Adult Day Program - Policies and Procedures - California state Licensure

Introducing our comprehensive Adult Day Program Policies and Procedures package designed specifically for California 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    
Vision    
Mission    
Values    
Document Control    
Statement of Policy    
Program Design and Goals    
Anticipated Consumer Outcomes    
Program Curriculum Development and Implementation    
Training Location Specification    
Consumer Attendance Policy    
Consumer Attendance Requirements Policy    
Consumer Attendance Assurance Policy    
Staffing Ratio Compliance Policy    
Program Expansion and Capacity Management Policy    
Operating Hours and Holiday Schedule Policy    
Staff Training and Development Policy    
Implementation of DDS Directive for Crosswalk and Rate Reform    
Entrance and Exit Criteria for Consumers    
Entrance and Exit Criteria for Consumers    
Consumer Assessment Procedures and IPP Objective Assistance    
Utilization of Assessment Data for Program Services    
Evaluation Procedures for Consumer Progress    
Program Effectiveness Evaluation    
Internal Consumer Grievance Procedure    
Special Incident Reporting    
Zero Tolerance Policy for Abuse and Neglect    
Program Design Modification Notification    
Ensuring Compliance with HCBS Standards    

Forms    
Client Intake Form    
Physician Form with Responsible Party Info    
Nurse Assessment Form    
HIPAA Form    
Neglect and Abuse Form    
Client Consent Form    
Three Emergency Contacts    
Staff Supervisory Review Form    
Confidentiality Form    
Incident Reporting Form    
Client’s Rights and Responsibilities Form    
Service Plan Form    
Medication Administration Record (MAR)    
Feedback and Satisfaction Survey    
Required Elements    
Vendor Application    
Vendor Ownership Disclosure Statement    
Community Based Day Program Cost Statement    
Form W-9    
Certification of Insurance Statement    
HCBS Provider Agreement Form    
Conflict of Interest Form