Current through Register Vol. 63, No. 9, September 1, 2024
(1) The provider
shall maintain a written job description for each staff position that specifies
the position's qualifications and job duties:
(a) A direct care staff person shall be at
least 18 years of age, be capable of implementing the setting's emergency
procedures and disaster plan, and be capable of performing other duties of the
job as described in the job description;
(b) All program staff having contact with an
individual must have a documented approved criminal record clearance in
accordance with OAR 943-007-0001 through
943-007-0501. The provider must
maintain documentation of approved criminal records clearance for each
applicable staff person;
(c)
Program staff who will have contact with individual's must be tested for
tuberculosis within two weeks of first employment; additional testing shall
take place as deemed necessary; and the employment of program staff who test
positive for tuberculosis shall be restricted if necessary; and
(d) All program staff shall meet other
qualifications when required by a contract or financing arrangement approved by
the Division.
(2)
Personnel policies shall be made available to all program staff and shall
describe hiring, leave, promotion, and disciplinary practices.
(3) The program administrator shall provide
or arrange a minimum of 16 hours pre-service orientation and eight hours
in-service training annually for each program staff including:
(a) Pre-service training for direct care
staff shall include but not limited to a comprehensive tour of the setting; a
review of emergency procedures developed in accordance with OAR
309-035-0145; a review of
setting house rules, policies, and procedures; background on mental and
emotional disorders; an overview of individual rights; medication management
procedures; food service arrangements; a summary of each individual's
assessment and residential service plan; and other information relevant to the
job description and scheduled shifts; and
(b) In-service training shall be provided on
topics relevant to improving the care and treatment of individuals in the
program and meeting the requirements in these administrative rules. In-service
training topics include, but are not limited to, implementing the residential
service plan, behavior management, daily living skills development, nutrition,
first aid opioid overdose kits and administration of an FDA-approved
short-acting, non-injectable, opioid antagonist medication; understanding
mental illness, sanitary food handling, individual rights, identifying health
care needs, and psychotropic medications.
(4) The provider and program administrator
shall ensure that an adequate number of program and direct care staff are
available at all times to meet the treatment, health, and safety needs of
individuals. Program staff must be scheduled to meet the changing needs and
ensure safety of individuals. Minimum staffing requirements are as follows:
(a) In RTHs serving one to five individuals,
there shall be at least one direct care staff on duty at all times;
(b) In RTFs serving six to 16 individuals,
there shall be at least one direct care staff on duty at all times;
(c) In the case of a specialized program,
staffing requirements outlined in the contractual agreement for specialized
services shall be implemented;
(d)
Class I and Class II SRTFs shall ensure staffing levels meet the requirements
set forth in chapter 309, divisions 32 and 33; and
(e) Program and direct care staff on night
duty shall be awake and dressed at all times. In settings where individuals are
housed in two or more detached buildings, program staff shall monitor each
building at least once an hour during the night shift. An approved method for
alerting program staff to problems shall be in place and implemented. This
method shall be accessible to and usable by the individuals.
Statutory/Other Authority: ORS
413.042 &
443.450
Statutes/Other Implemented: ORS
413.032,
443.400 -
443.465 &
443.991
