1. (a) In all programs there shall be a program director that assumes responsibility for the daily operation of the program.

2. (b) Programs shall, at a minimum, maintain the following staff to resident ratios and retain documentation of it for a 6-month period:

   1. (1) Independent living homes shall maintain a minimum staff to resident ratio of one staff person to 8 residents during awake hours and one staff person to 12 residents during sleeping hours;
   2. (2) All other programs shall maintain a minimum staff to resident ratio of one staff person to 6 residents during awake hours and one staff person to 12 residents during sleeping hours; and
   3. (3) SCPs shall comply with the staff-to-resident ratios in He-C 4001.30(r).

3. (c) Notwithstanding the required minimum staff to resident ratios specified in (b) above, when a staff person takes one or more residents off the premises for a routine trip, such as a medical or dental appointment, recreation, or social activity, the program may have one fewer staff person with the residents who will remain on the premises of the program, provided that:

   1. (1) The program director or designee has authorized the reduced staff to resident ratio, based upon their determination that the staff remaining on the premises of the program can meet the individual needs of each resident; and
   2. (2) In no case shall the staff to resident ratio go below one to 12.
4. (d) Notwithstanding the staff to resident ratios set forth in (b) and (c) above, when a resident’s treatment plan requires that a resident needs a staff to resident ratio that is more stringent than the required staff to resident ratios, the program shall comply with the resident’s treatment plan.
5. (e) The licensee shall assign at least one staff to help orient a newly admitted resident to the program and to the services available to the resident.

Source. #2664, eff 3-30-84, EXPIRED: 3-30-90 New. #8581, eff 4-20-06, EXPIRED: 4-20-14 New. #10576, INTERIM, eff 4-26-14, EXPIRES: 10-23-14; ss by #10705, eff 10-23-14; ss by #13151, eff 12-30-20; ss by #14214, eff 4-1-25