Employment Application

All information entered is kept secure and confidential.

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.