Cal. Code Regs. Tit. 9, § 531 - Program Standards and Requirements

(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).

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