10- 144 C.M.R. ch. 118, § 6.C

Current through 2024-25, June 19, 2024

Section 144-118-6.C - Direct Services (Residential Living Unit) Staff

09/01/07 6.C.1. Direct services staff are defined as the present on-duty staff calculated over all shifts in a 24-hour period for each defined residential living unit.

09/01/07 6.C.2. The minimum overall staff-to-client ratio is 1:2 for each residential living unit serving clients:

a. With severe and/or profound mental retardation; or

b. With aggressive, assaultive, severely hyperactive or psychotic-like behavior; or

c. Who are under the age of twelve (12); or

d. With severe physical disabilities; or

e. Who otherwise present a security risk.

09/01/07 6.C.3. For each residential living unit serving clients with moderate retardation, the minimum staff-to-client ratio is 1:4.

For each residential living unit, serving clients who function within the range of mild retardation, the minimum staff-to-client ratio is 1:6.4.

09/01/07 6.C.4. The staffing pattern and schedule used in the facility are functions of three (3) variables:

a. The intensity of the programming required by the clients;

b. The number of clients living there; and

c. The accessibility of available community resources.

09/01/07 Because of the expected variation in client needs, the actual staffing pattern may exceed the established minimum rations. Requests for additional staff, based upon the IDT recommendations shall be submitted for approval to the Department.

10- 144 C.M.R. ch. 118, § 6.C