<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.07.16.11" title_num="10" subtitle_num="07" chapter_num="16" heading="Staffing.">
  <paragraph num="A.">
    <text>Required Staff. The facility director shall ensure that the facility’s staff is sufficient in numbers and qualifications to provide clinically appropriate services to the individuals served and includes, at a minimum:</text>
    <paragraph num="(1)">
      <text>A facility director that is responsible for the programmatic and administrative services of the facility under the direction of the governing body;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A clinical director who:</text>
      <paragraph num="(a)">
        <text>Is a psychiatrist or psychologist who receives medical supervision by a psychiatrist; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has overall responsibility for clinical services, including, at a minimum:</text>
        <paragraph num="(i)">
          <text>Establishing and maintaining appropriate standards for diagnosis and treatment, including therapeutic modalities and prescribing practices;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Medical aspects of quality management; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Ensuring adequate clinical supervision of treatment staff;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A multidisciplinary licensed mental health professional staff that:</text>
      <paragraph num="(a)">
        <text>Provides evaluation and treatment services; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is in addition to the limited private inpatient facility psychiatrist;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>A licensed nurse to provide for medication management, treatments, and other health care needs;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Other direct care employees to provide for the treatment and monitoring of residents as required by the resident’s individual treatment plan;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A physician to provide somatic medical services as required by the clients; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Maintenance and housekeeping staff who are trained and qualified to provide a well-maintained, safe, and sanitary environment for residents served by the program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Staff Training. Before providing services to residents, staff shall receive orientation and annual training as designated by the facility service plan including, at a minimum, training in:</text>
    <paragraph num="(1)">
      <text>Crisis intervention and de-escalation techniques;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Suicide prevention, including but not limited to identification of warning signs and symptoms;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The facility’s disaster and fire safety plan;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>First aid, CPR, and emergency medical procedures; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Individual rights, as set forth in Health-General Article, Title 10, Subtitle 7, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
</regulation>