Definition
Direct support professional” means an individual who:
(a) Provides services to a participant in accordance with Section 4 of this administrative
regulation;
(b) Has direct contact with a participant when providing services to the participant;

Requirements
1. Eighteen (18) years old and has a high school diploma or GED; or
2. Twenty-one (21) years old;
(d) Meets the personnel and training requirements established in Section 3 of        the SCL regulations;
(e) Has the ability to:
1. Communicate effectively with a participant and the participant’s family;
2. Read, understand, and implement written and oral instructions;
3. Perform required documentation; and
4. Participate as a member of the participant’s person-centered team if requested by the participant; and
(f) Demonstrates competence and knowledge on topics required to safely support the participant as described in the participant’s person-centered service plan.

Job Description
Level II Residential will be provided by:
2. A family home provider that:
a. Has been certified:
(i) By the department to be an SCL waiver provider; and
(ii) By DBHDID to provide level II residential supports; and
b. Shall have no more than three (3) participants receiving publicly-funded supports living in the home.
(c) A level II residential support provider shall employ staff who shall be a:
1. Direct support professional; or
2. Direct support professional supervisor if providing supervision.
(d) If a participant experiences a change in support need or status, the level II residential services provider shall adjust services provided to the participant to meet the participant’s altered need or status.
(e) For a participant approved for unsupervised time, a safety plan shall:
1. Be included in the participant’s person-centered service plan based upon the participant’s assessed needs; and
2. Ensure that:
a. The participant’s case manager and other person centered service plan team members ensure that the participant is able to implement the safety plan; and
b. The participant’s case manager provides ongoing monitoring of the safety plan,
procedures, or assistive devices required by the participant to ensure:
(i) Relevance;
(ii) The participant’s ability to implement the safety plan; and
(iii) The functionality of the devices if required.
(f) If a participant experiences a change in support needs or status, the participant’s personcentered team shall meet to make the necessary adjustments in the:
1. Participant’s person-centered service plan; and
2. Residential services to meet the participant’s needs.

Provide assistance with daily living skills which shall include:

1. Be for a participant who requires up to a twenty-four (24)-hour level of
support;
• Assist the participant with acquiring, retaining, or improving skills related to
living in a community; and
• Promote increased independence;
• Be designed and implemented to assist a participant to reside in the most
integrated setting appropriate to the participant’s needs;
• Provide support for a participant up to twenty-four (24) hours a day;
• Be furnished in
• Be based on the needs of the participant as determined by the participant’s
person-centered team; and the participant’s person-centered service plan; and
Include:
•
• Adaptive skill development;
• Assistance with activities of daily living including bathing, dressing, toileting,
transferring, or maintaining continence;
• Community inclusion;
• Adult education supports;
• Social and leisure development;
• Protective oversight or supervision;
• Transportation;
• Personal assistance; and the provision of medical or health care services that
are integral to meeting the participant’s daily needs.

Documentation
o Daily In and Out logs for each participant served
o Detailed monthly summary note, which shall include:
– The month and year for the time period covered by the note;
o -An analysis of progress toward a participant’s outcome or outcomes;
o -A projected plan to achieve the next step in achievement of an outcome or
outcomes;
– Information regarding events that occurred that had an impact on the
participant’s life;
– The signature and title of the direct support professional writing the
note; and
– The date the note was written;.

MOST IMPORTANTLY ALL STAFF WILL BE RESPONSIBLE FOR MONITORING AND ENSURING THE HEALTH, SAFETY, WELFARE, INTEGRITY, PRIVACY, AND THE RIGHTS OF ALL PARTICIPANTS