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Personnel Records and Annual Performance Evaluations

Lists what goes into each personnel record (including the items Chapter 82 says must be kept there, such as aide in-service records, supervisory visits, LPN competency and the medical director’s CME), how annual performance evaluations are done, where records are kept, who may see them, and how long they are kept.

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About this policy
Policy number
LA-HSP-HR-04
Version
1.0
Main rule
LAC 48:I §8217.E.2.e.vi
Library
Louisiana hospice · 60 policies
Category
Human resources
Sections
17

In short

  • Every employee and volunteer has a personnel record with licenses, checks, orientation, competency, training hours and evaluations.
  • Aides’ in-service hours, supervisory visits and annual performance reviews must be in the personnel record.
  • Everyone who provides care has a performance evaluation at least once a year.
  • Original personnel files are kept at the main office and shown to surveyors on request.
  • Give Human Resources your renewed licenses and certificates as soon as you get them.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (LAC 48:I §8217.E.2.e.vi)
  • 5. Contents of the Personnel Record
  • 6. Annual Performance Evaluations
  • 7. Contracted Staff
  • 8. Location, Security and Access
  • 9. Retention
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Show me the personnel record for this aide: orientation, competency, in-service hours, annual performance review and the annual supervisory visit with the aide present.
  • Where is the documentation of the annual on-site supervisory visit for your LPN?

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