Employment Application

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HEALING HAVEN HOME CARE

Administrator Job Application

CRITICAL JOB ELEMENTS

The Administrator is responsible for the financial solvency, planning, and overall administration of the organization. The Administrator has full authority and responsibility for the operation of the PHCP agency. The Administrator is accountable for all activities and departmental operations.

POSITION QUALIFICATIONS

Have at least one year of experience or training in caring for seniors and or individuals with functional disabilities.

• Exhibits leadership skills
• GED or High School Diploma
• Complete a minimum of ten clock hours per year of continuing education in subjects related to the duties of the Administrator.
• Be able to read write and comprehend English/Attend orientation.
• Not been convicted of a felony or misdemeanor listed in the rules and regulations for the GA Dept. of Community Services, HFR. Also, code 111-8-65.

SUMMARY OF JOB FUNCTIONS

• Full authority and responsibility for the operation of the PHCP.
• Ensures that the numbers and qualifications of personnel available to provide services are sufficient to meet the needs of the clients.
• Ensures that policies and procedures meet state regulations and standards.
• Implements policy and procedures.
• Responds to requests and recommendations from the Board,
• Develops strategic and short-term plans for organizational development.
• Educates the community about the Agency programs by interacting with numerous individuals and groups.

CNA Job Description

Job Description.

ROLES AND RESPONSIBILITIES:

• Transfer and ambulation.
• Positioning and repositioning clients to prevent pressure sores/injuries.
• Assisting clients with personal care, grooming, dressing, oral care, etc.
• Performing light housekeeping tasks.
• Enhancing the safety and hygiene of the client and his/her environment.
• Practicing infection control measures.
• Planning and preparing meals according to nutritional needs.
• Companionship and mental stimulation.
• Transporting the client to and from medical and social appointments.
• Shopping, bill paying, and running other errands as described in the service plan.
• Documenting services provided.
• Reminding the client to take medicine and offering very minimal assistance.
• Observing and documenting any changes in the client.
• Looking out for and reporting abuse to the agency, the authorities, and other relevant bodies as required by the licensing body.
• Complying with agency policies and procedures.

QUALIFICATIONS AND EDUCATION

• Must have a High School Diploma /GED.
• Must have Certified Nurse Aide Certification from a recognized and approved program.
• Must pass a Criminal Background Check and an Abuse Registry Check.
• One year full-time experience in care giving/home care within 5 years, or one year full-time experience of providing personal care in a hospital or nursing home.
• Work references.
• Ability to read, write, and understand English.
• Must be willing and ready to comply with all policies and procedures.
• Must demonstrate the ability to understand job demands and his/her scope of work.
• Must provide evidence of his/her competencies.
• Must be willing to undergo orientation training and at least 8 hours of on-job training annually.
• Must be willing to attend meetings and take part in studies and surveys when called upon to do so.
• Must be compassionate, patient, and caring enough to work in stressful environments and to care for clients of all personalities.
• Must demonstrate the ability to handle stress professionally.
• Must have good organizational and communication skills.
• Must be computer literate.
• Must practice good personal hygiene and be willing to dress as per the agency dress code.
• Must have a full understanding of the rules and regulations pertaining to the industry.
• Must demonstrate an understanding of the physical, psychological, and developmental needs of Healing Haven Home Care Clients.
• Must be willing and ready to respect Healing Haven Home Care clients and their property
• Must have a clean driving history, a reliable vehicle with the compulsory insurance, or must have a reliable source of public transport.

PHYSICAL DEMANDS

Our CNA may spend long hours on his/her feet, and, therefore, requires stamina. He/she is also likely to help lift patients and support those who need physical assistance to walk, rise from the bed or toilet seat, etc. Based on this and other special circumstances, the Physical Demand relating to this job position include:

1. Standing and sitting for more than 20 minutes.
2. Pushing, pulling, lifting, crawling, crouching, kneeling, climbing, and stooping.
3. Touching, feeling, holding, and handling.
4. Talking and listening.
5. Assessing and communicating with ill clients.
6. Writing for more than 3 hours a day.
7. Walking and running.
8. Tasting and smelling.
9. Close vision, peripheral/indirect vision, distant vision, and depth perception.
10. Driving for 50 miles or more a day.
11. Working in a stressful environment.

