400.553  Exemptions; monitoring of adult day care center programs colocated with assisted living facilities or licensed nursing home facilities.--

(1)  The following are exempt from this part:

(a)  Any facility, institution, or other place that is operated by the Federal Government or any agency thereof.

(b)  Any freestanding inpatient hospice facility that is licensed by the state and which provides day care services to hospice patients only.

(2)  A licensed assisted living facility, a licensed hospital, or a licensed nursing home facility may provide services during the day which include, but are not limited to, social, health, therapeutic, recreational, nutritional, and respite services, to adults who are not residents. Such a facility need not be licensed as an adult day care center; however, the agency must monitor the facility during the regular inspection and at least biennially to ensure adequate space and sufficient staff. If an assisted living facility, a hospital, or a nursing home holds itself out to the public as an adult day care center, it must be licensed as such and meet all standards prescribed by statute and rule.