Lawson Home Care, LLC



SAMPLE MANUAL

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Put Company Name Here

Private Home Care Provider

(Georgia State)

Policy & Procedure

Manual

COMPANY NAME

Address

Ph: #

Fx: #

Email: Address

Website: domain

Table of Contents

Page

|1. |Introduction |4 |

|2. |Policy for Administrative Governing Authority |5 |

| | | |

|111-8-65-.09 – Administration and Organization |

|3. |Description of Services - #7 |6 |

| | | |

|4. |Service Agreement - #8 |13 |

| | | |

|5. |Administrator - #9 |23 |

| | | |

|6. |Record Keeping - #10 |24 |

| | | |

|7. |Retention and Confidentiality - #11 |31 |

PHCP Policy and Procedure Manual Details:

• Table of Contents for the PHCP policy and procedure manual for Georgia is 27 subject categories.

• Manual has a total of 103 pages.

• Over 24 customized operations forms specific to the State of Georgia’s rules and regulations are included in manual.

• All manuals are customized and personalized based on client’s unique and individualized business information.

• Finished manual is delivered to client via email in Microsoft Word and PDF format

• All customized policy manuals turnaround time is a minimum of 15 days and a maximum of 30 days.

|111-8-65-.09(1) – Administration and Organization |#7 – PHCP Checklist |

|0901 - Services Description |Page 1 of 7 |

Purpose: To define the scope of private home care and nursing services offered.

Policy: To provide services to Clients in their own environment based on Georgia rules, regulations, and laws. Our service plan will include but not be limited to the following:

Personal care services, nursing task, and companion sitters provide protective care and watchful oversight including, but not limited to a daily awareness by the management and staff of Client’s functioning, whereabouts, and personal care.

Personal Care Services: (Provides care, support and services directly to and around Client)

• Supervision of personal care: bathing, toileting, shaving, eating, dressing, transferring; laundry.

• Supervision of nutrition, meals, snacks, medication, and actual provision of supportive devices, as needed and required.

• Laundry assistance as needed and required.

• Dust, vacuum, change bed linens, mop floors, clean bathrooms, remove trash, set garbage cans out for pick-up, water plants, assist with paying bills, and other light cleaning as requested.

Emergency transportation, transportation to/from medical appointments, therapy, personal shopping,

(Services Description has 7 page)

|111-8-65-.09(2) – Administration and Organization |#8 – PHCP Checklist |

|0902-17 – Service Agreement Form |Page 1 of 8 |

Service Agreement Form

CLIENT INFORMATION: Contact Date: ________________Referral Date: _________________

Client’s First Name:_________________________________ Last Name: _____________________

Full Address:______________________________________________________________________

Date of Birth: _______________________________ SS#: _________________________________

Phone: _____________________________________ Alternate Phone: _______________________

Hourly Rate: ____________ Daily Rate: ________________ Live in Rate: _____________________

Holiday Rates and Special Rates may apply – see Standard Terms of Service

(Service Agreement Form has 8 pages)

|111-8-65-.09(4)b – Administration and Organization |#11 – PHCP Checklist |

|0932-34 – Retention and Confidentiality |Page 1 of 5 |

Purpose: To have written records pertaining to how our agency maintains and secures our Clients’ records.

Policy: It is our agency’s policy to have each Client’s file maintained and secured. Each Client will have their own separate folder or binder with written records pertaining to each Client’s own personal care services. Our policy is to keep all our Client’s records locked in our agency’s office. Records will not be kept in the Client’s home but will be offsite at our agency’s office in a locked room.

Maintenance and Security of Client Records

Our staff members who have completed the documentation training in their initial intake process, also known as the privileging process, authorized to write in the Client’s record. Reports will be signed off by the Director or Administrator. Client records will be retained for a minimum of five years from date service was last rendered.

(Retention and Confidentiality Form has 5 pages)

|111-8-65-.09(6) – Administration and Organization |#14 – PHCP Checklist |

|0967 – Staff Orientation |Page 1 of 3 |

Purpose: To make sure all new hires are orientated to our agency’s policies and procedures, rules, standards, routines, schedule, code of business and ethics, and competency.

Policy: Our agency policy for orientation is that all new hires, contractors, volunteers, or students must complete our orientation training, even if they previously went through a similar training at previous employment.

Our Director and/or Administrator will provide an orientation to all new employees and contractors regarding the operation of our home care agency, which includes the agency’s programs and daily routines; staff roles and responsibilities; Clients and their special needs; and the process to follow when complaints/ incidents occur. Any medication training will be facilitated by a registered nurse.

(Staff Orientation has 3 pages)

Get More Information:

For additional information to get licensed as a non-medical home care agency provider in your state contact the office of Care Enterprise, LLC at 770-575-4149, , or contact@.

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