PURPOSE: This rule describes the minimum requirements for administrative, participant and program records that the adult day care provider shall maintain.

1. (1) The adult day care provider shall maintain administrative records that include at least:

   1. (A) Written personnel policies;
   2. (B) An organizational chart depicting lines of supervision and responsibility;
   3. (C) Individual personnel records for both paid staff and volunteer staff who are count- 19 CSR 30-90

ed in the staffing ratio that include the following:

1. 1. Position title and written descriptions

of job responsibilities;

1. 2. Name, address, home telephone num-

ber, date of birth and Social Security number;

1. 3. Documentation of professional quali-

fication; such as copies of license, certification, as applicable;

1. 4. Educational background;
2. 5. Employment history and documenta-

tion of references checked prior to employment;

1. 6. Annual evaluation of work perfor-

mance;

1. 7. Documentation of orientation and in-

service training received;

1. 8. Record of dates and hours worked for

at least the previous calendar year;

1. 9. Copies of contracts with consultants,

as applicable;

1. 10. Documentation, as applicable, of

any communicable disease and written physician’s release to return to work; and

1. 11. Documentation of current certifica-

tion in first aid and cardiopulmonary resuscitation (CPR), as applicable;

1. (D) Fiscal records that include documentation of program income and expenditures in accordance with generally accepted accounting procedures;
2. (E) Records of orientation and in-service training provided; and
3. (F) Current facility inspection reports from the local health authority, local fire department, Department of Health or Division of Aging, as applicable, including catered services.

1. (2) The provider shall maintain individual participant records that include at least:

   1. (A) Identifying information consisting of the participant’s name; address; home telephone number; sex; date of birth; legal guardian, if applicable; the name and telephone number of the person to be notified in case of emergency; next of kin; travel directions between the home and program location and transportation arrangements, if applicable;
   2. (B) Physician’s pre-admission medical report and recommendations and subsequent medical information;
   3. (C) Individual plan of care and progress notes;
   4. (D) A chart of medications administered and any reactions noted, if applicable;
   5. (E) Documentation of modified diet as provided, if prescribed;
   6. (F) Daily attendance log for the previous calendar year; and SENIOR SERVICES
   7. (G) Documentation regarding any accidents or incidents.

2. (3) The provider shall maintain program records that include at least:

   1. (A) Current written program description;
   2. (B) Schedule of daily group activities planned and record of activities actually conducted shall be maintained for the previous four (4) calendar months;
   3. (C) Weekly menus of meals planned and records of actual meals served shall be maintained for the previous four (4) calendar months;
   4. (D) Emergency medical plan; and
   5. (E) Fire safety plan.
3. (4) Records or any information regarding adult day care program participants shall be confidential and no information shall be released without a written release of information signed by the participant or legal guardian except that records shall be available to the division for program inspection, monitoring or technical assistance purposes.
4. (5) Records shall be maintained for no less than five (5) years unless otherwise specified in this rule. Current records shall be kept on site within the adult day care program. Inactive records may be maintained at another central location but in no case outside the state of Missouri. Any record requested by the division shall be available within twentyfour (24) hours of the request.

AUTHORITY: sections 660.050, RSMo Supp. 1992 and 660.418, RSMo 1986.* This rule originally filed as 13 CSR 15-8.060. Original rule filed Oct. 15, 1984, effective Jan. 11, 1985. Moved to 19 CSR 30-90.060, effective Aug. 28, 2001. *Original authority: 660.050, RSMo 1984, amended 1988, 1992 and 660.418, RSMo 1984.