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Senior Book Club

Adult Day Cares

 Any public, private nonprofit organization, or any for-profit center which:

 

        a) Is licensed or approved by Federal, State, or local authorities to provide nonresidential adult day care services to functionally impaired adults or persons 60 years of age or older in a group setting outside their homes or a group living arrangement on a less than 24-hour basis;

 

        b) Provides for such care and services directly or under arrangements made by the agency or organization whereby the agency or organization maintains professional management responsibility for all such services. Such centers shall provide a structured, comprehensive program that provides a variety of health, social, and related support services to enrolled adult participants through an individual plan of care.

The maximum number of meals adult daycare centers may serve per adult per day are as follows:

 

  • Two meals and one snack, or

  • Two snacks and one meal

Eligibility Guidelines

Eligibility

 

          Adult Day Care Centers whether public institutions, nonprofit, or/and for-profit organizations must meet the following criteria:

  • Provide care and services directly or under arrangements whereby the adult day care center maintains professional management responsibility for the adult day care services;

  • Provide a structured, comprehensive program that provides a variety of health, social and related support programs;

  • Provides a community-based group program designed to meet the needs of functionally impaired adults through an individual plan of care;

  • Be licensed or approved by federal, state, or local authorities to provide nonresidential adult day care services to functionally impaired adults or persons 60 or older in a group setting outside their homes or group living on less than a 24-hour basis;

  • If a nonprofit, have tax-exemption under 501(c)(3) of the Internal Revenue Code of 1986;

  • If a for-profit, demonstrate that during the month preceding initial application or renewal the center received compensation from amounts granted to Texas under Title XIX or Title XX and twenty-five percent of the adults enrolled in care must be beneficiaries of Title XIX or Title XX or a combination of both;

  • Complete an application for participation, submit all required application documentation and enter into a Permanent Agreement Between Sponsoring Organization and Adult Day Care Site– Sponsoring Organization Provides Meals/Snacks with Strengthen Our Nation.

      Individuals in residential institutions (for example, nursing homes) are not eligible for Program benefits. Although these individuals may attend an adult day care center, the site cannot claim Program reimbursement for meal services provided to those individuals. If institutionalized individuals attend an adult day care center, the site must maintain documentation verifying that these individuals do not receive CACFP-reimbursed meals.

 

EXCEPTION: Private residences that may be subsidized by federal, state, or local funds and accommodate an individual or a group of individuals who are primarily responsible for their own care, but who may receive on-site monitoring, are not considered residential institutions.

Ineligibility

 

An organization, including a site, is ineligible to participate in the Program if:

 

  • A member of the organization’s governing body, an agent, a consultant, a volunteer, or an employee has been convicted of any activity that occurred during the seven years preceding application or renewal that indicates a lack of business integrity. A lack of business integrity includes fraud, antitrust violations, embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, receiving stolen property, making false claims, obstruction of justice, or any other activity indicating a lack of business integrity.

  • The organization, or a principal within the organization, is on the National Disqualified List (NDL) or the Texas Excluded SFSP List (TEXSL).

  • The organization’s, or any principal’s participation in a publicly funded program was terminated for violating that program's requirements during the seven years preceding application or renewal, and eligibility to participate in that program has not been reinstated. A publicly funded program is defined as any program or grant funded by federal, state, or local government. An organization must submit documentation that demonstrates that the program noncompliance was corrected and that eligibility to participate in that program was reinstated, including repayment of any funds owed if applicable. The organization’s application will not be approved without this documentation.

  • The organization does not meet the eligibility requirements detailed above.

  • The organization does not meet any other criteria as determined by TDA.

     Adult daycare centers must submit all information and documentation to Strengthen Our Nation by the 20th day of the month for the request to be effective for that same month.

       If the information and/or documentation submitted by the adult daycare center is incorrect or incomplete, TDA will return the incomplete information and request incomplete documentation before approval.

 

      Submitting incomplete or incorrect information or documentation may result in the effective date being a month or months after the initial submission, so Strengthen Our Nation recommends requests are submitted as early in the month as possible to allow for corrections to be made during the same month.

Please Note:

  • Adult daycare centers and site staff disqualified or excluded from participation in a Child Nutrition Program may not participate in the CACFP.

  • Adult daycare centers that lose their license/certification may not be claimed or participate in the CACFP.

Adult daycare centers will need to provide:

  • A copy of the site's license/certification to provide adult day care services and,

  • Permanent Agreement Between Contracting Organization and Adult Day Care Site – Sponsor provides Meals and Snacks

 

NOTE: A site cannot be approved if it does not meet the licensing requirements.

Transfers

   Prior to open enrollment, Strengthen Our Nation cannot and will not recruit nor enter into a sponsorship agreement for the next program year with adult daycare centers that are currently participating or had participated with a sponsor in the CACFP in the current program year.

 

      Adult daycare centers that can document good cause for transferring from a sponsor may, with prior approval from TDA, enter into a Permanent Agreement Between Contracting Organization and Adult Day Care Site with another sponsor at any time during the program year.

 

If an adult daycare center wants to transfer to another sponsor, they must:

  • Request in writing, and receive, prior approval for the transfer from TDA.

  • Demonstrate good cause for the transfer request.

  • Submit a letter to its current sponsor stating the intention to terminate its agreement and the effective date of termination.

     

      "Good cause" for transferring from the sponsorship of one sponsor to another during the program year is limited to the following conditions:

  • A sponsor denies site access to the Program.

  • A sponsor reduces the level of benefit a site receives under the Program, for example, the sponsor:

    • Will not allow sites to claim suppers or weekend meals because the sponsor does not want to monitor those meal services.

    • Requests and receives approval to withhold more than 15% of the meal reimbursement annually for allowable administrative costs thereby reducing the reimbursement received by the site.

  • Any other good cause as determined by TDA.

 

***It is the adult daycare center's responsibility to demonstrate that such conditions exist.***

 

Example of a Good Cause Transfer:

A site moved to an area where the current sponsor does not provide service.

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