Current through Vol. 42, No. 1, September 16, 2024
(a)
Applicability. Oklahoma
Administrative Code (OAC) 340:100-3-38.1 sets forth training requirements for
staff, volunteers, and direct supervisors providing either full- or part-time
direct supports for a service recipient receiving:
(1) daily living supports (DLS), per OAC
317:40-5-150;
(2) Prader-Willi Syndrome services;
(3) agency companion services (ACS), per Part
1 of OAC 317:40-5; or
(4) group
home services, per OAC 340:100-6.
(b)
New employee training. No
later than 30-calendar days following the hire date, staff providing direct
supports or supervising the delivery of direct supports at any level must
complete the online or first available Developmental Disabilities Services
(DDS)-approved foundation training course and effective teaching course. The
first available class is the first unfilled class held within 60 miles of the
staff's work location following the staff's hire date.
(c)
First aid and cardio-pulmonary
resuscitation (CPR). Direct support staff must be certified in an
approved course of first aid and CPR before providing services alone or with
other untrained staff.
(1) First aid and CPR
certification of each staff must occur within 90-calendar days following the
staff's hire date.
(2) The service
recipient's Personal Support Team (Team) may determine, based on the service
recipient's needs, that staff must receive first aid and CPR certification in
less than 90-calendar days.
(d)
Medication administration
training. Staff must be certified in an approved medication
administration course per OAC
340:100-3-38.10
before administering medication to a service recipient or assisting with a
service recipient's medication support plan.
(e)
Individual-specific in-service
training. Individual-specific in-service training is identified for
direct support staff in the service recipient's Individual Plan (Plan).
(1) Training requirements are based on the
service recipient's identified needs through Team discussion and review of
available assessment information.
(2) A service recipient's Team specifies
required completion time frames for individual-specific in-service training.
When time frames are not identified in the Plan, required individual-specific
in-service training must be completed before working with the service
recipient.
(3) As the service
recipient's needs require changes in supports or programs, the Team documents
in the Plan or in addenda to the Plan, any new or additional in-service
training required, with completion time frames .
(4) Individual-specific training is provided
by the person or persons designated by the Team and identified by position in
the Plan, per rule, statute, and professional practice regulations, when
applicable.
(5) The responsible
Team member verifies staff has knowledge and skills necessary to provide the
identified services. Videos may be used when approved by the Team.
(f)
Job-specific
training.
(1) Staff must complete:
(A) within 90-calendar days after assignment
date:
(i) Health course; and
(ii) Ethical and Legal Issues course;
and
(B) within six
months after assignment date:
(i)
Communication course;
(ii) Skill
Building course;
(iii) Connections
course; and
(iv) Nuts and Bolts
course.
(2)
Staff who works in both residential and employment or other settings must meet
the job-specific training requirements of both jobs. Transfers to avoid
required training completion are prohibited.
(g)
Specialized training.
Additional specialized training may be required for direct support staff
working with service recipients who have significant health, physical and
behavior support issues.
(1) Staff supporting
a service recipient with a protective intervention protocol (PIP) that includes
non-restrictive intervention techniques must be trained on these techniques
before use.
(2) Completion of an
approved behavior support course is required for staff supporting a service
recipient with a PIP that:
(A) addresses
challenging behavior that places the service recipient's physical safety,
environment, relationships, or community participation at serious risk;
and
(B) contains one or more of
these procedures:
(i) physical guidance to
overcome resistance;
(ii) physical
guidance to move to safety; or
(iii) physical hold to restrict
movement.
(3)
Staff must complete the approved:
(A)
behavior support course before working alone or with other untrained staff, but
no later than 60-calendar days after starting work with the service recipient;
and
(B) physical management course
before using any technique of physical management identified in the PIP.
(i) All staff must complete foundation
training with the approved effective teaching course and behavior support
course.
(ii) Staff working with the
service recipient implements the positive components of the PIP, as well as
non-intrusive procedures to assist the service recipient during a
crisis.
(iii) The PIP must be
reviewed and approved by the Statewide Human Rights and Behavior Review
Committee.
(iv) Only staff and
staff supervisors providing support to the service recipient are trained on the
use of a physical management procedure.
(v) Staff formally trained to use physical
management procedures does not use those techniques with other service
recipients, except in emergencies per OAC
340:100-5-57.
(vi) Training curricula regarding behavior
support are approved by the DDS human resource development and behavioral
supports director .
(4) Training regarding physical management
procedures must be obtained from trainers approved by the DDS human resource
development director.
(5) Staff
must complete annual retraining on physical management or physical restraint
procedures in the approved PIP.
(h)
Ongoing training. Direct
support staff employed by provider agencies completes eight hours of approved
annual training.
(1) Annual training may come
from:
(A) required re-certification classes in
first aid, CPR, or medication administration training;
(B) courses per OAC
340:100-3-38(b)(1);
(C) courses, conferences, or workshops
approved by the DDS human resource development director;
(D) individual-specific training;
or
(E) agency-specific
in-services.
(2) Direct
support staff who supervises other staff must take 12 hours of supervisory
training annually that may be included in the hours required per this
Section.
(3) Direct support staff
may challenge or test out of required annual recertification when an approved
option is available. Training completion hours are granted equal to the number
of hours for the standard recertification class.
(i)
Exceptions. Exceptions to
training requirements per this Section may be made by the DDS director or
designee.
Added at 19 Ok Reg
2948, eff 8-1-02 (emergency); Added at 20 Ok Reg 936, eff 6-1-03; Amended at 25
Ok Reg 986, eff 5-15-08; Amended at 28 Ok Reg 897, eff
6-1-11
