Dulla Care Home Healthcare · Staff Training & Sign-Off
60-Day Supervisory Visit Timeline Requirement
Plan of Correction · Finding #10 — OAC 173-39-02.12 / 173-39-02.14
OAC 173-39-02.12 / 173-39-02.14: The provider shall ensure that a supervisory visit is conducted by a registered nurse for each consumer receiving personal care services. The first supervisory visit shall occur within 60 calendar days of the start of service, and ongoing supervisory visits shall occur at least every 60 calendar days thereafter. This training addresses the deficiency identified in Finding #10 of the structural compliance review, in which PCA supervisors were not trained on the 60-day supervisory visit timeline requirement.
Upon completion of this training, the RN/LPN supervisor will be able to:
| # | Supervisor Name (Print) | Title | Signature | Date | |
|---|---|---|---|---|---|
| 1 | ![]() | ||||
| 2 | |||||
| 3 |
By signing above, I attest that I have received training on the 60-day supervisory visit timeline requirement under OAC 173-39-02.12 / 173-39-02.14 and understand my responsibility to conduct and document supervisory visits accordingly.
I, the trainer named above, attest that the listed attendees received this training, demonstrated understanding of the 60-day supervisory visit requirement through verbal review, and were provided the opportunity to ask questions. Training documentation will be retained in each attendee's personnel file per OAC 173-39-02.12 record retention requirements. The Operations Manager will supervise the supervisory visit tracking log and audit it every 60 days to verify ongoing compliance.
Trainer Signature

·
Administrator / HR Director Signature
Date
Dulla Care Home Healthcare · RN Supervisor Training · Finding #10 · OAC 173-39-02.12 / 173-39-02.14 · Retain in personnel file