67:61:04:09Staffing, training, and hours of operation.

Each agency shall have policy and procedures for responding to potential medical emergencies that clients may encounter while residing at the agency. Each agency that provides treatment services shall provide adequate staffing, training, and hours of operation at the following levels: (1) Early intervention, outpatient programs, and intensive outpatient treatment programs shall have counseling staff on duty or available by phone at all times during scheduled hours of program operation. The agency shall post the hours that the agency is open to the general public in a prominent place on the premises. The agency shall have an on-call system, available seven days a week, twenty-four hours a day, for client access to program services, in the event of an emergency; (2) Day treatment programs without residential services shall have counseling staff on duty at all times during scheduled hours of program operation. The agency shall post the hours that the agency is open to the general public in a prominent place on the premises. The agency shall have an on-call system available seven days a week, twenty-four hours a day for client access to program services in the event of an emergency; (3) Day treatment with residential services and clinically-managed, low-intensity residential treatment programs shall operate seven days a week, twenty-four hours a day. The agency shall have on duty at all times a staff member who is trained to respond to fires and other natural disasters and to administer emergency first aid and cardiopulmonary resuscitation. An addiction counselor, addiction counselor supervisee, or an addiction counselor trainee must be available to the clients at least eight hours a day, five days a week, and must be available on-call twenty-four hours a day. The agency shall maintain written staff schedules that must be available to the department at the time of the accreditation survey; (4) Clinically-managed, residential detoxification programs shall operate seven days a week, twenty-four hours a day whenever clients are present. If no clients are present, a staff member must be on call to open the facility, if necessary. When the agency is open, a staff member who is trained in accordance with § 67:61:17:06 to respond to fires and other natural disasters and to administer emergency first aid and cardiopulmonary resuscitation, must be on duty. An addiction counselor, addiction counselor supervisee, or an addiction counselor trainee must be available to clients at least eight hours a day, five days a week, and available on-call twenty-four hours a day. The agency shall maintain written staff schedules that must be available to the department at the time of the accreditation survey; and (5) Medically-monitored, intensive inpatient treatment programs shall operate seven days a week, twenty-four hours a day. The agency shall have on duty at all times a staff member who is trained to respond to fires and other natural disasters and to administer emergency first aid and cardiopulmonary resuscitation. Training and annual training updates in each area must be documented in the staff members' personnel files. Nursing staff must be on-call twenty-four hours a day, seven days a week. Counseling staff must be on duty during normal daytime hours and must be on-call, twenty-four hours a day, seven days a week. The agency shall maintain written staff schedules that must be available to the department at the time of the accreditation survey.

Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023; 53 SDR 41, effective October 11, 2026.