003.03STAFF TRAINING AND COMPETENCY. The provider must ensure that employees, including subcontractors and management, responsible for providing supports and services to individuals with developmental disabilities are trained on the minimum requirements necessary to address the individual's needs prior to working with individuals in services. Staff responsible for providing direct services must demonstrate the competence to support individuals as part of a required and on-going training program. The provider must ensure staff receive training and demonstrate competencies under the guidance of an already trained and proficient staff member prior to working alone with individuals.
For staff responsible for providing direct services to participants served under a Risk Endorsement, the provider must ensure staff receive training from the provider-employed clinician on the participant's Individual Support Plan and any behavioral and safety plans and demonstrate competency in the implementation of these plans prior to working alone with a participant served under a risk endorsement.
The provider must document in the employee's personnel record that required orientation and training was completed and competency was demonstrated. It is the responsibility of the provider to ensure that training and verification of such is completed by persons with expertise who are qualified by education, training, or experience in those areas.
003.03(A)INITIAL ORIENTATION REQUIREMENTS. Initial orientation must be completed by all new employees prior to working alone with individuals. Employees must complete the following training requirements: (ii) Individual's rights in accordance with state and federal laws;(iv) Dignity and respectful interactions with individuals;(v) Individual support plan and any medical, behavioral, or safety protocols for all participants to whom the staff provides direct services; and(vi) Abuse, neglect, or exploitation and state law reporting requirements and prevention.003.03(B)REQUIRED TRAINING. Employees must be trained to respond to injury, illness, and emergencies, and competency verified within 30 calendar days of hire or before working alone with an individual. The following training areas must be completed: (i) Emergency procedures;(ii) Cardiopulmonary resuscitation (CPR);(iii) Basic first aid; and003.03(C) Employees must be trained and demonstrate competency within 180 calendar days of hire regarding the implementation of the provision of services to individuals. This training must include: (i) Implementation and development of the individual support plan (ISP) and interdisciplinary process;(ii) Positive support techniques;(iii) Division approved emergency safety intervention techniques;(iv) Concepts of habilitation, socialization, and age-appropriateness, depending on the needs of the individual;(v) Use of adaptive and augmentative devices used to support individuals, as necessary;(vi) Other training required by the provider; and(vii) Other training as required by the specific service options.003.03(D) For employees providing direct services to individuals served under a risk endorsement, all training requirements outlined in 404 NAC 4-003.03 must be completed prior to working alone with a participant served under a risk endorsement.003.03(E) Training and verification of competencies in the above areas must be conducted by persons with expertise who are qualified by education, training, or expertise in those areas. 003.03(E)(i) Staff training and demonstration of competency must be documented and maintained by the provider, and must include: (2) Date staff attended training;(3) Date competencies verified;(4) Name of person conducting training; and(5) Verification of competencies.