(b) Each crisis residence shall be issued an operating certificate that specifies the type of crisis residence the provider of services is authorized to operate:

1. (1) Intensive crisis residence program:

   1. (i) the purpose of an intensive crisis residence program is to stabilize a recipient who is experiencing an acute psychiatric crisis and requires appropriate on-site daily monitoring and treatment services and prepare the recipient for a subsequent level of care;
   2. (ii) individuals eligible for admission to an intensive crisis residence program are persons exhibiting symptoms of a mental illness and psychiatric crisis and are at least 18 years of age;
   3. (iii) an intensive crisis residence shall not have fewer than 3 beds and shall not exceed 16 beds;

   4. (iv) an intensive crisis residence program shall conduct an admissions assessment to determine appropriateness of admission and offer each of the following treatment and support services, consistent with a recipient’s condition and needs that includes but is not limited to:

      1. (a) comprehensive assessment;
      2. (b) medication management and training;
      3. (c) medication monitoring;
      4. (d) medication therapy;
      5. (e) individual and group counseling;
      6. (f) engagement and support to address co-occurring disorders;
      7. (g) assistance in personal care and activities of daily living;
      8. (h) peer support;
      9. (i) engagement with identified supports;
      10. (j) safety planning;
      11. (k) integration of direct care and support services;
      12. (l) case management activities which emphasize discharge planning and includes continuity of care between service transitions;
      13. (m) collaboration and linkages with service options in the community which provide continuation of ongoing treatment and rehabilitation;
      14. (n) crisis respite; and
      15. (o) room and board.

2. (2) Residential crisis support program:

   1. (i) the purpose of a residential crisis support program is to stabilize an individual who is experiencing a psychiatric crisis through integrated rehabilitation, and support services and improve their functioning while maintaining social, family and community ties in accordance with an individual service plan;
   2. (ii) individuals eligible for admission to a residential crisis support program are persons exhibiting symptoms of mental illness who are at least 18 years of age;
   3. (iii) a residential crisis support program shall not have fewer than 3 beds, and shall not exceed 16 beds;

   4. (iv) a residential crisis support program shall conduct an admissions assessment to determine appropriateness of admission and offer each of the following support services consistent with a recipient’s condition and needs:

      1. (a) assistance in personal care and activities of daily living;
      2. (b) peer support;
      3. (c) engagement with identified supports;
      4. (d) safety planning;
      5. (e) integration of direct care and support services;
      6. (f) case management activities which emphasize discharge planning;
      7. (g) collaboration and linkages with service options in the community which provide continuation of ongoing treatment and rehabilitation;
      8. (h) medication management and training;
      9. (i) medication monitoring;
      10. (j) crisis respite; and
      11. (k) room and board.

3. (3) Children’s crisis residence program:

   1. (i) the purpose of a children’s crisis residence program is to stabilize a child’s psychiatric crisis symptoms and restore the child to a level of functioning and stability that supports their transition to community-based services, supports, and resources to prevent or reduce future psychiatric crises;
   2. (ii) individuals eligible for admission to a children’s crisis residence program are children or youth who have attained at least the 5th birthday but not the 21st who are experiencing or at risk of experiencing a psychiatric crisis;
   3. (iii) a children’s crisis residence program shall not exceed eight beds;

   4. (iv) a children’s crisis residence program shall offer each of the following treatment and support services in a trauma-sensitive, safe and therapeutic living environment consistent with recipient’s condition and needs that includes but is not limited to:

      1. (a) comprehensive intake assessment including:

         1. (1) comprehensive risk assessment and crisis planning; and
         2. (2) health screening for physical health conditions;
      2. (b) individual, group and family crisis counseling;
      3. (c) medication monitoring;
      4. (d) medication management and training;
      5. (e) one to one monitoring for recipients assessed with high risk behavior;
      6. (f) respite;
      7. (g) behavior support, including skill building for managing behavior and regulating emotional responses;
      8. (h) engagement and support for families, including activities to maintain or facilitate positive relationships with family members, promote skills needed for success in the discharge living environment;

      9. (i) coordination services with emphasis on discharge planning, including:

         1. (1) collaboration with existing providers and community supports;
         2. (2) referral and access to behavioral health services (including pharmacological evaluation and management) and community supports; and
      10. (j) room and board.

(f) Each operating certificate will specify:

1. (1) the location of the crisis residence;
2. (2) the type of crisis residence program;
3. (3) the term of the operating certificate;
4. (4) any changes to be made in the operation of the facility or program in order to retain the operating certificate; and
5. (5) the recipient capacity of the crisis residence program.

(g) In order to receive and retain an operating certificate, a provider of services shall:

1. (1) submit an application on such forms and with such supporting documentation as shall be required by the Office of Mental Health;
2. (2) frame and display the operating certificate within the crisis residence program in a conspicuous place which is readily accessible to the public;
3. (3) cooperate with the Office of Mental Health during any review or inspection of the facility or program;
4. (4) make available to the Office of Mental Health upon request all documents, files, reports, recipient records, accounting records, or other materials required by this Part or requested by the Office of Mental Health in the course of visitation, audit and inspection;
5. (5) undertake changes in the operation of the facility or program as required by the operating certificate; and

6. (6) obtain prior approval of the Office of Mental Health to:

   1. (i) change the physical location of the program or utilize additional physical locations;
   2. (ii) initiate major changes in the program;
   3. (iii) terminate the program or services in the program; and
   4. (iv) change the powers or purpose set forth in the certificate of incorporation.