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Utah Administrative Code (Current through November 1, 2019) |
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R501. Human Services, Administration, Administrative Services, Licensing |
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R501-19. Residential Treatment Programs |
| R501-19-1. Authority |
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Pursuant to Section 62A-2-101 et seq., the Office of Licensing shall license residential treatment programs according to the following rules. |
| R501-19-2. Purpose |
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Residential treatment programs offer room and board and provides for or arranges for the provision of specialized treatment, rehabilitation or habilitation services for persons with emotional, psychological, developmental, or behavioral dysfunctions, impairments, or chemical dependencies. In residential treatment programs, consumers are assisted in acquiring the social and behavioral skills necessary for living independently in the community in accordance with Subsection 62A-2-101(15). |
| R501-19-3. Definition |
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Residential treatment program means a 24-hour group living environment for four or more individuals unrelated to the owner or provider in accordance with Subsection 62A-2-101(15). |
| R501-19-4. Administration |
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A. In addition to the following rules, all Residential Treatment Programs shall comply with R501-2, Core Standards. B. A current list of enrollment of all registered consumers shall be on-site at all times. |
| R501-19-5. Staffing |
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A. The program shall have an employed manager who is responsible for the day to day resident supervision and operation of the facility. The responsibilities of the manager shall be clearly defined. Whenever the manager is absent there shall be a substitute available. B. The program shall have a staff person trained, by a certified instructor, in standard first aid and CPR on duty with the consumers at all times. C. Programs which utilize students and volunteers, shall provide screening, training, and evaluation of volunteers. Volunteers shall be informed verbally and in writing of program objectives and scope of service. D. Professional staff shall include the following individuals who have received training in the specific area listed below: 1. Mental Health a. a licensed physician or consulting licensed physician, b. a licensed psychologist, or consulting licensed psychologist, c. a licensed mental health therapist, d. a licensed advanced practice registered nurse-psychiatric mental health nurse specialist, or a consulting advanced practice registered nurse-psychiatric mental health nurse specialist, and e. if unlicensed staff are used, they shall be supervised by a licensed clinical professional. 2. Substance Abuse a. a licensed physician, or a consulting licensed physician, b. a licensed psychologist or consulting licensed psychologist, c. a licensed mental health therapist or consulting licensed, mental health therapist, and d. a licensed substance abuse counselor or unlicensed staff who work with substance abusers shall be supervised by a licensed clinical professional. 3. Children and Youth a. a licensed physician, or consulting licensed physician, b. a licensed psychologist, or consulting licensed psychologist, and c. a licensed mental health therapist or consulting licensed mental health therapist, to provide a minimum of one hour of service to the program per week per consumer enrolled. d. A licensed medical practitioner, by written agreement, shall be available to provide, as needed, a minimum of one hour of service per week for every two consumers enrolled. e. Other staff trained to work with emotionally and behaviorally disturbed, or conduct disordered children and youth shall be under the supervision of a licensed clinical professional. f. A minimum of two staff on duty and, a staff ratio of no less than one staff to every four consumers shall exist at all times, except nighttime sleeping hours when staff may be reduced. g. A mixed gender population shall have at least one male and one female staff on duty at all times. 4. Services for People With Disabilities shall have a staff person responsible for program supervision and operation of the facility. Staff person shall be adequately trained to provide the services and treatment stated in the consumer plan. |
| R501-19-6. Direct Service |
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Treatment plans shall be reviewed and signed by the clinical supervisor. Treatment plans shall be reviewed and signed by the clinical supervisor, or other qualified individuals for Division of Services for People With Disabilities services. Plans shall be reviewed and signed as noted in the treatment plan. |
| R501-19-7. Physical Facilities |
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A. The program shall provide written documentation of compliance with the following items as applicable: 1. local zoning ordinances, 2. local business license requirements, 3. local building codes, 4. local fire safety regulations, 5. local health codes, and 6. local approval from the appropriate government agency for new program services or increased consumer capacity. B. Building and Grounds 1. The program shall ensure that the appearance and cleanliness of the building and grounds are maintained. 2. The program shall take reasonable measures to ensure a safe physical environment for consumers and staff. |
| R501-19-8. Physical Environment |
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A. Live-in staff shall have separate living space with a private bathroom. B. The program shall have space to serve as an administrative office for records, secretarial work and bookkeeping. C. Indoor space for free and informal activities of consumers shall be available. D. Provision shall be made for consumer privacy. E. Space shall be provided for private and group counseling sessions. F. Sleeping Space 1. No more than four persons, or two for Division of Services for People With Disabilities programs, shall be housed in a single bedroom. 2. A minimum of sixty square feet per consumer shall be provided in a multiple occupant bedroom. Storage space will not be counted. 3. A minimum eighty square feet per individual shall be provided in a single occupant bedroom. Storage space will not be counted. 4. Sleeping areas shall have a source of natural light, and shall be ventilated by mechanical means or equipped with a screened window that opens. 5. Each bed, none of which shall be portable, shall be solidly constructed, and be provided with clean linens after each consumer stay and at least weekly. 