WAC 388-106-0800. What adult day care services may I receive?

You may receive the following services in an adult day care: (1) Core services, which include assistance with: (a) Locomotion outside of room, locomotion in room, walk in room; (b) Body care; (c) Eating; (d) Repositioning; (e) Medication management that does not require a licensed nurse; (f) Transfer; (g) Toileting; (h) Personal hygiene at a level that ensures your safety and comfort while in attendance at the program; and (i) Bathing at a level that ensures your safety and comfort while in attendance at the program. (2) Social services on a consultation basis, which may include: (a) Referrals to other providers for services not within the scope of medicaid reimbursed adult day care services; (b) Caregiver support and education; or (c) Assistance with coping skills. (3) Routine health monitoring with consultation from a registered nurse that a consulting nurse acting within the scope of practice can provide with or without a physician's order. Examples include: (a) Obtaining baseline and routine monitoring information on your health status, such as vital signs, weight, and dietary needs; (b) General health education such as providing information about nutrition, illnesses, and preventative care; (c) Communicating changes in your health status to your caregiver; (d) Annual and as needed updating of your medical record; or (e) Assistance as needed with coordination of health services provided outside of the adult day care program. (4) General therapeutic activities that an unlicensed person can provide or that a licensed person can provide with or without a physician's order. These services are planned for and provided based on your abilities, interests, and goals. Examples include: (a) Recreational activities; (b) Diversionary activities; (c) Relaxation therapy; (d) Cognitive stimulation; or (e) Group range of motion or conditioning exercises. (5) General health education that an unlicensed person can provide or that a licensed person can provide with or without a physician's order, including but not limited to topics such as: (a) Nutrition; (b) Stress management; (c) Disease management skills; or (d) Preventative care. (6) A nutritional meal and snacks are provided every four hours, including a modified diet if needed and within the scope of the program, as provided under WAC 388-71-0768 ; (7) Supervision and/or protection if needed for your safety; (8) Assistance with arranging transportation to and from the program; and (9) First aid and provisions for obtaining or providing care in an emergency. NOTE : If you require the intervention or services of a registered nurse or licensed rehabilitative therapist acting under the supervision of your physician, consider adult day health services.