NB: Healing Haven Home Care may be able to make special arrangements or reservations for employees with disabilities to enable them to carry out their duties and responsibilities more effectively.

If the candidate passes an authorized CNA competency test with a minimum score of 80%. The test must cover the following at the minimum:

• Communication skills.
• Documenting the services provided.
• Observing and reporting client’s status and new developments.
• Taking Vital Signs (if job description requires the CNA to perform the task).
• Emergency procedures, including how to recognize different emergency situations.
• Basic and universal infection control measures.
• Basic elements of body functions.
• Unusual changes in body functions that should be reported immediately.
• Maintaining of a safe and healthy environment/home safety.
• Client rights.

• Maintaining communication with client’s physician and other healthcare providers.
• Maintaining client’s progress notes and clinical notes if client is receiving skilled nursing care.
• Ensuring care continuation in case of client transfer.
• Coordinating care services between Healing Haven Home Care and other healthcare providers when necessary.
• Preserving the privacy/confidentially of client information and agency matters.
• Maintaining accurate time records and submitting required records on time.
• Responding to emergencies and participating in weekend and holiday shifts/schedules.
• Taking part in any special projects, including surveys and studies.
• Supervising direct care worker/caregiver dress code and attendance.
• Reporting all suspected or witnessed cases of abuse and serious incidents to the relevant bodies as directed by rules and regulations.
• Taking part in policy formation and revision.
• Assisting the Administrator to make decisions related to care provision and services.
• Complying with and ensuring compliance with agency policies and procedures.
• Protecting Healing Haven Home Care’s resources, supplies, equipment, and other property.

• Must be Active on the Georgia Nurse Registry.
• Must have a valid LPN state licensure.
• Must have First Aid and CPR certifications.
• Must have 1-3 years of nursing experience, preferably in a home care setting.
• Great organizational and supervisory skills will be an added advantage.
• Must be able to think and act quickly-in case of an emergency.
• Must be kind, compassionate, and non-judgmental.
• Must be computer literate and be able to communicate well in both verbal and written English.
• Must be a team player and willing to respect and work with clients and workmates.
• Must be willing and able to work under stressful conditions with or without direct supervision.
• Must have a full understanding of the rules and regulations pertaining to the industry.
• Must be willing and ready to comply with State and Federal laws, and agency policies as well.
• Must be willing and ready to avail all records in a timely way.
• Must be ready to demonstrate a full understanding of Universal infection control and OSHA procedures.
• Must have the physical ability to stand for long hours and to lift or support clients who have mobility issues.
• Must possess excellent visual and auditory senses.
• Must pass a background screen.
• Must be willing and ready to travel as required, and be in possession of a valid driver’s license and automobile insurance.
• Must provide evidence of adequate health status to perform duties.

This position has potential for cross-training to other programs within the agency. Cross-training to perform those job functions is not included in the home care job description. This portion of cross-training will be utilized on an as needed basis.

Physical Demands:

Our LPN may spend long hours on his/her feet, and, therefore, requires stamina. He/she is also likely to help lift patients and support those who need physical assistance to walk, rise from the bed or toilet seat, etc. Based on this and other special circumstances, the Physical Demand relating to this job position include:

1. Standing and sitting for more than 20 minutes.
2. Pushing, pulling, lifting, crawling, crouching, kneeling, climbing, and stooping.
3. Touching, feeling, holding, and handling.
4. Talking and listening.
5. Walking and running.
6. Tasting and smelling.
7. Close vision, peripheral/indirect vision, distant vision, and depth perception.

NB: Healing Haven Home care may be able to make special arrangements or reservations for employees with disabilities to enable them to carry out their duties and responsibilities more effectively.

