Always Care Home Health LLC

We ask that you have the complete hiring packet and your job description prior to starting the exercise.

As you go through the packet, each document will be reviewed. Have the document being reviewed in front of you and read through it as we proceed. As we finish each document, please sign and date each document and put it aside in order.

Use care on the document marked "Reference Request". We require you to provide 2 written references in your file. Fill in the name of the company or person and their address that you would like us to send the reference request to (at the top of the document). If you don't know the addresses during orientation please find it out as soon as you leave today and call us before the day is over.

The section called "Orientation for All Employees" and the document called "Orientation for Direct Care Employees" are in a table format. As we complete each section, you will put today's date and your initials in the right hand column indicating that you had that section reviewed with you.

Please inform us right away if you suspect that something negative will come back on your Criminal Background Check. Not all convictions will eliminate you from working in homecare but you must understand that we are responsible for assuring the safety of vulnerable patients (elderly and children). Speak to the Administrator privately if you suspect a problem will be identified.

Many homecare employees work for more than one company at the same time. It is essential that you let us know if you are working for another agency. Remember that any patient you service for us are OUR patients. Should you ever decide to leave us for any reason, patients you are servicing for us MAY NEVER be encouraged to transfer to another company where you might be working. This is clearly a conflict of interest and will not be tolerated. Our legal department will be notified immediately should this occur.

Please have your documents ready for copy before Orientation begins: Drivers License, Car registration, Social Security Card, Legal Immigration documents (if applicable), Current Professional license, copy of professional liability insurance, Home Health Aide certificate, TB test results.

Always Care Home Health LLC

I am currently licensed to drive a motor vehicle in the state of IN, I carry auto insurance on my vehicle
and I have supplied Always Care Home Health LLC a current copy of my license and auto insurance.

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Invisible, unspoken physical & emotional boundary, that defines the nature of the caregiver relationship. Boundaries are what keeps the professional borders of the relationship in place. The professional home care provider/staff has the responsibility of defining and maintaining the consistency of these boundaries. Professional boundaries are guidelines for maintaining a positive and helpful relationship with our clients. Understanding boundaries helps caregivers avoid stress and misconduct, recognize boundary crossings and provide the best possible care/services.

TYPES OF BOUNDARY CROSSING	STAYING IN BOUNDS
Sharing Personal Information: It may be tempting to talk to your client about your personal life or problems. Doing so may cause the client to see you as a friend instead of seeing you as a home care professional. As a result, the client may take on your issues/worries on top of their own.	Use caution when talking to a client about your private life Remember that your relationship with the client must be professional, therapeutic, not social
Nicknames/Endearments: Calling a client 'sweetie' or 'honey' may be comforting to that client, or it might suggest a more personal interest than you intend. It might also indicate to some, that you favor one client over another. Some clients may find the use of nicknames or endearments offensive & disrespectful.	Avoid saying honey and sweetie or the like Let the client determine how you will address them. Some may allow you to use their first name. Others might prefer a more formal approach: Mr., Mrs., Ms, or Miss- either is ok. Remember the way you address clients indicates your level of professionalism
Touch: Touch can be healing and comforting to some or it can be confusing, hurtful, or simply unwelcome. Touch should be used sparingly & thoughtfully.	Ask the client if they is comfortable with touch Use only when it will serve a good purpose A client may react differently than you intend If used, ensure it is serving client's needs and not your own
Unprofessional Demeanor: Demeanor includes appearance, tone and volume of voice, speech patterns, body language, etc. Professional demeanor affects how others perceive you. Personal and professional demeanor can be completely different.	Clients may be afraid or confused by loud voices Good personal hygiene is a top priority Professional attire sends a positive message Off-color jokes, racial slurs, profanity, slang are never appropriate Body language and facial expressions are always picked up by clients
Gifts/Tips/Favors: Giving or receiving gifts, or doing special favors, can blur the line between a personal and a professional one. Accepting a gift from a client might be taken as fraud or theft and is against agency policy.	Follow the Agency policy on accepting gifts It's ok to tell clients that you are not allowed by agency policy, to accept gifts, tips Report offers of unusual or large gifts to your supervisor
Over-involvement: Signs may include spending inappropriate amounts of time with a client, visiting the client when off duty, trading assignments to be with a client, thinking that you are the only caregiver who can meet the client's needs. Under involvement is the opposite of over-involvement and may include disinterest and neglect.	Don't confuse client needs with your needs Maintain a helpful relationship, treating each client with the same quality of care & attention, regardless of your emotional reaction to the client Ask yourself: Are you becoming overly involved with the client's personal life? If so, discuss your feelings with your supervisor

