ITC Personal In Home Care, LLC - Employee Handbook

1. 18
West Office
8411 W. Peoria Ave.
Peoria, Arizona 85345
623. 792. 8112
Fax 623. 792. 8117
AlexA@ITC-AZ.com
Central Office
1301 E. Washington St., Ste. 330
Phoenix, Arizona 85034
602. 253. 5480
Fax 602. 253. 5512
RodM@ITC-AZ.com
East Office
759 N. Lindsay Rd.
Mesa, Arizona 85213
480. 969. 5480
Fax 480. 969. 5512
BrianF@ITC-AZ.com

2. - 1 -
10/07/15
Part 1 – Introduction.......................................................................................- 3 -
Introduction ………………………………………………………………………………………… - 3 -
Purpose of Handbook……………………………………………………………………….…….. - 3 -
Mission Statement…………………………………………………………………………………. - 3 -
Value Statement…………………………………………………………………………………… - 3 -
Vision Statement……………………………………………………………………………….…. - 3 -
Part 2 – Being an Employee of ITC.......................................................................- 4 -
Equal Employment…………………………………………………………………………………. - 4 -
Working Principles & Attitudes………………………………………………………….………... - 4 -
Employment is At-Will……………………………………………………………………………... - 4 -
Working Ethically……………………………………………………………………………..……. - 5 -
Outside Employment………………………………………………………………………..…….. - 5 -
Appearance…………………………………………………………………………………..…….. - 5 -
Rules of Conduct……………………………………………………………………………..……. - 5 -
A. General Rules of Conduct…………………………………………………………… - 5 -
B. Specific Rules of Conduct…………………………………………………………… - 6 -
C. Conduct for Which Employees Will Be Disciplined…………………………..….. - 6 -
Gifts – Borrowing Policy………………………………………………………………………..…. - 7 -
Employee Training…….………………………………………………………………………..….. - 7 -
Transportation Policy……………………………………………………………………………..… - 8 -
Accident Procedures………………………………………………………………………………. - 8 -
Smoking Policy…………………………………………………………………………………….. - 9 -
Drug Free Workplace…. ……………………………………………………………………….…. - 9 -
Respectful Work Environment (Includes Sexual Harassment & Molestation)………………. - 9 -
No-Solicitation/Distribution Policy……………………………………………………………..…. - 10 -
Attendance…………………………………………………………………………………………… - 10 -
Personnel Action………………. ………………………………………………………………… - 10 -
A. Verbal Warning. …………………………………………………………………….… - 10 -
B. Written Warning………………………………………………………………..……. - 11 -
C. Suspension. . . ………………………………………………………………………. - 11 -
D. Termination…. ……………………………………………………………………… - 11 -
Part 3 – Employment Information ...............................................................- 11 -
Hiring Practices……………………..………………………………………………………………. - 11 -
Background Checks………………………………………………………………………………. - 11 -
Personnel Records…………………………………………………………………………..……. - 11 -
Classification of Employment…………………………………………………………………….. - 12 -
Probationary Period…………………………………………………………………………….…. - 12 -
Work Procedure…………………………………………………………………………………… - 12 -
A. Office Hours. ……. …………………………………………………………………. - 12 -
B. Training………. . ……………………………………………………………………. - 12 -
C. Timecards and Service Documentation……………………………………..……. - 12 -
Rehire……………………………………………………………………………………………….. - 12 -
Insurance……………………. …………………………………………………………………….. - 12 -
Termination of Employment Relationship……………………………………………………….. - 13 -
A. Voluntary. ……………………………………………………………………………. - 13 -
B. In-Voluntary…………..……………………………………………………………… - 13 -
Exit Interview…………………………………………………………………………………….… - 13 -
Employee Grievance Procedure…………………………………………………………………. - 13 -
Employment Verifications and References. ……………………………………………………. - 14 -

3. - 2 -
10/07/15
Part 4 – Employee Compensation Procedures and Schedule..................- 14 -
Compensation……………………………………………………………………………………… - 14 -
A. Pay Periods…………………………………………………………………………… - 14 -
B. Overtime/Call-In Pay/Personal Leave/Funeral Leave/Jury Duty Leave/Voting.. - 14 -
Holidays……. ………………………………………………………………………………………. - 14 -
Unpaid Time-Off...…………………………………………………………………………………. - 14 -
Pay Period Schedule………………………………………………………………………………. - 15 -
Timecards…………. ………………………………………………………………………………. - 15 -
Respite Hours………………………………………………………………………………………. - 16 -
Habilitation Hours………………………………………………………………………………….. - 16 -
Habilitation Notes…………………………………………………………………………………... - 17 -
Home Visit Schedule………………………………………………………………………………. - 18 -
Attendant Care and Housekeeping……………………………………………………………… - 18 -
Attendant Care Home Visit………………………………………………………………………. - 19 -
Day Treatment and Training Programs and Transportation…………………………………. - 19 -
ITC Documentation………………………………………………………………………………… - 20 -
Part 5 – Performance & Evaluations ...........................................................- 20 -
Employee Performance Evaluation………………………………………………………………… - 20 -
Part 6 – Policies for Working with Members ..............................................- 20 -
Administrative Safeguards……………………………………………………………………….. - 20 -
CPR and First Aid………………………………………………………………………………….. - 21 -
Principles of Caregiving (DWC)...………………………………………………………………… - 22 -
Providing Service for Siblings of ITC Members…………………………………………………. - 22 -
Double Dipping…………………………………………………………………………………….. - 22 -
Home Certification…………………………………………………………. …………………….. - 22 -
24 Hour Shifts…………………………………………………………………………………….… - 22 -
Non Provision of Service (GAPS)………………………………………………………………... - 22 -
Positioning and Ambulation of Members…. ……………………………………………………. - 22 -
Responding to Seizures…. ……………………………………………………………….……… - 22 -
Swimming Pools/Bodies of Water………………………………………………………………… - 23 -
Major Health Problems . . . ………………………………………………………………………... - 23 -
Incident Reports……………………………………………………………………………..……… - 23 -

4. - 3 -
10/07/15
Part 1 – Introduction
Introduction
You are provided this information on policies and procedures to assist you and ITC in a consistent flow of operations.
The information provided should increase your understanding of the policies and procedures outlined by ITC. Our
objective is to maintain and assure compliance throughout ITC. This handbook does not constitute a contract of
employment, or offer to contract. This handbook is a reference guide for employees. It is the responsibility of each
ITC Employee to become familiar, acknowledge and understand these policies and procedures. We welcome any
suggestions which will keep our policies and procedures up-to-date to better serve our members. The selected
policies and procedures contained in this handbook are for general information, use, and guidance. They are
directed specifically to our employees. The policies and procedures described in this handbook have been
implemented by ITC, which may change or revise these policies and procedures at any time as it deems appropriate,
without prior or written notice and without discussion or negotiation. For those cases in which federal or state law
is more stringent than the policies included in this handbook, the law will take precedence. Remember you are the
most important person in providing quality service to our members. We hope that this information assists you in
providing the best possible service to our members and enables you to work effectively.
Purpose of Handbook
This handbook is provided to you as an orientation guide and is intended as a source of information only. Nothing
in this handbook is to be taken as a contract of long term employment. These are general guidelines. The policies
and procedures contained in this handbook may be changed, altered, modified or discontinued at any time and
without prior notice at the discretion of ITC. Keep in mind that your employment is subject to the terms and conditions
set out in the ITC Employment Application and clearance with the Arizona State Department of Public Safety
Fingerprint Clearance Card Unit. The Employee Handbook is not intended to alter or modify the at-will employment
relationship entered into by you and ITC. The Employee Handbook is intended to provide you with additional
information about ITC and its relationship with its employees. Your at-will employment at ITC is terminable at the
option of either you or ITC. Any modification of this at-will relationship must be in writing, signed by an ITC Manager
and specifically identified as a modification of the at-will employment relationship. You should not rely on any
representations regarding your employment which are not contained in the Employment Application or the
Employee Handbook unless it is in writing, signed by an ITC Manager, and specifically identified as a modification
of the at-will employment relationship. If at any time during your employment with ITC you have a belief or
understanding that your at-will employment relationship with ITC has been changed, altered, or modified, please
contact your ITC Manager for clarification of your employment status.
Mission Statement
To provide a quality service that ensures safety, compassion, knowledge, and care by listening and helping our
members through consistency, teamwork, and high ethical standards.
Value Statement
Reliability, commitment, compassion, respect, hard work, and encouragement are the values towards which our
company's employees strive. It is these values that give ITC a solid reputation in the Home Healthcare Industry.
These are the Standards of Excellence for all ITC employees.
Vision Statement
All employees are required to complete an orientation with a member care coordinator prior to starting their
employment with ITC. In addition, caregivers are required to pass a criminal history background check, article 9
training, and become certified in CPR and First Aid and ongoing training throughout the year. ITC caregivers go
above and beyond the call of duty. This means ITC expects its staff to make the extra effort to ensure our members
are receiving the highest level of care. Our quality assurance program is state of the art and all caregivers are
evaluated regularly to ensure that they are meeting our Standards of Excellence.

5. - 4 -
10/07/15
Part 2 – Being an Employee of ITC
Equal Employment Opportunity
ITC is an equal opportunity employer and does not discriminate against employees or job applicants on the basis
of race, religion, color, sex, age, national origin, sexual orientation, disability, veteran status, or any other unlawful
criteria.
ITC will:
1. Recruit, hire, train and promote persons in caregiver positions without regard to race, religion, color, sex,
age, national origin, sexual orientation, disability, veteran status, or any other status or condition protected
by applicable state/federal law.
2. Ensure that all personnel actions such as agency-sponsored training or social and recreational programs
will be administered without regard to race, religion, color, sex, age, national origin, sexual orientation,
disability, veteran status, or any other status or condition protected by applicable state/federal law.
If any employee has a suggestion, problem, or complaint with regard to equal employment he/she should contact
the ITC Director and file a Grievance Policy (page 13 of this handbook).
Working Principles & Attitudes
The primary concern of each employee must be to provide the highest quality of service to each of our members.
Each member is entitled to respect and understanding. They are also able to give input, either verbally or through
written documentation, about their personal needs.
Cooperation, respect, friendliness, and thoughtfulness shall be displayed towards fellow employees. Honesty,
trustworthiness and professionalism are expected at all times and in all activities and interactions with others as
you represent ITC. Any time there is a difference of opinion between the member and the caregiver, it shall be
discussed privately.
• At all times you shall respect the privacy and dignity of each person whom is affiliated with ITC.
• You shall encourage and promote the involvement of family members and friends as a natural support
system for all members served.
Working together, we as a company can achieve far more than we can separately. Each of us brings something
special and unique to ITC and we make it a daily practice to seek out, encourage, and respect the values that we
and our members bring ITC.
Our members’ well-being & satisfaction is critical to our success.
Employment is At-Will
At-will employment can be terminated by either party, at any time, and for any reason. This includes termination
with or without cause and with or without prior notice. (Additionally, employees are asked to voluntarily
terminate their position when and if the member chooses another caregiver, member’s support plan is
disapproved, or member becomes deceased.) All jobs are based on “Merit” not seniority. Nothing is guaranteed
but earned.
Any oral statements, promises, or assurances to the contrary are not binding on the employer and should not be
relied upon by the employee or job applicant. If you believe such assurances have been made, ask your ITC Director
for confirmation. ITC will not be responsible for and will not be bound by any statements that are not affirmed in
writing by ITC Management. The at-will status of the employment relationship shall not be altered; absent a written
affirmation of such change signed by your ITC Director and specifically identified as an amendment to the
employment at-will relationship.
Apart from those policies as required by law, ITC may change its policies and practices at any time without prior
notice or negotiation.

6. - 5 -
10/07/15
Working Ethically
As an employee, you are expected to devote your best efforts and attention to the performance of your duties. You
are expected to use good judgment to adhere to high ethical standards and avoid situations that create an actual
or potential conflict between your personal interest and the interest of ITC or its members.
A conflict of interest exists when your loyalties or actions are divided between the interests of ITC, the member
and/or another competitor. While it is not practical to describe every potential conflict of interest that could develop,
some of the more common conflicts to avoid are noted below.
• Working for a competitor or member or engaging in self-employment in competition with the company. (see
section on Outside Employment, page 5)
• Disclosing confidential company information (e. g., disclosing personnel records, phone lists, etc.), or using
confidential company information for personal gain or for the detriment of ITC.
• Working for a member and accepting gifts or borrowing in any form from them. (see Gifts – Borrowing
Policy, page 7)
Outside Employment
ITC does not wish to limit your outside activities, however, should an employee hold another job, paid or unpaid,
ITC requires open communication with ITC detailing the duties and scheduled hours of work to assure there is no
conflict of interest with ITC employment. If ITC management feels this outside employment is causing a decrease
in work performance, ITC management may put that employee on probation or take disciplinary action up to and
including termination.
Appearance
ITC expects its employees to dress appropriately at all times and wear their ID badges while working. Your
appearance should be neat and clean so that the person you work with will have a favorable impression of your
capabilities. Tank tops, flip flops/sandals, and inappropriate clothing are not allowed while working.
Always be prepared to work and remember your member orientation (which is provided by ITC). The care you give,
the way you dress, and your concise and timely paperwork are your top priorities at ITC.
Make sure that you understand your job assignment, and if you have any questions, ask your ITC Director. Make
sure you read and understand the Individual Support Plan of the person(s) you provide service to. Remember, you
are there as a professional; always keep in mind that while you are working with the person you give care to, you
work for ITC.
Rules of Conduct
A. General Rules of Conduct
We recognize that for most employees discipline is not an issue. However, we feel that you have a right to know
what we expect of you. Therefore, we require you to familiarize yourselves with all ITC rules and regulations
pertaining to your position and duties, as well as overall ITC policy, and to abide by these rules and regulations. For
Administrative, Professional, and Supervisory Staff you are required to follow and enforce ITC policies consistently.
The following rules of conduct are presented as a guideline to all employees to establish professionalism and safety
within ITC. All rules and regulations may be supplemented to comply with federal, state and local regulations or any
changes in ITC policy. Violation of these rules may result in discipline, ranging from verbal or written warnings to
termination. You must comply with rules of conduct that ITC has established.
Work rules are necessary for good management, employee safety, effective work, and fairness.

