Harmony Heights Incident Reporting & Privacy Statement — Onboarding Acknowledgment

Purpose: This is an onboarding acknowledgment. It is not an incident report and does not indicate that an incident has occurred.

1. INCIDENT REPORTING STATEMENT

As part of my onboarding with Harmony Heights Home Health Services LLC, I understand that I am responsible for promptly reporting incidents, accidents, injuries, unusual occurrences, suspected abuse or neglect, safety concerns, medication-related concerns, client complaints, property damage, missing property, workplace violence, and other events that may affect the health, safety, rights, or well-being of a client, employee, visitor, or other person. I understand and acknowledge the following expectations:

• I will report an incident or concern promptly to the appropriate Harmony Heights supervisor or office representative and follow agency reporting procedures.
• For a medical or safety emergency, I will obtain emergency assistance first when necessary (including calling 911 when appropriate) and then notify Harmony Heights as soon as safely possible.
• I will provide complete, truthful, factual, and timely information. I will not knowingly omit, alter, exaggerate, or falsify information related to an incident or investigation.
• I will preserve relevant information and cooperate with reasonable follow-up, documentation, review, or investigation requested by Harmony Heights.
• I will not discuss incidents with persons who do not have a legitimate need to know, including on social media or in public settings.
• I understand that failure to follow required reporting procedures may result in corrective action, consistent with company policy and applicable law.

2. PRIVACY & CONFIDENTIALITY STATEMENT I understand that during my work I may have access to confidential information, including protected health information (PHI), personally identifiable information, client records, schedules, care plans, employee information, passwords, business information, and other sensitive information. I agree to protect this information and use it only as authorized for my job duties.

• I will access, use, or disclose confidential information only when authorized and only to the extent needed to perform my assigned duties.
• I will not share client or employee information with friends, family members, unauthorized coworkers, or other persons who do not have a legitimate business need to know.
• I will not photograph, record, post, text, email, or share client information, images, documents, or conversations through personal or unauthorized channels.
• I will safeguard passwords, devices, paper records, and electronic records and will not permit another person to use my login credentials.
• I will avoid discussing confidential information in hallways, elevators, restaurants, social media, public areas, or any setting where unauthorized persons may overhear or view it.
• I will immediately report any suspected loss, theft, unauthorized access, disclosure, privacy concern, or security incident to Harmony Heights.
• I understand that my confidentiality obligations continue after my employment or service relationship with Harmony Heights ends.

By signing below, I confirm that the Incident Reporting Statement and Privacy & Confidentiality Statement were reviewed with me during onboarding. I understand that I am expected to follow Harmony Heights policies and procedures, protect confidential information, report concerns promptly, and ask a supervisor or manager if I am unsure what to do.