and ability to perform the duties assigned on the job; and
(F) shall provide at least three reference letters or the names of individuals who can be contacted, one of which shall include previous employment verification. The individuals providing reference information shall have knowledge of the applicant health care coordinator's background and qualifications.
(d) Staff Responsible for Personal Care in Adult Day Health Programs. All adult day health program staff providing personal care shall present evidence of meeting the following qualifications prior to assuming such responsibilities:
(1) completion of nurse's aide, home health aide, or equivalent training course; or
(2) a minimum of one year of experience in caring for impaired adults.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Amended Eff. September 1, 2007; July 1, 2007; May 1, 1992;
Readopted Eff. November 1, 2019.
SECTION .0300 ‑ FACILITY REQUIREMENTS FOR CENTERS AND HOMES
10A NCAC 06S .0301 REQUIREMENTS
(a) General requirements governing facilities, construction, equipment, and furnishings for adult day care as set forth in 10A NCAC 06R .0400 shall apply to adult day health.
(b) Additional facility requirements are as follows:
(1) Facility space shall be of sufficient dimension and size to allow for required program group activities. Notwithstanding the space requirements of 10A NCAC 06R .0401:
(A) adult day health centers and adult day health homes shall provide at least 60 square feet of indoor space excluding hallways, offices, and restrooms for each participant;
(B) combination programs shall provide at least 50 square feet of indoor space excluding hallways, offices, and restrooms for each participant; and
(C) adult day health programs or combination programs that share space with other programs or activities in a multi‑use facility shall have a nucleus area separate from other activities in the rest of the building and shall have a fire-resistant rated separation according to the North Carolina Building Code. The nucleus area must provide at least 40 square feet of indoor space per participant excluding hallways, offices, and restrooms, and a minimum of 20 square feet per participant must be provided in other space in the facility designated for use by the adult day health program. When the other space is being used at the same time by individuals participating in other services provided in the multi‑use facility, the 20 square feet per participant is in addition to any minimum square footage requirement for other use of such space. Shared facility space outside the nucleus area that may be used by the adult day health program and counted in meeting the 20 square feet per participant requirement includes craft, therapy, and other activity areas. Dining space may be included if also used for activities. Offices, restrooms, hallways, kitchens, and shared treatment rooms shall not be counted in meeting the 20 square feet per participant requirement. Participation shall be open only to persons enrolled in the program and to visitors on a planned basis, as referenced in 10A NCAC 06R .0510. Involvement of adult day health participants in other activities in the building shall be on planned basis, as part of the adult day health program plan, and supervised by an adult day health staff member.
(2) Facilities shall have a minimum of one male and one female accessible toilet in accordance with the North Carolina Building Code. One toilet shall be available for each 12 adults, including staff and participants who utilize the facility. One hand lavatory shall be provided for each two toilets.
(3) The facility shall have a minimum of one private office for staff use with equipment and furnishings for administrative purposes and for conferences with individual participants and families.
(4) The facility shall include a treatment room that is enclosed and private from the rest of the facility. The treatment room shall meet the North Carolina State Building Code. The treatment room shall have a sink or have a doorway that connects it to a room containing a sink. The room shall contain a treatment table or bed with a waterproof mattress cover that will serve as a treatment table, storage cabinet for first aid and medical supplies and equipment, table or desk, and two chairs. The storage cabinet shall be kept locked.
(5) The treatment room shall provide a means of ensuring the privacy of the person on the treatment table.
(6) The treatment room shall have the following medical supplies and equipment:
(A) first aid supplies consisting of absorbent compress, adhesive bandages, adhesive tape, antiseptic, burn treatment, medical exam gloves, sterile pads, and triangular bandage;
(B) fever thermometer;
(C) blood pressure cuff;
(D) stethoscope;
(E) medical scales, or scales that can be calibrated;
(F) emesis pail or bag;
(G) bed pan;
(H) urinal; and
(I) wash basin.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Amended Eff. July 1, 2007.
Readopted Eff. November 1, 2019.
10A NCAC 06S .0302 CONSTRUCTION REQUIREMENTS FOR DAY HEALTH HOMES
The adult day health facility shall meet the standards set forth in 10A NCAC 06R .0700.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Readopted Eff. November 1, 2019.
SECTION .0400 ‑ PROGRAM OPERATION
10A NCAC 06S .0401 PROGRAM OPERATION REQUIREMENTS
Program operation standards as set forth in 10A NCAC 06R .0501, .0502, .0505, .0506, .0507, .0508, and .0509 shall be met.