7. - 6 -
10/07/15
B. Specific Rules of Conduct
You must adhere to the following rules of conduct. Violations of these rules will result in discipline up to and including
termination at the discretion of ITC. The list is not intended to be all inclusive; there may be other offenses which
warrant disciplinary action, including termination.
a. No employee will be in unauthorized possession of any property of ITC, its members or employees or
attempt to remove such property from ITC premises.
b. Employees will perform all work in a professional and safe manner. Employees must comply with all
applicable safety regulations and procedures.
c. Employees will not remove from ITC premises, or disclose to others, information in ITC records or relating
to ITC matters without prior written authorization.
d. The possession on ITC premises of a firearm or a weapon of any kind is prohibited.
e. The use, sale, or possession of illegal drugs, reporting for work or working while under the influence of
illegal drugs or alcohol, and the use or possession of alcohol while on the job or conducting ITC business
is prohibited.
f. ITC believes that your work environment should be safe, secure, and free from harassment. To accomplish
this, you must act in a professional manner toward fellow employees, members and members of the larger
community. To maintain confidentiality it is important that you follow ITC’s rules of conduct.
g. While providing services for your member(s); the use of cell phones (including texting), or any other
electronic devices, for personal use, is strictly prohibited. This includes while driving. This is to ensure the
effectiveness of services provided to our members. ITC employees are asked to keep these devices at
home or turned off.
h. ITC employees will be assigned an identification badge. This badge will contain your name, photo and
employee title. ITC requires their employees to wear an ID badge, and the badge must be in plain view
while providing services with your member. If your ID badge is lost or stolen, you must obtain a replacement.
Failure to wear your ID badge may lead to disciplinary action.
C. Conduct for which employees will be disciplined
The following types of conduct will result in discipline up to and including termination. The type of discipline will
depend on the specific facts and circumstances surrounding the violation. However, you should remember that
employment with ITC is at will, and either you or ITC can terminate your employment at any time, with or without
cause.
Grounds for disciplinary action:
a. Unsatisfactory job performance.
b. Malicious or willful misconduct or destruction or damage to ITC property or supplies, or to the property of
another employee, a member, or a visitor.
c. Stealing or removing ITC property or property of another employee, a member, or a visitor without
permission.
d. Obtaining your job by giving false or misleading information; falsifying any employment documents or
records, including time records; and other acts of dishonesty.
e. Bringing or possessing firearms, weapons, or other hazardous or dangerous devises or substances onto
ITC or member property.

8. - 7 -
10/07/15
f. Possession, use, or sale of alcoholic beverages or illegal drugs on ITC or a member’s property, or reporting
for duty while under the influence of alcohol or illegal drugs.
g. Refusal to perform tasks as designated in the Individual Support Plan and/or by your ITC
lead/Manager/Director.
h. Fighting (physical or verbal) on ITC’s property or while with a member.
i. Abusive treatment of others (physical and/or verbal abuse) including: harassing, threatening, or intimidating
another employee or a member, or attempting to coerce a supervisor.
j. Failure to follow Agency procedures for maintaining confidentiality of ITC, personnel or member information.
k. Failure to contact your ITC Coordinator when you are not going to report to work. It is your responsibility to
call, not someone else’s.
l. Pleading guilty to or being convicted of any crime other than a minor traffic violation.
m. Falsifying records or time reporting.
n. Violation of the rights of persons being served.
o. Failure to pass Federal and State Fingerprint Clearance Criminal Records Check.
p. Falsification of any notes including Doctor’s notes.
Gifts – Borrowing Policy
Accepting gifts or gratuities from ITC members, their families, or business representatives except as provided herein
is not permitted. Doing so will result in disciplinary action, up to and including termination. On occasion, you may
encounter a situation where refusing to accept a gift from a member may offend or insult them. If the gift is of little
or no monetary value (such as fruit, flowers, baked goods, etc.) you may accept it. However, if the value of the
offered gift would make acceptance inappropriate, politely refuse the gift, then notify your supervisor of the
occurrence after leaving the member’s home. Acceptance of money from a member or a member’s family member
is never appropriate.
“Borrowing” of any item (including money) from a member or their family members will be considered theft, and will
be treated as a serious matter. Borrowing (even with the member’s agreement) may result in disciplinary action.
Employee Training
At ITC, all employees are required to continue developing their skills and increase their knowledge by participating
in educational training opportunities related to their work as approved or directed by ITC. Caregivers are responsible
for attending and successfully completing state required trainings in order to better serve our members.
Requirements for caregivers at ITC before employment are certification in CPR, First Aid, Article 9, and ITC
Orientation. Unless approved in advance in writing from an ITC Manager, completion of training is considered the
employee’s responsibility to attend and successfully complete such requirements. Training is not a paid activity.
Successful completion or non-completion will be reflected on the employee’s work evaluation. Caregivers must
complete 6 hours of continuing education per year. ITC provides trainings and online training for ongoing caregiver
education. A training certificate will be placed in the employee file.
At all times you shall ensure the services provided and the work performed will be in strict compliance with all
applicable rules, regulations and laws governing the delivery of services provided by ITC.

9. - 8 -
10/07/15
Transportation Policy
Employees at ITC are not required to provide transportation for members. However, there are circumstances where
the ITC member will need transportation to and from various locations which may include but is not limited to the
doctor’s office, grocery store, therapy visits, etc. There are five steps you must complete in order be eligible to
transport members.
1. Complete a driver evaluation
2. Complete a satisfactory vehicle inspection (It is mandatory that your vehicle is kept in the same condition
as it was on the date of the initial inspection)
3. Provide a copy of your valid driver’s license
4. Provide a copy of your current automobile insurance policy (this must be for the same vehicle used in the
vehicle inspection)
5. Provide a copy of your current vehicle registration (this must be for the same vehicle used in the vehicle
inspection)
6. Satisfactory completion of online “Driving Safety” training.
In the event that a vehicle is used to transport a member; you are required to carry your own valid Arizona state
minimum coverage insurance. All certificates and licenses will be kept up to date and on ITC files for all drivers.
When transporting a member you agree to practice safe driving procedures including: no phone calls, no texting,
no eating, etc… In addition, you agree to not hold ITC liable for any personal/auto/property damages. ITC
employees are only allowed to drive the member’s family vehicle if it has insurance & registration and the family
agrees not to hold ITC liable for any damages. If transporting a member during HCBS services (Respite, Habilitation,
Attendant Care) you will bill the driving time as respite, there is no mileage reimbursement. If transporting during a
day program (DTA, DTT, DTS); personal vehicles will not be used. ITC will provide state certified company vehicles
for all day program services. See Day Program Handbook-Transportation.
Accident Procedures
1. Stop and evaluate the safety of the surroundings
2. Call police/911 if necessary
3. Make sure all members are in a safe area (in the vehicle is the best option)
4. Take photos
5. Exchange insurance information with parties involved
6. Report the accident to ITC
7. Make sure to protect the rights of ITC and its members
8. Create a file with all information gathered and turn it in to ITC Director
If you are permitted to drive a company vehicle under certain conditions, like the summer program, you must fill out
and turn in a daily driving log, mileage log, inspections, etc. You will also be subject to a DMV background check.
Only ITC caregivers and members are permitted to be transported in the company vehicle. If a member has an
enhanced ratio; that enhanced ratio will be in effect for all transportation provided during the day programs. If there
is an accident while driving a company vehicle an incident report must be filled out along with a signed written
statement and photographs of the damage. Any and all other incidents while driving a company vehicle must be
reported as well, such as a ticket, flat tire, or a crack in the windshield.
For Administrative, Professional and Supervisory Staff, use the company vehicle to transport members, attend
intakes, or other member appointments. If the company vehicle is not available and you need to use your own
personal vehicle, office staff must fill out a mileage form and be given prior authorization by the ITC Director.
Remember the priority is to use the ITC vehicle. REMEMBER IF THERE IS A LIFE THREATENING SITUATION,
DIAL 911 IMMEDIATELY and then contact the ITC Director.
If you do not want to transport members or if for any reason you cannot complete one of the aforementioned
requirements you will not be eligible to transport members and must sign a driving waiver.

