Requirements

Residential care homes shall employ sufficient personnel appropriately qualified and trained to provide the essential services of the home. (1) Sufficient number of persons. (A) Each residential care home shall have one (1) person who is administratively responsible for the home. (B) There shall be at least one (1) person in charge of the home and its operation on duty in the home whenever residents are present. (C) There shall be a minimum of 3/4 hour of personnel per day per resident based on average daily census. (D) All residential care homes shall have a signed, written agreement with a registered nurse to act as a consultant. Documentation of the use of the nurse consultant shall be maintained in the home. (2) Staff qualifications. (A) Each residential care home shall have a person designated as "Administrator," who is licensed in accordance with Title 63 O.S. Section 330.51 et seq. (B) All personnel who have the responsibility for administering or monitoring medication to residents shall obtain a certificate of training in medication administration from an institution of higher learning whose program has been reviewed by the Department. (Currently licensed physicians, registered nurses and licensed practical nurses shall be deemed to meet the medication administration training requirement.) (C) All other staff shall have training and/or experience relevant to their job description. (D) Personnel responsible for providing professional services must be appropriately certified, registered, or licensed. (3) Staff training. In order to ensure all homes maintain a OAC 310:680 OKLAHOMA STATE DEPARTMENT OF HEALTH 25 October 01, 2017 level of competency necessary to meet the needs of each individual served in the home, personnel must complete the following training requirements. (A) At all times there shall be in the home at least one staff person currently trained in first-aid and cardiopulmonary resuscitation that is Red Cross training or equivalent training with a hands-on component. Proof of training shall be kept on file in the home. First-Aid and CPR training shall be kept current. (B) Administrators shall obtain continuing education training as required to maintain an administrator's license pursuant to Title 63 O.S. Section 330.51 et seq. All training shall be documented and the record kept in the home. (C) Direct care staff who are responsible for administering or monitoring medication shall annually be required to receive at least eight (8) hours of training by the administrator of the home in patient reporting and observation, record keeping, independent or daily living skills, leisure skills and recreation, human relations and such other training relevant to residential care program and operation. (D) All direct care staff shall begin eight (8) hours of inservice by the administrator of the home or other person designated by the administrator of the home within ninety (90) days of employment and completed within twelve (12) months of employment. Eight (8) hours of inservice shall be required annually thereafter. (E) All residential care programs shall provide a new employee orientation program which includes instruction in policies and procedures regarding the areas of abuse and neglect, resident rights, confidentiality, procedure for handling emergencies, and job descriptions. (4) Personnel practices. (A) Residents shall not supervise other residents. (B) The behavior of staff reflects sensitivity to the needs of the individuals served for privacy and dignity. For example, confidentiality and normal sensibility are exercised in speaking about an individual, and undignified displays, exhibitions, or exposure of individuals served, whether deliberate or unintentional, do not occur. (C) The home shall have written personnel policies and procedures which address such issues as: job description, terms of employment, authorized leave procedures, grievance procedures, and professional conduct. SUBCHAPTER 13. MEDICATION STORAGE AND ADMINISTRATION