Policies and Procedures October, 2013 - Comfort...

© 2013 Quality Life Providers LLC, dba Comfort Keepers #336 & #879 1

Throughout this document the employer, Quality Life Providers LLC, dba Comfort Keepers #336 may be referred to as Company, Comfort Keepers or Quality Life Providers. I have received a copy of the Comfort Keepers Policies and Procedures. I understand it is my responsibility to read the document, agree to and will cooperate with the terms and conditions of employment. The signing of the Policies and Procedures document is required by all persons as a condition of employment. _______________________________ Bill Mrukowski______________________

Employee Name - Printed Employer Name - Printed

_______________________________ _______________________________

Employee Signature Employer Signature

_______________________________ _______________________________

Date Date

Policies and Procedures

October, 2013


Throughout this document the employer, Quality Life Providers LLC, dba Comfort Keepers #336 may be referred to as Company, Comfort Keepers or Quality Life Providers. I have read these policies and procedures, understand, agree to and will cooperate with the terms and conditions of employment. The signing of the Policies and Procedures document is required by all persons as a condition of employment.

*Signature page on file in your employee record.

Policies and Procedures

October, 2013


OVERVIEW Comfort Keepers has policies to ensure a successful working relationship with clients and staff. We ask that you abide by these policies and procedures. If you have questions regarding these policies and procedures please speak with your supervisor.

COMMUNICATING WITH THE OFFICE If you need to reach the office during the hours of 9:00 am to 5:00 pm Monday - Friday,

please call the office. If you need to contact us after hours for emergencies only, call the office and the phones will be transferred to the On Call Coordinator. An emergency would be defined as an emergency situation with a client, calling in sick or a family emergency. If your call is not an emergency and can wait until the next morning, DO NOT call after hours. Please be considerate of our time off. The office phone number is the only number you should call. This number is transferred to the on call cell phone after hours.

Office Phone – 527-9999 Please do not give client’s any other phone number than the office number. You can also email the office for non emergency communications. This email is only checked during business hours. NEVER call off from work via email. A phone call must always be made. [email protected]

PROFESSIONALISM Comfort Keepers prides themselves as being the premier provider of non-medical services. To keep the highest level of professionalism the following is asked:

Communicate pleasantly and respectfully with other employees at all times.

Do not bring your children to work with you no matter their age. If the client has a special interest in meeting your child, as some of them do, please obtain approval with the office first.

Sleeping on a shift is prohibited unless otherwise indicated on an overnight shift.

Limit personal calls. If the client’s phone needs to be used, ask permission prior to using the phone.

This is your job not a hobby or a volunteer activity. Please respect it as such.

I agree to promptly return all phone calls from Comfort Keepers office. I understand the critical nature of immediate or last minute schedule changes and promise to call back promptly.

I agree to honor my commitment to work a client assignment. I understand that clients are depending on my commitment to arrive on the day and time (s), I have agreed to work and that critical problems occur if I do not honor my assignment.

I agree that referrals or recommendations to other agencies, doctors, attorneys and other service or product providers are strictly prohibited. If a Comfort Keeper client or family member needs additional/other care or services it is my responsibility to refer the client/family to Comfort Keepers.

DRESS CODE Remember you are the face of Comfort Keepers. We are a professional, caregiving organization and should represent ourselves as such. In order for work to be provided, Comfort Keepers needs to be represented in a manner that would make people want to refer business