Always Care Home Health LLC

Non-Discrimination/LEP Statement

Always Care Home Health LLC complies with applicable Federal civil rights laws and does not discriminate in hiring or admissions, on the basis of race, color, national origin, age, disability, or sex. Our Agency does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Always Care Home Health LLC: Provides free aids and services to patients with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters.
• Written information in other formats (large print, audio, accessible electronic formats, other formats).

Provides free language services to patients whose primary language is not English (LEP) such as:

• Qualified interpreters.
• Information written in other languages.

If you need these services, contact Brittney Mickens.

If you believe that Always Care Home Health LLC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Agency Name: Always Care Home Health LLC
Agency Civil Rights Coordinator: Brittney Mickens
Agency Address: 450 E 96th St, Ste 500, Indianapolis IN 46240
Agency Phone: (317) 747-9024

You can file a grievance in person or by mail or fax. If you need help filing a grievance, Brittney Mickens is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F HHH Building, 1-800-368-1019, 800-537-7697 (TDD)

Always Care Home Health LLC

Always Care Home Health LLC

Listed are some pertinent references to employee policies from the Agency Employee Handbook. For more detailed information please refer to the Handbook. You may request to review any/all of the personnel policies pertinent to your employment at our Agency at any time.

1. Do wear scrubs to all your visits. However, if you do not have scrubs, you may wear business casual clothing. NO JEANS, scanty tops, see through clothing etc allowed.

2. Do wear your Agency Issued photo ID badge at all time when on agency business.

3. Do arrive on time for ALL assignments. Our Agency must be notified immediately if: a. An emergency or situation arises which causes you to be late by five or more minutes. b. You will be absent from your assignment. Without calling the office, these situations are called NO CALL NO SHOW and are subject to termination.

4. Once you have been given an assignment, no more than 2 cancellations will be tolerated.

5. Don't use the patient's phone. Cell phones are off during all visits.

6. Under No circumstances should you ever take property, money or "borrow" anything that belongs to a patient or ever enter into any type of legal or financial agreement.

7. Don't discuss your rate of pay with your patients.

8. Do complete visit notes correctly and completely and have signed by the patient AT THE TIME OF THE VISIT.

9. Do call our coordinator to see if there are cases to be covered if you are not scheduled for work.

10. If any problem arises on your assignment, you must call the office immediately.

11. Do call the office immediately if the patient does not answer the door for a scheduled visit. Failure to notify the office may be considered abandonment, especially if the patient has had a medical emergency and is on the floor in need of medical assistance. DON'T assume they aren't home. CALL THE OFFICE.

12. Don't leave any assignment early without first calling your scheduling coordinator immediately.

13. Do report any incident/accident or unusual occurrence involving a Always Care Home Health LLC employee/patient must be reported to our office immediately. If you are injured and unable to make the call have one of your family call us right away.

14. Do follow your schedule at all times WITHOUT MAKING ANY CHANGES.

15. Don't: Agency services do not include lifting or moving furniture, Scrub floors on hands and knees or window washing, hauling heavy trash barrels or rake leaves or snow shoveling (if applies).

16. Don't transport a patient's in your car unless you have a signed consent/authorization.

17. At the present time our agency does not perform drug testing of staff but may do so at our discretion.

18. Cancellation Policy: A minimum of eight (8) hours cancellation notice must be given at all times, unless you are involved in an emergency. Sick call shall be made with a 2 hour notice. Should you decide an assigned patient must be removed from your schedule, the office requires a minimum of one week's notice to arrange a change of worker. 2 weeks' notice is preferred.

My signature acknowledges that I have received and have read the Employee Handbook and agree to the Agency's Dos & Don't as listed above & in the Handbook.

This agreement is made between (the "Employee") and Always Care Home Health LLC, (the "Employer") on the of 20

The Employee agrees to the terms of this Agreement:

1) As a condition of employment the employer requires that all new employees agree to enter into this Confidentiality Agreement (the Agreement). The Employee acknowledges that employment with Employer is sufficient consideration for the Employee to entering into the Agreement.

