DHS 105.14(1)(b)26.26. “Significant change” in a participant’s physical or mental condition means any of the following: DHS 105.14(1)(b)26.a.a. A decline in a participant’s medical condition that results in further impairment. DHS 105.14(1)(b)26.d.d. A decline in behavior or mood which requires either a temporary or permanent increase in the level of assistance needed in one or more ADL categories, such as bathing, eating, oral hygiene, dressing, toileting, incontinence care, or mobility and transferring. DHS 105.14(1)(b)27.27. “Standard precautions” are a set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes. These measures are used when providing care to all individuals, whether or not they appear infectious or symptomatic. DHS 105.14(1)(b)28.b.b. “Supervision” includes keeping track of a participant’s whereabouts and providing guidance and intervention when needed by a participant. DHS 105.14(1)(b)28m.28m. “Transferee” means the recipient of a property or business in a change of ownership process who will submit application for a new certification. DHS 105.14(1)(b)29.29. “Transferor” means the current operator in a change of ownership process who will voluntarily relinquish the current certification. DHS 105.14(1)(b)31.31. “Utensils” means dishes, silverware and pots and pans used for storing, preparing, serving, or consuming food. DHS 105.14(1)(b)32.32. “Variance” means an alternate means of meeting a requirement in this section, as approved by the department under par. (c). DHS 105.14(1)(b)33.33. “Volunteer” means any person who provides services for participants without compensation. DHS 105.14(1)(b)34.34. “Waiver” means an exemption from a requirement in this section, as approved by the department under par. (c). DHS 105.14(1)(c)1.1. The department may grant approval of a waiver or variance if the department determines that the proposed waiver or variance will not jeopardize the health, safety, welfare or rights of any participant. DHS 105.14(1)(c)2.2. A written request for a waiver or variance shall be sent to the department and include justification that the waiver or variance will not adversely affect the health, safety or welfare of any participant for the requested action. DHS 105.14(1)(c)3.3. A written request for a variance shall include a description of an alternative means planned to meet the intent of the requirement. DHS 105.14(1)(c)4.4. The department may terminate approval of a waiver or variance if any of the following occurs: DHS 105.14(1)(c)4.a.a. The department determines the waiver or variance has adversely affected the health, safety, well-being or welfare of a participant. DHS 105.14(1)(c)4.b.b. The ADCC fails to comply with any of the conditions of the waiver or variance as granted. DHS 105.14(1)(c)4.c.c. A change in circumstances from the time the waiver or variance approval was initially granted. DHS 105.14(2)(a)1.1. No person may receive reimbursement under s. 49.45 (7) (b), Stats., for the provision of services to a participant in an ADCC unless the ADCC is certified by the department. A person who assumes ownership interest in a certified ADCC, regardless of whether the transfer includes title to the real estate, or changes the location of the ADCC shall complete an application as required under this subsection. DHS 105.14(2)(a)2.2. An application for certification shall be on a form or web-based application provided by the department and shall include all of the following: