Current through August 26, 2024
(1) STAFFING.
(a) A center shall have all of the following
personnel:
1. A director employed by the
center who is responsible for center operations.
2. One or more social work case work
supervisors responsible for assessment and supervision of case work, service
coordination and case management activities of resident services case managers
through resident treatment planning reviews, case staffings and treatment
record reviews.
3. One or more
resident services case managers responsible for individual and group counseling
of residents and individual counseling of residents and their families along
with case work efforts involving residents and their families in planning,
implementing and coordinating services and resources.
4. One or more resident care worker
supervisors responsible for supervising and assessing resident care workers as
they interact with residents and provide for the day-to-day care and
supervision of residents.
5. One or
more resident care workers responsible for direct care, nurturing and
supervision of the residents.
6.
Staff responsible for the center's recreation program.
7. Staff responsible for educational services
when the center has an on-grounds education program.
(b) A center shall have the following
services available for residents, either provided by professionals on staff or
under agreement with professionals who are consultants for the center:
1. Health care needs assessment and
supervision of the delivery of center health care services by a
physician.
2. Dental care needs
assessment by a dentist.
3.
Services of a psychologist licensed under ch. 455, Stats., or a
psychiatrist.
4. Services of other
appropriately qualified professionals such as speech communication or hearing
impairment specialists or occupational or physical therapists as necessary to
carry out resident treatment plans.
(c) The work schedule of a resident care
worker shall:
1. Specify the worker's routine
and regular hours.
2. Not allow for
the regular scheduling of more than 40 hours of direct care responsibilities
with residents each week, exclusive of resident sleeping time, or more than 50
hours per week exclusive of resident sleeping time when the resident care
worker is covering for sick leave, vacations, resignations or terminations of
other staff.
3. Allow each resident
care worker working longer than an 8 hour shift to have at least 15 minutes of
free time during each additional 2 hour period.
(2) STAFF QUALIFICATIONS. Staff hired or
contracted for on or after September 1, 2000, to carry out the responsibilities
under sub. (1) (a) shall have the following qualifications:
(a) The center director under sub. (1) (a) 1.
shall be an employee of the center, have a bachelor's degree from a college or
university in business or public administration or a social or behavioral
science or in a social services or human services field and have 2 years of
successful related work experience in administration or supervision.
(b) The social work case work supervisor
under sub. (1) (a) 2. shall be an employee of the center, have a master's
degree in social work from a school of social work or in a behavioral science
with 2 years of supervised work experience in a family or child welfare agency,
have experience in working with the kind of populations the center serves and
provide evidence of supervisory knowledge and skills.
(c) The resident services case manager under
sub. (1) (a) 3. shall have education and experience which are specifically
related to the client population to be served. That education and experience
shall consist of the following for the type of population served:
1. Under this subdivision social or
behavioral science field includes a degree in social work, sociology,
psychology, speech communication or special education with certification for
emotional disturbance or learning disabilities. For work with residents who are
receiving services primarily for correctional aftercare or emotional
disturbance, the resident services case manager shall have one of the following
qualifications:
a. A master's degree in a
social or behavioral science field with field work experience or employment
experience working with children or families.
b. A bachelor's degree in a social or
behavioral science field and either 2 years of employment experience in human
services counseling involving children and families or at least 500 hours of
supervised family or child contact therapy hours.
2. Under this subdivision a social or
behavioral science field includes a degree in those fields specified under
subd. 1. For work with residents who are receiving services primarily for
alcohol or drug problems, the resident services case manager shall have one of
the following qualifications:
a. A bachelor's
degree in a social or behavioral science field and Wisconsin certification as
an alcohol and drug counselor or meeting the qualifications of a registered
alcohol and drug counselor I from the Wisconsin alcohol council certification
board.
b. An advanced professional
degree in a social or behavioral science field from a college or university
with at least 6 credits in courses offering content in alcohol and drug abuse
treatment and counseling practicum or field experience.
c. A bachelor's degree in a social or
behavioral science field from a college or university and 6 credits in courses
offering content in alcohol and drug abuse treatment and counseling practicum
or field experience.
d. A
bachelor's degree in a social or behavioral science field from a college or
university and 2 years of experience working with children in alcohol and drug
abuse counseling.
