(a) Applicability. OAC 340:100-3-38.2 sets forth training requirements for provider agency staff or volunteers and direct supervisors providing either full-time 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 days following the date of hire, staff providing direct supports or supervising at any level the delivery of direct supports must complete the first available Developmental Disabilities Services Division (DDSD) approved foundation training course and effective teaching course. • 1 The first available class is the first unfilled class held within 60 miles of the staff's work location following the staff's date of hire.
(c) First aid and cardio-pulmonary resuscitation (CPR). All 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 days following employment.
- (2) The service recipient's Personal Support Team (Team) may determine, based on the service recipient's needs, staff must receive first aid and CPR certification in less than 90 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) for implementation and consistency of supports and programs and to ensure the service recipient's health and welfare.
- (1) The 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.
- (2) 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.
- (3) Individual-specific training is provided by the appropriate professional Team member or others as determined by the Team and approved by the respective professional Team member, if applicable.
- (4) 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 days after date of assignment; and
- (B) employment specialist training within six months after date of assignment as job coach or other position providing supported employment service.
- (2) Staff who work in both residential and employment or other settings must meet the job-specific training requirements of both jobs. • 2 Transfers to avoid completion of required training are prohibited.
(g) Specialized training. Additional specialized training courses may be required for direct support staff working with service recipients who have significant health and physical support issues or behavior support issues.
- (1) If specialized health and physical support training courses are identified in the Plan, staff must complete the courses before working alone or with other untrained staff, but no later than 60 days after starting work with the service recipient. • 3
- (2) Staff serving a service recipient with a protective intervention plan that includes non-restrictive intervention techniques must be trained on these techniques before use. • 4
- (3) Completion of an approved behavior support course is required for direct support staff serving a service recipient 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.
- (4) 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 days after starting work with the service recipient. • 4
- (5) Staff must complete the approved physical management course before using any technique of physical management identified in a protective intervention plan. If an approved protective intervention plan includes physical procedures, the chief executive officer or designee of each provider agency verifies conditions per OAC 340:100-3-38.2(g) are met before securing training on the procedures. • 4
- (A) All staff to be trained 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 plan, and non-intrusive procedures to assist the service recipient during a crisis.
- (C) The protective intervention plan must be reviewed by the provider agency Human Rights Committee and approved by the Statewide Behavior Review Committee.
- (D) Training in physical management procedures occurs only within the requirements of OAC 340:100-3-38.2(g).
- (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 do 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 DDSD director of human resource development and DDSD director of psychological and behavioral supports.
- (6) If the DDSD director of psychological and behavioral supports or positive support field specialist grants emergency authorization per OAC 340:100-5-57 of a protective intervention plan that includes physical management procedures, training is provided only to staff who complete or enroll in the courses per OAC 340:100‑3‑38.2(g).
- (7) Training regarding physical management procedures must be obtained from certified DDSD trainers.
- (8) Staff must complete an annual retraining on the specific procedures in the protective intervention plan.
(h) Ongoing training. All direct support staff employed by provider agencies 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 DDSD director of human resource development;
- (D) individual-specific training; or
- (E) agency-specific in-services.
- (2) Any direct support staff who supervises other staff must take 12 hours of supervisory training annually that may be included in the hours required per OAC 340:100-3-38.2.
(i) Exceptions. Exceptions to training requirements per OAC 340:100-3-38.2 may be made by the DDSD director or designee.