1. (a) Personal care services shall be provided by personal care service workers in accordance with these rules.

2. (b) Personal care services shall include the following services:

   1. (1) Hands-on assistance with activities of daily living necessary to carry out daily self-care activities such as grooming, toileting, eating, dressing, getting into or out of a bed or chair, walking, bathing, and continence, or cuing an individual to perform a task;

   2. (2) Under the direction of the individual, assistance with self-administration of oral or topical medication as prescribed, to include:

      1. a. Reminding the individual regarding the timing and dosage of the medication, and to take his or her medication as written on the medication container;
      2. b. Placing the medication container within reach of the individual;
      3. c. Assisting the individual with opening the medication container;
      4. d. Assisting the individual by steadying shaking hands; and
      5. e. Observing the individual take the medication and recording the same in the individual’s record;

   3. (3) Accompanying the individual in the community when:

      1. a. The assistance of the personal care worker is required for the individual to access necessary services; and
      2. b. The need for re-direction or direct assistance, or both, is required;
   4. (4) When non-medical transportation services are authorized, hands-on assistance at the authorized destination when the comprehensive care plan documents that this assistance is required at the destination; and

   5. (5) General household tasks, limited to the following:

      1. a. Laundering the individual’s personal clothing items, towels, and bedding;
      2. b. Light cleaning limited to the individual’s bedroom, bathroom, mobility, and medical devices, and common living spaces;
      3. c. When the individual lives alone, light cleaning of the kitchen, entry way areas, and common living spaces, in order to maintain a safe environment;
      4. d. Errands for necessary tasks identified in the comprehensive care plan; and
      5. e. Preparing non-communal meals and snacks, unless for multiple CFI individuals, including cleaning the food preparation area after the food is served.

3. (c) Personal care services shall not include:

   1. (1) For the purpose of transportation only, when no other assistance is required;

   2. (2) When provided in any of the following settings:

      1. a. A residential care facility;
      2. b. A hospital;
      3. c. A nursing facility;
      4. d. A rehabilitation facility; and
      5. e. An adult family care home.

      6. (4) When provided by any of the following individuals:

         1. a. The individual’s personal care services representative;
         2. b. The individual’s agent acting under a designated power of attorney pursuant to RSA 564-E; or
         3. c. The individual’s legal guardian.

Source. (See Revision Notes # 1 and #2 at chapter heading for He-P 600) #9898-A, eff 3-29-11, EXPIRED: 3-29-19 New. #13115, eff 10-1-20