460 IAC 9-3-3 Facility staffing

Sec. 3. (a) The residential facility shall meet all conditions specified in 42 CFR 483.430 (10-1-95). (b) Orientation to the facility shall be as follows: (1) Each residential facility shall have a written orientation plan for all residential staff. The orientation plan shall include, but not be limited to, the following: (A) A review of the policy and procedure manual. (B) Emergency procedures and appropriate telephone numbers. (C) On-the-job observation and training. (D) Any other suitable training required by the facility policy. (2) Each residential staff person shall receive orientation and training in tasks required to be performed in the facility prior to independently assuming the position, including life safety training. Records of such training shall be documented by the provider. (c) The provider shall have a written plan for inservice training or require all residential staff to attend other staff development programs. Each provider shall provide or require at least twenty-four (24) hours of training per residential staff person per year. Records of such training, including that provided to relief or part-time staff, shall be documented and retained according to the provider's written policy. (d) The provider shall demonstrate that its employment practices assure that the health of residential staff shall not be detrimental to the health or welfare of the residents. (e) Prior to assuming residential job duties and annually thereafter, each residential staff person shall submit written evidence that a Mantoux (5TU, PPD) tuberculosis skin test or chest x-ray was completed. The result of the Mantoux shall be recorded in millimeter of induration with the date given, date read, and by whom administered. If the skin test result is significant (ten (10) millimeters or more), then a chest film shall be done with other physical and laboratory examinations as necessary to complete a diagnosis. Prophylactic treatment shall be provided as per diagnosis for the length of time prescribed by the physician.