Chapter 10A NCAC 27G

10a NCAC 27g .0809 RESERVED FOR FUTURE CODIFICATION

10a NCAC 27g .0810 state mh/dd/sa appeals PANEL administrative review PROCEDURES (a) Appellants, as identified in G.S. 122C-151.4(c), shall file written notice of appeal of the final decision of the Local Management Entity (LME), with the Director of the Division of Mental Health…

10A NCAC 27G .0811 STATE MH/DD/SA APPEALS PANEL HEARING PROCEDURES (a) An informal hearing shall be held by the Panel no more than 30 business days after a written request for an informal hearing is received by the Chairman. (b) The informal hearing shall be held at a time and pl…

10A NCAC 27G .0812 STATE MH/DD/SA APPEALS PANEL HEARING DECISIONS (a) The Panel shall deliberate in open session on each specific item being appealed; however, the panel may deliberate in closed session to prevent the disclosure of confidential information, pursuant to G.S. 143-3…

10a NCAC 27g .0813 WAIVER OF LICENSURE RULES (a) The Secretary may waive any of these Rules related to licensure requirements. The decision to grant or deny the waiver request shall be based on the following: (1) the nature and extent of the request; (2) the existence of safeguar…

SECTION .0900 - GENERAL RULES FOR INFANTS AND TODDLERS 10a NCAC 27g .0901 SCOPE The rules in this Section shall apply to any facility which serves infants and toddlers with or at risk for developmental disabilities, delays or atypical development. History Note: Authority G.S. 122…

10a NCAC 27g .0902 DEFINITIONS In addition to the definitions contained in G.S. 122C-3 and Rule .0103 of this Subchapter, the following definitions shall also apply: (1) "Atypical development" means those from birth to 60 months of age who: (a) have autism; (b) are diagnosed hype…

10a NCAC 27g .0903 GENERAL REQUIREMENTS FOR INFANTS AND TODDLERS For all facilities serving infants and toddlers with or at risk for developmental disabilities, delays or atypical development, except for respite, there shall be: (1) an assessment which includes: (a) physical (inc…

10a NCAC 27g .0904 SURROGATE PARENTS (a) Circumstances Requiring Surrogate Parents. The area program shall assure the availability of a surrogate parent for infants and toddlers eligible for early intervention services when: (1) a biological parent or guardian cannot be identifie…

10a NCAC 27g .0905 PROCEDURAL REQUIREMENTS (a) General Area Program Requirements. Area programs and contract agencies shall comply with Section 303.402 of Subpart E of Part 303 of Title 34 of the Code of Federal Regulations, incorporated by reference, relating to: (1) the right o…

SECTION .1000 - RESERVED FOR FUTURE CODIFICATION

SECTION .1100 - PARTIAL HOSPITALIZATION FOR INDIVIDUALS WHO ARE ACUTELY MENTALLY ILL 10a NCAC 27g .1101 SCOPE A partial hospitalization facility is a day/night facility which provides a broad range of intensive and therapeutic approaches which may include group, individual, occup…

10a NCAC 27g .1102 STAFF (a) Staff shall include at least one qualified mental health professional. (b) Each facility serving minors shall have: (1) a program director who has a minimum of two years experience in child or adolescent services and who has educational preparation in…

10a NCAC 27g .1103 OPERATIONS (a) A physician shall participate in diagnosis, treatment planning, and admission and discharge decisions. This physician shall be a psychiatrist unless a psychiatrist is unavailable or for other good cause cannot be obtained. (b) Each facility shall…

SECTION .1200 - PSYCHOSOCIAL REHABILITATION FACILITIES FOR INDIVIDUALS WITH SEVERE AND PERSISTENT MENTAL ILLNESS 10a NCAC 27g .1201 SCOPE A psychosocial rehabilitation facility is a day/night facility which provides skill development activities, educational services, and pre-voca…

10a NCAC 27g .1202 STAFF (a) Each facility shall have a designated program director. (b) A minimum of one staff member on-site to each eight or fewer clients in average daily attendance shall be maintained. History Note: Authority G.S. 122C-26; 143B-147; Eff. May 1, 1996; Pursuan…

