North Carolina Administrative Code

10a NCAC 27g .4103 OPERATIONS (a) Admissions: (1) Admission to the facility shall be a joint decision of the designated qualified professional, the provider of residential care, and the individual. (2) The individual shall have the opportunity for at least one pre-admission visit…

10a NCAC 27g .4104 PHYSICAL PLANT (a) Each facility shall have the capacity to serve a minimum of three individuals. (b) Client bedrooms shall have at least 80 square feet for a single occupancy and the following additional square feet for clients' children: (1) 40 square feet fo…

SECTION .4200 - SUBSTANCE ABUSE PRIMARY PREVENTION SERVICES 10a NCAC 27g .4201 SCOPE Substance abuse primary prevention programs focus on the prevention of alcohol, tobacco and other drug (ATOD) abuse and aim to educate and counsel individuals on such abuse, and provide for activ…

10a NCAC 27g .4202 STAFF Each facility that provides primary prevention programs shall designate a director for the primary prevention program who shall be a Qualified Substance Abuse Prevention Professional (QSAPP). History Note: Authority G.S. 143B-147; Eff. May 1, 1996; Amende…

10a NCAC 27g .4203 OPERATIONS A comprehensive primary prevention program shall include activities and services in each of the following six primary prevention strategies: (1) Information Dissemination; (2) Prevention Education; (3) Alternative Activities; (4) Problem Identificati…

SECTION .4300 - THERAPEUTIC COMMUNITY 10a NCAC 27g .4301 SCOPE (a) A Therapeutic Community is a highly structured, supervised, 24-hour residential facility designed to treat the behavioral and emotional issues of individuals to promote self-sufficiency and a crime and drug-free l…

10a NCAC 27g .4302 DEFINITIONS In addition to the terms defined in G.S. 122C-3 and Rule .0103 of this Subchapter, the following terms shall apply: (1) "ADD/ADHD" means the same as described in DSM-IV Diagnoses and Codes. (2) "Qualified therapeutic community professional" means: (…

10a NCAC 27g .4303 STAFF (a) A minimum of one staff member shall be present at all times when an adult or child is on the premises, except when an adult client has been deemed capable of remaining in the facility without supervision for a specified time by a qualified therapeutic…

10a NCAC 27g .4304 OPERATIONS (a) Admission to a Therapeutic Community facility shall be a joint decision of the qualified therapeutic community professional, direct care staff and the individual. (b) Each facility shall operate in partnership with the staff and the self-governme…

10a NCAC 27g .4305 CLIENT RIGHTS Therapeutic community facilities shall operate in accordance with Rule .0504 of this Subchapter and G.S. 122C-Article 3, except: (1) since the facility can operate as an alternative to incarceration, random searches shall be conducted of an indivi…

10a NCAC 27g .4306 PHYSICAL PLANT (a) A therapeutic community facility shall allow: (1) dormitory occupancy with the number of individuals sharing a bedroom to be determined by the programmatic needs of the clients but in no case shall be more than 25 individuals per room; (2) mo…

SECTION .4400 – Substance Abuse inteNsive outpatient program 10A NCAC 27G .4401 Scope (a) A substance abuse intensive outpatient program (SAIOP) is one that provides structured individual and group addiction treatment and services that are provided in an outpatient setting design…

10A NCAC 27G .4402 Staff (a) Each SAIOP shall be under the direction of a Licensed Clinical Addictions Specialist or a Certified Clinical Supervisor who is on site a minimum of 50% of the hours the program is in operation. (b) When a SAIOP serves adult clients there shall be at l…

10A NCAC 27G .4403 operations (a) A SAIOP shall operate in a setting separate from the client's residence. (b) Each SAIOP shall operate at least three hours per day, at least three days per week with a maximum of two days between offered services. (c) A SAIOP shall provide servic…