2) The Employee acknowledges that, in the course of employment, the Employee will, and may in the future, come into possession of certain confidential information belonging to the Employer including but not limited to trade secrets, data, materials, products, technology, computerprograms, specifications, manuals, business plans, software, marketing plans, financial information, and other information disclosed or submitted. This confidential information may be embodied in hand written notes by the Employee, computer disks, tapes, paper, or any other media.

3) The Employee hereby covenants and agrees that she or he will at no time, during or after the term of employment with the Employer, use for his or her own benefit or the benefit of others, or discloses or divulge to others, any such confidential information.

4) Upon termination of employment, the Employee will return, retaining no copies or notes, all documents relating to the Employer's business including, but not limited to, reports, lists, correspondence, information, computer files, computer disks, and all other material and all copies of such material, obtained by the Employee during employment nor will the employee attempt to contact or solicit any patients that the employee may have worked with during employment.

5) The Employee recognizes that the Employer may be irreparably damaged by breach of this Agreement and that the Employer shall be entitled to seek an injunction to prevent such competition or disclosure, and will entitle the Employer to other legal remedies, including attorney's fees and costs.

6) The obligations of Recipient herein shall be effective from the date Owner last discloses any Confidential Information to Recipient pursuant to this Agreement.

7) If any part of this Agreement is adjudged invalid, illegal or unenforceable, the remaining parts shall not be affected and shall remain in full force and effect.

8) This instrument, including any attached exhibits and addenda, constitutes the entire Agreement of the parties. No representation or promises have been made except those that are set out in this Agreement. This Agreement may not be modified except in writing signed by all parties.

9) This agreement shall take effect as a sealed instrument and shall be construed, governed and enforced in accordance with the laws of the State of IN, without regards to its conflicts of law provisions.

10) The descriptive headings used herein are for convenience of reference only and they are not intended to have any effect in determining the rights or obligations under this agreement.

Always Care Home Health LLC

I have read and understand this policy on Protected Health Information (PHI) and security. I understand that should any situation arise where I breach patient privacy I will be disciplined up to and including termination. I hereby agree to maintain patient confidentiality in the strictest manner possible, sharing or discussing patient information only with those designated care providers or supervisors who have "a need to know" and are actively involved in the care of services provided to the patients. I further acknowledge that I have been trained in the provisions and laws related to HIPAA compliance during orientation and those patients must sign written permission to allow their health information (PHI) to be disclosed. I further agree that I will protect PHI while servicing patients and will not allow any PHI to be visible anytime; I will not bring any PHI related to another patient into the setting of patients I am servicing.

Our Agency is committed to providing the highest ethical health care and upholding conduct standards and corporate legal compliance. Our policies and Corporate Compliance Plan clearly supports a 'zero' tolerance to any form of fraud or misconduct. This applies to all employees, direct and contracted, regardless of position or title. I, as an employee of the Agency, acknowledge that I have apprised of and agree to comply with the Agency's Corporate Compliance Policy. I understand that in no way does this create an obligation or contract of employment and that I, as well as the Agency, have the right to end the employment relationship at any time.

I have been thoroughly informed by the Agency that I MUST report ALL incidents/accidents and any medical, physical, or mental changes in my Members immediately to the Supervisor/office. I further understand that in the event that I become injured, even a minor injury, I am required to report that incident to my office as soon as possible after an injury. OUR AGENCY IS AVAILABLE BY PHONE 24 HOURS A DAY. THE ANSWERING SERVICE WILL RESPOND AFTER 5 PM WEEKDAYS AND ON WEEKENDS/HOLIDAYS

I acknowledge that I have received and read the sexual abuse policy and/or have had it explained to me. I understand that the organization will not tolerate any employee, volunteer, board member or third party who commits sexual abuse. Disciplinary actions will be taken against those who are found to have committed sexual abuse. I understand that it is my responsibility to abide by all rules contained in the policy. I also understand how to report incidents of sexual abuse as set forth in the abuse policy, including retaliating against any employee/volunteer exercising his or her rights under the policy.

I have received & reviewed the Agency policy on Fraud as part of my hire packet.

Always Care Home Health LLC

No employee or member of the Governing Body, Advisory Committee, or other individual, committee, or entity shall derive any profit or gain directly or indirectly by reason of their association with the agency, without the prior knowledge and approval of the Governing Body. All board members and/or employees, at the discretion and specific request of the board, will be required to submit a disclosure statement annually.

