(a) Applicability. OAC 340:100-3-38.3 sets forth training requirements for provider agency staff or 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:
(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 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 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 needs of the service recipient, 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).
- (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 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. Staff must complete:
- (1) within 90 days after date of assignment, Health course; and
- (2) within six months after date of assignment:
- (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 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 staff supporting 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.
- (3) The approved behavior support course 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) Staff must complete the approved physical management course before using any technique of physical management identified in a protective intervention plan.
- (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 plan, as well as 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 per OAC 340:100-3-38.3(g).
- (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 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.
- (5) Training regarding physical management procedures must be obtained from trainers approved by the director of human resource development.
- (6) Staff must complete an annual retraining on the physical management or physical restraint procedures in the approved 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 340:100-3-38.3.
- (3) Direct support staff may challenge or test out of required annual recertifications 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 OAC 340:100-3-38.3 may be made by the DDSD director or designee.