Current through Register Vol. 56, No. 18, September 16, 2024
(a) Group homes and supervised transitional living
homes, except psychiatric community homes for children as specified in (c) below,
shall meet the following staff-to-child ratios:
1.
The home shall have at least one staff member present in the home or reachable by
telephone when the home is in operation but the children are not in the home on a
particular day.
2. The home shall have
at least one staff member for every six or fewer children when the children are
awake and present in the home and when the children are participating in an activity
organized by the home.
3. The home shall
have at least one staff member on duty when there are 12 or fewer children in the
home and the children are asleep.
i. In a
single-sex home, the staff member may be asleep.
ii. In a coed home, the staff member shall be
awake.
iii. An additional staff member
shall be available to provide emergency in-person coverage within 30
minutes.
(b)
Teaching family homes, alternative care homes, supervised transitional living homes
serving five or fewer children, and treatment homes shall have:
1. One staff member on duty whenever a child is
scheduled to be present in the home;
2.
One staff member as identified in (b)1 above who is accessible by telephone or
beeper at all times when the home is in operation and the children are not present;
and
3. One staff member who can provide
emergency in-person coverage within 30 minutes.
(c) Psychiatric community homes for children shall
meet the following staff-to-child ratios:
1. The
home shall have at least one staff member present in the home or immediately
reachable by telephone when the home is in operation but children are not present on
a particular day;
2. The home shall have
at least one staff member present for every three or fewer children when the
children are awake and present in the residence; and
3. The home shall have at least two staff members
on duty during normal sleeping hours, one of whom shall be awake. An additional
staff member shall be available to provide emergency in-person coverage within 30
minutes.
(d) As an exception
to (b) above, teaching family homes, supervised transitional living homes, and
treatment homes may permit a child to remain in the home when the home is in
operation without a staff member present only when the following conditions have
been met:
1. The child is at least 14 years of
age;
2. The child does not have the
responsibility to supervise other children in the home or is not supervised by other
children in the home;
3. The treatment
team, as specified at 3A:56-6.1(b), documents in the child's treatment plan that the
child has acquired the necessary skills that would enable the child to be in the
home without a staff member present, including:
i.
The ability to contact the police, ambulance or fire department in the event of an
emergency;
ii. The ability to safely
self-evacuate the home if there is a fire, gas leak or other potentially dangerous
situation;
iii. The knowledge that
strangers and visitors are not permitted in the home without the prior approval of
the staff member; and
iv. If an
adolescent mother with an infant, the ability to provide care and supervision of her
child;
4. The treatment team,
as specified at 3A:56-6.1(b), documents in the child's treatment plan that the child
has achieved treatment goals that would enable the child to be in the home without a
staff member present. Such treatment goals may include, but are not limited to:
i. Regular attendance in school, vocational
program or work;
ii. Consistent
participation in counseling, based on the child's treatment plan, if applicable;
and
iii. Demonstration by the child that
he or she has not been involved in incidents of aggressive/assaultive behavior,
damage or destruction of property, inappropriate sexual behavior or other behavioral
or emotional episodes that would indicate that the child could be a potential risk
to self or others;
5. The
child does not require medication and/or psychotropic medication to be administered
during the time that he or she is in the home unsupervised; and
6. The staff member does not permit the child to
remain in the home unsupervised:
i. Because of his
or her employment commitments;
ii. For
overnight stays as a part of a vacation or outing; or
iii. For periods of time that exceed four
consecutive hours; and
7. A
staff member is accessible by telephone or beeper at all times and can provide
in-person coverage within 30 minutes.
(e) Teaching family homes, supervised transitional
living homes, and treatment homes may permit a child unsupervised time in the
community when the following conditions have been met:
1. The child is at least 14 years of
age;
2. The child does not have the
responsibility to supervise other adolescents during the outing or is not supervised
by other adolescents during the outing;
3. The treatment team, as specified at
N.J.A.C. 3A:56-6.1(b)
, documents in the child's treatment plan that the child has acquired the
necessary skills that would enable the child to be in the community without a staff
member present, including:
i. Knowledge of the
name, address, and phone number to the home;
ii. The knowledge of how to respond in case of
emergency, including the ability to contact the home, if needed;
iii. The knowledge of personal safety techniques,
such as awareness of surroundings and not accepting or asking for transportation
from others in the community outside of an approved plan;
iv. The knowledge that the approved destinations,
activities, timeframes, and methods of travel must be adhered to; and
v. If an adolescent mother with an infant, the
ability to provide care and supervision of her child;
4. The treatment team, as specified at
N.J.A.C. 3A:56-6.1(b)
, documents in the child's treatment plan that the child has achieved
treatment goals that would enable the child to be in the community without a staff
member present. Such treatment goals may include, but are not limited to:
i. Regular attendance in school, vocational
program, or work;
ii. Consistent
participation in counseling, based on the child's treatment plan, if applicable;
and
iii. Demonstration by the child that
he or she has not been involved in incidents of aggressive/assaultive behavior,
damage or destruction of property, inappropriate sexual behavior, or other
behavioral or emotional episodes that would indicate that the child could be a
potential risk to self or others;
5. The child does not require medication or
psychotropic medication to be administered during the time that he or she is in the
community unsupervised; and
6. The staff
member does not direct or allow the child to be in the community unsupervised:
i. To temporarily empty the home because of his or
her employment or other commitments;
ii.
Without a documented and approved itinerary; or
iii. For unreasonable periods of time or at
unreasonable times of the night;
7. A staff member is available to retrieve the
child without prior notice should an emergency arise; and
8. The agency or home monitors whether or not the
child is appropriately using unsupervised time in the community and responds
accordingly.