Cal. Code Regs. Tit. 22, § 76337 - Developmental Program Services-Staffing

(a) Qualified personnel and necessary supporting staff to carry out the programs shall be available.

(b) The facility shall employ qualified mental retardation professional(s) in the ratio of one (1) hour per client per week. The qualified mental retardation professional(s) shall have the responsibility for supervising the implementation of each client's individual plan of care, integrating the various aspects of the facility's program, recording each client's progress and initiating periodic review of each individual plan of care for necessary modifications or adjustments.

(c) The facility shall provide either through direct employment or by contractual arrangement a multidisciplinary professional staff to assist in the development and implementation of programs and to provide specific training and expertise to the program staff.

(1) The multidisciplinary professional staff shall be composed of at least one person from any three of the following disciplines:

(A) Psychologist.

(B) Recreation therapist.

(C) Occupational therapist.

(D) Physical therapist.

(E) Social worker.

(F) Speech pathologist.

(G) Special education teacher.

(H) Art therapist.

(I) Dance therapist.

(J) Music therapist.

(K) Any other related discipline approved by the Department.

(2) Total multidisciplinary professional staff time for a facility with 40 or fewer clients shall be equivalent to at least 20 hours per week.

(3) Total multidisciplinary professional staff time for a facility with 41 or more clients shall be equivalent to at least 20 hours per week for the first 40 clients plus 30 minutes per client per week for each additional client in excess of 40.

(d) The primary responsibility of staff shall be the care and development of the clients as follows:

(1) The personnel shall train clients in activities of daily living and in the development of self-help and social skills.

(2) Direct care staff shall not be assigned housekeeping, administrative and financial record keeping or other nonclient care activities.

(e) Input from staff from all shifts shall be used in developing appropriate referral, planning, initiation, coordination, implementation, follow through, monitoring and evaluation activities relative to the care and development of the client.

(f) The facility shall employ sufficient direct care staff to carry out the client's Individual Program Plan as prescribed by the Interdisciplinary Team. Such staffing shall be no less than three (3) hours per client per day. Licensed nursing staff hours shall count as twice the actual hours on duty. The Director of Nurses and Director of Staff Development may not be counted as direct care staff in facilities of sixty (60) bed or larger capacity.

Notes

Cal. Code Regs. Tit. 22, § 76337

1. Repealer of subsections (b)-(b)(2)(B) and (g), subsection relettering, amendment of newly designated subsections (b)-(c), new subsection (f) and amendment of NOTE filed 8-31-95 as an emergency; operative 8-31-95 (Register 95, No. 35). A Certificate of Compliance must be transmitted to OAL by 12-29-95 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as 8-31-95 order transmitted to OAL 12-28-95 and filed 2-6-96 (Register 96, No. 6).

Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Sections 1276, 1276.5 and 1277, Health and Safety Code; and Section 14110.7(e), Welfare and Institutions Code.

1. Repealer of subsections (b)-(b)(2)(B) and (g), subsection relettering, amendment of newly designated subsections (b)-(c), new subsection (f) and amendment of Note filed 8-31-95 as an emergency; operative 8-31-95 (Register 95, No. 35). A Certificate of Compliance must be transmitted to OAL by 12-29-95 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as 8-31-95 order transmitted to OAL 12-28-95 and filed 2-6-96 (Register 96, No. 6).