3. For
work with residents who are receiving services primarily for a developmental
disability, the resident services case manager shall have the following
education and experience qualifications:
a. A
degree in a social or behavioral science field. Under this subd. 3. a. a social
or behavioral science field includes a degree in social work, sociology,
psychology, speech communication, special education, physical therapy or
occupational therapy.
b.
Specialized training or one year of employment experience in treating or
working with developmentally disabled persons.
(d) The resident care worker supervisor under
sub. (1) (a) 4. shall be an employee of the center and meet one of the
following qualifications:
1. Possess the
qualifications described under par. (c) for working with the type of population
served.
2. Have 3 years of
experience in public or private institutional child care for the type of
population the center serves, and have one year of experience as a supervisor
or satisfactory completion of at least one course for credit in supervisory
skill development and personnel management or have 40 hours of documented
in-service training involving supervisory skill development and personnel
management.
3. Have 2 years of
experience in licensed institutional child care and be certified as a child and
youth care worker meeting standards of the national organization of child and
youth care workers association.
(e) A resident care worker under sub. (1) (a)
5. shall be an employee of the center, have a high school diploma or equivalent
and be at least 18 years old and at least 2 years older than the oldest
resident. The resident care worker shall also meet one of the following
qualifications:
1. Have a bachelor's or
associate degree from a college or university with a focus on child and youth
care work or in a social or behavioral science field.
2. Have at least one year of successful
experience working in a recognized child welfare residential setting for the
type of resident population served by the center.
3. Be certified as a child and youth care
worker under the standards of the national organization of child and youth care
workers association or other department-recognized certifying
authority.
4. Have completed a
supervised traineeship program under sub. (5) (g).
(f) A person under sub. (1) (a) 6.
responsible for center recreational programming under s. DCF 52.41 (4) shall
meet the qualifications of a resident care worker under par. (e) and have
demonstrated proficiency and at least 3 months experience conducting activities
in one or more recreational program areas appropriate for populations served by
the center.
(g) Education staff
under sub. (1) (a) 7., shall meet Wisconsin department of public instruction
qualifications for the students served.
(h) Each staff person working for a center
shall, where a college or university degree is required under this subsection,
have the degree from an accredited college or university.
Note: For a list of accredited institutions of
higher education in the Midwest, see "NCA Quarterly - Accredited Institutions
of Post-Secondary Education" available from the North Central Associates of
Colleges and Schools, 159 North Dearborn St., Chicago, Illinois
60601.
(i) A center that
hires or contracts for staff not identified under sub. (1) (a) having direct
care or service involvement with residents shall, for those staff, also meet
the requirements for employment applications under sub. (3), job descriptions
and standards and confidentiality notification under sub. (4), staff training
under sub. (5), staff supervision under sub. (6), child abuse and neglect
reporting under sub. (9) and personnel records under sub. (10).
(3) EMPLOYMENT
APPLICATIONS AND GENERAL QUALIFICATIONS.
(a)
Before a center hires or contracts for any new staff, the center shall verify
and document the qualifications of applicants considered for employment or
service.
(b) A center shall require
an applicant for employment to complete and sign an application form. From the
required application materials, the center shall obtain:
1. The names of 2 persons not related to the
prospective staff person who can vouch for the good character of the
prospective staff person.
2.
Employment references. The center shall verify that the applicant was employed
by persons listed as employers during the past 5 years.
3. A completed background information
disclosure form and background record checks as required under s.
48.685,
Stats., and ch. DCF 12.
Note: DCF-F-2978-E, Background
Information Disclosure, is available in the forms section of the
department's website at https://dcf.wisconsin.gov/ or by writing or telephoning
any field office listed in Appendix D.
4. Educational background
information.
(c) Upon
receipt of an application, a center shall check references either by letter or
phone and shall document the date of contact, the person making the contact and
the person contacted and shall summarize the conversation concerning the
character and experience of the person that would permit a judgment to be made
about hiring or contracting, and what the relationship of the reference is to
the prospective staff person or how the reference knows that person.
