1. (a) Each facility shall maintain staff to client ratios that ensure the health and safety of clients served in the facility.
2. (b) Staff with training and experience in the provision of care to the needs of clients shall be present at all times when clients are in the facility.
3. (c) The facility shall have the capacity to bring additional staff on site to provide more intensive supervision, treatment, or management in response to the needs of individual clients.
4. (d) The treatment of each client shall be under the supervision of a physician, and a physician shall be on call on a 24-hour per day basis.
5. (e) Each direct care staff member shall have access at all times to qualified professionals who are qualified in the disability area(s) of the clients with whom the staff is working.
6. (f) Each direct care staff member shall be trained and have basic knowledge about mental illnesses and psychotropic medications and their side effects; mental retardation and other developmental disabilities and accompanying behaviors; the nature of addiction and recovery and the withdrawal syndrome; and treatment methodologies for adults and children in crisis.
7. (g) Staff supervision shall be provided by a qualified professional as appropriate to the client's needs.

History Note: Authority G.S. 122C‑26; 143B‑147;
Eff. May 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 20, 2019.