OurJourney HOME SERVICES LLC

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I certify that my answers are true and complete to the best of my knowledge. If this application leads to a position, I understand that false or misleading information in my application or interview may cause me to (1) be eliminated from further consideration for a position or (2) may result in my immediate discharge from Our Journey Home Services LLC. 1 understand that this company does not unlawfully discriminate. I am aware that Our Journey Home Services LLC is an equal employment opportunity company.

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6.0 Home health Aide- Job description

Description 1. Home Health Aide provides service to individuals in their own homes and communities, who need assistance caring for themselves as a result of old age, sickness, disability and/or other inflictions. Personal Care may include assistance with the activities of daily living, housecleaning, laundry, meal preparation. transportation, companionship and respite, 2. Home Health Aide are responsible for ensuring that service is delivered in a caring and respectful manner, in accordance with relevant Agency policies and industry standards. Reporting Relationship 1. Reports to Supervisor. Responsibilities/Activities: 1. Performing simple procedures as an extension of therapeutic services; 2. Skilled personal care and personal care, as defined in this Part; 3. Patient ambulation and exercise; 4. Household services essential to health care at home; 5. Assisting with medications that are ordinarily self-administered; 6. Reporting changes in the patient's or client's condition and needs to the RN or the appropriate therapist; and 7. Completing appropriate records. 8. Assist with the activities of daily living and personal care including:

Shaving Dressing Feeding Positioning

Toileting Medication reminding Vital Signs ad Blood Pressure

9. Ensure client's safety and security by supervising the home environment. 10. Teach/perform meal planning and preparation, routine housekeeping activities such as making/changing beds, dusting, vacuuming, washing floors, cleaning kitchen and bathroom, and laundry. 11. Provide companionship including social interactions, conversations, emotional reassurance and encouragement of activities that stimulate the mind. 12. Provides respite care for families in accordance with care plans. 13. Perform/assist with essential shopping/errands, which may include handling the client's money in accordance with the care plan and under the observation of the Supervisor.

14. Assist clients with following a written, special diet plan and reinforcement of diet maintenance. which is provided under the direction of a Physician and as identified on the care plan. 5. Escort clients to medical facilities, errands, shopping and outings as specified in the care plan. 16. Assist clients with communication by writing or typing correspondence for them or researching information for them. 17. Participate on the Care Team by providing input and making suggestions. 18. Ensure service is delivered in accordance with all relevant policies, procedures and practices. 19. Monitor supplies and resources. 20. Evaluate the program and make recommendations to it, as indicated. 21. Follow the written care plan. 22. Carry out duties as assigned by the Supervisor. 23. Observe clients and their environments and report unsafe conditions to the Supervisor. 24. Observe clients and their environments and report behavior, physical and/or cognitive changes and/or changes in living arrangements to the Supervisor. 25. Complete and maintain records of daily activities, observations, and direct hours of service. 26. Attend orientation, in-service training sessions and staff meetings. 27. Develop and maintain constructive and cooperative working relationships with others.

28. Make decisions and solve problems. 29. Communicate with Supervisor and co-workers. 30. Observe, receive and obtain information from relevant sources. 31. Performs other duties as required. Physical and Mental Demands: 1. Good physical and mental health. 2. Physical ability to stand, walk, use hands and fingers, reach, stoop, kneel, crouch, talk, hear and see. 3. Mental fortitude and stability to handle stress. 4. Physical and mental ability to drive a vehicle. Qualifications/Education 1. Active CNA license or equivalent 2. Current driver's license. 3. Proper Vehicle Insurance Coverage.

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Illinois Department of Public Health Health Care Worker Registry, 525 W. Jefferson St., Springfield, IL 62761 Phone: (217) 785-5133 Health Care Worker Background Check Disclosure and Authorization for Criminal History Records Check

I hereby authorize the Illinois Department of Public Health (IDPH), IDPH's designee that train or test health care workers, staffing agency, or the health care employer to request a criminal history records check and I further authorize the Illinois State Police (ISP) to release information relative to the existence or non existence of any criminal record which it might have concerning me to the requestor solely to determine my suitability for employment or continued employment. I further authorize any agency which maintains records relating to me to provide same on request to the ISP or IDPH. I certify that the ISP and any agency, including IDPH. their employees or officers who furnish this information shall be held harmless from any and all liability which mav be incurred as a result of releasing such information. I further acknowledge that a health care employer shall not be liable for the failure to hire or to retain an applicant or employee who has been convicted of committing or attempting to commit one or more of the offenses stated in the Health Care Worker Background Check Act (225 ILCS 46/25) I understand that any false statements or deliberate omissions on this document may be grounds for disqualification from employment or, if discovered after employment begins, could result in discipline up to and including my termination of employment. I understand that the information requested below regarding sex, race, height, cyc color, and date of birth is for the sole purpose of identification and the gathering of the above-mentioned information about me accurately. and that it will not be used to discriminate against me in violation of the law. I understand that the provision of my social security number IS required by law. A tacsimile or photographic copy or this authorization will be as valid as the origmat.

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I certify that the above is true and correct and give my consent for my name to appear on IDPH's Health Care Worker Registry as a result of this criminal history records check:

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(Ust (Signature) As the parent or guardian of the above named individual, who is under the age of seventeen, I give my consent for this named individual to have a criminal Distor records chec.

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OurJourney HOME SERVICES LLC

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OurJourney HOME SERVICES LLC

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