Registered Nurse (RN); Manager of Direct Supports- Columbus, IN

64.5.2. All Director of Direct Supports employees must adhere to the rules and regulations set forth by the Division of Disability and Rehabilitative Services

(DDRS) and Bureau of Disability Services (BDS).

64.5.3. All Director of Direct Supports employees must abide by the requirements set forth by the Commission on Accreditation for Rehabilitation

Facilities (CARF) as well as participate in schedule accreditation surveys.

64.5.4. All Director of Direct Supports employees shall be eligible to provide and oversee the following supports:

64.5.4.1. Residential Habilitation and Services (RHS)

64.5.4.2. Day Habilitation (DHI), formerly known as Community Based

Habilitation – Individual (CHIO

64.5.4.3. Respite care services (RSPO)

64.5.4.4. Participant Assistance and Care (PAC)

64.5.4.5. Transportation

64.5.5. All Director of Direct Supports employees must assist the individual to which is being provided supports with one of the following:

64.5.5.1. Self-care

64.5.5.2. Self-direction

64.5.5.3. Expressive or receptive language

64.5.5.4. Ambulation or mobility

64.5.5.5. Activities of Daily Living (ADL’s)

64.5.5.6. Learning

64.5.5.7. Independent Living

64.5.5.8. Economic Self-Sufficiency

64.5.5.9. Physical Activity

64.5.5.10. Community Participation

64.5.6. All Director of Direct Supports employees will assist a Medicaid recipient or Medicaid recipients that meet at least one of the following criteria set forth by the Division of Disability and Rehabilitative Supports (DDRS):

64.5.6.1. ssi (masi)

64.5.6.2. Aged (MA A)

64.5.6.3. Blind (MA B)

64.5.6.4. Disabled (MA D)

64.5.6.5. MED Works (MADW, MADI)

64.5.6.6. Low-income Caretakers (MAGF)

64.5.6.7. Foster Care (MA 15)

64.5.6.8. Foster Care Independence (MA14)

64.5.6.9. Children under Age 1 (MA Y)

64.5.6.10. Children Age 1-5 (MA Z)

64.5.6.11. Children Age 1-18 (MA 2, MA 9)

64.5.6.12. Transitional Medical Assistance (MA F)

64.5.6.13. IV-E FC Foster Care children (MA 4)

64.5.6.14. Children in the Adoption Assistance Program (MA 8)

64.5.7. All Director of Direct Supports employees will document the following:

64.5.7.1. Incident Reporting

64.5.7.1.1. All Director of Direct Supports employees are to submit an

Incident Report form for any of the following incidents, or knowledge of any of the following incidents:

64.5.7.1.1.1. Alleged, suspected, or actual abuse, neglect, or exploitation occurs,

64.5.7.1.1.2. Anytime injury occurs,

64.5.7.1.1.3. Anytime death occurs,

64.5.7.1.1.4. Anytime structural or environmental problems threaten the health and safety of an individual

64.5.7.1.1.5. Anytime a fire occurs at the site of supports delivery

64.5.7.1.1.6. Anytime elopement occurs

64.5.7.1.1.7. Anytime alleged, suspected, or actual criminal activity by an employee of Assisted Independence, LLC.

occurs

64.5.7.1.1.8. Anytime a medication error occurs

64.5.7.1.1.9. Anytime a physical or mechanical restraint is used

64.5.7.1.1.10. Anytime a client has a fall

64.5.7.1.1.11. Any unusual incident that may affect the health, wellness, and functioning of a client

64.5.7.1.2. Incident Reports must include the following:

64.5.7.1.2.1. Employee first and last name

64.5.7.1.2.2. Client first and last name

64.5.7.1.2.3. Date in MM/DD/YEAR format

64.5.7.1.2.4. Time the incident began in 00:00AM format

64.5.7.1.2.5. Time the incident end in 00:00AM format

64.5.7.1.2.6. Description of the events immediately before, during, and following the event

64.5.7.1.2.7. All individuals involved in the event

64.5.7.1.2.8. Description of response to the event

64.5.7.1.3. Incident Reports are to be submitted to Assisted

Independence, LLC. via AccelTraxwithin twenty-four (24) hours of the incident occurring, as well as with the Division of

Disability and Rehabilitative Supports (DDRS) online https://ddrsprovider.fssa.in.gov/IFUR/

64.5.8. Scheduling

64.5.8.1. All Director of Direct Supports employees will be responsible for scheduling work times, which includes a minimum requirement of 35 hours per week.

