Current through Register Vol. 41, No. 3, September 23, 2024
A. The provider shall provide care that does
not discriminate on the basis of race, ethnicity, sex, national origin, age,
religion, disability or impairment.
B. Supervision requirements include:
1. The provider shall have a plan for seeking
assistance from police, firefighters, and medical professionals in an
emergency.
2. A responsible adult
or an approved assistant shall always be available to provide appropriate care
for the adult in case of an emergency.
3. If extended absence of the provider is
required, the local department shall approve any substitute arrangements the
provider wishes to make. An extended absence shall be defined as greater than
one day.
4. The provider shall
ensure that adequate care and supervision are provided to adults in care and
that the adult's health, safety, and well-being are protected.
C. The following standards apply
to food provided to adult clients by adult day services and adult foster care
providers:
1. Adults in care shall receive
nutritionally balanced meals and snacks appropriate to the length of time in
care each day and the daily nutritional needs of each adult.
2. Adults in care shall receive special diets
if prescribed by a licensed physician or in accordance with religious or ethnic
requirements, the adult's preferences, or other special needs.
3. Adequate drinking water shall be available
at all times.
D.
Requirements for transportation of adults include:
1. If the provider and, for out-of home
services, the assistant; spouse of the provider; volunteer; or any other agent
involved in the day-to-day operation of the adult day services or adult foster
care transports adults in care, the provider or the person providing the
transportation shall have a valid driver's license and automobile liability
insurance.
2. The vehicle used to
transport adults shall have a valid license and inspection sticker.
3. Providers or the person who transports
adults in care must ensure that all passengers use safety belts in accordance
with requirements of Virginia law.
E. Requirements for medical care include:
1. The provider shall have the name, address,
and telephone number of each adult's physician and responsible person easily
accessible.
2. The provider shall
be able to meet the identified needs of the adult before accepting the adult
for care and in order to continue to provide services to the adult.
3. The adult foster care and adult day
services provider shall:
a. Ensure that the
adult receives prescription drugs only in accordance with an order signed by a
licensed physician or authentic prescription label and, with the responsible
person's written consent, as appropriate;
b. Document all medications taken by adults
in care, including over-the-counter medications;
c. Ensure that the adult in care receives
nonprescription drugs only with the adult's or responsible person's written
consent, as required;
d. Keep
medications separate from food except those items that must be
refrigerated;
e. Report all major
injuries and accidents to the adult's responsible person immediately;
f. Have authorization for emergency medical
care for each adult in care; and
g.
Have first aid supplies easily accessible in case of accidents.
4. Admission or retention of
adults in an adult foster care home is prohibited when the adult's care needs
cannot be met by the provider as determined by the assessment of the adult
services worker or by the adult's physician.
F. The adult day services and adult foster
care provider shall provide recreational and other planned activities
appropriate to the needs, interests, and abilities of the adults in
care.
G. All providers of adult
services shall immediately report any suspected abuse, neglect, or exploitation
of any adult in care to the local department or to the 24-hour toll-free
hotline (hotline number: 888-83-ADULT). Providers covered by this regulation
are mandatory reporters in accordance with § 63.2-1606 of the Code of
Virginia. Failure to report could result in the imposition of civil
penalties.
H. The adult foster care
provider shall ensure that adults in care have adequate, properly fitting, and
seasonal clothing and that all clothing is properly laundered or cleaned and
altered or repaired as necessary.
Statutory Authority
§§ 63.2-217, 63.2-1600, 63.2-1601, and
63.2-1601.1 of the Code of
Virginia.