Additional Notes:

In Home Care New Client Assessment Experience preferred

Job Description:

ROLES AND RESPONSIBIUTIES

• AMBULATION, TRANSFER, AND POSITIONING OF CLIENTS.
• ASSIST WITH BATHING, GROOMING, SHAVING, DENTAL CARE, DRESSING AND EATING.
• KNOWLEDGE OF BASIC FIRST AID AND CPR.
• MEET CLIENT’S SPECIAL NEEDS AS IT RELATES TO:
• HOME SAFETY & SANITATION
• INFECTION CONTROL IN THE HOME
• MEDICALLY RELATED ACTIVITIES INCLUDING:
• IMPLEMENT CURRENT CERTIFIED NURSE AIDE SERVICES.
• ENSURE SERVICE PLANS OF CARE ARE DISCUSSED WITH THE HEALING HAVEN HOME CARE SUPERVISOR ON A REGULAR BASIS.
• ENSURE CLIENT ASSIGNMENTS AND REPORTS ARE RECEIVED FROM THE HEALING HAVEN HOME CARE SUPERVISOR.

QUALIFICATIONS AND EDUCATION:

• HIGH SCHOOL DIPLOMA OR GED REQUIRED.
• REQUIRE A GA-REGISTERED CNA, COMPLETION OF NLN EXAM ON-LINE AND ASSESSMENT OF COMPETENCY FOR SERVICES TO BE PERFORMED (MUST BE SIGNED OFF BY QUALIFIED PERSON), OR COMPLETION OF A PROVIDED 40-HOUR TRAINING CURRICULUM AND ASSESSMENT OF COMPETENCY.
• ONE YEAR-FULL TIME EXPERIENCE IN PERSONAL CARE OR AN INSTITUTIONAL SETTING, SUCH AS A HOSPITAL OR NURSING HOME, OR ONE-YEAR FULL-TIME EXPERIENCE WITHIN THE LAST FIVE YEARS IN DIRECT CLIENT CARE IN A HOME CARE AGENCY SETTING; OR
• EVIDENCE OF SYMPATHETIC ATTITUDE TOWARD ELDERLY CARE.
• DEMONSTRATED ABILITY TO READ, WRITE AND CARRY OUT DIRECTIONS.
• EVIDENCE OF MATURITY AND ABILITY TO DEAL EFFECTIVELY WITH JOB DEMANDS.
• MUST HAVE GOOD VERBAL AND WRITTEN COMMUNICATION SKILLS.
• ATTEND EIGHT (8) HOURS OF PERSONAL CARE-ORIENTED SERVICES PER YEAR.
• PARTICIPATE IN PROFESSIONAL MEETINGS WHEN DIRECTED.
• ABILITY TO WORK CLOSELY SUPERVISED TO ENSURE COMPETENCE IN PROVIDING CLIENT CARE.
• MUST HAVE A CRIMINAL HISTORY CHECK CONDUCTED PRIOR TO BEING OFFERED A POSITION WITH THE AGENCY.

PHYSICAL DEMANDS:

• SUFFICIENT VISUAL AND HEARING ABILITY TO COMPREHEND WRITTEN AND VERBAL COMMUNICATION.
• ABILITY TO:
• PERFORM TASKS INVOLVING ACTIVITY WHICH MAY INCLUDE HEAVY LIFTING AND EXTENSIVE BENDING AND STANDING.
• DEAL EFFECTIVELY WITH STRESS.
• WORK ASSIGNED HOURS PER WEEK.
• BEND AND STAND AN AVERAGE OF SIX (6) HOURS PER DAY.
• LIFT UP TO 30+ POUNDS.
• DRIVE UP TO 50+ MILES PER DAY.
• ASSESS AND COMMUNICATE WITH ILL CLIENTS, CO-WORKERS AND GENERAL PUBLIC.
• MUST BE NEAT IN APPEARANCE AND PRACTICE GOOD PERSONAL HYGIENE.

