(a) If homemaker services are provided, they may be furnished directly by the home health agency or through contract agreement with a vendor.
(b) The homemaker assists with instrumental activities of daily living, such as housekeeping and homemaking services, in order to preserve a safe, sanitary home and to enhance family life. The homemaker does not provide any personal care. - (i) Examples of duties include but are not limited to:
- (E) Basic meal preparation;
- (F) Meal planning (except for clients on therapeutic diets); and
- (G) Maintaining a safe and sanitary environment.
- (ii) Written service plan instructions to the homemaker shall be provided by the supervising professional.
- (iii) The written instructions shall be reviewed by the homemaker and the supervising professional as frequently as the clients condition requires, but at least once every ninety (90) days.
- (A) The homemaker shall be present during the supervisory visit.
- (B) The supervisory visits shall occur at the clients home.
- (C) The supervisory visits shall be conducted by an RN or LPN no less than every ninety (90) days for unskilled services.
(c) Training for homemakers: - (i) The following training areas shall be incorporated into home health agency policy and completed before any client assignment.
- (ii) Training shall be a minimum of eight (8) hours, and shall be documented in the homemakers personnel record. Training shall include:
- (A) Orientation to homemaker services;
- (B) Understanding and working with various client populations;
- (C) Understanding basic human needs;
- (E) Practical knowledge and skill in homemaking;
- (F) Maintaining a clean, safe, and healthy environment;
- (G) Universal precautions;
- (H) Emergency procedures; and
- (I) Client Rights and obligations.
(d) Homemaker Service Plan. - (i) If homemaker services are the only service provided, a service plan shall be developed by a supervisor and shall consist of the following:
- (A) The specific procedures to be done;
- (B) The number of times per week the procedures are to be completed, and appropriately spaced during the week;
- (C) The day and approximate arrival time at the clients home; and
- (D) Procedures to be followed in an emergency situation.