to us or engage in services with us. Improper appearance can also be a reason a client would not want you to return to their home. Employee Badge: You will be issued an employee badge at orientation. In the home, the badge is to be worn the first few visits with the client. After the client is familiar with you, you are not required to wear the badge but you must have it with you to be able to identify yourself if other outside parties show up (family members you have not met, therapists, nurses, etc.) Clothing: Blue jeans are only permitted in the home. The blue jeans must not have any rips or holes. Mid thigh shorts and Capri pants are permissible in warm weather. If you are going out into the community you must wear colored jeans, khakis or dress pants or skirts. T-Shirts, tank tops, low cut shirts, tight clothing are not permitted. Private parts are to stay private. Nor are shirts with political, sexual or obscene sayings. Scrubs can be worn but many times the clients do not like caregivers to wear then because they feel like they are in a medical setting. This is especially true if you go out into the community with the client. The client doesn’t like it to appear that they have medical personnel with them. Please discuss with your client their perception of scrubs. Many of our caregivers like to wear Comfort Keepers polo shirts. If this is of interest to you please let the office know. The shirts come in a variety of colors and sizes. Comfort Keepers splits the cost of the shirt with the caregiver. Anytime you are working in a hospital, assisted living or nursing home setting khakis and a navy blue shirt are to be worn with your badge prominently displayed. Piercings and Tattoos: No visually noticeable facial piercings (i.e. tongue, eyebrows, etc.) or tattoos. Cleanliness: clothing must be clean and neat. Your appearance needs to be clean and neat i.e. bathed, clean hair, teeth and fresh breath. We come into very close contact with our clients and if we don’t smell very good, that can be very uncomfortable for the client. Limit the amount of fragrance you wear with clients.

SCHEDULING If the client requires additional hours beyond what they have scheduled through the office, call the office and one of the following can be done: 1. If you are available to stay over we will have you stay. We will also speak with the client to

see if their time needs to be extended on a regular basis. 2. If you are not available, we understand you have other obligations, we can work with the

client to make arrangements for you or another caregiver to come back at another time or again we can see if their time needs to be extended on a regular basis.

Two week notice is needed to adjust your schedule. If you have the need to adjust your schedule contact the office before discussing the change with the client or another caregiver. If we feel that the change will not be a problem you will be given permission to discuss it with the client or another caregiver. Some of our clients are very sensitive about their schedule and we want to make sure we are respecting their wishes. Remember, these are Comfort Keeper clients, not your individual client. The client’s care is arranged through Comfort Keepers.


Caregiver scheduling is our most difficult task. If a schedule change occurs (yours or the clients), sometimes we must assign a different caregiver. Although the stability of the client-caregiver relationship is greatly important to us, the client is not hiring a specific caregiver, they are hiring Comfort Keepers. Even though you may become attached to someone, we cannot guarantee a specific client to you.

It would be unfair of the client to expect or to ask you to provide additional “free services”. Any time you spend working for the client must be included on your timesheet so we can include it on payroll. It would be highly unethical and a violation the Comfort Keepers Client Agreement and the Comfort Keepers Employee Agreement for you to do any kind of paid or unpaid work for the client outside of the Comfort Keepers employment. This would also include taking a client on an outing (out to dinner, concert, church, etc.) during your time off. Prior approval from the office would be needed prior to such outings. If the client asks you to leave before the end of your shift, please call the office to verify. Always ask if there is anything else you can do or if you see something that needs to be done, ask if you can do it. Sometimes we are in the client’s home for a specific period of time and sometimes we are there to get what needs to be completed. If the client asks you to leave before you have been there for three hours remind them of our three hour minimum policy and they will be charged for the entire three hours.

CALL OFFS / ILLNESS From time to time, it may be necessary for you to be absent from work due to emergencies, illnesses or pressing personal business that cannot be scheduled outside your work hours. We are requesting that caregivers give us as much notice as possible to enable us to find

replacements to cover your assigned shift. A minimum of four hours is mandatory.

Anything less than one hour prior to your start time of your scheduled shift is unacceptable and will result in a written warning. Respect the time it takes to find a replacement and time for the replacement to arrive on time to the client. We understand that we all get sick occasionally but remember we have clients that are counting on us and look forward to seeing us during scheduled visits. You must talk with the On Call Coordinator to be approved for the absence. You may leave a voice message if you cannot reach the On Call Coordinator, however if you have not heard back from them in 15 minutes call again. Comfort Keepers requires a doctor’s excuse if you are sick for more than 2 days. If you are unable to call the office yourself because of an illness or for some other reason make sure to have someone call for you. It is unacceptable not to call in. Our clients depend on us!

