R501-18-6. Staffing

(1) The provider shall contract with, or otherwise provide as needed, referral information for client access to a: (a) physician; (b) psychiatrist; (c) mental health therapist (LCMHT); or (d) substance use disorder counselor (SUDC). (2) The provider shall identify a director who shall have: (a) Utah licensure, in good standing, as a SUDC, licensed clinical social worker or equivalent; or (b) two years experience in one of the following: (i) administration of a recovery residence; (ii) substance use disorder treatment education; or (iii) recovery or support services education. (3) The director's responsibilities that may not be delegated include: (a) monitoring each aspect of the program and operation of the facility; (b) policy and procedure development, implementation, compliance, and oversight; (c) clearly defining responsibilities of the director, manager, and staff of the program; (d) supervision and training of staff; and (e) overseeing client activities. (4) The director may manage directly or employ a manager to work under the supervision of the director. (a) The director shall perform the manager's duties when the manager is on scheduled or unscheduled leave unless the manager designates a substitute manager. (b) The manager or substitute manager may not be a currently enrolled client. (5) In addition to the staff training requirements of Rule R501-1, the director shall maintain documentation of 40 hours of training covering the following topics for the director, manager, and any direct care staff: (a) recovery services in substance use disorder settings; (b) peer support; (c) emergency overdose reversal; (d) recognition and response to substance-related activities; and (e) current certification in First Aid and CPR. (6) An employee may not work unsupervised with clients until training is completed and documented. (7) The director or manager shall conduct daily on-site visits to ensure client safety and support clients. (a) The director or manager shall document visits per-site, not per-client. (b) The director or manager shall use site visits to assess and document: (i) general safety; (ii) general cleanliness; (iii) verification that only admitted residents reside or stay overnight at the residence; (iv) no presence of alcohol or substances of abuse unless lawfully prescribed; and (v) that medications are in locked storage. (8) The director or manager shall have documented face-to-face or telephone daily contact with each admitted client. (9) The director or manager shall ensure there is always administrative on-call availability and remain able to respond to the recovery residence staff and the Office of Licensing (OL) immediately by phone, or at the residence in-person within one hour. (10) The provider shall ensure a director, manager, or substitute manager is on-site seven days per week to assess safety and support clients. (11) The provider shall schedule and document daily visits.