Page 165
(i) Medical emergencies (ii) Elopement (iii) Evacuation plan for a natural disaster (6) Twenty-four hour supervision shall be provided at all times. This means someone will be on duty and awake during the hours of 10 pm until 7 am, or the staff change over. (7) The facility must always maintain staff secured doors either via video monitoring, door alarms or visual sight. (8) The facility must maintain audible window and door alarms. (9) The facility must maintain audible interior motion sensors for nighttime monitoring. (10) The facility must have cameras in all open area rooms capable of recorded video and playback and review. Cameras shall be monitored for the safety of the youth. Written documentation must be maintained to include when the cameras are reviewed, who reviewed them, the time reviewed, and any notable observations. (11) The facility must maintain exterior cameras and floodlights to enhance security on the property. (12) The facility must have child protection policy outlining gender specific restrictions (e.g., no male staff or visitor/female client one-on-one interactions), no staff or visitor use of social media or geo-tagging devices, and no use of cell phones by visitors of the facility. (13) The Facility must monitor all visitors and phone contacts between client and visitor. (14) All cell phones and electronic devices will be confiscated upon youth entering the facility and stored in a secure place. (15) Memorandum of Understanding (MOU) with local, county and state law enforcement including appropriate responses in the case of an emergency and steps to prevent and reduce harm. (16) Length of stay is based on individual youth’s progression that should be reviewed by the treatment team on a quarterly basis. The team should anticipate that a youth may need services for an estimated 12–24 months to enhance likelihood of comprehensive restorative care. (a) A shorter stay can occur, but there should be flexibility to extend if needed. (i) At risk youth should have some flexibility in their length of stay. (ii) At risk youth should receive psycho education on at risk behaviors that lead to trafficking and discussions on completing a safety plan. (b) This time frame will allow for rapport to be established, therapy to be effective and a treatment plan to be implemented. (c) The program must maintain a highly structured schedule for its youth. (17) A qualified program staff member should review any DSS assessments, and DSS Form 1544, (Child Sex Trafficking Tool), to carefully determine the appropriateness of a referral to ensure that potential Youth are victims of CSEC and a match for the program. (18) The facility must clearly outline how the program addresses the needs of the youth, including behavioral health, physical and dental health, education, vocational training, employment, legal services, life skills, and facilitated reconnections with family, as appropriate. (19) Clinical mental health services and other counseling must be provided by a licensed professional counselor and there must be clear quality assurance mechanisms to ensure treatment models adhere to evidence-based model efficacy. (a) The facility must have access to mental health services that offer counseling in Spanish or should be able to request a counselor that is bilingual. (20) The facility shall use evidence-based, evidence informed, and best practices treatment models, specific to the population being served, that are clearly delineated in the policy and procedure manual. Examples include: (a) Trauma-focused Cognitive Behavioral Therapy (TF-CBT) (b) Risk Reduction through Family Therapy (RRFT), if family is not the perpetrator.