MAY BE HIRED BY THE AGENCY IF THE FOLLOWING CONDITIONS HAVE BEEN MET:

• THE PERSONAL CARE AIDE IS EXPECTED TO PASS THE COMPETENCY EXAMINATION WITH A SCORE OF 80% OR BETTER.
• COMMUNICATION SKILLS.
• OBSERVATION, REPORTING AND DOCUMENTATION OF A CLIENT’S STATUS AND THE CARE OR SERVICE FURNISHED.
• BASIC INFECTION CONTROL PROCEDURES AND INSTRUCTION ON UNIVERSAL PRECAUTIONS.
• BASIC ELEMENTS OF BODY FUNCTIONS ANO CHANGES IN BODY FUNCTION THAT MUST BE REPORTED TO THE SUPERVISOR.
• MAINTENANCE OF A CLEAN, HEALTHY AND SAFE ENVIRONMENT.
• RECOGNIZE EMERGENCIES AND KNOWLEDGE OF EMERGENCY PROCEDURES.
• UNDERSTAND THE PHYSICAL, EMOTIONAL AND DEVELOPMENTAL NEEDS OF THE POPULATIONS SERVED BY THE AGENCY INCLUDING THE NEED FOR RESPECT FOR THE CLIENT AND HIS OR HER PRIVACY AND PROPERTY.

Job Description:

Role and Responsibilities

• Assessing clients to determine care needs and level of care needed.
• Creating care/service plans in coordination with the client or responsible party, and the client’s physician and other healthcare providers.
• Performing regular reassessments and observations and charting observations, e.g., improvement or deterioration of symptoms, new symptoms and new care needs, reactions to medications, and overall health condition of the client.
• Researching and recommending ways to improve the client’s quality of life.
• Educating clients and/or the responsible parties.
• Training and supervising direct care workers/caregivers.
• Supporting and instructing employees providing direct care verbally and in writing.
• Ensuring client and employee safety and security by assessing potential risks and introducing preventative measures.
• Maintaining communication with the client’s physician and other healthcare providers.
• Maintaining the client’s progress notes and clinical notes if the client is receiving skilled nursing care.
• Ensuring care continuation in case of client transfer.
• Coordinating care services between Healing Haven Home Care and other healthcare providers when necessary.
• Preserving the privacy/confidentially of client information and agency matters.
• Maintaining accurate time records and submitting required records on time.
• Responding to emergencies and participating in weekend and holiday shifts/schedules.
• Taking part in any special projects, including surveys and studies.
• Supervising direct care worker/caregiver dress code and attendance.
• Reporting all suspected or witnessed cases of abuse and serious incidents to the relevant bodies as directed by rules and regulations.
• Taking part in policy formation and revision.
• Assisting the Administrator to make decisions related to care provision and services.
• Complying with and ensuring compliance with agency policies and procedures.
• Protecting Healing Haven Home Care’s resources, supplies, equipment, and other property.

Qualifications and Education Requirements:

• Must be active on the Georgia Nurse Registry.
• Must have a valid state licensure.
• Must have First Aid and CPR certifications.
• Must have 1-3 years of nursing experience, preferably in a home care setting.
• Great organizational and supervisory skills will be an added advantage.
• Must be able to think and act quickly in case of an emergency.
• Must be kind, compassionate, and non-judgmental.
• Must be computer literate and be able to communicate well in both verbal and written English.
• Must be a team-player and willing to respect and work with clients and workmates.
• Must be willing and able to work under stressful conditions with or without direct supervision.
• Must have a full understanding of the rules and regulations pertaining to the industry.
• Must be willing and ready to comply with State and Federal laws, and agency policies as well.
• Must be willing and ready to avail all records in a timely way.
• Must be ready to demonstrate a full understanding of Universal infection control and OSHA procedures.
• Must have the physical ability to stand for long hours and to lift or support clients who have mobility issues.
• Must possess excellent visual and auditory senses.
• Must pass a background screen.
• Must be willing and ready to travel as required, and be in possession of a valid driver’s license and automobile insurance.
• Must provide evidence of adequate health status to perform duties.

This position has potential for cross-training to other programs within the agency. Cross-training to perform those job functions is not included in the home care job description. This portion of cross-training will be utilized on an as needed basis.