10. - 9 -
10/07/15
Smoking Policy
A mutually comfortable environment for our employees and members depends upon the thoughtfulness and
cooperation of both smokers and non-smokers. ITC has a responsibility to provide and maintain a healthy working
environment. Research has proven to show that smoking is a serious health risk to smokers and those around
them. Accordingly, smoking is not while working with any ITC members. Smoking is to be done in designated
locations only, on the employee’s break or own time.
Drug Free Workplace
It is the commitment of ITC to provide a work environment that is free from the use, possession, sale or distribution
of illegal drugs or controlled substances and from the improper or abusive use of legal drugs or alcohol. Just as
importantly, ITC requires that all employees perform their job duties without having unacceptable levels of legal
drugs or controlled substances or any levels whatsoever of illegal drugs or alcohol within their system.
In order to reach its goal of a drug free workplace, ITC will utilize every reasonable measure available, including
drug and alcohol testing of employees. If you have an accident while on the job, a drug and/or alcohol test maybe
required. ITC has a zero tolerance policy for any and all illegal drug use as well as alcohol consumption on the job.
Any employee who violates this policy is subject to disciplinary action up to and including termination.
Respectful Work Environment
It is ITC policy that no employee shall harass any co-worker on the basis of race, color, religion, gender, national
origin, ancestry, age, medical condition, disability, marital status, sexual orientation, or veteran status. ITC does not
discriminate and as an ITC employee you are not to discriminate against anyone.
We do not tolerate violence or the threat of violence in the work place. We take threats of violence seriously. We
do not discuss information of a private nature (gossip) concerning any employees of this company on or off the job.
There will be absolutely no retaliation allowed. Harassment includes but is not limited to: verbal, physical, and visual
harassment; solicitation of sexual favors; unwelcome sexual advances, and creating or maintaining an intimidating
or hostile work environment.
Was That Sexual Harassment?
1. Must be unwelcome
2. Reasonable person standard
3. Physical harassment
4. Back rubs and other touchy-feely behavior
5. In your personal space
6. Bulletin boards, the walls, and other areas of visual sexual harassment
7. Provocative clothing
8. Stripping telegrams
9. Vulgar jokes
10. Flirting, propositions, and inappropriate compliments
11. Profanity and obscene gestures
12. Downloading/viewing of pornography
If you feel you have been harassed or have witnessed such harassment, you are strongly encouraged to report
such incidents to an ITC Director (see Grievance Procedure on page 13). You will not face retaliation of any kind if
you report or complain about harassment.
ITC will investigate all reports of harassment. If warranted, the company will take appropriate corrective action to
maintain and foster a work environment free of harassment. Any employee who violates this policy is subject to
disciplinary action, up to and including termination. If you make a false allegation against any individual/employee,
you may be subject to disciplinary action, up to and including termination.

11. - 10 -
10/07/15
No-Solicitation/Distribution Policy
Solicitation by employees for funds, membership, or individual commitment to outside organizations or causes, or
distribution of literature from outside organizations is prohibited during working time. Solicitation shall not takes
place on ITC premises, a member’s home, or otherwise interferes with work being performed by any employee.
Working time is the time when an employee’s duties require that he/she be engaged in ITC work tasks, but does
not include an employee’s own time, such as time before and after a shift.
Attendance
ITC’s primary goal is to provide exceptional care for the member in an environment that promotes positive growth
for both the member and caregiver. Quality care includes uninterrupted services from familiar staff; therefore,
regular attendance helps promote our objective to provide quality care. Employees are expected to work as
scheduled per the member’s needs. Absenteeism and tardiness reflect on an employee’s overall attendance record.
It is important that you report to work as scheduled at all times.
Each person is served with a regular service schedule. The trading of hours or assignments is not permitted without
the advance written consent of the ITC Coordinator/Supervisor. Occasionally the employee may be asked to adjust
his/her schedule to ensure care of the person served. If your attendance reflects unacceptable levels of
absenteeism and/or tardiness, an ITC Coordinator/Director may meet with you to discuss attendance and/or
tardiness. If you display poor or irregular attendance and/or tardiness, the ITC Coordinator/Director may take such
action as he or she deems necessary, including termination.
When it is necessary to be absent or tardy, the employee must notify the ITC Coordinator/Supervisor prior to the
start of the employee’s scheduled shift and as far in advance as possible. It is solely the employee’s responsibility
to provide notice of absence or tardiness. It is not acceptable for an employee’s spouse, relative and/or friend of
ITC to report the absence or tardiness. In an event of absence (other than a true emergency) you will need to notify
the ITC office a minimum of 24 hours in advance.
Any irregular attendance, unexcused absences or unreported absences may result in disciplinary action up to and
including termination. An excused absence is one in which the employee calls the office the day he/she is out, or
preferably 24 hours in advance, and gives a reason to ITC. ITC considers an absence unacceptable in which a
spouse, relative, or friend of ITC reports the employee’s absence. An unreported/unexcused absence is one in
which the employee does not contact ITC by any means the day he/she is out.
If you are out due to an injury or illness for more than two (2) consecutive days, ITC reserves the right to request a
doctor’s statement of illness and/or a release to come back to work. For Administrative, Professional and
Supervisory Staff, it is beyond your scope of authority to override a doctor’s note. Always follow the doctor’s note.
Personnel Action
ITC expects high quality work from its employees and expects you to conduct yourself in a business-like manner.
If discipline is necessary, the nature and circumstances of the incident will determine the appropriate disciplinary
action to be administered. Disciplinary action may take the form of an oral warning, a written warning, suspension,
or termination, all at management’s discretion. A negative performance evaluation shall constitute a written warning.
ITC has the right to determine what discipline is appropriate. Disciplinary action may consist of any of the following,
although there is no standard series of disciplinary steps ITC must follow. In certain circumstances, your conduct
may lead to immediate discharge.
A. Verbal Warning:
You will receive a verbal reprimand in private by the ITC Director who will point out an unsatisfactory
element of job performance. The verbal reprimand is intended to be corrective or cautionary. The ITC
Director will record the date and content of the reprimand and documentation will be placed in the personnel
file for future reference.

