9918.1 A home support agency may offer personal care services and shall employ qualified home health aides pursuant to 17 DCMR §§ 9300 et seq. to perform those services.

9918.2 Each home health aide shall be supervised by a registered nurse. On-site supervision of personal care services shall take place at least once every ninety (90) days.

9918.3 The home support agency shall have an adequate number of registered nurses to supervise the implementation of personal care services.

9918.4 Personal care services may include the following:

1. (a) Basic personal care including bathing, grooming, dressing, and assistance with toileting;
2. (b) Assisting with incontinence, including bed pan use, changing urinary drainage bags, protective underwear, and monitoring urine input and output;
3. (c) Assisting the client with transfer, ambulation, and exercise as prescribed;
4. (d) Assisting the client with self-administration of medication;
5. (e) Reading and recording temperature, pulse, and respiration;
6. (f) Measuring and recording blood pressure, height, and weight;
7. (g) Observing, recording, and reporting the client's physical condition, behavior, or appearance;
8. (h) Meal preparation in accordance with dietary guidelines, and assistance with eating;
9. (i) Implementation of universal precautions to ensure infection control;
10. (j) Tasks related to keeping the client's living area in a condition that promotes the client's health and comfort;
11. (k) Accompanying or transporting the client to medical and medically-related appointments, to the client's place of employment, and to recreational activities;

(l) Assisting the client at his or her place of employment;

(m) Shopping for items related to promoting the client's nutritional status and other health needs; and

(n) Providing companion services.

SOURCE: Final Rulemaking published at 67 DCR 9476 (August 7, 2020).