TIME OFF REQUESTS If you have a scheduled appointment or need time off that falls during your normal work hours a

Time Off Request Form must be completed and turned into the office two week prior. If the time off request is for a holiday (see list of holidays in the Holiday section below) the form must

be submitted four weeks in advance. The Time Off Request must be approved by your manager.

© 2013 Quality Life Providers LLC, dba Comfort Keepers #336 $ #879 6

LATE ARRIVAL Please call our office if you are ever going to be more than 10 minutes late. Cell phones are not a requirement of your employment, however, communication is vital. There may be a rare occasion when you get tied up at a traffic accident and will be delayed. There should never be an occasion when the office and the client are not informed. We are responsible to inform the client and potentially a caregiver you may be relieving. You may be relieving a caregiver who has been working a long shift and is looking forward to leaving. Be respectful of the start times of our assignments. If tardiness is an ongoing issue disciplinary actions will be taken. If a situation arises that your relieving caregiver has not shown up, please contact the office. The office will find out why the caregiver is late and will let you know who will be coming to relieve you. Never leave a client unless another caregiver or office staff is there to take your place. The Guide to Care will always indicate if a client can be left alone or not. If you leave a client alone who cannot be left alone this will be considered abandonment and charges can be pressed. The U.S. Administration on Aging defines elder abandonment as "the desertion of an elderly person by an individual who has assumed responsibility for providing care for an elder, or...with physical custody of an elder." In the United States, abandonment can result in criminal charges.

Please do not discuss with the client that you need to go home and you don’t know why the next caregiver is running late. Assure the client that you are more than happy to stay and that you have contacted the office and they are taking care of the situation. If a client says you can go home tell them you are going to stay until another caregiver arrives.

FACILITY CARE Caregivers are required to stay for the entire shift when providing care at a nursing home, assisted living facility or hospital. Do not leave early. It may seem harmless to leave 10-15 minutes early if the client is sleeping, however if a staff member comes by and notices no one is with the client, this is a problem. It not only puts that client at risk, it also gives us a bad reputation and the facility would not ask us to return to help other clients.

TIMESHEETS Timesheets are a legal document. All timesheets must be complete and accurate. The client and caregivers signature must be on the timesheet or they will not be accepted. Double check your math on the hours and mileage. Items that must appear on all timesheets:

Caregiver Name

Client Name (first name, last name initial)

Week Starting and Ending Date (Thursday to Wednesday)

Dates and Day of the Week of days worked

Check off tasks performed

Start and Finish Times

Weekly Total Time

If necessary, Mileage and Client Funds exchange (cash receipt)

Caregiver signature

Client signature Timesheets that are filled out at the office will not be accepted for payroll. It is the caregiver’s responsibility to make sure they have ample timesheets in their possession. If you are running low, please stop at the office to pick up additional timesheets.


All timesheets are required to have a client signature to verify service. However, it may not always be possible for the client to sign their name. If you are unable to obtain a signature, please take the following steps to make sure that service has been acknowledged by the client or their family.

Have the client write their initial or put an X on client signature line.

Have a family member or another occupant of the home sign.

Write “client unable to sign” on the Client Signature line.

Timesheets are due into the office on Thursday by 5:00PM. No Exceptions. If timesheets are not in the office by the deadline, you will not be paid that week. We have strict deadlines with our payroll company and are charged a fee if we are late turning the time into them. Timesheets can be submitted in the following ways:

In person during office hours.

In person, after office hours. Timesheets can be put into the large, locked, black mailbox labeled “Comfort Keepers Caregivers” on the front porch.

Fax the timesheet to 614-529-0776 using the provided fax coversheet. The fax coversheet that is provided to you has the appropriate HIPAA language to protect the client’s information. Original timesheets need to be turned in prior to receiving your next paycheck.

