OAC 173-39-02.12 · Staff Education & Competency Verification

Service Verification Documentation Training

Dulla Care Home Healthcare

In-Person Training · Sign-In Sheet · Post-Training Knowledge Check · Supervised Documentation Review

📋 Training Purpose

This training provides documented education to M. Henley, A. Worden, and A. Johnson on service verification requirements, with emphasis on accurately documenting tasks performed during each service visit. Training is conducted in-person, documented with sign-in sheets, and competency is verified through a post-training knowledge check and supervised documentation review.

Training Curriculum — Topics Covered

Service Verification Requirements Overview

Accurately Documenting Tasks Performed During Each Service Visit

EVV (Electronic Visit Verification) Compliance

Documentation Review and Error Correction

0 of 18 topics covered

In-Person Training Sign-In Sheet

#Trainee NamePresent?SignatureSign-In
Time
Sign-Out
Time
Knowledge
Check Score
Competency
Verification
1M. Henley
2A. Worden
3A. Johnson

Post-Training Knowledge Check

Each trainee completed the following verbal/written knowledge check. Trainer records pass/fail and notes.

  1. What tasks must be documented during each service visit?
  2. What times should be recorded — scheduled times or actual times?
  3. What should you do if a task on the care plan was not performed during a visit?
  4. Is it acceptable to pre-fill or backdate service documentation? Why or why not?
  5. What are the consequences of inaccurate or falsified service documentation?
  6. How and when should you use the EVV system to clock in and out?
  7. What type of language should be used when documenting tasks — objective or vague?
  8. What is the process for correcting a documentation error?

M. Henley

Score: —

Result: Pending

A. Worden

Score: —

Result: Pending

A. Johnson

Score: —

Result: Pending

Supervised Documentation Review

Following the training session, the trainer supervised each trainee completing a sample service documentation entry to verify competency in accurately recording tasks performed during a service visit. The trainer reviewed the documentation for accuracy, completeness, and compliance with agency standards.

TraineeDocumentation Reviewed
(Date & Visit Type)
AccuracyCompletenessTrainer
Signature
M. Henley
A. Worden
A. Johnson

Training Completion Attestation

I, [Trainer Name], in my capacity as [Title], attest that the above-named trainees — M. Henley, A. Worden, and A. Johnson — received documented in-person education on service verification requirements with emphasis on accurately documenting tasks performed during each service visit. Training attendance was documented via sign-in sheet, and each trainee's competency was verified through a post-training knowledge check and supervised documentation review. This training record is retained in the personnel file of each trainee and the administrative training file.

Trainer Signature

 ·  2026-10-28

Administrator / HR Director Signature

Date

Dulla Care Home Healthcare · Service Verification Documentation Training · OAC 173-39-02.12 · Retained in Personnel & Administrative Files · Confidential

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