Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This rule describes the minimum requirements
for administrative, participant and program records that the adult day care
provider shall maintain.
(1)
The adult day care provider shall maintain administrative records that include
at least:
(A) Written personnel policies
which address, at a minimum, the staffing requirements found in
19 CSR
30-90.040;
(B) An organizational chart depicting lines
of supervision and responsibility;
(C) Individual personnel records for both
paid staff and volunteer staff who are counted in the staffing ratio that
include the following:
1. Position title and
written job description of the work tasks, responsibilities and qualifications
of the job duties to be performed by each person;
2. Name, address, home telephone number, date
of birth and Social Security number;
3. Licensure, certification or other
documentation of professional qualification; such as copies of license,
certification, as applicable;
4.
Educational background;
5.
Employment history, documentation of references checked prior to employment
including the results of the criminal background checks and, if applicable, a
copy of any good cause waiver granted by the department;
6. Documentation of Employee Disqualification
List (EDL) or Family Care Safety Registry checks;
7. Annual evaluation of work
performance;
8. Documentation of
orientation and in-service training received;
9. Record of dates and hours worked for at
least the previous calendar year;
10. Copies of contracts with consultants, as
applicable;
11. Documentation of
any communicable disease and a physician's or the physician's designated
agent's written release stating that the employee or volunteer may return to
work; and
12. Documentation of any
current certification in first aid and cardiopulmonary resuscitation;
(D) Fiscal records that include
documentation of program income and expenditures in accordance with generally
accepted accounting procedures. However, either cash basis, accrual basis or
modified accrual basis may be used as appropriate for the adult day care
provider's business entity and tax status;
(E) Records of orientation and in-service
training provided to staff and volunteers; and
(F) Inspection reports, for the past three
(3) years from the local health authority, local fire authority, department, or
division and any state or local inspecting authority.
(2) The adult day care provider shall
maintain individual participant records that include at least:
(A) Identifying information consisting of the
participant's name; address; home telephone number; sex; date of birth; legal
guardian, if applicable; the name and telephone number of the person to be
notified in case of emergency and at least one (1) alternate; next of kin;
travel directions between the home and program location and transportation
arrangements, if applicable;
(B)
Physician's pre-admission medical report and recommendations and subsequent
medical information;
(C) Individual
plan of care and progress notes;
(D) A chart of medications administered and
any reactions noted, if applicable;
(E) Documentation of any prescribed or
modified diet provided;
(F) Daily
attendance log for the previous calendar year; and
(G) Documentation regarding any accidents or
incidents.
(3) The adult
day care provider shall maintain program records that include, at a minimum,
copies of:
(A) Current written program
description in accordance with
19
CSR 30-90.050;
(B) Current list of participants'
rights;
(C) Schedule of daily group
activities planned and record of activities actually conducted for the previous
four (4) calendar months;
(D)
Weekly menus of meals planned and records of actual meals served for the
previous four (4) calendar months;
(E) Emergency medical plan; and
(F) Fire safety plan.
(4) Records or any information regarding
adult day care program participants shall be confidential and no information
shall be released without a written release of information signed by the
participant or legal guardian except that records shall be available to the
division for investigation of any complaint, program inspection, monitoring or
technical assistance purposes.
(5)
Records shall be maintained for no less than five (5) years unless otherwise
specified in this rule. Current records shall be kept on site within the adult
day care program. Inactive records may be maintained at another central
location but in no case outside the state of Missouri. Any record requested by
the department or the division shall be made available within twenty-four (24)
hours of the request.
*Original authority: 660.050, RSMo 1984, amended 1988,
1992, 1993, 1994, 1995, 2001 and 660.418, RSMo 1984, amended 1993,
1994.
