<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.21.29.09" title_num="10" subtitle_num="21" chapter_num="29" heading="Program Staff.">
  <paragraph num="A.">
    <text>Following an analysis of the complexity and number of minors served, the program director, with input from program staff, shall ensure the development of a staffing plan that identifies the type and number of staff needed to implement the program's rehabilitation service goals.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A provider shall ensure that the staff includes the following, who are employed by the PRP for the amounts of time outlined in §§C — E of this regulation:</text>
    <paragraph num="(1)">
      <text>A program director, who:</text>
      <paragraph num="(a)">
        <text>Is qualified according to §F(1) of this regulation and who is responsible for the duties under §F(2) of this regulation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May be responsible for the duties of the rehabilitation specialist under §G(1)(b) of this regulation, if the program director:</text>
        <paragraph num="(i)">
          <text>Is qualified according to §G(1)(a) of this regulation; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Devotes the time required, under §C, D, or E of this regulation, to the development and implementation of rehabilitation services that reflect the need of the minors served by the program;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>As required under §C, D, or E of this regulation, a rehabilitation specialist or specialists, qualified according to §G(1)(a) of this regulation, to carry out the duties under §G(1)(b) of this regulation; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>As required under §D or E of this regulation, staff designated to carry out administrative duties assigned by the program director.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If a PRP has fewer than 30 enrollees, the PRP shall employ either:</text>
    <paragraph num="(1)">
      <text>A program director and a rehabilitation specialist, each of whom is employed by the program for a minimum of 20 hours per week; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A program director who is responsible for the duties of the program director and the duties of a rehabilitation specialist, if the program director:</text>
      <paragraph num="(a)">
        <text>Has the qualifications described under §G(1)(a) of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is employed by the program for 40 hours per week; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Devotes at least 20 hours per week to the development and implementation of rehabilitation services that reflect the needs of the minors served by the program.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>If a PRP has 30 — 100 enrollees, the PRP shall employ either:</text>
    <paragraph num="(1)">
      <text>A program director, who is employed by the program for a minimum of 20 hours per week, and a rehabilitation specialist, who is employed by the program for a minimum of 40 hours per week; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A program director who is responsible for the duties of the program director and the duties of a rehabilitation specialist, if the program director:</text>
      <paragraph num="(a)">
        <text>Has the qualifications described under §G(1)(a) of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is employed by the program for 40 hours per week; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Designates staff who devote 20 hours per week to carrying out specific assigned administrative duties.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>If a PRP has more than 100 enrollees, the PRP program shall employ:</text>
    <paragraph num="(1)">
      <text>A program director who is employed by the program for 40 hours per week; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A rehabilitation specialist or specialists and staff assigned to administrative duties, as follows:</text>
      <paragraph num="(a)">
        <text>A rehabilitation specialist who is employed by the program for 40 hours per week;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Two rehabilitation specialists, each of whom is employed by the program for 20 hours per week; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>If the program director has the qualifications described under §G(1)(a) of this regulation:</text>
        <paragraph num="(i)">
          <text>A rehabilitation specialist who is employed by the program for 20 hours per week; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Designated staff who devote 20 hours per week to carrying out specific assigned administrative duties.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Program Director. The program director:</text>
    <paragraph num="(1)">
      <text>Shall have:</text>
      <paragraph num="(a)">
        <text>Sufficient qualifications, knowledge, and experience to execute the duties of the position; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A minimum of 3 years experience working with emotionally disturbed youth; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Is responsible for administrative oversight of the PRP, including, at a minimum:</text>
      <paragraph num="(a)">
        <text>Fulfilling the administrative requirements under COMAR 10.21.17;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Fulfilling the programmatic requirements of this chapter;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Keeping the advisory committee, or governing body, whichever is applicable, informed of, at a minimum, the program's approval status and performance; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Quality management.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Psychiatric Rehabilitation Staff. The program director shall employ psychiatric rehabilitation staff, including:</text>
    <paragraph num="(1)">
      <text>At least one rehabilitation specialist who:</text>
      <paragraph num="(a)">
        <text>Is a licensed mental health professional with a minimum of 2 years direct care experience working with emotionally disturbed youth;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Shall advise the program director regarding development and implementation of rehabilitation services that reflect the need of the minors served by the program;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Has overall responsibility for rehabilitation services, including:</text>
        <paragraph num="(i)">
          <text>Developing and assuring that rehabilitation services meet the needs of the individuals served by the program; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Providing oversight for the daily program of rehabilitation services; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Shall educate direct care staff on how to document the correlation between rehabilitation activities and the goals identified in the IRP or ITRP;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Direct service staff who:</text>
      <paragraph num="(a)">
        <text>Are supervised by a licensed mental health professional or a rehabilitation specialist;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Have 60 hours of on-the-job direct PRP supervision before providing services to minors served by the program without direct supervision;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>At a minimum, have:</text>
        <paragraph num="(i)">
          <text>A bachelor's degree in a health-related field;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An associate's degree in a health-related field;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>30 hours, or their equivalent, of college credit toward a bachelor's degree in a health-related field; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>1 year of work experience in a supervised mental health setting; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Are responsible for implementing the rehabilitation activities outlined in the minor's IRP.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Ratio.</text>
    <paragraph num="(1)">
      <text>The program shall maintain an average ratio of at least one rehabilitation staff member serving each six minors who are either attending the PRP facility or receiving off-site services.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To achieve this ratio, the program:</text>
      <paragraph num="(a)">
        <text>May not include:</text>
        <paragraph num="(i)">
          <text>The program director; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Volunteers; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>May include students only if, in calculating the ratio, three rehabilitation staff are on duty for each student.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>Students. The program may use students according to the provisions of COMAR 10.21.17.11E.</text>
  </paragraph>
  <paragraph num="J.">
    <text>Volunteers. The program may use volunteers according to the provisions of COMAR 10.21.17.11F.</text>
  </paragraph>
</regulation>