Standards for public agencies

2020 Edition

Respite Care (PA-RC) 8: Short Term Residential Respite and Crisis Nursery Services

Facilities and services are designed to meet the needs of care recipients that require a short term stay in a residential respite or crisis nursery program.
NA The agency does not provide residential respite or crisis nursery services.
2020 Edition

Currently viewing: RESPITE CARE (PA-RC)



Respite Care reduces caregiver stress, promotes the well-being and safety of care recipients, and contributes to stable families.
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
  • Rules and behavioral expectations
  • Schedule of social and recreational activities
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Care recipients
  • Review case records
  • Observe facility

PA-RC 8.01

Program personnel provide care recipients with predictability and structure by establishing daily routines and rules developed with care recipients and their caregivers.

PA-RC 8.02

Care recipients are offered an organized daily program of age and developmentally appropriate social, recreational, educational, and therapeutic activities.


The agency and the caregiver should plan for continuation of educational services for children and youth, and the agency should coordinate educational services with relevant school districts.

PA-RC 8.03

Facilities include:
  1. sufficient supplies and equipment to meet the needs of care recipients;
  2. space and equipment for housekeeping, laundry, maintenance, and storage;
  3. rooms for providing on-site services, as applicable;
  4. at least one room suitably furnished for the use of on-duty personnel and space for administrative support functions; and
  5. private sleeping accommodations for personnel who sleep at the facility, if applicable.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.

PA-RC 8.04

The facility accommodates informal gatherings of care recipients, including places to gather in inclement weather.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.