Adult Services Programs offer support to elderly and disabled adults, provide protective services to vulnerable adults and regulate certain residential services. In addition, we offer employment services to adults receiving work first cash assistance and offer other supportive services to recipients of various financial assistance programs. Programs that we administer include:
Adult Protective Services (APS)
APS evaluates reports alleging that disabled adults with a physical or mental incapacity or elderly adults are abused, neglected, or exploited and are in need of protective services. Our goal is to determine whether the adult is able to perform or obtain for himself/herself essential services or is without able, willing, and responsible persons to perform or obtain those services on the client’s behalf. We assess the situation to determine what services are needed to protect the adult and prevent further mistreatment.
TCDSS must sometimes initiate or help families initiate guardianship proceedings for incompetent adults. When TCDSS is appointed the guardian for a person, we provide case management and make decisions for individuals that the court has adjudicated incompetent and appointed DSS as guardian. In some situations, we may contract case management services out to a private vendor.
There are 4 types of guardianship appointments:
Guardian of the Person
Guardian of the Estate
Limited Guardianship (which means that a person may be competent to make decisions in some areas, but unable to make decisions in other areas of his/her life).
Facility Licensing and Monitoring Services
TCDSS licenses and monitors family care homes (6 beds or less), adult care homes (7 beds or more), assisted living facilities, adult day health centers and adult day care centers for compliance with state/federal rules and regulations. We also investigate complaints of non-compliance in facilities and provide technical assistance to facility staff. Public records are kept at DSS on all monitoring complaints, state surveys, and penalties.
Adult Care Home Case Management
This service provides case management and coordination of appropriate services to eligible "heavy care" Medicaid Special Assistance residents in facilities.
Adult Care Home Resident Discharge
TCDSS takes the lead role for discharge destination for those residents of Adult Care Homes who have received a discharge notice and at the time of discharge the destination is not appropriate or is unknown. These services are for residents whose primary unment needs are related to health, Alzheimer's Disease, other dementia, abuse or neglect.
Special Assistance In-Home Program
This program provides case management and coordination of services to eligible Medicaid residents who are receiving no other Medicaid Case Management services. This program allows individuals to stay in a private living arrangement as an alternative to assisted living placement.
DSS is appointed representative payee for some citizens who receive funds such as SSI, Social Security, And SA In-Home and have been determined unable to manage these funds themselves. We are responsible for paying the client’s bills and managing their money appropriately.
Eye Care Services
The NC Division of Services to the Blind offers services at our local DSS on Wednesdays. Applications are taken for eye care assistance to benefit children and adults without Medicaid whose income is below poverty level.