History Note: Authority G.S. 131D‑6;
Eff. September 1, 1990;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0402 ADDITIONAL ENROLLMENT AND PARTICIPATION REQUIREMENTS
(1) Monitoring of a medical condition;
(2) Provision of assistance with or supervision of activities of daily living; or
(3) Administration of medication, special feedings, or provision of other treatment or services related to health care needs. For the purpose of this Rule, "special feedings" shall mean the enteral or parenteral nutrition provided through a tube in the nose or stomach or through the veins intravenously.
(b) Adult day health programs shall not enroll or continue to serve persons whose needs exceed the capability of the program in accordance with 10A NCAC 06R .0501.
(c) Each participant's written service plan, in addition to the requirements set forth in 10A NCAC 06R .0501, shall include the health needs and the goals for meeting the health needs of the participant.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Amended Eff. July 1, 2007; March 1, 1992;
Readopted Eff. November 1, 2019.
10a NCAC 06s .0403 HEALTH AND PERSONAL CARE SERVICES
(a) In adult day health programs, the following health care and personal care services shall be provided:
(1) assistance with activities of daily living including feeding, ambulation, or toileting as needed by individual participants;
(2) health care monitoring of each participant's general health and medical regimen. This shall include documenting the assessment of the vital signs, weight, dental health, general nutrition, and hygiene of each participant in accordance with 10A NCAC 06R .0501. When positive or negative health changes occur, the adult day care program staff shall notify the family, caretaker, or responsible party of the changes. The change in health status and notification shall be recorded in the participant's file;
(3) assistance to participants and caregivers with medical treatment plans, diets, and referrals as needed;
(4) health education programs for all participants on a monthly basis, and health care counseling tailored to meet the needs of participants and caregivers; and
(5) first aid treatment as needed.
(b) Specialized services, such as speech therapy, physical therapy, and counseling, shall be facilitated by the adult day health program as ordered by a physician and as available through community services.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Amended Eff. July 1, 2007; March 1, 1992;
Readopted Eff. November 1, 2019.
10A ncac 06S .0404 TRANSPORTATION
For adult day health programs providing or arranging transportation, the standards of 10A NCAC 06R .0503 shall apply.
History Note: Authority G.S. 131D-6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Temporary Amendment Eff. October 1, 2001;
Amended Eff. July 1, 2007; August 1, 2002;
Readopted Eff. November 1, 2019.
10A NCAC 06S .0405 EMERGENCIES AND FIRST AID
Adult day health programs shall meet the standards set forth in 10A NCAC 06R .0504.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. September 1, 1990;
Amended Eff. July 1, 2007;
Readopted Eff. November 1, 2019.
SECTION .0500 ‑ CERTIFICATION INFORMATION
10A NCAC 06S .0501 PROCEDURE
(a) All individuals, groups or organizations operating or wishing to operate an adult day health program as defined by G.S. 131D‑6 shall apply for a certificate to the county department of social services in the county where the program is to be operated.
(b) A social worker shall provide technical assistance and shall conduct a study of the program using the Division of Aging and Adult Services form DAAS-6205, as set forth in 10A NCAC 06R .0601(b).
(c) The county department of social services shall submit the initial certification package to the Division of Aging and Adult Services. The materials and forms to be included in the package are:
(1) program policies;
(2) organizational diagram;
(3) job descriptions;
(4) Form 732a-ADS (Daily Rate Sheet) or the equivalent, as set forth in 10A NCAC 06R .0601(c)(4), showing planned expenditures and resources available to carry out the program of service for a 12 month period;
(5) a floor plan of the facility showing measurements, restrooms and planned use of space;
(6) Form DOA‑1498 (Fire Inspection Report) or the equivalent, as determined by the local fire inspector, completed and signed by the local fire inspector, indicating approval of the facility, no more than 30 days prior to submission with the certification package;
(7) Form DOA‑1499 (Building Inspection Report for Adult Day Care Centers), DOA-1499a (Building Inspection Form for Adult Day Care Homes), or the equivalent, as determined by the local building inspector, completed and signed by the local building inspector, or fire inspector or fire marshal, if a building inspector is not available, indicating approval of the facility, no more than 30 days prior to submission with the certification package;
(8) Form DENR‑4054 (Inspection of Adult Day Service Facility), or the equivalent, as determined by a local registered environmental health specialist, completed and signed by a local registered environmental health specialist, indicating approval of the facility, no more than 30 days prior to the submission with the certification package;
(9) written notice and the effective date if a variance of local zoning ordinances has been made in order for property to be utilized for an adult day health program;
(10) a copy of the articles of incorporation, bylaws and names and addresses of board members for adult day health programs sponsored by a non‑profit corporation;
(11) the name and mailing address of the owner of an adult day health program;
(12) a written medical statement from a physician, nurse practitioner, or a physician's assistant, completed within the 12 months prior to submission of the certification package, for each proposed staff member certifying absence of a health condition that would pose a risk to others and that the employee can perform the duties assigned to him or her on the job;
(13) verification of standard first aid and cardio-pulmonary resuscitation (CPR) certification for each proposed staff member who is physically able and who will provide direct participant care as defined in 10A NCAC 06R .0201. The requirements of 10A NCAC 06R .0504(d) shall be applicable to this Rule.
