Section 1: Introduction & Overview

Table of Contents

Policy and Procedure Manual=

Updated: July 2010

Introduction

Contents..........................................= ...........................................................................= .......................................................... i

Section 1: I= ntroduction & Overview<= /span>

Order of Contents..........................................= ...........................................................................= .......................................... 1

1.A. 1: Mission ....................................= ...........................................................................= .................................................... 2

1.A. 2: History..........................................= ...........................................................................= ................................................ 2=

1.A. 3:Accreditation..........................................= ...........................................................................= ...................................... 2

= 1. B. Profile of Homes and Programs.................................................................= .............................................................. 2

= 1. C. Admissions Process and Criteria.................................................................= ........................................................... 5

1.C. 1: Population Ser= ved..........................................= ...........................................................................= .............................. 5

1.C. 2: Referral Proce= ss for Homes and Programs..................= ...........................................................................= ............. 5

1.C. 3: Transition into Homes and Programs..................= ...........................................................................= ..................... 6

1.C. 4: Moving On..........................................= ...........................................................................= .......................................... 7

= 1.D. Rights and Responsibilities............................= ...........................................................................= ............................... 8

1.D. 1: Rights..........................................= ...........................................................................= .................................................. 8

1.D. 2: Responsibiliti= es..........................................= ...........................................................................= .................................. 9

1.D. 3: Family/Support Network Rights......................= ...........................................................................= .......................... 9

1.D. 4: Family/Support Network Responsibilities............= ...........................................................................= ................... 9

1.D. 5: Informed Conse= nt: Risk versus Choice..................= ...........................................................................= .................. 9

1.D. 6: Confidentialit= y..........................................= ...........................................................................= .................................... 10

1.D. 7: Consent for Re= lease of Information......................= ...........................................................................= .................... 10

= 1.E. Complaint Resolut= ion .................................................................= ...........................................................................= .... 10

1.E. 1: Overview..........................................= ...........................................................................= .............................................. 10<= /p>
1.E. 2: Rights and Responsibilities regarding complaints..........................................................................= ................... 11

1.E. 3: Compliance with regulations.........................= ...........................................................................= ............................. 12

1.E. 4: Procedure..........................................= ...........................................................................= ............................................. 12
1.E. 5: Complaints in = the community...........................= ...........................................................................= .......................... 13

1.E. 6: Tracking compl= aints..........................................= ...........................................................................= ........................... 13

= 1. F. Monitoring and Safeguards..........................................= ...........................................................................= ................. 14

1.F. 1: Hiring..........................................= ...........................................................................= .................................................... 14

1.F. 2: Internal Monit= oring..........................................= ...........................................................................= ............................ 14

1.F. 3: Community Livi= ng British Columbia= (CLBC)..........................................= ............................................................. 14

1.F. 4: Community Care Facilities Act......................= ...........................................................................= ............................. 14

1.F. 5: Worker’s Compensation Act....................= ...........................................................................= .................................. 15

1.F. 6: Fire Inspectio= ns..........................................= ...........................................................................= .................................. 15

1.F. 7: Pharmacist Rev= iew..........................................= ...........................................................................= ............................. 15

1.F. 8: Policy, Proced= ure and Other Manuals...................= ...........................................................................= ................... 15

1.F. 9: Miscellaneous<= span style=3D'mso-tab-count:2 dotted'>..........................................= ...........................................................................= ..................................... 16

Section 2: Leadership

<= /o:p>

Order of Contents.................................................................= ...........................................................................= ................... 1

2.A.: Philosophy and V= alues.................................................................= ...........................................................................= . 3

2.A. 1: Safeguard Intrinsic Human Rights = and Dignity.............................= .................................................................... 3

2.A. 2: Self-determination..........................................= ...........................................................................= ............................. 3

2.A. 3: Community Inclusion..........................................= ...........................................................................= ........................ 3

2.A. 4: Personal Growth through Individua= lly Relevant and Measured Goals.........= ................................................ 3=

2.A. 5: Behaviour is viewed as Communicat= ion..........................................= ................................................................... = 4

2.A.&nbs= p; 6: Support Family and Significant Others Involvement..........................................= ............................................. 4

2.A. 7: Staff with a Value Base and Personality Factors Consistent with Philosophy............................................. 4=

2.A. 8: Person Centred Planning..........................................= ...........................................................................= .................. 5

2. B.:Ethics.................................................................= ...........................................................................= ............................... 5

2.B. 1: Overview.................................................................= ...........................................................................= ...................... 5

2.B. 2: Definitions.................................................................= ...........................................................................= .................... 5

2.B. 3: Ethical Responsibility in the Delivery of Services to People Supported........................................................ 6<= /o:p>

2.B. 3. a) Conflicts of interest..........................................= ...........................................................................= ....................... 6

2.B. 3. b) Exchange of gifts, money, and gratuities..........................= ...........................................................................= ... 6

2.B. 3. c) Personal fund raising..........................................= ...........................................................................= .................... 6

2.B. 3. d) Person property..........................................= ...........................................................................= ............................. 7

2.B. 3. e) Setting boundaries..........................................= ...........................................................................= ........................ 7

2.B. 3. f) Witnessing of documents..........................................= ...........................................................................= ............. 7

2.B. 4: Ethical Responsibility to the Com= pany..........................................= ..................................................................... 7

2.B. 5: Ethical Responsibility as a Busin= ess..........................................= ......................................................................... <= /span>7        &= nbsp;

2.B. 6: Ethical Responsibility in Marketi= ng Services............................= ......................................................................... <= /span>7

2.B. 7: Ethical Responsibility to Profess= ions..........................................= ........................................................................ 8

2.B. 8: Ethical Responsibility as an Empl= oyee..........................................= ...................................................................... 8

2.B. 9: Ethical Responsibility to Colleag= ues..........................................= ......................................................................... <= /span>8

2.B. 10:Ethical Responsibility in Human Resources...........................= ...........................................................................= 8

2.B. 11:Ethical Responsibility as a Compa= ny to the Community and Taxpayer.......= ................................................. 9

2.B. 12:Procedures to deal with allegatio= ns of violations of ethical codes......= .......................................................... 9

2.B. 13:Education of personnel and other stakeholders on ethical codes of conduct............................................. 9

