PURPOSE: The following definitions are listed to establish understanding of these terms as applied to Chapter 8.

1. (1) Adult day care program. 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. (2) Adult day care provider. The person, corporation, partnership, association or organization legally responsible for the overall operation of the adult day care program, who has a current license, or provisional license, to operate issued by the Division of Aging.
3. (3) Applicant. The 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 Aging.
4. (4) Associated adult day care program. An adult day care program which is physically attached with another organization established primarily to offer other services (such as medical care, long-term care and human services) but has designated space and staff for an adult day care program which is above the existing space and staffing requirements for the residents, patients or clients.
5. (5) Direct care staff. Those staff (paid and volunteer) assigned to take care of the direct needs of participants.
6. (6) Freestanding adult day care program. 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 service with any other organization.
7. (7) Functionally impaired adult. An individual aged eighteen (18) or older who, by reason of age or infirmity, requires care and supervision.
8. (8) Individual plan of care. The adult day care provider’s written description of the amount, duration and scope of services to be provided to each individual participant.
9. (9) Long-term care facility. Any facility holding a valid license to operate, issued by the Missouri Division of Aging, including: skilled nursing facilities, intermediate care facilities or residential care facilities I and II as defined by section 198, RSMo; or distinct part skilled care units, intermediate care units or residential care units licensed by the Missouri Department of Health as defined by 19 CSR 30-20.010.
10. (10) Medical care facility, a hospital, rehabilitation facility or other facility holding a valid state license to operate, issued by the Missouri Division of Health, as defined by 19 CSR 30-20.010.

AUTHORITY: sections 660.050, RSMo Supp. 1992 and 660.418, RSMo 1986.* This rule originally filed as 13 CSR 15-8.010. Original rule filed Oct. 15, 1984, effective Jan. 11, 1985. Moved to 19 CSR 30-90.010, effective Aug. 28, 2001. *Original authority: 660.050, RSMo 1984, amended 1988, 1992 and 660.418, RSMo 1984.