Ohio Administrative Code
Title 173 - Department of Aging
Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers
Section 173-39-02.8 - ODA provider certification: homemaker
Universal Citation: OH Admin Code 173-39-02.8
Current through all regulations passed and filed through September 16, 2024
(A) Definitions for this rule:
(1) "Homemaker" means a service enabling
individuals to achieve and maintain clean, safe and healthy environments,
assisting individuals to manage their personal appointments and day-to-day
household activities, and ensuring individuals maintain their current living
arrangements. Homemaker activities include the following when
authorized in the person-centered services plan:
(a) Assistance with meal planning.
(b) Meal preparation, grocery purchase
planning, and assisting individuals with shopping and other errands.
(c) Laundry, including
washing, drying, folding, ironing, and putting
away laundry in the individual's home and washing and
drying at a laundromat if the individual does not have a working washer and
dryer.
(d) House cleaning
including dusting furniture, sweeping, vacuuming, and mopping floors; kitchen
care including dishes, appliances, and counters; bathroom care; emptying and
cleaning bedside commodes; changing bed linens; washing inside windows within
reach from the floor; and removing trash.
(e) Errands outside of the presence of the
individual which are needed by the individual to maintain the individual's
health and safety (e.g., picking up a prescription or groceries for the
individual).
(f)
Acting as a travel attendant for
individuals.
(2)
"Aide" means the person who provides homemaker activities.
(B) Requirements for ODA-certified providers of homemaker:
(1) General requirements: The
provider
is
subject to rule
173-39-02 of the Administrative
Code.
(2) Eligible providers of
homemaker are ODA-certified agency providers.
(3) Availability: The provider shall maintain
adequate staffing levels to provide the service at least five days per week,
including having a back-up plan
for providing the service when the
provider has no aide or aide supervisor available.
(4) Provider policies: The provider shall
develop written or electronic personnel requirements, including all the
following:
(a) Job descriptions for each
position.
(b) Documentation of each
employee's qualifications for the homemaker activities to be provided.
(5) Staff qualifications:
(a) Aides:
(i)
General standard:
No aide may provide an activity under paragraph (A)(1) of this rule unless the
aide successfully completes training and competency evaluation on that
activity.
(ii) Initial
qualifications:
A person qualifies to serve as an aide only if the person meets at least one of the following
qualifications:
(a) The person meets at least
one of the qualifications to be a PCA under paragraph (C)(3)(a) of rule
173-39-02.11 of the
Administrative Code, the training and competency
evaluation comply with paragraph (C)(3)(e) of rule
173-39-02.11 of the
Administrative Code, and the provider meets the verification requirements under
paragraph (C)(3)(f) of rule
173-39-02.11 of the
Administrative Code.
(b) The
person successfully completed training
and competency evaluation
on any activity
listed under paragraph (A)(1) of this rule that the person would provide as an
aide. For example, a person who would provide only laundry activities as an
aide would qualify to be an aide by successfully completing training and
competency evaluation on laundry activities.
(iii) Before providing
activities to
individuals, the provider shall conduct a
competency evaluation of
any aide not listed on ODH's nurse aide registry
as "active," "in good standing," or "expired" for
any activity
the aide is expected to provide to individuals.
(b) Supervisors:
A person qualifies
to serve as an aide supervisor only if the person
meets one or more of the following qualifications:
(i) The person has a bachelor's or
associate's degree in a health and human services area.
(ii) The person is an RN or
LPN .
(iii)
The person is a licensed social independent worker
(LISW) or licensed social worker (LSW).
(iv) The person
completed at least two years of work as an aide, as defined by this
rule.
(c) All staff:
(i) Orientation: Before allowing any staff
member to provide homemaker activities to an individual, the provider shall
ensure
that the
aide successfully completes orientation on all
the following topics:
(a) The provider's expectations of homemaker
staff.
(b) The provider's ethical
standards under rule
173-39-02 of the Administrative
Code.
(c) An overview of the
provider's personnel policies.
(d)
The organization and lines of communication of the provider's agency.
(e)
Person-centered
planning process.
(f) Incident-reporting
procedures.
(g) Emergency
procedures.
(h)
Standard precautions for infection control, including hand
washing and the disposal of bodily waste.
(ii) In-service training: The provider shall
ensure that each aide successfully completes a
minimum of
six hours of ODA-approved in-service training every twelve months
on
a topic elated to an activity
that the aide provides or may provide after successfully completing training
with competency evaluation.
(6) Supervisory requirements:
(a) Initial: The supervisor shall complete an
initial visit, which may occur at the aide's initial homemaker visit to the
individual to define the expected activities of the homemaker aide and prepare
a written or electronic activities plan consistent with the
individual's
person-centered services plan. During a state of
emergency declared by the governor or federal public health emergency, the
supervisor may conduct the visit by telephone, video conference, or in person
at the individual's home.
(b)
Subsequent: The supervisor shall complete an evaluation of the aide's
compliance with the activities plan, the individual's satisfaction, and job
performance during a home visit with the individual at least every ninety days
. The supervisor may conduct each visit with or without the
presence of the aide being evaluated. The supervisor may conduct the visit by
telephone, video conference, or in person.
(c) Verification: In
the individual's activity plan,
the supervisor shall retain a record of the
initial visit and each subsequent visit
that includes either
of the following:
(i)
For an in-person visit, the date of the visit, an
indication that the visit occurred in person at the individual's home, the
supervisor's name, the supervisor's unique identifier, the individual's name,
and a unique identifier of the individual or the individual's caregiver. During
a state of emergency declared by the governor or a federal public health
emergency, the provider may verify that the supervisor provided the initial or
subsequent visit without collecting a unique identifier of the individual or
the individual's caregiver.
(ii)
For a visit by
telephone or video conference, the date of the visit, an indication of whether
the visit was provided by telephone or video conference, the supervisor's name,
the individual's name, and evidence that a visit occurred by telephone or video
conference (e.g., a record automatically generated by telehealth software, a
record showing that the supervisor's phone called the individual's phone, or
clinical notes from the supervisor).
(7) Service verification: The
following
are the
mandatory reporting items for each episode of service: the individual's
name, the date of service, a description of the activities provided, the name
of the aide providing the activities, the aide's arrival and departure times,
the unique identifier of the aide, and the unique identifier of the individual
to attest to
receiving the service.
(C) Units and rates:
(1)
For the PASSPORT
program, the appendix to rule
5160-1-06.1 of the
Administrative Code lists the following:
(a) One unit of
homemaker service
as fifteen minutes.
(b)
The
maximum rate allowable for a unit of homemaker activities.
(2)
For the PASSPORT program,
rule
5160-31-07 of the Administrative
Code establishes the rate-setting
methodology.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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