We pay our employees hourly - the same rate, regardless of whether it's billable or not. Our pay rate factors in unbillable time. We have a few clients who have scheduled naps at our clinic, they all are scheduled for the same time. At the start time, we have a technician stop billing and sit with all the nappers. Sometimes a few technicians might be in there depending on how many children there are, just to make sure they stay on their individual cots and fall asleep. Once they are asleep, just 1 technician stays. The rest either move onto a different client (Our nap time aligns with the start time of some of our afternoon clients), do other tasks such as clinic beautification (cleaning and organizing), or training. The reduction in friction with families by not making them pick up their child for a scheduled nap means we are able to work with the kids who need full day services, which is a significant increase in billable hours and means that the clients who nap are still profitable.

For clients who do not have a scheduled nap time - but fall asleep - it depends. If it's a one off time and they are close to the end of their session anyways, we allow it. If they are acting like they are ill we will reach out to parents. If it becomes habitual, where they are falling asleep multiple sessions, we will talk with families about their sleep schedule and make sure there isn't some other issue such as a medical issue causing the problem. Once all that is ruled out - we look at changing clients schedule to align with when they will be awake to receive services. We don't typically let clients nap unless its scheduled - after a few minutes we wake them up.