(a) Applicability. 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 Oklahoma Health Care Authority (OHCA), SFC providers must complete the:
-
(1) online or first available Developmental Disabilities Services Division (DDSD) 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 DDSD 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 time frames for completion of individual-specific in-service training. If 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 time frames for completion.
-
(4) Individual-specific training is provided by the person or persons designated by the Team and identified by name in the Plan, in accordance with policy, statute, and professional practice regulations, if 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:
(g) Specialized training. Additional specialized training courses may be required for SFC providers working with service recipients who have significant behavior support issues.
-
(1) Staff supporting a service recipient with a protective intervention plan 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 service recipients with a protective intervention plan 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 procedures in (i) through (iv).
-
(i) Physical guidance to overcome resistance.
-
(ii) Physical guidance to move to safety.
-
(iii) Physical hold to restrict movement.
-
(iv) Intensified staffing to ensure safety.
-
(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 days after starting work with the service recipient; and
-
(B) physical management course before using any technique of physical management identified in a protective intervention plan.
-
(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 protective intervention plan must be reviewed by a Human Rights Committee and approved by the Statewide Behavior Review Committee.
-
(iii) Training in physical management procedures occurs only within the requirements of OAC 340:100-3-38.4(g).
-
(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 DDSD director of human resource development and DDSD director of psychological and behavioral supports.
-
(4) Training regarding physical management procedures must be obtained from trainers approved by the director of human resource development.
-
(5) The SFC provider must complete an annual retraining on the physical management or physical restraint procedures in the approved protective intervention plan.
(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;
-
-
(C) courses, conferences, or workshops approved by the DDSD director of human resource development;
-
(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 will be granted equal to the number of hours for the standard recertification class.
(i) Exceptions. Exceptions to training requirements per OAC 340:100-3-38.4 may be made by the DDSD director or designee.