19 CSR 30-90.010 - Definitions
PURPOSE: The following definitions are listed to
establish understanding of these terms as applied to Chapter 90,
(1) Adult
day care program means 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.
(2) Adult day care provide means the person ,
corporation, partnership, association or organization legally responsible for
the overall operation of the adult day care program .
(3) Adult day health care means an adult day
care program certified to provide Medicaid reimbursed services to
Medicaid-eligible participants in accordance with standards set forth in 19 CSR
70-92.010.
(4) Alzheimer's special
care unit or program means any adult day care program that 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.
(5)
Applicant means any person , corporation, partnership, association or
organization which has submitted an application to operate an adult day care
program , but has not yet been approved and issued a license or provisional
license by the Division of Senior Services and Regulation.
(6) Associated adult day care program means
an adult day care program which is located in a building also occupied by
another organization established primarily to offer other services (for
example: medical care, long-term care and human services) but has designated
space and staff for an adult day care program which is in addition to the
existing space and staffing requirements for the residents, patients or
clients.
(7) Department means the
Missouri Department of Health and Senior Services.
(8) Direct care staff means those staff (paid
and volunteer ) assigned to take care of the direct needs of
participants.
(9) Division means
the Division of Senior Services and Regulation of the Missouri Department of
Health and Senior Services.
(10)
Freestanding adult day care program means a program of adult day care services
which does not share staffing or licensed space or any physical components of
space, equipment, furnishings, dietary, security, maintenance or utilities
utilized in the provision of services with any other organization.
(11) Functionally impaired adult. An
individual aged eighteen (18) or older who, by reason of age or infirmity,
requires care and supervision.
(12)
Immediate danger means a situation or condition which presents a substantial
likelihood of death, life-threatening injury or serious physical or mental harm
to a participant .
(13) Individual
plan of care means the adult day care provider's written description of the
amount, duration and scope of services to be provided to each individual
participant .
(14) License means the
document issued by the Division of Senior Services and Regulation in accordance
with the provisions of sections
199.025 and
660.403 through
660.420, RSMo to an adult day
care program which authorizes the adult day care provider to operate the
program in accordance with the provisions of sections
199.025, and
660.403 to
660.420, RSMo and the applicable
rules promulgated pursuant thereto.
(15) Licensed nurse means a person currently
licensed under the provisions of Chapter 335, RSMo to engage in the practice of
practical nursing or professional nursing.
(16) Long-term care facility means a
"facility" as defined in section
198.006(6) or a
"long-term care unit" as defined in
19 CSR
30-20.040.
(17) Medical care facility means a hospital,
rehabilitation facility or other facility holding a valid state license to
operate, issued by the Missouri Department of Health and Senior Services, as
defined by 19 CSR 30-20.040.
(18) Participant means an adult who by reason
of age or infirmity requires care and supervision and who is enrolled in an
adult day care program .
(19) Person
means any individual, firm, corporation, partnership, association, agency or
any other business organization, including but not limited to limited liability
companies, regardless of the name used.
(20) Program director means the individual
person responsible for the on-site general administration of the adult day care
program .
(21) Provisional license
means the document issued by the division in accordance with the provisions of
sections 199.025, RSMo and
660.403 through
660.420, RSMo to an adult day
care program which is currently not meeting the requirements necessary to
obtain a license .
(22) Related
means any individual who is related to any of the following by reason of blood,
marriage or adoption: parent, child, grandchild, brother, sister, half-brother,
half-sister, stepparent, uncle, aunt, niece, nephew or first cousin.
(23) Volunteer means an individual who is
utilized by the program to provide a direct care service to program
participants with recurring contact whether or not supervised by other
employees or volunteers.
Notes
*Original authority: 660.050, RSMo 1984, amended 1988, 1992, 1993, 1994, 1995, 2001 and 660.418, RSMo 1984, amended 1993, 1994.
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