Orientation Welcome

Silver Home Care
Direct Care Worker Orientation

A Letter from Management

Welcome to Our Team

You are stepping into work that matters.

Every shift you work represents trust. A family is trusting you with someone they love. A client is trusting you inside their home. That is not small. It is personal, and we treat it that way.

At Silver Home Care, we improve lives one visit at a time. That is not a slogan. It is the standard. Every visit is an opportunity to protect someone's dignity, support their independence, and create stability in their day.

We expect professionalism from the start. That means punctuality. Clear communication. Accurate documentation. Following the care plan. Calling the office in real time when something is wrong. If you are unsure, you ask. If there is a safety concern, you report it. Accountability is part of compassion.

Kindness matters here. Respect matters here. So does reliability.

You will work independently in clients' homes. There is no manager down the hallway. Your integrity is your supervision. How you show up when no one is watching defines your professionalism.

We also believe in supporting you. If you need guidance, we are here. If you want to grow, we will invest in you. If you bring commitment and heart to this role, you will build a meaningful career in home care.

Take this orientation seriously. Learn the standards. Ask questions. Understand that the small details β€” clocking in correctly, documenting thoroughly, following safety steps β€” are what protect our clients and protect you.

You are not just filling shifts. You are improving lives.

We are glad you are here.

Sincerely,

Kelly Schmunk

Administrator

Silver Home Care

Patti Carvalho

Staff Supervisor

Silver Home Care

Section 2: Our Mission

🎯 What Our Mission Means

"To improve lives, one visit at a time,
through dependable person-centered care"

This isn't just a taglineβ€”it's the foundation of everything you do as a caregiver. Let's break down what each part really means.

πŸ“Ή Mission Video

Watch our leadership team explain what our mission means in practice

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Improve Lives

Your work has real impact. You're not just completing tasksβ€”you're enhancing quality of life, restoring dignity, and helping people thrive in their own homes.

Every small actionβ€”a kind word, a gentle touch, a patient earβ€”makes someone's day better.

One Visit at a Time

Change doesn't happen overnight. Each visit is an opportunity to build trust, provide comfort, and make progressβ€”one step at a time.

Focus on being present and doing your best in THIS moment, with THIS client, during THIS visit.

Dependable Person-Centered Care

This is HOW we improve lives. It's the combination of being reliable AND putting the client at the center of everything.

You can't have one without the otherβ€”reliability without personalization is cold, and personalization without reliability is empty.

The Two Pillars of Our Mission

Our mission rests on two inseparable principles. Both must be present in every interaction.

DEPENDABLE

Clients and families must be able to count on youβ€”every single time.

What Dependable Means:
  • Punctual: Always arrive on time, every time
  • Reliable: Show up for every scheduled shift
  • Consistent: Provide the same high quality care each visit
  • Communicative: Keep supervisors informed proactively
  • Accountable: Take responsibility and follow through
  • Trustworthy: Clients can count on you to do what you say

Without dependability, clients can't trust you. Trust is the foundation of care.

PERSON-CENTERED

Every client is uniqueβ€”care must be tailored to their individual needs, preferences, and goals.

What Person-Centered Means:
  • Listen: Hear what the client wants and needs
  • Respect: Honor their choices, routines, and preferences
  • Empower: Support their independence, don't take over
  • Collaborate: Work WITH them, not FOR them
  • Personalize: Adapt your approach to fit each individual
  • Dignify: Protect their dignity in every interaction

Without person-centered care, clients become tasks instead of people.

🧩 How They Work Together

These two principles are inseparable. One without the other fails both the client and the mission.

Dependable Without Person-Centered

You show up on time and complete tasks, but you ignore client preferences, rush through care, and treat everyone the same. Result: Clients feel like burdens, not people.

Person-Centered Without Dependable

You're warm and caring when you're there, but you arrive late, call out frequently, or forget commitments. Result: Clients can't rely on you, and trust is broken.

Dependable + Person-Centered Together

You show up consistently, arrive on time, and follow through on commitmentsβ€”ANDβ€”you listen to clients, respect their choices, adapt to their needs, and treat them with dignity. Result: Lives are truly improved, one visit at a time. ✨

What This Looks Like in Practice

Real examples of dependable person-centered care in action

Example 1: Morning Routine

Dependable: You arrive at 8:00 AM as scheduled, ready to start the day.

Person-Centered: Instead of rushing Mrs. Smith through breakfast, you ask how she slept, let her choose what to wear, and prepare her coffee exactly the way she likes itβ€”strong with one sugar.

Example 2: Bathing Assistance

Dependable: You complete the bathing task safely, following proper techniques and documenting thoroughly.

Person-Centered: You knock before entering the bathroom, explain each step before doing it, protect Mr. Garcia's privacy with towels, and let him wash what he can reach himself to maintain his independence.

Example 3: Communication

Dependable: You notice Mrs. Chen seems more confused than usual and immediately call your supervisor to report the change.

Person-Centered: While waiting for guidance, you sit with Mrs. Chen, speak calmly, validate her feelings, and engage her in a familiar activity that brings her comfort.

βœ… Mission Statement Acknowledgement

Please confirm your understanding of our mission and commitment to dependable person-centered care

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This Is Your North Star

Every decision you make, every action you take, should be guided by this mission: improving lives, one visit at a time, through dependable person-centered care.

When you're unsure what to do, ask yourself: "Is this dependable? Is this person-centered? Will this improve this client's life?" If the answer is yes to all three, you're on the right path.

Section 3: Meet Our Team

🏒 About Silver Home Care

Silver Home Care is a non-medical home care agency located in Fairless Hills, Pennsylvania. We serve elderly and disabled residents of Bucks and Philadelphia Counties. The agency was established in 2016 and is owned by Kelly Schmunk.

Our agency operates with a clear structure supporting both caregivers and clients. Below you'll meet the key team members who make everything run smoothly.

Meet Your Team

The dedicated professionals who support you every day

Kelly Schmunk

Kelly Schmunk

Owner & Administrator

As a hands-on owner and administrator, Kelly provides strategic direction and oversees daily operations of the agency. With a deep passion for the agency's mission, she stays engaged in all aspects of day-to-day operations.

Patty Carvalho

Patty Carvalho

Staffing & Scheduling Manager

Patty's commitment and energy are what makes it all happen. Her ability to coordinate and ensure seamless operations reflects her irreplaceable contributions to the agency.

All direct care workers report to Patty.

Bruce Carvalho

Bruce Carvalho

Billing, Payroll & Bookkeeping

Behind the scenes, Bruce wears many hats, including the crucial tasks of billing, payroll, and bookkeeping. Although he may not be in the spotlight, Bruce's contributions provide the financial stability that allows everything else to run smoothly.

Shanell Day

Field Assistant

Shanell provides essential field support, assisting with client coordination, caregiver support, and ensuring smooth operations in the field. Her role helps bridge communication between the office and our caregivers in the community.

Ryan Schmunk

Administrative Support

Ryan provides administrative support across various office functions, helping ensure efficient operations and assisting with tasks that keep the agency running smoothly on a daily basis.

We're Here to Support You

Every member of our team is dedicated to helping you succeed as a caregiver. Don't hesitate to reach out when you need guidance or support.

Section 4: Our Services

🀝 Services We Provide

As a Direct Care Worker, you'll provide a wide range of non-medical services that help clients live safely and independently at home. Here's what you'll be doing:

Personal Care

You'll assist clients with bathing, dressing, grooming, toileting, transfers, and mobility. These are hands-on tasks that directly impact a client's comfort, dignity, and safety.

Bathing Dressing Grooming Transfers

Companionship

Spend quality time with clientsβ€”talking, playing games, going for walks, or just being present. Your presence helps combat loneliness and isolation.

Conversation Activities Walks

Housekeeping

Help keep the client's home clean and organized. Light cleaning, laundry, dishes, and tidying up so they can live comfortably in their own space.

Cleaning Laundry Dishes

Meal Preparation

Plan, shop for, cook, and serve meals according to the client's preferences and dietary needs. Clean up the kitchen afterward.

Planning Shopping Cooking

Medication Reminders

Remind clients to take their medications on schedule. You don't administerβ€”you remind and track to ensure nothing gets missed.

Reminder only - not administration

Transportation

Drive clients to appointments, errands, and social activities. Help them safely in and out of the vehicle.

Appointments Errands Social Activities

Respite Care

Step in so family caregivers can take a break. You'll follow established routines and provide care while they're away.