12. - 11 -
10/07/15
B. Written Warning:
The written reprimand will be issued and signed by both you and your ITC Manager. A copy will be given
to you and a copy will be placed in your personnel file.
C. Suspension:
The employee will be informed of the specific offense and a written statement will be placed in his/her
personnel file. The written statement shall include the date and specific nature of any previous warnings
and/or disciplinary action, as well as the date, time and specific nature of the incident for which the employee
is receiving the instant suspension. The written warning shall include the possibility of future disciplinary
action up to and including termination.
D. Termination:
The employee will be informed of the specific offense, and a written statement shall be placed in his/her
personnel file. The statement shall include the date, time and specific nature of any previous warnings
and/or disciplinary action, as well as the date, time and specific nature of the incident for which the employee
is being terminated.
Discipline shall be imposed on a case-by-case basis. In some situations, immediate termination may be the only
appropriate penalty. In other circumstances, ITC Management may impose a less severe form of discipline. There
is no guarantee of any specific penalty for any specific offense. Further, your employment with ITC is as an at will
employee. As such, you may be terminated at any time, with or without cause.
Part 3 – Employment Information
Hiring Practices
ITC is an equal opportunity employer. This means that employment decisions (including termination and discipline)
are based on merit and business needs, not on race, color, citizenship status, national origin, ancestry, sex, sexual
orientation, age, religion, creed, physical or mental disability, physical handicap, marital status, or veteran status.
ITC complies with applicable laws and regulations regarding reasonable accommodation for handicapped and
disabled employees.
All applicants must complete an application form, an interview and orientation. Applications shall remain active for
up to sixty (60) days. Selection of employees is based on, but not limited to, the applicant’s education or training,
proven job skills, employment stability, character, and ability to perform the essential functions of the job with or
without reasonable accommodation. All employees must be cleared by the Arizona Department of Public Safety
Fingerprint Clearance Card Unit, E-Verify, SAM, and Office of Inspector General. Qualified applications shall be
extended a conditional offer of employment.
Background Checks
All caregivers must obtain and maintain a Level 1 Fingerprint Clearance Card, sign a Criminal History Affidavit, be
subject to Office of Inspector General, Central Registry and Child Protective Services Background checks, SAM
and E-verify background check. Three personal references will also be called to verify character and work ethic.
Personnel Records
ITC maintains personnel records on each employee. These files are kept by ITC management and are available for
review only by the individual employee, DDD and management. Please contact ITC directly if you wish to review
your file. Under no circumstances may the files or any portions thereof be removed from the area where they are
maintained. A manager must be present when a file is reviewed. Employees may make copies of their resume or
documents containing their signature. Documents other than the resume that do not contain the employee’s
signature may not be copied, unless required by state law. It is the employee’s responsibility to keep management
informed of address changes, emergency contacts, W-4 and A-4 changes, payroll changes, etc., so that personnel
records may be kept current.

13. - 12 -
10/07/15
Classification of Employment
Hourly employment in a caregiver position is dependent upon member needs, availability, and scheduling. Each
Individual Support Plan is scheduled and approved annually by a team from the Division of Developmental
Disabilities. Each support plan is based on the needs of each specific member, ITC and family members.
Probationary Period
The probationary period for introductory employees shall be the first three (3) months of employment. During this
period, the employee will have an opportunity to learn and adjust to his/her new position. During the probationary
period ITC will evaluate the employee to determine whether he/she is able to meet the requirements of an ITC
employee. After the completed 90 day probationary period an employee work evaluation will be completed by ITC,
and conducted yearly thereafter. Successful completion of your introductory period is not a guarantee of continued
employment, other than as an at-will employee as otherwise discussed herein.
The probationary period may be extended at ITC’s discretion or due to a break in service by the employee during
the probationary period. As explained earlier, during your probationary period, and thereafter during the entire
course of your employment, you will be an at-will employee.
Work Procedure
A. Office Hours
Usual office hours are: Monday – Friday 8:00 AM – 5:00 PM.
An ITC answering machine or phone service provides 24-hour accessibility. Calls are forwarded to an
emergency line in the evenings and on weekends for emergency needs.
B. Training
Employees are required to attend and complete training sessions required by the state of Arizona. These
trainings will be based on Caregiving Fundamentals and Developmental Disabilities. Employees will be
responsible for signing attendance forms and completing all training workshops and tests for such trainings. A
training certificate will be kept in the employee file.
ITC will offer continuing education. ITC contract with the Division of Developmental Disabilities (DDD) requires
caregivers to complete 6 hours of continued education per year. ITC will provide mandatory trainings throughout
the year. This will help you achieve the 6 hours required. Article 9 and other trainings outside of ITC will be
accepted as part of your 6 hours as well as online training on the ITC website. ITC will ensure that you will get
opportunities to meet the state requirement of 6 hours. Trainings are provided on www.ITC-AZ.com.
C. Timecards and Service Documentation
Employees will receive instructions during their orientation in completing proper time reporting. ITC will exercise
care in complying with wage determination and hour regulations (set forth by DDS for each individual support
plan). Cooperation of employees will be expected and appreciated. Compensation for incomplete timecards;
whether they are late, improperly completed, or submitted late, will be paid the following pay period after
corrections have been made. Proper service documentation is submitted with each timecard. Compensation
for hours submitted without proper service documentation will be withheld until the pay period following
satisfactory completion of documentation. Time sheets are due to ITC the day following the last day of the pay
period no later than 10:00 AM. The due date and time is listed on the Pay schedule for reference.
Rehire
Employees who are rehired shall be treated as newly hired employees.
Insurance
ITC provides a comprehensive affordable medical plan to its full time employees working on average 30 hours per
week and their families.
Our medical plan meets the requirements of the ACA. You are eligible the 1st of the month following 60 days after
your full time employment start date. You are able to choose these benefits for yourself or qualified family members.

14. - 13 -
10/07/15
ITC reserves the right to change or alter coverage and/or contributory requirements at any time.
Termination of Employment Relationship
ITC strives to provide all employees with fair and reasonable conditions of employment at all times. In order to carry
out its business obligations and priorities in the most efficient manner possible, ITC adheres to the principles of at-
will employment whereby either ITC or the employee can terminate the employment relationship at any time and
for any reason and with or without prior notice.
A. Voluntary
If you wish to resign from ITC you must provide a written statement to ITC management. For Caregivers,
Administrative, Professional and Supervisory staff this letter must be submitted with proper notice prior to the
effective date. It must also state the specific reason or reasons for the resignation. Your resignation will be
handled by ITC management. A proper resignation will result in eligibility for rehire.
Failure to provide advance notice of resignation as set forth may result in a loss of benefits. Also, an employee
must actually work the time between resignation notification and resignation; leave time is not time actually
worked. ITC will consider you to have voluntarily terminated your employment if you do any of the following:
1) Resign from ITC
2) Do not return from an approved leave of absence on the date specified by ITC
3) Fail to report to work for two (2) consecutive days without prior notification of absence
B. In-Voluntary
You may be terminated for poor performance, misconduct, excessive absences, tardiness, etc.
However, since your employment is at-will, you and ITC have the right to terminate your employment for any
legal reason or no reason, with or without prior notice to the other.
ITC may need to terminate employment because of reorganization, job elimination, economic downturns, or
lack of work. Should ITC decide that such a termination is necessary, ITC will try to give as much advance
notice as possible.
Exit Interview
All employees who leave employment with ITC through resignation or termination shall be given an exit
interview. At the time of the exit interview, the employee shall return all ITC property in their possession to the
person conducting the exit interview
Employee Grievance Procedure
In an effort to provide a responsive listener for anyone who has a complaint, the following procedure is provided.
The employee will be given an honest and fair review of his/her complaint without reprisal.
1. The individual or their agent shall file a written statement listing the reasons for the grievance, the person(s)
involved, and suggestions for a possible solution.
2. ITC shall distribute within 5 working days a copy of this written grievance to all parties listed. Included with
this statement, ITC shall specify a date, time, and location for a hearing of the grievance.
3. All involved parties (including the service recipient and their agent) may attend the hearing and are
encouraged to do so.
4. All parties shall meet with the intent of coming to a compromise with which all parties can live.
5. All parties shall be notified at the hearing that a written decision shall be made within (10) working days and
that written notification of the decision shall be given to each party listed in the grievance.
6. It is the responsibility of each party involved to respond to the grievance in a timely and productive manner.
.