Physical Demands:

Our Registered Nurse may spend long hours on his/her feet, and, therefore, requires stamina. He/she is also likely to help lift patients and support those who need physical assistance to walk, rise from the bed or toilet seat, etc. Based on this and other special circumstances, the Physical Demand relating to this job position include:

1. Standing and sitting for more than 20 minutes.
2. Pushing, pulling, lifting, crawling, crouching, kneeling, climbing, and stooping.
3. Touching, feeling, holding, and handling.
4. Talking and listening.
5. Walking and running.
6. Tasting and smelling.
7. Close vision, peripheral/indirect vision, distant vision, and depth perception.

NB: Healing Haven Home care may be able to make special arrangements or reservations for employees with disabilities to enable them to carry out their duties and responsibilities more effectively.

Additional Notes
In Home Care New Client Assessment Experience preferred

Never have been shown by credible evidence (e.g. a court or jury, a department investigation, or other reliable evidence) to have abused, neglected, sexually assaulted, exploited, or deprived any person or to have subjected any person to serious injury as a result of intentional or grossly negligent misconduct as evidenced by an oral or written statement to this effect obtained at the time of application.

1.   I understand, I am REQUIRED to report client progress and problems to supervisory personnel immediately by calling the office at (470) 945-2108 upon receipt of information.

2.   I understand, I MUST call 911 for ALL medical emergencies. All employees are required to adhere to the care plan and follow Georgia State’s legal documents provided by the client or third party i.e. advanced directives, Do Not Resuscitate (DNR). The office/supervisor/on-call supervisor should be notified after conversing with the 911 operator.

3.  I understand as an employee of Healing Haven Home Care must adhere to the policy and procedure on the handling of complaints.

4. It is the employee’s obligation to report known exposure to tuberculosis (TB) and hepatitis to the employer immediately after becoming aware. The employee must notify Healing Haven Home care Administrator and or Registered Nurse via phone (470) 945-2108 to provide information. In addition, the reporting can be done in writing and mailed to the office at: 1441 Woodmont Ln NW #3000, Atlanta, GA 30318.

5. I understand and read the scope of my job duties and responsibilities. I also signed a job description identifying my duties etc.

6. I understand that the clients have rights and responsibilities and they should be adhered to at all times.

7. I understand that the proper handling of complaints is extremely important and must be reported to the office immediately.

8. I understand all of the company’s policies and procedures outlined in the General Staff Orientation document as well as the others discussed during the same orientation. I also acknowledge my signature on each of the policies and procedures discussed.

9. I understand I MUST follow company policies and procedures regarding confidentiality and the client’s rights and responsibility documents.

SECTION I – PRIVACY RIGHTS - TO BE COMPLETED BY INDIVIDUAL BEING FINGERPRINTED:

SECTION II – CAREGIVER PORTAL - TO BE COMPLETED ONLY BY AN APPLICANT OR EMPLOYEE BEING FINGERPRINTED AS PART OF FACILITY LICENSURE. DOES NOT INCLUDE OWNERS OR FAMILY EMPLOYERS

The Georgia Caregiver Portal only contains the eligibility status of applicants and employees who have successfully passed the background screening process. The Caregiver Portal does not contain the names of applicants and employees who are ineligible. Family employers can access the Caregiver Portal to view a prospective applicant or current employee’s eligibility to determine their suitability for employment to provide personal care services to that employer’s elderly family member or wards. All services are performed at locations not licensed by DCH. Individuals should check one of the boxes below.

Non-Criminal Justice Applicant’s Privacy Rights

As an applicant who is the subject of a Georgia only or a Georgia and Federal Bureau of Investigation (FBI) national fingerprint/biometric-based criminal history check for a noncriminal justice purpose (such as an application for employment or a license, an immigration or naturalization matter, security clearance, or adoption), you have certain rights which are discussed below. All notices must be provided to you in writing. These obligations are pursuant to the Privacy Act of 1974, Title 5, United States Code (U.S.C.) Section 552a, and Title 28 Code of Federal Regulation (CFR), 50.12, among other authorities.