64.5.8.2. Director of Direct Supports employees must inform the Assisted

Independence, LLC. office and administration of dates when and when not available to provide supports.

64.5.8.3. All Director of Direct Supports employees may not cancel a scheduled work time without permission from Assisted Independence,

LLC. administration.

64.5.8.4. All Director of Direct Supports employees must submit supporting documentation (doctor’s notes, Certificate of Death, etc.) for missed work.

64.5.9. Management

64.5.9.1. All Director of Direct Supports employees are direct supervisors to

Direct Support Professional (DSP) employees. All Director of Direct

Supports employees will actively conduct

64.5.9.1.1. Recruitment of Direct Support Professional (DSP) employees

64.5.9.1.2. Interviewing of potential Direct Support Professional

(DSP) employees

64.5.9.1.3. Hiring, disciplining, suspending, and terminating Direct

Support Professional (DSP) employees

64.5.9.1.4. Training of Direct Support Professional (DSP) employees

64.5.9.1.5. Meetings with Direct Support Professional (DSP) employees

64.5.9.1.6. Annual trainings for Direct Support Professional (DSP) employees

64.5.9.1.7. All communication with Direct Support Professional (DSP) employees

64.5.9.1.8. Annual, formal, employee reviews

64.5.10. Care Coordination

64.5.10.1. All Director of Direct Supports employees will oversee the delivery of direct supports to a maximum of 60 individuals, which includes,

64.5.10.1.1. The formulation and updating of Person-Centered

Individualized Support Plans (PCISP’s)

64.5.10.1.2. The formulation and updating, required at least once annually, of each individual specific risk plan

64.5.10.1.3. The collection of documentation from other care providers relevant to the delivery of direct supports.

64.5.10.1.4. Uploading and downloading of documentation to the

Bureau of Disability Services (BDS) online portal.

64.5.10.1.5. Responding, investigating, documenting, and resolving any and all complaints received from individuals supported, or anyone making the complaint on behalf of the individual supported, as well as educating individuals and their family on how to report a complaint.

64.5.10.1.6. The attendance of all individual specific quarterly meetings.

64.5.10.1.7. The formulation, distribution, and data compilation of an

Annual Survey of Individual Satisfaction, which is to be provided to all individuals supported once annually.

64.5.10.1.8. All communication with individuals supported or individuals communicating on behalf of individuals supported.

64.5.10.1.9. Director of Direct Supports must respond immediately to individuals supported for the following reasons:

64.5.10.1.9.1. anytime alleged, suspected, or actual abuse, neglect, or exploitation occurs

64.5.10.1.9.2. anytime injury occurs

64.5.10.1.9.3. anytime death occurs

64.5.10.1.9.4. anytime a structural or environmental problem threaten the health and safety of Individual supported,

64.5.10.1.9.5. anytime a fire occurs at Individual supported’s whereabouts

64.5.10.1.9.6. anytime a first responder, police officer, fire fighter, or EMT arrives to individual supported’s home

64.5.10.1.9.7. anytime elopement occurs, or Individual supported wanders without telling somebody

64.5.10.1.9.8. anytime alleged, suspected, or actual criminal activity by an employee of Assisted Independence, LLC.

occurs

64.5.10.1.9.9. anytime a medication error occurs

64.5.10.1.9.10. anytime a medication side effect occurs that warrants immediate attention