Supporting family caregivers

24/7 Care

Provide around-the-clock care for clients who need continuous support. Shifts rotate among caregivers to maintain consistent coverage.

Continuous Rotating Shifts 24/7

Every Client is Unique

Not every client will need all of these services. Your care plan will specify which services each client requires. Always refer to the care plan and follow the client's preferences and needs.

YOUR ROLE & RESPONSIBILITIES

Understanding Your Role

Learn what's expected of you as a Direct Care Worker, including your responsibilities, conduct standards, and scope of practice.

Section 5: Your Role

βœ… Your Responsibilities as a Direct Care Worker

Success in this role requires more than just showing up. You are responsible for providing dependable, high-quality care that makes a real difference in your clients' lives. Here's what we expect from you every single day.

Core Responsibilities

These are the fundamental duties you must fulfill on every shift

Arrive On Time & Stay the Full Shift

Clients depend on you. Arriving late or leaving early disrupts their care and creates problems for everyone.

  • Plan to arrive 5-10 minutes early
  • Stay for the entire scheduled shift
  • Call immediately if you'll be late or unable to make it

Follow the Care Plan Exactly

Each client has a specific care plan outlining their needs, preferences, and authorized tasks. You must follow it precisely.

  • Read and understand each client's care plan
  • Only perform tasks authorized in the care plan
  • Ask your supervisor if anything is unclear

Document All Care Provided

Complete, accurate documentation is legally required and protects both you and the client. "If it isn't documented, it didn't happen."

  • Clock in/out using EVV (Electronic Visit Verification)
  • Complete visit notes detailing what you did
  • Report any changes or concerns immediately

Communicate Changes in Client Condition

You are the eyes and ears for the client's family and medical team. Report any changes immediately.

  • Notice and report changes in mood, behavior, or health
  • Call your supervisor with concernsβ€”don't wait
  • Document observations clearly and objectively

Protect Client Dignity & Privacy

Every client deserves respect and privacy, especially during vulnerable moments like bathing or toileting.

  • Close doors and curtains during personal care
  • Never discuss client information with others (HIPAA)
  • Treat them as you'd want to be treated

Keep the Client & Home Safe

Safety is your top priority. Be proactive about identifying and addressing potential hazards.

  • Remove trip hazards (rugs, cords, clutter)
  • Use proper body mechanics and transfer techniques
  • Report safety concerns immediately

Professional Standards

Professionalism Means:

  • Being reliable and punctual
  • Following the dress code
  • Maintaining appropriate boundaries
  • Communicating respectfully with everyone
  • Taking responsibility for your actions
  • Asking questions when unsure
  • Representing the agency with integrity
  • Being solution-focused, not complaint-focused

πŸ† What Makes You Successful in This Role

Beyond the basic requirements, the best caregivers share these qualities:

Observation Skills

Notice subtle changes in your client's condition, mood, or environment and report them proactively.

Empathy & Compassion

Put yourself in your client's shoes. Understand their fears, frustrations, and needs on a deeper level.

Clear Communication

Keep supervisors, families, and clients informed. Ask questions when you don't understand something.

Problem-Solving

Think ahead to prevent issues. Be resourceful when challenges arise. Suggest solutions, not just problems.

Building Trust

Be consistent, honest, and dependable. Trust is earned over time through your actions, not your words.

Initiative

Don't wait to be told what to do. If you see something that needs doing (within your scope), do it.

Emergency Response Responsibilities

In an emergency, you are the first responder. Your actions can save lives.

In ANY Emergency:

  1. 1 Call 911 first if there's a medical emergency, fire, or immediate danger
  2. 2 Stay with the client until help arrives (unless unsafe to do so)
  3. 3 Call the office immediately after or while waiting for emergency services
  4. 4 Document everything that happened as soon as it's safe to do so

Never leave a client in an emergency unless staying puts your own safety at risk. You have a duty to protect them.

These Are Non-Negotiable

Every responsibility listed on this page is essential to being a successful Direct Care Worker. If you cannot fulfill these duties, this role may not be the right fit. We're here to support you, but you must meet these standards consistently.

COMPENSATION & TIME TRACKING

Getting Paid

Everything you need to know about payment sources, billing, time tracking, payroll, and compensation policies.

Section 6: Payment Sources

πŸ’° How Our Clients Pay for Services

Understanding how clients pay for care helps you understand the documentation requirements and regulations that govern your work. Here are the primary payment sources we work with.

Why This Matters to You

You don't handle billing, but understanding payment sources helps you understand:

Why documentation is so critical (insurance requirements)
Why you must follow the care plan exactly (authorized services)
Why timely EVV clock-in/out matters (billing accuracy)
The regulatory environment you're working within

Community HealthChoices (CHC)

Medicaid Managed Care

Pennsylvania's Medicaid managed care program for people who need long-term services and supports. This is our primary payment source.

We Work With These CHC Plans:

  • UPMC Community HealthChoices
  • Keystone First CHC
  • PA Health & Wellness CHC

Key Point: CHC plans have strict documentation and visit verification requirementsβ€”that's why EVV and thorough notes are mandatory.

Private Pay

Out-of-Pocket

Clients or families who pay directly for services without using insurance. They have more flexibility in scheduling and services.

What This Means for You:

  • Care plans may be more flexible and personalized
  • Families are directly paying for your timeβ€”be reliable!
  • Documentation is still required (but less regulated)
  • Building trust is especially importantβ€”they choose us

Private pay families often rely heavily on your supportβ€”treat them with extra care and professionalism.

Long-Term Care Insurance

Private Insurance

Private insurance policies specifically designed to cover long-term care services, including home care. We work with most LTC insurance providers.

Important to Know:

  • Insurance companies review claimsβ€”documentation must be detailed
  • Policies have benefit limits (daily/monthly dollar amounts or hours)
  • You must only provide services authorized by the policy
  • Accuracy in time tracking is critical for reimbursement

Warning: Poor documentation or inaccurate time records can result in claim denials, which affects the agency's ability to serve the client.

Veterans Benefits

VA Benefits

VA benefits for eligible veterans and surviving spouses, including Aid & Attendance and Housebound allowances that can help pay for home care.

Special Considerations:

  • Show extra respect and gratitude for veterans' service
  • Veterans may have unique health needs related to their service
  • Documentation requirements are similar to private pay
  • Benefits help veterans age in place with dignityβ€”honor that

Many veterans are humble about their service. Recognize and appreciate their sacrifice with your professionalism and care.

What You Need to Remember

Never Discuss Money with Clients

Do not discuss billing, rates, or payment issues with clients or families. Direct all billing questions to the office.

Documentation is Critical

Regardless of payment source, thorough documentation protects you, the client, and the agency. Always document accurately.

Time Tracking Must Be Exact

Clock in when you arrive, clock out when you leave. Inaccurate time tracking can cause billing issues and payment delays.

Follow the Care Plan

Insurance and Medicaid only pay for authorized services. Never provide services not listed in the care plan without supervisor approval.

You Focus on Care, We Handle Billing

Your job is to provide excellent, dependable person-centered care. Our billing team handles the rest. Just make sure your documentation and time tracking are accurate so we can get paid for the important work you do.

Section 7: FYI

ℹ️ About Our Dedicated Caregiver Program

You may be assigned to clients through our Dedicated Caregiver Program. Here's what that means and what you need to know.

What Is It?

The Dedicated Caregiver Program allows clients to choose someone they already know and trustβ€”usually a family member or friendβ€”to be hired as their personal caregiver.

This is most common with Community HealthChoices (CHC) and Veterans programs, where clients have the option to select their own caregiver rather than being assigned one by the agency.

Same Requirements as Everyone Else

Dedicated caregivers work exclusively with one client. However, they must meet all the same employment requirements as any other caregiver on our team.

This Includes:

Background checks and clearances
Orientation and training
Following all policies and procedures
Using EVV for all shifts
Proper documentation
Standards of conduct

Key Points to Remember

You Work with One Client Only

Dedicated caregivers are assigned exclusively to one specific client and do not provide care to other clients.

Professional Boundaries Still Apply

Even if you have a personal relationship with the client, you must maintain professional standards and follow agency policies.

We Handle the Administrative Work

Silver Home Care manages billing, insurance, payroll, and compliance. You focus on providing care.

Support is Available

You have access to supervisors and our support team for questions, guidance, and assistance.

