1. (1) Staffing requirements.

   1. (a) In this subsection, “24/7” means 24 hours per day, 7 days per week.

   2. (b) On-site staffing levels shall be adequate to allow for all of the following:

      1. 1. Persons to receive services on a 24/7 basis, including through telehealth.
      2. 2. Safety and security of clients, staff, and visitors.

   3. (c) A CCF shall maintain the following minimum staffing requirements:

      1. 1. The treatment director or their designee shall be available on-site or by electronic communication 24/7.
      2. 2. The nursing administrator or their designee shall be available on-site 24/7.
      3. 3. The clinical director or their designee shall be available on-site or by electronic communication 24/7.
      4. 4. A prescriber shall be available on-site or by electronic communication 24/7.
      5. 5. A nurse qualified under s. DHS 31.08 (1) (g) to (i), or a physician qualified under s. DHS 31.08 (1) (e) to (f) shall be on-site 24/7. This may include the nursing administrator under s. DHS 31.08 (2) (b) or their designee.
      6. 6. Staff qualified under s. DHS 31.08 (1) (o) shall be on-site 8 hours a day, 7 days a week to provide and support the social and behavioral health services. This may include the clinical director under s. DHS 31.08 (2) (c) or their designee.
      7. 7. At all times, a minimum of 4 staff, including those identified in subds. 1. to 6., shall be on-site 24/7. Available staff shall be capable of providing services identified in this chapter.

      8. 8. At all times, a minimum of 2 staff on-site 24/7 at a CCF shall have completed training in each of the following:

         1. a. Basic cardiac life support and use of an automated external defibrillator equipment.
         2. b. Administration of an opioid reversal medication.
         3. c. Emergency safety interventions.
   4. (d) A CCF shall ensure staffing is adequate to maintain compliance with requirements in s. 51.15, Stats.

2. (2) Staffing plan and schedules.

   1. (a) A CCF shall make available to the department a staffing plan which shall include all the following:

      1. 1. Methodology used for determining staffing levels.
      2. 2. Staffing levels for required personnel under sub. (1) and s. DHS 31.08 (2), to include both the number of positions needed and the actual number hired.
      3. 3. Staff availability, including staff available on-site, on-call, via telehealth, and via electronic communication.
      4. 4. A plan for responding to fluctuations in acuity, serving clients with high needs, staffing shortages, and surges in referrals and admissions.
   2. (b) A CCF shall make available to the department, as requested, a daily staff schedule which identifies shifts, work hours, and scheduled positions.
   3. (c) A CCF shall consider the acuity levels and clinical and safety needs of clients being served and adjust staffing levels based on those needs while meeting staffing requirements as outlined in sub. (1).
   4. (d) A staffing plan must demonstrate adequate staffing is available for the provision of care if minors are being served.
   5. (e) A staffing plan shall be updated when needed to meet the needs of a CCF.

History

History: EmR2507: emerg. cr., eff. 6-16-25; CR 25-051: cr. Register February 2026 No. 842, eff. 3-1-26.