(1) Campus based level therapeutic youth group homes are subject to the staffing/treatment requirements of this rule in addition to the applicable staffing requirements of ARM 37.97.524.

(2) Campus based level therapeutic youth group home providers must meet additional minimum staffing requirements to provide a therapeutic environment and treatment interventions identified in the child's individual treatment plan. For the purpose of licensing:

(a) Child to staff ratio must be no more than 4:1 each day for a 15-hour period beginning at, or between 7 a.m. and 7:30 a.m., (or beginning at or between some other reasonable morning half hour which is approximately 15 hours prior to the bedtime of the children) , when children are in care.

(b) Child to awake staff ratio must be no more than 8:1 each night for a nine-hour period beginning no earlier than 15 hours from the time daytime staffing of 4:1 is initiated.

(c) Each program manager shall be responsible for no more than four children.

(d) Each LCS shall be responsible for no more than eight children.

(e) There must be adequate staff to allow the LCS, the program manager or professional support staff who provide services under the supervision of a master's or higher level clinician to implement individualized treatment plans developed by the treatment team. Documentation of individual, group and family therapy must be completed for each session and be included in quarterly treatment summaries. Treatment plans shall include, but are not limited to:

(i) specific treatment plan objectives and interventions which are carried out in the treatment environment and documented by daily charting;

(ii) one age-appropriate individual therapy session per week;

(iii) two age-appropriate group therapy sessions per week;

(iv) family therapy sessions when appropriate and medically necessary; and

(v) one treatment team meeting.

(f) Each campus based level therapeutic youth group home shall either employ or contract for a .25 full-time social worker for each eight children in care. The social worker shall meet the minimum qualifications of a bachelor's degree and two years of related experience. Under this subsection, .25 full-time social worker means a social worker working a minimum of ten hours per week.

(g) Each campus based therapeutic youth group home shall either employ or contract for a .25 full-time clinical director for each eight children in care. The clinical director shall be licensed by the Montana board of psychologists. Under this subsection, .25 full-time clinical director means a clinical director working a minimum of 10 hours per week.

(h) Each campus based level therapeutic youth group home shall either employ or contract for a .25 full-time director of operations for each eight children in care. The director of operations position is a master's level position. Under this subsection, .25 full-time director of operations means a director of operations working a minimum of ten hours per week.

(i) Each campus based level therapeutic youth group home shall either employ or contract for a .20 full-time registered nurse for each eight children in care. The registered nurse shall be licensed by the Montana board of nursing. Under this subsection, .20 full-time registered nurse means a registered nurse working a minimum of eight hours per week.