West Virginia Code of State Rules
Agency 78 - Human Services
Title 78 - LEGISLATIVE RULE DEPARTMENT OF HUMAN SERVICES BUREAU FOR SOCIAL SERVICES
Series 78-03 - Minimum Licensing Requirements for Residential Child Care and Treatment Facilities for Children and Transitioning Adults and Vulnerable and Transitioning Youth Group Homes and Programs in West Virginia
Section 78-3-20 - Qualified Residential Treatment Programs
Universal Citation: 78 WV Code of State Rules 78-3-20
Current through Register Vol. XLI, No. 38, September 20, 2024
20.1. Accreditation Requirements. A qualified residential treatment facility shall be appropriately accredited as required by federal standards.
20.2. Employee Ratios.
20.2.1. The minimum employee-to-child ratio
for a qualified residential treatment program shall be 1-to-4 during waking
hours. During nighttime sleeping hours, the ratio shall be 1-to-8. During all
hours there shall be capability to increase employee ratio in response to
acuity. The ratio shall meet the standard set forth in the agency's programming
description.
20.2.2. The
organization shall have registered or licensed nursing staff and other licensed
clinical staff who provide care within the scope of their practice as defined
by state law who are:
20.2.2.a. On-site
according to the treatment model; and
20.2.2.b. Available 24 hours a day, seven
days per week.
20.3. Employee Training and Credentials.
20.3.1. In addition to the requirements for
employee training prescribed in section 11 of this rule, the organization will
ensure all employees are trained on prudent parenting standards;
20.3.2. The organization shall have, at a
minimum, at least one staff member on-site who is authorized to apply the
reasonable and prudent parent standard to decisions involving the participation
of the child in age or developmentally appropriate activities;
20.4. Assessments and Plans of Care.
20.4.1. The organization shall ensure
that staff participate as a member of the family and permanency team and
multidisciplinary treatment team processes;
20.4.2. Staff shall participate with the
family and permanency team in the development of the 30-day assessment by the
qualified individual that will satisfy the initial assessment requirements as
described in subsection 13.2 of this rule;
20.4.3. Clinical staff shall incorporate the
long and short-term goals identified by the qualified individual in the
development of initial and master plans of care as described in sections 13 and
14 of this rule; and
20.4.4.
Clinical staff shall conduct any other assessments indicated by the child's
medical or psychiatric, or both, needs during development of the plans of care,
including the ability to self-medicate with supervision.
20.5. Treatment Services.
20.5.1. The organization shall provide the
following services in addition to those described in this rule:
20.5.1.a. Individualized medically necessary
services for the population of children they serve;
20.5.1.b. Family engagement activities will
be conducted with the child's family during the treatment process;
and
20.5.1.c. At least six months
of family-based after-care services after a child's discharge.
20.6. Planning for Aftercare.
20.6.1. The family and permanency
team shall begin planning for discharge during the development of the long and
short-term goals.
20.6.2. At least
30 days prior to discharge the child and family permanency team shall meet to
develop the plan for after-care services. Issues to consider in developing the
plan are:
20.6.2.a. Remaining problems to be
addressed;
20.6.2.b. Appropriate
placement for the child considering issues of safety, permanency, and any
remaining clinical need; and
20.6.2.c. Recommendations for behavioral,
medical, or socially necessary services to support the needs of the child and
family to prevent re-entry.
Disclaimer: These regulations may not be the most recent version. West Virginia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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