64.5.10.1.9.11. anytime a physical or mechanical restraint is used

64.5.10.1.9.12. anytime an Individual supported has a fall

64.5.10.1.9.13. any unusual incident that may effect the health, wellness, and functioning of Individual supported

64.5.10.1.9.14. anytime a medical appointment, such as doctor’s appointment, psychiatry appointment, or therapy appointment is scheduled, and was not able to be scheduled during a scheduled shift

64.5.10.1.9.15. anytime a behavioral related incident occurs that results in potential self-harm, harm to others, or property damage

64.5.10.1.9.16. anytime a threat is made towards Individual supported or oneself

64.5.10.1.9.17. anytime a vehicular accident involving Individual supported occurs

64.5.10.1.9.18. anytime public transportation is not available to

Individual supported, and Individual supported needs transportation for school or groceries, when food is not present at the home

64.5.10.1.9.19. anytime another scheduled employee is unable to fulfill a scheduled shift

64.5.10.1.9.20. anytime an unexpected visitor arrives to Individual supported’s residence

64.5.10.1.9.21. anytime a severe, adverse weather event, such as a tornado or flood, occurs

64.5.10.1.9.22. anytime an electricity outage occurs

64.5.10.1.9.23. anytime a terror threat or act occurs in Individual supported’s vicinity

64.5.10.1.9.24. any “act of God” or severe adverse event that were to pose a serious threat to Individual supported

64.5.10.1.9.25. anytime an animal enters Individual supported’s household unexpectedly, and the animal does not leave willingly

64.5.11. Administration

64.5.11.1. All Director of Direct Supports employees will actively participate in administrative tasks of Assisted Independence, LLC., including, but not limited to,

64.5.11.1.1. Meetings with Assisted Independence, LLC.

64.5.11.1.1.1. President

64.5.11.1.1.2. Director of Recreational Therapy

64.5.11.1.1.3. Nurse

64.5.11.1.1.4. Administrative Support Specialist

64.5.11.1.1.5. any consultants hired by Assisted Independence,

LLC.

64.5.11.1.1.6. community members

64.5.11.1.1.7. journalists

64.5.11.1.2. Audit, surveys, webinars, and inquiries from

64.5.11.1.2.1. the Bureau of Disability Services (BDS)

64.5.11.1.2.2. the Division of Disability and Rehabilitative

Services (DDRS)

64.5.11.1.2.3. the Family and Social Services Administration

(FSSA)

64.5.11.1.2.4. the Centers of Medicaid/ Medicare (CMS)

64.5.11.1.3. Audit, surveys, and inquiries from

64.5.11.1.3.1. the Disability Determination Bureau (DDB)

64.5.11.1.3.2. the Department of Labor (DOL)

64.5.11.1.3.3. the Department of Workforce Development (DWD)

64.5.11.1.3.4. the Commission on Accreditation for Rehabilitation

Facilities (CARF)

64.5.11.1.3.5. the Occupational, Health, and Safety

Administration (OSHA)

64.5.11.1.4. The formulations of programs, including

64.5.11.1.4.1. Recreational activities

64.5.11.1.4.2. Outdoor activities

64.5.11.1.4.3. Educational opportunities

64.5.11.1.4.4. Opportunities for individual supported to generate an income

64.5.11.1.4.5. Teaching of resources available to individuals supported

64.5.11.1.4.6. Health promoting activities

64.5.11.1.5. Quality assurance checks, including,

64.5.11.1.5.1. The aggregating of data

64.5.11.1.5.2. Individual supported and employee retention analysis

64.5.11.1.5.3. Documentation checklists

64.5.11.1.5.4. Goal tracking and outcomes

64.5.11.1.5.5. Utilization reports

64.5.11.1.5.6. Any activity that promotes the betterment of

Assisted Independence, LLC. and the individuals supported.

64.5.12. Use of Technology

64.5.12.1. All Director of Direct Supports employees will receive and be expected to use

64.5.12.1.1. Laptop computer

64.5.12.1.2. Cellular smartphone…