ADULT DAY CARE

ADULT DAY CARE

PROGRAM MANUAL

For Adult Day Care Providers regulated by the

Division of Regulation and Licensure

State of Missouri

Department of Health and Senior Services

Division of Regulation and Licensure

Section for Long-Term Care Regulation

Issued:

Revised:

Revised:

Revised:

January 2015

November 2023

May 2024

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Limitations and Disclaimer ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­1

General Information ¨C Overview of Departments ......................................................2 - 9

? Department of Health and Senior Services, Section for Long-Term Care

Regulation (SLCR)

? Department of Health and Senior Services, Division of Senior and Disability

Services (DSDS)

? Department of Social Services, MO HealthNet Division (MHD)

? Department of Social Services, Missouri Medicaid Audit and Compliance

(MMAC)

? Department of Mental Health (DMH)

Licensure Requirements¡­... .........................................................................................10

Staffing Requirements¡­¡­¡­........................................................................................11

Program Policies and Participant Care Requirements and Rights¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­...12

Record Keeping Requirements¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..13

Fire Safety and Facility Physical Requirements¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.13 - 14

At a Glance Adult Day Care Program contact information¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­15

Frequently Asked Questions¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­...16 - 19

Appendix ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­...¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..20

? Adult Day Care Licensure Administrative Policies ¨C SLCR

? Adult Day Care Inspection Checklist -SLCR Adult Day Care Inspector¡¯s manual

? Form letters sent to providers during inspection process ¨C SLCR

? Opening an Adult Day Care Program (pre-inspection) Flow Chart ¨C SLCR

? Opening an Adult Day Care Program (post-inspection) Flow Chart ¨C SLCR

? Change of Operator ¨CAdult Day Care Flow Chart -SLCR

? Tuberculosis Flow Chart for Employees ¨C SLCR

? Emergency Preparedness Template ¨C example

? Disaster and Emergency Preparedness Checklist - example

? Regional Maps ¨C SLCR & DSDS

? Regulations 19 CSR 30-90 Adult Day Care Program Licensure ¨C SLCR

? Statutes 192, RSMo. ¨C Adult Day Care Program

? Statutes 198.515, RSMo. ¨C Alzheimer¡¯s Disclosure



LIMITATIONS ON USE OF THIS ADULT DAY CARE PROGRAM

MANUAL AND DISCLAIMER

The purpose of this Adult Day Care Program Manual is designed to provide guidance and

establish uniformity across the state in meeting the requirements of sections 192.2200, RSMo

to 192.2260, RSMo and 19 CSR 30-90 Adult Day Care Program Licensure related to the

provision of adult day care.

Nothing in this manual is intended to create nor does it create any enforceable rights, remedies,

entitlements or obligations. The Department reserves its right to change or suspend any or all

parts of this manual. This manual is constantly being revised so some of the information

contained may be outdated. This manual is intended for informational purposes only.

No part of this manual may be reproduced without the prior written consent of the Department of

Health and Senior Services, Division of Regulation and Licensure ¨C Section for Long-Term Care

Regulation.

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ADULT DAY CARE PROGRAM LICENSURE

¨C regulated by the Department

Of Health & Senior Services (DHSS), Division of Regulation & Licensure-Section for Long-Term

Care Regulation (SLCR):

19 CSR 30-90.010 (1): An adult day care program is a group program designed to provide care

and supervision to meet the needs of five (5) or more functionally impaired adults for periods of

less than twenty-four (24) hours but more than two (2) hours per day in a place other than the

adult's own home.

A licensed adult day care (ADC) program must comply with all state, county, and city

requirements. Occupancy and business permits must be obtained, if required by the county or

city in which the center will conduct business in. These permits must be obtained prior to an

initial inspection being conducted by the DHSS for licensure.

After approval of an application to operate an ADC program, an initial inspection will be

conducted at the ADC program. If the program is in compliance with all licensure regulations

during that inspection, the center will receive a license to begin operating.

If you are an ADC provider who does not receive any Medicaid reimbursement you are required

to adhere to the regulations outlined in 19 CSR 30-90 and the statutory laws outlined in Chapter

192, RSMo.

If you have an Alzheimer¡¯s special care unit or program which provides a designated

separated unit or program for participants with a diagnosis of probable Alzheimer¡¯s

disease or related disorder, to prevent or limit access by a participant outside the

designated or separated area; or that advertises, markets or promotes the adult day care

program as providing Alzheimer¡¯s or dementia care services, providers are required to

comply with 198.515, RSMo ¨C Alzheimer¡¯s Special Care Services Disclosure.

Weblinks:

DHSS-Division 30, Division of Regulation and Licensure, Chapter 90 Adult Day Care Program

Licensure:



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