Section .0200 - Definition Of Terms

Link to law: 10a - health and human services/chapter 06 - aging - programs operations/subchapter r/10a ncac 06r .0201.html
Published: 2015

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10A ncac 06R .0201       DEFINITIONS

As used in this Subchapter, unless the context requires

otherwise, the following definitions shall apply:

(1)           "Activities of Daily Living (ADL)" means

eating; dressing; bathing; toileting; bowel and bladder control; transfers; and


(2)           "Adaptable space" means space in a

facility that can be used for several purposes with little effort and without

sacrificing safety and health standards; for example, an activities room that

is used for crafts in the morning, used to serve lunch and used for exercise

activities in the afternoon.

(3)           "Adaptable activity" means an activity

where participation can be varied from individual, small group, or large group,

and can occur seated, standing or lying down.

(4)           "Adult" means an individual 18 years of

age or older.

(5)           "Adult Day Care Center" means a day care

program operated in a structure other than a single family dwelling.

(6)           "Adult Day Care Home" means a day care

program for up to 16 people operated in a single family dwelling where the

owner resides.

(7)           "Adult Day Care Program" means the

provision of group care and supervision in a place other than their usual place

of abode on a less than 24-hour basis to adults who may be physically or

mentally disabled.  This term is used to refer to adult day care programs,

adult day health programs, and adult day care and combined adult day health

programs (i.e., combination programs).

(8)           "Alzheimer's Disease" means a

progressive, degenerative disease of the brain resulting in impaired memory,

thinking and behavior.  Characteristic symptoms of the disease include gradual

memory loss, impaired judgement, disorientation, personality change, difficulty

in learning and loss of language skills.

(9)           "Ambulatory" means a person who is mobile

and does not need the continuing help of a person or object for support (except

a walking cane).

(10)         "Capacity" means the number of

participants for which a day care program is certified.

(11)         "Caretaker" (or "Caregiver") means

an adult who regularly provides an impaired adult with continuous supervision,

assistance with preparation of meals, assistance with housework and assistance

with personal grooming.

(l2)          "Certification" means the process whereby

an adult day care program is approved as meeting the North Carolina Adult Day

Care Rules in 10A NCAC 06.

(13)         "Certifying agency" means the Department

of Health and Human Services, Division of Aging and Adult Services.

(14)         "Dementia" means the loss of intellectual

functions (such as thinking, remembering, and reasoning) of sufficient severity

to interfere with a person's daily functioning.  Dementia is not a disease

itself but rather a group of symptoms that may accompany certain diseases or

conditions. Symptoms may also include changes in personality, mood and


(15)         "Group process" means at least three

persons engaged in a common activity.

(16)         "Institution" means a facility that is

established to serve a particular purpose and is required by state law to be

provided and maintained by the state and any facility defined in federal

regulations as an institution.  In North Carolina, the list of institutions includes:

general hospitals, state psychiatric hospitals, state centers for the mentally

ill, skilled nursing facilities, and intermediate care facilities.

(17)         "Instrumental Activities of Daily Living (IADL)"

means meal preparation, medication intake, housekeeping, money management,

phone use, laundering, reading, shopping, communication such as speaking,

writing, signing, gestures, using communication devices and going to necessary


(18)         "Medication schedule" means a listing of

all medications taken by participants with dosages, route of administration,

and times medications are to be taken.

(19)         "Mental health disability" means disorders

with psychological or behavioral symptoms or impairment in functioning due to a

social, psychological, genetic, physical, chemical or biological disturbance.

(20)         "Modifiable activity" means an activity

that can be simplified and adapted as a participant's abilities decline or


(21)         "Non‑ambulatory" means a person who

is bedfast.

(22)         "Nucleus area" means adult day care

programs located in a multi-use building and refers to the area not shared by

any other programs located in the building but used only by the adult day care


(23)         "Nursing care" means skilled nursing care

or intermediate care.

(24)         "On-site" means the area certified for the

day care program.

(25)         "Owner" means the person responsible for

management of a day care home or day health home.

(26)         "Other special needs disease or condition"

means a diagnosis, disease or disability, such as AIDS/HIV, that benefits from

monitoring or oversight in a supervised setting.

(27)         "Participant" means a person enrolled in

an adult day care program.

(28)         "Personal care" means tasks that range

from assistance with basic personal hygiene and grooming, feeding, and

ambulation, to medical monitoring and other health care related tasks.

(29)         "Physical therapy program" means a series

of activities prescribed by a licensed physical therapist or activities

administered under the supervision of a physical therapist.

(30)         "Program director" means the person

responsible for program planning, development and implementation in a day care program. 

(31)         "Progress notes" means written reports in

the participant's file of staff discussions, conferences, or consultation with

family or other interested parties, for the purpose of evaluation of a

participant's progress and any other information regarding the participant's


(32)         "Related disorders" means dementia or impaired

memory characterized by irreversible memory dysfunction.

(33)         "Respite care," as a component of adult

day care programs, means a service provided to give temporary relief to the

family or caregiver.  Primarily, respite is provided to families caring for children

or adults with disabilities or families caring for frail or disabled older


(34)         "Responsible party" means the caretaker

with primary day-to-day responsibility for an impaired adult.

(35)         "Semi-ambulatory" means a person who needs

and uses the assistance of objects such as a wheelchair, crutches, walker, or

other appliance or the support of another person on a regular and continuing

basis to move about.

(36)         "Senior center" means a community or

neighborhood facility for the organization and provision of services including

health, social, nutritional and educational services and a facility for

recreational and group activities for older persons.

(37)         "Special care services" means services by

a certified adult day care program that promotes itself as providing

programming, activities or care specifically designed for persons with

Alzheimer's or other dementias, or related disorders, mental health

disabilities, or other special needs diseases or conditions.

(38)         "Supervising agency" means the county

department of social services in the county in which the day care program is

located.  The county department is responsible for seeing that certification

standards are met on an on-going basis and for making a recommendation to the

Division of Aging and Adult Services regarding certification.


History Note:        Authority G.S. 131D-6; 143B-153; S.L.


Eff. January 1, 1981;

Amended Eff. July 1, 1990; January 1, 1986; July 1, 1984;

Temporary Amendment Eff. September 28, 1999;

Amended Eff. July 1, 2007; July 17, 2000.