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CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAThe Past, Present,& Future ofAB 1217Erin K. BeckDirector of Educationof theCalifornia ProfessionalInstitute of Caregivers 2017 California Association for Health Services at Home1

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAAB1217 Helping or Hurting? General Overview of AB1217/HCSCPA What to expect next In 2017 and 2018 Exemption/Background Process HCA Requirements which affect an HCO3General Overview ofAB 1217/Home CareServices ConsumerProtection Act4 2017 California Association for Health Services at Home2

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAGeneral Overview of Home CareServices Consumer Protection ActThis law was intended to provide protection toelderly and disabled individuals who hirecaregivers to come into their homes andprovide assistance with activities of daily living.Implemented in January 2016– Private Duty In Home Care Companies - HomeCare Organizations to be licensed– Caregivers - HCAs register on a public onlineregistry Background checked Trained TB Clearance5Written Directives Updates4 Versions of theWritten DirectivesEach versionhas summary ofthe updateslisted after thetable ofcontents.6 2017 California Association for Health Services at Home3

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAWhat to Expect in2017 & 2018HCO AuditsHCO Licensing Renewals7HCO Audit/InspectionsHow your Analyst will prepare beforevisiting your HCO:– Any outstanding Fees the HCO may have– Background clearances or exemptions havebeen obtained on all individuals (LIS536)– Complaints received during the inspectionperiod and their outcomes8 2017 California Association for Health Services at Home4

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAPersonnel SummaryThe Facility PersonnelSummary ReportHCOs do not want(LIS536) are mailedto be responsiblefor HCAs who areout on a quarterly basisnot Affiliated withas a review for the their HCO!Especially duringHCO to identify whichan audit.HCAs are affiliatedwith their HCO.123 Care Company111 Main StAnytown, CA 90000HCO# 1010111109Who can Disassociate HCAs?LicenseesOrDesigneesOnly the Licensee orDesignee can request thetransfer and/ordisassociation of an HCA. Designees can be added tothe HCS 308 form– Submit original signaturesto your Analyst– Keep a copy for your records10 2017 California Association for Health Services at Home5

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAHow to Dissociate an HCAHome Care Aide RegistryApproval notice No Home Care AideRegistry Approval noticeSend the approval with the Licensee/Designee send alicensee/designees signature andletter requesting HCABox needs to be marked EXEMPTION disassociation.“This HCA no longer works forourneededHCAs, aHCO name and numberHCO”copy your letter HCA first and last names– located on the bottom of thewill also need HCA #noticeto be faxed to Send via email, fax, or mailSend via email, fax, or mail to CBCByour at (916)to your Analyst at HCSBAnalyst at HCSB754-458911HCO Audit/Inspections HCSB Analysts will be conducting random,unannounced visits, Licensee or Designee must bepresent at the time of the visit or arrive to HCOwithin 2 hours. HCO audits will be conducted at minimum once every2 years prior to the HCO license expiration date The audit will include inspection of– Licensure Documents– Admin & HCA Files– Premises of HCOAnalysts have the right to remove your physicalfiles for up to 3 days in order to conduct the audit.12 2017 California Association for Health Services at Home6

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAHCO Audit PreparationItems to address inpreparation1.2.3.4.Accurate & updated FacilityPersonnel Report Summaries(LIS536)Posting of business hours &HCO licenseComplete Personnel recordsfor all HCAs Administrators,Designees, Licensees &VolunteersHCO Licensing documents,including;1.2.5.Workers Comp PolicyLiability InsuranceAll APS reports (SOC 341)13HCO Audit/InspectionsFines for violations depend on the type ofviolation which is citied. TB & Exemption finesstart at 100.00perday,per tooffense.UseyourAuditour to yourbenefitto work1. TuberculosisClearancethe Analyst.2. ExemptionwithClearance1. Immediatelystart at 100 perHCSBpenaltiesemployeesday perhaveoffense.not workedin our industry.14 2017 California Association for Health Services at Home7

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAHCO Licensure RenewalStill inDevelopment!No timeline forrenewal fees orthe process.15HCA Requirements WhichAffect an HCOHCA TrainingHCA RenewalExemption and Backgrounds16 2017 California Association for Health Services at Home8

