Current through Bulletin 2024-06, March 15, 2024
(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.