(14) evidence of the completion of a Statewide criminal history records search for the past five years for the adult day health program owner and each proposed staff member who provides direct participant care, conducted by an agency approved by the North Carolina Administrative Office of the Courts; and
(15) DAAS‑6205 (Adult Day Health Certification Report). This form must be submitted by the county department of social services with a copy to the program.
(d) No more than 90 days prior to the end of the current period of certification, the county department of social services shall submit to the Division of Aging and Adult Service the following forms and materials that make up a certification package for the renewal of a certification.
(1) Form DOA‑1498 (Fire Inspection Report) or the equivalent, as determined by the local fire inspector, completed and signed by the local fire inspector, indicating approval of the facility, no more than 12 months prior to submission with the certification package;
(2) Form DOA‑1499 (Building Inspection Report for Adult Day Care Centers), DOA-1499a (Building Inspection Form for Adult Day Care Homes), or the equivalent, as determined by the local building inspector, when structural building modifications have been made during the previous 12 months, completed and signed by the local building inspector, or fire inspector or fire marshal, if a building inspector is not available, indicating approval of the facility, within 30 days following completion of the structural building modifications;
(3) Form DENR-4054 (Sanitation Evaluation Report) or the equivalent, as determined by a local registered environmental health specialist, completed and signed by a local registered environmental health specialist, indicating approval of the facility, no more than 12 months prior to submission with the certification package;
(4) a written medical statement from a physician, nurse practitioner, or physician's assistant for each staff member hired subsequent to the previous certification or recertification expiration date, certifying absence of a health condition that would pose a risk to others and that the employee can perform the duties normally assigned on the job;
(5) an updated copy of the program polices, organizational diagram, job descriptions, names and addresses of board members if applicable, and a floor plan showing measurements, restrooms, and planned use of space, if any changes have been made since the previous certification package was submitted;
(6) Form 732a-ADS (Daily Rate Sheet) or the equivalent showing planned expenditures and resources available to carry out the program of service for a 12 month period;
(7) verification of standard first aid and cardio-pulmonary resuscitation certification (CPR) for each proposed staff member who is physically able and who will provide direct participant care;
(8) evidence of the completion of a Statewide criminal history record that complies with Subparagraph (c)(14) of this Rule; and
(9) DAAS‑6205 (Adult Day Health Certification Report). This form must be submitted with the certification package by the county department of social services to the Division of Aging and Adult Services at least 30 days in advance of the expiration date of the certificate, with a copy to the program.
(e) If during the study of the program it does not appear that all standards can be met, the county department shall send written notice to the applicant, stating the reasons the standards are not met, and shall give the applicant an opportunity to withdraw the application or remedy the defect by the deadline provided by the local department of social services.
(f) Following review of the certification package, a pre‑certification visit for certification shall be made by staff of Division of Aging and Adult Services.
(g) Within 14 business days, the Division of Aging and Adult Services shall provide written notification to the applicant and the county department of social services and local departments of health of the action taken after a review of the certification package and visit.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. May 1, 1992;
Amended Eff. July 1, 2000; March 1, 1993;
Readopted Eff. November 1, 2019.
10A NCAC 06S .0502 CHANGES IN PERSONNEL
The requirements in 10A NCAC 06R .0602 shall control for this Subchapter.
History Note: Authority G.S. 131D‑6; 143B‑153;
Eff. March 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10a NCAC 06s .0503 THE CERTIFICATE
The requirements in 10A NCAC 06R .0801 shall control for this Subchapter.
History Note: Authority G.S. 131D‑6; 143B‑153;
Eff. March 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0504 PROVISIONAL CERTIFICATE
The requirements in 10A NCAC 06R .0802 shall control for this Subchapter.
