Home & Community Support Services (HCSSA) Agency- Policies and Procedures- Texas State Licensure

Introducing our comprehensive Home & Community Support Services (HCSSA)Agency Policies and Procedures package designed specifically for Texas State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of policies and procedures is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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TABLE OF CONTENTS

INTRODUCTION 
STATEMENT OF PURPOSE 
STATEMENT OF POLICY 
DOCUMENT CONTROL & APPROVALS 
RECORD KEEPING MANAGEMENT POLICY 
Procedures: 
Serious Incident Reporting 
Personnel Records 
Client Records 
Active Client Record 
Record Retention 
Unauthorized Absences 
Strategies for service continuity and record recovery 
Operation Records 
Designation of person responsible for records management 
Disposition of records 

PERSONNEL POLICIES AND PROCEDURES 
Job Descriptions 
    Chief Executive Officer 
    Client-Care Administrator 
    Registered Nurse 
    Caregiver 
    Therapist 
    Psychologist 
Staffing Plan 
    Types of Services Provided and Service Descriptions 
    Adjustments in Staffing and Emergency 
Employee Training and Development 
    Medication Administration 
    Behavioral Management 
    Emergency Preparedness 
    Record Keeping in Employee Personnel Records 
Taking Client Away from Operations and Overnight Visit Policy 
Background Check and Drug-Free Workplace 
    Drug-Free and Non-Smoking Policies 
    Employee Verification 
    Background Check 
    Recruitment 
Abuse, Neglect, Or Exploitation 
    Procedures: 
    Disciplinary sanctions 
    Investigation Procedures 
    Evidence 
    Protective Custody 
    Identification of Suspect/Custody Considerations 
    Notifications 
    Documentation 
    Impact of Investigation 
Confidentiality 
Drug Testing Policy 

COORDINATION AND DELIVERY OF SERVICES 
Supervision of Care and Services 
Supervisory Instructions 
Plan for the Provision of Resident Care 
Resident Assessment 
Strategic planning of home care 
Coordinating home care 
Access to and review of home care plans 
Delivering home care 
Delivering person-centred home care 

ACCEPTANCE OF PATIENTS, PLAN OF TREATMENT, AND MEDICAL SUPERVISION 
ACCEPTENCE OF PATIENCE 
    Patient Acceptance 
    Admission Criteria 
    Screening Admission and Referrals 
    Discharged/ Termination Criteria 

DEVELOPMENT OF THE PLAN OF TREATMENT 
    Plan of Treatment 
    Medical Care and Identification for Treatment 
    Patient Identification 
    Individualized Services Plan (ISP) 
    Care Plan 
    Care of Residents 
    Planning Home Care 

REVIEW OF THE PLAN OF TREATMENT 
    Periodic review of plan of treatment 

PHYSICIAN’S ORDER POLICY 
    Conformance with physician’s orders 
    Physician Orders Methods 

VERBAL ORDER POLICY 

CONFLICT OF INTEREST POLICY 
Code of Ethics and Conduct 
Conflict of Interest 

ADMISSION POLICIES 
Procedure: 
Admission Criteria 
Intake Assessment 
Program for Client in Care 

INDIVIDUAL CARE POLICIES 
Client Rights 
Visitation, Outings, Mail and Telephones 
    Visitation and Communication Procedures 
    Outing Procedures 
    Visiting Hours 
Client’s Clothing and Personal Belongings 
    Nominated Supervisors and Responsibilities 
    Limitations and The Reasons for The Limitations 
Behavior Management 
    Disruptive Behavior 
    Behavior Interventions 
    Positive Behavior Support Strategies 
    Responding to Disruptive Behavior 
    Client Discipline and Behavior 
    Restricted Behavior Management Practices 
    Physical Restraints 
Grievances 
    Summary of the Grievance Resolution 
    Grievance Handling 
    Filing and Resolution of Grievance Process 
Family Involvement and Communication 
Medical and Health Care 
    General Health Care 
    Medical Care 
    Dental Care 

EMERGENCY BEHAVIOR INTERVENTION POLICIES 
Emergency Behavior Interventions Permit to Caregivers 
Specific Techniques and Qualifications 
Restrictions on the Use of Permitted Emergency Behavior Interventions 
Orientation and Emergency Behavior 
Training for Emergency Behavior Intervention 
Prohibitions for Discharging 

DISCIPLINE POLICIES 
Methods Used and Positive Response 
Trauma Informed Care 
Corporal Punishment 
Prohibited Punishment 
Importance of Nurturing Behavior and Stimulation 

ABUSE AND NEGLECT POLICIES 
Annual Training 
Awareness and Warning 
Prevention Techniques 
Parent Coordination and Actions 

PROTECTING CLIENT FROM VACCINE- PREVENTABLE DISEASES
OSHA Regulations, Bloodborne Pathogens and Infection Control
    Bloodborne Pathogens
    Hepatitis C Virus (HCV)
    HIV
    Hepatitis B Virus (HBV)
    PPE
    Hazard Communication/ MSDS
    Radiation
    Chemical and Blood Spills 

LIST OF ANNEXURES 
Annexure 01: Record Keeping Log 
Annexure 02: Record Retrieval Form 
Annexure 03: Authorization to Release Information Form 
Annexure 04: Unauthorized Leave Form 
Annexure 05: Serious Incident Form 
Annexure 06: Employee Checklist 
Annexure 07: Acknowledgment 
Annexure 08: Staff Training and Development Form 
Annexure 09: Active Client Form 
Annexure 10: Client Unauthorized Leave Debrief Form 
Annexure 11: Continuous Unauthorized Leave 
Annexure 12: Annual Summary Log 
Annexure 13: Information Breach Form 
Annexure 14: Monthly Records Management Review 
Annexure 15: Training Form 
Annexure 16: Daily Medication Form 
Annexure 17: Disruptive Behavior Form 
Annexure 18: Fire Safety Drill Form 
Annexure 19: Emergency Preparedness Numbers 
Annexure 20: Safety Drill Form 
Annexure 21: Caretaker Acknowledgement Form 
Annexure 22: Parental Consent Form 
Annexure 23: Criminal Disclosure Form 
Annexure 24: Client Maltreatment Form 
Annexure 25: Investigative Form 
Annexure 26: Intake Form 
Annexure 27: Medication Form 
Annexure 28: Inventory Form 
Annexure 29: Client Acknowledgment 
Annexure 30: Medical and Dental Consent Form 
Annexure 31: Medical Refusal Form 
Annexure 32: Sign in and Sign out Log 
Annexure 33: Transfer/ Discharge Form 
Annexure 34: Money Holding Form