(1) Moderate 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) Moderate 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 eight children.

(d) Each LCS shall be responsible for no more than 16 children.

(e) There must be adequate staff to allow the LCS or the program manager who is providing 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) two group treatment sessions per child;

(iii) one individual treatment session per child;

(iv) one treatment team meeting; and

(v) family therapy when appropriate and medically necessary.