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LOCATION OF 029 <br /> SERVICE;. Any of these : <br /> 1 . Home of the patient <br /> 2 . Offices or training location of the service <br /> providing agency . <br /> 3 . Licensed domiciliary home , family care home , <br /> or adult day care facility . <br /> ASSESS TO SERVICE, Patient and/or caregiver may be referred by se] f, <br /> physician , family members, friend or other service <br /> provider . <br /> Referral accompanied by name , address, and phone <br /> number , if available , of applicant . <br /> DELIVERY <br /> CHARACTERISTXCS: . The specific services to be provided shall be <br /> determined by an appropriate professional staff <br /> member (e .g . , registered nurse , social worker , home <br /> economist , etc . ) <br /> . An appropriate in-home assessment shall be made <br /> and documented within ten ( 10 ) days of referral . <br /> . All contacts must be documented . <br /> . An emergency contact person identified and <br /> maintained on each participant. <br /> . A monitoring contact will be made at least <br /> quarterly to each service recipient during the <br /> period . <br /> STAFFING <br /> REOUJiEMENTS: . The provider shall assure supervision of all <br /> respite care workers . <br /> . All respite aides shall be at least eighteen ( 18 ) <br /> years of age and older. <br /> . Ability to follow oral and written instructions <br /> and keep necessary records . <br /> . Understanding of care of disabled , ill or <br /> convalescing people . <br /> . Staff assignments shall be determined by the level <br /> of care needed (e.g. , chore , homemaker , registered <br /> nurse) . <br /> . Assigned staff must have the appropriate training <br /> to provide services to a given client . <br /> PROHIBITED SERVJcE <br /> ACTIVITIES: . Accepting gifts <br /> . Lending or borrowing money or articles <br /> . Minor home repairs <br /> . Pet grooming <br /> . Yard maintenance <br /> . Heavy household cleaning (cleaning closets , <br /> washing walls ) <br />