2:B. 14: Demonstrated corporate citizensh= ip..........................................= ........................................................................ 9

2.C.: Planning<= /u> .................................................................= ...........................................................................= .......................... 10

2.C. 1: Overview.................................................................= ...........................................................................= ...................... 10

2.C. 2: Accessibility Planning..........................................= ...........................................................................= ...................... 11

2.C. 3: Technology Plan..........................................= ...........................................................................= ................................ 11

2.C. 4: Risk Analysis Plan..........................................= ...........................................................................= ............................. 11

2.C. 5: Continuous Quality Improvement Pl= an..........................................= ..................................................................... 11

2.C. 6: Strategic Plan.................................................................= ...........................................................................= ............... 11

2.C. 7: Human Resources Plan..........................................= ...........................................................................= ..................... 11

2.C. 8: Annual Review of Formal Complaint= s..........................................= ....................................................................... 11

2.C. 9: Occupational Health and Safety Re= port..........................................= .................................................................... 11

2.C. 10:Annual audits.................................................................= ...........................................................................= ............. 12

2.C. 11:Incident Reporting: Summary Repor= t..........................................= ........................................................................ 12

2.C. 12:Succession Planning..........................................= ...........................................................................= ........................ 12

2.D.: Technology .................................................................= ...........................................................................= ................... 12

2.D. 1: Overview.................................................................= ...........................................................................= ...................... 12

2.D. 2: Use of technology..........................................= ...........................................................................= ............................. 12

2.D. 3: People supported and computers..........................................= ...........................................................................= ... 12

2.D. 4: Back up and safe storage..........................................= ...........................................................................= ................. 13

2.D. 4. a) Disaster Recovery..........................................= ...........................................................................= ......................... 13

2.D. 5: Security and Virus Protection..........................................= ...........................................................................= .......... 13

2.D. 6: Installation and Maintenance..........................................= ...........................................................................= .......... 13

2.D. 7: Warranties.................................................................= ...........................................................................= ................... 13

2.D. 8: Assistive technology..........................................= ...........................................................................= ........................ 13

2.D. 9: Internet Use.................................................................= ...........................................................................= ................. 14

2.D. 10:E-Mail Use.................................................................= ...........................................................................= .................. 15

2.D. 11:Faxes................................................................= ...........................................................................= ............................. 15

2.D. 12: Telephones.................................................................= ...........................................................................= ................ 15

2.D. 13: Voice Mail.................................................................= ...........................................................................= .................. 16

2.D. 14: Cellular Phones..........................................= ...........................................................................= ................................ 16

2.D. 15: Personal Musical Devises..........................................= ...........................................................................= .............. 16

2.D. 16: Confidential Documents on Home Computers...........................= ...................................................................... 16

2.D. 17: Face Book and Social Networking Sites...............................= ...........................................................................= .. 16

2.D. 18: Website.................................................................= ...........................................................................= ...................... 17

2: E: Research<= /u>.................................................................= ...........................................................................= .......................... 17

2. F: The Law: .................................................................= ...........................................................................= ......................... 18

2.F. 1: Subpoenas.................................................................= ...........................................................................= .................... 18

2.F. 1 a): Definitions= ..........................................= ...........................................................................= ............................... 18

2.F. 1 b): Rights and responsibilities of employees.......= ...........................................................................= ............. 18

2.F. 1 c): Compelled W= itness..........................................= ...........................................................................= ................ 19

2.F. 1 d): Voluntary W= itness..........................................= ...........................................................................= ................ 19

2.F. 2: Search Warrants..........................................= ...........................................................................= ................................. 19

2F. 2 a): Introduction= ..........................................= ...........................................................................= ............................. 19

2.F.2 b): Receipt of a Search Warrant......................= ...........................................................................= ..................... 19

2.F. 3: Persons Supported and Legal Matte= rs..........................................= ...................................................................... 20

2.F. 4: Criminal Offenders..........................................= ...........................................................................= .............................. 21

2.F. 5: Legislation and references codes = of ethics..............................= ...........................................................................= 21

2.G. Unanticipated ser= vice modifications, reduction or exits/transitions..= ................................................................. 23=

2.G. 1: Service modifications, reductions= ..........................................= ...........................................................................= .. 23

2.G. 1. a) Procedures:= ..........................................= ...........................................................................= ............................. 23

2.G. 2: Exits/transitions..........................................= ...........................................................................= .................................. 24

2.G. 3: Guiding principles: ..........................................= ...........................................................................= ............................ 24

Section 3: H= uman Resources

Order of Contents.................................................................= ...........................................................................= ................... 1

3.A.: Recruitment: Out= of Service..........................................= ...........................................................................= ................ 4

3.A. 1: Non-discrimination in hiring..........................................= ...........................................................................= ............ 4

3.A. 2: Roles and Responsibilities in Hir= ing..........................................= ......................................................................... <= /span>4

3.A. 2 a): Responsibilities of Employee Scheduler (ES.).....................= .......................................................................... = 4

3.A. 2 b): Responsibilities of the Human Resources Administrator.............= .............................................................. 5

3.A. 2 c): Responsibilities of the Program Managers/Directors re: excluded staff

3.B.: Conditions of Employment and Recognition of Prior Experience and Educational Qualificatio= ns .............. 8

3.B. 1: First Aid/CPR for Adult Care Work= ers..........................................= ...................................................................... 8

3.B. 2: Documentation Requirements..........................................= ...........................................................................= .......... 8

3.B. 3: Documentation Payment..........................................= ...........................................................................= ................... 10

3.B. 4: Recognition of Prior Experience f= or New Employees.......................= ................................................................. 10=

        3.B.4 a): Verification= ..........................................= ...........................................................................= .............................. 10

        3.B. 4 b): Seniority and Benefits not portable......................................................................= ................................... 10

        3: b. 4 c): Probationary Period .......= ...........................................................................= ................................................ 10        &= nbsp;

3.B. 5: Recognition of Educational Qualifications......................= ...........................................................................= ........ 10

3.C.: Orientation.................................................................= ...........................................................................= ...................... 11

3.C. 1: Office Orientation on Hiring..........................................= ...........................................................................= ............. 11

3.C. 2: Central Orientation..........................................= ...........................................................................= ............................. 11

3.C. 3:&= nbsp; Paskin Practical Orientation = ...........................................................................= ...................................................... 12=

