480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related)

What this rule requires your agency to do

• 1PERS providers must instruct participants on device use, obtain signed receipt, ensure 24/7/365 response to device signals, replace malfunctioning units within 24 hours, update responder lists at least semi-annually, and conduct monthly testing (§ 003.10(A)).(480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related))
• 2Providers of Adult Day Health, Extra Child Care, Home-Delivered Meals, and Respite must obtain adequate information on the medical and personal needs of each participant and observe and report all changes to the services coordinator (§§ 003.01(A), 003.05, 003.07(A), 003.11).(480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related))
• 3Respite agency providers must employ staff based on qualifications/experience, provide training to ensure staff are qualified for the necessary level of care, make training plans available to DHHS, and ensure adequate availability and quality of service (§ 003.11(A)).(480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related))
• 4Assisted living/specialized AL provider staff must notify the Services Coordinator within five calendar days when a resident is out of the facility more than 24 hours for a medical absence (§ 003.02(F)).(480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related))
• 5Adult Day Health direct care staff must have training or one or more years of experience working with adults in a health care or social service setting, and training or knowledge of CPR and first aid, and be able to recognize distress or signs of illness (§ 003.01(D)).(480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related))
• 6Adult Day Health providers must have a licensed nurse on staff or under contract to provide the health assessment/nursing component and supervise activities of daily living and ADL training (§ 003.01(E)).(480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related))
• 7Each Adult Day Health center must be staffed at all times by at least one full-time trained staff person during operating hours, maintain an appropriate direct-care staff-to-participant ratio, and develop written job descriptions and qualifications for each position (§ 003.01(C)).(480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related))
• 8Assisted living Waiver providers must be licensed as an assisted living facility and certified as an AL provider of Waiver services, provide private room/bathroom (semi-private only with prior approval), and provide a grievance process for denials of individualized requests (§ 003.02(A)).(480 NAC Chapter 4, Section 480-4-003 — Service-Specific Provider Standards (A&D Waiver: Adult Day Health, Assisted Living, Chore, Respite, PERS, and related))