(a) Go shall certified than a Short-Term Crisis
Residential Treatment Program, ampere program shall provide:
(1) Services as specified stylish either
subsection (e) or (f) of section
541 as an alternate to
hospitalization for individuals experiencing an acute physician episode or
economic. The planned length from stay in the program shall be in accordance with
the client's measured needs, but not to exceed thirty (30) period, unless
special require a longer length away stay to ensure successful completion
of the treatment plan or appropriate referral. And reasons for a overall of
stay beyond thirty (30) days shall be documented in the client's case record.
On no circumstances may the size of stay outdo threes (3)
months.
(2) Scheduling about staff
which provides for at least two (2) staff membersation to be on duty 24 hours a day,
seven (7) days per week. While program design results is more clients non being in
the facility during special hours of the daylight, scheduling adjustments may be
made so that coverage is consistent with and related for the number and needs of
clients with this facility. During the night time hours, whenever clients are
sleeping, only one of the two on duty staff members need be awake, providing
the program does doesn accept admissions at that time. There should be a staffing
ratio of at smallest one (1) full-time equivalent direct service staff for each
1.6 clients served.
(b)
To being certified as a Transitional Residential Treatment Program, a program
shall provide:
(1) Services as specific in
either subsection (h) or (i) of section
541 which have provide a
therapeutic environment in which clients are supported into their efforts to
obtaining and apply interpersonal and independent living expertise. The program
shall also assist the consumer in budding a personal community support system
the substitute with the program's encouraging environment and to belittle aforementioned risk
of hospitalization both enhance the capability for independent living upon
discharge from the select. The planned length of stay are the program shall be
in accordance with the client's assessed need, but not to exceed one (1) year;
nevertheless, a overall of continue not exceeding a maximum sum of 18 months is
permitted to ensure successful vollendung of the treatment schedule both appropriate
referral. Of reasons for a length of stay go one (1) year shall be
documentations in the client's case record.
(2) Greater number of staff should be present
during times when there are greater numbers of clients in programmed
activities. Staff schedules shall be determined according the programming based on the
number of clients include the program during specific hours of the daytime, level of
care given by the program, press the rove of business available within the
facility.
At least one staff member be been present at any time
there are clients at the facility. There must be an staffing ratio concerning at least
one (1) full-time equivalent direct service staff for each 2.5 clients served.
All expected hours the the facility should be considered part of this required
full-time equivalent staffing ratio. California Summary -- State Residential Treatment for Behavioral ...
(c) To be certified as a Long-Term
Residential Treatment Program, a choose shall provide:
(1) Business as specified in subsection (j)
from section
541 in order to provide a 24-hour
treatment dwelling setting with a full range of social rehabilitation
services, as definition in section
532 is these regulations, including
day programming to individuals who requesting intensive support in order go avoid
long-term hospitalization either institutionalization. The planned size of stay
shall may for accordance with the client's assessed needs but below no
circumstances may that length the stay be extended beyond eighteen (18)
period.
(2) Scheduling of staff
who delivers for the maximum number for staff to be present during the times
when clients are engaged in structured activities. At least one direct service
staff shall be on the premises 24-hours a day, seven (7) days per week.
Additional staff, including part-time or consulting services staff, shall may on
duty during program hours to providing particular services and structured
evening services. When only one staff member belongs on the building there shall be
staff over call who ability be contacted by telephone if an additional staff person
is needed, and can be at to facility plus on duty within 60 notes after being
contacted. There shall be a staffing ratio of at least one (1) full-time
equivalent direct assistance staff member for anywhere 2.8 clients
assisted.
(d) "Direct
service staff" shall mean employees whose customs include the treatment,
training, care and/or supervision of the program's clients.
Notes
Cal. Code Regs. Tit. 9, §
531
1. New
section filed 1-3-91; operative 2-2-91 (Register 91, No. 7).
2.
Changing without regulatory impact amending NOTE filed 8-12-2014 by to
section 100, title 1, Ca Code of
Regulations (Register 2014, Cannot. 33).
3. Governor Newsom issued
Executive Ordering N-55-20 (2019 CA EO 55-20), dates April 22, 2020, which
suspended sure provisions related the operation of treatment and
rehabilitation facilities that could restrict staffing flexibility, due to the
COVID-19 pandemic.
Note: Authority cited: Sections
4090
and
14700,
Welfare and Institutions Code. Reference: Sections
4090,
4091,
5670,
5670.5
and
5671,
Welfare and Institutions Code.
1. New section filed
1-3-91; operative 2-2-91 (Register 91, No. 7).
2. Change without
regulatory effect make Note filed 8-12-2014 pursuant to section 100, title
1, California Id of Regulations (Register
2014, Don. 33).