Life's New Beignnings - IBUDGET Employee Forms

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EMPLOYEE
Form	Description
Pre-Employment Packet New 02-01-17	Identifies requirements for the new employee.
Signature Page	Required by AHCA
Application New 02-01-17	Employee must complete the entire application.
Reference Check	Employee must have a minimum of 3 work (experience) references.
I9	Verifies eligibility to work.
Automobile Waiver-Liability Clause	Disclaimer of automobile liability.
Contract 2014 New 01-01-14	Employee must sign contract before starting work and each year thereafter.
Provider Verification of Education/Experience	Verification of new employee education and experience.
Provider Pre-Service Certification - APD	Obtain from Program Administrator BEFORE taking any training
General Hire Training	Required PREHIRE training topics with Program Administrator
Client-Specific Training	Training before working with a client with Program Administrator
Information Release Form New 09-26-14	To release or acquire information regarding a prospective/current employee
Paperwork Due Form New 09-10-14	Assists staff with tracking paperwork and hours

JOB DESCRIPTIONS
All Job Descriptions New 02-17	IBudget -- use with each specific Job/Service description
SLC New 02-17	IBudget -- use with the information in All Job/Service Descriptions
Personal Supports (PS-Day, PS-Qtr) formally known as IHSS Live In, PCA New 02-17	IBudget description -- use with the information in All Job/Service Descriptions
Life Skills Development 1 Companion New 02-17	IBudget description -- -- use with the information in All Job/Service Descriptions
BACKGROUND SCREENING
Affidavit of Good Moral Character	This must be notarized (signed and dated in front of a notary). Scroll down to Provider enrollment documents.
Affidavit of Trust	This must be notarized (signed and dated in front of a notary).
Local Law Check New 02-01-17	Obtain at the local sherrif's department
Livescan Background Screening Form	Check with Program Administrator for correct codes and correct form. Select Livescan Submission Form
Background Screening LNB Form-Provider/Owner New 08-27-15	Provider/Owner background screening information
Background Screening LNB Form-Employee New 08-27-15	Provider/Employee background screening information
TRAINING
HIRE TRAINING CHART New 02-01-17 ANNUAL/CERTIFIED TRAINING CHART New 02-01-17	Use to keep track of training. Complete Hire Training requirements and return with proof to administrator. Use the Annual Training Chart annually to complete Annual and Certified Training requirements.
POLICIES All Policies new as of 02/17.	All policies must be signed within 30 days of hire and annually or when there is a change thereafter. Use the Policy Tracking to sign annually (if there are no changes to the policies) to eliminate paper waste.
POLICY TRACKING CHART New 01-14; NEW 07-14	Use to ensure annual policy review
Emergency Plan Policy	Disaster preparedness
HIPAA	Health Insurance Portability & Accountability Act
Due Process Policy	Client rights to "fair" hearings.
Client & Provider Rights & Responsibilities	Rights and responsibilities
Freedom of Choice Policy	Freedom of choice
Person Centered Process Policy	Process used in quarterly reviews to empower the client.
Promoting Health & Safety Policy	Ensuring health, safety, and well-being
Operations Policy New 01-01-14	Mission, policies, marketing, staffing, transitioning
Training Policy	Training requirements.
Compliance with Background Screening Policy	Background screening requirements.
Reporting Measures	Measures for reporting incidents, abuse, neglect, exploitation; measures for resolving complaints.
Reactive Strategies Policy	Reactive strategies are NOT used unless a Behavior Plan has specified strategies for staff and the staff has successfully completed the training and validation for reactive strategies.
Self-Assessment Policy	Staff complete a self-assessment annually.
Documentation Policy	Process and procedures for documentation.
Vehicle & Driving Documentation Policy	Policy if staff use a personal vehicle to transport clients
Staff Responsibilities	Individual-specific, general, and service-specific staff responsibilities
Records & Confidentiality	Maintaining security
Medication Administration Policy I	Required for all staff even if not assisting with medications.
Medication Administration Procedures II	Required for all staff even if not assisting with medications.
Medication Administration Guidelines	Guidelines for Medication Administration - does not need to be signed, but staff is responsible for the information.
Medication Administration Steps	Steps for Medication Administration - does not need to be signed, but staff is responsible for the information.
Company Deadline Requirements New 07-06-14	Description of deadlines and due dates for paperwork, policies, training, etc.
Client Finances Policy New 06-19-16	Description of choices for client financial management and rep-payee
STAFF SELF-ASSESSMENT	Complete the Staff Self-Assessment annually and submit to the office. The client will also complete a client self-assessment annually. Also found on the Client Forms Menu.
INCIDENT REPORTING >><< New 06-19-16	Immediately contact the Program Administrator, complete the Incident Report, and follow instructions. Also found on the Client Forms Menu. • Call to report Critical Incidents Immediately • Email ALL incident reports to APD • Email Critical incident reports within 1 (one) hour • Email Reportable incident reports within 1 (one) business day See >><< for detailed information