Section 54423 - Staffing Requirements(a) The program director, a registered nurse with public health background, a medical social worker, a program aide and the activity coordinator shall be on duty. Other staff shall be employed in sufficient numbers to provide services as prescribed in the individual plans or care, in accordance with the following minimal requirements, determined by each center's average daily attendance based on the previous quarter experience. (1) Centers with an average daily attendance of 10 or less shall provide at least: (A) A total of 40 hours per month in the following areas: Physical therapy, speech therapy and occupational therapy and psychiatric or psychological services.(B) Two hours per month of nutritional services provided by a dietitian.(2) Centers with an average daily attendance of 11-20 shall provide at a minimum:(A) A total of 80 hours per month in the following areas: Physical therapy, speech therapy, occupational therapy and psychiatric or psychological services.(B) Four hours per month of nutritional services provided by a dietitian.(3) Centers with an average daily attendance of 21-30 shall provide at least:(A) A total of 120 hours per month in the following areas: Physical therapy, speech therapy, occupational therapy and psychiatric or psychological services.(B) Six hours per month of nutritional services provided by a dietitian.(4) Centers with an average daily attendance of 31-40 shall provide at least:(A) A total of 160 hours per month in the following areas: Physical therapy, speech therapy, occupational therapy and psychiatric or psychological services.(B) Seven hours per month of nutritional services provided by a dietitian.(5) Centers with an average daily attendance of 41-50 shall provide at least:(A) A total of 200 hours per month in the following areas: Physical therapy, speech therapy, occupational therapy and psychiatric or psychological services.(B) Eight hours per month of nutritional services provided by a dietitian.(6) Centers with an average daily attendance of 51-60 shall provide at least:(A) A total of 240 hours per month in the following areas: Physical therapy, speech therapy, occupational therapy and psychiatric or psychological services.(B) Ten hours per month of nutritional services provided by a dietitian.(7) An additional half-time licensed vocational nurse shall be provided for each increment of 10 in average daily attendance exceeding 40.(8) An additional half-time social work assistant shall be provided for each increment of 10 in average daily attendance exceeding 40.(9) Program aides shall be provided in a ratio of one-half aide for every increment of eight in average daily attendance.(10) The program director of centers whose average daily attendance is 20 or less may also serve as the registered nurse, social worker, occupational therapist, physical therapist, speech therapist or dietitian, provided that: (A) The program director meets the professional qualifications for that position.(B) The program director and the administrator are not the same person.(11) The center may request staffing variations to these staffing requirements according to Section 78217, Title 22, California Administrative Code.(b) Adult day health centers which serve participants whose primary language is other than English, shall employ sufficient trained staff to communicate with and facilitate rendering services to such participants. When a substantial number of the participants are in a non-English speaking group, bilingual staff shall be provided. Bilingual staff shall be persons capable of communicating in English and the preferred language of the participant.Cal. Code Regs. Tit. 22, § 54423
1. Amendment of subsection (a) filed 9-19-79; effective thirtieth day thereafter (Register 79, No. 38). Note: Authority cited: Chapter 1066, Statutes of 1977. Reference: Chapter 1066, Statutes of 1977.
1. Amendment of subsection (a) filed 9-19-79; effective thirtieth day thereafter (Register 79, No. 38).