Called into the office during business hours. Original timesheets need to be turned in prior to receiving your next paycheck.

Scanned and emailed to [email protected] If you arrive late, this must be reflected on your timesheet, REMEMBER if you are relieving

another caregiver you both must have corresponding start and finish times. There are

only 168 hours in a week, no more no less, if the timesheets at a 24/7 client totals more than 168 hrs someone is not filling out their start and stop times correctly. As well, if you arrive early, put down the time your shift starts. The only way this should be different is if the caregiver you are relieving leaves early. Then the caregiver being relieved should indicate they left early on their timesheet. Falsified timesheets may result in immediate termination. The best way to make sure the timesheet is correct is to fill it out daily.

LOG BOOKS When working in a client’s home where a Log Book is used, please remember this book is meant to only contain information about the client. This is a professional tool to help communicate information among the caregivers. Remember at any time the family or client can read what was written. This is a direct reflection on Comfort Keepers, our caregivers and our professionalism.

CAREGIVER BACKGROUND CHECKS All of our caregivers have background checks performed that check for criminal records, abuse records, and motor vehicle reports. If the caregiver has not lived in Franklin County for a period of seven years a background check is performed in the county they previously lived. Finger prints are processed as well.

mailto:[email protected]


GIFTS We insist that our staff not accept gifts, tips or special favors from the client or their family. If the client feels compelled to do something special for Christmas or other important occasion, please make sure the value of any gift is limited to twenty dollars. Reversely, we do not expect you to buy gifts for the client. A card on their birthday is perfectly appropriate if that is something you would like to do. If you want to do more we ask that the value of the gift is limited to no more that twenty dollars. We would prefer to see the five to ten dollar range. A simple single stem rose that you can put in their vase or flowers from your own garden makes them feel so special. Even homemade gifts are valued by our clients.

OUTINGS If the client requests that you take them to the movies, go bowling, dinner or any place where there is a cost involved, we ask the client to pay for you, as well as for themselves.

MEAL TIMES We do not expect the client to feed the caregivers who work with them at mealtimes, but it is up to the client to decide whether to ask you to join them for a meal. Otherwise, you should bring your own food. Whether you are joining the client for their meal or brining your own food, eating together is always nice. Many times the senior will enjoy having the company and feeling like old times.

SMOKING Smoking is prohibited in the client’s home and vehicle or when you are with the client. You may step outside once every 2 hours for a 5 minute smoke break. Please remember to clean up your ashes and cigarettes.

CHECKS AND CASH Caregivers may assist the client in writing checks, if requested, but should never, under any

circumstances sign a check for the client. Never have a client write a check to the caregiver. When a client gives you money for shopping you must document it on the timesheet.

TRANSPORTATION You may be asked to provide incidental transportation, either in the client’s automobile or in yours. If the client requests that you drive their car, then there is no mileage fee charged to the client. When driving the client’s car, the client’s auto insurance must be current and valid. Should the client prefer to ride in your vehicle, you must record the mileage on your timesheet and will be compensated on your next pay check. The current reimbursement rate is fifty six cents (.56) per mile. At the beginning of your employment you are asked for a copy of your proof of auto insurance.

As you receive new proof of auto insurance please make sure we receive a copy. We will routinely check to make sure we have the most up to date copy. Please make sure your car is in clean, safe operating condition.

SAFETY We ask that you try to handle any responsible chore requests in the client’s home, whether it is to wash their laundry or to keep their bathroom clean and sparkly. You cannot, however, move furniture or climb on chairs, stools or ladders. If the client asks you to perform these chores


please explain that it is a safety issue. If they push the subject with you please call the office so we can discuss the potential problems and help them report the need to a family member or refer them to a company that is qualified to do the tasks.

ABUSE AND NEGLECT If you suspect that your client is being abused physically, emotionally or financially or being neglected (no food, water, utilities, etc.) please report this with the office.

