9 CSR 40-9.075 - Program and Staffing Requirements
(1) Licensed day programs shall comply with 9
CSR 40-1 unless specified otherwise in this rule.
(2) Day programs shall provide structured
activities, services, and supports to assist individuals in developing personal
support systems, social skills, community living skills, basic self-care
skills, and pre-vocational skills that promote community inclusion,
integration, and independence.
(A) Activities
and services/supports shall be based on the individual support plan (ISP),
individual treatment plan (ITP), or care plan of each individual being served
as specified in 9 CSR
40-1.075(1).
(B) Activities and services/supports may take
place during the day, evening, weekend, or a combination of these, to
effectively address the needs of individuals served. Activities and
services/supports are not limited to the program site to provide individuals
with opportunities for off-site training and rehabilitation in realistic
community settings.
(C)
Transportation to/from the program site to various locations in the community
shall be provided for individuals served to promote participation and
involvement in outside activities and services/supports. Permission forms for
off-site activities, signed by the individual served or their parent/guardian,
as applicable, shall be maintained on-site.
1.
Program staff are responsible for the care, safety, and supervision of
individuals served when they are transported from the operating site to other
locations in the community, and staff ratios shall be maintained at the
operating site.
(3) All direct care staff must be eighteen
(18) years of age or older and have a high school diploma or equivalent
certificate.
(A) Staffing requirements for day
programs serving adults with mental illness-
1. The director must be a Qualified Mental
Health Professional (QMHP) with two (2) years of relevant work
experience;
2. At a minimum, a
daily direct care staff ratio of one (1) staff person for each sixteen (16)
individuals served (1:16) shall be maintained, unless program needs or the
needs of individuals being served require otherwise; and
3. At least one (1) staff person must be on
duty at all times when individuals served are present at the program.
(B) Staffing requirements for day
programs serving children and youth with serious emotional disturbances-
1. The director must be a QMHP with two (2)
years of experience working with children and youth;
2. One (1) full-time mental health
professional must be available during the provision of services;
3. Direct care staffing ratios shall be based
on the ages and needs of the children/youth being served.
A. At a minimum, a daily staffing ratio of
one (1) staff to four (4) individuals (1:4) shall be maintained for
children/youth between the ages of three (3) and eleven (11). A daily staffing
ratio of one (1) staff to six (6) individuals (1:6) shall be maintained for
chil-dren/youth between the ages of twelve (12) and seventeen (17);
4. Based on the needs of
children/youth being served, other staff shall include:
A. Registered nurse;
B. Occupational therapist;
C. Recreational therapist;
D. Rehabilitation therapist;
E. Community support specialist;
F. Family assistance worker; and
5. At least one (1) staff person
must be on duty at all times when individuals served are present at the
program.
(C) Staffing
requirements for day programs serving individuals with IDD shall be as follows,
unless program needs or the needs of individuals being served require
otherwise:
1. For children and youth between
the ages of three (3) and eleven (11), the daily staffing ratio shall be one
(1) staff to four (4) individuals (1:4);
2. For children/youth between the ages of
twelve (12) and seventeen (17), the daily staffing ratio shall be one (1) staff
to six (6) individuals (1:6); and
3. For adults, the daily staffing ratio shall
be a minimum of one (1) staff for each sixteen (16) individuals (1:16)
served.
Notes
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