15. - 14 -
10/07/15
Employment Verifications and References
ITC is extremely concerned about the accuracy of information provided to individuals outside the company regarding
current or former employees. Consequently, no employee may provide, either on or off the record, any information
regarding current or former employees to any non-employee. This includes letters of reference.
Your ITC Manager should be promptly advised of any formal or informal requests for information about current or
former employees. Your ITC Manager will normally verify only a former employee’s dates of employment and
position or positions held. A written disclosure authorization and release is required before any additional
information is furnished
Part 4 – Employee Compensation Procedures and Schedule
Compensation
A. Pay Periods
Pay periods run bi-monthly and payroll will be distributed on the 8th and 23rd of each month, except when this day
falls on a weekend, in which case the payroll will be distributed the following business day. To ensure timely payment
for hours worked, time sheets must be turned ITC on the 1st and 16th of each month no later than 10:00 AM. Pay is
released via pay card and Direct Deposit only on the appropriate pay date. Pay WILL NOT be released if timesheets
have not been properly completed and submitted.
B. Overtime/Call-in pay/Personal Leave/Funeral Leave/Jury Duty Leave/Voting
Employees are not given overtime, call-in pay, personal leave, funeral leave, jury duty leave, voting leave, or annual
leave.
The amount of pay represents the full amount of earnings, less deductions. Taxes are withheld to comply with
federal, state, and local laws. Should the employee believe there is an error in pay; they should notify ITC
immediately. ITC does not pay time and a half for overtime hours worked, per U.S. Department of Labor.
ITC does not give call-in pay, if for some reason you are unable to attend to your job duties, please call the office
in advance so we can schedule another caregiver to fill in and complete the allotted hours on the support plan.
Remember you will only be paid for hours actually worked and cannot work more hours than the allotted hours on
the support plan. A 24 hour notice and Time-Off Request form is required when requesting time off.
Employees called for jury duty must notify ITC as soon as possible to allow for a replacement for the employee’s
scheduled hours. When jury duty assignments do not conflict with work schedules employees will be expected to
report for scheduled work. If jury duty by an employee jeopardizes member care, it may be necessary for the facility
to seek his/her release from this duty.
Holidays
ITC caregivers are responsible to care for their members as scheduled. All ITC offices will be closed on the following
holidays:
• New Year’s Day
• Civil Rights Day
• Presidents’ Day
• Memorial Day
• Independence Day
• Labor Day
• Columbus Day
• Veterans Day
• Thanksgiving (Thur&Fri)
• Christmas Eve
• Christmas
• New Year’s Eve
*Please refer to the ITC pay schedule
Unpaid Time Off
With the ITC Manager’s advance written approval, you may be granted time off without pay for occasions of an
immediate, nonrecurring nature that must be performed during regular work hours. Time off would typically involve
personal matters such as settlement of a home purchase, doctor or dental visits that cannot be scheduled for non-
working hours.

16. - 15 -
10/07/15
Pay Schedule
This can be found at www.ITC-AZ.blogspot.com/. Select the appropriate office location then click on Caregiver
Forms.
Please refer to the pay schedule for times and dates of payroll. The timecards are due no later than 10:00 AM on
the 1st and 16th of each month. The pay period schedule is from the 1st to the 15th and from the 16th to the 31st.
Payroll is processed twice monthly. This means if your timecard is not turned in by 10:00 AM it will not be processed
until the following pay period. In order to avoid a delay with your pay your timecard must be turned in on time and
must be filled out correctly. If you have any questions or concerns regarding your timecard or pay please call the
ITC office.
Timecards:
This can be found at www.ITC-AZ.blogspot.com. Select the appropriate office location then click on Caregiver
Forms.

17. - 16 -
10/07/15
A timecard must be completed for each member, each pay period. The timecard should be filled out each day that
you work with the member in order to ensure accuracy. Fill out the date, time in, time out, total hours, and service
provided, out of the total for the day, spent providing that service. For example, if your total hours for the day were
8 you may have spent 2 hours providing habilitation and 6 hours providing respite. Write these services on separate
lines. Have the responsible person initial each day for the hours worked. You and the person responsible for signing
for services should not sign at the bottom of the timecard until the end of the pay period. Compensation for hours
submitted without proper service documentation will be withheld until the pay period following satisfactory
completion of documentation.
Respite Hours
Respite hours worked in a day cannot exceed 11.75 hours, unless converted to Respite Daily. There is no monthly
limit for respite hours. Once a year the Division of Developmental Disabilities authorizes a certain number of respite
hours for a member. You are required to be aware of this yearly limit for each of your members, as well as how
many hours have been used. You will not be compensated for hours worked over the yearly limit.
When providing respite care your purpose is to provide short term care to relieve the primary caregiver. You are
expected to provide supervision and support the member’s emotional, physical, and mental well-being. Any
transportation done during this time (for example if you pick the member up from swimming lessons) is still part of
the respite service because it is done in order to provide relief to the primary caregiver.
Respite 2 or respite 3 are provided when you care for more than one ITC member at a time. The maximum number
of members you can care for at one time is three. You may only provide one service at a time. Giving respite for
one member while giving habilitation for another is not allowed. Ask ITC about compensation for respite 2 or respite
3.
Habilitation Hours
Each member has a daily and a monthly limit for habilitation hours. You are required to be aware of these limits for
each of your members, as well as how many hours have been used. You will not be compensated for hours worked
over the daily or monthly limits. Habilitation hours must be worked per ISP on a weekly basis.
Habilitation services provide a variety of interventions such as special developmental skills, behavior intervention
and sensorimotor development, designed to maximize the function of members. Each member with authorized
habilitation hours has habilitation goals as part of their individual support plan.
These goals will be designed to:
• Enable members to acquire knowledge and skills
• Increase or maintain independence of the member
• Provide training/assistance in essential activities required to meet personal and physical needs
• Maintain the health and safety of the member
You will work on goals with the member using a variety of teaching strategies and approaches. Habilitation hours
are documented in habilitation notes (see pg. 20) which are required by the state to track a member’s progress with
these goals.
Habilitation 2 or habilitation 3 are provided when you work with more than one ITC member on habilitation goals at
the same time. The maximum number of members you can work with at one time is three. You may only provide
one service at a time. Giving respite for one member while giving habilitation for another is not allowed. Ask ITC
about compensation for habilitation 2 and habilitation 3.

18. - 17 -
10/07/15
Habilitation Notes
Habilitation notes must be filled out for habilitation hours worked. They must be submitted on the 2nd of each month,
regardless of what day the 2nd falls on. Habilitation notes are required in order to receive compensation for
habilitation hours worked.
If habilitation notes are not submitted in a timely manner you will be notified by ITC staff to turn them in by 10:00 a.
m. the following day. If you fail to turn in your habilitation notes again you will temporarily be suspended as a
habilitation provider and a temporary replacement will cover your habilitation shifts. You will not be eligible to provide
habilitation services until you have submitted missing habilitation notes and if necessary retake Habilitation Training
provided by ITC.
Each member with authorized habilitation hours has habilitation goals as part of their Individual Support Plan. For
each goal, grade the member’s performance using the key.
For the percentage of how often a member is meeting a goal the options are 0 or 0%, 1 or 25%, 2 or 50%, 3 or
75%, and 4 or 100%. Anything between these numbers should be rounded up or down to the closest option.
These numbers mean:
R = 0% - the member refuses to work on the goal: refused
H = 25% - the member frequently refuses to work on the goal, requires a lot of help with the goal, or struggles
a great deal when working on the goal: or total help
P = 50% - the member sometimes refuses to work on the goal, occasionally requires help with the goal, needs
frequent prompting in order to work on the goal, or struggles somewhat when working on the goal: physical
help
V = 75% - the member needs occasional prompts to work on the goal, or rarely struggles when working on the
goal: verbal help
I = 100% - the member always completes the goal independently and without prompting: independent

