Current through Register Vol. 50, No. 9, September 20, 2024
A. Staff
at ADHC centers shall meet the following education and experience requirements.
All college degrees shall be from a nationally accredited institution of higher
education as defined in § 102(b) of the Higher Education Act of 1965 as
amended. The following "key" staff positions are required and subject to the
provisions listed below.
1. Director. The
director shall have a bachelors degree in a human services-related field, such
as social work, nursing, education or psychology. Eight years of supervisory
experience working in a human services-related field may be substituted for the
bachelors degree.
a. - b. Repealed.
2. Nurse. The center shall employ
one or more RN or LPN who shall be available to provide medical care and
supervision services as required by all participants. The RN or LPN shall be on
the premises daily for at least 8 hours or the number of hours the center is
open, or during the time participants are present at the center, whichever is
less. Nurses shall have a current Louisiana state nursing license.
3. Social Service Designee/Social Worker. The
center shall designate at least one staff person who shall be employed at least
10 hours a week to serve as the social services designee or social worker
a. The social services designee shall have,
at a minimum, a bachelors degree in a human service-related field such as
psychology, sociology, education, or counseling. Two years of experience in a
human service-related field may be substituted for each year of
college.
b. The social worker shall
have a bachelors or masters degree in social work.
4. Program Manager The center shall designate
at least one staff member who shall be employed at least 10 hours a week to be
responsible for carrying out the centers individualized program for each
participant.
B. The
following additional staff positions are required, subject to the provisions
listed below.
1. Food Service Supervisor. The
center shall designate one staff member who shall be employed at least 10 hours
a week who shall be responsible for meal preparation and/or serving. The food
service supervisor shall have ServSafe certification.
2.
Direct Service Worker-an
unlicensed person who provides personal care or other services and support to
persons with disabilities or to the elderly to enhance their well-being, and
who is involved in face-to-face direct contact with the participant.
3. Volunteers. Volunteers and student interns
are considered a supplement to the required staffing component. A center which
uses volunteers or student interns on a regular basis shall have a written plan
for using these resources. This plan shall be given to all volunteers and
interns and it shall indicate that all volunteers and interns shall be:
a. directly supervised by a paid staff
member;
b. oriented and trained in
the philosophy of the center and the needs of participants as well as the
methods of meeting those needs;
c.
subject to character and reference checks similar to those performed for
employment applicants upon obtaining a signed release and the names of the
references from the potential volunteer/intern student;
d. aware of and briefed on any special needs
or problems of participants; and
e.
provided program orientation and ongoing in-service training. The in-service
training should be held at least quarterly.
C. The direct service worker to participant
ratio shall be a minimum of one full-time direct service worker to every nine
participants.
D. Center staffing
requirements shall be based on licensed capacity; however, the center shall
ensure that the following requirements are met regardless of the licensed
capacity of the center.
1. The RN or LPN
shall be on the premises daily for at least eight hours, the number of hours
the center is open, or during the time participants are present at the center,
whichever is less.
2. If the RN or
LPN has been on duty at least eight hours and there are still participants
present in the ADHC, the RN or LPN may be relieved of duty, however, at least
one key staff person shall remain on duty at the center. The key staff person
shall be the social service designee/social worker or the program
manager.
3. A staff member who is
certified in CPR shall be on the premises at all times while participants are
present.
E. Centers with
a licensed capacity of 15 or fewer participants may designate one full-time
staff person or fulltime equivalent person to fill up to three "key staff"
positions, and shall employ at least one full-time person or full-time
equivalent to fulfill key staff requirements.
F. Centers with a licensed capacity to serve
16-30 participants shall employ at least two full-time persons or full-time
equivalents to fulfill key staff requirements, and may designate one full-time
staff person or full-time equivalent person to fill up to, but no more than,
two "key staff" positions.
G.
Centers with a licensed capacity to serve more than 30 participants shall
employ at least three full-time persons or full-time equivalents to fill key
staff positions. Each key staff position shall be filled with a full-time
person or fulltime equivalent.
AUTHORITY NOTE:
Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.