PRIVACY Remember the HIPAA policies when working with our client’s. The privacy of the information we receive from them is very important. There are strict fines and penalties that can be imposed on Comfort Keepers as well as the caregiver if a problem is reported to the Department of Health and Human Services. We ask our caregivers never discuss your own financial or personal problems with our clients. We are there to make their day more pleasant, not to burden them with your problems. We take both of these situations seriously. If it is reported to the office that privacy is an issue, a warning will be issued and additional unpaid training will be required.

OVERTIME Comfort Keepers is one of the few non-medical home care companies that pays our caregivers overtime for hours worked over 40 hours a week. We try not to make it a practice of scheduling regular overtime but to help cover shifts due to illness or vacation it is sometimes needed. The reason we do not make it a practice of scheduling overtime is because we do not want to over work our caregivers and burn them out. We want our caregivers to look forward to going to work and be well rested in addition to having enough personal time to spend with their families and get their own personal errands and household tasks taken care of.

HOLIDAYS Comfort Keepers operates 24 hours a day 7 days a week which includes holidays. We understand that everyone likes to be with their family on the holiday. We truly appreciate it when you help out by working on the holidays. To show our appreciation we pay double time for the hours worked on a holiday. If working the holiday puts you into an overtime situation, not only are you paid double time for the holiday hours but you also receive overtime for hours worked over 40 hours. If your typical work day falls on a holiday you will be scheduled to work that day unless you

complete a Time-Off Request form and submit it four weeks in advance. We will contact the client prior to the holiday to determine if they need assistance on that particular day. If they do not require assistance we will contact the caregiver(s) that are typically assigned shifts that day. The following are considered recognized Comfort Keepers Holidays: 1. New Years Eve –Starting at 5pm 6. Labor Day 2. New Years Day 7. Thanksgiving 3. Easter 8. Christmas Eve – Starting at 5pm 4. Memorial Day 9. Christmas Day 5. 4th of July


INTRODUCTORY PERIOD AND PERFORMANCE REVIEWS

The first ninety (90) days of employment are known as the introductory period. This is a getting acquainted time for both parties. Completion of the introductory period does not guarantee continued employment. A review will be held at the end of this period to go over job performance. It may or may not involve a pay increase. Annual performance reviews will be held as close to your anniversary as possible. The review may cover the following areas: quality and quantity of work, attitude and willingness to work, initiative and teamwork, attendance, problem solving skills.

PAID TIME OFF (PTO)

A unique feature of our benefit package is the practice of granting time off with pay for any purpose, consistent with earned days. This is an all-inclusive program that considers emergency, sick, vacation, and personal business as a whole.

After a year of employment as a regular, full-time employee, or part time employee you will be eligible for a proportional amount of PTO.

Paid Time Off is based on the classification of the caregiver and yearly weekly average hours worked. To earn PTO you must work, on average, at least 20 hours per week over the course of the year. PTO is calculated by averaging the total hours worked over the year, based on the anniversary date of hire.

PTO Rates

Employment Classification PTO

Full Time Employee- Over 30 hrs weekly

30-40 hours based on yearly weekly averaged hours worked

Part Time Employee- Over 20 hrs weekly

20-30 hours based on yearly weekly averaged hours worked

PRN- Less than 20 hrs weekly No PTO

COMPENSATION PROGRAMS Employee Referral Program- An existing caregiver that refers someone to us that has the qualifications and characteristics we look for in a Comfort Keeper and is hired and successfully completes their introductory period will be awarded a cash bonus. Client Referral Program- An existing caregiver that has informed someone about our services and becomes a client of Comfort Keepers will be awarded a cash bonus.

CAREGIVER TRAINING PROGRAM Each Comfort Keeper will be required to complete the initial company training that consists of approximately 12 hours. Each training program is designed to meet the caregivers level of experience. More or less training may be required. Training is paid upon completion.

EMPLOYMENT AGREEMENT Each Comfort Keepers office is an independently owned franchised business. I understand that I am not employed by Comfort Keepers or CK Franchising, Inc., but instead by the Franchisee directly.