6. Sleeping quarters serving male and female residents shall be structurally separated. 7. Consumers shall be allowed to decorate and personalize bedrooms with respect for other residents and property. G. Bathrooms 1. The program shall have separate bathrooms for males and females. These shall be maintained in good operating order and in a clean and safe condition. 2. Bathrooms shall accommodate consumers with physical disabilities as required. 3. Each bathroom shall be properly equipped with toilet paper, towels, soap, and other items required for personal hygiene. 4. Bathrooms shall be ventilated by mechanical means or equipped with a screened window that opens. 5. Bathrooms shall meet a minimum ratio of one toilet, one lavatory, and one tub or shower for each six residents. 6. There shall be toilets and baths or showers which allow for individual privacy. 7. There shall be mirrors secured to the walls at convenient heights. 8. Bathrooms shall be located as to allow access without disturbing other residents during sleeping hours. H. Furniture and equipment shall be of sufficient quantity, variety, and quality to meet program and consumer needs. I. All furniture and equipment shall be maintained in a clean and safe condition. J. Programs which permit individuals to do their own laundry shall provide equipment and supplies for washing, drying, and ironing. K. Programs which provide for common laundry of linens and clothing, shall provide containers for soiled laundry separate from storage for clean linens and clothing. L. Laundry appliances shall be maintained in a clean and safe operating condition. |
| R501-19-9. Food Service |
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A. One staff shall be responsible for food service. If this person is not a professionally qualified dietitian, regularly scheduled consultation with a professionally qualified dietitian shall be obtained. Meals served shall be from dietitian approved menus. B. The staff responsible for food service shall maintain a current list of consumers with special nutritional needs and record in the consumers service record information relating to special nutritional needs and provide for nutrition counseling where indicated. C. The program shall establish and post kitchen rules and privileges according to consumer needs. D. Consumers present in the facility for four or more consecutive hours shall be provided nutritious food. E. Meals may be prepared at the facility or catered. F. Kitchens shall have clean, safe, and operational equipment for the preparation, storage, serving, and clean up of all meals. G. Adequate dining space shall be provided for consumers. The dining space shall be maintained in a clean and safe condition. H. When meals are prepared by consumers there shall be a written policy to include the following: 1. rules of kitchen privileges, 2. menu planning and procedures, 3. nutritional and sanitation requirements, and 4. schedule of responsibilities. |
| R501-19-10. Medication |
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A. The program shall have locked storage for medications. B. The program shall have locked storage for hazardous chemicals and materials, according to the direction of the local fire authorities. C. Prescriptive medication shall be provided as prescribed by a qualified physician, according to the Medical Practices Act. D. The program shall have designated qualified staff, who shall be responsible to: 1. administer medication, 2. supervise self-medication, 3. record medication, including time and dosage, according to prescription, and 4. record effects of medication. |
| R501-19-11. Specialized Services for Substance Abuse |
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A. The program shall not admit anyone who is currently experiencing convulsions, in shock, delirium tremens, in a coma, or unconscious. B. At a minimum, the program shall document that direct service staff complete standard first aid and CPR training within six months of being hired. Training shall be updated as required by the certifying agency. C. Before admission, consumers shall be tested for Tuberculosis. Both consumers and staff shall be tested annually or as directed by the local health authority. |
| R501-19-12. Specialized Services for Programs Serving Children and Youth |
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A. Provisions shall be available for adolescents to continue their education with a curriculum approved by the State Office of Education. B. Programs which provide their own school shall be recognized by an educational accreditation organization, i.e., State Board of Education or the National School Accreditation Board. C. Individual, group, couple, and family counseling sessions or other appropriate treatment, including skills development, shall be conducted at least weekly, or more often if defined by the treatment plan. The consumer's record shall document the time and date of the service provided and include the signature of the counselor. D. An accurate record shall be kept of all funds deposited and withdrawn with the residential facility for use by a consumer. Consumer purchases of over $20.00 per item, shall be substantiated by receipts signed by the consumer and appropriate staff. |
| R501-19-13. Specialized Services for Division of Services for People With Disabilities |
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A. Rules governing the daily operation and activities of the facility shall be available to all consumers and visitors, and shall apply to family members, consumers, and staff that come into the facility. B. The program shall have policy specifying the amount of time family or friends may stay as overnight guests. C. All consumers in residential programs shall have an individual plan that addresses appropriate day treatment. D. A monthly schedule of activities shall be shared with the consumer and available on request. Schedules shall be filed and maintained for review. E. A record of income, earned, unearned, and consumer service fees, shall be maintained by the provider. F. Residential facilities shall be located where school, church, recreation, and other community facilities are available. G. An accurate record shall be kept of all funds deposited with the residential facility for use by a consumer. This record shall contain a list of deposits and withdrawals. Consumer purchases of over $20.00, per item, shall be substantiated by receipts signed by the consumer and professional staff. A record shall be kept of consumer petty cash funds. H. The program, in conjunction with the parent or guardian and the Division of Services for People With Disabilities support coordinator, shall apply for unearned income benefits for which a consumer is entitled. |