3.C. 4: Home/Program Orientation..........................................= ...........................................................................= ............... 12

3.C. 5: Orientation for New Managers..........................................= ...........................................................................= ........ 13

3.D. Employee Requirem= ents and Procedures..........................................= ...................................................................... 13

3.D. 1:Advocacy & Self Help..........................................= ...........................................................................= ....................... 13

3.D. 2: Conflict of Interest: ..........................................= ...........................................................................= ........................... 14        &= nbsp;

        3.D.2. a): Employment of Relative.......................................................................= ...................................................... 14=

        3.D.2 b): Outside Employment and Activities.................................................................= ....................................... 14

3.D. 3:Criminal Records: Duty to Inform; Review..............................= ...........................................................................= . 15

3.D. 4: Criminal Record Updates ..........................................= ...........................................................................= ................. 15

3.D. 5: Footwear.................................................................= ...........................................................................= ...................... 15

3.D. 6: Gifts................................................................= ...........................................................................= ................................ 16

3.D. 7: Licit and Illicit drugs and or substances..........................= ...........................................................................= ........ 16

        3.D. 7: a) Licit Drugs or substances on Worksite;...................................................................= .............................. 16

        3.D. 7. b) Unauthorized use or possession of illicit substances..........................................= ................................ 16

3.D. 8: Medical Issues for Staff Members<= span style=3D'mso-tab-count:2 dotted'>..........................................= ...........................................................................= .. 16

3.D. 9: Meals for Staff Members..........................................= ...........................................................................= .................. 16

3.D. 10:Modesty.................................................................= ...........................................................................= ...................... 17

3.D. 11:Performance Evaluations..........................................= ...........................................................................= ................. 17

3.D. 12: Personal Appearance and the Use = of Scents..............................= ..................................................................... 18

3.D. 13: Personal Property..........................................= ...........................................................................= ............................ 18

3.D. 14: Pets................................................................= ...........................................................................= .............................. 19

3.D. 15: Promotion Guidelines..........................................= ...........................................................................= ...................... 20

3.D. 16: Additional Hours Overview..........................................= ...........................................................................= ........... 20

3.D. 17: Master Call Out Lists..........................................= ...........................................................................= ...................... 21

        3.D. 20 a) Home/Program Call Out Lists...= ...........................................................................= .................................... 21

3.D. 18: Call-out procedures to fill shif= ts..........................................= ...........................................................................= .... 21

3.D. 19: Crisis staffing protocols..........................................= ...........................................................................= ................. 23

3.D. 20: Casual Employees Information..........................................= ...........................................................................= ...... 23

3.D. 21: Requests for information from the Public/Media........................= ..................................................................... 25

3.D. 22: Return to Work and CSSEIP..........................................= ...........................................................................= .......... 25

3.D. 23: Tipping.................................................................= ...........................................................................= ....................... 25

3.D. 24: Training and Professional Development.........................= ...........................................................................= ....... 26

3.D. 25: Sick Leave.................................................................= ...........................................................................= .................. 26

3.D. 26: Smoking and tobacco products..........................................= ...........................................................................= ..... 28

3.D. 27: Alcohol and Substance Abuse..........................................= ...........................................................................= ..... 28

3.D. 28: Telephones, Texting, and blue to= oth headsets............................= .................................................................... 29

3.D. 29: Voice Mail.................................................................= ...........................................................................= .................. 29

3.D. 30: Vacation.................................................................= ...........................................................................= ..................... 29

3.D. 31: Vehicles for Futures Club................................= ...........................................................................= ......................... 30

3.D. 32: Staff Meetings..........................................= ...........................................................................= .................................. 30

3.E.: Employee Conduct= .................................................................= ...........................................................................= ......... 31

3.E. 1: Conflict Resolution between Staff Members and Manager.................= ............................................................. 31

3.E. 2: Conflict Resolution between Staff Members…......................= ...........................................................................= . 31

3.E. 3: Insubordination..........................................= ...........................................................................= .................................. 31

3.E. 4: Protection, Privacy, Breaches of Confidentiality.....................= ...........................................................................= 31

3.E. 5: Conflicts of Interest: Violations= ..........................................= ...........................................................................= ...... 32

3: E. 6: Borrowing Personal Effects..........................................= ...........................................................................= ............. 32

3.F.: Administration <= /span>.................................................................= ...........................................................................= ............... 32

3.F. 1: Banked Overtime..........................................= ...........................................................................= ................................ 32

3.F. 2: Direct Deposit:..........................................= ...........................................................................= .................................... 32

3.F. 3: Change of Home Base..........................................= ...........................................................................= ....................... 32

3.F.4: Change of Name, Address, Phone Num= bers..........................................= .............................................................. 32

3.F. 5: Night Shifts and Statutory Holida= ys..........................................= .......................................................................... = 33

3.F. 6: Payroll Inquiries..........................................= ...........................................................................= .................................. 33

3.F. 7: Payroll calculation for meetings<= span style=3D'mso-tab-count:2 dotted'>..........................................= ...........................................................................= ....... 33

3.F. 8: Retroactive Pay..........................................= ...........................................................................= ................................... 33

3.F. 9: Short Term Special Leave of Absen= ce for Education.......................= ................................................................. 33=

3.F. 10: Special Leave.................................................................= ...........................................................................= ............. 33

3.F. 11: Time Change: Employees on Shift<= span style=3D'mso-tab-count:2 dotted'>..........................................= ...........................................................................= . 33

3.F. 12: Time Sheets.................................................................= ...........................................................................= ................ 34

3.F. 13: Union Leave...............................= ...........................................................................= ................................................. 34

3.F. 14: WCB: Employees on WCB..........................................= ...........................................................................= ............. 34

3.F. 15: Benefits While on Unpaid Leave of Absence.............................= ..................................................................... 34

3.F. 16: Exit Surveys.................................................................= ...........................................................................= ................ 35

3.F. 17: Questions/Inquiries re: Payroll = or Contract Interpretation.............= ................................................................ 35<= o:p>

3. G: Personnel Files:= Human Resources and Payroll Office.........= ...........................................................................= .... 35

3.G. 1: PIPA.................................................................= ...........................................................................= .............................. 35