Understanding and Acknowledging of Comfort Keepers’ Employee Manual I understand the Comfort Keepers’ Employee Manual is available in the office for my review. I understand that the policies and benefits described in it are subject to change at the sole discretion of Comfort Keepers at any time.

At-Will Employment I further understand that my employment is at will, and neither myself nor Quality Life Providers LLC, dba Comfort Keepers# 336 hereinafter referred to as Company, has entered into a contract regarding the duration of my employment. I am free to terminate my employment with Company at any time, with or without reason. Likewise, the Company has the right to terminate my employment, or otherwise discipline, transfer, or demote me at any time, with or without reason, at the discretion of Company. No employee of Company can enter into an employment contract for a specified period of time, or make any agreement contrary to this policy without the written approval from the owner(s) or an Officer of the Company.

Arbitration I understand the Arbitration Policy as it is listed in the Comfort Keepers’ Employee Manual. I agree to abide by its conditions and those of my employment agreement. I further agree, in accordance with Comfort Keepers' Arbitration Policy, that I will submit any dispute - including but not limited to my termination - arising under or involving my employment with Quality Life Providers LLC, dba Comfort Keepers #336 to binding arbitration within one (1) year from the date the dispute first arose. I agree that arbitration shall be the exclusive forum for resolving all disputes arising out of or involving my employment with Comfort Keepers or the termination of said employment. I agree I will be entitled to legal representation, at my own cost, during arbitration. I further understand that Comfort Keepers is a franchised business and each office is independently owned and operated. I am not employed directly by Comfort Keepers or CK Franchising, Inc., but instead by the individual franchisee.

Confidential Information I am aware that, during the course of my employment, confidential information will be made available to me, for instance, marketing strategies, client lists, pricing policies and other related information. I understand that this information is proprietary and critical to the success of the Company and must not be given out or used outside of the Company’s premises or with non-Company employees. In the event of termination of employment, whether voluntary or involuntary, I hereby agree not to utilize or exploit this information with any other individual or company and will immediately turn in all Company materials to include but not limited to; the Employee Manual, Training Manual, Identification Badge, Client Information Sheets, etc. I understand and agree that I will be financially responsible for any company related materials that are not turned in upon termination and may be subject to a deduction in my pay from my last paycheck. This may be an amount equal to the value of such material, but not more than the difference of my pay and the state and/or federal minimum wage for the hours worked in the period covered.

Non-Compete Agreement For valuable consideration and as inducement for Company to employ myself, the Employee, I agree not to directly or indirectly compete with the business of the Company during the period of employment and for a period of 12 (Twelve) months thereafter, notwithstanding the cause or reason for termination. The term “non compete” as used herein shall mean that the Employee shall not directly or indirectly own, operate, consult, be engaged in or be employed by any company, individual,


entity or any current client or past client of the Company, provided the client has been under contract with Company at any time within the past 12 (Twelve) months, in which they would be performing any action or service which is substantially similar to or competitive with any service and/or product of Company as now existing or as they may undertake during the term of employment. This covenant shall apply only to a radius of 50 (Fifty) miles from the present location of the Company located at 4115 Main St., Hilliard, OH 43026 and to no prospects or customers beyond said area, except customers outside that area who may be presently under contract or have been under contract at any time within the past 12 (Twelve) months with the Company. The Employee acknowledges that the Company shall or may provide Employee access to customers and trade secrets and other confidential or proprietary information in reliance of this agreement and that the provisions of this agreement are reasonably necessary to protect the Company. This agreement shall be binding upon and inure to the benefit of the parties, their heirs, assigns and personal representatives. I further understand that acceptance of a position with a client of Comfort Keepers would result in the termination of my employment and render me ineligible for rehire.

Medical Emergencies I understand I am not authorized to provide medical attention independently and agree that if a medical emergency arises while I am with the client, I will call 911 and follow their instructions accordingly.

