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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 22. HEALTH |
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SubTilte 22-B. PUBLIC HEALTH AND MEDICINE |
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Chapter 22-B35. GROUP HOMES FOR MENTALLY RETARDED PERSONS |
Section 22-B3511. DIRECT CARE STAFF RATIOS
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3511.1The minimum daily ratio of on-duty, direct care staff to residents in each GHMRP that serves severely physically handicapped residents, residents who are aggressive, assaultive or security risks, residents who manifest severely hyperactive or psychotic-like behavior, and other residents who require considerable adult guidance and supervision shall be not less than the following:
(a)1:4 during the waking hours of the day, approximately 6:00 a.m. to 10:00 p.m., when residents remain in the GHMRP during the day; and
(b)1:8 during sleeping hours, approximately 10:00 p.m.to 6:00 a.m.
3511.2The minimum daily ratio of on-duty, direct care staff to residents present in each GHMRP that serves residents who require training in basic independent-living skills shall be not less than the following:
(a)1:8 during the waking hours, approximately 6:00 a.m. to 2:00 pm., when residents remain in the GHMRP during the day;
(b)1:4 during the period of approximately 2:00 p.m. to 10:00 p.m.; and
(c)1:8 during sleeping hours, approximately 10:00 p.m. to 6:00 a.m.
3511.3The minimum daily ratio of on-duty direct care staff to residents in each GHMRP that serves residents who are in day programs such as sheltered workshops, vocational training, supported or competitive employment programs, and who have acquired basic independent-living and survival skills shall not be less than 1:8 at all times that residents are in the GHMRP.
3511.4The initial daily direct care staff ratios shall be determined by the Department of Human Services (DHS) based upon the characteristics of the individuals proposed to be served or served by the GHMRP as described in the Individual Habilitation Plans or based upon the GHMRP's description of the individuals to be served.
3511.5Staffing ratios may be changed during the period of licensure if, in DHS' determination, the needs of residents require a different staffing pattern, but in no event shall the number of staff per resident be less than established in these rules.
3511.6No staff shall be required in the home when all residents are away from the home, provided that a staff person is available or on-call for emergencies that may require a resident to remain in the GHMRP or return to the GHMRP during the day program hours.