Current through Register Vol. 39, No. 6, September 16, 2024
(a) Executive
Director. There shall be a full-time executive director for an agency with one
or more facilities licensed for 20 or more children. At a minimum, there shall
be a part-time executive director for an agency with one or more facilities
licensed for less than 20 children.
(b) The executive director shall meet the
requirements of a Social Services Program Administrator I as defined by the
North Carolina Office of State Human Resources. A copy of these requirements,
which are hereby incorporated by reference, including subsequent amendments and
editions, can be found at:
https://oshr.nc.gov/state-employee-resources/classification-compensation/job-classification.
The college or university degree shall be from a college or university listed
at the time of the degree in the Higher Education Directory, which is
incorporated by reference, including subsequent amendments and editions. This
information can be purchased from Higher Education Publications, Inc. for a
cost of one hundred and twenty five dollars ($125.00) at:
http://www.hepinc.com.
(c) The executive director shall:
(1) be responsible for the general management
and administration of the residential child-care facility in accordance with
policies established by the governing body and licensing
requirements;
(2) explain licensing
standards, residential child-care standards, and the residential child-care
facility's services to the governing body, the facility's constituency, other
human service agencies, and the public;
(3) initiate and carry out the program of
residential child-care as approved by the governing body;
(4) report to the governing body on all
phases of operation at least quarterly;
(5) delegate authority and responsibility to
staff qualified to ensure the maintenance of the residential child-care
facility's operations;
(6)
establish and oversee fiscal practices and present the annual operating budget
and quarterly reports to the governing body;
(7) evaluate, at least annually, the training
needs of the staff and plan and implement staff training and consultation to
address identified needs;
(8)
employ and discharge staff and meet on a regular basis with management staff to
review, discuss, and formulate policies and procedures;
(9) supervise staff who report directly to
the executive director; and
(10)
conduct an annual individual written evaluation of each staff member who
reports directly to the executive director. This evaluation shall contain both
a review of job responsibilities and goals for future job
performance.
(d)
Clerical, Maintenance, and Other Support Personnel. The residential child-care
facility shall employ or contract personnel to perform all clerical, support,
and maintenance duties.
(e)
Business and Financial Personnel. The residential child-care facility shall
employ or contract personnel to perform all business, accounting, and financial
functions.
(f) Direct Care Service
Personnel. Any staff member who assumes the duties of direct care service
personnel in the living unit shall comply with all the standards for direct
care services personnel in the living unit.
(1) Direct care service personnel shall:
(A) have a high school diploma or
GED;
(B) complete a medical history
form prior to assuming the position: The medical history form shall be signed
and dated by the staff member and contain the name, contact information, date
of birth, health history, and statement of health. A copy of the medical
history form ("Medical History Form" DSS-5017) can be obtained from the
Division or found on the Division's website at
https://www.ncdhhs.gov/divisions/dss;
(C) have a medical examination by a licensed
medical provider 12 months prior to assuming the position and biennially
thereafter. This report shall include a statement indicating the presence of
any communicable disease that may pose a risk of transmission in the
residential child-care facility. After the initial examination, the cost of the
medical examinations as required by licensure shall be at the expense of the
facility;
(D) have a TB skin test
or chest x-ray, unless the medical provider advises against this test, prior to
assuming the position; and
(E) be
21 years of age.
(2)
Standards for direct care service personnel:
(A) There shall be one direct care staff
personnel assigned to every six children during waking hours and one direct
care staff personnel assigned to every ten children during overnight
hours.
(B) A residential child-care
facility shall ensure that a staff member certified in cardiopulmonary
resuscitation (CPR) and first-aid, such as those provided by the American Red
Cross, the American Heart Association, or equivalent organizations, is always
available to the children in care. The residential child-care facility shall
ensure that direct care service personnel shall, within the first 30 days of
employment, successfully complete certification in first-aid, CPR, and
universal precautions provided by either the American Heart Association, the
American Red Cross, or equivalent organizations approved by the Division of
Social Services. Division staff shall determine that an organization is
substantially equivalent if the organization is already approved by the
Department or meets the same standard of care as the American Heart Association
or the American Red Cross. First-aid, CPR, and universal precautions training
shall be renewed as required by the American Heart Association, the American
Red Cross, or equivalent organizations. "Successfully completed" is defined as
demonstrating competency, as evaluated by the instructor who has been approved
by the American Heart Association, the American Red Cross, or other
organizations approved by the Division of Social Services to provide first-aid,
CPR, and universal precautions training. Training in CPR shall be appropriate
for the ages of children in care. Documentation of successful completion of
first-aid, CPR, and universal precautions shall be maintained by the agency.
