Contract_Addendum_B_-_Direct_Services_Positions.pdf

Revised 5/2014

ADDENDUM B

Duties Related To Direct Service Positions

1. Background Check Requirements. The Contractor shall comply with the criminal background check requirements in Ohio Administrative Code 5123:2-2-02 including but not limited to data base check and criminal background check. The Contractor shall also ensure that each employee signs an agreement requiring notification if the employee is formally charged with, is convicted of or pleads guilty to a disqualifying offense.

2. Tuberculosis Testing

i. Staff employed shall be tested for tuberculosis in accordance with this paragraph. The required tuberculosis test shall include a two-step Mantoux tuberculin skin test administered by a person properly trained to administer tuberculin skin tests, or, if the person has a documented history of a significant Mantoux skin test, an x-ray. The person shall not work in the facility until after the results of the first skin test have been obtained and recorded in millimeters of in duration. If the first step is non-significant, a second step shall be performed at least seven, but not more than twenty-one, days after the first step was performed. Only a single Mantoux is required if the person has documentation of either a single-step Mantoux test or a two-step Mantoux test within one year of commencing work.

ii. If either step of the Mantoux test is significant, the person shall have a chest x-ray and shall not enter the residential facility until after the results of the chest x-ray have been obtained and the person is determined to not have active pulmonary tuberculosis.

Whenever a chest x-ray is required by this paragraph, a new chest x-ray need not be performed if the person has had a chest x-ray no more than thirty days before the date of the significant Mantoux test. Additional Mantoux testing is not required after one medically documented significant test. A subsequent chest x-ray is not required unless the person develops symptoms consistent with active tuberculosis.

iii. For persons with a significant Mantoux test and the chest x-ray does not indicate active pulmonary tuberculosis, the facility shall require that the person be evaluated and considered for preventive therapy. Thereafter, the facility shall require the person to report promptly any symptoms of tuberculosis which include unexplained weight loss, loss of appetite, chronic cough of more than three weeks, fever, coughing, and spitting up blood and night sweats. The facility shall annually document the presence or absence of symptoms suggestive of tuberculosis in such a person and maintain this documentation on file.

iv. After initial screening for tuberculosis required by this paragraph and annually thereafter within one year plus or minus thirty days of the previous year’s date of screening, a tuberculosis screening for symptoms suggestive of active tuberculosis shall be conducted for all habilitation and support staff. This screening shall include, at a minimum, questions about the signs and symptoms of tuberculosis as indicated in paragraph (B)(6)(b) of this rule. The frequency of any additional Mantoux skin test screenings or the need for a physician evaluation shall be dependent upon this assessment.

Revised 5/2014

3. Professional Staff Credentials. Professional program staff must be licensed, certified, or registered, as applicable by the state, to provide professional services in the field in which they practice.

4. The Contractor shall ensure that staff receive training in first aid, CPR and universal precautions to comply with the requirements established in rule 5123:2-3-08(B)(5) of the Administrative Code.

5. Contractor shall ensure that employees are at least 18 years of age.

6. Contractor shall ensure that employees receive annual written notice explaining conduct for which an employee may be included in the Registry established by R. C. 5123.542.

7. Contractor, if providing transportation, shall provide a copy of the vehicle insurance policy and have its employees, prior to being placed in direct services position provide a certified copy of abstract from the Ohio Bureau of Motor Vehicles.

8. Upon request, Contractor shall provide the Developmental Center with a copy of any report or abstract showing compliance with the above requirements.