19. - 18 -
10/07/15
If your member completes a goal 100% two months in a row or you feel the goal is inappropriate, contact your
member care coordinator so that the goals in the Individual Support Plan can be updated. In the box for progress
summary explains how the member is doing towards that goal and include any obstacles. This documentation is
required by the state and must be filled out carefully and accurately.
Home Visit Schedule
ITC conducts monthly member service evaluations with the specific ITC member and his/her family, friends and/or
any other persons in charge of their well-being. ITC also conducts quarterly home visits for attendant care members
at which time a service evaluation is done. This member service evaluation is mandatory and will be used as part
of the employee performance evaluation and also as a tool to ensure the proper care is being given.
If the result of this evaluation is unsatisfactory at any time, disciplinary actions will be taken which can include
termination. This is the quality assurance measure ITC management will use to evaluate the job performance of the
caregivers. It is also a tool to help ensure that all services are being rendered to a high standard of care.
If your member requests a change in caregiver you are required to contact the ITC office immediately.
Attendant Care and Housekeeping
Attendant care and housekeeping services provide a qualified employee to assist a member to attain or maintain
safe and sanitary living conditions and/or maintain personal cleanliness and activities of daily living. Home visits are
required (see Home Visit Schedule). The goal of this service is to assist the member to remain in his/her home or
participate in community activities. Your duties in providing this service may include:
• Dusting
• Cleaning Floors
• Cleaning Bathrooms
• Cleaning Windows (when necessary to maintain sanitary living conditions)
• Cleaning Oven and Refrigerator (when necessary to safely prepare food)
• Cleaning Kitchen
• Washing Dishes
• Changing Linens and Making Beds
• Routine Maintenance of Household Appliances
• Washing, drying and folding the member's laundry (ironing only if their clothes cannot be worn otherwise)
• Shopping for and storing household supplies and medicines
• Assistance with showering, bathing, toileting, dressing and shampooing
• Assisting with transfer to and from wheelchair and/or bed
• Assistance with eating
• Assistance with routine nail and skin care
• Assistance with self-medication or medication reminders

20. - 19 -
10/07/15
Attendant Care Home Visits
Day Treatment and Training Programs and Transportation
Day programs during the summer or after school provide specialized sensory-motor, cognitive, communicative and
behavioral training, as well as supervision and as appropriate, counseling, to promote the development of skills in
independent living, self-care, communication and social relationships. Transportation services to and/or from the
day program are provided only if the member’s natural supports cannot provide transportation and are in reasonable
distance from the center.

21. - 20 -
10/07/15
ITC Documentation
ITC time cards, habilitation notes, attendant care home visit notes, letterheads, fax covers, etc. … cannot be used
for anything other than work related tasks and are the property of ITC. For Administrative, Professional and
Supervisory Staff, your ITC email account is not to be used for personal use and is only to conduct ITC business.
Staff members are not to take any hard or electronic forms or documents out of the office without prior approval.
Part 5 – Performance & Evaluations
Employee Performance Evaluation
ITC is concerned about its employees. It is ITC’s desire to assist in the development of a positive self-image and
productivity of all its employees. Evaluation of work performance is an important part of fulfilling that aspiration.
Each employee may be evaluated by his/her supervisor periodically. The evaluation will consist of a written review,
which shall be placed in the employee’s personnel file, and a discussion of the written review with the employee.
The employee has an opportunity to discuss any or all written evaluation documentation. He/she will also have an
opportunity to sign the evaluation which only acts as acknowledgment that the employee has reviewed the
evaluation. By signing; the employee does not imply that the employee concurs with the evaluation in whole or in
part. The employee will also be given a copy.
Subsequent to the initial probationary period, if work performance is unsatisfactory, any employee may be placed
on PROVISIONAL OBSERVATION for a period of up to 90 days. Written notice will be provided to the employee,
and placed in the employee’s personnel file. It will include reference to the deficiency in performance, and
expectations for future performance. The provisional observation may be extended upon consultation with the
employee, and the ITC Director. After provisional observation, if performance is not satisfactory, termination may
occur. If performance is satisfactory, the employee will return to his/her regular status. However, regular status is
not a guarantee of continued employment, but is understood to be the same at-will relationship discussed in
previous sections of this document. See Section 2 – Employment is at will.
If at any point work performance is unsatisfactory and the employee has been placed on PROVISIONAL
OBSERVATION within the past twelve months, termination may occur.
Please note that the PROVISIONAL OBSERVATION discussed here is a response to an unsatisfactory work
performance. Specific infractions of rules and the disciplinary action steps that may be taken are discussed under
“Rules of Conduct” and “Personnel Action”.
Part 6 – Policies for Working with Members
Administrative Safeguards
Administrative safeguards refer to the policies and procedures used by ITC to comply with HIPAA standards. The
Program Director is the designated Security Officer and is responsible for knowing HIPAA regulations and ensuring
that office staff and caregivers are trained in and follow HIPAA regulations.
The Security Officer also:
• Updates HIPAA policies and procedures.
• Oversees the implementation of the policies and procedures contained in this Employee Handbook.
• Ensures that all ITC employees are trained in HIPAA and the policies and procedures of ITC.
• Reviews activity that takes place at ITC and in the field to detect security risks.
• Investigates and responds to security incidents and takes appropriate action in the event of a breech in
security, and eliminates or mitigates any damaging effects.

22. - 21 -
10/07/15
All ITC Employees are required to participate in a formal HIPAA training entitled Confidentiality Awareness. The
training involves reviewing the HIPAA rules on the ITC website, and then taking the HIPAA Training Test.
Successful completion of the training and test is required in order to work with a member. The Security Officer will
review with each test-taker any content associated with a failed item on the test. Anyone receiving a grade less
than 80% on the test must repeat the training.
The ITC employee is responsible for protecting member information and other sensitive information that they have
access to, whether it is in a document, electronic, transmitted, or received. They are responsible for protecting all
confidential information that they may overhear or observe. Some examples of privacy violations are discussing
member information in a public area without taking reasonable precautions. If, during the course of work, an ITC
employee observes or overhears information about a member, they are responsible to keep that information
confidential and not share it with anyone. PHI (Protected Health Information) or confidential documents should
never be discarded in the garbage. Place in a secure shred bin or use a shredder. ITC caregivers must protect their
members PHI by keeping all documents (i.e. HAH notes, timecards, personnel files). in a secure area when not in
use. They will have their cell phones locked if they have their member’s phone number or address programed in
their contacts. ITC employees need to take extra precaution to protect personal information.
Member PHI is typically released to another party only when the release is requested, in writing, by the member or
member’s legal guardian.
When a request is received to disclose PHI, the request is reviewed by the Security Officer. Only the minimum
necessary amount of information will be disclosed. When an ITC Employee is undertaking a member orientation
typically only the Individual Support Plan and Pre-Service Orientation should be disclosed.
ITC Employees are required to report any violations of HIPAA standards to the Security Officer.
When security incidents are reported or discovered, the Security Officer will investigate the situation and complete
an Incident Report. He/she will then institute appropriate corrective measures to help ensure that similar violations
do not occur in the future. Corrective measures may include re-education, policy revision, building modification,
and/or equipment alterations. Access to PHI is limited to ITC employees, and further restricted by virtue of what
information is needed by the employee to complete a job function and/or an orientation training.
CPR and First Aid
Caregivers are required by the State of Arizona to be CPR (Cardiopulmonary Resuscitation) and First Aid certified,
and to keep their certification current and updated. During Orientation, each new caregiver is given the address and
phone number of a local CPR/First Aid training center in order to become certified. CPR and First Aid must be
current in order to start and maintain work.
Caregivers are required to be certified in both areas because there is always a chance they could face a life or
death situation, and it is crucial they do not panic, keep composure, and stay calm. There are situations where a
caregiver may need to use their training to sustain a member until an ambulance or medical aid arrives. They should
keep the member in the position they are found, and if the member is conscious, the caregiver should explain the
situation to them.
In the case of a fire, a caregiver should first and foremost remove the member from the room or house where the
fire is located, and then proceed to call 911.
The caregiver should also know how to prevent and handle the spread of diseases. The simplest way is for the
caregiver to wash his or her hands, especially when they must touch the member or prepare and handle food.
However, should a caregiver’s skin be accidentally exposed to blood, they should wash the area immediately with
soap and water but NEVER apply bleach to the wound or open exposure.
If a CPR or First Aid certification expires caregivers cannot provide services until it is current.

