(b)

1. (1) Therapeutic community services shall be provided in the least restrictive setting possible.
2. (2) Services should be provided within or as close to the community in which they reside as possible.

(c)

1. (1) A physician shall be available at all times for clients in the therapeutic community, either on-duty or on call.
2. (2) If the physician is on call, he or she shall respond by telephone or in person to the licensed staff on duty at the therapeutic community within twenty (20) minutes.

(d)

1. (1) Therapeutic community services shall:

   1. (A) Have written policy and procedures for both levels of therapeutic communities; and
   2. (B) Maintain policy and procedures for all services provided.
2. (2) This information shall be provided to all clients who enter care at a therapeutic community.

(e)

1. (1) Qualified staff, acting within their scope of license, if applicable, shall ensure that they are knowledgeable about:

   1. (A) Applicable laws;
   2. (B) Department of Human Services rules; and
   3. (C) Facility policy and procedures.
2. (2) All staff at therapeutic communities must be trained and certified as a staff member of the therapeutic community provider.
3. (3) This certification must be documented within the employee’s employment record.

(h)

1. (1) All services provided to a client shall be documented in a daily progress note. (2) Each daily progress note shall consist of a log and narrative section.

2. (3) The log shall record each planned service delivered to the client, indicating the:

   1. (A) Service name;
   2. (B) Time service began;
   3. (C) Time services ended; and
   4. (D) Name and signature of the staff members providing the service.

3. (4) The summary shall include the:

   1. (A) Activities performed; and
   2. (B) Client’s progress or lack of progress of achieving the treatment goal or goals established in the individualized plan of care.

4. (5) The narrative shall also indicate the:

   1. (A) Reason or reasons for the client not participating in any planned service;
   2. (B) Efforts to engage the client in services; and
   3. (C) Any alternative service provided when the client does not participate in a planned service.

5. (6)

   1. (A) The narrative progress note shall be signed by the mental health professional (independently licensed practitioner, nonindependently licensed practitioner, advanced practice nurse, or physician) who is primarily responsible for the client’s treatment on that day.
   2. (B) This mental health professional (independently licensed practitioner, nonindependently licensed practitioner, advanced practice nurse, or physician) must have been physically present at the therapeutic community site on the day of the services being documented.