Section 350.810 Personnel

Section 350

Section 350.810  Personnel

a)         The facility shall have staff sufficient in number and

qualifications on duty 24 hours each day to provide services that meet the

total needs of the residents.  At a minimum, there shall be at least one staff

member awake dressed and on duty at the facility at all times.

b)         Regardless of the organization or design of resident living

units, the minimum direct care staff to resident ratios are as follows:

1)         For units that include any of the following types of

residents, the staff-to-resident ratio shall be two and one-half hours of care

per day per resident:

A)        children under the age of six years,

B)        severely and profoundly intellectually disabled,

C)        severely physically handicapped, and

D)        residents who are aggressive, assaultive, or security risks, or

who manifest severely hyperactive or psychotic behavior.

2)         For units serving moderately intellectually disabled residents

requiring habit training, the ratio shall be two hours of care per day per

resident.

3)         For units serving residents in vocational training programs

and adults who work in sheltered employment situations the staff to resident

ratio shall be one hour of care per resident per day.

4)         Direct care staff includes licensed nurses, auxiliary

personnel, qualified intellectual disability professionals, and DSPs.  The

health services supervisor is not included in determining the ratio.

c)         The number and categories of personnel to be provided shall be

based on the following:

1)         Number of residents.

2)         Amount and type of program content, supervision, and personal

care needed to meet the particular needs of the residents at all times.

3)         Size, physical condition, and the layout of the building

including proximity of service areas to the resident's rooms.

4)         Medical orders

d)         The facility shall provide an administrator as set forth in

Subpart B

r of residents.

2)         Amount and type of program content, supervision, and personal

care needed to meet the particular needs of the residents at all times.

3)         Size, physical condition, and the layout of the building

including proximity of service areas to the resident's rooms.

4)         Medical orders

d)         The facility shall provide an administrator as set forth in

Subpart B.

e)         The facility shall provide a Resident Services Director who is

a Qualified Intellectual Disability Professional as defined in Section 350.330,

who is assigned responsibility for the coordination and monitoring of the residents'

overall plan of care.  The administrator or an individual on the professional

staff of the facility may fulfil this assignment to ensure that residents'

plans of care are individualized, written in terms of short- and long-range

goals, understandable and utilized; meet the resident's needs through

appropriate staff interventions and community resources.  Residents shall be

involved in the preparation of their plan of care, whenever possible.

f)         The facility shall provide activity personnel as set forth in

Section 350.1050(c).

g)         The facility shall provide dietary personnel as set forth in

Sections 350.1810 and 350.1820.

h)         The facility shall designate a staff member suited by

training, or experience, or both, to be responsible for social services and for

the integration of social services with other elements of the plan of care.

i)          The facility shall provide nursing personnel as set forth in

Subpart F