Or. Admin. Code § 411-325-0170 - Staffing Requirements
(1) A home
must have staff appropriate to the number of individuals receiving services as
follows:
(a) A home with five or fewer
individuals must have at least one staff member on the premises of the home
when individuals are present.
(b) A
24-hour residential setting with five or fewer individuals in apartments must
have at least one staff member on the premises of the apartment complex when
individuals are present.
(c) A home
with six or more individuals must have at least one staff member on the
premises of the home for every 15 individuals during awake and sleeping hours,
except homes licensed prior to January 1, 1990.
(d) A home with any number of children must
provide at least one awake night staff member on the premises of the home when
children are present.
(2) A home is granted an exception to the
staffing requirements in sections (1)(a), (1)(b), and (1)(c) when the following
conditions have been met:
(a) No more than
two adult individuals are to be left alone in the home at any time without
on-site staff supervision.
(b) The
amount of time an adult individual may be left alone in the home may not exceed
five hours within a 24-hour period and the adult individual may not be
responsible for any other adult individual or a child in the home or
community.
(c) An adult individual
may not be left alone in the home without staff supervision between the hours
of 11:00 P.M. and 6:00 A.M.
(d) An
adult individual may be left alone in the home if the adult individual has a
documented history of being able to perform the following safety measures or
there is a documented ISP team decision agreeing to an equivalent alternative
practice:
(A) Independently call 911 in an
emergency and give relevant information after calling 911;
(B) Evacuate the premises during emergencies
or fire drills without assistance in three minutes or less;
(C) Knows when, where, and how to contact
their provider in an emergency;
(D)
Before opening the door, checks who is there;
(E) Answer the door appropriately, including
not inviting strangers into the home;
(F) Safely use small appliances, sharp
knives, kitchen stove, and microwave, or if not used safely, understands not to
use without a staff present;
(G)
Self-administer medications, if applicable;
(H) Safely adjust water temperature at all
faucets; and
(I) Safely take a
shower or bathe without falling, or if these activities present a risk to the
individual, understands not to shower or bathe without a staff
present.
(e) There is a
documented ISP team decision annually noting team agreement that the adult
individual meets the requirements of subsection (d) of this section.
(3) If at any time an adult
individual is unable to meet all of the requirements in section (2)(d)(A)-(I)
of this rule, a provider may not leave the individual alone without
supervision. In addition, the provider must notify the individual's case
manager within one business day and request that the individual's ISP team meet
to address the ability of the individual to be left alone without
supervision.
(4) Each home must
meet all requirements for staff ratios as specified by contract
requirements.
Notes
Statutory/Other Authority:ORS 409.050, 441.715, 443.450 & 443.455
Statutes/Other Implemented:ORS 441.705-441.720, 441.740, 441.745, 443.384, 443.392, 443.400-443.445, 443.450, 443.455, 443.880, 443.881 & 443.991
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