If you have questions about the Dedicated Caregiver Program or your assignment, speak with your supervisor.

SAFETY & COMPLIANCE

Keeping Everyone Safe

Critical information about regulations, emergency procedures, and policies that protect both you and our clients.

Workplace Policies

Rules, procedures, and safety guidelines for your work

Section 9: Regulatory Framework

βš–οΈ Regulatory Compliance

Non-medical home care in Pennsylvania is overseen by several state and federal agencies. Here's what governs the care you provide.

Why This Matters to You

These regulations exist to protect clients and caregivers. They set the standards for documentation, training, safety, and quality of care.

Following these rules isn't just about complianceβ€”it's about ensuring every client receives safe, high-quality care.

Who Regulates Home Care

Silver Home Care operates under these regulations

Pennsylvania Department of Health

Home Care Agencies (28 Pa. Code Chapter 611)

Sets licensing standards for home care agencies, including training requirements, criminal background checks, health screenings, and operational procedures for agencies providing personal care, companionship services, and instrumental activities of daily living.

Pennsylvania Department of Human Services

Home and Community-Based Services (55 Pa. Code Chapter 52)

Governs MA-funded waiver services under the Federally-approved Aging, Attendant Care, COMMCARE, Independence, and OBRA Home and Community-Based Service waivers and the Act 150 program. Sets provider qualifications, payment provisions, staff training requirements (Β§52.21), criminal history checks (Β§52.19), critical incident management (Β§52.17), and service coordination standards.

Centers for Medicare & Medicaid Services (CMS)

Federal Medicaid Compliance

Federal agency that sets standards for Medicaid programs nationwide, including fraud prevention and quality measures.

21st Century Cures Act

Electronic Visit Verification (EVV) Mandate

Federal law requiring electronic verification of all home care visitsβ€”this is why EVV clock-in/out is mandatory.

Older Adults Protective Services Act (OAPSA)

Mandatory Reporting Requirements

Pennsylvania law requiring caregivers to report suspected abuse, neglect, or exploitation of older adults.

Assessments and Audits

Department of Health Assessments

The PA Department of Health conducts assessments to verify our compliance with 28 Pa. Code Chapter 611 regulations (licensing standards for home care agencies).

DHS Provider Monitoring

The PA Department of Human Services monitors waiver service providers under 55 Pa. Code Β§52.22 at least once every 2 years to ensure compliance with provider qualifications, service delivery, documentation requirements, and quality management standards.

What They Review

Auditors check documentation, EVV records, service plans, staff training files, criminal background checks (Β§52.19), child abuse clearances (if applicable), staff competency reviews, critical incident reports (Β§52.17), complaint management systems (Β§52.18), and compliance with service authorizations under both Chapter 611 and Chapter 52 standards.

This Is Why Documentation Matters: Incomplete or inaccurate documentation can result in denied claims, lost revenue, and potential loss of CHC contracts. Your thorough notes protect the client, the agency, and your job.

We Take Compliance Seriously

Silver Home Care is committed to meeting all state and federal requirements. Compliance isn't just about avoiding penaltiesβ€”it's about ensuring every client receives safe, high-quality care.

When issues arise, we address them promptly and use them as opportunities to improve our operations and better protect our clients and caregivers.

Section 10: Communication

πŸ“ž Communication & Policies

Clear communication is essential for providing excellent care. Here's how to stay connected with our team and when to reach out.

Staying in contact with the office

Agency Business Hours

Home care is a 24/7 business, and we're committed to supporting you at all times.

9:00 AM - 5:00 PM

Monday through Friday

For routine matters, please reach out during our business hours listed above.

Who to Contact

Choose the right contact method based on your needs

Routine Matters

For scheduling questions, payroll inquiries, or non-urgent matters, contact us during business hours (9:00 AM - 5:00 PM, Monday-Friday).

Find complete contact details in the downloadable contact sheet below.

24/7 Employee Hotline

For time-sensitive matters, call the main 800 number and press 3 for the employee hotline.

Available 24/7 for urgent matters, emergencies, and on-shift support.

Important Communication Guidelines

If You Don't Reach Us

We strive to answer all calls promptly. If your matter is not time-sensitive, you may leave a voicemail, send a text, or email.

Wait for Confirmation

Do not assume your message has been received until we reply. We usually respond the same day, but please allow until the next business day.

For Urgent Matters

If your matter requires immediate attention and you're not getting through, call the 24/7 employee hotline (main number, press 3).

Attendance and Punctuality

Your attendance and punctuality are critical to maintaining quality care.

If you're running late or need to call out, follow these steps:

DO NOT Contact the Client Directly

All communications about scheduling, lateness, or call-outs must go through our office staff to ensure proper coordination and coverage.

1

Contact Patty Carvalho First

Staffing and Scheduling Manager. Try calling her directly first.

2

If You Don't Reach Her

After a few attempts, don't rely on voicemail or text. Call the main 800 number and press 3 for the employee hotline.

3

Support Available

The hotline is available for scheduling issues, urgent matters, and on-shift support. Communication is key!

Section 11: Professional Standards

πŸ›‘οΈ Standards of Conduct

Maintaining professional standards is essential for creating a respectful, trustworthy home care environment. These guidelines ensure quality care and protect both you and the client.

Why These Standards Matter

Standards of conduct aren't just rulesβ€”they're safeguards that protect clients, their families, and you. Following these guidelines maintains trust, prevents conflicts, and ensures every interaction is professional and appropriate.

Your professionalism directly impacts client safety and well-being.

Professional Boundaries in Conversation

Maintain appropriate conversation topics that focus on the client's needs and well-being, not your personal life.

DO THIS:

  • Actively listen and encourage clients to express their needs
  • Focus on topics relevant to their care and comfort
  • Keep conversations positive and client-centered

DON'T DO THIS:

  • Discuss your personal struggles, problems, or drama
  • Talk about sensitive topics like politics or religion
  • Impose your beliefs or opinions on the client
  • Complain about other clients, coworkers, or the agency

Safeguarding Client Privacy

All personal and care information is confidential and protected by HIPAA. You must handle it with extreme care.

Privacy Requirements:

  • Secure your device with a password when accessing care plans or PHI
  • Never share client information with family, friends, or others
  • Don't discuss clients in public places where you can be overheard
  • Never post about clients on social media (even without names)
  • Maintain discretion in all interactions to uphold trust

HIPAA Violation Warning: Sharing client information inappropriately can result in immediate termination, legal action, and fines up to $50,000.

Ethical Behavior

Ethical behavior is the foundation of quality care. Acting with integrity means putting the client's needs firstβ€”always.

Act with Integrity By:

  • Following the care plan exactly as written
  • Being punctual and respecting the client's time
  • Staying focused on the client during work hours (no distractions)
  • Being honest in your documentation and communication
  • Reporting concerns or mistakes immediately
  • Treating the client's home and belongings with respect

By prioritizing the client's needs without distractions, you ensure they receive the attention and care they deserve.

Avoiding Conflicts of Interest

It's crucial to avoid any financial, legal, or emotional entanglements with clients or their families. These create conflicts that compromise professional boundaries.

Direct Care Workers Must NEVER:

  • Engage in financial transactions with clients or families (borrowing or lending money)
  • Accept gifts of significant value (small tokens of appreciation like holiday cookies are okay, but cash or expensive items are not)
  • Become involved in business dealings with clients or families
  • Become an authorized representative on legal or financial accounts (power of attorney, bank accounts, etc.)
  • Form emotional entanglements (becoming overly involved in personal life or taking sides in family matters)
  • Accept items from the client's home (even if offeredβ€”politely decline and inform your supervisor)

If you encounter a conflict of interest or ethical concern, contact your supervisor immediately for guidance. We're here to help you navigate these situations.

These Standards Protect Everyone

Following these standards isn't just about rulesβ€”it's about maintaining trust, protecting vulnerable clients, and upholding the integrity of our profession.

When in doubt, ask your supervisor.

Section 12: Critical Policy

⚠️ Client Abandonment Policy

What Is Client Abandonment?

Client abandonment occurs when a direct care worker fails to fulfill their duty to ensure a client's well-being during their scheduled care time without informing the agency or arranging proper coverage.

Why This Is Critical

Our clients depend on you for their safety, health, and well-being. Many are vulnerable and cannot care for themselves. Abandoning a client puts them at serious risk and violates the trust they've placed in you and our agency.

