Section 11-800-43 - Client care and services(a) The home shall care for not more than two adults at any one time, who are unrelated to the foster family, or if certified by the department for three beds, shall care for not more than three adults, pursuant to the requirements under section 321-481, HRS.(b) One bed in each home shall be reserved for medicaid recipients, or if certified by the department for three beds, two beds shall be reserved for medicaid recipients, unless the requirements for two private pay individuals under section 321-481, HRS, are met.(c) Care and services provided to the client shall:(1) Be appropriate to the age and condition of the client and provided in a home-like environment;(2) Be based on care directions from the client to the maximum extent possible, with monitoring by the case management agency when the client is not capable of providing care directions;(3) Be based on the caregiver following a service plan for addressing the client's needs. The RN case manager may delegate client care and services as provided in chapter 16-89-100;(4) Include the provision of personal care, homemaker, and respite services as appropriate;(5) Include the caregiver observing the following provisions of care: (A) Appropriate, safe techniques, and infection control procedures; and(B) Encouragement of client independence as much as possible; and(6) Include recreation and social activities, which shall: (A) Be arranged and provided, in accordance with the service plan, in or outside the home according to the client's interests, needs, and capabilities; and(B) Include access by the client to radio, television, telephone, internet.[Eff 11/13/2018] (Auth: HRS §§ 321-481, 321-483, 321-485, 346-14) (Imp: HRS §§ 321-481, 321-483, 321-485, 346-14)