(1) is likely to cause danger to himself/herself or others or substantially interfere with the health, safety, welfare or care of other residents;

(2) is in need of a level of medical, mental health, nursing or other assistance that cannot be reasonably provided through the resources available to the program; or

(3) consistently refuses to comply with the policies, procedures and rules of the program, after all reasonable efforts are made and documented by program staff to assist the youth in adjusting to program requirements.

(1) Preferably within 24 hours, but not more than 72 hours after admission of a youth under the age of 18 years to a transitional independent living support program, the program staff and volunteers shall, to the maximum extent possible, provide notification of the youth's presence in the program to the parent, guardian or legal custodian with whom the youth last resided, or in whose custody the youth was most recently placed, prior to admission to the transitional independent living support program. Such notification shall include information about the following:

(2) Notification to a parent, guardian or legal custodian shall be delayed beyond 72 hours when compelling circumstances indicate that the parent, guardian or legal custodian should not be so notified. Such compelling circumstances include the following:

(3) In all cases where notification is not provided to the parent, guardian, or legal custodian, the director of the program or his/her designee shall immediately ensure that one or all of the following steps are taken, as appropriate:

(4) Whenever possible and appropriate, program staff shall notify the youth's parent, guardian or legal custodian when a youth under the age of 18 years leaves the program or when such youth successfully moves to independent living.

(1) Program participation is voluntary and may be terminated by youth at any time.

(2) Length of stay in program shall not exceed 18 months from the date of admission, or up to 24 months when authorized in the applicable municipality’s approved comprehensive plan.

(3) A homeless youth who entered a transitional independent living support program under the age of 21 may continue to receive shelter services in such program beyond the applicable period authorized by paragraph (2) of this subdivision, if the municipality provides, through its runaway and homeless youth service coordinator or other designee, written notice, within 60 days, to the office of the circumstances that made the provision of shelter necessary, efforts made by the program to find suitable alternative living arrangements for such youth, and the outcome of such efforts. The office may instruct the program on how to seek a more suitable alternative living arrangement.

(4) A homeless youth who is not yet 18 years of age but who has reached the maximum time period provided by paragraph (2) of this subdivision may remain in a transitional independent living support program until he or she is 18 years of age or for an additional 6 months if he or she is still under the age of 18.

(1) Residential program staff shall provide or assist in obtaining the following necessities and services for youth and, where appropriate, for their families:

(2) Each program director shall ensure compliance with applicable New York State Education Law and regulations.

(1) Program staff shall maintain a current list of local licensed physicians, hospitals or clinics which provide health services to youth.

(2) Program staff shall assist youth in accessing health services including, but not limited to: dental, obstetrical, gynecological, family planning, alcohol and substance abuse treatment, mental health and primary health care.

(3) Each program director shall designate one staff member to be responsible for ensuring that youth are provided with assistance in accessing health services.

(4) Program staff shall provide each youth with education about AIDS, HIV testing procedures, confidentiality of HIV related information and HIV prevention, including universal precautions.

(5) Arrangements shall be made by program staff for the immediate transportation of youth with serious physical or mental health problems to an appropriate health care facility.

(6) Each site shall maintain a first aid kit and a spill kit which shall be fully stocked at all times.

(7) All medications belonging to youth in residence shall be stored in a locked cabinet or similar locked storage area.

(1) Professionally trained staff members shall provide on-site supervision in group residences 24 hours per day.

(2) Professionally trained staff shall visit the site of each supported residence at least daily, and shall have a minimum of daily contact with each youth in the program.

(1) Applicants for employment or voluntary service in residential programs shall be screened through the Statewide Central Register of Child Abuse and Maltreatment and the Justice Center’s staff exclusion list and placed on duty as set forth section 424-a and section 495 of the Social Services Law.

(2) Screening information received from the Statewide Central Register of Child Abuse and Maltreatment and the Justice Center’s staff exclusion list shall be processed and evaluated in accordance with the Social Services Law.

(3) Programs shall maintain the screening information obtained from the Statewide Central Register of Child Abuse and Maltreatment and the Justice Center’s staff exclusion list and in the employee's personnel file.

(1) All youth shall be discharged no later than the maximum length of stay authorized under subdivision (d) of this section.

(2) Programs shall continue to provide case management and other appropriate services, excluding shelter, for a period of at least 90 days after discharge and shall encourage participation of the youth's family, where appropriate.

(3) Program staff shall maintain written documentation in youth case records of all efforts made to provide services for youth after discharge.