Standards for public agencies

2020 Edition

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

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


If the agency offers program activities in a variety of different settings, it should ensure that all settings are safe, supportive, and appropriate to the service population.
2020 Edition

Currently viewing: ADULT DAY SERVICES (PA-AD)



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.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • List of programs and activities
  • Program rules and behavioral expectations
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Observe facility

PA-AD 7.01

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

PA-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.

PA-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.