Section 17-1424-16 - Services for center participants(a) Services through the center shall include:(1) Observation and supervision by center staff throughout the participant's stay at the center;(2) Proper handling and notification of the person responsible for the participant's care or a physician when a participant becomes ill;(3) Counseling and referral to a social agency or psychiatric facility when participants have inter-personal, behavioral, or family-related problems;(4) Isolation of a participant when symptoms of a communicable disease are evident, pending medical clearance. The family or the participant's representative shall be contacted and encouraged to seek medical care for the participant;(5) Adherence by staff members to specific instructions obtained from a physician for the care of a participant with special problems. The instructions shall be written in the participant's records;(6) Provision of a participant's medication by the family to the center on a daily basis. The staff shall not give the medication, except as allowed under subparagraph (A), but may supervise or remind a participant about the need to take the prescribed medication. Medication: (A) May be administered by staff members licensed by the state as a licensed practical nurse or registered nurse, or by unlicensed assistive personnel delegated the task by a licensed registered nurse as provided in chapter 16-89, subchapter 15, Hawaii Administrative Rules, and if the participant's physician has signed an authorization statement for the administration of medication by staff licensed as a practical nurse or registered nurse, or by unlicensed assistive personnel delegated the task by a licensed registered nurse as provided in chapter 16-89, subchapter 15, Hawaii Administrative Rules;(B) Shall be kept in their original container bearing the prescription label which shows the date filled, the physician's directions for use and the adult participant's name; and(C) Shall be stored out of reach of participants and returned to the participant or responsible family member at the end of each day; and(7) Retention of first aid supplies at the center.(b) Meal requirements shall include: (1) Well balanced meals, when provided by the centers, which approximate federal standards, type A lunch requirements, which provide the framework for nutritionally adequate school lunches based on the recommended daily dietary allowances chart; and(2) Appropriate snacks between meals.(c) Program requirements shall include: (1) A planned, well-balanced program of activities and services at each center in order to enhance the participant's well-being and to maximize individual functioning;(2) Supervision and personal care services by staff members in order to protect the participants. The center shall provide assistance such as toileting and shall encourage a withdrawn or passive individual to participate in activities and to develop self-help skills;(3) Therapeutic, social, educational, recreational, and other activities such as: (A) Opportunities for arts and crafts;(B) Daily exercise as can be tolerated by the participant or as prescribed by the participant's physician;(C) Development of hobbies;(D) Helping with community activities which may be handled at the center and as the participant is capable of managing;(E) Reading magazines and books or other sedentary activities such as television viewing or listening to the radio; and(F) Excursions or outings at least twice monthly to points of interest to the participants, such as senior centers or other group functions;(4) Provision of regular rest periods in the morning and in the afternoon; and(5) Provision of family consultation or referral services to appropriate community agencies, clinics, or physicians when a participant or family is observed to be in need of intensive counseling, medical, or mental health services.Haw. Code R. § 17-1424-16
[Eff 6/29/92; am and comp 10/04/01] (Auth: HRS §34 6-83) (Imp: HRS § 346-83)