- (a) The facility must provide sufficient direct care staff to manage and supervise clients in accordance with their individual program plans.
- (b) Direct care staff are defined as the present on-duty staff calculated over all shifts in a twenty-four-hour period for each defined residential living unit.
(c) Direct care staff must be provided by the facility in the following minimum ratios of direct care staff to clients:
- (1) For each defined residential living unit serving children under the age of twelve (12), severely and profoundly intellectually disabled clients, clients with severe physical disabilities, or clients who are aggressive, assaultive, or security risks, or who manifest severely hyperactive or psychotic-like behavior, the staff to client ratio is one to three and two tenths (1: 3.2);
- (2) For each defined residential living unit serving moderately intellectually disabled clients the staff to client ratio is one to four (1: 4); and
- (3) For each defined residential living unit serving clients who function within the range of mild intellectual disability, the staff to client ratio is one to six and four-tenths (1: 6.4).
- (d) When there are no clients present in the living unit, a responsible staff member must be available by telephone.