Current through Vol. 42, No. 1, September 16, 2024
(a)
Applicability. Oklahoma
Administrative Code (OAC) 340:100-3-38.2 sets forth training requirements for
provider agency staff, volunteers, and direct supervisors providing either
full- or part-time direct supports for a service recipient receiving:
(1) center-based services;
(2) community-based services;
(3) sheltered workshop services;
(4) job coaching services, excluding services
per OAC
317:40-7-8;
or
(5) other supported employment
services.
(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) The service recipient's Team specifies
required completion time frames of 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) general employment training within
90-calendar days after assignment date; and
(B) employment specialist training within six
months after assignment date as job coach or other position providing supported
employment service.
(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, or
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)
The approved behavior support course is identified in the Plan and must be
completed before working alone or with other untrained staff, but no later than
60-calendar days after starting work with the service recipient.
(4) Staff must complete the approved physical
management course before using any technique of physical management identified
in a PIP.
(A) All staff must complete
foundation training with the approved effective teaching course and behavior
support course.
(B) Staff working
with the service recipient implements the positive components of the PIP and
non-intrusive procedures to assist the service recipient during a
crisis.
(C) The PIP must be
reviewed and approved by the Statewide Human Rights and Behavior Review
Committee.
(D) Training in physical
management procedures occurs only within the requirements of this
subsection.
(E) Only staff and
staff supervisors who provide support to the service recipient are trained on
the use of a physical management procedure.
(F) 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.
(G) Training curricula regarding behavior
support are approved by the DDS human resource development and behavioral
supports director.
(5)
Training regarding physical management procedures must be obtained from
trainers approved by the DDS human resource development director.
(6) Staff must complete an annual retraining
on the physical management or physical restraint procedures in the approved
PIP.
(h)
Ongoing
training. Direct support staff employed by provider agencies completes
12 hours of approved annual training.
(1)
Annual training may come from:
(A) required
re-certification classes in first aid, CPR, and 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