SECTION .4500 – substance abuse comprehensive outpatient treatment program 10A NCAC 27G .4501 Scope (a) A substance abuse comprehensive outpatient treatment program (SACOT) is one that provides a multi-faceted approach to treatment in an outpatient setting for adults with a prima…

10A NCAC 27G .4502 Staff (a) The SACOT shall be under the direction of a Licensed Clinical Addictions Specialist or a Certified Clinical Supervisor who is on site a minimum of 90% of the hours the program is in operation. (b) For each SACOT there shall be at least one direct care…

10A NCAC 27G .4503 operations (a) A SACOT shall operate in a setting separate from the client's residence. (b) Each SACOT shall provide services a minimum of 20 hours per week. (c) Each SACOT shall operate at least four hours per day, at least five days per week with a maximum of…

SECTION .4600 - RESERVED FOR FUTURE CODIFICATION

SECTION .4700 - RESERVED FOR FUTURE CODIFICATION

SECTION .4800 - RESERVED FOR FUTURE CODIFICATION

SECTION .4900 - RESERVED FOR FUTURE CODIFICATION

SECTION .5000 - FACILITY BASED CRISIS SERVICE FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .5001 SCOPE (a) A facility-based crisis service for individuals who have a mental illness, developmental disability or substance abuse disorder is a 24-hour residential facility wh…

10a NCAC 27g .5002 STAFF (a) Each facility shall maintain staff to client ratios that ensure the health and safety of clients served in the facility. (b) Staff with training and experience in the provision of care to the needs of clients shall be present at all times when clients…

10a NCAC 27g .5003 OPERATIONS (a) Each facility shall have protocols and procedures for assessment, treatment, monitoring, and discharge planning for adults and for children of each disability group served in the facility. Protocols and procedures shall be approved by the area pr…

SECTION .5100 - COMMUNITY RESPITE SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .5101 SCOPE (a) Community respite is a service which provides periodic relief for a family or family substitute on a temporary basis. While overnight care is available, community resp…

10a NCAC 27g .5102 STAFF (a) The Program Director shall be either: (1) a graduate of a college or university with a four-year degree in human service-related field; or (2) a high school graduate or equivalent with at least three years of experience in human service programming. (…

10a NCAC 27g .5103 OPERATIONS (a) The governing body shall maintain an application for each provider of private home respite which includes the following: (1) identifying information; (2) preference of time when respite care can be provided; (3) age and gender preference of respi…

10a NCAC 27g .5104 PHYSICAL PLANT In private home respite services: (1) A minimum of one ionized smoke detector wired into the house current shall be installed and centrally located. Additional smoke detectors that are not wired into the house current shall be checked at least mo…

SECTION .5200 - RESIDENTIAL THERAPEUTIC (HABILITATIVE) CAMPS FOR CHILDREN AND ADOLESCENTS OF ALL DISABILITY GROUPS 10a NCAC 27g .5201 SCOPE (a) A residential therapeutic (habilitative) camp is a residential treatment facility provided in a camping environment which is designed to…

10a NCAC 27g .5202 STAFF (a) Each facility shall have a program director who has: (1) a minimum of two years' experience in child or adolescent services specific to the campers' needs; and (2) who has camping experience, and who has educational preparation in administrative, educ…

10a NCAC 27g .5203 OPERATIONS (a) Each facility shall develop and implement written policies and procedures on basic care and safety. (b) In accordance with the schedules developed by the Program Director, staff shall maintain the following distance from the campers: (1) During w…

10a NCAC 27g .5204 PHYSICAL PLANT (a) All sleeping units shall provide at least the following space: (1) 30 square feet per person; (2) 30 inches between sides of beds. (b) A minimum of the following shall be provided: (1) one shower head for each ten individuals; (2) one flush t…

SECTION .5300 – reserved for future codification 10a NCAC 27g .5301 reserved for future codification

SECTION .5400 - DAY ACTIVITY FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .5401 SCOPE (a) Day activity is a day/night facility that provides supervision and an organized program during a substantial part of the day in a group setting to individuals who are mentally ill, …

