1. (a) One hundred percent (100%) direct on-site, in-view supervision is required for the first ten (10) hours of direct student contact.

2. (b)

   1. (1)

      1. (A) A total of at least fifty percent (50%) direct and indirect supervision is required and must be documented for the next ninety (90) workdays.
      2. (B) For a forty-hour work week, this would be twenty (20) hours for both direct and indirect supervision.
   2. (2) Documented direct supervision shall be required no less than thirty percent (30%) of the actual student contact time weekly for each speech-language pathology aide.
   3. (3) During each week, data on every student seen by the speech-language pathology aide must be reviewed by the supervisor.

   4. (4)

      1. (A) In addition, the thirty percent (30%) direct supervision must be scheduled so that all students seen by the aide are directly supervised in a timely manner.
      2. (B) Supervision days and time of day (morning/afternoon) must be alternated to ensure that all students receive direct contact with the speech-language pathologist at least once every two (2) weeks.

   5. (5) Information obtained during direct supervision must include data relative to:

      1. (A) Agreement (reliability) between the aide and the supervisor on correct/incorrect recording of target behavior;
      2. (B) Accuracy in implementation of screening and treatment procedures;
      3. (C) Accuracy in recording data; and
      4. (D) Ability to interact effectively with the student.

3. (c)

   1. (1) Indirect supervision is required no less than twenty percent (20%) of the actual student contact time and may include:

      1. (A) Demonstration;
      2. (B) Record review;
      3. (C) Review and evaluation of audio-taped or video-taped sessions;
      4. (D) Interactive television; and/or
      5. (E) Supervisory conferences that may be conducted by telephone.
   2. (2) Treatment data must be reviewed at least weekly for each case.
   3. (3) The speech-language pathologist will review each session plan as needed for timely implementation of modifications.

4. (d)

   1. (1) After the initial ninety-day work period, the amount of supervision may be adjusted depending on the:

      1. (A) Competency of the aide;
      2. (B) Needs of the students served; and
      3. (C) Nature of the assigned tasks.
   2. (2) The minimum is forty percent (40%) documented supervision, with no less than thirty percent (30%) being direct supervision.
   3. (3) For a forty-hour work week, this is sixteen (16) hours of supervision, at least twelve (12) of which is direct supervision.
   4. (4) Supervision days and time of day (morning/afternoon) must be alternated to ensure that all students receive direct contact with the speech-language pathologist at least once every two (2) weeks.

5. (e)

   1. (1) A supervising speech-language pathologist must be able to be reached by personal contact, phone, pager, or other immediate means at all times when direct student care is being rendered.

   2. (2) If, for any reason (i.e., extended leave, illness, change of jobs), the supervisor is no longer available to provide the level of supervision stipulated, the speech-language pathology aide may not perform direct student care until:

      1. (A) A speech-language pathologist has been designated as the speech-language pathology aide’s supervisor; and
      2. (B) The Department of Education has been notified.
6. (f) Whenever the SLP-aide’s performance is judged by the supervising speech-language pathologist to be unsatisfactory over two (2) consecutive observations, the SLP-aide shall be retrained in the necessary skills and direct observations shall be increased to fifty percent (50%) of all clinical sessions until the SLP-aide’s performance is judged to be satisfactory over two (2) consecutive observations.

Codification Notes: “SLP” means speech-language pathologist.