Adult Day Care Agency- Policies and Procedures- Missouri State Licensure

Introducing our comprehensive Adult Day Care Agency Policies and Procedures package designed specifically for Missouri State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of policies and procedures is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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Table of Contents

Introduction 
Statement of Purpose 
Statement of Policy 
Document Control & Approvals 
Licensure Requirements 
Policy: 
Procedures: 

Staffing Requirements 
Policy: 
Procedures: 

Staffing Plan
Policy:
Procedures:
Types of Services Provided and Service Descriptions
Daily Staffing
Adjustments in Staffing
Floating

Program Policies and Participant Care Requirements and Rights
Policy:
Procedures:

Record Keeping Requirements
Policy:
Procedures:

Record Management Policy
Policy:
Procedures:
Storage, processing, and handling of active and closed records
Storage, processing and handling of electronic records
Strategies for service continuity and record recovery
Designation of person responsible for records management
Disposition of records
Discharged Criteria

Service Criteria
Policy:
Admission Criteria
Discharged/ Termination Criteria

Pre-Scanning and Discharge Planning
Policy:
Procedures:

Client Rights
Policy:

Fiscal Accountability (Internal Controls)
Policy:
Procedures:
Framework for Internal Control
Internal Controls
Petty Cash/Funds Control
Purchasing Controls
Purchasing Review

Policy on Funds of Individuals Receiving Services
Policy:
Procedures:

Physical Plant Health and Safety Standards
Policy:
Procedures:
Facility Physical Requirements :

Criminal Background Check and Drug-Free Workplace
Policy:
Procedures:
Drug-Free and Non-Smoking Policies
Employee Verification
Background Check
Recruitment

Job Descriptions
Chief Executive Officer
Care Manager
Registered Nurse
Caregiver
Client Assistant
Therapist
Psychologist
Home Health Aide
Cashier

Employee Training and Development
Policy:
Procedures:
Medication Administration
Behavioral Management
Emergency Preparedness
Record Keeping in Employee Personnel Records

Employee Notification of Policy Changes
Policy:
Procedures:

Employee or Contractor Performance Evaluation
Policy:
Procedures:
What is good performance?
Periodical reviews
Rewards
Training
Frequent communication
Managers’ responsibilities

Grievance Policy
Policy:
Procedures:
Grievance Handling
Filing Complaints

Service Description Requirements
Policy:
Procedures:
Services
Core Services
Optional Services
Adult Day Health Services
Individual Plan of Care

Nutrition Policy
Policy:
Procedures:
Nutrition Plan
Practical advice on maintaining a healthy diet
    Fruit and vegetables
    Fats
    Salt, sodium and potassium
    Sugars

Community Participation
Policy:
Procedures:
Adult Day Care
Counseling Services & Education
Employment & Community Services
Rehabilitation Services

Monitoring and Evaluating Quality
Policy:
Procedures:

Screening Admission and Referrals
Policy:
Procedures:

Assessment Policy
Policy:
Frequency of Assessments
Procedures:
Data collection to assess patient needs
Diagnostic testing
Analysis of patient data

Individualized Services Plan (ISP)
Policy:
Procedures:

Orientation
Policy:
Procedures:

Transition of Individuals among Services
Policy:
Procedures:

Discharge Policy
Policy:
Procedures:

Healthcare Policy
Policy:
Procedures:
Medical Necessity
Individual Services Plan
Medical Care and Identification for Treatment

Physical Examination
Policy:
Procedures:

Medical Equipment
Policy:
Procedures:

Medication Management
Policy:
Procedures:

Behavior Interventions and Support
Policy
Procedures:
Procedural Requirements for Behavior Interventions
Positive Behavior Support Strategies Include
Manipulation of Rewards
Consent
Planning for Behavior Supports
Functional Assessment
Monitoring On-going Progress

Documentation Policy
Policy:
Procedure:
Legibility
Patient Identification
Time Documentation
Record Procedures
Correction of documentation
Physician Orders
Documentation
Filing of Records
Security of Records/Documents

Review Process for Records
Policy:
Procedure:

Case Management Choice
Policy:
Procedure:
Process of Changing a Case Manager

List of Forms/Annexures:
Annexure 01: Financial Information Form – Expenditure and Disbursement of Client Funds
Annexure 02: Staff Orientation Form for Employees, Contractors, Volunteers and Students
Annexure 03: Staff Training and Development Form
Annexure 04: Performance Evaluation Form
Annexure 05: Grievance Procedure Form
Annexure 06: Facility Inspection Checklist Form
Annexure 07: Daily Nutrition Monitoring Form
Annexure 08: Client Screening Form
Annexure 09: Initial Assessment Form
Annexure 10: Comprehensive Assessment Form
Annexure 11: ISP Requirements Form
Annexure 12: Reassessments and ISP Quarterly Review Form
Annexure 13: Sample Daily Progress Notes
Annexure 14: Client Orientation Form
Annexure 15: Transfer Form
Annexure 16: Discharge Form
Annexure 17: Fall Assessment Form
Annexure 18: Client Physical Examination Form
Annexure 19: Monitoring, Behavior Intervention & Supports Form
Annexure 20: Abuse/ Neglect Reporting Form
Annexure 21: Seclusion and/ or Restraint Documentation Form
Annexure 22: Client Face Sheet Form
Annexure 23: Individual’s Service Record Form
Annexure 24: Therapies – Individual/ Group Form
Annexure 25: Release of Information Form
Annexure 26: Record Review Form