Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 240 - COMMUNITY CARE PROGRAM
Subpart O - PROVIDERS
Section 240.1535 - In-home Service Staff Positions, Qualifications, Training and Responsibilities
Universal Citation: 89 IL Admin Code ยง 240.1535
Current through Register Vol. 48, No. 12, March 22, 2024
a) Homecare Supervisor
1) Activities of a homecare
supervisor shall include:
A) documenting
participant contacts and activities related to participant services in the
participant'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 person-centered plan
of care;
D) providing input to the
care coordinator on the services that are needed for each participant 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 person-centered plan of
care as required;
H) making and
documenting semi-annual in-home supervisory visits to a participant'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 participant 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 participant 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 after 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 participant 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
participant dignity, independence, self- determination, privacy, choice and
rights;
ii) Person-centered care
planning;
iii) Special
characteristics of the elderly population; physical, emotional and
developmental needs of the participant;
iv) Recognizing participant abuse, neglect,
exploitation, and self-neglect; 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 participant's
written person-centered plan of care;
B) carrying out duties as assigned by the
supervisor;
C) observing the
participant'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;
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 participant 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 participant populations such as
the hearing impaired and participants with dementia or other special
needs;
iii) Observation, reporting
and documentation of participant 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 participants 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 participant, and assisting
participant with exercise/range of motion);
v) Ability to assist in the use of specific
adaptive equipment, if the aide will be working with participants 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 participant 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 under subsection (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 participant dignity,
independence, self- determination, privacy, choice and rights;
ii) Special characteristics of the elderly
population; physical, emotional and developmental needs of the
participant;
iii) Recognizing
participant abuse, neglect and/or exploitation; abuse and neglect prevention
and reporting requirements;
iv)
Confidentiality of participant 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.
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