2022 Edition

Adult Day Services (CA-AD) 7: Service Environment

Program activities take place in a safe, supportive setting that fosters personal growth and healthy development.


If the organization offers program activities in a variety of different settings, it should ensure that all settings are safe, supportive, and appropriate to the service population.

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Individuals who participate regularly in Adult Day Services achieve and maintain an optimal level of well-being, functioning and health, and remain in their preferred community residence.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • List of programs and activities
  • Program rules and behavioural expectations
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Observe facility


CA-AD 7.01

Program space and materials are welcoming, engaging, culturally responsive, and designed to encourage participation.


CA-AD 7.02

The program setting provides adequate space and materials to accommodate a range of functionally appropriate activities.
Examples: Spaces can accommodate a variety of indoor and outdoor activities, including small group activities, large group activities, and socialization with peers.


CA-AD 7.03

Program rules, behavioural expectations, and participant rights and responsibilities are developed with input from individuals enrolled in the program and are enforced in a fair and consistent manner.