To consent to a home care attendant assisting a consumer with nursing tasks or self-administration of medication, the consumer or consumer's authorized representative shall provide the appropriate director a written statement signed by the consumer or authorized representative under which the consumer or authorized representative consents to both of the following:

1. (A) Having the attendant assist the consumer with nursing tasks or self-administration of medication;
2. (B) Assuming responsibility for directing the attendant when the attendant assists the consumer with nursing tasks or self-administration of medication.