SAFR CARE PERSONNEL REQUIREMENTS

A. DRIVER QUALIFICATIONS

1. Drivers must have a valid Drivers License in the state of operation (or valid license from a contiguous state) appropriate to the type of vehicle they will be operating and at least 3 years of driving experience, including experience driving multi-passenger vehicles.

2. Drivers must be at least nineteen (19) years of age and have completed all required training.

3. Drivers must have effective oral communication skills in English sufficient to communicate effectively with Consumers and facilities’ staff and to perform their other job duties, and undergo a Criminal Offender Record Information (CORI) check, with results verified, prior to any contact with Agency Consumers. The CORI must remain on file at the Transportation Provider’s place of business and the CORI must be conducted annually thereafter. The Transportation Provider must follow the DCJIS requirements for CORI request procedures.

4. Drivers must supply written health records on their physical condition and must be physically able to assist Consumers entering and exiting vehicles.

5. Transportation Providers must obtain a driving history report for each of its drivers and driver applicants from all appropriate state agenc(ies) on any moving violations. The report(s) must be obtained and maintained on file at the transportation provider’s place of business prior to any contact by the driver with Agency Consumers. The Transportation Provider must secure a driving history report from every state in which the driver applicant resided or was a licensed motor vehicle operator during the past 7 years. The Transportation Provider must exercise judgment in determining the appropriateness of any driver whose report(s) indicates any violation. The driving history report(s) must be updated and reviewed annually, and at a minimum, should not reflect within the previous 7 years any of the violations specified below: · Driving under the influence of alcohol or drugs/driving while intoxicated; · Reckless driving/driving to endanger; · Leaving the scene of an accident; · Driving without a license and/or insurance; · Driving with a suspended license; and · Any record with multiple or repeated violations (other than parking). At a minimum, if any of the above violations are found within the previous 7 years, that driver or driver applicant should be prohibited from contact with HST Consumers.

6. All drivers and Monitors who work under the provisions of the Transportation Provider Subcontract with an HST Broker shall adhere to the following provisions regarding drug/alcohol testing. All drug and alcohol testing must be conducted by an independent (non-affiliated/off-site) laboratory certified under the National Laboratory Certification Program (NLCP). Transportation Providers are not allowed to collect testing samples or conduct any testing, whether at the Transportation Provider’s facilities or otherwise. Drug testing must be conducted for marijuana, cocaine, opioids (codeine, heroin, morphine, oxycodone, oxymorphone, hydrocodone, hydromorphone), amphetamines (amphetamine, methamphetamine, MDMA, MDA) and phencyclidines (PCP), and the results must be verified as “negative”.

a. Pre-contact - Prior to being assigned to any work directly or indirectly involving Agency Consumers, undergo a drug test as described above.

b. Reasonable suspicion - Any driver or Monitor who is suspected to be under the influence of alcohol or drugs must be removed immediately from any contact with Agency Consumers and the removal must remain in effect pending the results of a drug/alcohol test. The alcohol test must be conducted within 8 hours of the Incident and the drug test within 32 hours. Positive test results or failure to administer the test within the prescribed time limits will result in the permanent removal of the individuals from any Agency contract work.

c. Post accident - Any driver or Monitor involved in an accident with Agency Consumers on board the vehicle must be removed immediately from any contact with Agency Consumers, and the removal must remain in effect pending the results of a drug/alcohol test. The alcohol test must be conducted within 8 hours of the Incident and the drug test within 32 hours. Positive test results or failure to administer the test within the prescribed time limits will result in the permanent removal of the individuals from any Agency contract work. For this provision, an accident includes, but is not limited to, an occurrence associated with the operation of a vehicle, if as a result: (1) An individual dies; or (2) An individual suffers bodily injury and immediately receives medical treatment at or away from the scene of the accident; or (3) One or more vehicle(s) involved incurs disabling damage and such vehicle or vehicles are transported away from the scene by a tow truck or other vehicle; or (4) There has been $1000 or more of property damage.

B. MONITOR QUALIFICATIONS

1. Monitors must be at least nineteen (19) years of age and have completed all required training.

2. Monitors must  have effective oral communication skills in English sufficient to communicate effectively with Consumers and facilities’ staff and to perform their other job duties, and undergo a Criminal Offender Record Information (CORI) check, with results verified, prior to any contact with Agency Consumers. The CORI must remain on file at the Transportation Provider’s place of business and the CORI must be conducted annually thereafter.

3. Monitors must be physically able to assist Consumers entering and exiting vehicles.

4.If any Monitor is ever to be used as a driver, he or she must meet all driver qualifications prior to work as a driver.

