(1) Therapeutic family care is provided on two levels, intensive and moderate, as determined by the severity of emotional disturbance of the youth receiving therapeutic family care and the degree of clinical supervision and the frequency of treatment interventions and support services provided to the treatment family and/or the youth receiving therapeutic family care.

(2) Therapeutic family care agencies will limit the numbers of youth receiving therapeutic family care in any treatment family to a maximum of two. Of these two youths, two may be moderate level or one intensive level youth may be served in the treatment family along with one moderate level youth. However, no treatment family may provide services for two intensive level youths.

(3) Youths not approved by the department for therapeutic family care may be placed with certified youths in a treatment family when:

(a) this service is necessary to maintain an intact sibling group;

(b) this service is necessary to maintain a parent/child relationship when the parent is a youth who has been approved by the department for therapeutic family care; or

(c) disruption of the foster care services would place the youth at risk of medical treatment in a more restrictive environment.

(4) At the moderate and intensive level of therapeutic family care, there must be sufficient administrative staff to allow the treatment supervisor or the treatment manager under the supervision of the treatment supervisor to:

(a) develop, implement, and revise each youth's individual treatment plan;

(b) develop written quarterly treatment summaries and develop and implement revisions/modifications to the youth's individual treatment plan as necessary;

(c) conduct weekly visits to each treatment family for the purpose of reviewing the youth's individual treatment plan, monitoring the youth's progress, and discussing the treatment interventions provided by the treatment parents;

(d) provide twice monthly individual treatment sessions based on the individual treatment plan to each youth supervised by the treatment manager; and

(e) conduct treatment team meetings within 30 days of admission and at least every 90 days thereafter.

(5) Intensive level therapeutic family care provides the service of a mental health assistant ten hours per week.