DHS 105.14(7)(d)3.e.e. Written information describing side effects and adverse reactions of each medication shall be kept in the participant’s record. DHS 105.14(7)(d)3.f.f. The administration of medications shall be documented in the participant’s permanent record to include the name of the medication, dosage, method of administration, date and time administered, and name of the caregiver who administered the medication. DHS 105.14(7)(d)3.g.g. Medication administration by routes to include: injectable, nebulizers, stomal and enteral medications, and medications, treatments or preparations delivered vaginally or rectally shall be administered by a registered nurse or by a licensed practical nurse within the scope of their license, or may be delegated to a non-licensed caregiver pursuant to s. N 6.03 (3). DHS 105.14(7)(e)(e) Program services. Based on the written description of the program, the ADCC shall provide or arrange for services to meet the needs of each participant in all of the following areas: DHS 105.14(7)(e)1.1. ‘Leisure activities.’ The ADCC shall provide programming for individual and group activities that encourage creativity, social interaction, and physical exercise. Activities shall include outings to points of interest and involvement in the general community which take into consideration individual functional abilities, needs, and interests of each participant. DHS 105.14(7)(e)2.2. ‘Personal care.’ The ADCC shall provide assistance to meet a participant’s assessed needs for ADLs. DHS 105.14(7)(e)3.3. ‘Supervision.’ The ADCC shall provide supervision appropriate to the participant’s needs. DHS 105.14(7)(e)4.4. ‘Communication skills.’ The ADCC shall provide services to meet the participant’s communication needs. DHS 105.14(7)(e)5.5. ‘Health monitoring.’ The ADCC shall monitor the health of a participant by observing and documenting changes in each participant’s health and referring a participant to health care providers when necessary. At a minimum, a quarterly note shall document how a participant is responding to the service plan. The ADCC shall immediately notify the participant’s legal representative and the participant’s residential provider, if any, when there is a significant change in a participant’s physical or mental condition. DHS 105.14(7)(e)6.6. ‘Behavior management.’ The ADCC shall provide services to manage a participant’s behaviors that may be harmful to themselves or others. DHS 105.14(7)(e)7.7. ‘Transportation.’ An ADCC program providing transportation for any participant shall carry liability insurance and ensure the vehicle is safe and well-maintained. DHS 105.14(7)(f)1.1. ‘General requirements.’ The ADCC shall obtain food from acceptable sources that meets the dietary needs of each participant. DHS 105.14(7)(f)2.2. ‘Equipment and utensils.’ The ADCC shall store equipment and utensils in a clean manner and shall maintain all utensils and equipment in good repair. Single-use utensils may not be reused. DHS 105.14(7)(f)3.a.a. Whether washed by hand or mechanical means, all equipment and utensils shall be cleaned using separate steps for pre-washing, washing, rinsing, and sanitizing. DHS 105.14(7)(f)3.b.b. Mechanical washing of dishes and utensils in a residential type dishwasher will have a temperature setting of at least 120 degrees Fahrenheit. Upon removal from a residential-type dishwasher, a separate process must be completed for sanitization of all items that is in accordance with current standards of practice. DHS 105.14(7)(f)3.c.c. Mechanical washing of dishes and utensils in a commercial type dishwasher will be in accordance with manufacturer’s recommendations. DHS 105.14(7)(f)3.d.d. Dishes and utensils shall be air dried, unless a dishwasher, which performs this function, is used. DHS 105.14(7)(f)4.a.a. The ADCC shall arrange for or provide a meal to each participant who is at the ADCC for 5 or more hours. Meals shall provide at least one-third of an adult’s daily nutritional requirements. DHS 105.14(7)(f)4.b.b. The ADCC shall document the food served at each meal and maintain the documentation on file for at least 6 months. DHS 105.14(7)(f)4.c.c. A nutritious snack shall be made available consistent with each participant’s dietary needs. DHS 105.14(7)(f)5.a.a. Each caregiver who prepares or serves food shall be free from open, infected wounds and from communicable disease and shall maintain clean and safe work habits. DHS 105.14(7)(f)5.b.b. The ADCC shall provide hand-washing facilities in the kitchen for use by food handlers. Use of a common towel is prohibited. DHS 105.14(7)(f)5.c.c. Any participant who assists in preparing food shall adhere to the same food safety requirements as ADCC staff and be directly supervised by a caregiver. DHS 105.14(7)(f)6.6. ‘Food safety.’ Whether food is prepared at the ADCC or off-site, the ADCC shall store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The ADCC shall do all of the following: