1. (a) The provider shall:

   1. (1) Ensure that the recipient receives independent living skills training as stated in the recipient’s individualized independent living plan of care;
   2. (2) Coordinate independent living resources and supports; and
   3. (3) Perform on-going assessments to evaluate the recipient’s psychosocial, physical, and environmental status to prevent hospitalization and to promote wellness.

2. (b) The personal care attendant shall document a detailed written daily record to include:

   1. (1) Specific tasks performed;
   2. (2) Condition and changes in condition or status of the recipient, such as a reported change in sleep patterns, an injury, or development of a decubitus ulcer; and
   3. (3) The dates worked, total number of hours and/or 15 minute units worked for each day, including the in and out times.

3. (c) When the personal care attendant has concerns regarding the recipient’s health, he or she shall:

   1. (1) Raise the concerns with the recipient;
   2. (2) Note the concerns in their daily report; and
   3. (3) If raising the issue with the recipient does not alleviate the concern, bring the concern to the attention of the registered nurse employed by the provider to oversee the recipient’s care.
4. (d) When the personal care attendant brings a concern to the nurse’s attention in accordance with (c)(3), the nurse shall follow-up and document the outcome in the provider’s record for the recipient.

Source. #10676, eff 9-26-14 (from He-W 552.03)