This is not just a policy violationβ€”it's a matter of safety and potentially life or death.

Your Responsibilities to Prevent Abandonment

Following these responsibilities ensures client safety and protects you from serious consequences:

Notify If Late or Absent

Call the office immediately if you'll be late or need to be absent. Don't assume someone knowsβ€”always communicate.

Client Doesn't Answer Door

If the client doesn't answer, notify the office immediately and remain on-site until the situation is resolved.

Stay at Client's Home

Don't leave the residence during your shift unless the care plan explicitly includes errands or shopping.

Stay the Full Shift

Remain for the entire duration of your assigned shift. Don't leave early, even if the client says it's okay.

Wait for Replacement

If a shift handoff is required, wait until your replacement arrives before leaving. Never leave the client alone.

Stay with Client on Outings

Accompany the client for the entirety of any outing and ensure their safe return home.

Provide Appropriate Care

Provide the appropriate level of care and supervision as outlined in the care plan.

Be Fully Present

Be fully present and attentive to the client's needs at all times. No distractions, no exceptions.

⚠️ Serious Consequences

Your dedication to these responsibilities is essential in maintaining the trust placed in you by both the client and the agency.

Any failure to meet these expectations is a serious breach of duty and may result in:

Immediate Termination

Loss of employment without warning

Legal Consequences

Potential legal action for negligence

Career Impact

Permanent record affecting future employment

Client abandonment is not just a policy violationβ€”it can have life-threatening consequences and may result in criminal charges for neglect.

Section 13: Task Boundaries

βœ… Scope of Practice

Understanding your role as a Direct Care Worker is essential for client safety and your professional protection.

Your Role: Non-Medical Home Care Provider

As a non-medical home care provider, you provide personal care and companionship services. You are NOT licensed to perform medical or nursing tasks.

Following these boundaries protects both you and the client from liability and harm.

What You CAN Do

These tasks are within your scope as a Direct Care Worker

Personal Care

  • Bathing, grooming, and dressing assistance
  • Toileting and incontinence care
  • Mobility assistance and transfers
  • Skin care and observation

Nutrition Support

  • Meal planning and preparation
  • Feeding assistance
  • Monitoring food and fluid intake
  • Following dietary restrictions

Household Tasks

  • Light housekeeping and laundry
  • Grocery shopping and errands
  • Organizing living spaces
  • Pet care (if in care plan)

Companionship & Support

  • Conversation and emotional support
  • Recreational activities
  • Transportation to appointments
  • Medication reminders (NOT administration)

What You CANNOT Do

These activities are PROHIBITED and may result in immediate termination

Medical Tasks

  • Administering medications (oral, topical, injections, eye drops)
  • Opening medication bottles or pill organizers
  • Assisting with self-administration beyond reminders
  • Wound care or dressing changes
  • Catheter care or tube feeding
  • Taking vital signs (blood pressure, temperature)

Financial Tasks

  • Using client's ATM/debit card to withdraw cash
  • Having access to client's PIN numbers
  • Managing client's finances or paying bills
  • Writing checks from client's account
  • Borrowing or lending money
  • Accepting gifts or tips

Legal Tasks

  • Signing legal documents for client
  • Acting as power of attorney
  • Becoming guardian or conservator
  • Witnessing legal documents
  • Being added to bank accounts

Other Prohibited Activities

  • Performing tasks not in the care plan
  • Bringing friends or family to visits
  • Sleeping during shift (including overnights)
  • Using client's belongings without permission
  • Taking client to your personal appointments

When in Doubt, ASK!

If a client or family member asks you to do something that is NOT in the care plan or you're unsure about:

  1. 1

    Politely Decline

    Explain that you need office approval before performing any tasks outside your care plan

  2. 2

    Contact Your Supervisor

    Reach out immediately for guidanceβ€”don't wait or assume

  3. 3

    Document the Request

    Write down what was requested in your shift notes with date and time

  4. 4

    NEVER Perform Without Approval

    Do not perform the task without written approval in the care plan

Following your scope of practice protects you from liability and ensures client safety. When in doubt, always ask!

Section 14: Critical Safety

🚨 Emergency Procedures

Your safety and the safety of your clients is our top priority. Know these procedures and be prepared to respond quickly and appropriately.

☎️ Emergency Call Priority

1 Life-threatening emergencies: Call 911 FIRST
2 Then immediately notify: Silver Home Care at (555) 123-4567

Medical Emergencies

Recognize and respond to life-threatening situations

Call 911 Immediately For:

Chest pain or heart attack symptoms
Difficulty breathing or choking
Stroke symptoms (FAST test)
Severe bleeding or injuries
Loss of consciousness
Severe allergic reaction

After Calling 911:

  • Stay with the client and provide comfort
  • Have medical information ready (medications, allergies, conditions)
  • Call Silver Home Care immediately
  • Contact emergency contacts listed in care plan
  • Document everything with exact times

Client Falls

Proper response protocol to prevent further injury

DO NOT Immediately Lift the Client!

Assess the situation first to avoid causing further injury

Step-by-Step Protocol:

  1. 1
    Assess for Injuries

    Ask if they're in pain, check for bleeding or deformities

  2. 2
    Call 911 If Injured

    Any sign of injury or inability to move requires immediate medical help

  3. 3
    Keep Client Still

    Keep them comfortable while waiting for help

  4. 4
    Notify Office & Family

    Call Silver Home Care and emergency contacts immediately

  5. 5
    Assist if No Injury

    If uninjured and able, help them up slowly using proper body mechanics

  6. 6
    Complete Incident Report

    Always document, regardless of outcome

Fire Emergency

RACE Protocol:

R
RESCUE

Remove client from immediate danger

A
ALARM

Call 911 and activate fire alarm

C
CONTAIN

Close doors to contain the fire

E
EVACUATE

Evacuate to safety if necessary

Never fight a fire larger than a wastebasket. Your priority is client safety!

Severe Weather

Tornado/Severe Storm:

  • Move to lowest level, away from windows
  • Go to interior room (bathroom, closet)
  • Cover with blankets or pillows
  • Notify office when safe

Power Outage:

  • Check for life-sustaining equipment
  • Call office immediately if affected
  • Use flashlights, not candles
  • Keep fridge/freezer closed

Missing or Wandering Client

Act quickly - every minute matters

  1. 1
    Search Home Thoroughly

    Check all rooms, closets, bathrooms, basement, garage

  2. 2
    Check Outside Immediately

    Yard, driveway, nearby sidewalks and streets

  3. 3
    Call 911 Within 15 Minutes

    If client is not found, call police immediately

  4. 4
    Notify Silver Home Care

    Call (555) 123-4567 immediately

  5. 5
    Contact Family

    Notify emergency contacts from care plan

  6. 6
    Prepare Information

    Have recent photo and description ready for police

πŸ“ Always Document Emergencies

Complete an incident report for every emergency situation, no matter how minor. Documentation protects everyone.

Include in Your Report:

Date and exact time of incident
Detailed description of what happened
Actions you took and who was notified
Client's condition before and after
Names of emergency responders
Any witnesses present
Client Concerns

Client Incidents & Complaints

Brief overview of reporting procedures for client-related concerns

Why This Matters

Properly reporting client incidents and complaints ensures client safety, improves care quality, and protects both you and the agency.

Client Incidents

Any unexpected event affecting a client's health or safety

Falls or injuries
Medication errors
Changes in condition
Property damage

Report Immediately

Call the office as soon as safe to do so, then complete written incident report within 24 hours

Client Complaints

Any expression of dissatisfaction from client or family

Service quality concerns
Schedule or timing issues
Communication problems
Any client dissatisfaction

Report Promptly

Notify your supervisor within the same shift or by end of day

What to Include in Your Report

Date, time, and location
Who was involved
What happened (facts only)
Any witnesses
Actions taken immediately
Client's response/condition

Your Protection

Proper reporting protects you from liability and ensures issues are resolved quickly. Never hesitate to report concerns β€” you will not be penalized for good-faith reporting.

Section 15: Work Conduct

πŸ“± Cell Phone & Earbud Policy

Your undivided attention is critical to providing excellent care. This policy ensures clients receive the focus and engagement they deserve.

⚠️

Top Client Complaint

One of the most common complaints from home care clients is excessive cell phone use by caregivers during work hours. Clients feel ignored, undervalued, and unsafe when caregivers are distracted by their devices.