(d) The center shall comply with the
background records check provisions under ch. DCF 12 for the hiring or
contracting of center staff who will have access to residents, including, as
applicable, not hiring or contracting with a person to work in any position
where the person would have direct, regular contact with residents if the
person answers "yes" to any question on the DCF-F-2978-E background information
form which would bar that person.
Note: Caregiver background check requirements
are also in s.
48.685,
Stats.
Note: Refer to s. DCF 52.62 (1), General
Conditions for Approval of License, with regard to the applicant or licensee
being found fit and qualified to provide care to children.
(e) A center shall require that each staff
person before working with residents present a statement from a physician
covering at least the areas included in a form prescribed by the department
indicating that the staff person does not have a communicable disease, illness
or disability that would interfere with the staff person's ability to work with
or care for residents.
Note: Form CFS0384, Child Welfare Facility
Staff Health Report, is available in the forms section of the department
website at http://dcf.wisconsin.gov or by writing or calling any field office
listed in Appendix D.
(f)
All staff shall have the ability and emotional stability to carry out their
assigned functions and duties. Center staff whose behavior or mental or
physical condition gives reasonable concern for safety of residents may not be
in contact with residents in care. If, at any time, a center suspects or has
reason to believe that the physical or mental health of a center employee or
other person on the premises may pose a threat to the health, safety, or
welfare of a resident in care, the center shall require an alcohol or drug
abuse assessment or a physical or mental health evaluation of the
person.
(4) JOB
DESCRIPTIONS AND STANDARDS. A center shall provide each new staff member under
sub. (1) (a) or (2) (i) with all of the following materials and place copies
dated and signed by the staff member in the staff member's personnel record:
(a) A job description specifying the staff
member's roles and responsibilities.
(b) Individual performance standards,
including expected staff conduct toward residents.
(c) A copy of a department form for reporting
suspected child abuse or neglect.
(d) A statement calling attention to
requirements under s.
48.78 or
938.78,
Stats., and s.
51.30, Stats., for
maintaining resident confidentiality.
(5) STAFF TRAINING.
(a)
Approved by department.
At the time of initial licensure and every 2 years thereafter, a center, prior
to implementing training required under this subsection, shall submit to the
department, for approval, a description of the process and content of
orientation and initial training, including the number of training hours for
all new staff who work with residents and a plan for establishing and meeting
ongoing training needs for all staff who work with residents.
(b)
Orientation. Before a
new staff member is permitted to work independently with residents, the center
shall provide orientation training for the new staff member covering at least
all of the following areas:
1. Overall center
philosophy and program goals.
2.
Organization and management of the center, including administrative
procedures.
3. The nature of
residents' emotional and physical needs.
4. Expected staff conduct toward residents,
expected resident conduct, the center's house rules for residents required
under s. DCF 52.42 (3) (f) and center behavior management techniques.
5. Observing and reporting resident
behavior.
6. Resident rights and
grievance procedures.
7.
Identification and reporting of child abuse and neglect.
8. Laws on confidentiality of personally
identifiable information.
9. Center
procedures for reporting missing persons.
10. Fire safety and evacuation
procedures.
11. Emergency medical
procedures and center emergency security measures and procedures.
12. Sanitation and hygiene practices
including the nature, causes, transmission and prevention of hepatitis B, human
immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) and
the legal, social and psychological aspects of those
conditions.
(c)
Initial training. A center shall document that a new staff
member who works with residents has already received training in the following
areas or the center shall provide at least 40 hours of training covering those
subjects within 6 months after the staff member begins work at the center:
1. Developmental care.
2. Creating a therapeutic milieu.
3. Human sexuality.
4. Teamwork.
5. Working with groups.
6. Emergency safety intervention.
7. Family relationships and the impact of
separation from the family.
8.
Suicide prevention, including identification of signs and center response
measures.
9. Fire safety and
evacuation, with training provided by a Wisconsin vocational, technical and
adult education college.
10.
Sensitivity to racial and cultural differences among residents.
(cm)
Automated external
defibrillator training. A residential care center for children and
youth shall have in each building housing residents when those residents are
present at least one staff member who has current proficiency in the use of an
automated external defibrillator, as defined in s.
256.15(1) (cr), Stats., achieved through instruction
provided by an individual, organization, or institution of higher education
that is approved under s.