3.G. 2: Storage.................................................................= ...........................................................................= .......................... 36

3.G. 3: Retaining and Destroying Records Pertaining to Personnel.............= ............................................................... 36

3.G. 4: Retaining and Destroying Records Pertaining to Payroll and purchase of goods....................................... 36<= /p>
3.G. 5: Retaining and Destroying Records Pertaining to People Supported......= ........................................................ 36

3.G. 6: Personnel File Order..........................................= ...........................................................................= .......................... 36

3.G. 7: Review of Personnel Files..........................................= ...........................................................................= ................. 38

3.H: Volunteers .................................................................= ...........................................................................= ....................... 38

3.H. 1: Criteria for use..........................................= ...........................................................................= .................................... 38

3.H. 2: Supervision.................................................................= ...........................................................................= .................. 38

3.H. 3: Signed Agreements..........................................= ...........................................................................= ........................... 38

3.H. 4: Documentation and Requirements..........................................= ...........................................................................= .. 38

3.H. 5: Files................................................................= ...........................................................................= ................................ 39

3.H. 6: Orientation and Training..........................................= ...........................................................................= .................. 39

3.H. 7: Assessment and Performance Polici= es..........................................= ...................................................................... 39

3.H. 8: Confidentiality Policies..........................................= ...........................................................................= ..................... 40

3.H. 9: Restrictions.................................................................= ...........................................................................= .................. 40

3.H. 10: Dismissal.................................................................= ...........................................................................= .................... 40

3.H. 11: Exclusions.................................................................= ...........................................................................= .................. 40

3.I. Practicum Placements <= /u>.................................................................= ...........................................................................= .... 40

3.I. 1: Criteria for use....................= ...........................................................................= ............................................................ 40=

3.I. 2: Supervision.........................= ...........................................................................= ........................................................... 41<= /o:p>

3.I. 3: Signed Agreements...................= ...........................................................................= .................................................... 41

3.I. 4: Documentation and Requirements......= ...........................................................................= ....................................... 41

3.I. 5: Files...............................= ...........................................................................= .................................................................. 4= 2

3.I. 6: Orientation and Training............= ...........................................................................= .................................................. 42

3.I. 7: Assessment and Performance Policies.= ...........................................................................= ..................................... 42

3.I. 8: Confidentiality Policies............= ...........................................................................= ..................................................... 42<= /span>

3.I. 9: Restrictions........................= ...........................................................................= ............................................................ 42=

3.I. 1= 0: Dismissal...........................= ...........................................................................= ............................................................ 43=

3.I. 1= 1: Accident and Injury.................= ...........................................................................= ................................................... 43

3.J.: Excluded Staff

3.J. 1: Benefits: MSP, Extended Health, Dental..........................................= ................................................................... = 44        &= nbsp;           &nbs= p;

3.J. 2: Vacation.................................................................= ...........................................................................= ......................... 45

3.J. 3: Sick.................................................................= ...........................................................................= . ............................. 45

3.J. 4: Leave of Absence, Maternity Leave= ..........................................= ...........................................................................= 45

3.J. 5: Travel Claims.................................................................= ...........................................................................= ................ 45

3.J. 6: Overtime for Program Managers..........................................= ...........................................................................= ....... 46

3.J. 7: Cellular Phones..........................................= ...........................................................................= .................................... 46

3.J. 8: Provision of References..........................................= ...........................................................................= ..................... 46

3.J. 9: Manager’s Absences.................................................................= ...........................................................................= .. 47

3.J. 9 a): Front Line = Duties..........................................= ...........................................................................= ................... 48

3.J. 9 b): Management Function............................= ...........................................................................= ........................ 48

3.J. 9 c): Compensatio= n..........................................= ...........................................................................= ......................... 48

3.J. 9 d)Weekend On-Ca= ll Manager Rotation....................= ...........................................................................= .......... 48

3.J. 10: Accumulated time Off: ..........................................= ...........................................................................= ..................... 49

Section 4: H= ealth and Safety

Order of Contents...........= ...........................................................................= ......................................................................... <= /span>1

4. A.: Prevention of Critical Incidents

4.A. 1: Overview.............= ...........................................................................= ...........................................................................= 4

4.A. 2: External Authorities and Legislation.................................................................= ......................................................... 4

4.A. 3: Occupational Health and Safety Committee.................................................................= ............................................ 4

4.A. 4: External Inspections and Equipment maintenance:..........................................= ......................................................... 4

4.A. 5: Health Services for Community Living (HSCL) Backup..........................................= ................................................ 5=

4.A. 6: Working Alone........= ...........................................................................= ........................................................................ 5

4.A. 7: Prevention of Release of Vulnerable Adults to High Risk Situations..........................= .............................................. 5

4. B. Protection from Abuse..........= ...........................................................................= .......................................................... 6

4.B. 1: Whistle Blower Protection: .....................................................................= .................................................................. 6=

4.B. 2: Definitions of inappropriate and abusive conduct..........................................= ........................................................... 6

4.B. 2. a): Bullying.........= ...........................................................................= ...........................................................................= .. 6

4.B. 2. b): Physical Abuse...= ...........................................................................= ....................................................................... 7

4.B. 2. c): Sexual Abuse.....= ...........................................................................= ......................................................................... <= /span>7

4.B. 2. d): Verbal Abuse.....= ...........................................................................= ........................................................................ 7

4.B. 2. e): Emotional Abuse..= ...........................................................................= ...................................................................... 7

4.B. 2. f): Humiliation......= ...........................................................................= ...........................................................................= 7

4.B. 2. g): Retaliation......= ...........................................................................= ...........................................................................= . 7

4.B. 2. h): Financial or other Exploitation.................................................................= ............................................................ 7<= /o:p>

4.B. 2. i): Neglect..........= ...........................................................................= ...........................................................................= ... 7

4.B. 2. j): Unauthorized Restrictive Procedures.................................................................= ................................................... 7

4.B. 2. k): Harassment.......= ...........................................................................= ......................................................................... <= /span>7

4.B. 3: Legal Responsibilities..........................................................................= ...................................................................... 8

4.B. 4: Alleged: Abuse, Critical Incidents, Misuse of Funds or Assets,

        or Health and Safety Risks: Reporting and Follow up.................................................................= ......................... 8

4.C. Reporting of critical incidents.................................................................= .................................................................. 9=