Cell Phone Guidelines

Professional expectations for device use during shifts

The Standard: Silent & Out of Sight

Your cell phone should be on silent and out of sight during work hours. Your focus should remain entirely on the client's care, safety, and well-being.

Why? Clients deserve your full attention. Being present and engaged builds trust and ensures you can respond immediately to their needs.

If You Must Make or Receive a Call

We understand emergencies happen. If you absolutely must use your phone:

1
Ensure Client Care is NOT Impacted

The client's needs always come first. Never use your phone if it compromises their safety or care.

2
Keep It Brief

Limit calls to 1-2 minutes maximum. Long conversations are unprofessional.

3
Inform the Client

Always let the client know: "Excuse me, I need to take a quick call." Transparency builds trust.

4
Maintain Supervision

If the client requires supervision, you MUST remain in visual/audible range at all times.

What's NOT Allowed

Texting, browsing social media, or playing games
Personal calls that last more than 2 minutes
Using your phone while assisting with ADLs (bathing, eating, transfers)
Taking photos or videos of the client or their home without written permission
Watching videos or streaming content

🚫 Earbuds Are Strictly Prohibited

Zero tolerance policy - no exceptions

No Earbuds. Ever.

Wearing earbuds or headphones while working is absolutely prohibited under all circumstances. This is a safety issue and a violation will result in disciplinary action up to and including termination.

Why Earbuds Are Dangerous:

πŸ”‡ You Can't Hear Critical Sounds

Fire alarms, medical alert devices, calls for help, falls, or emergency situations may go unnoticed.

πŸ‘οΈ You Appear Disengaged

Clients and families perceive earbuds as a sign you're not present, which damages trust and rapport.

🧠 Your Attention is Divided

Listening to audio (music, podcasts, etc.) prevents you from being fully focused on the client's needs.

πŸ’¬ Communication Suffers

You may miss verbal cues, requests for assistance, or changes in the client's condition.

The Bottom Line

Your client deserves your full, undivided attention. Excessive phone use or wearing earbuds is unprofessional, unsafe, and grounds for termination.

"When you're with a client, be present. Put your phone away, take out your earbuds, and focus on providing the compassionate care they deserve."

Employee Support

πŸ“‹ Grievance and Complaint Procedures

We value your feedback and are committed to fostering a positive and supportive work environment. We encourage you to address any concerns early so we can work together to resolve them before they become larger issues.

1

Talk to Your Supervisor

Open and direct communication can often resolve issues quickly and effectively. We are here to listen and support you.

2

Escalate If Needed

If the issue isn't resolved after speaking with your supervisor, request a meeting with the administrator. Addressing concerns promptly helps maintain a positive work environment.

Our Commitment to You

All concerns are handled with the utmost confidentiality to protect your privacy. We strictly prohibit any form of retaliation against employees who raise concerns in good faith.

Your well-being is important to us. We strive to create a workplace where everyone feels heard and valued.

Section 17: Work Hours Policy

β˜• Break Policy

Your well-being matters to us. Understanding how breaks work in home care ensures you're taking care of yourself while providing excellent client care.

πŸ’‘

Why Break Policy Matters

Home care is unique because client safety and supervision are often continuous requirements. Unlike other jobs where you can easily step away, breaks in home care depend on the client's needs and level of independence.

For shifts over 4 hours, you're entitled to breaks - but how they're structured depends on whether you can safely leave the client or need to remain on-site.

On-Site Breaks (Paid)

When you must stay with the client during your break

You Get Paid for On-Site Breaks

If client care or safety requires you to remain in the home during your break, that time is PAID, and you do NOT need to clock out.

When This Applies:
Client requires constant supervision for safety reasons
Client has fall risk, wandering risk, or cognitive impairment
You need to remain within visual or audible range
Care plan indicates continuous presence required

Example: You can eat lunch in the client's kitchen, rest in their living room, or read a book nearby - but you're still "on duty" and available if needed. This time counts as work hours.

Off-Site Breaks (Unpaid)

When you can leave the home for a meal break

When You Can Take an Off-Site Break

If the client's care level allows you to take an off-site break, such as for lunch, and you are fully relieved of your duties, the break is UNPAID.

CRITICAL: Always Notify the Office First

You MUST call or text the office before leaving for an off-site break, even if you've been allowed to take breaks before. Client needs can change daily.

Call or text: "I'm about to take my lunch break off-site. Client is stable and safe. I'll be back in 30 minutes."

Off-Site Break Requirements:
1
Get Office Approval

Contact the office every time before leaving, regardless of past approvals

2
Clock Out and Back In

Punch out when you leave, punch back in when you return

3
Keep It to 30 Minutes

Standard break is 30 minutes. Need more time? Let the office know in advance

4
Ensure Client Safety

Client must be safe and stable before you leave. Never leave if there's any concern

Remember: The ability to take off-site breaks can vary by client and by day, depending on their changing needs. What was okay yesterday may not be okay today.

🚭 Smoke Break Policy

Important guidelines for professional conduct

Non-Negotiable Rules

You CANNOT smoke inside the client's home

This applies even if the client gives permission. It's against policy, unprofessional, and a health hazard.

You MAY step outside if client care permits

Go to a designated outdoor area, away from windows and doors

Keep it brief - 5 minutes max

Smoke breaks should be short. Prolonged absences are unprofessional.

Tips to Minimize Smoke Odor

Clients and families are often very sensitive to smoke odor. Follow these tips to remain professional:

Wear an Extra Layer

Put on a jacket before smoking, then remove it before re-entering. Keeps smoke off your uniform.

Wash Hands & Face

Thoroughly wash your hands and wipe your face with a damp towel after smoking.

Freshen Your Breath

Use mints or gum immediately after smoking to eliminate breath odor.

Use Odor Neutralizer

Spray Febreze or similar product on your clothing after smoking.

Protect Your Hair

Tie back or cover long hair while smoking. Hair holds odors strongly.

Don't Carry Cigarettes

Avoid carrying cigarettes or half-smoked butts in your pockets. They spread smell.

Break Policy Summary

On-Site Breaks: Paid. Stay in the home if client needs supervision.

Off-Site Breaks: Unpaid. Get office approval first, clock out/in.

Smoke Breaks: Never inside. Brief. Minimize odor.

"Your breaks should never compromise client safety or care quality. When in doubt, ask the office for guidance."

Section 18: Privacy & Safety

πŸ“Ή Surveillance & Camera Policy

Understanding client surveillance systems protects both you and the clients we serve. Transparency and professionalism are essential in all situations.

βœ…

We Support Home Surveillance

At Silver Home Care, we recognize the value of surveillance systems in enhancing safety and security for both clients and caregivers. Cameras provide:

Protection for clients from potential abuse or neglect
Protection for caregivers from false accusations
Peace of mind for families who can't be present
Quality assurance for the care being provided

Your Expectations as a Caregiver

Professional conduct in all situations

Assume You're Always Being Recorded

You should assume that your actions may be recorded at any time, whether or not you're aware of camera placement. This mindset ensures you maintain the highest standard of ethical behavior in all situations.

What This Means for You:
Act with integrity β€” Treat every moment as if families are watching, because they might be
Follow the care plan β€” Don't cut corners or skip tasks
Speak respectfully β€” Your tone, words, and demeanor matter
Stay off your phone β€” Excessive phone use is often a top complaint visible on cameras
Be engaged with the client β€” Show you're present, attentive, and caring
Good News: Cameras Protect You Too

If you're doing your job well, cameras are your best defense against false complaints or accusations. They provide objective evidence of your professionalism and quality of care.

Your Privacy Rights

Client agreements protect your dignity and privacy

Camera Installation Agreements

When clients install surveillance cameras, they agree to certain privacy protections for our caregivers:

No Cameras in Restrooms

Cameras must NOT be installed in restrooms or any areas designated for personal use by caregivers. This protects your privacy and dignity. If you discover a camera in a restroom, report it to the office immediately.

No Social Media Distribution Without Consent

We request that recordings of our caregivers NOT be distributed to social media or third parties without the caregiver's explicit written consent. Your image and work should not become public content without your permission.

Camera Disclosure

Clients are encouraged (but not legally required) to disclose camera placement. Some states have different laws, but our policy is that you should always assume cameras are present and conduct yourself professionally at all times.