HIPAA COMPLIANCE Quality Life Providers, LLC dba COMFORT KEEPERS # 336

HIPAA COMPLIANCE CONFIDENTIALITY AND NON-DISCLOSURE UNDERSTANDING

Information pertaining to Comfort Keepers operations, policies, clients and referral sources, in any form (written, oral, e-mail, etc) is confidential. I shall protect the privacy and confidentiality

of Comfort Keepers’ clients and all others involved with the client. I understand that access to this information is allowed ONLY if I need to know it to do my job. As part of my employment agreement, I may see or hear confidential information on:

Clients and/or family members (client records, conversations, and financial information)

Employees, Contractors, Partners (salaries, employment records, disciplinary action)

Business information (financial records, reports, memos, contracts)

Third Parties (Vendor contracts, referral source contracts or business information)

Operations strategies, quality assurance, peer review (reports, presentations, survey results)

I agree that:

I will only access information I need to fulfill my employment agreement.

I will not show, tell, copy, give, sell, review, change, or dispose of any confidential information unless it is part of my assignment. If it is part of my assignment to do any of

these tasks, I will follow the correct Comfort Keepers policy.

I will not misuse or be careless with confidential information.


I will keep my computer password or employee information secret and will not share it with anyone.

I will not use anyone else’s password or information to access any Comfort Keepers system.

I am responsible for any access using my password or employee information.

I will not share confidential information even if I am no longer employed by Comfort

Keepers.

I know that access to my confidential information may be audited.

I will tell a company representative if I believe someone is mishandling or misusing confidential information.

I know that any confidential information I learn as an employee does not belong to me.

I will protect the privacy of Comfort Keepers’ clients, families, and referral sources.

I will not make unauthorized copies of Comfort Keepers, clients, families, or referral sources’ documents.

I am responsible for my misuse of confidential information,

I am responsible for my failure to protect access to confidential information on my computer or in my possession.

Failure to comply with this agreement may result in my termination from Comfort Keepers and/or civil or criminal legal penalties.

DRUG AND ALCOHOL CONSENT I have read and understand the following Drug and Alcohol Consent Policy of Quality Life Providers, dba Comfort Keepers # 336, known as Comfort Keepers below. It is Comfort Keepers policy not to continue employment of anyone who tests positive for any illegal substance and/or drugs in their system regardless to the frequency or amount that they may have used. Medications legally prescribed are excluded. All employees may be required, as permitted by federal and state laws, to undergo a drug test for pre-employment purposes, random testing or for cause which is due to reasonable suspicion of Comfort Keepers. Employees may also be required to undergo alcohol screening when there is a suspicion of on-the-job impairment. I understand that I may be required to submit a urine sample for chemical analysis and that this analysis will be performed by qualified personnel. I freely consent and volunteer to this request for a specimen of urine. I hereby release Comfort Keepers, CK Franchising, Inc., the medical provider and the laboratory performing the analysis including their employees and/or agents, from any liability whatsoever arising from this request to furnish my urine specimen, the testing of this specimen and the decisions made concerning my employment based upon the results of the analysis. I understand that anyone who refuses to take or who fails to pass a drug-screening test will not be qualified for employment by Comfort Keepers. I have read this policy, understand it and agree to the testing as part of the terms and conditions of my employment.

MEDICATION POLICY I have read and understand the following Medication Policy of Quality Life Providers, dba Comfort Keepers # 336, known as Comfort Keepers below. Comfort Keepers is an independently owned and operated, non-medical, in-home care company. Dispensing, medications(s), or pre-filling a client’s medication box, by any employee of Comfort Keepers, is not permissible. If a client asks a caregiver to fill their medication box,


he/she must instead have a family member or other responsible party complete the activity. If a caregiver is asked to provide this service, he/she is to immediately inform a supervisor. A caregiver may:

Communicate appropriate information regarding self-administration.

Remind the client to take medication as prescribed.