5. PROGRAM-BASED TRANSPORTATION ONLY - Monitors are also subject to the drug/alcohol testing provisions set forth above.

C. DRIVER AND MONITOR TRAINING - The Transportation Provider shall:

1. Ensure that all drivers and Monitors have successfully completed the applicable in-service training program prior to their transporting any HST Consumers. The Broker reserves the right to request documentation of trainings conducted. The mandatory training shall include at a minimum the following and must be conducted annually thereafter: Program Application TRAINING REQUIREMENT Universal DRIVER ONLY: Driver rules and regulations; Defensive driving & reacting to skids, and Vehicle stalling & brake failure Universal DRIVER AND MONITOR: Proper use of vehicle safety equipment; content and use of all first aid kit items; use of two-way radios, if applicable, and emergency vehicle evacuation procedures Universal DRIVER AND MONITOR: Accident procedures & Incident reporting Universal DRIVER AND MONITOR: Correct use of Consumer seat belts, including correct use of child safety restraint devices for all programs serving children Universal DRIVER AND MONITOR: Use of Wheelchair lift & proper wheelchair securement Universal DRIVER AND MONITOR: Human rights and sensitivity to Consumer needs, including disability awareness, passenger assistance and accommodations for service animals (guide dogs) in vehicles Universal DRIVER AND MONITOR: Familiarization with the HST and Agency standards, specifications and procedures, including mandated reporting of suspected abuse or neglect and suspected Medicaid member or provider fraud and abuse, driver and monitor performance standards, consumer pickup protocols, and data privacy and security rules and requirements, including compliance with the HIPAA Rules, and all other applicable laws, regulations, policies, procedures and standards applicable to Transportation Provider. Program-Based DRIVER AND MONITOR: First aid; reaction to seizures, universal precautions and “vehicle empty” inspection procedure. DPH Only DRIVER AND MONITOR: Certified in basic first aid (4 hours). The certification must be through the American Red Cross, American Heart Association, or other equivalent training approved by the Broker and must be kept current. DPH Only DRIVER AND MONITOR: Certified in CPR for infants and children. The certification must be through the American Red Cross, American Heart Association, or other equivalent training approved by the Broker and must be kept current.

APPENDIX

1. Transportation Provider Performance Standards Revised:

2. Ensure that drivers and Monitors attend Broker sponsored, coordinated, or arranged meetings as determined to be necessary by the Broker.

3. Ensure that drivers have a good basic knowledge of the service area and are provided with detailed maps of the service area. Drivers and dispatchers must be aware of the locations and telephone numbers of emergency facilities (police, fire, hospital, etc.) in the service area.

4. PROGRAM-BASED TRANSPORTATION ONLY - Pre-qualify drivers prior to being assigned to a route:

a. Current Transportation Providers – driver must accompany an experience driver or supervisor on a minimum of one established route during regularly scheduled Facility hours.

b. New Transportation Providers – driver must accompany a supervisor on a minimum of one simulated route in the service area during regularly scheduled Facility hours.

D. PERSONNEL POLICIES/DOCUMENTATION - The Transportation Provider shall:

1. Maintain a personnel file on each driver (including owners when they have driving responsibilities) and Monitor which shall include:

a. Credentials;

b. Copy of driver’s license (drivers only);

c. Results from annual CORI check;

d. Health records, including results of drug/alcohol testing and any other agency specific requirements (annual health exam, TB test, etc.);

e. Annual driving history reports from the appropriate state agenc(ies) (drivers only);

f. Training records;

g. Performance evaluation results; and

h. Any other Broker required documents. This file shall be available for review by the Broker and/or HST Office, upon request.

2. Develop and maintain written procedures for driver and Monitor orientation and training, and performance Monitoring.

E. DRIVER AND MONITOR PERFORMANCE STANDARDS

1. Ensure that drivers and Monitors (where applicable) are clean and neat in appearance and look professional. Blouses, shirts, skirts, slacks and pants are acceptable. Clothing must not be ripped or torn.

2. Ensure that all personnel exercise patience and sensitivity and be exemplary in speech and action whenever they are in contact with parents, Consumers and Facility staff. Drivers and Monitors should not discuss with parents or residential staff the behavior or medical condition of any other individual other than those the parents or staff are directly responsible for.

3. Ensure that all personnel are licensed, qualified, competent and courteous

4. Ensure drivers do not use drugs or alcohol at any time when it might affect a safety sensitive duty (including, but not limited to, within the 4 hours preceding driving), and if taking medications, must still be able to perform his/her duties in a safe manner. Any driver taking medications that may hinder performance must report such use to his/her supervisor, and not transport Agency Consumers.

5. Ensure that drivers and Monitors (where applicable) adhere to the following:

a. If a driver should need to call their base using a cell phone, the vehicle must be stopped in a safe location to allow for safe usage (dialing, etc.). Drivers must NEVER text message while they have Consumers on board;

b. No eating or drinking is allowed in the vehicle while any Consumer is in the vehicle (this also applies to the driver and Monitor);

c. The doors of the vehicle are closed and locked while the vehicle is in motion (except for the rear emergency door of vehicles which must remain unlocked in transit);

d. No fueling of the vehicle is conducted while Consumers are on board;

e. All vehicles used to transport Consumers must be smoke free and no driver or Monitor may smoke on the grounds of the Facility, Residence or Day Care Facility;

f. Only the driver shall occupy the driver’s seat;

g. Shut off the vehicle and remove the keys when not occupying the driver’s seat (not applicable for vehicles when operating hydraulic lift);

h. No pushing a vehicle with their vehicle or allowing the vehicle to be pushed while a Consumer is located in either vehicle;

i. Operate vehicles at all times in compliance with all federal, state and local laws;

j. No personal stops while transporting HST Consumers, unless specifically authorized;

k. No headphones (including Bluetooth or any other type of wireless phone headset) while on duty; and

l. No firearms, alcoholic beverages, unauthorized controlled substances or highly combustible materials shall be transported in the vehicle.

