Vol. 2007, No. 15 (08/01/2007) PDF - Administrative Rules - Utah.gov

NOTICES OF PROPOSED RULES DAR File No. 30179
62A-2-108.2(4), which requires the program to provide information
to the local government.
(2) A residential treatment program shall comply with this rule
and:
(a) Rule R501-1, General Provisions;
(b) Rule R501-2, Core Standards;
(c) Rule R501-14, Background screening;
(d) state fire prevention laws and rules, including but not
limited to Rule R710-4, Buildings Under the Jurisdiction of the State
Fire Prevention Board, and Rule R710-9, Rules Pursuant to the Utah
Fire Prevention Law; and
(e) all applicable local, state, and federal laws.
(3) At the time of a program's initial application, and annually
thereafter, the program shall provide written verification of
compliance with:
(a) local zoning ordinances;
(b) local business license requirements;
(c) local building codes, as required by the local governmental
entity's licensed building inspector;
(d) state fire prevention laws and rules, as determined through
a fire safety inspection by a certified fire safety inspector or fire
marshal; and
(e) state and local health codes.
(4) A program shall comply with Rule R501-16 and obtain an
intermediate secure treatment license prior to offering any
intermediate secure treatment services.
(5) A program shall not exceed the maximum client capacity
indicated on the current license issued by the Office of Licensing.
(6) Each time a program changes the type of client population,
or applies for a license with an increased consumer capacity or for a
new service category, the program shall provide written verification
of local government approval to the Office of Licensing.
R501-19-4. Staff Requirements.
(1) Each owner or member of the governing body of a program
who makes decisions regarding the program's daily operations shall
successfully complete a minimum of 8 hours of annual training
relating to residential treatment services.
(2) Directors, clinical directors, and acting directors who have
responsibility for the on-site daily administration or operation of the
program shall meet the requirements specified in Subsection R501-
2-11(7) and shall have a minimum of two years of residential
treatment program supervisory experience.
(a) A director or acting director shall be on duty or on call at
all times.
(3) A program shall have a minimum of one staff-in-charge on
duty at all times.
(4) A program providing services to children shall maintain a
minimum direct care staff ratio of one direct care staff on duty for
every six clients, and never fewer than two direct care staff on duty,
between 7:00 a.m. and 9:00 p.m., or during any off site activity.
(a) When more than two direct care staff are required to be on
duty before 9:00 p.m., the additional direct care staff shall not leave
until after all children are asleep.
(b) If clients are awake before 7:00 a.m., the program shall
maintain a minimum direct care staff ratio of one direct care staff on
duty for every six clients, and never fewer than two direct care staff
on duty while clients are awake.
(5) A program providing services to children shall maintain a
minimum direct care staff ratio of one direct care staff on duty for
every twelve clients, and never fewer than two direct care staff on
duty in each building where clients sleep, between 9:00 p.m. and
7:00 a.m.
(6) A program is not required to include a child who is directly
supervised by the child's parent in the staff ratios described in this
section, R501-19-4.
(7) A program providing services to adults only shall maintain
a minimum direct care staff ratio of one direct care staff on duty for
every ten clients, and never fewer than one direct care staff on duty
and one direct care staff on call, between 7:00 a.m. and 11:00 p.m.,
or during any off site activity.
(8) A program providing services to adults only shall maintain
a minimum direct care staff ratio of one direct care staff on duty for
every twenty clients, and never fewer than one direct care staff on
duty in each building where clients sleep and one direct care staff on
call, between 11:00 p.m. and 7:00 a.m.
(9) A substance abuse program providing services to adults
only may reduce the minimum direct care staff ratio in this section if
it has and complies with a written policy and procedures regarding
staff ratios that considers factors particular to its client population,
including but not limited to its clients presenting problems and the
risks they may present to other clients, staff and the community.
(10) A program shall comply with a staffing ratio that is more
restrictive when required by a client's treatment plan or a contract
with the Department of Human Services or its Divisions.
R501-19-5. Documentation.
(1) A program shall maintain a written record for each
individual client, as specified in Section R501-2-6.
(a) Each client written record shall include progress notes
specific to the client's treatment plan, which shall be completed
within one week following each counseling session, describing the
client's behavior, staff interventions, and client responses.
(2) A program shall maintain, and direct care staff shall read, a
daily shift log, which shall include:
(a) a description of the activities and incidents occurring
during each shift;
(b) the date, time, and signature of the staff-in-charge at the
end of each work shift; and
(c) the date, time, and signature of each direct care staff at the
beginning of the staff's work shift.
R501-19-6. Client Services.
(1) A program shall describe how medical services will be
promptly provided.
(a) Upon admission, each client shall be informed of the right
to consult with a medical practitioner and a mental health therapist.
(b) A program that must travel more than 30 miles to an
emergency room or 24-hour urgent care facility shall retain the oncall
services of a medical practitioner and a mental health therapist.
(2) A monthly schedule of activities shall be posted in the
common area and the office. Monthly schedules of activities shall
be filed and retained for a minimum of one year.
R501-19-7. Physical Environment.
(1) The program buildings and grounds shall be maintained in
a safe and clean manner.
(2) Live-in staff shall have a separate living space with a
private bedroom and bathroom.
(3) The program shall have an on-site office or designated
space for records.
52 UTAH STATE BULLETIN, August 1, 2007, Vol. 2007, No. 15