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Adult day health care centers shall offer, and shall provide directly on the premises, at least the following services:
(a) Rehabilitation services, including the following:
(1) Occupational therapy as an adjunct to treatment designed to restore impaired function of patients with physical or mental limitations.
(2) Physical therapy appropriate to meet the needs of the patient.
(3) Speech therapy for participants with speech or language disorders.
(b) Medical services supervised by either the participant’s personal physician or a staff physician, or both, which emphasize prevention treatment, rehabilitation, and continuity of care and also provide for maintenance of adequate medical records. To the extent otherwise permitted by law, medical services may be provided by nurse practitioners, as defined in Section 2835 of the Business and Professions Code, operating within the existing scope of practice, or under standardized procedures pursuant to Section 2725 of the Business and Professions Code, or by registered nurses practicing under standardized procedures pursuant to Section 2725 of the Business and Professions Code.
(c) Nursing services, including the following:
(1) Nursing services rendered by a professional nursing staff, who periodically evaluate the particular nursing needs of each participant and provide the care and treatment that is indicated.
(2) Self-care services oriented toward activities of daily living and personal hygiene, such as toileting, bathing, and grooming.
(d) Nutrition services, including the following:
(1) The program shall provide a minimum of one meal per day which is of suitable quality and quantity as to supply at least one-third of the daily nutritional requirement, unless the participant declines the meal or medical contraindications exist, as documented in the participant’s health record, that prohibit the ingestion of the meal at the adult day health care center. Additionally, special diets and supplemental feedings shall be available if indicated.
(2) Dietary counseling and nutrition education for the participant and his or her family shall be a required adjunct of such service. Dietary counseling and nutrition education may be provided by a professional registered nurse, unless the participant is receiving a special diet prescribed by a physician, or a nurse determines that the services of a registered dietician are necessary.
(e) Psychiatric or psychological services which include consultation and individual assessment by a psychiatrist, clinical psychologist, or a psychiatric social worker, when indicated, and group or individual treatment for persons with diagnosed mental, emotional, or behavioral problems.
(f) Social work services to participants and their families to help with personal, family, and adjustment problems that interfere with the effectiveness of treatment.
(g) Planned recreational and social activities suited to the needs of the participants and designed to encourage physical exercise, to prevent deterioration, and to stimulate social interaction.
(h) Transportation service for participants, when needed, to and from their homes utilizing specially equipped vehicles to accommodate participants’ needs. The transportation service may only exceed one hour when necessary to ensure regular and planned attendance at the adult day health care center and when there is documentation in the participant’s health record that there is no medical contraindication.
(i) Written policies and procedures for dealing with natural disaster and emergency situations.