1. (a) All persons who provide residential services shall be at least 18 years of age.
2. (b) Prior to providing services to individuals, a prospective provider and all adults living in the home, except individuals, shall have evidence of the results of a mantoux tuberculin test and individual tuberculosis risk assessment completed within the previous 12 months.
3. (c) For any person for whom the results of the test conducted in accordance with (b) above are positive, the person shall comply with the recommendations for follow-up testing, if applicable, in accordance with the Centers for Disease Control and Prevention “Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC” (2019 edition), available as noted in Appendix A.
4. (d) If a follow-up test in accordance with (c) above demonstrates a positive finding, then no individual shall be permitted to reside with said person.

5. (e) Prior to delivering services to an individual, a prospective provider shall have received orientation in the following areas:

   1. (1) Rights as set forth in He-M 202, He-M 310, and home and community-based settings expectations as outlined in 42 CFR 441.301;

   2. (2) The specific health-related requirements of each individual, including:

      1. a. All current medical conditions, medical history, and routine and emergency protocols; and
      2. b. Any special nutrition, dietary, hydration, elimination, or ambulation needs;
   3. (3) Any specific communication needs;
   4. (4) An overview of developmental disabilities or acquired brain disorders, or both, as appropriate, including the local and state service delivery system;
   5. (5) Any behavioral supports required of individuals served; and
   6. (6) Any assistance individuals need to evacuate the residence in the case of emergency.
6. (f) Staff and providers with no prior experience providing services directly to individuals shall not provide these services without direct oversight and support during the first 16 hours of providing services.

7. (g) Within the first 6 months of employment or contracting, each provider agency shall ensure that staff and providers working or living in a community residence are trained in the following:

   1. (1) Everyday health including personal hygiene, oral health, and mental health;

   2. (2) The elements that contribute to quality of life for individuals, including support to:

      1. a. Create and maintain valued social roles;
      2. b. Build relationships; and
      3. c. Participate in their local communities;
   3. (3) Strategies to help individuals to learn useful skills;
   4. (4) Behavioral support; and
   5. (5) Consumer choice, empowerment, and self-advocacy.

Source. (See Revision Note at part heading for He-M 1001) #5867, eff 9-1-94, EXPIRED: 9-1-00; amd by #6582, eff 9-19-97 New. #7681, eff 4-23-02; ss by #9696, INTERIM, eff 4-23-10, EXPIRES: 10-20-10; ss by #9776-A, eff 10-1-10, EXPIRED: 10-1-18 New. #12650, INTERIM, eff 10-24-18, EXPIRED: 4-22-19 New. #12775, eff 5-7-19; ss by #14255, eff 5-23-25, EXPIRES: 5-23-35