Current through Vol. 42, No. 1, September 16, 2024
(a)
Applicability. Oklahoma
Administrative Code (OAC) 340:100-3-38.4 sets forth training requirements for
persons providing specialized foster care (SFC).
(b)
Initial training. Prior to
the contractual agreement with the Oklahoma Health Care Authority (OHCA), SFC
providers must complete the:
(1) 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 SFC provider's work location;
and
(2) SFC orientation training as
approved by the DDS director of human resource development.
(c)
First aid and
cardio-pulmonary resuscitation (CPR). Prior to the contractual agreement
with OHCA, SFC providers must be certified in an approved course of first aid
and CPR.
(d)
Medication
administration training. Prior to the contractual agreement with OHCA,
SFC providers must be certified in an approved medication administration course
per OAC
340:100-3-38.10.
(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 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, in accordance with 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. SFC providers working in both residential
and employment or other settings must meet the job-specific training
requirements of both jobs. The SFC provider must complete:
(1) within 90-calendar days after receipt of
the approved OHCA contractual agreement:
(A)
Health course;
(B) Ethical and
Legal Issues course; and
(2) within six months after receipt of the
approved OHCA contractual agreement:
(A)
Communication course;
(B) Skill
Building course;
(C) Connections
course; and
(D) Nuts and Bolts
course.
(g)
Specialized training. Additional specialized training courses may
be required for SFC providers 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 SFC providers 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 SFC provider 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 a PIP.
(i) The SFC provider implements the positive
components of the Plan, as well as non-intrusive procedures to assist the
person during a crisis.
(ii) The
PIP must be reviewed and approved by the Statewide Human Rights and Behavior
Review Committee.
(iii) Training in
physical management procedures occurs only within the requirements of this
subsection.
(iv) Only SFC providers
who provide support to the service recipient are trained on use of a physical
management procedure.
(v) The SFC
provider 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) The SFC
provider must complete an annual retraining on the physical management or
physical restraint procedures in the approved PIP .
(h)
Ongoing training. All SFC
providers complete 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) Oklahoma Department of Human
Services in-services.
(2) 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
