Staff Interview
What is your required staff-to-client ratio?
Non-secure program: 1 to 8
Specialized setting program: 1 to 6
How are poisons to be properly stored?
Locked and inaccessible to children, in their original, labeled containers and kept separate from food and dining surfaces.
Where should combustible and flammable materials be stored?
Away from heat sources and inaccessible to children.
When is a child required to have their initial health exam (physical) and how often thereafter?
Within 15 days of admission and annually thereafter
What documentation must occur when a restrictive procedure occurs?
A health and safety screen, a safety plan, an incident data form, an emergency physical intervention progress note, and documentation should be included in the shift note for that client
Explain "all safe" and how it is used in your program.
All safe is a directive that can be given to clients if there is a crisis. All safe requires the clients to look away from the incident occurring, remain silent, take a seat, keep their hands to themselves, and remain in camera view. This is to protect clients and staff from additional incidents occurring and from clients reacting to the situation.
Kitchen and bathrooms
How often must fire drills be completed?
Monthly at a minimum. Drills must also be conducted when there is a new staff, new client, or bedroom change.
When is a child required to have their initial dental exam and how often thereafter?
Within 30 days of admission and every 6 months thereafter
How must medications be stored?
In their original containers, in an area or container that is locked, and under proper conditions of sanitation, temperature, moisture, and light.
Are clients permitted confidential and private phone calls? How would a staff facilitate this?
Yes with court officials and attorneys. This should be facilitated by allowing the client a private space away from others where staff may have supervision of the client but cannot listen to the discussion.
Are hygiene bins required to be labeled?
Yes!
True or false: when fire drills are conducted, different exit routes should be utilized and drills should be conducted on different days of the week and at different times
True. Facilities Operations sends communication via email monthly to unit directors for the monthly drill. This communication includes the "location of the fire", the week to have the drill completed, and the shift the drill is to be completed on.
When is a child required to have their initial hearing and eye exam and how often thereafter?
Who is responsible for administering medications?
A child who is deemed able to self-administer medication. If the child is unable, a trained staff member will administer the medication.
What do you do when there is suspected abuse or neglect of a child?
Immediately report to ChildLine. Notify your Unit Director afterward and discuss additional procedures with the Unit Director.
Why are temperature logs maintained on refrigerators and freezers?
Improperly stored food can create unsafe bacteria. It is required for cold food to be stored at or below 40 degrees. Frozen food must be kept at or below 0 degrees.
What do you do if an emergency evacuation must occur within your program?
Depending on the type of evacuation, the group will be notified, staff must prepare to leave for the primary or secondary evacuation location, medications and emergency supplies must be packed, and the evacuation should occur. The Unit Director, Program Director, county workers, and family members will need to be notified.
What is the procedure regarding client and staff use of alcohol, tobacco, or drugs?
Clients and staff are not permitted to use or be in possession of alcohol, tobacco, or drugs. This can lead to staff reprimand, suspension, and/or termination.
How often must either the position of the manual restraint or the staff person applying a manual restraint be changed?
Bonus: When must an LP be contacted to approve the continued use of a restraint?
Every 10 minutes.
Bonus: 60 minutes
What are our client's rights regarding receiving and sending mail?
A child has the right to send and receive mail. Outgoing mail may not be read or opened by staff persons. Incoming mail from federal, state, or county officials may not be opened or read by staff. Other incoming mail cannot be opened or read unless there is reasonable suspicion for contraband. If this is suspected, mail should be opened in the presence of the child.
What two forms, that are also received and signed by clients at intake, are required to be displayed on each floor within the program?
Client Rights and Client Grievances (with available grievance forms for clients)
Is it appropriate to have laundry baskets, garbage bags, or other obstructions in hallways, doorways, or stairwells? Why or why not?
No, it is not appropriate. All passageways and egress routes must be unlocked and unobstructed at all times.
Where can staff locate the program's emergency medical plan?
This emergency plan should be located in the MAR and includes the hospital or source of health care that will be used in an emergency, the method of transportation to be used, and an emergency staffing plan.
When is a restrictive procedure plan required as a part of the treatment plan for a client?
When the client has had four restrictive procedures in any 3 month period.