(1) Residential programs shall have a manager who is responsible for the day-to-day supervision of program participants and operation of the program. The responsibilities of the manager shall be clearly defined. Whenever the manager is absent there shall be a substitute available.

(2) Residential programs that employ, contract, or consult with professional licensed or certified staff shall:

(a) describe in policy and procedure the circumstances under which the professional staff are to be engaged; and

(b) maintain on file copies of the professional staff licenses or certifications.

(3) Residential programs that do not employ, contract, or consult with licensed medical staff shall have written policy and procedures in place to secure medical care when needed.

(4) Each residential program shall have written policy and procedures to secure mental health care as needed.

(5) Each residential program shall have written policy and procedures establishing direct care staff to program participant ratios that meet program participant needs for health and safety in the various activities and settings available in the program.