Information to Parent(s)/Legal Representative(s)

Information to Parent(s)/Legal Representative(s) At the time of the initial interview, the agency provider of Respite Services must document that the following information has been provided in writing and explained in a manner easily understood to parent(s)/legal representative(s) and children/youth being served, as part of information provided to children/youth, parent(s)/legal representative(s) prior to or upon provision of Respite Services: A. Employment criteria/credentials of the potential Respite Service provider/worker/mentor/volunteer; B. Respite Service’s policy concerning behavior management (The service must be very specific in its description pertaining to behavior management).; C. Signed confidentiality statement; and D. Service Agreement between the caregiver, the Respite Service provider/worker/mentor/volunteer, and the agency provider clearly stating what each entity agrees to do while services are being provided. The agreement must be included in the child/youth case record and a copy given to the caregiver.