24 Miss. Code. R. § 2-25.2 - Alzheimer's Day Service Locations
A. Alzheimer's Day
Service locations must meet the following minimum staffing requirements:
1. A full-time service supervisor with at
least a Bachelor's degree in a mental health, intellectual/developmental
disabilities, or social service-related field and be under the supervision of a
person with a Master's degree in a mental health or intellectual/developmental
disabilities- related field;
2. A
full-time Activities Coordinator with a minimum of a high school diploma or
equivalent and at least one (1) year of experience in developing and conducting
activities for the population to be served;
3. A full-time service assistant with a
minimum of a high school diploma or equivalent and at least one (1) year of
experience in working with adults in a health care or social service
setting;
4. If volunteers are
utilized, people who volunteer must demonstrate willingness to work with people
with Alzheimer's disease or related dementia, and they must successfully
complete agency provider orientation and training. The duties of volunteers
must be mutually determined by volunteers and employees. Volunteers' duties, to
be performed under the supervision of an employee, can either supplement
employees in established activities or provide additional services for which
the volunteer has special talents.
B. In addition to General Orientation,
Alzheimer's Day Service personnel must attend training specific to address the
needs of people with cognitive impairment including communication techniques,
redirection techniques, and activity interventions.
C. The ratio of employees to people served by
the service location must be at least one (1) full-time employee per four (4)
people served. The service supervisor may be included in the staffing ratio if
he/she is on-site and actively engaged in the service.
D. The Alzheimer's Day Service must provide a
balance of purposeful activities to meet people's interrelated needs and
interests (social, intellectual, cultural, economic, emotional, physical, and
spiritual). Activities may include, but are not limited to:
1. Personal interaction;
2. Individualized activities;
3. Small and large group
activities;
4 Intergenerational
experiences;
5. Outdoor activities,
as appropriate;
6. Self-care
activities; and,
7. Culturally and
ethnically relevant celebrations.
E. People served by the service location
should be encouraged to take part in activities, but may choose not to do so or
may choose another activity.
F.
People must be allowed time for rest and relaxation and to attend to personal
and health care needs.
G. Activity
opportunities must be available whenever the service location is in operation.
Activity opportunities are defined as structured opportunities for
socialization and interaction that are available in large groups, small groups
or individual formats. Opportunities for socialization should be individualized
to meet the preferences of the person.
H. Creative arts activities must be provided
to improve or maintain physical, cognitive, and/or social functioning of people
served by the service location.
I.
Family education and training must be made available at least monthly to
family(ies) and/or caregiver(s) of people served by the agency provider. This
training must be designed to improve the well-being and functional level of the
people served and/or family(ies)/caregiver(s). Provision of family education
and training must be documented in the person's record. A family education log
must be kept by the supervisor.
J.
Opportunities for case staffing (including problem-solving as to how to respond
to challenging scenarios involving people who receive services) between
supervisory and all service personnel must be made on a monthly basis or more
frequently if determined necessary by the service supervisor.
K. The service must provide individualized
assistance with and supervision of activities of daily living in a safe and
hygienic manner, with recognition of a person's dignity and right to privacy,
and in a manner that encourages people's maximum level of
independence.
L. The service will
ensure that each person receives a minimum of one (1) mid-morning snack, one
(1) nutritious noon meal, and one (1) mid-afternoon snack, as well as adequate
liquids throughout the day.
M. Each
Alzheimer's Day Services location must adhere to the following:
1. Must have its own separate, identifiable
space for all activities conducted during operational hours. The Alzheimer's
Day Service must provide at least fifty (50) square feet of service space for
multipurpose use for people served in the service location.
2. A single service location may serve no
more than twenty (20) people at a time.
3. The facility must be flexible and
adaptable to accommodate variations of activities (group and/or individual) and
services and to protect the privacy of people receiving services.
4. Identified space for people and/or
family(ies)/caregiver(s) to have private discussions with employees must be
available.
5. Restrooms must be
located as near the activity area(s) as possible.
6. A rest area for people served in the
service location must be available. This area must have a minimum of one (1)
reclining chair per six (6) people served in the service location.
7. An operable electronic security system
that has the capacity to monitor unauthorized entrance or egress, or other
movement through the entrance/exits must be utilized.
8. Outside space that is used for outdoor
activities must be safe, accessible to indoor areas, and accessible to people
with disabilities and shall include the following:
(a) Secure, exterior pathway(s), a minimum of
four (4) feet in width;
(b)
Adequate outside seating; and,
(c)
Exterior fencing, a minimum of six (6) feet in height, which encloses the
outside area(s) where pathways and seating for people served by the service
location are provided.
Notes
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