23. - 22 -
10/07/15
Principles of Caregiving (DCW)
All providers that offer Attendant Care are required to complete Principles of Caregiving (DCW) within 90 days of
start date. See www.ITC-AZ.blogspot.com/ for details of policy.
Providing Services for Siblings of ITC Members
Providing services for siblings of ITC members is not authorized or compensated by ITC. If a caregiver is providing
respite for a member it is at the discretion and liability of the caregiver to provide care/supervision for a sibling.
When a caregiver chooses to provide care/supervision for a sibling they must first fill out and sign a release form
with the ITC office. ITC will not be held liable for any incidents that may occur with siblings.
Double Dipping
The State of Arizona only pays for one service at a time. If you transport a member to and from therapy, school or
any other service that the state pays for you cannot bill for the time the member is receiving the other service. In
such cases the time between when you drop off a member and pick them up is your own time to use as you please.
If the member cannot be left unsupervised during the service the member’s guardian must schedule the service at
a time when they can transport the member. If the service is not paid for by the state you can stay to supervise the
member and bill for these hours.
Home Certification
If your home is certified through the state you may provide the same service for up to 3 DDD members at a time in
your home. If your home is not certified; you cannot have a member in your home. If you would like to have your
home certified contact your ITC manager.
There is a checklist of safety qualifications that must be met in order for your home to qualify. Once you have met
these qualifications ITC will submit a request for inspection to the Office of Licensing, Registration, and Certification
(OLCR). The OLRC will contact you and set up a time to inspect your home within 30 days.
24 Hour Shifts
Under the circumstance that your member needs you to provide a 24 hour shift (Overnighter) it is required to have
the Overnight Authorization form signed and dated by the guardian. This authorization form needs to be filled out
prior to the date of the shift and can be obtained at the ITC office.
Non Provision of Service (GAPS)
All scheduled services with DDD members must be provided. This is a state requirement. If you absolutely cannot
provide services as scheduled (for example if you are ill or if your car breaks down) you must contact your ITC
manager and notify them as soon as possible. ITC will then contact your member or their guardian and offer to send
a backup provider until you can again provide services as scheduled. These “GAPS” in service are reported to
DDD/AHCCCS.
Positioning and Ambulation of Member
Many members need help moving and positioning themselves from one spot to another, so caregivers must know
how to properly move a member. Preferable methods are the Hoyer Lift, team lift, and the use of a back brace. The
most important thing to remember is to always support and move the member in the direction of his or her stronger
side. If a member is having trouble breathing, moving them into a sitting position can often clear the airway and
alleviate breathing problems.
When giving a member a bath, by permission of guardian, always check the temperature of the water before putting
them in the bathtub. If the water is too hot or cold, it can cause severe health problems, and remember to NEVER
leave a member unattended while they are in the bath.
Responding to Seizures
If you are providing services for an individual diagnosed with Epilepsy (seizures) it is required that you take the
online “Seizure Management” training provided by ITC. This training can be found online at www.ITC-AZ.com.

24. - 23 -
10/07/15
If a person you are supporting is experiencing a seizure, respond the way that you have been trained in your First
Aid training and the training given by ITC. Always follow the individual person’s seizure protocol found in the
member’s ISP. Each person served by DDD has an ISP that includes a listing of “risks” that may affect the
person. A person with seizures should have a risk assessment that outlines specific steps to follow when this
person has a seizure.
What not to do during a seizure:
• Do NOT attempt to stop the seizure!
• Do NOT restrain the person or try to hold them down in any way!
• Do NOT force anything between their teeth or put anything in their mouth!
• Do NOT give the person anything to eat or drink until they fully recovered consciousness!
Swimming Pools / Bodies of Water
It is ITC policy that no employee shall allow their member to participate in aquatic actives in the caregiver’s
swimming pools and/or other bodies of water, i.e. lakes or rivers. Members may participate in aquatic actives in a
public pool as long as a life guard is on duty. Members may also swim in their own home/apartment swimming
pool with the proper authorization from the member’s parent/guardian.
Major Health Problems
There are many major medical problems that members can suffer from. This includes dehydration, which is too little
fluid in the body. Other health problems include heart attack, which is known as a myocardial infarction and occurs
when the blood supply to part of the heart is interrupted. A stroke is the rapidly developing loss of brain functions
due to a disturbance in the blood vessels supplying blood to the brain. Cancer is a class of diseases in which a
group of cells display uncontrolled growth, invasion, or the spreading of cells to other locations in the body.
Hypertension is high blood pressure. Diabetes is a symptom of disordered metabolism which results in abnormally
high blood sugar levels. This does not include all potential major health problems.
Major health problems need to be documented and reported accordingly. Call 911 if necessary and then contact
ITC with the incident report.
Incident Reports
An incident is defined as an occurrence, which could potentially impact the health and well-being of an individual
enrolled with the Division. Incidents include, but are not limited to:
• Death of an individual
• Potentially dangerous situations due to neglect of the individual
• Allegations of sexual, physical, programmatic, verbal/emotional abuse
• Suicide threats and attempts
• Individual missing
• Accidental injuries which may or may not result in medical intervention
• Violation of individual’s rights
• Provider and/or member fraud
• Complaints about a community residential setting, resident or qualified vendor
• Allegations of inappropriate sexual behavior
• Use of behavior management techniques not part of a behavior plan
• Theft or loss of individual money or property
• Use of emergency measures (seated and prone restraints are strictly prohibited)
• Medication errors
• Community disturbances in which the individual or the public may have been placed at risk
• Serious work related injuries
• Threats to Division employees or state property; and non-member/non-employee accidents on
state property
• Environmental circumstances which pose a threat to health, safety or welfare of individuals such
as loss of air conditioning, loss of water or loss of electricity

25. - 24 -
10/07/15
• Unplanned hospitalization or emergency room visit in response to an illness, injury, medication
error
• Unusual weather conditions or other disasters resulting in an emergency change in operations
• Provider drug use
• A circumstance that poses a serious and immediate threat to the physical or emotional well-being
of an individual or staff member
All ITC employees are required to report any serious incidents immediately after the member is safe. All other
incidents need to be reported within 24 hours of it occurring. To report an incident you need to call ITC and give as
much detail about the incident, who, what, where, when, and how. If it is after hours or on the weekend, leave a
message and someone will get back with you.
Thank you for joining the ITC Team!