GLS 14: Care and Supervision
The organization provides 24-hour-a-day supportive care and supervision
tailored to each resident’s developmental, educational, clinical
, and safety needs and attentive to effects of congregate living.
Adequate care and supervision are provided at all times according to the developmental level, age, and emotional or behavioral needs of residents.
Adults that provide direct care and supervision communicate to residents and implement on behalf of all residents, policies that promote on site security including the prohibition of weapons and gang activity.
Resident care and supervision is provided by:
- one on duty adult providing supervision for every eight individuals when they are awake;
- one worker to 12 residents during sleeping hours;
- additional or back-up personnel for emergency situations or to meet special needs of residents during busy or more stressful periods;
- rotating after-hours and holiday coverage to provide supervision and support in crisis situations; and
- same gender and cross gender supervision when indicated by individual treatment needs.
The organization may use direct care workers or counselors to provide supervision to residents. Care ratios may exceed the standard if the group is transitional or stable and long-term. Personnel must be awake at all times unless convincing evidence demonstrates the resident group does not need awake supervision during sleeping hours. Examples of reasons certain homes or programs
might not have awake personnel are: care for a long-term, stable population; majority of unit residents are ready to move to a less restrictive setting; low runaway rates; and low rates of night-time incidents. Electronic supervision is not an acceptable alternative to supervision by personnel.
Each group living residence is continually supervised by an on-call, professional staff member available on a 24-hour basis.
This standard addresses supervision for residents by professional clinical workers. The professional clinical staff person is permitted to sleep during sleeping hours. An exception to this standard may occur when planned periods of independence help residents meet their service goals
Direct care personnel workloads do not exceed 15 cases and are assessed and adjusted according to:
- special circumstances, such as multi-need residents;
- the needs of the population;
- the work and time required to accomplish assigned tasks and job responsibilities;
- the qualifications, competencies, and experience of the worker, including the level of supervision needed; and
- service volume, accounting for assessed level of needs of new and current clients and referrals.