TITLE 89: SOCIAL SERVICES
CHAPTER II: DEPARTMENT ON AGING
PART 240 COMMUNITY CARE PROGRAM
SECTION 240.1535 IN-HOME SERVICE STAFF POSITIONS, QUALIFICATIONS, TRAINING AND RESPONSIBILITIES


 

Section 240.1535  In-home Service Staff Positions, Qualifications, Training and Responsibilities

 

a)         Homecare Supervisor

 

1)         Activities of a homecare supervisor shall include:

 

A)        documenting client contacts and activities related to client services in the client's file;

 

B)        preparing or reviewing reports and service calendars;

 

C)        monitoring receipt procedures in the conduct of essential shopping and errands as stated in the Plan of Care;

 

D)        providing input to the case manager on the services that are needed for each client as a result of conferences with the homecare aide or in-home visits;

 

E)        planning, preparing and documenting contact and quarterly conferences with each assigned homecare aide;

 

F)         evaluating each assigned homecare aide annually;

 

G)        coordinating the homecare aide's activities with other components of the Plan of Care as required;

 

H)        making and documenting semi-annual in-home supervisory visits to a client's home for each assigned homecare aide;

 

I)         making home visits, as necessary, to provide hands-on training and assistance; and

 

J)         initiating and/or participating in client staffing discussions with the case manager, as necessary.

 

2)         Qualifications for a homecare supervisor shall include:

 

A)        a high school diploma or general education diploma;

 

B)        combination of skills and experience that indicate that the applicant has the ability to perform the supervisory activities; and

 

C)        certification of completion of Department sponsored CCP training required by subsection (a)(3)(A).

 

3)         Homecare supervisors shall meet the following training requirements:

 

A)        Within 90 calendar days from the date of employment with the provider agency in a homecare supervisor position, each supervisor shall complete Department sponsored CCP training on policy and procedures, billings, evaluations, homecare aide and client files; and

 

B)        Within each calendar year, each supervisor shall complete 24 hours of documented in-service training on aging related subjects, including documented participation in in-house staff training and/or local, State, regional or national conferences.  In-service supervisor training shall include at least 16 hours of training selected from among the following topics:

 

i)          Promoting client dignity, independence, self-determination, privacy, choice and rights;

 

ii)         Client-centered care planning;

 

iii)        Special characteristics of the elderly population; physical, emotional and developmental needs of the client;

 

iv)        Recognizing client abuse, neglect and/or exploitation; abuse and neglect prevention and reporting requirements;

 

v)         Communication skills;

 

vi)        Universal precautions, blood-borne pathogens and infection control;

 

vii)       Fire and life safety, including emergency procedures to be implemented under the agency's all hazards disaster operations plan;

 

viii)      Dealing with adverse behaviors, e.g., mental illness, depression and aggression;

 

ix)        Family dynamics;

 

x)         Diseases of the elderly; understanding Alzheimer's Disease and dementia;

 

xi)        Body mechanics and normal range of motion, transfer techniques and positioning;

 

xii)       Chronic illness, death and dying;

 

xiii)      Medicaid fraud and abuse;

 

xiv)      Appropriate and safe techniques in performing and assisting with personal care;

 

xv)       First aid and/or cardiopulmonary resuscitation (CPR);

 

xvi)      Understanding advance directives;

 

xvii)     Respiratory services;

 

xviii)    Use of seclusion and restraint.

 

b)         Homecare Staff

 

1)         Activities of homecare aides include the following:

 

A)        following a client's written Plan of Care;

 

B)        carrying out duties as assigned by the supervisor;

 

C)        observing the client's functioning and reporting to the homecare supervisor;

 

D)        providing necessary receipts and documentation in the conduct of essential shopping/errands;

 

E)        maintaining records of daily activities, observations, and direct hours of service; and

 

F)         attending pre-service training, in-service training sessions and staff conferences.

 

2)         Qualifications of a homecare aide shall include:

 

A)        one of the following types of education or experience:

 

i)          a high school diploma or general education diploma; or

 

ii)         one year of  employment in a comparable human service capacity, or experience in care for a dependent child or adult family member; or

 

iii)        demonstration of continued progress towards meeting the educational requirement of a general education diploma by current registration and evidence of successful completion of course work (successful completion means achievement of a grade of "C" or higher); and

 

B)        the training required in subsection (b)(3).

