(a) The operator must provide or arrange for services appropriate to each registrant in accordance with the comprehensive assessment conducted and care plan developed by the adult day health care program, or by the managed long term care plan or care coordination model that referred the registrant to the adult day health care program. At least the following program components must be available:

1. (1) case management;
2. (2) health education;
3. (3) interdisciplinary care planning;
4. (4) nursing services;
5. (5) nutrition;
6. (6) social services;
7. (7) assistance and supervision with the activities of daily living, such as toileting, feeding, ambulation, bathing including routine skin care, care of hair and nails; oral hygiene; and supervision and monitoring of personal safety, restorative rehabilitative and maintenance therapy services;
8. (8) planned therapeutic or recreational activities that reflect the interests, cultural backgrounds and the communities of the registrants and provide the registrants with choices;
9. (9) pharmaceutical services; and
10. (10) referrals for necessary dental services and sub-specialty care.

(b) The following services may also be provided:

1. (1) specialized services for registrants with HIV or AIDS; and
2. (2) religious services and pastoral counseling.