W. Va. Code R. § 78-3-11

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 78-3-11 - Training and Supervision of Employees

11.1. Orientation of New Employees.

11.1.1. The organization shall ensure that each new employee, volunteer, and student receive an orientation within the first 10 business days of employment and shall document that orientation in the individual's personnel record.

11.1.2. The organization shall orient all new employees on the following:

11.1.2.a. An organizational chart that delineates lines of accountability and authority at all levels of the organization;

11.1.2.b. The objectives and process of the organization's continuous quality improvement program;

11.1.2.c. The organization's policies and procedures on confidentiality and disclosure of information on persons served, including penalties for violation of these policies and procedures and an orientation to federal confidentiality requirements as they apply to the organization;

11.1.2.d. The legal rights of persons served;

11.1.2.e. Mandatory reporting procedures for suspected abuse and neglect;

11.1.2.f. Appropriate identification and documentation of incidents;

11.1.2.g. The responsibility to abide by organizational and professional ethics;

11.1.2.h. Fire drills; and

11.1.2.i. Procedures regarding medical and psychiatric emergencies, including necessary notification of guardians and others.

11.2. Employee Training and Content.

11.2.1. The organization shall provide training to clinical and direct care employees in the following health related topics within 30 days of employment:

11.2.1.a. Basic medical needs and problems of the population served, including management of sick children and symptoms of common medical problems, such as allergy reactions, diabetes, and asthma;

11.2.1.b. Basic first aid (completed according to OSHA-approved pediatric first aid requirements and adult requirements as appropriate) and medication reactions (including desired and undesired effects). This training must be updated every three years;

11.2.1.c. Cardio-Pulmonary Resuscitation (CPR) Adult Training is required every two years and First Aid certification every three years, specific to population served (adult, child or infant);

11.2.1.d. Supervision of self-administration of medication as applicable including typical medications prescribed, appropriate dosages and schedules and common side effects. This training shall be updated annually;

11.2.1.e. Basic de-escalation techniques and passive restraints. This training must be updated annually;

11.2.1.f. The organization's protocols for universal disease precautions and providing services to children with contagious and infectious diseases. This training must be updated annually;

11.2.1.g. The organization's procedures regarding the duty to warn others of impending harm due to threats made by a resident of the organization's program. The procedures shall include, at a minimum, the requirement that verbal communication of the treatment to the potential victim occur immediately;

11.2.1.h. Appropriate management of suicidal threats or behaviors;

11.2.1.i. The organization shall inform all employees in writing of its policy defining and prohibiting corporal and degrading punishment.

11.2.1.j. The organization shall train appropriate employees on procedures for maintaining a safe, hygienic, and sanitary environment. Procedures shall address:

11.2.1.j.1. Steps to retard the spread of infection in bathrooms, bedding, and food; and

11.2.1.j.2. Proper storage of cleaning supplies and hazardous materials.

11.2.2. Additionally, program employees with direct care responsibilities shall be trained within 90 days of employment on the following:

11.2.2.a. Sensitivity to differences in cultural norms and values as appropriate;

11.2.2.b. Management of children attempting to escape supervision or who are away from supervision;

11.2.2.c. Sensitivity to sexual identity including lesbian, gay, bisexual, transgender, and questioning youth;

11.2.2.d. Family dynamics, including human growth and development;

11.2.2.e. Proper documentation techniques; and

11.2.2.f. Basic therapeutic or behavior management techniques.

11.2.2.g. Children's trauma stress experiences, to include:

11.2.2.g.1. Impact on development, behavior, and relationships;

11.2.2.g.2. Understanding the types of trauma;

11.2.2.g.3. Understanding the influence of cultural factors;

11.2.2.g.4. Recognizing how on-going stressors impact child traumatic stress;

11.2.2.g.5. Responding to crises with interventions; and

11.2.2.g.6. Strategies and interventions to promote resiliency and health.

11.2.2.h. Food handler's certification as necessary and appropriate.

11.2.3. Employees shall be trained at the time of admission to serve any child with special needs such as dietary restrictions, use of an epinephrine auto-injector, rescue inhalers, diabetic monitoring mechanisms, etc.

11.2.4. The organization shall document all employee training provided to employees, including a survey by the employee that indicates that he or she feels adequately trained to do their job.

11.2.5. Until the training is completed, the employee may not work unless accompanied at all times by an employee who is experienced and knowledgeable in these areas.

11.3. Supervision.

11.3.1. The organization shall have a system of employee supervision that is tailored to the organization's model of service delivery and uses individual or group, or both, supervision on a regularly scheduled basis.

11.3.2. The organization shall adjust supervisory assignments, frequency, and duration in response to the findings and recommendation of the continuous quality improvement processes.

W. Va. Code R. § 78-3-11