§47.21 Supervisor Training Requirements

 

(a) General training. A provider must train a supervisor as described in §97.245 of this title (relating to Staffing Policies).

(b) Program-specific training. The provider must ensure the supervisor understands the applicable rules and procedures of the PHC Program.

 

§47.23 Attendant Qualifications

 

In addition to the requirements described in §97.404 of this title (relating to Standards Specific to Agencies Licensed to Provide Personal Assistance Services), an attendant must:

(1) not be a legal parent, foster parent, or spouse of a parent of a minor who receives the service;

(2) not be the spouse of the individual who receives the service, except for FC services; and

(3) not be designated by a DADS case manager on DADS' authorization for community care services form as "Do not hire."

 

§47.25 Attendant Orientation

 

(a) Orientation. In addition to the requirements described in this section, a provider must ensure each attendant is oriented as described in Chapter 97, Subchapter C, of this title (relating to Minimum Standards for All Home and Community Support Services Agencies) and §97.404 of this title (relating to Standards Specific to Agencies Licensed to Provide Personal Assistance Services). Orientation is not required for a supervisor when providing personal assistance services.

(b) Method of orientation.

(1) A supervisor must determine the method of attendant orientation, which may be conducted:

(A) in person, with the participation of the individual; or

(B) by telephone or verbally at any location without the participation of the individual at the discretion of the supervisor, if the attendant:

(i) meets the requirements described in §97.701 of this title (relating to Home Health Aides);

(ii) has six continuous months of experience in delivering attendant care;

(iii) has been oriented to the individual and there are service delivery plan changes; or

(iv) has previously provided services to the individual.

(2) The supervisor may use discretion to determine if the attendant needs to be oriented if:

(A) the attendant previously provided services to the individual; and

(B) the service delivery plan has not changed since the attendant provided services to the individual.

(c) Due dates. The supervisor must orient each attendant on or before the time the attendant begins to provide attendant services.

(d) Documentation of attendant orientation.

(1) The supervisor must record the attendant orientation on a single document that includes:

(A) the individual's name and number assigned to the individual by DADS;

(B) the attendant's name;

(C) the date of the attendant orientation;

(D) if the orientation was conducted in person with the individual or without the participation of the individual;

(E) information about how the individual's condition affects the performance of tasks;

(F) the tasks to be performed;

(G) the service schedule;

(H) the number of hours of service the attendant is to provide;

(I) the total number of hours of service the individual is authorized to receive;

(J) safety and emergency procedures, including universal precautions;

(K) specific situations about which the attendant must notify the provider, including:

(i) changes in the individual's needs;

(ii) incidents that affect the individual's condition;

(iii) hospitalization of the individual;

(iv) the individual's absence or relocation from home;

(v) the attendant's inability to work; and

(vi) suspicions or allegations of abuse, neglect, or exploitation of the individual; and

(L) the signature of:

(i) the supervisor who conducts the orientation;

(ii) the attendant who is oriented, if present; and

(iii) the individual, if present.

(2) The provider must maintain documentation of the attendant orientation in the individual's file.