10a NCAC 27g .4102       STAFF

(a)  Each individual and child admitted to a facility shall receive services as appropriate to his or her needs from a qualified professional who has responsibility for the client's treatment program.  Each individual and child shall receive age-appropriate, therapeutic professional services.

(b)  A minimum of one staff member shall be present in the facility with an individual at all times unless the designated qualified professional has documented in the individual client plan certain clearly delineated instances in which the client may be without supervision.  In the case of multi-unit facilities which are licensed under the same license, a staff person shall be on the facility premises at all times when an individual is on the premises unless the designated qualified professional has assessed and documented in the individual client plan certain clearly delineated instances in which the client may be without supervision.

(c)  A minimum of one staff member shall be present when one or more children are in the facility.  In the case of multi-unit facilities which are licensed under the same license, a staff person shall be on the facility premises at all times when one or more children are in the facility.  In circumstances when the child's parent is not present, the staff member must be in the unit with the child or children.

(d)  Each individual identified as a residential staff member shall receive pre-service training in the following areas:

(1)           confidentiality;

(2)           client rights;

(3)           crisis management;

(4)           developmentally appropriate child behavior management;

(5)           medication education and administration;

(6)           symptoms of secondary complications to substance abuse or drug addiction;

(7)           signs and symptoms of pre-term labor; and

(8)           signs and symptoms of post-partum complications.

(e)  Adequate training to support the therapeutic process shall also be provided to all residential staff in the following areas within 60 days of employment:

(1)           therapeutic parenting skills;

(2)           dynamics and needs of emotionally disturbed and substance abusing individuals and their children;

(3)           multi-cultural and gender specific issues;

(4)           issues of substance abuse and the process of recovery;

(5)           HIV/AIDS;

(6)           sexually transmitted diseases;

(7)           drug screening;

(8)           domestic violence, sexual abuse, and sexual assault;

(9)           pregnancy, delivery and well child care; and

(10)         infant feeding, including breast feeding.

 

History Note:        Authority G.S. 143B-147;

Eff. May 1, 1996;

Temporary Amendment Eff. February 15, 2002;

Amended Eff. April 1, 2003.