(a) Before an employee who provides direct delivery of services begins to perform direct care duties without direct supervision, the facility must provide the employee relevant training essential to perform the employee's duties regarding implementation of the interdisciplinary treatment program for each individual for whom the employee will provide direct care, including the following topics:
  (1) prevention and management of aggressive or violent behavior;
  (2) observing and reporting changes in behavior, appearance, or health of an individual;
  (3) positive behavior support;
  (4) emergency response;
  (5) person-directed plans;
  (6) self-determination; and
  (7) trauma-informed care.
(b) Facilities must provide training on the following topics relevant to the individuals the direct care employee will serve:
  (1) techniques for lifting, positioning, moving and increasing mobility;
  (2) specialized needs of geriatric individuals;
  (3) assisting individuals with visual, hearing, or communication impairments or who require adaptive devices and specialized equipment;
  (4) recognizing appropriate food textures;
  (5) using proper feeding techniques to assist individuals with meals;
  (6) specific to state supported living center direct care employees:
    (A) seizure safety;
    (B) working with aging individuals;
    (C) assisting individuals with personal hygiene;
    (D) physical and nutritional management plans;
    (E) home and community-based services, including the principles of community inclusion and participation and the community living options information process; and
    (F) procedures for securing evidence following an incident of suspected abuse, neglect, or exploitation; and
  (7) specific to state hospital direct care employees:
    (A) seizure safety;
    (B) assisting patients with personal hygiene; and
    (C) physical and nutritional management plans.

Source Note: The provisions of this §926.4 adopted to be effective March 20, 2024, 49 TexReg 1719