Library: Policy
340:100-3-38.14. Training requirements for staff providing extensive residential supports (ERS)
Issued 10-08-24
(a) Applicability. Oklahoma Administrative Code (OAC) 340:100-3-38.14 sets forth training requirements for staff, volunteers, and direct supervisors providing either full- or part-time direct supports for a service recipient receiving ERS per OAC 317:40-5-154.
(b) New employee training. No later than 30-calendar days following the hire date, staff providing direct supports or supervising the delivery of direct supports at any level must complete the online or first available Developmental Disabilities Services (DDS)-approved foundation training course and effective teaching course. The first available class is the first unfilled class held within 60 miles of the staff's work location following the staff's hire date.
(c) Incident Reporting Training, First aid and cardio-pulmonary resuscitation (CPR). Direct support staff must be certified in an approved course of first aid and CPR and receive training on the DDS Incident Reporting process before providing services alone or with other untrained staff.
(1) Incident Reporting Training, First aid and CPR certification must occur within 90-calendar days following the staff's hire date.
(2) The service recipient's Personal Support Team (Team) may determine, based on the service recipient's needs, that staff must receive first aid and CPR certification in less than 90-calendar days.
(d) Medication administration training. Staff must be certified in an approved medication administration course per, OAC 340:100-3-38.10, before administering medication to a service recipient or assisting with a service recipient's medication support plan.
(e) Individual-specific in-service training. Individual-specific in-service training is identified for direct support staff in the service recipient's Individual Plan (Plan).
(1) Training requirements are based on the service recipient's identified needs through Team discussion and review of available assessment information.
(2) A service recipient's Team specifies required completion time frames for individual-specific in-service training. When time frames are not identified in the Plan, required individual-specific in-service training must be completed before working with the service recipient.
(3) As the service recipient's needs require changes in supports or programs, the Team documents in the Plan or in addenda to the Plan, any new or additional in-service training required, with completion time frames.
(4) Individual-specific training is provided by the person(s) designated by the Team and identified by position in the Plan, per rule, statute, and professional practice regulations, when applicable.
(5) The responsible Team member verifies staff has knowledge and skills necessary to provide the identified services. Videos may be used when approved by the Team.
(f) Job-specific training.
(1) Staff must complete training as identified in Appendix D-27:
(2) Staff who works in both residential and employment or other settings must meet the job-specific training requirements of both jobs. Transfers to avoid required training completion are prohibited.
(g) Specialized training. Additional specialized training may be required for direct support staff based on the service recipient's needs including significant behavior, health or physical support issues.
(1) Staff must complete an approved:
(A) behavior support course before working alone or with other untrained staff and within 60 calendar days after assignment with a service recipient who has a PIP that:
(i) addresses challenging behavior that places the service recipient's physical safety, environment, relationships, or community participation at serious risk; or
(ii) contains one or more of these procedures:
(I) physical guidance to overcome resistance;
(II) physical guidance to move to safety; or
(III) physical hold to restrict movement.
(B) physical management course before implementing any physical management technique included in a PIP.
(i) Only staff and staff supervisors providing support to the service recipient are trained on the use of a physical management procedures.
(ii) Staff formally trained to use physical management procedures do not use those techniques with other service recipients, except in emergencies per OAC 340:100-5-57.
(iii) Training regarding physical management procedures must be obtained from trainers approved by the DDS director or designee.
(C) training in person centered planning from courses identified in Appendix D-27 before working alone or with other untrained staff and within 60 calendar days after assignment date.
(D) orientation specific to community protection within 60 calendar days of assignment date; and
(E) training in trauma informed care within 60 calendar days of assignment date.
(2) Staff working with the service recipient implements the positive components of the PIP, as well as non-intrusive procedures to assist the service recipient during a crisis.
(3) The DDS director or designee approves training curricula regarding behavior support.
(h) Ongoing training. Direct support staff employed by provider agencies completes 12 hours of approved annual training.
(1) Annual retraining on physical management or physical restraint procedures in the approved PIP must be completed;
(2) Additional annual training may come from courses identified in Appendix D-27:
(3) Direct support staff who supervises other staff must take 12 hours of supervisory training annually that may be included in the hours required per this Section.
(4) Direct support staff may challenge or test out of required annual recertification when an approved option is available. Training completion hours are granted equal to the number of hours for the standard recertification class.
(i) Exceptions. The DDS director or designee may make exceptions to training requirements per this Section.
