PART I - Department of Behavioral Health and Developmental ...

3. Experienced and competent in the services, supports, and treatment they provide.viii. The provider has procedures and practices for verifying licenses, credentials, experience and competence of staff:1. There is documentation of implementation of these procedures for all staff attached to the organization; and2. Licenses and credentials are current as required by the field.ix. The organization must have policies and procedures for protecting the safety of staff. Specific measures to ensure the safety of thosestaff that engage in community-based service delivery activities must be identified.x. The status of students, trainees, and individuals working toward licensure must be disclosed to the individuals receiving services fromtrainees/ interns and signatures/titles of these practitioners must also include indication of that status (i.e. S/T or ACT).xi. Federal law, state law, professional practice acts and in-field certification requirements are followed, including but not limited to:1. Professional or non-professional licenses and qualifications required to provide the services offered. If it is determined thata service requiring licensure or certification by State law is being provided by an unlicensed staff, it is the responsibility ofthe provider to comply with DBHDD Policy regarding Licensing and Certification Requirements and the Reporting ofPractice Act Violations.2. Laws governing hours of work such as but not limited to the Fair Labor Standards Act.xii. Job descriptions are in place for all personnel that include:1. Qualifications for the job;2. Duties and responsibilities;3. Competencies required;4. Expectations regarding quality and quantity of work; and5. Documentation that the individual staff has reviewed, understands, and is working under a job description specific to thework performed within the organization.xiii. There is evidence that a national criminal records check (NCIC) is completed for all employees who provide services, supports, andtreatment to persons served within the organization. The applicant must submit fingerprints prior to employment or ifcircumstances justify delay, within 10 business days of the employee’s start date. DBHDD Policy, Criminal History RecordsChecks for Contractors is followed and fingerprints are obtained by electronic fingerprint submission through Cogent Systems. Seewww.ga.cogentid.com.xiv. The provider has policies, procedures and documentation practices detailing all human resources practices, including but not limitedto:1. Processes for determining staff qualifications including: license or certification status, training, experience, andcompetence.2. Processes for managing personnel information and records including but not limited to:a. Criminal records checks (including process for reporting CRC status change); andb. Driver’s license checks3. Provisions for and documentation of:a. Timely orientation of personnel and development;b. Periodic assessment and development of training needs;c. Development of activities responding to those needs; andd. Annual work performance evaluations.4. Provisions for sanctioning and removal of staff when:a. Staff are determined to have deficits in required competencies;b. Staff is accused of abuse, neglect or exploitation.xv. The provider details in policy by job classification:1. Training that must be refreshed annually;2. Additional training required for professional level staff;3. Additional training/recertification (if applicable) required for all other staff.xvi. Regular review and evaluation of the performance of all staff is evident at least annually by managers who are clinically,administratively, and experientially qualified to conduct evaluations.xvii. It is evident that the provider demonstrates administration of personnel policies without discrimination.xviii. All staff, direct support volunteers, and direct support consultants shall be trained and show evidence of competence as indicated in thebelow chart titled Training Requirements for all Staff, Direct Support Volunteers, and Direct Support Consultants:FY2013 Provider Manual for Community Behavioral Health Providers