641—80.3(135) Local public health services (LPHS). Local public health services improve the health of the entire community; prevent illness; enhance the quality of life; provide services to safeguard the health and wellness of the community; reduce, prevent, and delay institutionalization of consumers; and preserve and protect families.
	80.3(1) Priority population. The LPHS contract serves individuals throughout the lifespan and prioritizes service to vulnerable populations in Iowa.
	80.3(2) Appropriations. The fiscal appropriations which assist in supporting LPHS are determined annually by the general assembly.
	80.3(3) Contractor assurance. In order to receive funding, the contractor shall provide to the department assurance that authorized agencies meet all applicable federal, state, and local requirements. The contractor may directly provide or subcontract all or part of the delivery of services. The contractor shall ensure that each authorized agency complies with Title IV of the Civil Rights Act, the Americans with Disabilities Act of 1990 (ADA), and Section 504 of the Rehabilitation Act of 1973 and with affirmative action requirements. In addition, the contractor shall ensure that each authorized agency has, at a minimum, the following:
	a. 	A governing board;
	b. 	Program policies and procedures;
	c. 	A consumer appeals process;
	d. 	Records appropriate to the level of consumer care;
	e. 	Evidence of staff supervision;
	f. 	Personnel policies and procedures which, at a minimum, include:
	(1)	Delegation of authority and responsibility for agency administration;
	(2)	A staff training program for the identification and reporting of child and dependent adult abuse to the department pursuant to Iowa Code sections 232.69 and 235B.3;
	(3)	An employee grievance procedure;
	(4)	Annual employee performance evaluations;
	(5)	A nondiscrimination policy;
	(6)	An employee orientation program; and
	(7)	Current job descriptions;
	g. 	Fiscal management, which shall, at a minimum, include:
	(1)	An annual budget;
	(2)	Fiscal policies and procedures which follow generally accepted accounting practices; and
	(3)	An annual audit performed according to usual and customary accounting principles and practices;
	h. 	Evaluation of agency and program activities which shall, at a minimum, include:
	(1)	Evidence of an annual evaluation; and
	(2)	Methods of reporting outcomes of evaluation to the LBOH.
	80.3(4) Coordination of public health services.
	a. 	The authorized agency is responsible for determining the ability of a job applicant to meet the requirements outlined in the job description. At a minimum, individuals responsible for coordinating public health services shall meet one of the following criteria:
	(1)	Be a registered nurse (RN) who is licensed to practice nursing in the state of Iowa and who has a recommended minimum of two years of related public health experience; or
	(2)	Possess a bachelor’s degree or higher in public health, health administration, nursing, health and human services, or other applicable field from an accredited college or university; or
	(3)	Be an individual with two years of related public health experience.
	b. 	Individuals who are responsible for the coordination of public health services on or before June 30, 2015, are exempt from the criteria in paragraph 80.3(4)“a.”
	80.3(5) Coordination of home care aide services.
	a. 	The authorized agency is responsible for determining the ability of a job applicant to meet the requirements outlined in the job description. At a minimum, individuals performing coordination of home care aide services shall meet one of the following criteria:
	(1)	Be a registered nurse (RN) licensed to practice nursing in the state of Iowa; or
	(2)	Possess a bachelor’s degree or higher in public health, health administration, nursing, health and human services, or other applicable field from an accredited college or university; or
	(3)	Be a licensed practical nurse (LPN) licensed to practice nursing in the state of Iowa; or
	(4)	Be an individual with two years of related public health experience.
	b. 	Individuals who are responsible for the coordination of home care aide services on or before June 30, 2015, are exempt from the criteria in paragraph 80.3(5)“a.”
	80.3(6) Home care aide services.
	a. 	The authorized agency shall ensure that each individual assigned to perform home care aide services meets one of the following:
	(1)	Be an individual who has completed orientation to home care in accordance with agency policy. At a minimum, orientation shall include four hours on the role of the home care aide; two hours on communication; two hours on understanding basic human needs; two hours on maintaining a healthy environment; two hours on infection control in the home; and one hour on emergency procedures. The individual shall have successfully passed an agency written test and demonstrated the ability to perform skills for the assigned tasks; or
	(2)	Be an individual who possesses a license to practice nursing as an LPN or RN in the state of Iowa.
	b. 	Individuals who were hired under the requirements of Chapter 80 on or before May 16, 2018, are exempt from the criteria in paragraph 80.3(6)“a.”
	c. 	The authorized agency shall ensure that services or tasks assigned are appropriate to the individual’s prior education and training.
	d. 	The authorized agency shall ensure documentation of each home care aide’s completion of at least 12 hours of annual in-service (prorated to employment).
	e. 	The authorized agency shall establish policies for supervision of home care aides.
	f. 	The authorized agency shall maintain records for each consumer. The records shall include:
	(1)	An initial assessment;
	(2)	A plan of care;
	(3)	Assignment of home care aide;
	(4)	Assignment of tasks;
	(5)	Reassessment;
	(6)	An update of the plan of care;
	(7)	Home care aide documentation; and
	(8)	Documentation of supervision of home care aides.
[ARC 1925C, IAB 4/1/15, effective 7/1/15; ARC 3747C, IAB 4/11/18, effective 5/16/18]