What are the staffing requirements and staff to participant rations?
While there are no staffing or ratio requirements for private pay only Day Services, it is advisable for ALL Day Centers to be guided by state regulations. Minimum staffing requirements for adult day care centers include an administrator/program director, activity coordinator, a consulting registered nurse, and a consulting social worker. Minimum staffing requirements for adult day health centers include an administrator, program director, RN, activity coordinator, a physical therapist/occupational therapist or speech therapist, and a social worker. The administrator and program director may be the same person. Staffing ratios must be a minimum of one staff to six participants. Staff counted in the staff-to-participant ratio is those who provide direct service to participants. When there is more than one participant present, there must be at least two staff members on the premises, one of who is directly supervising the participants.