If a matter arises in which a member of the board or employee has a conflict of interest, it shall be promptly disclosed to the Administrator and Governing Body.

In matters involving a conflict of interest, a board member must disclose any known significant reasons why a transaction might not be in the best interest of the agency and a board member shall not participate in discussions unless requested by the board nor vote on such transactions. The abstention and the reason for it shall be recorded in the minutes.

Field staff in any capacity understands that all patients are patients of the Agency not personal patients of the field staff. Patients may never be serviced privately by an employee of Our Agency for the financial gain of the employee. Should an employee terminate employment with Always Care Home Health LLC, the field staff understands that the patient may not be encouraged or otherwise moved from our Agency to another agency.

I, _______________________________________________, have read and am fully familiar with the agency's policy statement regarding conflict of interest. I am not presently involved in any transaction, investment, or other matter in which I would profit or gain directly or indirectly as a result of my membership on the agency's Governing Body or its committees or my employment.

Furthermore, I agree to disclose any such interest which may occur in accordance with the requirements of the policy and agree to abstain from any vote or action regarding the agency's business that might result in any profit or gain directly or indirectly, for myself.

Always Care Home Health LLC

False Claims Act/Ethical Business Practice/Whistleblowers Protections

Corporate Compliance/Ethical Business Practice

Policy Number: Corporate Policy

It is the determined policy of our Agency to adhere to sound and lawful business practices and comply with all program requirements, federal & state regulations and guidelines. Our Agency's Corporate Compliance Program will oversee the ethical business practices of our Agency.

➤ FEDERAL US FALSE CLAIMS ACT:
The False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733 was enacted in 1863 by a Congress. The FCA provided that any person who knowingly submitted false claims to the government was liable for double the government's damages plus a penalty for each false claim. Since then, the FCA has been amended several times. In 1986, there were significant changes to the FCA, including increasing damages from double damages to treble damages and raising the penalties from $2,000 to a range of $5,000 to $10,000. The FCA has been amended three times since 1986.

The FCA sets forth FCA liability for any person who knowingly submits a false claim to the government or causes another to submit a false claim to the government or knowingly makes a false record or statement to get a false claim paid by the government.

This statute provides that one who is liable must pay a civil penalty for each false claim (those amounts are adjusted from time to time; the current amounts are $5,500 to $11,000) and treble the amount of the government's damages. Where a person who has violated the FCA reports the violation to the government under certain conditions, the FCA provides that the person shall be liable for not less than double damages.

A person does not violate the False Claims Act by submitting a false claim to the government; to violate the FCA a person must have submitted, or caused the submission of, the false claim (or made a false statement or record) with knowledge of the falsity.

➤ STATE FALSE CLAIMS ACT:
The agency will abide by all state generated False Claims Act that apply as part of our participation in state/federally funded health care programs. The enactment of the federal & state False Claims Acts serve to preventing fraud, waste & abuse.

Whoever:
➤ knowingly/willfully makes/causes to be made any false statement or representation of a material fact in any application for any benefit or payment under a Federal health care program,
➤ at any time knowingly/willfully makes/causes to be made any false statement or representation of a material fact for use in determining rights to such benefit or payment,
➤ having knowledge of the occurrence of any event affecting an initial or continued right to any such benefit or payment, or the initial or continued right to any such benefit or payment of any other individual in whose behalf he has applied for or is receiving such benefit or payment, conceals or

Always Care Home Health LLC

fails to disclose such event with an intent fraudulently to secure such benefit or payment either in a greater amount or quantity than is due or when no such benefit or payment is authorized,

➤ having made application to receive any such benefit/payment for the use/benefit of another and having received it, knowingly/willfully converts such benefit or payment or any part thereof to a use other than for the use and benefit of such other person,

➤ presents or causes to be presented a claim for a physician's service for which payment may be made under a Federal health care program and knows that the individual who furnished the service was not licensed as a physician, or

➤ for a fee knowingly/willfully counsels or assists an individual to dispose of assets (including by any transfer in trust) in order for the individual to become eligible for medical assistance under a State plan under title XIX, if disposing of the assets results in the imposition of a period of ineligibility for such assistance under the laws, shall:

