(d) If the adult day health care center is unable to locate a personal health care provider for the participant, or if the participant refuses to establish a relationship with a personal health care provider, the adult day health care center shall do both of the following:

1. (1) Document the lack of personal health care provider relationship in the participant’s health record.
2. (2) Continue to document all efforts taken to assist the participant in establishing a relationship with a personal health care provider.

(e)

1. (1) A personal physician for one or more of an adult day health care center’s enrolled participants may serve as the adult day health care staff physician.
2. (2) When a personal physician serves as the staff physician, the physician shall have a personal care services arrangement with the adult day health care center that meets the criteria set forth in Section 1395nn(e)(3)(A) of Title 42 of the United States Code.
3. (3) A personal care physician, an adult day health care staff physician, or an immediate family member of the personal care physician or adult day health care staff physician, shall comply with ownership interest restrictions as provided under Section 654.2 of the Business and Professions Code.