10a NCAC 27g .5402 STAFF (a) Each client admitted to a facility shall receive services from a designated qualified mental health, developmental disability or substance abuse professional, as appropriate, who has responsibility for the client's treatment, program or case managemen…

10a NCAC 27G .5403 OPERATIONS Each day activity facility shall be available three or more hours a day on a regularly scheduled basis at least once a week. History Note: Authority G.S. 122C-26; 143B-147; Eff. May 1, 1996; Pursuant to G.S. 150B-21.3A, rule is necessary without subs…

SECTION .5500 - SHELTERED WORKSHOPS FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .5501 SCOPE (a) A sheltered workshop is a day/night facility which provides work-oriented services including various combinations of evaluation, developmental skills training, vocational adj…

10a NCAC 27g .5502 STAFF (a) Each facility shall have a designated full-time program director who shall have a baccalaureate degree with one year of experience in developmental disability rehabilitation programming; be a high school graduate or equivalent with three years of expe…

10a NCAC 27g .5503 OPERATIONS (a) Hours. Each facility shall be available for client attendance at least six hours per day (exclusive of transportation time), five days per week. (b) Business Practices: (1) Supplies, materials or tools, if provided by the sheltered workshop, shal…

section .5600 - SUPERVISED LIVING FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10A NCAC 27G .5601 SCOPE (a) Supervised living is a 24-hour facility which provides residential services to individuals in a home environment where the primary purpose of these services is the care, habili…

10A NCAC 27g .5602 STAFF (a) Staff-client ratios above the minimum numbers specified in Paragraphs (b), (c) and (d) of this Rule shall be determined by the facility to enable staff to respond to individualized client needs. (b) A minimum of one staff member shall be present at al…

10A NCAC 27g .5603 OPERATIONS (a) Capacity. A facility shall serve no more than six clients when the clients have mental illness or developmental disabilities. Any facility licensed on June 15, 2001, and providing services to more than six clients at that time, may continue to pr…

10A NCAC 27g .5604 requirements for state/county special assistance recipients The following applies to facilities under Rule .5601 in Subparagraph (c)(1), (3) and (6) of this Section that admit clients who participate in the Special Assistance Program administered by the Divisio…

SECTION .5700 - ASSERTIVE COMMUNITY TREATMENT SERVICE 10a NCAC 27g .5701 SCOPE (a) Assertive community treatment (ACT) services shall be provided to individuals with serious mental illness, developmental disabilities, or substance abuse diagnoses who: (1) may have a pattern of fr…

10a NCAC 27g .5702 STAFF (a) Team Composition. The team shall be interdisciplinary in order to carry out the varied activities needed to meet the complex needs of clients and shall include: (1) a qualified professional, appropriate to the diagnoses of the clients being served; (2…

10a NCAC 27g .5703 OPERATIONS (a) Objectives. The treatment objectives shall be addressed by activities designed to: (1) promote symptom stability and appropriate use of medication; (2) restore personal, community living and social skills; (3) promote and maintain physical health…

SECTION .5800 - SUPPORTED EMPLOYMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .5801 SCOPE (a) A supported employment program is a service that provides periodic support services for individuals 16 years of age or older with developmental disability, mental illness or…

10a NCAC 27g .5802 STAFF (a) Each supported employment program shall have a designated program director. (b) The Program Director shall be at least a high school graduate or equivalent with three years of experience in the appropriate disabilities programs. (c) Each program shall…

10a NCAC 27g .5803 OPERATIONS (a) Population Served. Each supported employment program shall be designed primarily to serve individuals who are 16 years of age or older. (b) Business Practices: (1) For supported employment programs operated by an area program or its contract agen…

10a NCAC 27g .5804 CLIENT ELIGIBILITY AND ADMISSIONS (a) Eligibility. Clients served shall be individuals 16 years of age or older who have a mental illness, developmental disability, or substance abuse disorder. (b) Admissions. Each supported employment facility shall have writt…