➤ in the case of such a statement, representation, concealment, failure, or conversion by any person in connection with the furnishing (by that person) of items or services for which payment is or may be made under the program, be guilty of a felony and upon conviction thereof fined not more than $25,000 or imprisoned for not more than five years or both, or

➤ in the case of such a statement, representation, concealment, failure, conversion, or provision of counsel or assistance by any other person be guilty of a misdemeanor and upon conviction thereof fined not more than $10,000 or imprisoned for not more than one year, or both. In addition, in any case where an individual who is otherwise eligible for assistance under a Federal health care program is convicted of an offense under the preceding provisions of this subsection, the administrator of such program may at its option (notwithstanding any other provision of such program) limit, restrict, or suspend the eligibility of that individual for such period (not exceeding one year) as it deems appropriate; but the imposition of a limitation, restriction, or suspension with respect to the eligibility of any individual under this sentence shall not affect the eligibility of any other person for assistance under the plan, regardless of the relationship between that individual and such other person.

Whoever knowingly/willfully:

➤ charges, for any service provided to a patient under a State plan approved under title XIX, money or other consideration at a rate in excess of the rates established by the State, (or, in the case of services provided to an individual enrolled with a Medicaid managed care organization under title XIX under a contract or under a contractual, referral, or other arrangement under such contract, at a rate in excess of the rate permitted under such contract), or

➤ charges, solicits, accepts, or receives, in addition to any amount otherwise required to be paid under a State plan approved under title XIX, any gift, money, donation, or other consideration (other than a charitable, religious, or philanthropic contribution from an organization or from a person unrelated to the patient) as a precondition of admitting a patient or as a requirement for the patient's continued stay in such a facility, when the cost of the services provided therein to the patient is paid for (in whole or in part) under the State plan, shall be guilty of a felony and upon conviction thereof shall be fined not more than $25,000 or imprisoned for not more than five years, or both.

The Whistleblower Protection Act of 1989 (WPA) is a US Federal law that protects federal government employees in the United States from retaliatory action for voluntarily disclosing information about dishonest or illegal activities occurring at a government organization. A whistleblower is an employee that reports an employer's misconduct. There are laws to protect whistleblowers from being fired or mistreated for reporting misconduct.

An agency violates the Whistleblower Protection Act if agency takes (or threaten to take) retaliatory personnel action against any employee or applicant because of disclosure of information by that employee or applicant. Whistleblowers may file complaints that they believe reasonably evidences a violation of a law, rule or regulation; gross mismanagement; gross waste of funds; an abuse of authority; or a substantial and specific danger to public health or safety.
Retaliation is about making people afraid to complain or to assert their rights. It is a subtle, but important distinction

Our Agency has systems in place to monitor & detect fraud, waste & abuse that include:
a. Fiscal Audits: ongoing with reporting to the Administrator/Governing Body, reconciliation of services rendered to services billed & vendor payments match goods/services received.
b. Clinical Chart Audits: ongoing to determine compliance with established Agency policy, CMS/ state regulations, appropriate delivery of services based upon diagnosis & benefits.
c. QA Program: oversight of clinical service delivery.
d. QA Committee: oversight of Agency quality measures.
e. Corporate Compliance Committee: ongoing monitoring of ethical business practices.
f. Management Meetings: ongoing with departmental reports of activity.

Always Care Home Health LLC

Attach in-service test/certificate of completion to this sheet as verification of training. HHAs require 12 hours of in services per year for compliance.

Always Care Home Health LLC

• Have a family communication plan
• Identify a point of contact that is out-of-town or in another state
• Escape routes
• Evacuation plan
• Plan for pets

• Know who to report to and procedures to follow
• Be prepared to assume tasks/roles out of your ordinary job description
• Ensure credentials (Identification cards, professional license, any local or state credential needed to move around restricted areas) are up to date and with you
• Know how supplies will be procured for patients
• Know the agencies communication tree- update your info if changes occur

• Full tank of gas - identify gas stations that have emergency/backup power
• Maps of the area
• Shovel
• Blankets
• Portable battery operated or crank radio
• Cell phone charger
• Portable battery operated or crank flashlight
• Booster cables
• Bottled water and non-perishable high energy foods, such as granola bars, raisins and peanut butter
• Flares
• Tie repair kit
• Fire extinguisher
• First aid kit

• charged cell phone
• portable phone
• satellite phone
• know the agency's emergency backup TV & Radio stations