46.03(38),
Stats., to provide such instruction.
(d)
Working with monitor. A
newly hired resident care worker who meets one of the qualifications under sub.
(2) (e) 1. to 3. may not assume independent responsibility for residents until
completing 80 hours of work with residents during which assistance and guidance
is provided by an experienced center resident care worker.
(e)
Educational program
orientation. A center shall provide orientation training on the
center's educational program required under s. DCF 52.41 (1) (b) to center
staff responsible for resident educational services before staff provide those
services to residents.
(f)
Continuing training. A center shall provide or arrange for
continuing training for staff so that staff competencies necessary to meet the
needs of residents are maintained and enhanced. The center shall do all of the
following:
1. Determine continuing training
needs through staff performance reviews and assessments.
2. Provide or arrange for at least 24 hours
of continuing training annually for every staff member working with residents.
Training provided or arranged by the center under pars. (b) and (c) may be
counted towards the required 24 hours of annual training but not training
received by a staff member from a previous employer.
(g)
Traineeship.
1. The center shall establish a traineeship
for a new resident care worker who is not otherwise qualified under sub. (2)
(e) 1. to 3. The trainee shall be required to work with an experienced resident
care worker for at least the first 160 hours of work with residents.
2. When a traineeship program required under
sub. (2) (e) 4. has been completed, the center shall note this in the resident
care worker's personnel record. Documentation shall include the beginning and
ending dates of the traineeship, the name of the experienced staff member who
worked with the trainee and assessment of the strengths and competencies of the
resident care worker by the resident care worker supervisor.
3. If, as part of the traineeship, the topics
under par. (c) are covered, this training may be counted towards meeting the
requirement under par. (c).
(gm)
RPPS decision makers. A
center shall ensure that an individual specified in s. DCF 52.415 (2) (b)
successfully completes training on the application of the reasonable and
prudent parent standard prior to making reasonable and prudent parenting
decisions.
(h)
Documentation of training. A center shall document in each
staff member's personnel record all orientation and training received by the
staff member. Documentation shall include dates of training and who provided
the training.
(6) STAFF
SUPERVISION.
(a) A center shall provide for
appropriate supervision of staff as follows:
1. There shall be at least one full-time
equivalent social work case work supervisor as described under sub. (1) (a) 2.
for no more than 8 full-time resident services case manager staff under sub.
(1) (a) 3.
2. There shall be at
least one full-time equivalent resident care worker supervisor as described
under sub. (1) (a) 4. for no more than 8 full-time equivalent resident care
workers under sub. (1) (a) 5.
3.
The center director or professional designee shall supervise the remaining
staff and consultant and service staff under subs. (1) and (2) (i).
4. The center director shall ensure that when
a supervisor is absent, each staff member supervised by that person knows to
whom the staff member reports.
(b) Staff supervision shall include both of
the following:
1. A written performance review
and assessment of a staff member at least once in the staff person's first 6
months with the center and annually thereafter.
2. Filing a copy of the performance review
and assessment and any written response of the staff person to it in the staff
person's personnel record.
(7) VOLUNTEERS AND STUDENT INTERNS. A center
that accepts unpaid college students on field placement or volunteers to
provide services to residents shall do all of the following:
(a) Verify the individual's qualifications to
work with residents through character reference checks and background
verification and a signed statement under sub. (3) (b) and (c), a caregiver
background records check under sub. (3) (d) and a physician's statement under
sub. (3) (e).
(b) Maintain a list
of volunteers and students on field placement working in the center and have a
written description of the job responsibilities of each. The center shall
provide a copy of a particular student's or volunteer's job responsibilities to
the student or volunteer. The description shall include the following:
1. A statement of the purpose of the
student's or volunteer's involvement, role and responsibilities.
2. Identification of a staff member meeting,
at minimum, the requirements under sub. (2) for a resident care worker who will
supervise the student or volunteer.
3. An indication of the extent to which the
student or volunteer will be able to contribute to development of a resident's
service plan or plan progress reviews.
(c) Orient students and volunteers on
subjects listed under sub. (5) (b) before permitting them to work with
residents.
