Cal. Code Regs. Tit. 22, § 54423 - Staffing Requirements
(a) The program director, a registered nurse
with public health background, a medical social worker, a program aide and the
activity coordinator shall be on duty. Other staff shall be employed in
sufficient numbers to provide services as prescribed in the individual plans or
care, in accordance with the following minimal requirements, determined by each
center's average daily attendance based on the previous quarter experience.
(1) Centers with an average daily attendance
of 10 or less shall provide at least:
(A) A
total of 40 hours per month in the following areas: Physical therapy, speech
therapy and occupational therapy and psychiatric or psychological
services.
(B) Two hours per month
of nutritional services provided by a dietitian.
(2) Centers with an average daily attendance
of 11-20 shall provide at a minimum:
(A) A
total of 80 hours per month in the following areas: Physical therapy, speech
therapy, occupational therapy and psychiatric or psychological
services.
(B) Four hours per month
of nutritional services provided by a dietitian.
(3) Centers with an average daily attendance
of 21-30 shall provide at least:
(A) A total
of 120 hours per month in the following areas: Physical therapy, speech
therapy, occupational therapy and psychiatric or psychological
services.
(B) Six hours per month
of nutritional services provided by a dietitian.
(4) Centers with an average daily attendance
of 31-40 shall provide at least:
(A) A total
of 160 hours per month in the following areas: Physical therapy, speech
therapy, occupational therapy and psychiatric or psychological
services.
(B) Seven hours per month
of nutritional services provided by a dietitian.
(5) Centers with an average daily attendance
of 41-50 shall provide at least:
(A) A total
of 200 hours per month in the following areas: Physical therapy, speech
therapy, occupational therapy and psychiatric or psychological
services.
(B) Eight hours per month
of nutritional services provided by a dietitian.
(6) Centers with an average daily attendance
of 51-60 shall provide at least:
(A) A total
of 240 hours per month in the following areas: Physical therapy, speech
therapy, occupational therapy and psychiatric or psychological
services.
(B) Ten hours per month
of nutritional services provided by a dietitian.
(7) An additional half-time licensed
vocational nurse shall be provided for each increment of 10 in average daily
attendance exceeding 40.
(8) An
additional half-time social work assistant shall be provided for each increment
of 10 in average daily attendance exceeding 40.
(9) Program aides shall be provided in a
ratio of one-half aide for every increment of eight in average daily
attendance.
(10) The program
director of centers whose average daily attendance is 20 or less may also serve
as the registered nurse, social worker, occupational therapist, physical
therapist, speech therapist or dietitian, provided that:
(A) The program director meets the
professional qualifications for that position.
(B) The program director and the
administrator are not the same person.
(11) The center may request staffing
variations to these staffing requirements according to Section
78217, Title 22, California
Administrative Code.
(b)
Adult day health centers which serve participants whose primary language is
other than English, shall employ sufficient trained staff to communicate with
and facilitate rendering services to such participants. When a substantial
number of the participants are in a non-English speaking group, bilingual staff
shall be provided. Bilingual staff shall be persons capable of communicating in
English and the preferred language of the participant.
Notes
Note: Authority cited: Chapter 1066, Statutes of 1977. Reference: Chapter 1066, Statutes of 1977.
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