Sec. 819.9. Additional requirements for community residential services

(a) Admission criteria.

In addition to the admission criteria applicable to residential services generally, an individual admitted to community residential services must meet the following criteria:

(1) The individual must be homeless or must have a living environment not conducive to recovery.

(2) The individual must be determined to need outpatient treatment services and/or other support services such as vocational or educational services, in addition to the residential services provided by the community residence.

(b) Clinical services.

(1) In addition to the service elements required of all residential services, community residential services are specifically required to provide a structured therapeutic environment designed to facilitate the individual's progress toward recovery from chemical dependence or abuse.

(2) The service shall maintain a focus on the development and improvement of the skills necessary for recovery.

(3) Specific services to be provided shall include the following:

(i) Each community residential service shall ensure that its residents have access to individual, group and family counseling services as needed and appropriate.

(ii) Each community residence shall have written referral agreements with one or more chemical dependence outpatient services to provide outpatient treatment services, as necessary.

(iii) The community residence shall ensure that such services are integrated with the activities and services provided by the residence and incorporated in the individual's service plan.

(iv) Each community residence shall ensure that a comprehensive and appropriate range of rehabilitative procedures is available to each resident. Such services include but are not limited to:

(a) vocational services such as vocational assessment;

(b) job skills training, and employment readiness training;

(c) educational remediation; and

(d) life, parenting and social skills training.

(4) Rehabilitation services may be provided directly by the service or by referral.

(5) Rehabilitation services shall be identified in the resident's comprehensive service plan.

(6) Personal, social, and community skills training and development. Residents shall receive training in community living skills, personal hygiene and personal care skills as needed by each resident. Such skill development shall include, but is not limited to, a program of social interaction and leisure activities.

(c) Service plan review.

(1) Each service plan, once established, must be completely reviewed and revised at least every three months thereafter by the responsible clinical staff member in consultation with the resident and reviewed and signed by the supervisor.

(2) Any resident who is not responding to treatment, is not meeting goals defined in the comprehensive service plan, including educational and vocational goals, or who is disruptive to the service, shall have the same noted in the case file and the circumstances addressed at a case conference, and the service plan revised accordingly.

(d) Staffing.

(1) Each community residence shall have a full-time manager responsible for the day-to-day operation of the service.

(2) There shall be staff on site 24 hours per day, seven days per week.

(3) All community residential services shall have sufficient staff to insure that supportive and rehabilitation services are available and responsive to the needs of each resident. In addition to the 24 hours a day coverage, community residential services will have at least one clinical staff member for every 15 residents.