Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1424 - LICENSING OF ADULT DAY CARE CENTERS
Section 17-1424-16 - Services for center participants
Universal Citation: HI Admin Rules 17-1424-16
Current through February, 2024
(a) Services through the center shall include:
(1)
Observation and supervision by center staff throughout the participant's stay
at the center;
(2) Proper handling
and notification of the person responsible for the participant's care or a
physician when a participant becomes ill;
(3) Counseling and referral to a social
agency or psychiatric facility when participants have inter-personal,
behavioral, or family-related problems;
(4) Isolation of a participant when symptoms
of a communicable disease are evident, pending medical clearance. The family or
the participant's representative shall be contacted and encouraged to seek
medical care for the participant;
(5) Adherence by staff members to specific
instructions obtained from a physician for the care of a participant with
special problems. The instructions shall be written in the participant's
records;
(6) Provision of a
participant's medication by the family to the center on a daily basis. The
staff shall not give the medication, except as allowed under subparagraph (A),
but may supervise or remind a participant about the need to take the prescribed
medication. Medication:
(A) May be
administered by staff members licensed by the state as a licensed practical
nurse or registered nurse, or by unlicensed assistive personnel delegated the
task by a licensed registered nurse as provided in chapter 16-89, subchapter
15, Hawaii Administrative Rules, and if the participant's physician has signed
an authorization statement for the administration of medication by staff
licensed as a practical nurse or registered nurse, or by unlicensed assistive
personnel delegated the task by a licensed registered nurse as provided in
chapter 16-89, subchapter
15, Hawaii Administrative
Rules;
(B) Shall be kept in their
original container bearing the prescription label which shows the date filled,
the physician's directions for use and the adult participant's name;
and
(C) Shall be stored out of
reach of participants and returned to the participant or responsible family
member at the end of each day; and
(7) Retention of first aid supplies at the
center.
(b) Meal requirements shall include:
(1) Well balanced
meals, when provided by the centers, which approximate federal standards, type
A lunch requirements, which provide the framework for nutritionally adequate
school lunches based on the recommended daily dietary allowances chart;
and
(2) Appropriate snacks between
meals.
(c) Program requirements shall include:
(1) A planned,
well-balanced program of activities and services at each center in order to
enhance the participant's well-being and to maximize individual
functioning;
(2) Supervision and
personal care services by staff members in order to protect the participants.
The center shall provide assistance such as toileting and shall encourage a
withdrawn or passive individual to participate in activities and to develop
self-help skills;
(3) Therapeutic,
social, educational, recreational, and other activities such as:
(A) Opportunities for arts and
crafts;
(B) Daily exercise as can
be tolerated by the participant or as prescribed by the participant's
physician;
(C) Development of
hobbies;
(D) Helping with community
activities which may be handled at the center and as the participant is capable
of managing;
(E) Reading magazines
and books or other sedentary activities such as television viewing or listening
to the radio; and
(F) Excursions or
outings at least twice monthly to points of interest to the participants, such
as senior centers or other group functions;
(4) Provision of regular rest periods in the
morning and in the afternoon; and
(5) Provision of family consultation or
referral services to appropriate community agencies, clinics, or physicians
when a participant or family is observed to be in need of intensive counseling,
medical, or mental health services.
Disclaimer: These regulations may not be the most recent version. Hawaii may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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