Yes, this is true. These unliscensed, legally non-professional staff members not only implement the program or care plan, they also do the daily documentations and evaluations (this should be done by professionals), and occassionally report back to the therapists, during a meeting which takes place once a month. I am a nurse and I know that JACHO requires that, if a patient is physically restrained, they must be evaluated IN PERSON by a physician within one hour of being put in restraints, and this does not happen either. When children are restrained there, it is decided and implemented by the unliscensed staff, who will afterwards call the nurse (sometimes LPN, not RN), who will then call a physician on the telephone and take a "verbal order" for restraints (which is also illegal). I was there for a year and a half and never once saw a physician come and examine a child who was in restraints.