If You Have Concerns About Cameras

If you encounter any of the following situations, contact the office immediately:

A camera is installed in a restroom or changing area
You're being recorded in a way that feels intrusive or inappropriate
A client or family member is misusing recordings to harass or threaten you
Your image or video has been shared publicly without your consent

We're here to support you. Your safety, privacy, and dignity matter. If something doesn't feel right, speak up and we'll address it immediately.

Surveillance Policy Summary

We support cameras β€” They enhance safety for everyone.

Assume you're always recorded β€” Maintain professionalism at all times.

Your privacy is protected β€” No cameras in restrooms or personal areas.

Report concerns immediately β€” We're here to protect your rights.

"If you're doing your job with integrity and professionalism, cameras are your ally, not your enemy. They protect both you and the client."

Section 19: Benefits & Pay

🎁 Holiday Pay Policy

We value your dedication, especially during holidays. Here's how we show appreciation for working major holidays.

πŸ’°

Holiday Pay: Time and a Half

Work on six major holidays and earn 1.5x your regular hourly rate. This is our way of saying thank you for your commitment to our clients during special days.

Important: If you're already in overtime status, you'll receive your overtime rate but no additional holiday premium on top of it.

Six Major Holidays

Eligible for time-and-a-half pay

New Year's Day

January 1

Memorial Day

Last Monday in May

Independence Day

July 4

Labor Day

First Monday in September

Thanksgiving Day

Fourth Thursday in November

Christmas Day

December 25

How Holiday Pay Works

Time and a Half Rate

Employees working on these six holidays receive 1.5x their regular hourly rate. For example, if you normally make $15/hour, you'll earn $22.50/hour on a holiday.

Overtime Consideration

If you're already in overtime when the holiday falls, you'll receive your overtime rate (1.5x) but no additional holiday pay on top. You won't get "double time and a half."

Not Scheduled? No Pay

If a holiday falls on a day you're not scheduled to work, it's treated as a regular day off. There's no paid holiday benefit if you don't work.

Actual Holiday Date Only

Holiday pay applies only on the specific calendar date of the holiday (e.g., December 25 for Christmas), regardless of any federal "observed" dates.

Requesting Time Off on a Holiday

Need a holiday off? We understand! Submit your request at least 60 days in advance through the employee app to allow time for coverage arrangements.

We'll do our best to accommodate your request while ensuring clients receive uninterrupted care.

Section 20: Care Standards

πŸ’Ό Employment Information & Care Standards

Key information about health & safety, task boundaries, client rights, care plans, and documentation requirements.

Health and Safety

Protecting yourself and your clients

Your health and safety, along with that of the client, are paramount. Follow these essential practices:

Always use proper PPE (gloves, masks when needed)
Follow infection control protocols including frequent hand hygiene
Use proper body mechanics when assisting clients to prevent injuries

Clear Task Boundaries

What you can and cannot do

You Are NOT Authorized To:

❌ Administer medications

Only licensed professionals can give medications

❌ Use client's debit card at ATM

Never handle client finances this way

Always follow the care plan. If a task isn't listed, contact the office before doing it.

Client Rights & Advocacy

Protecting dignity and privacy

Clients have the right to privacy and dignity in all aspects of their care. As a caregiver, it's your responsibility to advocate for these rights.

Encourage clients to reach out to the office if they have concerns or complaints.

Documentation & Reporting

Required after every shift

Document Everything:

All tasks completed

Tasks refused by client

Leave note in HHA Exchange app

Report Immediately:

Any incidents

Client complaints

Suspected abuse/neglect

Changes in client condition

Mandated Reporter Responsibility

You are legally required to report any signs of abuse, neglect, or exploitation without delay.

Additionally, fill out a complaint/incident form the same day as your verbal report through the employee app. Provide detailed, objective documentation.

Care Standards Summary

Safety first β€” Use PPE, follow protocols, protect yourself and clients

Stay within boundaries β€” Follow the care plan, never exceed your scope

Document everything β€” Every shift, every task, every concern

PROFESSIONAL DEVELOPMENT

Growing Your Career

Learn about training opportunities, keeping your information current, and specialized work requirements.

Training & Development

Ongoing education and professional growth opportunities

Section 21: Professional Development

πŸŽ“ Training & Professional Development

We invest in your growth. Ongoing training keeps you sharp, compliant, and confident in providing exceptional care.

πŸ“š

We Believe in Continuous Growth

Healthcare is constantly evolving, and so should your skills. Ongoing training sessions are mandatory for all caregivers and available through the employee app.

These sessions cover essential topics like CPR certification, infection control, dementia care, and more.

Access Training Through the Employee App

Convenient, on-demand learning at your fingertips

How It Works

1
Check the App Regularly

New trainings are added frequently. Check for required and optional sessions.

2
Complete by the Deadline

Mandatory trainings have deadlines. Missing them can affect your employment status.

3
Get Certified

Many trainings result in certifications that enhance your resume and career prospects.

Stay alert! You'll receive notifications when new training is available or when a deadline is approaching.

Common Training Topics

Examples of what you'll learn

CPR & First Aid

Life-saving skills for emergency situations

Infection Control

Preventing illness and protecting clients

Dementia Care

Understanding and supporting cognitive decline

Transfer & Mobility

Safe techniques to assist clients without injury

Abuse Prevention

Recognizing and reporting signs of mistreatment

Compliance Updates

Staying current with regulations and policies

Compliance is Required

Not optional β€” it's the law

Pennsylvania Department of Health (28 Pa. Code Chapter 611): All direct care workers must demonstrate competency through examination or training programs covering required subject areas (Β§611.55). The agency must review each worker's competency at least once per year (Β§611.55(e)).

Pennsylvania Department of Human Services (55 Pa. Code Chapter 52): Staff members providing MA-funded waiver services must complete standard annual training on at least six topics including prevention of abuse and exploitation, critical incident reporting, participant complaint resolution, Department policies, quality management, and fraud prevention (Β§52.21(d)).

Noncompliance with state and federal training regulations can impact the agency's ability to operate and may lead to serious consequences for employees, including suspension or termination.

Missing Mandatory Training?

Failure to complete required trainings by the deadline can result in being pulled from the schedule until you're compliant. This applies to both Chapter 611 competency requirements and Chapter 52 annual training topics. Don't let it happenβ€”stay on top of your training!

Training Summary

Training is mandatory β€” Complete all required sessions on time

Access through the app β€” Check regularly for new trainings and deadlines

Compliance is critical β€” Noncompliance affects your employment

"Your professional development isn't just about meeting requirementsβ€”it's about becoming the best caregiver you can be."

Section 22: Transportation

πŸš— Transportation Policy

Optional but valuableβ€”transporting clients can open more work opportunities and provide essential support to those who need it.

⚠️

Approval Required First

Before you're permitted to transport clients in your personal vehicle or drive the client's vehicle, you must first be approved by the agency. Transportation is never requiredβ€”it's completely optional.

Approval Requirements

What you need to get approved

Valid Driver's License

Current and not suspended

Up-to-Date Car Insurance

Proof of active coverage

Safe, Well-Maintained Vehicle

Reliable and roadworthy

Complete Required Training

Safety protocols

Agree to the terms and safety policies set by the agency

Benefits of Providing Transportation

More opportunities, greater impact

For those willing to provide transportation, it can open up significantly more work opportunities, as many clients rely on this service for medical appointments, grocery shopping, and essential errands.

Even if you're not comfortable driving clients, being able to run errands on their behalf (picking up groceries, prescriptions, etc.) is also highly valuable and can lead to more assignments.

We understand that transporting clients isn't for everyone, and we fully respect those who prefer not to do so. It will never be held against you.

Safety Guidelines

When transportation is appropriate

Transporting a client must be both safe and appropriate. The agency will assess this, and transportation should only occur if:

It's in the Care Plan

Transportation must be explicitly included in the client's approved care plan

It's Approved by the Office

The office has reviewed and authorized the specific transportation request

Your safety, as well as the client's, is ALWAYS our top priority.

Mileage Reimbursement

You'll be reimbursed at:

$0.75

per mile

How to Track Your Mileage

You'll need to complete a Mileage Log for every trip you make with or for a client.

The log does the math for you!

Simply enter:

Where you're leaving from
Where you're going
The return trip
System calculates miles

Pro Tip: You can type specific locations like "Giant in Fairless Hills" or "Jefferson Hospital" and the calculator will find them for you!

A link to the Mileage Log will be provided to you. Complete it after each trip to ensure accurate and timely reimbursement.