6.  Ensure that drivers and Monitors assist all Consumers upon entering and exiting the vehicle and assist in securing and releasing car seats and seat belts, as needed. The driver is ultimately accountable to ensure that all passengers, both adults and children, are properly secured with seat belts or in car seats before any movement of the vehicle and en route. Drivers and Monitors (where applicable) must not leave a vehicle unattended at all times when Consumers are in the vehicle.

7. The Transportation Provider is not responsible to furnish car seats, only to insure that they are being used properly when needed. Vehicles for hire, including taxicabs are not exempt. The standards are as follows, unless an exemption under the law is applicable.

a. Children under 8 years of age must be properly secured in an appropriate child passenger restraint, unless they are more than 57 inches tall;

b. Children under 13 years of age must wear a properly adjusted and fastened safety belt, unless required to be in a child passenger restraint;

c. Older children and adults must wear a safety belt; and

d. Child passenger restraints must meet current federal motor vehicle safety standards (49 CFR 571.213) and be in good working order, properly used and installed in the vehicle as specified by the manufacturer's instructions. Child passenger restraints may not be altered or modified unless approved by the manufacturer. Any restraint involved in a crash should no longer be used.

8. Ensure that:

a. No Consumer is seated in any side or rear-facing seat (only forward-facing seats);

b. No child under 12 years of age is seated in the front passenger seat of any vehicle equipped with a front air bag on the passenger side; and

c. No child in a child passenger restraint is in the rear most bench seat of a fifteen-passenger van.

9. Ensure that drivers and Monitors (where applicable) do not discipline any Consumer, under any circumstances. Circumstances that warrant action shall be reported at once to the appropriate Facility staff and to the Broker. Any behavior or Incident that affects the safety of Consumers should be reported immediately to the dispatcher and when required, the vehicle shall pull to a safe place to address the situation.

10. Ensure that drivers carry and maintain “fact sheets” and/or Transportation Plans and daily attendance and/or trip/route sheets for all Consumers on their route. Driver must maintain the log/trip sheet legibly and completely.  This may be done in a mobile app when provided a software platform with all required documentations.

11. Ensure that Monitors, in addition to all other requirements contained herein, perform the following:

a. Constantly observe/monitor the Consumer(s) to whom they are assigned while in transit;

b. Provide one-to-one assistance to Consumers, upon assignment, but also provide supervision and assistance to other Consumers on the vehicle when necessary;

c. Follow designated assignments and accept supervisory guidance;

d. Attend specialized training upon request by the Broker. The Broker reserves the right to request documentation of trainings conducted;

e. Intervene only to prevent injury from occurring to a Consumer. Inform the driver of any situation that threatens or appears to threaten the well being of any Consumer;

f. Notify Facility staff of any significant Incident that occurred while in transit;

g. Individual Monitors must sit next to the individual Consumer Monitored, or if a group Monitor, be seated in one of the middle or rear seats of the vehicle while any Consumer is in the vehicle. Monitor should under no circumstance be seated in the front seat with the driver; and

h. Perform any additional Consumer-specific duties. The Broker may request that the Monitor assist the Consumer when necessary from door to door.

12. Ensure that drivers and Monitors release children and cognitively impaired Consumers only to authorized individuals and that they confirm the identity of any individual to whom they release the Consumers. Drivers that are not familiar with a person(s) authorized to take custody of the Consumers must confirm identification of the person(s) either through a photo ID or physical description, confirmed by Facility personnel (drivers should never ask a person if they are “Ms. Jones;” rather drivers should ask the person to give their name). Whenever there is any doubt, contact the Facility and if necessary, return the Consumer to the Facility and notify the Broker immediately. In addition to caution, drivers and Monitors must exercise sensitivity in these situations.

13. Ensure that all equipment is properly secured at all times and kept out of the reach of Consumers. The satisfactory condition of any vehicle and equipment is subject to the discretion of the Broker.

14. Ensure that when in transit, any medical equipment (oxygen tanks, Monitoring equipment, etc.) is positioned and secured to the floor, vehicle seat or wall of the vehicle below the window line. Bungee cords and/or Velcro are not acceptable securement devices.

15. Ensure that drivers perform a daily vehicle inspection before picking up any Agency Consumers. The daily vehicle inspection must be documented in writing and kept on file for three months.