At today’s CALA conference, Community Care Licensing staff identified insufficient staffing as one of the most common deficiencies issued during licensing inspections, particularly the issue of night staff.
RCFE regulations generally do not specify the exact ratio of staff required to be on duty. However regulation 87415 does outline the following specifics for staffing required between 10:00 pm to 6:00 am:
- In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises.
- In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes.
- In facilities caring for one hundred one (101) to two hundred (200) residents, one employee shall be on call, on the premises; one employee shall be on duty on the premises and awake; and one employee shall be on call and capable of responding within ten minutes.
- Every additional 100 residents, or fraction thereof, shall require an additional one (1) staff person on duty, on the premises and awake.