The Division shall not accept web-based trainings for certification in
first-aid, CPR, or universal precautions.
(C) A residential child-care facility shall
ensure that direct care service personnel receive supervision and training in
the areas of child development, permanency planning methodology, group
management, preferred discipline techniques, family relationships, human
sexuality, health care and socialization, leisure time and recreation. In
addition, the residential child-care facility shall provide training to direct
care service personnel in accordance with the needs of the client population,
including training in child sexual abuse. Direct care service personnel shall
receive 24 hours of continuing education annually.
(D) A residential child-care facility shall
ensure that direct care service personnel receive supervision in food
preparation and nutrition when meals are prepared in the living unit.
(E) Any duties other than direct care
services duties assigned to direct care service personnel shall be specified in
writing and assigned in accordance with the residential child-care
program.
(3) Direct care
service supervisory personnel shall have a high school diploma or GED and be 21
years of age.
(4) Standards for
direct care service supervisory personnel:
(A)
There shall be at least one supervisor for every 15 direct care service
personnel.
(B) Supervisory staff
shall be selected on the basis of the knowledge, experience, and competence
required to manage direct service personnel.
(C) Direct care service supervisory personnel
shall receive 24 hours of continuing education annually.
(g) Social work supervisors or
case manager supervisors shall be employed by the residential child-care
facility to supervise, evaluate and monitor the work and progress of the social
work or case manager staff.
(1) Social work
supervisors or case manager supervisors shall meet the requirements of a Social
Work Supervisor II as defined by the North Carolina Office of State Human
Resources. A copy of these requirements, which are hereby incorporated by
reference, including subsequent amendments and editions, can be found at
https://oshr.nc.gov/state-employee-resources/classification-compensation/job-classification.
The college or university degree shall be from a college or university listed
at the time of the degree in the Higher Education Directory. Social work
supervisors or case manager supervisors shall receive 24 hours of continuing
education annually.
(2) Supervision
of social workers or case managers shall be assigned as follows:
Supervisors Required
|
Social Workers or Case Managers Employed
|
0
|
0-4
(executive director serves as social work or case
manager supervisor)
|
1
|
5
|
2
|
6-10
|
3
|
11-15
|
There shall be one additional supervisor for every
one to five additional social workers or case managers.
|
(h) Social workers or case managers shall be
employed by the residential child-care facility to provide social work or case
management services to the children in care and their families in accordance
with the out-of-home family services agreement.
(1) Social workers or case managers shall
meet the requirements of a Social Worker II as defined by the North Carolina
Office of State Human Resources. A copy of these requirements, which are hereby
incorporated by reference, including subsequent amendments and editions, can be
found at
https://oshr.nc.gov/state-employee-resources/classification-compensation/job-classification.
The college or university degree shall be from a college or university listed
at the time of the degree in the Higher Education Directory. Social workers or
case managers shall receive 24 hours of continuing education
annually.
(2) There shall be at
least one social worker or case manager assigned for every 15
children.
(3) A residential
child-care facility shall ensure that social workers or case managers receive
supervision and training in the areas of child development, permanency planning
methodology, group dynamics, family systems and relationships, and child sexual
abuse.
(4) Any duties other than
social work or case management duties assigned to staff employed as social
workers or case managers shall be specified in writing and assigned in
accordance with the residential child-care program.
Authority
G.S.
131D-10.5;
143B-153;
Eff. July
1, 1999 (See S.L. 1999, c. 237, s. 11.30);
Amended Eff. June 1,
2010; October 1, 2008; July 18, 2002;
Readopted Eff. October 1,
2017.