Page 1432

the department authorizes and pays for a periodic review of the progress of an individual resident by the department or by a professional review organization, and if that review includes review of the progress evaluation performed under 7 AAC 50.845(a), the treatment plan developed under 7 AAC 50.840, the progress of the child in treatment at the facility up to the date of the evaluation, and any other factors relevant to the child’s condition or situation and the possible need to stay in treatment at the facility, the division will accept the review conducted under this subsection in place of an independent review required in (a) of this section. (Eff. 6/21/2001, Register 158) Statutory Authority: Authority: AS 44.29.020 AS 47.32.030 Editor’s note: Effective July 1, 2022, Executive Order 121 split the former Department of Health and Social Services into the Department of Health and the Department of Family and Community Services. As of Register 242 (July 2022), the regulations attorney made a conforming technical revision under sec. 138, E.O. 121 and AS 44.62.125(b)(6), to the authority citation that follows 7 AAC 50.860, by substituting a reference to AS 47.32.030 (centralized licensing) for the reference to AS 47.35.010, a statute that was repealed in 2005. 7 AAC 50.865. Child-to-caregiver ratios in residential psychiatric treatment center facilities. (a) At least one caregiver shall be on duty in a residential psychiatric treatment center whenever at least one child in treatment is present. At least two caregivers, at least one of whom is awake during the resident sleeping hours, shall be on duty in a residential psychiatric treatment center whenever two or more or more children who are under 10 years of age are present. (b) Except as provided in (a) of this section, the caregiver-to-child ratio in a residential psychiatric treatment center must be as follows:

(1) in a facility or separate unit of the facility with fewer than 10 residents, one caregiver for every three children during any time children are awake and engaged in activity that is outside their sleeping quarters or outside sleeping hours;

(2) in a facility or separate unit of the facility with 10 or more residents, one caregiver for every five children during any time children are awake and engaged in activity that is outside their sleeping quarters or outside sleeping hours;