4.C. 1: Licensed Programs: Reportable Incidents to Vancouver Island Health Authority (VIHA)...................................... 9

4.C. 2: Licensed Homes: Reportable Incidents to CLBC = ...........................................................................= ......................... 10

4.C. 3: Other Programs: Reportable Incidents.........= ...........................................................................= .................................. 11

4.C. 4: Minor Incidents or Injuries relating to Person Supported..........................................= ............................................... 11=

4.C. 5: Vehicle and Property Damage.....................................................................= ............................................................... 12

4.C. 6: Annual Review........= ...........................................................................= ........................................................................ 12

4.C. 7: Work Related Staff Injuries.....................................................................= ................................................................... = 12

4.C. 8: WCB Forms............= ...........................................................................= ........................................................................ 13

4.C. 9: Accident Investigation Report...................................................................= ................................................................ 13<= o:p>

4.D: Infection Control, Standard Precautions.................................................................= ................................................ 13

4.D. 1: Infection Control and Universal Precautions..........................................= ................................................................... = 13

4.D. 2: Influenza Immunization and Control of Influenza Outbreaks..........................................= ......................................... 14

4.D. 3: Communicable Diseases= ...........................................................................= ................................................................. 15=

4.D. 4: Staff Responsible for Reporting Communicable Diseases..........................................= .............................................. 15<= /p>
4.D. 5: Scabies Protocol.....= ...........................................................................= ......................................................................... <= /span>16

4.D. 6: Head Lice............= ...........................................................................= ...........................................................................= . 17

4.D. 7: HINI.................= ...........................................................................= ...........................................................................= ... 18

4: E: First Aid Procedures.................................................................= ...........................................................................= ...... 19

4.E. 1: First Aid Procedures.= ...........................................................................= ...................................................................... 19

4.E. 2: Human Bites..........= ...........................................................................= .......................................................................... = 20

4.E. 3: Hot and Cold Compresses4.E. 4: Emergency Survival Kits and First Aid Kits..........................................= .................................................................... 21

4.E. 5: Essential Information for all Staff Members..........................................= .................................................................... 21

4.E. 6: Managing Medical Situations for people supported..........................................= ........................................................ 22<= /o:p>

4. F: Fires.........= ...........................................................................= ...........................................................................= .............. 22

4.F. 1: Fire and Emergency Drills.......................................................................= ................................................................... = 22

4.F. 2: Fire Evacuation Procedures......................................................................= .................................................................. 2= 2

4.G.: Evacuation..........= ...........................................................................= ...........................................................................= ... 23

4.G. 1: When evacuation is appropriate..................................................................= .............................................................. 23

4.G. 2: Complete evacuation from the physical facility..........................................= .............................................................. 23

4.G. 3: The safety of evacuees..........................................................................= .................................................................... 23

4.G. 4: Accounting for all persons......................................................................= ................................................................... = 24

4.G. 5: Evacuation: Emergency Accommodations.................................................................= ................................................ 24

4.G. 6: Emergency Notification of Authorities.................................................................= .................................................... 24

4.H: Continuation of Essential Services during evacuation ..............................= ........................................................... 25

4.H. 1: Medication Disaster Supplies ...................................................................= ............................................................... 25

4.H. 2: Adaptive Equipment...= ...........................................................................= ................................................................... = 25

4.H. 3: Medical and Health Information..................................................................= .............................................................. 25

4.H. 4: Service Plans........= ...........................................................................= ...........................................................................= 25

4.H. 5: Personal Possessions.= ...........................................................................= ..................................................................... 25

4.H. 6: Emergency Staffing...= ...........................................................................= ...................................................................... 25

4.H. 7:Communication Headquarters during a Disaster..........................................= .............................................................. 25

4.H. 8: Out of Province Contact4.H. 9: Emergency Phone Numbers

4.I. Emergency = Procedures ..............................= ...........................................................................= ....................................... 26

4.I. 1 a): Bomb Threats..........................................= ...........................................................................= ..................................... 27

4.I. 1 b): Natural Disasters..........................................= ...........................................................................= ............................... 29

4.I. 1 c): Snow Storms..........................................= ...........................................................................= ...................................... 29

4.I. 1 d): Utility Failures..........................................= ...........................................................................= ................................... 29

4.I. 1 e): Medical Emergencies..........................................= ...........................................................................= .......................... 29

4.I. 1 f): Violent, Aggression or= other Threatening Situations..............= ...........................................................................= ...... 30

4.I. 1 g): Sentinel Events..............................= ...........................................................................= ............................................... 31=

4.I. 1 h): Biohazardous Material Incidents...........................= ...........................................................................= ...................... 32

4.I. 1 i): Lightning ..........................................= ...........................................................................= ............................................ 32

4.I. 1 j): Missing People..........................................= ...........................................................................= ................................... 32

4.I. 1 k): Suicide Prevention..........................................= ...........................................................................= .............................. 32

4.I. 1 l): Tsunamis..........................................= ...........................................................................= ............................................. 33
4.I. 1 m): Weapons..........................................= ...........................................................................= ........................................... 33

4.I. 2: Emergency Drills and Safe= ty Education for the People we support.= .......................................................................... = 34

4.J: Hospital Admission Procedur= e..........= ...........................................................................= .............................................. 34<= /span>

4.J: 1: Planned Admission to Hospital...................................................................= ............................................................... 34

4.J: 2: Emergency Admission to Hospital.................................................................= ............................................................ 34=

4.J: 3: Exceptional Considerations......................................................................= ................................................................... = 35

4.K: Death of a Person Supported= ..........= ...........................................................................= ................................................ 35

4.K. 1: Unexpected Death.....= ...........................................................................= ..................................................................... 35

4.K. 2: Anticipated Home Death..........................................................................= ................................................................. 35=

4.K. 3: Duties after Death...= ...........................................................................= ....................................................................... 36

4.K. 4: Memorial Services....= ...........................................................................= ...................................................................... 36

4.L: Annual Competency Based Tra= ining.........= ...........................................................................= ...... 37

4.L. 1: Overview.........................= ...........................................................................= ................................................................ 37<= o:p>

4.L. 2: Health and Safety Practices......= ...........................................................................= ....................................................... 37

