Current through Vol. 42, No. 1, September 16, 2024
(a)
Applicability. Oklahoma Administrative Code (OAC) 340:100-3-38.3
sets forth training requirements for provider agency staff, volunteers, and
direct supervisors providing direct supports funded through the Community
Waiver or Homeward Bound Waiver in the family's or service recipient's home.
Staff providing:
(1) services through an
In-Home Supports Waiver must complete training per OAC
340:100-3-38.5;
and
(2) residential supports per
OAC
340:100-5-22.1
must complete training per OAC
340:100-3-38.1.
(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 needs of
the service recipient, 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 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. Staff must complete:
(1)
within 90-calendar days after assignment date, Health course; and
(2) within six months after assignment date:
(A) Skill Building course; and
(B) Communication course.
(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 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, as well as 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 per this
subsection.
(E) Only staff and
staff supervisors who provide support to the service recipient are trained on
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
eight 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 re-certification 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