Open Mileage Log Calculator

Opens in a new tab for easy access

Transportation Issues Support

We're here to help when problems arise

We understand that transportation issues can arise, but they should never stop you from being able to work. We're committed to helping you find solutions.

One-Time Problem

If your vehicle breaks down or you have a one-time issue:

Notify us immediately

We'll cover Uber to/from work that day

Long-Term Challenge

For ongoing transportation difficulties:

Reach out to discuss alternatives

Temporary support may be available

We understand how a simple transportation issue can undermine everything else. While we can't promise a solution for every situation, we are here to support you and help find the best way forward to keep you working and on track if we can.

Transportation Summary

Optional service β€” Never required, always respected

Must be approved β€” License, insurance, training required

$0.75 per mile β€” Fair reimbursement for your service

Emergency support available β€” We help when issues arise

Section 23: Time Tracking

⏰ Electronic Visit Verification (EVV)

EVV compliance is federally mandated and critical to your employment. Learn the requirements and procedures.

πŸ“±

Federal Compliance Required

Silver Home Care complies with the 21st Century Cures Act EVV mandate. We use HHA Exchange for visit verification. Near-perfect compliance is essential to maintain your employment.

Clock In/Out Requirements

Use HHA Exchange App

Clock in and out through the mobile appβ€”no exceptions

Punch Inside the Residence

Always clock in/out from inside the client's home after greeting them

NEVER Punch From Outside

Punching from your car, the driveway, or any location outside is strictly prohibited

Missed Punch Procedures

When something goes wrong, follow these steps immediately

Visit Starts/Ends Outside

  1. Punch at current location
  2. Call office immediately
  3. Fill out Missed Punch form

Technical Issues

  1. Call office right away
  2. We verify with client
  3. Complete Missed Punch form

Forgot to Punch IN

  1. Punch in as soon as you realize
  2. Call office to report
  3. We verify arrival with client
  4. Fill out Missed Punch form

Forgot to Punch OUT

  1. Don't punch from off-site
  2. Call office immediately
  3. We verify departure with client
  4. Submit form within 24 hours

CRITICAL: Call While It's Happening

Submitting a Missed Punch form WITHOUT a real-time phone call to the office will result in delay or denial of payment for that shift.

You must call during the issue, not hours or days later. This is non-negotiable.

Open Missed Punch Form

Remember: Call the office FIRST, then fill out this form

EVV Summary

Federal law requires EVV β€” Compliance is mandatory

Punch inside the home β€” Never from outside

Call immediately if issues arise β€” Don't wait

Repeated non-compliance = consequences β€” Take it seriously

Section 24: Payroll

πŸ’΅ Payroll Information

Everything you need to know about pay periods, payday, on-demand pay, and accessing your pay stubs.

Pay Period & Payday

Pay Period

Saturday through Friday

Your work week runs from Saturday to Friday. All hours worked during this time are included in that pay period.

Payday

The following Friday

You'll receive payment on the Friday after your pay period ends, via direct deposit to your bank account.

Example: Hours worked Saturday, Jan 1 through Friday, Jan 7 will be paid on Friday, Jan 14.

⚑ On-Demand Pay Available

Need access to your earnings before payday? We offer on-demand pay for added flexibility.

How It Works:

Request your pay at any time as long as you have hours worked
Funds are direct deposited the next business day
Access your earned wages when you need them most

Enrollment Required

To use on-demand pay, you must enroll and sign up. There is a small processing fee for each transaction, which is explained in detail in the enrollment form.

Enroll in On-Demand Pay

Accessing Your Pay Stubs via Workforce

During your onboarding, you signed up for Workforce by Intuit. This is your one-stop portal for all payroll-related information.

What is Workforce?

Workforce by Intuit is a secure employee portal where you can manage all aspects of your payroll and employment information. It's accessible 24/7 from any device.

View & download pay stubs β€” Current and past pay periods

Access W-2 forms β€” Available at tax time

Update direct deposit β€” Manage your bank information

View tax withholdings β€” Review deductions and withholdings

Track YTD earnings β€” See your year-to-date totals

How to Access Workforce:

  1. Visit the website: workforce.intuit.com
  2. Download the app: Search "Workforce by Intuit" in the App Store or Google Play
  3. Log in with the email and password you created during onboarding
  4. Access your Pay Stubs, tax documents, and payroll history

Need Help Accessing Workforce?

If you didn't receive your Workforce login information, forgot your password, or need assistance accessing your account, please contact the office. We're here to help!

Keep Your Information Updated

It's important to keep your personal information current in Workforce, including your address, phone number, and direct deposit details.

When you update information in Workforce, always notify the office as well to ensure all our records stay in sync.

Payroll Summary

Saturday to Friday β€” Your pay period

Friday after β€” Payday via direct deposit

On-demand pay β€” Access earned wages early

Workforce app β€” View pay stubs anytime

Important Information

πŸ“ Updating Your Information

Keep your personal information and availability current to ensure smooth operations and accurate communication

⚠️

Keeping Information Current is Critical

Outdated contact information can lead to missed shifts, delayed communication, and payroll issues. Always keep your information up to date and notify us of any changes immediately.

Personal Information Updates

If any of the following information changes, you must update it in Workforce AND notify the office:

Home Address

Needed for tax forms, mileage calculations, and emergency contact

Phone Number

Critical for urgent communication and schedule changes

Email Address

Used for official communications and payroll documents

Direct Deposit Information

Update in Workforce to change your bank account details

Emergency Contact

Must be someone who can be reached in case of emergency

Update in Workforce, then call or email the office to confirm the change

Availability Updates

Your availability determines which shifts we can assign to you. Keep it current to maximize your work opportunities.

When to Update Your Availability

Your schedule or commitments change

You can work more or fewer hours

You need specific days off regularly

You want to pick up weekend or overnight shifts

How to Update Your Availability

  1. Call the office to discuss your availability changes
  2. Provide specific days and times you're available to work
  3. Give as much advance notice as possible
  4. Confirm the update has been recorded

More availability = more work opportunities and consistent hours!

Employee Information Update Form

Use this form to officially notify us of any changes to your personal information or contact details.

Open Update Information Form

Submit this form whenever your contact information changes

Quick Reminders

Update Workforce first β€” Then notify the office

Call for availability changes β€” Give advance notice when possible

Emergency contacts matter β€” Keep them current

More availability = more hours β€” We match work to your schedule

Section 25: Overnight Care

πŸŒ™ Overnight Shift Requirements

Overnight caregivers have specific requirements to ensure client safety and CHC compliance.

⚠️

Awake Overnight Requirement

Per Community Health Choices (CHC) guidelines, caregivers working overnight shifts must remain awake to ensure client safety and compliance with care standards.

Mandatory Check-Ins

To meet this requirement, all overnight caregivers must check in at the following times using the overnight check-in form:

1:00 AM

First check-in

3:00 AM

Second check-in

5:00 AM

Final check-in

These check-ins confirm that you are awake and fulfilling your duties. They are required for compliance and client safety.

Open Overnight Check-In Form

Complete at 1 AM, 3 AM, and 5 AM during overnight shifts

If a Check-In is Missed

If a check-in is missed, you may receive a call, and it is imperative that you answer to confirm that you are awake.

Failure to complete check-ins or respond to verification calls may result in disciplinary action, as overnight wakefulness is a regulatory requirement and critical to client safety.

Overnight Shift Summary

Must stay awake β€” CHC regulatory requirement

Check in 3 times β€” 1 AM, 3 AM, and 5 AM

Answer verification calls β€” If check-in is missed

Non-compliance = disciplinary action β€” Take it seriously

Section 26: Employee Benefits

🎁 Benefits Overview

We value your dedication to our clients. Here's what we offer to support you.

Competitive Pay

  • Weekly pay schedule
  • On-demand pay available
  • Holiday pay (1.5x rate)

Flexible Scheduling

  • Choose your availability
  • Part-time or full-time
  • Work-life balance

Paid Training

  • Comprehensive orientation
  • Ongoing training
  • Continuing education

Mileage Reimbursement

  • $0.75 per mile
  • Easy tracking with app
  • Weekly reimbursement

24/7 Support

  • On-call support anytime
  • Dedicated supervisors
  • Emergency assistance

Mobile App

  • Clock in/out with GPS
  • View schedule & care plans
  • Request time off

Additional Full-Time Benefits

Available to employees working 30+ hours per week

πŸ₯ Health Insurance

πŸ–οΈ Paid Time Off

πŸ’Ό 401(k) Plan

Completion

Final questions and orientation acknowledgment

Section 27: FAQ

❓ Frequently Asked Questions

Quick answers to common questions from caregivers

Still Have Questions?