(d) Have each student or
volunteer sign a department-provided statement acknowledging the student or
volunteer's responsibility for reporting any suspected child abuse and neglect
under sub. (9) and for maintaining confidentiality of resident record
information in accordance with s.
48.78 or
938.78,
Stats., and s.
51.30, Stats.
(e) Maintain a personnel record on each
student and volunteer. The record shall contain the documentation required in
this subsection. The center shall maintain the record for 5 years after last
date of service.
(f) Follow a
policy of not using volunteers or students to replace staff required under sub.
(1).
(8) EXTERNAL
PROFESSIONAL SERVICES.
(a) A center may
contract for or otherwise arrange for professional services not provided by the
center when necessary for implementation of a resident's treatment plan. If a
center does contract for or otherwise arrange for external professional
services, the center shall do all of the following:
1. Maintain a list of all external
professional service providers.
2.
Require that each external professional service provider have the appropriate
license or certification.
3.
Require that each external professional service provider provide written
reports to the center on the resident's progress.
(b) A center arranging for an outside
specialist or consultant to treat or advise about treating a dysfunctional
behavior or condition of a resident shall notify the resident's placing person
or agency in writing if the outside specialist or consultant states that the
resident needs follow-along and support services. The center shall inform the
placing person or agency of specialist or consultant recommendations for the
resident including the needs, types of follow-along or support services and the
amount of recommended time needed for those efforts. Center staff shall
document the recommendations and notification in the resident's treatment
record.
(9) CHILD ABUSE
AND NEGLECT REPORTING.
(a) A center shall at
all times protect residents from abuse or neglect.
(b) A center shall require each staff member,
student intern and volunteer to read and sign a statement provided by the
department which describes the individual's responsibility to report suspected
child abuse or neglect as required under s.
48.981(2) and (3), Stats.
Note: Form number CFS2172, Residential Care
Center Child Abuse and Neglect Reporting and Confidentiality Responsibilities,
is available in the forms section of the department website at
http://dcf.wisconsin.gov or by writing or calling any field office listed in
Appendix D.
(c) A center
shall have written policies and procedures for reporting to the appropriate
local county social or human services department or law enforcement agency when
there is reasonable cause to suspect that a child has been abused or neglected.
The policies and procedures shall include:
1.
Notifying the child's placing person or agency and the department licensing
representative of possible abuse or neglect and the basis for that
suspicion.
2. Meeting reporting
requirements in s.
48.981(2) and (3), Stats.
3. Prohibiting imposition of a sanction or
any reprisal against a person for reporting suspicion of child abuse or
neglect.
(d) When child
abuse or neglect is reported, the center shall take necessary steps to protect
the resident until a finding is made.
(10) PERSONNEL RECORDS.
(a)
General personnel
records. A center shall maintain a personnel record for each staff
member under subs. (1) (a) and (2) (i). The record shall contain, at minimum,
the following information:
1. The staff
member's application for employment under sub. (3) (b).
2. Copies of the staff member's job
description and the performance standards and conduct expectations relating to
that job required under sub. (4) (a) and (b).
3. Documentation of information obtained from
a staff member's references required under sub. (3) (c).
4. The department-prescribed background
information disclosure form, signed as required under sub. (3) (d).
5. A history of the staff member's employment
at the center, with starting and ending dates for each position.
6. A copy of the signed department form under
sub. (4) (c) for reporting suspected child abuse and neglect.
7. A copy of the background records checks
required under sub. (3) (d).
8. A
copy of the statement under sub. (4) (d), signed by the staff member, about the
need to maintain confidentiality of personally identifiable information about
residents.
9. Copies of completed
performance reviews and assessments under sub. (6) (b).
10. A description of training received under
sub. (5) (h).
11. Authorization to
administer medications, if applicable, as required under s. DCF 52.46 (2) (a)
3.
12. For RPPS decision makers,
documentation of the training under sub. (5) (gm).
(b)
Health record. A center
shall separately maintain a health record for each staff member containing
health history, any physical or mental health evaluation under sub. (3) (f) and
the physician's statement required under sub. (3) (e).
(c)
Retention. A center
shall maintain the personnel file of each staff member for 5 years after the
date on which the staff member terminates employment with the
center.
(11) STAFF
HOUSING. A residential care center may not house children of staff with
residents.