4.L.3: Unsafe Environmental Practices......= ...........................................................................= ................................................. 37

4.L.4: Emergency Procedures................= ...........................................................................= ..................................................... 37<= /span>

4.L.5: Evacuation procedures...............= ...........................................................................= ...................................................... 37=

4.L. 6: Identification and Reporting of Critical Incidents.................................................................= ..................................... 37

4.L.7: Medication Management..........................................= ...........................................................................= ....................... 37

4.L. 8: Reducing Physical Risks..........= ...........................................................................= ....................................................... 37

4.M: Release of a Person Supported<= span style=3D'mso-tab-count:1 dotted'>..........................................= ...........................................................................= ............ 38

4.M.1: Overview............................= ...........................................................................= ............................................................ 38=

4.M. 2: Restrictions or prohibition by a court order or an order under an enactm= ent..........................................= ................ 38

4.M. 3: Health , safety or dignity risks.= ...........................................................................= ..................................................... 38<= /span>

4.M. 4: Form Part 6: 78 Residential Care Regulati= ons..........................................= ................................................................ 38<= o:p>

Section 5: Vehicles and Transportation

Order of Contents...........= ...........................................................................= ......................................................................... <= /span>2

5. A. 1. : Responsibilities.= ...........................................................................= ....................................................................... 2

5.A. 2.: Staff Transporting People Supported in their Own Vehicles<= span style=3D'mso-tab-count:2 dotted'>..........................................= ................................ 2

5. A. 2. a): Safety and Risk Reduction.................................................................= ............................................................ 2<= /o:p>

5.A. 3: Auto Insurance for Employer’s Business..........................................= ................................................................ 3

5.A. 4: Personal First Aid Kits........................................................................= .................................................................. 3=

5.A. 5: Class 4 Driver’s License; and Driver’s Abstract= ..........................................= ..................................................... 4

5.A. 6: Traffic Violations, Accidents and Fines.................................................................= ............................................ 4

5.A. 7: Van Maintenance.....= ...........................................................................= ................................................................... = 5

5.A. 8: Vehicle Safety Equipment and Information.................................................................= ....................................... 5

5.A. 9: Operation of Lifts on Wheelchair Accessible Vans...........................................= ............................................... 5<= /p>
5.A. 9: a): When the lift fails: Emergency.................................................................= ....................................................... 5=

5.A. 10: Emergency Wheelchair Accessible Vans.................................................................= ........................................ 6

5.A. 11: Van: Securement Straps........................................................................= ............................................................... 6

5.A. 12: Gas in Vans........= ...........................................................................= ......................................................................... <= /span>6

5.A. 13: Van Lift System Repairs.......................................................................= ............................................................... 7

5.A. 14: Parking Permits for People with Disabilities..........................................= ........................................................... 7

5.A. 15: Individual Support Network: Driving the van of a person supported...........................= .............................. 7

5.A. 16: Using Public Transportation...................................................................= ........................................................... 7

Section 6: Financial Planning and Management

Order of Contents...........= ...........................................................................= ......................................................................... <= /span>1

6.A. Funds and Property of People Supported;........= ...........................................................................= .......................... 2

6.A. 1: Bank Accounts.......= ...........................................................................= ..................................................................... 2

6.A. 2: Monies Received.....= ...........................................................................= .................................................................... 2

6.A. 3: Expenses............= ...........................................................................= ...........................................................................= 2

6.A. 4: Co-signature........= ...........................................................................= ......................................................................... <= /span>2

6.A. 5: Controls............= ...........................................................................= ...........................................................................= . 2

6.A. 6: Banks Cards.........= ...........................................................................= ........................................................................ 2

6.A. 7: Funds held by Accounting.......................................................................= ............................................................ 2<= /o:p>

6.A. 8: Tracking and Monitoring Expenditures on Behalf of the Person Supported...........................= ..................... 3

6.A. 9: Income Tax..........= ...........................................................................= ......................................................................... <= /span>3

6.A. 10: Eligibility: Disability Benefits.................................................................= ............................................................ 3<= /o:p>

6.A. 11: Accounts Administered by the Public Trustee..........................................= ..................................................... 3

6.A. 12: Asset Register.....= ...........................................................................= ...................................................................... 4

6.A. 13: Registered Disability Savings Plan.................................................................= ................................................... 4

6.B. Comforts Allowance, Recreation Funds, Fees<= /span>.........= ...........................................................................= ................... 4

6.B. 1: Comforts Allowance..= ...........................................................................= .................................................................. 4=

6.B. 2: Recreation Funds....= ...........................................................................= ..................................................................... 5

6.B. 3: Fees for Day Program= ...........................................................................= .................................................................. 6=

6.B. 4: Futures Club Recreation Budget...................= ...........................................................................= ............................ 7

6.B. 5: Future Club Accounts= ...........................................................................= ................................................................. 7<= o:p>

6 C: Financial Practices.........= ...........................................................................= .................................................................. 7=

6.C. 1: Operation Expense Accounts.....................................................................= .......................................................... 7

6.C. 2: Petty Cash..........= ...........................................................................= ...........................................................................= 8

6.C. 3: Capital expenditures= ...........................................................................= .................................................................... 8

6.C. 4: Inventory of Capital Equipment.................................................................= ........................................................... 8

6.C. 5: Warranties..........= ...........................................................................= ...........................................................................= 8

6.C. 6: Risk Management.....= ...........................................................................= ................................................................... = 8

6.C. 7: Insurance...........= ...........................................................................= ...........................................................................= . 9

6.C. 8: Bad Debt............= ...........................................................................= ...........................................................................= . 9

6.C. 9: GST: ICBC claims....= ...........................................................................= ..................................................................... 9

6.C. 10: Contracted Services= ...........................................................................= ................................................................... = 9

6.C. 11: Transportation Allowance/Mileage.................................................................= .................................................. 10

6.C. 12: Cheque Requests....= ...........................................................................= ................................................................... = 10

6.D: Purchasing: Expense Approval and Review.........= ...........................................................................= ....................... 10

6.D. 1: Furniture and Appliances.......................................................................= ............................................................... 10

6.D. 2: Groceries and Vehicle Expenses.................................................................= .......................................................... 10

6.D. 3: Cable ..............= ...........................................................................= ...........................................................................= .... 11

