Utah Admin. Code 432-152-8

Current through Bulletin No. 2024-21, November 1, 2024

Section R432-152-8 - Facility Staffing

(1) A QIDP shall integrate, coordinate and monitor each client's active treatment services program.

(2) The licensee shall ensure:

(a) each client receives the professional services required to implement the active treatment services program defined by each client's individual program plan;

(b) professionally licensed program staff work directly with clients and with any other staff who work with clients;

(c) there are enough qualified professional staff to carry out and monitor the various professional interventions in accordance with the stated goals and objectives of every individual program plan;

(d) professional program staff participate in ongoing staff development and training of other staff members;

(e) professional program staff are licensed and provide professional services in accordance with each respective professional practice act as outlined in Title 58 Occupations and Professions and a copy of the current license, registration or certificate is posted or maintained in employee personnel files;

(f) professional program staff designated as human services professionals who do not fall under the jurisdiction of licensure, certification or registration requirements specified in Title 58 Occupations and Professions, have at least a bachelor's degree in a human services field; and

(g) if the client's individual program plan is being successfully implemented by facility staff, then professionally licensed program staff meeting the qualifications of Subsection R432-152-8(2)(f) are not required except:

(i) QIDPs;

(ii) requirements of Subsection (2)(c) of this section requiring enough qualified professional program staff; and

(iii) as otherwise specified by licensure and certification requirements.

(3) The licensee shall ensure there are enough responsible direct care staff on duty and awake on a 24-hour basis, when clients are present, to take prompt, appropriate action in case of injury, illness, fire or other emergency, in each defined residential living unit housing:

(a) clients for whom a physician has ordered a medical care plan;

(b) clients who are aggressive, assaultive or are security risks;

(c) more than 16 clients; or

(d) each unit of 16 or fewer clients within a multi-unit building.

(4) The licensee shall ensure there is a responsible direct care staff person on duty on a 24-hour basis, when clients are present, to respond to injuries and symptoms of illness and to handle emergencies in each defined residential living unit housing for the following:

(a) clients for whom a physician has not ordered a medical care plan;

(b) clients who are not aggressive, assaultive or security risks; or

(c) residential living units housing 16 or fewer clients.

(5) The licensee shall ensure there are enough support staff available so that direct care staff are not required to perform support services to the extent that these duties interfere with the exercise of their primary direct client care duties.

(6) Clients or volunteers may not perform direct care services for the facility.

(7) The licensee shall employ enough direct care staff to manage and supervise clients in accordance with their individual program plans and ensure the following minimum direct care staff to client ratios for each defined residential unit for each 24-hour period:

(a) 1 direct care staff to 3.2 clients with 2.5 hours per client serving:

(i) children under the age of 12 with severe and profound intellectual disabilities;

(ii) clients with severe physical disabilities;

(iii) clients who are aggressive, assaultive or security risks; or

(iv) clients who manifest severely hyperactive or psychotic behavior;

(b) 1 direct care staff to 4 clients with 2 hours per client serving individuals with moderate intellectual disabilities; and

(c) 1 direct care staff to 6.4 clients with 1.25 hours per serving clients who function within the range of mild intellectual disabilities.

(7) The licensee shall ensure that when there are no clients present in the living unit, a responsible staff member is available by telephone.

(8) The licensee shall ensure each employee has initial and ongoing training to include the necessary skills and competencies required to meet the clients' developmental, behavioral and health needs.

(9) The licensee shall ensure when there are clients under the age of 22 years, each employee receives specialized training regarding the care of children and youth with intellectual disabilities.

Utah Admin. Code R432-152-8

Amended by Utah State Bulletin Number 2022-04, effective 1/31/2022

Adopted by Utah State Bulletin Number 2024-01, effective 12/19/2023