History Note: Authority G.S. 131D‑6; 143B‑153;
Eff. March 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0505 TERMINATION OF CERTIFICATION
The requirements in 10A NCAC 06R .0803 shall control for this Subchapter. Subchapter.
History Note: Authority G.S. 131D‑6; 143B‑153;
Eff. March 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06s .0506 DENIAL OR REVOCATION OF CERTIFICATE
The requirements in 10A NCAC 06R .0804 shall control for this Subchapter.
History Note: Authority G.S. 131D‑6; 143B‑153;
Eff. March 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10a NCAC 06s .0507 PENALTY
The requirements in 10A NCAC 06R .0805 shall control for this Subchapter.
History Note: Authority G.S. 131D‑6; 143B‑153;
Eff. March 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0508 PROCEDURE FOR APPEAL
The requirements in 10A NCAC 06R .0806 shall apply to this Subchapter.
History Note: Authority G.S. 131D‑6; 143B-153(2a); 143B‑153(6); 42 USC 3032c;
Eff. March 1, 1992;
Readopted Eff. November 1, 2019.
10a NCAC 06s .0509 CORRECTIVE ACTION
The requirements in 10A NCAC 06R .0102 shall control for this Subchapter.
History Note: Authority G.S. 131D‑6; 143B‑153;
Eff. March 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
SECTION .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS
10A NCAC 06S .0601 DISCLOSURE
Disclosure standards as set forth in 10A NCAC 06R .0902 shall control for this Subchapter.
History Note: Authority G.S. 131D-6; 143B-153; S.L. 1999-334;
Temporary Adoption Eff. September 28, 1999;
Eff. July 17, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0602 THE FACILITY – SPECIAL CARE SERVICES
In addition to meeting the general requirements for facility grounds as set forth in 10A NCAC 06S .0401(a), an adult day health home or center or combination center providing special care services shall assure that participants receiving this service have access to an outside area. This area shall be secured or supervised when participants have a physical or cognitive impairment and their safety and well-being would otherwise be compromised.
History Note: Authority G.S. 131D-6; 143B-153; S.L. 1999-334;
Eff. July 17, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0603 ENROLLMENT – SPECIAL CARE SERVICES
In addition to meeting enrollment and participation requirements in Rule .0402 of this Subchapter, an adult day health home or center or a combination center providing special care services shall meet the Enrollment – Special Care Services standards set forth in 10A NCAC 06R .0904.
History Note: Authority G.S. 131D-6; 143B-153; S.L. 1999-334;
Eff. July 17, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0604 INDIVIDUAL SERVICE PLANS – SPECIAL CARE SERVICES
The Individual Service Plans – Special Care Services standards as set forth in 10A NCAC 06R .0905 shall control for this Subchapter.
History Note: Authority G.S. 131D-6; 143B-153; S.L. 1999-334;
Eff. July 17, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0605 PROGRAM PLAN – SPECIAL CARE SERVICES
The Program Plan – Special Care Services standards as set forth in 10A NCAC 06R .0906 shall control for this Subchapter.
History Note: Authority G.S. 131D-6; 143B-153; S.L. 1999-334;
Eff. July 17, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0606 STAFF ORIENTATION AND TRAINING – SPECIAL CARE SERVICES
The Staff Orientation and Training – Special Care Services standards as set forth in 10A NCAC 06R .0907 shall control for this Subchapter.
History Note: Authority G.S. 131D-6; 143B-153; S.L. 1999-334;
Eff. July 17, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.
10A NCAC 06S .0607 REQUIREMENTS FOR SPECIAL CARE SERVICES UNIT
(a) In addition to meeting all other special care services requirements, an adult day health center or combination center with a special care services unit shall assure the following:
(1) A special care services unit separated by closed doors from the rest of the center shall meet equipment and furnishing requirements set forth in 10A NCAC 06R .0403(a)(1),(2),(3) and (b).
(2) An area designated as a special care services unit shall provide space on the unit for each participant as stated in Rule .0301(b)(1)(A),(B) of this Subchapter.
(3) An area designated as a special care services unit within the center shall meet existing adult day health staffing ratio requirements as stated in Rule .0203(b) and (c) of this Subchapter.
(b) The Requirements for Special Care Services Unit standards as set forth in 10A NCAC 06R .0908(1),(3) shall control for this Subchapter.
History Note: Authority G.S. 131D-6; 143B-153; S.L. 1999-334;
Eff. July 17, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.