Section 17-1417-6 - Scope of service(a) Adult day care services shall be appropriate for adults and shall be provided according to the adult's needs based upon initial and continual assessments by the adult day care center staff. Assessments shall be based upon the physician's report of limitations and upon the day care staff's personal observation of the adult's interests and limitations as a center program participant. Adult day care services shall include, but are not limited to, the following activities: (1) Therapeutic, social, educational, recreational, and other activities, including, but not limited to: (C) Companionship which involves group activities and social interaction with other participants and staff;(D) Assistance with and development of self-help skills; and(E) Individual and group counseling as needed;(2) Physical exercise to maintain or improve fine motor coordination, such as: (3) Reminder to take medication;(5) Family consultation or referral services to appropriate community resources when determined necessary; and(6) Provision of snacks and of meals if specified in the license.(b) In addition to the activities specified in subsection (a), adult day care services shall include one or more of the following activities provided by the department's social work staff: (1) Casework to strengthen or sustain recipients at home by improving individual or family functioning through the resolution of personal or interpersonal problems including, but not limited to: (A) Resolving problems such as marital problems, financial or home management problems, or stresses that may lead to abuse or neglect; and(B) Helping recipients to carry on normal family living and home management activities during or following the absence or incapacity of the primary caregiver;(2) Assistance to recipients in learning about, applying for, and receiving income entitlements such as social security benefits, state supplemental payments, veterans' benefits, financial assistance, medicaid, or food stamps;(3) Assistance to elderly or disabled recipients in finding, arranging, and participating in programs or organized group activities to help lessen social isolation;(4) Assessment, preparation, and arrangement for the provision of supportive services such as chore or adult foster care which are needed for reasons other than protection; or(5) Monitoring and encouraging maximum use of supportive services which enable the family to remain together or the individual to remain at home.[Eff 6/29/92] (Auth: HRS §§ 346-14, 346-83) (Imp: 42 U.S.C. §§1397 a, 1397c; HRS § 346-84)