10a NCAC 27g .1203 OPERATIONS (a) Skills development, educational and prevocational services. Each facility shall provide: (1) skills development activities which include: (A) community living, such as housekeeping, shopping, cooking, use of transportation facilities, money manag…

SECTION .1300 - RESIDENTIAL TREATMENT FOR CHILDREN OR ADOLESCENTS 10a NCAC 27g .1301 SCOPE (a) The rules of this Section apply only to a residential treatment facility that provides residential treatment, level II, program type service. (b) A residential treatment facility provid…

10a NCAC 27g .1302 STAFF (a) Each facility shall have a director who has a minimum of two years experience in child or adolescent services and who has educational preparation in administration, education, social work, nursing, psychology or a related field. (b) At all times, at l…

10a NCAC 27g .1303 OPERATIONS (a) Capacity. Each facility shall serve no more than a total of 12 children and adolescents, except as set forth in this Rule. (1) Any facility licensed as a Residential Treatment Facility in this category on January 4, 1994 and providing services to…

10a NCAC 27g .1304 PHYSICAL PLANT (a) The facility shall not be hospital-based. (b) Subject to building and fire codes, the facility may be locked to prevent unauthorized entry. History Note: Authority G.S. 122C-26; 143B-147; Eff. May 1, 1996; Pursuant to G.S. 150B-21.3A, rule is…

SECTION .1400 - DAY TREATMENT FOR CHILDREN AND ADOLESCENTS WITH EMOTIONAL OR BEHAVIORAL DISTURBANCES 10a NCAC 27g .1401 SCOPE (a) Day treatment is a day/night facility for children and adolescents who are emotionally disturbed which coordinates educational activities and intensiv…

10a NCAC 27g .1402 STAFF (a) Each facility shall have a program director who has a minimum of two years experience in child or adolescent services and who has educational preparation in administration, education, social work, nursing, psychology or a related field. (b) A minimum …

10a NCAC 27g .1403 OPERATIONS If an adolescent has his 18th birthday while receiving treatment in a day treatment facility, he may continue in the facility for six months or until the end of the state fiscal year, whichever is longer. History Note: Authority G.S. 122C-26; 143B-14…

SECTION .1600 - RESERVED FOR FUTURE CODIFICATION

SECTION .1700 - RESIDENTIAL TREATMENT staff secure FOR CHILDREN or ADOLESCENTS 10a NCAC 27g .1701 SCOPE (a) A residential treatment staff secure facility for children or adolescents is one that is a free-standing residential facility that provides intensive, active therapeutic tr…

10a NCAC 27g .1702 REQUIREMENTS OF qualified professionals (a) Each facility shall utilize at least one direct care staff who meets the requirements of a qualified professional as set forth in 10A NCAC 27G .0104(18). In addition, this qualified professional shall have two years o…

10A NCAC 27G .1703 Requirements for associate professionals (a) In addition to the qualified professional specified in Rule .1702 of this Section, each facility shall have at least one full-time direct care staff who meets or exceeds the requirements of an associate professional …

10a ncac 27g .1704 Minimum staffing requirements (a) A qualified professional shall be available by telephone or page. A direct care staff shall be able to reach the facility within 30 minutes at all times. (b) The minimum number of direct care staff required when children or ado…

10a ncac 27g .1705 Requirements of licensed professionals (a) Face to face clinical consultation shall be provided in each facility at least four hours a week by a licensed professional. For purposes of this Rule, licensed professional means an individual who holds a license or p…

10a NCAC 27g .1706 OPERATIONS (a) Each facility shall serve no more than a total of 12 children and adolescents. (b) Family members or other legally responsible persons shall be involved in development of plans in order to assure a smooth transition to a less restrictive setting.…

10A NCAC 27G .1707 PERSONS PERMITTED IN THE FACILITY (a) Only admitted children or adolescents, legally responsible persons, staff, other family and friends identified in the treatment plan, and others permitted by the facility director shall be permitted on the premises. (b) Ind…

10A NCAC 27G .1708 TRANSFER OR DISCHARGE (a) The purpose of this Rule is to address the transfer or discharge of a child or adolescent from the facility. (b) A child or adolescent shall not be discharged or transferred from a facility, except in case of emergency, without the adv…

