DUAL LICENSURE OF ADULT DAY CARECENTERS AND VOCATIONALREHABILITATION FACILITIES

1. (a) A facility should be licensed under both adult day care center and vocational facility regulations if the regulatory definitions of both sets of regulations are met. The main regulatory distinction between an adult day care center and a vocational facility is that an adult day care center, less than 20% of the client’s programming is comprised of remunerative work experience. In a vocational facility, 20% or more of the client’s programming is comprised of remunerative work experience. The average percentage of remunerative work experience provided to each client over a 12-month period will be considered in this determination.

2. (b) If both adult day care center and vocational facility definitions are met, the following dual licensure procedures apply.

   1. (1) Adult day care clients and vocational clients must be served in separate and distinct program areas or groups within the facility. Nonprogram areas such as bathrooms and dining areas can be shared.
   2. (2) Apply both sets of regulations, completing two separate licensing inspection instrument scoresheets and two licensing inspection instruments.
   3. (3) Apply adult day care and vocational regulations separately. For example, apply 1:7 ratio adult day care clients and 1:15 or 1:20 ratio for vocational facility clients.
   4. (4) Issue two separate certificates. It is possible that the adult day care center could receive a regular certificate and the vocational facility could receive a provisional certificate.
   5. (5) The facility will appear on licensing printouts as both an adult day care center and a vocational facility.