Section 59. Staffing Requirements

A. General: (1) Staff/participant ratios must be maintained at all times. (2) The responsibility of staff members included in the staff/participant ratio shall be direct care of the participants. (3) Each facility must keep a list on file of two readily available persons who can be called to the facility to substitute for any staff member in case of an emergency or illness. These persons names telephone numbers, and health certificates must be on file. B. Staff/participant ratios: (1) Adult day care centers - One full time equivalent staff position with responsibility for direct participant care for each five participants. (2) Adult day care homes - One full time equivalent staff position with responsibility for direct care for no more than five participants.