Adult Day Care Program Manual

19 CSR 30-90.040 establishes the minimum requirements for adult day care program staff, ratio of numbers of staff to participants and staff training. Reminder: Providers need to review these requirements in their entirety at: https://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp

Program staff requirements in this section include the following:

• ADC provider responsible for assuring compliance with applicable laws and rules;
• Program Director responsibilities and qualifications;
• Direct care staff minimum age and qualification standards;
• Volunteer qualifications;
• Direct care staffing requirements;
• Calculating staffing ratios;
• Staff ability to perform job duties;
• Direct care staff – free of communicable disease;
• Written approval to return to duty after diagnosis of communicable disease;
• Program Director -monitor health of employees;
• Not employable due to abuse or neglect of patients;
• Employee disclosure requirements;
• Employee disqualification list – periodic checks-Family Care Safety Registry (FCSR);
• Criminal background check requirements;
• FCSR registration requirements for employees;
• Provider requirements when using individuals listed on the EDL;
• Good cause waiver requirements;
• Cardiopulmonary resuscitation (CPR) and First Aid certification requirements, training sources, renewals;
• First Aid training requirements;
• Staff orientation requirements;
• In-service training requirements.

Reminder: ADC programs receiving Medicaid waiver funding through DHSS or DMH or federal reimbursements are also required to comply with those program requirements.

When the regulation(s) conflict, the provider is required to comply with the more stringent regulation(s).