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAHCO vs HCAHCOs have to make the business decision to either let theiremployees manage their HCA registry on their ownorManage and oversee their employees HCA registry as jobrequirements17HCA Training RequirementsEntry Level2 Hours of Orientation fromthe HCO3 Hours of StandardPrecautions Infection Control EmergencyProceduresEntry Leveltraining has tobe completedbefore contactwith clients.Year 1 AnnualTraining5 Hours of Client’s Rights &Safety Providing for andresponding toclient’s needs Reportingdetecting,preventing abuseand neglect Assisting clientswith personalhygiene & otherhome care services How to properlytransport a clientYear 2 AnnualTraining5 Hours of Client’s Rights &Safety Providing for andresponding toclient’s needs Reportingdetecting,preventing abuseand neglect Assisting clientswith personalhygiene & otherhome care services How to properlytransport a client5 hours of Annual Level training has to becompleted with in each year of the registry date &include all 5 topics above. Totaling 10 hours forthe registry period.18 2017 California Association for Health Services at Home9

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAHCA Hiring & Training ExampleHire a Caregiver9/1/20162 Hours ofOrientation3 Hours ofStandardPrecautionsInfection ControlEmergencyProcedures.HCA Registeredon9/7/20165 hours of Annual 5 hours of AnnualTrainingTraining9/7/17– 9/7/189/7/16 – 9/7/171. Client’s Rights &Safety2. Providing forand responding toclient’s needs3. Reportingdetecting,preventing abuseand neglect4. Assisting clientswith personalhygiene & otherhome care services5. How to properlytransport a dLive-Scanned1. Client’s Rights &Safety2. Providing forand responding toclient’s needs3. Reportingdetecting,preventing abuseand neglect4. Assisting clientswith personalhygiene & otherhome care services5. How to properlytransport a L in9/7/16 - 9/7/1819HCAs Who Do Not Uphold TheirRequirementsConsequences for HCOs TB expired fine startingat 100.00 Background issue finestarting at 100.00 Failure to verify HCATraining starting at 50.00Civil Penalties or Fines areper offence, per day forthe HCO.Consequences for HCAs Possibly loose their job atan HCOHCAs are stillable to belisted on theregistry as anIndependentHCA!20 2017 California Association for Health Services at Home10

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAAffiliated HCAs vs. Independent HCAs Affiliated HCAsIndependent HCAs(Employed by an HCO)(Private Caregivers)TB ClearanceTrainingMandated ReporterRegisterObtain BackgroundClearance Register Obtain BackgroundClearanceBoth an Affiliated HCA and Independent HCA will have an HCAnumber. The online registry does not define the requirements ofan Affiliated HCA or an Independent HCA.21HCA Registry Renewal Registry expires 2 years after the initial registrationdate HCAs can renew no earlier than sixty (60) daysprior to expiration date Renewal is currently set at 25 Process very similar to initial on-line registry– Mail in process is available if need be Will NOT have to live-scan again when renewing The typical time for a renewal to process is 24 hours22 2017 California Association for Health Services at Home11

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAThe Future of AB1217How can an HCO benefit from thisnew law?23Benefits of HCS-CPA The law sets a standard for all HCOswhere there were no requirement before HCO LIC # listed on all marketing More creditability within the medicalcommunity Slower entrance in to the market, addingprotection to HCOs.24 2017 California Association for Health Services at Home12

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAAdvocating Attend Lobby Day at CAHSAH & Home CareAssociation of America CAHSAH Action Alerts Tells you who to contact to support/opposeproposed Bill Home Care Aide Committee Brandi Johnson (Chair)Primary Staff: Dean Chalios Braden Oparowski, having weekly meetingwith HCSB25Advocating26 2017 California Association for Health Services at Home13

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CAAdvocatingWNU has a greatoverview ofhappenings in ourindustryMary Adorno at (916) 641-5795x124, or [email protected] Care Services BureauHCSBEmployeesare notfamiliar withPrivate dutyTalk andemail yourAnalyst @HCSBSurvey sentour after theAnalyst visit28 2017 California Association for Health Services at Home14

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CASession SponsorVisit ClearCare at Booth # 703!29 2017 California Association for Health Services at Home15

CAHSAH Annual Conference & Home Care ExpoApril 25‐27, 2017 – Rancho Mirage, CASpeaker InformationErin BeckDirector of EducationCalifornia Professional Institute of Caregivers9213 Archibald AveRancho Cucamonga, CA 91730(909) regiverinstitute-edu.com31 2017 California Association for Health Services at Home16