(a) All services. The agency shall:

1. (1) Perform an initial evaluation visit and determine the:

   1. (A) Needs and condition of the client;
   2. (B) Services to be provided; and
   3. (C) Personnel to provide the services; and

2. (2) Develop the Aide Service Plan that shall:

   1. (A) Outline the services;
   2. (B) Determine scope and frequency of visits;
   3. (C) Assign appropriate delegation of services consistent with the Arkansas State Board of Nursing; and
   4. (D)

(i) Determine supervision scope and frequency.

1. (ii) Frequency shall be at least annually.

(b) Personal care services shall be rendered by a person who has completed an approved forty-hour aide training course that meets the requirements set forth in 20 CAR § 49-108, and:

1. (1) Delegate through the use of an Aide Service Plan;
2. (2) Each aide shall receive a copy of the Aide Service Plan;
3. (3) A copy of the Aide Service Plan will be accessible in the home;
4. (4) The Aide Service Plan shall be individualized and specific;

5. (5)

   1. (A) Aides shall receive a minimum of twelve (12) hours of in-service training per twelve (12) months.
   2. (B) The in-services provided shall address areas that directly relate to the client care aspect of the aide's job; and

6. (6)

   1. (A) The agency is responsible for evaluating the competency of any personal care aide.
   2. (B) At a minimum, the aide shall be observed by a registered nurse performing the skills required to care for a client according to Table 1.

   3. (C) There shall be documentation by the agency to show evidence of this evaluation.

      1. (c) Services provided by contractors. A contracted entity or contracted individual conforms to all applicable agency policies, including those described in 20 CAR § 49-109(a).