This section establishes minimum staffing requirements for Long-Term Structured Residence (LTSR) providers under 55 Pa. Code Chapter 5320. Operators must maintain sufficient full-time staff to provide active treatment, psychosocial rehabilitation, and 24-hour supervision, with specific minimum direct-care staff ratios based on the number of residents on premises. Additional requirements include minimum psychiatric time per resident per week, a full-time program director, an onsite mental health professional for at least 8 of every 24 hours, and CPR/first aid-certified direct-care staff on duty at all times.
View official source55 Pa. Code § 5320.42 - Staffing levels State Regulations Compare The provider of LTSR services shall: (1) Retain staff having an appropriate combination of education, work experience and training to meet the special needs of the population being served so that the service and program standards of this chapter are maintained. (2) Retain full-time staffing levels sufficient to provide active treatment, psychosocial rehabilitation and 24-hour supervision on weekdays, weekends and holidays. (3) Have a minimum of two direct-care staff persons awake and on duty within the LTSR whenever 10 to 16 residents inclusive are on the premises. A third direct-care staff person shall be either onsite or available to respond onsite within 30 minutes. (4) Have a minimum of two direct-care staff, awake and on duty within the LTSR whenever fewer than 10 residents are on the premises. (5) Have sufficient psychiatric time available to meet the psychiatric needs of the resident. At least 1/2 hour of psychiatric time per resident per week is required. (6) Employ the program director on a full-time basis. (7) Employ a mental health professional as provided in § 5320.43 (b) (relating to program director and direct-care staff qualifications) onsite for at least 8 out of every 24 hours. This requirement may be met by the presence of the program director. (8) Employ substitute staff with equivalent qualifications when staff are absent so that minimum direct-care staffing requirements are always met. (9) Have direct-care staff certified in CPR and first aid on duty 24 hours a day. Notes 55 Pa. Code § 5320.42 This section cited in 55 Pa. Code § 5320.22 (relating to governing body). State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare. No prior version found. State Regulations Toolbox