Current through Register Vol. 41, No. 3, September 23, 2024
A. Activities shall
be planned to support the plans of care for the participants and shall be
consistent with the program statement and the admission policies.
B. Activities shall:
1. Support the physical, social, mental, and
emotional skills and abilities of participants in order to promote or maintain
their highest level of independence or functioning;
2. Accommodate individual differences by
providing a variety of types of activities and levels of involvement;
and
3. Offer participants a varied
mix of activities including the following categories: physical; social;
cognitive, intellectual, or creative; productive; sensory; reflective or
contemplative; outdoor; and nature or the natural world. Community resources as
well as center resources may be used to provide activities. Any given activity
may fall under more than one category.
C. Participation in activities.
1. Participants shall be encouraged but not
forced to participate in activity programs offered by the center and the
community.
2. During an activity,
each participant shall be encouraged but not coerced to join in the activity at
his level of functioning, which may include his observation of the
activity.
3. If appropriate to meet
the needs of the participant with a short attention span, multiple short
activities shall be provided.
4.
Any restrictions on participation imposed by a physician shall be followed and
documented in the participant's record and the plan of care.
D. There shall be a designated
staff person who is routinely present in the center and who shall be
responsible for managing or coordinating the structured activities program.
This staff person shall maintain personal interaction with the participants and
familiarity with their needs and interests and shall meet at least one of the
following qualifications:
1. Be a qualified
therapeutic recreation specialist or an activities professional;
2. Be eligible for certification as a
therapeutic recreation specialist or an activities professional by a recognized
accrediting body;
3. Be a qualified
occupational therapist or an occupational therapy assistant;
4. [ Have at least an associate's degree in a
discipline focusing on the provision of activities for adults; or
5. ] Have one year full-time work experience
within the last five years in an activities program in an adult care
setting.
E. [ The
requirements of subsection D shall be met by June 28, 2020.
F. ] Participants, staff, and family members
shall be encouraged to be involved in the planning of the activities.
G. Schedule of activities.
1. There shall be planned activities and
programs throughout the day whenever the center is in operation.
2. A written schedule of activities shall be
developed on a monthly basis.
3.
The schedule shall include:
a. Group
activities for all participants or small groups of participants; and
b. The name, type, date, and hour of the
activity.
4. If one
activity is substituted for another, the change shall be noted on the
schedule.
5. The current month's
schedule shall be posted in a readily accessible location in the center and
also may be made available to participants and their families.
6. The schedule of activities for the
preceding two years shall be kept at the center.
7. If a participant requires an individual
schedule of activities, that schedule shall be a part of the plan of
care.
H. During an
activity, when needed to ensure that each of the following is adequately
accomplished, there shall be staff persons or volunteers to:
1. Lead the activity;
2. Assist the participants with the
activity;
3. Supervise the general
area;
4. Redirect any individuals
who require different activities; and
5. Protect the health, safety, and welfare of
the participants involved in the activity.
I. The staff person or volunteer leading the
activity shall have a general understanding of the following:
1. Attention spans and functional levels of
each of the participants;
2.
Methods to adapt the activity to meet the needs and abilities of the
participants;
3. Various methods of
engaging and motivating individuals to participate; and
4. The importance of providing appropriate
instruction, education, and guidance throughout the activity.
J. Adequate supplies and equipment
appropriate for the program activities shall be available in the
center.
K. All equipment and
supplies used shall be accounted for at the end of the activity so that a safe
environment can be maintained.
L.
In addition to the required scheduled activities, there shall be unscheduled
staff and participant interaction throughout the day that fosters an
environment that promotes socialization opportunities for
participants.
Statutory Authority: §
63.2-1733
of the Code of Virginia.