SECTION .1800 – intensive RESIDENTIAL TREATMENT FOR CHILDREN or ADOLESCENTS 10a NCAC 27g .1801 SCOPE (a) An intensive residential treatment facility is one that is a 24-hour residential facility that provides a structured living environment within a system of care approach for ch…

10a ncac 27g .1802 Requirements of licensed professionals (a) Each facility shall have at least one full-time licensed professional. For purposes of this Rule, licensed professional means an individual who holds a license or provisional license issued by the governing board regul…

10a NCAC 27g .1803 REQUIREMENTS OF qualified professionals (a) Each facility shall have at least one full-time qualified professional as set forth in 10A NCAC 27G .0104(18). In addition, the qualified professional shall have two years of direct client care experience. (b) For eac…

10a ncac 27g .1804 Minimum staffing requirements (a) A Qualified Professional shall be available by telephone or page. A direct care staff shall be able to reach the facility within 30 minutes at all times. (b) If children or adolescents are cared for in separate units/buildings,…

10a NCAC 27g .1805 OPERATIONS (a) Each facility shall serve no more than 12 children or adolescents. (b) Family members or other legally responsible persons shall be involved in development of plans in order to assure a smooth transition to a less restrictive setting. (c) Educati…

10A NCAC 27G .1806 TRANSFER OR DISCHARGE (a) The purpose of this Rule is to address the transfer or discharge of a child or adolescent from the facility. (b) A child or adolescent shall not be discharged or transferred from a facility, except in case of emergency, without the adv…

SECTION .1900 - PSYCHIATRIC RESIDENTIAL TREATMENT FOR CHILDREN AND ADOLESCENTS 10A NCAC 27G .1901 SCOPE (a) The rules in this Section apply to psychiatric residential treatment facilities (PRTF)s. (b) A PRTF is one that provides care for children or adolescents who have mental il…

10A NCAC 27G .1902 STAFF (a) Each facility shall be under the direction a physician board-eligible or certified in child psychiatry or a general psychiatrist with experience in the treatment of children and adolescents with mental illness. (b) At all times, at least two direct ca…

10a NCAC 27g .1903 OPERATIONS (a) A PRTF may have more than one residential unit. Each unit of a PRTF shall serve no more than 12 children or adolescents except as set out in Paragraph (b) of this Rule. Each residential unit shall be administered, staffed, and located to function…

10A NCAC 27G .1904 TRANSFER OR DISCHARGE (a) The purpose of this Rule is to address the transfer or discharge of a child or adolescent from the facility. (b) A child or adolescent shall not be discharged or transferred from a facility, except in case of emergency, without the adv…

SECTION .2000 - RESERVED FOR FUTURE CODIFICATION

SECTION .2100 - SPECIALIZED COMMUNITY RESIDENTIAL CENTERS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 10a NCAC 27g .2101 SCOPE (a) A specialized community residential center is a 24-hour facility which provides care, treatment and developmental training over an extended perio…

10a NCAC 27g .2102 STAFF (a) Each facility shall designate a director who has experience in developmental disabilities and holds a baccalaureate degree with specialization in administration, education, social work, nursing, psychology or a related field or who has comparable expe…

10a NCAC 27g .2103 OPERATIONS (a) Capacity. Facilities beginning operation subsequent to the effective date of these rules shall be designed to serve no more than 30 clients at one location. (b) Personal Clothing. Each client shall have adequate changes of personal clothing at le…

10a NCAC 27g .2104 PHYSICAL PLANT No more than six infants or children and no more than four adolescents or adults may share an individual bedroom regardless of bedroom size. History Note: Authority G.S. 122C-26; 143B-147; Eff. May 1, 1996; Pursuant to G.S. 150B-21.3A, rule is ne…

SECTION .2200 - BEFORE/AFTER SCHOOL AND SUMMER DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES, OR ATYPICAL DEVELOPMENT 10a NCAC 27g .2201 SCOPE (a) Before/after school developmental day services for school age youth an…

10a NCAC 27g .2202 STAFF (a) Each staff member, except student trainees and supervised volunteers, shall be at least 18 years of age. (b) Each facility shall have a designated program director who has experience working with individuals diagnosed with developmental disabilities, …