R501-16-4. Staffing

A. The program shall have an employed manager who is responsible for the day-to-day resident supervision and operation of the facility. The manager shall be at least 25 years of age, have a BA or BS degree or equivalent training in a human services related field; and have at least 3 years management experience in a secure treatment setting. The responsibilities of the manager shall be clearly defined. Whenever the manager is absent, there shall be a trained qualified substitute to assume managerial responsibility.

B. The program shall have all direct care staff maintain first aid and CPR certification.

C. Programs that utilize students and volunteers, who work with consumers, shall provide them with necessary training and evaluation. Those who work with consumers shall be informed verbally and in writing of program objectives and scope of service.

D. Programs shall comply with R501-14 and R501-18, BCI/MIS clearance requirements.

E. Professional staff shall include the following who have received training in the specific area of care:

1. a licensed physician, or consulting licensed physician,

2. a licensed psychologist, or consulting licensed psychologist,

3. a licensed mental health therapist, and

a. programs with an enrollment of 20 to 39 consumers shall employ one or more licensed professional therapists to provide a minimum of 20 hours service per week,

b. programs with an enrollment of 40 to 59 consumers shall employ one or more licensed professional therapists to provide a minimum of 30 hours service per week, and

c. programs with an enrollment of 60 or more consumers shall employ one or more licensed professional therapists to provide a minimum of 40 hours service per week,

4. a licensed registered nurse, or a consulting licensed registered nurse,

a. programs with an enrollment of 20 to 39 consumers shall employ one or more registered nurses to provide a minimum of 20 hours service per week,

b. programs with an enrollment of 40 to 59 consumers shall employ one or more registered nurses to provide a minimum of 30 hours service per week, and

c. programs with an enrollment of 60 or more consumers shall employ one or more registered nurses to provide a minimum of 40 hours service per week.

F. Unlicensed staff who are trained to work with youth who are chemically dependant or emotionally disturbed or behaviorally disturbed or conduct disordered, shall work under the supervision of a licensed clinical professional.

G. The Program shall maintain a minimum staff ratio of one staff to every five consumers, but shall never have less than two staff on duty at any time. During night time sleeping hours the required minimum of two staff shall be maintained for programs up to twenty-five consumers; three staff for up to fifty consumers; four staff for up to seventy-five consumers; five staff for up to one hundred consumers; and six staff for over one hundred consumers.

H. A program with a mixed gender population shall have at least one male and one female staff on duty at all times.

I. Unlicensed Direct Care Staff Training:

1. Staff shall receive 20 hours of pre-service training and orientation before being responsible for the care of consumers that shall include at a minimum, the following topics:

a. crisis intervention,

b. program policies and procedures,

c. rights and responsibilities of consumers and grievance procedures,

d. passive restraint and security procedures, and

e. fire emergency procedures.

2. Staff shall receive 30 hours of additional training annually that shall include at a minimum, the following topics:

a. human relations and communication skills,

b. special needs of youth and families,

c. problem solving and guidance,

d. consumer rules and regulations,

e. documentation and legal requirements,

f. safety in a secure setting, and

g. universal precautions for blood borne pathogens.