333-536-0045 Services Provided (1) The services provided by an agency must include the safe provision of or assistance with, personal care tasks related to one or more of the following: (a) Bathing; (b) Personal grooming and hygiene; (c) Dressing; (d) Toileting and elimination; (e) Mobility and movement; (f) Nutrition/hydration and feeding; (g) Tasks related to care of the client's physical body, such as foot or nail care; (h) Medication reminding. (2) A caregiver who provides nail technology as defined in ORS 690.005 may be subject to, and must comply with, the certification requirements under ORS chapter 690 and any corresponding administrative rules applicable to cosmetology. (3) Medication reminding or medication assistance services may only be provided by an agency that is licensed and classified to provide those services for a client who can self-direct. The agency shall comply with this rule and OARs 333-536-0055, 333-536-0070 and 333-536-0075 in order to provide these services. (4) An agency that provides medication reminding or medication assistance services for clients who can self-direct must: (a) Document the client’s knowledge of the following information using a standardized form required by the Authority: (A) The reason why each medication is taken; (B) The amount or dose of each medication that needs to be taken; (C) The route the medication needs to be taken; and (D) The time of day each medication needs to be taken. (b) Retain a copy of the standardized form, signed by the client, where an agency has determined the client can self administer medications. (5) An agency must evaluate whether a client can continue to self-direct at a minimum of every 90 days. If it is determined that a client can no longer self-direct, arrangements shall be made to provide appropriate services without delay or transfer the client to an agency with a higher license classification within 30 days if the agency providing current services is not classified as such. (6) All documentation required in sections (4) and (5) of this rule shall be kept in the client’s record. (7) In addition to personal care tasks, an agency may also provide one or more of the following services upon approval by the Authority: (a) Non-injectable medication assistance; (b) Non-injectable medication administration; or (c) Nursing services. (8) An agency may also provide housekeeping and other supportive services. Such tasks include, but are not limited to: (a) Housekeeping; (b) Laundry; (c) Shopping and errands; (d) Transportation; and (e) Arranging for medical appointments. (9) If an agency has clients who receive only housekeeping and support services, the agency is not required to comply with the following rules for those specific clients: OAR 333-536-0065, 333-536-0070, 333-536-0075, 333-536-0080, 333-536-0085 and 333-536-0090. (10) Services described in this rule shall be primarily provided at the client's residence. In addition, the services may be rendered at nonresidence locations as specified in the client's service plan. Statutory/Other Authority: ORS 443.340 Statutes/Other Implemented: ORS 443.315 & 443.340 History: PH 26-2021, amend filed 06/29/2021, effective 07/01/2021 PH 10-2012, f. 6-26-12, cert. ef. 7-1-12 PH 22-2004, f. & cert. ef. 6-25-04 PH 3-2004(Temp), f. & cert. ef. 2-6-04 thru 7-30-04 OHD 19-2002, f. 12-4-02, cert. ef. 2-1-03