6.D. 4: Telephone...........= ...........................................................................= .......................................................................... = 11

6.D. 5: Medications.........= ...........................................................................= ......................................................................... <= /span>11

6.D. 6: Product Distribution= ...........................................................................= .................................................................... 12

6.D. 7: Future Med and ACME.= ...........................................................................= ............................................................. 12

6:D. 8: Non-Prescription Medical Supplies.................................................................= .................................................... 12

6.D. 9: Medically Essential Equipment..................................................................= .......................................................... 13

        6.D. 9 a) : Procedure for Payment........= ...........................................................................= .......................................... 15

6.D. 10: Co-op Cards........= ...........................................................................= ........................................................................ 15

6.D. 11: CIBC Debit Cards...= ...........................................................................= .................................................................... 15

6: E: Unethical and Illegal Practices= .........= ...........................................................................= ............................................. 15

6.E. 1: Fraudulent Practices, theft, waste and other wrong doing...........................................= .................................... 16

6.E. 1. a): Whistle Blower Protection..................................................................= .............................................................. 16

6: F: Fund Raising Activities.........= ...........................................................................= ......................................................... 16

Section 7: Individual Centred Service Planning

Order of Contents...........= ...........................................................................= ......................................................................... <= /span>1

7: A. Respect, Dignity and Choice ..........................................= ...........................................................................= ............ 3

7.A. 1. a) Self Determination..........................................................................= .................................................................... 4

7.A. 1: Informed Consent....= ...........................................................................= .................................................................... 5

7.A. 2: Personal Care.......= ...........................................................................= ........................................................................ 5

7.A. 3: Privacy…………………= 230;…………………………&= #8230;…………………………= ;................. ............................... 5

7.A.3. i: Telephone usage...= ...........................................................................= .................................................................... 5

7.A. 4: Personal Possessions………………………&= #8230;…………………………= ;…………..........................................= .. 6

7.A. 5: Searches…………………&#= 8230;…………………………= …………………………̷= 0;..........................................= ..... 6

7.A. 6: Pets................= ...........................................................................= ...........................................................................= ..... 7

7.A. 7: Visitors............= ...........................................................................= ...........................................................................= ... 7

7.A. 8: Alcohol and Tobacco Products: People Supported..........................................= ............................................... 7<= /p>
7.A. 9: Advocacy: Training, support, linkages.................................................................= ............................................. 8

7.A. 10: Cultural Sensitivity..........................................................................= ..................................................................... 8

=

7.B. Planning..........................................= ...........................................................................= ................................................... 8<= /u>

7.B. 1: Individualized Planning of People Receiving Services..........................................= ........................................... 8

7.B. 2: Person Centred Planning........................................................................= ............................................................... 8

7.B. 3: PCP Review: Semi-Annual Reports................................................................= ...................................................... 8<= /span>

7.B. 4: Individual Program Plans.......................................................................= ................................................................ 8

7.B. 5: Individual Care Plans..........................................................................= .................................................................... 8

7.B. 6: Risk versus Choice..= ...........................................................................= .................................................................... 9

7.B. 7: Health Care Plans...= ...........................................................................= ...................................................................... 9

7.B. 8: Schedules and Activities.......................................................................= ................................................................ 9

7.B. 9; Children’s Compressive Plan of Care (CPOC)..........................................= .......................................................... 10

7.B. 10: Goal Tracking......= ...........................................................................= ........................................................................ 11

7.C. Behavior Support: Based on Mandt System .........= ...........................................................................= ..................... 11

7.C. 1: Overview............= ...........................................................................= ...........................................................................= 11

7.C.2: Positive Approaches..= ...........................................................................= .................................................................. 1= 1

7.C. 3: Proactive Intervention7.C. 4: Motivating People...= ...........................................................................= .................................................................... 11

7.C. 5: Written Behavioural Plans for Challenging Behaviours..........................................= ......................................... 11

7.C.6: Safety Plans.........= ...........................................................................= .......................................................................... = 12

7.C. 7: Aggressive and Unusual Behaviour.................................................................= ................................................... 12

7.C. 8: Restraint...........= ...........................................................................= ...........................................................................= .. 12

7.C. 9: Emergency Restraint.= ...........................................................................= ................................................................... = 13

7.C. 10: Seclusion..........= ...........................................................................= ...........................................................................= 13

7.C. 11: Exclusionary Time out7.C. 12: Prohibited Practices Aversive Strategies Never to be Used<= span style=3D'mso-tab-count:2 dotted'>..........................................= ................................ 14

=

7.D: Physical Interaction .........= ...........................................................................= ............................................................... 14

7.D. 1: Overview............= ...........................................................................= ...........................................................................= 14

7.D. 2: Guidelines for Staff= ...........................................................................= ...................................................................... 15

7.D. 3: Examples of Appropriate Touch..................................................................= ......................................................... 15

7.D. 4: Examples of Inappropriate Touch................................................................= ........................................................ 15

=

7.E. Sexuality..........................................= ...........................................................................= ................................................... 16=

7.E. 1: Overview............= ...........................................................................= ...........................................................................= . 16

7.E. 2: Respect for Moral Choices......................................................................= .............................................................. 16

7.E. 3: Education and Training7.E. 4: Support for Special Needs......................................................................= ............................................................... 16

7.E. 5: Privacy and Respect.= ...........................................................................= ................................................................... = 16

7.E. 6: Sexual Safety.......= ...........................................................................= .......................................................................... = 17

7.E. 7: Development of Friendships.....................................................................= ............................................................ 17=

7.E. 8: Informed Consent for Sexual Relationship.................................................................= ......................................... 17

7.F. Nutrition..........................................= ...........................................................................= ................................................... 18=

7.F. 1. Nutrition and Food Services Audit Program..........................................= ............................................................. 17

7.G. Health Services for Community Living (HSCL); Delegation/Transfer of Function= ..........................................= 18

7.G. 1: Overview............= ...........................................................................= ...........................................................................= 18

7.G. 2: Consent to health care and rehabilitation treatment:..........................................= ............................................... 19=

7.G. 3: Levels of Care: ....= ...........................................................................= ......................................................................... <= /span>19

7.G. 4: Section I Tasks: Standard Practice Tasks.................................................................= .......................................... 19