• You must be provided written notification that your fingerprints/biometrics will be used to check the criminalhistory records maintained by the Georgia Crime Information Center (GCIC) and the FBI, when a federal recordcheck is so authorized.
• You must be provided an adequate written FBI Privacy Act Statement (dated 2013 or later) when you submit yourfingerprints and associated personal information. This Privacy Act Statement must explain the authority forcollecting your fingerprints and associated information and whether your fingerprints and associated informationwill be searched, shared or explained.
• You must be advised in writing of the procedures for obtaining a change, correction, or update of your criminalhistory record as set forth at 28 CFR 16.34.
• You must be provided the opportunity to complete or challenge the accuracy of the information in your criminalhistory record (if you have such a record).
• If you have a criminal history record, you should be afforded a reasonable amount of time to correct or completethe record (or decline to do so) before the officials deny you the employment, license, or other benefit based onthe information in the criminal history record.
• If agency policy permits, the officials may provide you with a copy of your criminal history record for review andpossible challenge. If agency policy does not permit it to provide you a copy of the record, you may find information regarding how to obtain a copy of your Georgia criminal history record at the GBI website:

www.gbi.georgia.gov

Information regarding how to obtain a copy of your FBI criminal history record is located at the FBI website:

www.edo.cjis.gov

• If you decide to challenge the accuracy or completeness of your criminal history record, you should contact andsend your challenge to the agency that contributed the questioned information. If the disputed arrest occurred inthe State of Georgia, you may send your challenge directly to the GCIC. Contact information for the GCIC can be found at

www.gbi.georgia.gov/services

• Alternatively, you may send your challenge directly to the FBI by submitting a request viahttps://www.edo.cjis.gov. The FBI will then forward your challenge to the agency that contributed the questionedinformation and request the agency to verify or correct the challenge entry. Upon receipt of an officialcommunication from that agency, the FBI will make any necessary changes/corrections to your record inaccordance with the information supplied by that agency. (See 28 CFR 16.30 through 16.34.)
• You have the right to expect that officials receiving the results of the criminal history record check will use it onlyfor the authorized purposes and will not retain or disseminate it in violation of federal statute, regulation orexecutive order, or rule, procedure or standard established by the National Crime Prevention and Privacy Compact Council.

Privacy Act Statement

This privacy act statement is located on the back of the FD-258 fingerprint card.

AUTHORITY

The FBI’s acquisition, preservation, and exchange of fingerprints and associated information is generally authorized under 28 U.S.C. 534. Depending on the nature of your application, supplemental authorities include Federal statutes, State statutes pursuant to Pub. L. 92-544, Presidential Executive Orders, and federal regulations. Providing your fingerprints and associated information is voluntary; however, failure to do so may affect completion or approval of your application.

PRINCIPAL PURPOSE

Certain determinations, such as employment, licensing, and security clearances, may be predicated on fingerprint-based background checks. Your fingerprints and associated information/biometrics may be provided to the employing, investigating, or otherwise responsible agency, and/or the FBI for the purpose of comparing your fingerprints to other fingerprints in the FBI’s Next Generation Identification (NGI) system or its successor systems (including civil, criminal, and latent fingerprint repositories) or other available records of the employing, investigating, or otherwise responsible agency. The FBI may retain your fingerprints and associated information/biometrics in NGI after the completion of this application and, while retained, your fingerprints may continue to be compared against other fingerprints submitted to or retained by NGI. Routine Uses: During the processing of this application and for as long thereafter as your fingerprints and associated information/biometrics are retained in NGI, your information may be disclosed pursuant to your consent, and may be disclosed without your consent as permitted by the Privacy Act of 1974 and all applicable Routine Uses as may be published at any time in the Federal Register, including the Routine Uses for the NGI system and the FBI’s Blanket Routine Uses. Routine uses include, but are not limited to, disclosures to: employing, governmental or authorized non-governmental agencies responsible for employment, contracting, licensing, security clearances, and other suitability determinations; local, state, tribal, or federal law enforcement agencies; criminal justice agencies; and agencies responsible for national security or public safety.