Don't hesitate to reach out β€” we're here to help!

Call Us: (800) 719-6912

Required Acknowledgment

βœ… Orientation Completion Checklist

Check each box to confirm you've reviewed all orientation materials. Sign and submit when complete.

Employee Information

I have reviewed the following topics:

Acknowledgment

I acknowledge that I have completed the New Hire Orientation for Silver Home Care and have reviewed all the topics listed above. I understand the policies, procedures, and expectations outlined in this orientation. I agree to follow all company policies and provide high-quality, person-centered care to clients.

Electronic Signature

Your acknowledgment will be securely stored in your employee file

Legal & Regulatory Compliance

Regulatory Compliance Framework

Understanding how Silver Home Care meets Pennsylvania regulatory requirements through our comprehensive onboarding, orientation, and training system.

Our 3-Part Compliance System

How We Meet ALL Pennsylvania Requirements

1️⃣ Competency Exam

Pre-Hire Assessment

Satisfies:

  • βœ“ Β§611.55 - Initial competency demonstration
  • βœ“ All 16+ required training topics
  • βœ“ Year 1 Chapter 52 training
2️⃣ This Orientation

Practical Job Training

Satisfies:

  • βœ“ Β§52.21(d) - Annual training topics
  • βœ“ Job expectations & procedures
  • βœ“ Regulatory reinforcement
3️⃣ Employee Handbook

Legal Policies

Satisfies:

  • βœ“ Β§52.21(d) - Dept policies
  • βœ“ Workplace rules & standards
  • βœ“ Legal employment policies

Result: All three documents together ensure complete compliance with both 28 Pa. Code Chapter 611 (Home Care Agencies) and 55 Pa. Code Chapter 52 (HCBS Waivers).

Effective March 1, 2026

Enhanced Training Experience: Beginning March 1, 2026, all required training videos will be embedded directly into the competency exam. This streamlined approach allows you to watch training content and immediately demonstrate comprehension in one seamless experienceβ€”maximizing learning efficiency while maintaining full regulatory compliance.

28 Pa. Code Chapter 611 - Home Care Agencies

Primary regulations for home care agencies providing personal care, companionship, and assistance with daily living.

Β§611.55 - Competency Requirements

Direct care workers must demonstrate competency on 16+ topics through examination or training.

βœ… How We Satisfy This:

Core Topics (All Workers):

  • β€’ Confidentiality β†’ Competency Exam
  • β€’ Consumer Control β†’ Competency Exam
  • β€’ IADLs β†’ Competency Exam
  • β€’ Recognizing Changes β†’ Competency Exam
  • β€’ Infection Control β†’ Competency Exam
  • β€’ Universal Precautions β†’ Competency Exam
  • β€’ Emergency Handling β†’ Competency Exam
  • β€’ Documentation β†’ Competency Exam
  • β€’ Abuse/Neglect Reporting β†’ Competency Exam
  • β€’ Difficult Behaviors β†’ Competency Exam

Personal Care Topics:

  • β€’ Bathing/Grooming β†’ Competency Exam
  • β€’ Hair/Skin/Mouth Care β†’ Competency Exam
  • β€’ Ambulation/Transfers β†’ Competency Exam
  • β€’ Meal Prep/Feeding β†’ Competency Exam
  • β€’ Toileting β†’ Competency Exam
  • β€’ Medication Assistance β†’ Competency Exam

Β§611.55(e) - Annual Competency Review

Agency must review each worker's competency at least once per year.

βœ… How We Satisfy This:

Annual competency examination + ongoing monthly training modules throughout employment.

Β§611.52 - Criminal Background Checks

All workers must obtain State Police or Federal criminal history check.

βœ… How We Satisfy This:

Pre-hire clearance requirement - completed before employment begins. Results maintained in employee file.

Β§611.53 - Child Abuse Clearance

Required for workers serving persons under 18 years of age.

βœ… How We Satisfy This:

Pre-hire ChildLine verification when applicable. Completed before assignment to clients under 18.

Β§611.56 - TB Health Screening

Workers must be screened for tuberculosis annually.

βœ… How We Satisfy This:

Pre-hire TB screening + annual renewal. Documentation updated every 12 months per CDC guidelines.

55 Pa. Code Chapter 52 - HCBS Waivers

Regulations for MA-funded waiver services (Aging, Attendant Care, COMMCARE, Independence, OBRA, Act 150).

Β§52.21(d) - Six Mandatory Annual Training Topics

Staff must receive training on these specific topics annually.

βœ… How We Satisfy Each Topic:

1. Prevention of abuse and exploitation

β†’ Competency Exam + Orientation (Standards of Conduct, Client Rights sections)

2. Reporting critical incidents

β†’ Competency Exam + Orientation (Emergency Procedures, Incident Reporting sections)

3. Participant complaint resolution

β†’ Competency Exam + Orientation (Client Complaint Reporting, Grievance Procedures sections)

4. Department-issued policies and procedures

β†’ This Orientation Handbook + Employee Handbook (all agency policies)

5. Provider's quality management plan

β†’ Competency Exam + Orientation (Care Standards, Documentation sections)

6. Fraud and financial abuse prevention

β†’ Competency Exam + Orientation (Billing Ethics, Scope of Practice sections) + Employee Handbook

Β§52.21(b) - Service-Specific Training

Staff must be trained on participant's service plan before providing services.

βœ… How We Satisfy This:

Individualized client-specific training and care plan review before each new client assignment. Documented in employee file.

Β§52.21(c) - Training Documentation

Provider must maintain documentation of staff attendance and training content.

βœ… How We Satisfy This:

All training records maintained in employee file: competency exam results, orientation acknowledgment, handbook acknowledgment, ongoing training certificates, and attendance logs.

Β§52.19 - Criminal History Checks

Pre-hire criminal history checks required per Older Adults Protective Services Act.

βœ… How We Satisfy This:

Pre-hire criminal background checks (same as Chapter 611 requirement). Results maintained in employee file.

Complete Training Lifecycle

Pre-Hire

  • βœ“ Criminal background check
  • βœ“ Child abuse clearance (if needed)
  • βœ“ TB health screening
  • βœ“ Pass competency exam
  • βœ“ Review this orientation
  • βœ“ Sign employee handbook

Ongoing

  • βœ“ Monthly micro-trainings (1-2 per month)
  • βœ“ Client-specific training per assignment
  • βœ“ Continuous professional development

Annual

  • βœ“ Six mandatory annual trainings
  • βœ“ Annual competency examination
  • βœ“ Annual TB screening

What's in Your Employee File

Pre-Hire Documents

  • β€’ Criminal background check
  • β€’ Child abuse clearance
  • β€’ Initial TB screening
  • β€’ Competency exam results
  • β€’ Orientation acknowledgment
  • β€’ Employee handbook acknowledgment

Ongoing Records

  • β€’ Monthly training certificates
  • β€’ Training attendance logs
  • β€’ Client-specific training records
  • β€’ Service plan training documentation

Annual Renewals

  • β€’ Annual competency exam results
  • β€’ Six mandatory training certificates
  • β€’ Annual TB screening results
  • β€’ Competency review documentation

Record Retention: All documentation maintained per Β§611.51(b) and Β§52.15 for duration of employment plus required retention period. Available for regulatory audits/inspections.

βœ… Full Compliance Achieved

By completing the pre-hire competency examination, reviewing this orientation handbook, and acknowledging the employee handbook, you have satisfied ALL Pennsylvania regulatory requirements for direct care worker hiring and training.

Regulations Met:

  • βœ“ 28 Pa. Code Chapter 611 - Home Care Agency Requirements
  • βœ“ 55 Pa. Code Chapter 52 - HCBS Waiver Requirements
  • βœ“ All clearances, training, and documentation standards

πŸ“‹ Labor Law Posters & Your Rights

Federal and state law requires that you have access to important workplace notices about your rights as an employee. View all required labor law posters on our dedicated page.

Topics covered: Minimum wage, overtime, workplace safety, anti-discrimination, workers' compensation, unemployment benefits, and more.

View Labor Law Posters

Important: Bookmark the Labor Law Posters page for easy reference to your employee rights information.