7.G. 5: Section II Health Care tasks Which May Be Delegated to a Support Worker......................= ........................ 19

7.G. 6: Section III Health Care Professional Tasks..........................................= ............................................................... 20

7.G. 7: Acceptance of Delegation/Transfer of Function: ..........................................= ................................................... 20

7.G. 8: HSCL Staff Training for a Delegated Function..........................................= ......................................................... 20

7.G. 9: HSCL Monitoring of a Delegated Function:.................................................................= ...................................... 21

7.G. 10: Staff cross-registered without the necessary Section II training:...........................= ...................................... 21

7.H: Records and Documentation:

7.H. 1: Overview: ..........= ...........................................................................= ...........................................................................= 21

7.H. 2: People accessing their Records.................................................................= ........................................................... 21<= /o:p>

7.H. 3: Ownership of Records= ...........................................................................= ................................................................ 22<= o:p>

7.H. 4: Security, Contents, Transfer & and Storage..........................................= ............................................................ 22=

7.H. 5: Progress Notes/ Charts7.H. 6: Staff Communication Book.......................................................................= ............................................................. 23

7.H. 7: Order of Files for People supported.................................................................= .................................................... 23

Section 8: Medication and Treatment

        &= nbsp;

Order of Contents...........= ...........................................................................= ......................................................................... <= /span>1

8.A. Pharmacy Services.........= ...........................................................................= ................................................................. 3<= u>

8.A. 1: Shoppers Drug Mart..= ...........................................................................= ................................................................. 3<= o:p>

8.A. 3: Duncan Pharmasave...= ...........................................................................= ................................................................ 3

8.B: Staff Education............................= ...........................................................................= ..................................................... 4

8.B. 1: Orientation.........= ...........................................................................= ...........................................................................= 4

8.B. 2: Basics of Medication Course....................................................................= ............................................................ 4<= /o:p>

8.B. 3: Competency and Knowledge of Medications and Administration<= span style=3D'mso-tab-count:2 dotted'>..........................................= ....................... 4

8.C.: Safety Standards.........= ...........................................................................= .................................................................... 5

8.C. 1: Doctor’s Orders..........................................................................= ...........................................................................= .. 5

8.C. 2: Double Checking Procedure......................................................................= ............................................................ 5

8.C. 3: Quality Improvement Program....................................................................= .......................................................... 5

8.C. 4: HSCL Nurse..........= ...........................................................................= ........................................................................ 6

8.C. 5: CARF Standards......= ...........................................................................= .................................................................... 6

8.C. 6: Narcotics and other Controlled Medication..........................................= ............................................................. 6=

8.C. 7: Storage and Preparation........................................................................= ................................................................. 6<= o:p>

8.C. 8: Medication Logbook..= ...........................................................................= ................................................................. 7<= span style=3D'mso-font-kerning:16.0pt'>

8.C. 9: Informed Consent....= ...........................................................................= .................................................................... 7

8.D.: On Site Administration.........= ...........................................................................= ......................................................... 7

8.D. 1: Definitions.........= ...........................................................................= ...........................................................................= 7

8.D. 2: Medication Administration Procedure: Blister Packaging Syst= em..........................................= ....................... 8

8.D. 3: Wasted and Refused Medication..................................................................= ...................................................... 8<= /span>

8.D. 4: Administering PRN Medication...................................................................= ........................................................ 9

8.E.: Off Site Administration.........= ...........................................................................= .......................................................... 9

8.E. 1: Medication at Day Programs.....................................................................= ............................................................ 9<= /o:p>

8.E. 2: Administering Medication in the Community..........................................= ........................................................... 9

8.E. 3: Provision of PRN Medication in the Community..........................................= ..................................................... 10<= /span>

8.E. 4: Self-Administration of Medication.................................................................= ...................................................... 10=

8.F: Management of Errors and Adverse Reactions/Interactions..........................................= ..................................... 10

8.F. 1: Medication Errors...= ...........................................................................= ...................................................................... 10

8.F. 2: Formal Reporting of Errors.....................................................................= ................................................................ 11<= o:p>

8.F. 3: Error Follow-Up.....= ...........................................................................= ....................................................................... 11

8.F. 4: Adverse Reactions and Drug Interactions.................................................................= ......................................... 11

8.F. 5: When a Bubble is Empty

8.G.: Processing Orders.........= ...........................................................................= .................................................................. 1= 2        &= nbsp;

8.G. 1: New Orders following Medical Appointments..........................................= ......................................................... 12

8.G. 2: Emergency New Orders= ...........................................................................= ............................................................... 12

8.G. 3: Discontinued Orders.= ...........................................................................= .................................................................. 1= 2

8.H.: Changes in the population.........= ...........................................................................= ................................................... 12

8.H. 1: Transfers, Admissions and Discharges.................................................................= ............. ............................... 12<= span style=3D'mso-font-kerning:16.0pt'>

=

8.I.: Invento= ry.........= ...........................................................................= ...........................................................................= ....... 13

8.I. 1: Receiving and Checking M= onthly Medication: Blister Packaging System= ..................................................... 13<= /span>

8.I. 1 a) : Checking and adding = new medications.........................= ...........................................................................= ....... 13

8.I. 1. b): Adding New Cards..........................................= ...........................................................................= ........................ 13

8.I. 2 Medication Reordering Pro= cedure PRN’s and Liquid Meds.........= ..................................................................... 13

8.I. 3: General Supplies from Ph= armacy..........................................= ...........................................................................= ....... 14

8.I. 4: Stock in the home..........................................= ...........................................................................= ................................ 14

=

8.J: Purchase and Transportation.........= ...........................................................................= ................................................. 13

8.J. 1: Purchase and Processing Invoices.................................................................= ...................................................... 13=

8.J. 2: Transportation of Medication...................................................................= ............................................................. 14

8.K: Lab Work and Alternative Therapies.........= ...........................................................................= .................................. 14

8.K. 1: Lab Work............= ...........................................................................= .......................................................................... = 14

8.K. 2: Alternative Therapies..........................................................................= .................................................................. 1= 5

8.L: Biohazard Management.........= ...........................................................................= .......................................................... 15

8.L. 1: Expired, Discontinued and Wasted Medication..........................................= ....................................................... 15

8.L. 2: Sharp Object and Needle Disposal.................................................................= ...................................................... 15=