; and (ii) will be completed for all new hires going forward. (2) Fluency in Spanish Each staff member of an influx facility who will have contact with unaccompanied noncitizen children shall— (A) be fluent in Spanish and English; and (B) have experience in the care of children. (3) Pediatric health specialists An influx facility shall have onsite pediatric health specialists, including a pediatrician, licensed psychologist, or psychiatrist who is experienced in the care of children. (4) Ratios Not later than 15 days after the date on which an influx facility commences operation, the Director shall ensure that the influx facility maintains staffing ratios as follows: (A) During waking hours, not less than 1 on-duty youth care worker for every 8 unaccompanied noncitizen children. (B) During sleeping hours, not less than 1 on-duty youth care worker for every 16 unaccompanied noncitizen children. 306. Monitoring and oversight (a) Site visits (1) Director (A) In general Not less frequently than monthly during the period in which an influx facility is in operation, the Director shall conduct a comprehensive onsite monitoring visit. (B) Elements Each site visit conducted under subparagraph (A) shall include— (i) an evaluation of the compliance of the influx facility with— (I) the standards and procedures under title II; and (II) the facility standards under the Prison Rape Elimination Act of 2003 ( 34 U.S.C. 30301 et seq. ); (ii) an assessment of the delivery of, and unaccompanied noncitizen children's access to, health care and mental health care services; (iii) an assessment of unaccompanied noncitizen children's access to counsel and legal services