Current through Register Vol. 50, No. 9, March 1, 2024
RELATES TO:
KRS
334A.033
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
334A.080(3) requires the
Board of Speech-Language Pathology and Audiology to promulgate responsible
administrative regulations, including administrative regulations which
delineate qualifications for licensure and renewal of li-censure.
KRS
334A.033(1)(b) requires the
board to promulgate administrative regulations to set forth supervision
requirements for speech-language pathology assistants. This administrative
regulation establishes those requirements.
Section
1. The supervision requirements specified in this administrative
regulation shall be the minimum requirements.
(1) The supervisor shall design and provide a
supervision system that protects pupil welfare and maintains the highest
possible standards of quality speech-language pathology services.
(2) The supervisor may require additional
supervision based on the experience of the speech-language pathology assistant,
the pupils served, and the physical or geographic proximity to the
supervisor.
(3) As the supervisory
responsibility of the supervisor increases, the direct service responsibilities
of the supervisor shall decrease.
Section 2. Treatment for the pupils served
shall remain the responsibility of the supervisor. The level of supervision
required shall be the minimum level necessary for the supervisor to retain
direct contact with the pupils.
Section
3. Each speech-language pathology assistant shall be required to
have direct supervision in accordance with their years of experience as defined
in
KRS
334A.033. This ensures that the supervisor
shall have direct contact time with the speech-language pathology assistant as
well as with the pupil.
(1) Direct
supervision shall be considered to be on-site, in-view observation and guidance
as a clinical activity is performed. A speech-language pathology assistant
shall be supervised by either:
(a) A
speech-language pathologist licensed by the Kentucky Board of Speech-Language
Pathology and Audiology; or
(b) An
Education Professional Standards Board master's level certification as a
teacher of exceptional children in the areas of speech and communication
disorders.
(2)
Supervision shall provide information about the quality of the speech-language
pathology assistant's performance with assigned tasks and verify that clinical
activity is limited to tasks specified in the speech-language pathology
assistant's scope of responsibilities.
(3) Information obtained during direct
supervision may include data relative to:
(a)
Accuracy in implementation of screening, diagnostic, and treatment
procedures;
(b) Agreement between
the assistant and the supervisor on judgment of target behavior;
(c) Accuracy in recording data; and
(d) Ability to interact effectively with the
pupil.
Section
4. Each speech-language pathology assistant shall also be required
to receive indirect supervision in accordance with their years of experience as
defined in
KRS
334A.033. Indirect supervision may include:
(1) Demonstration;
(2) Record review;
(3) Review and evaluation of audio or
videotaped sessions; or
(4)
Supervisory conferences that may be conducted by telephone.
Section 5. Direct and indirect
supervision shall be required for each speech-language pathology assistant and
shall be documented on a weekly basis. Additional direct and indirect
supervision may be necessary depending on the experience of the assistant and
the needs of the pupil.
Section 6.
A speech-language pathology assistant shall not provide direct services when a
supervising speech-language pathologist cannot be reached by personal contact,
phone, or some other immediate means.
Section
7. If, for any reason, including maternity leave, illness, or a
change of jobs, the supervisor is no longer available to provide the level of
supervision stipulated, the speech-language pathology assistant shall not
provide service until a fully qualified speech-language pathologist has been
designated as the speech-language pathology assistant's supervisor.
Section 8. Although more than one (1)
supervisor may provide supervision of a speech-language pathology assistant, a
supervisor shall not be listed as the supervisor of record for more than two
(2) speech-language pathology assistants, in accordance with
KRS
334A.033(1)(c). If multiple
supervisors are used, each supervisor shall be responsible for that portion of
the caseload that is theirs.
Section
9. The maximum number of pupils served by the speech-language
pathology assistant shall not exceed the caseload established for a
speech-language pathologist by administrative regulation.
Section 10.
(1)
(a) The
caseload for a speech-language pathologist who works four (4) days a week, or
the equivalent number of hours, in the public school system shall not exceed
fifty-two (52) pupils.
(b) The
caseload of a speech-language pathologist who supervises speech-language
pathology assistants, and works four (4) days a week, or the equivalent number
of hours, in the public school system may be increased according to the
provisions set forth in
KRS
334A.190(2).
(2)
(a) The caseload for a speech-language
pathologist who works three (3) days a week, or the equivalent number of hours,
in the public school system shall not exceed thirty-nine (39) pupils.
(b) The caseload of a speech-language
pathologist who supervises speech-language pathology assistants, and works
three (3) days a week, or the equivalent number of hours, in the public school
system may be increased according to the provisions set forth in
KRS
334A.190(2).
(3)
(a) The caseload for a speech-language
pathologist who works two and one-half (2 1/2) days a week, or the equivalent
number of hours, in the public school system shall not exceed thirty-two (32)
pupils.
(b) The caseload of a
speech-language pathologist who supervises speech-language pathology
assistants, and works two and one-half (2 1/2) days a week, or the equivalent
number of hours, in the public school system may be increased according to the
provisions set forth in
KRS
334A.190(2).
(4)
(a) The caseload for a speech-language
pathologist who works two (2) days a week, or the equivalent number of hours,
in the public school system shall not exceed twenty-six (26) pupils.
(b) The caseload of a speech-language
pathologist who supervises speech-language pathology assistants, and works two
(2) days a week, or the equivalent number of hours, in the public school system
may be increased according to the provisions set forth in
KRS
334A.190(2).
(5)
(a) The caseload for a speech-language
pathologist who works one (1) day a week, or the equivalent number of hours, in
the public school system shall not exceed thirteen (13) pupils.
(b) The caseload of a speech-language
pathologist who supervises speech-language pathology assistants, and works one
(1) day a week, or the equivalent number of hours, in the public school system
may be increased according to the provisions set forth in
KRS
334A.190(2).
STATUTORY AUTHORITY:
KRS
334A.033(1)(b),
334A.080