                       

3)         Homecare aides shall meet the following training requirements:

 

A)        new employees shall receive 24 hours of initial pre-service training, including agency orientation of not more than 2 hours, prior to assignment to provide services to a CCP client without a supervisor or trainer present (not to exceed a 6 month period from the training to first assignment).  Initial homecare aide training shall be subject to a competency evaluation conducted by the agency and include all in-home services (see Section 240.210), as well as the following additional topics:

 

i)          The homecare aide's job responsibilities and limitations;

 

ii)         Communication skills, including communicating with special client populations such as the hearing impaired and clients with dementia or other special needs;

 

iii)        Observation, reporting and documentation of client status and of the service furnished;

 

iv)        Performance of specific service components of in-home services authorized under Section 240.210(a), including, but not limited to, personal care tasks for clients that are not medical in nature (e.g., shaving, hair shampooing and combing, bathing and sponge bath, shower bath or tub bath, toileting, dressing, nail care, respiratory services, brushing and cleaning teeth or dentures and preparation of appropriate supplies, positioning/transferring client, and assisting client with exercise/range of motion);

 

v)         Ability to assist in the use of specific adaptive equipment, if the aide will be working with clients who use the device;

 

vi)        Basic hygiene and basic infection control practices;

 

vii)       Maintenance of a clean, safe and healthy environment;

 

viii)      Basic personal and environmental safety precautions;

 

ix)        Use of seclusion and restraint;

 

x)         Recognizing emergencies and knowledge of emergency procedures;

 

xi)        Confidentiality of client personal, financial and health information;

 

xii)       Knowledge and understanding of abuse and neglect prevention and reporting requirements;

 

xiii)      Respiratory services;

 

B)        a new employee may be exempt from pre-service training if the employee:

 

i)          has had previous documented and supervised training within the past 2 years prior to this employment, equivalent to 24 hours of homecare aide pre-service training, as determined by the provider with appropriate documentation in the employee's personnel file; or

 

ii)         has successfully completed RN, LPN, MD, physician assistant or CNA training in the past and has been employed in the field within the past 2 years; or

 

iii)        has been employed as a CCP homecare aide within the past year;

 

C)        thereafter, a minimum of 12 hours per calendar year of interactive, (face-to-face, audiovisual presentations, computer-based instruction, etc.) in-service training approved by the provider agency shall be mandatory for all homecare aides.  Pre-service training shall fulfill the first 3 hours of in-service training required for new employees, except for homecare aides exempted undersubsection (b)(3)(B).  In-service training for homecare aides shall include at least 9 hours of training selected from among the following topics:

 

i)          Promoting client dignity, independence, self-determination, privacy, choice and rights;

 

ii)        Special characteristics of the elderly population; physical, emotional and developmental needs of the client;

 

iii)        Recognizing client abuse, neglect and/or exploitation; abuse and neglect prevention and reporting requirements;

 

iv)       Confidentiality of client information;

 

v)        Communication skills;

 

vi)        Universal precautions, blood-borne pathogens and infection control;

 

vii)       Fire and life safety, including emergency procedures to be implemented under the agency's all hazards disaster operations plan;

 

viii)      Dealing with adverse behaviors, e.g., mental illness, depression and aggression;

 

ix)        Family dynamics;

 

x)         Diseases of the elderly; understanding Alzheimer's Disease and dementia;

 

xi)        Body mechanics and normal range of motion, transfer techniques and positioning;

 

xii)       Chronic illness, death and dying;

 

xiii)      Medicaid fraud and abuse;

 

xiv)      Cultural diversity;

 

xv)       Food, nutrition and meal planning and preparation, including special diets;

 

xvi)      Maintenance of a clean, safe and healthy environment, including laundry and house cleaning skills;

 

xvii)     Appropriate and safe techniques in performing and assisting with personal care;

 

xviii)    Assistance with self-administered medications;

 

xix)      Recognizing changes in bodily functions that should be reported to the supervisor;

 

xx)       Respiratory services;

 

xxi)      Use of seclusion and restraint;

 

xxii)     First aid and/or CPR;

 

xxiii)    Understanding advance directives; and

 

D)        progress toward certification in a related field (e.g., CNA) may be used for up to 3 hours of in-service training per calendar year.

 

(Source:  Amended at 33 Ill. Reg. 4830, effective March 23, 2009)