Read the medication label to the client.

Hand the medication container to the client.

Open the medication container. Failure to adhere to this policy will result in disciplinary action.

EMPLOYEE/CLIENT SOLICITATION I understand and agree that I will not solicit or accept private employment from any client of Comfort Keepers. Should I solicit or accept an offer of employment from a client, I agree to pay Comfort Keepers immediately the sum of $1000.00 placement fee. If a client approaches me to work for them privately I agree to call the office and inform my supervisor. I understand that all of my clients have signed a similar non-complete agreement. I agree to never discuss or accept a request from a Comfort Keepers client to work privately for the client, regardless of the nature of the proposed work. Any such requests from the client or family member will be brought to the attention of Comfort Keepers management staff immediately! I understand and agree that I am employed by and work for Comfort Keepers and that the clients’ contractual relationship is between Comfort Keepers and client. I further understand that acceptance of a position with a client of Comfort Keepers would result in the termination of my employment and render me ineligible for rehire.

BENEFICIARY WAIVER It is Comfort Keepers policy that the employee agrees that he or she will disclaim or waive his or her right to receive any asset received from a client. Whether received by will, as trust beneficiary, regardless of whether or not the undersigned is employed by Comfort Keepers at the time the client dies.

RESPONSIBILITY FOR PERSONAL VEHICLE INSURANCE I have filed evidence of my personal automobile insurance coverage with Comfort Keepers this date and I agree to submit information concerning any changes or cancellation of that insurance. I will provide updated evidence of insurance at any future renewal of my policy or change of insurer within three (3) days of any such renewal or change. I understand that the employer’s insurance does not cover me while I am operating my personal vehicle and that I am responsible for liability arising out of my operation of the vehicle.

MODEL RELEASE For valuable consideration, I hereby grant to Comfort Keepers the absolute and irrevocable right the permission, in respect of the photographs and/or video that he/she has taken of me in which I may be included with others, to copyright the same, in Comfort Keepers own name and otherwise; to use, re-use, publish and re-publish the same in while or in part, individually or in conjunction with other photographs, and in conjunction with any printed matter, in any and all media now and hereafter know, and for any purpose whatsoever, for illustration, promotion, art advertising and trade, or any other purpose whatsoever; and to use my name in connection


therewith if he/she so chooses. I hereby release and discharge Comfort Keepers from any and all claims and demands arising out of or in connection with the use of the photographs, including without limitation any and all claims for libel or invasion of privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns from Comfort Keepers. I am of full age and have the right to contract in my own name. I have read the foregoing and fully understand the contents thereof. This release shall be binding upon me and my heirs, legal representatives and assigns.

SOCIAL MEDIA At Comfort Keepers, we understand that social media can be a fun and rewarding way to share your life and opinions with family, friends, and co-workers around the world. However, use of social media also presents certain risks and carries with it certain responsibilities. To assist you in making responsible decisions about your use of social media, we have established these guidelines for appropriate use of social media. Social media includes all means of communicating or posting information or content of any sort on the Internet, whether or not associated or affiliated with Comfort Keepers, as well as any other form of electronic communication. The same principles and guidelines found in Comfort Keepers policies apply to your activities online. Ultimately, you are solely responsible for what you post online. Keep in mind that any of your conduct that adversely affects your job performance, the performance of fellow employees, or that otherwise adversely affects clients, suppliers, people who work on behalf of Comfort Keepers, or have Comfort Keepers’ legitimate business interests may result in disciplinary action up to and including termination. You may NEVER post a picture, video, name, details, address or any other personal information in regards to a current or past employee or client.

UNACCEPTABLE ACTIVITIES 1. Violation of any company rule 2. Any action detrimental to operating profitably 3. Violation of security or safety rules; tampering with equipment 4. Negligence or any careless action which endangers the life or safety of another 5. Intoxication or under the influence of a controlled substance while working; possession or

sale of a controlled substance, except prescribed by a physician which does not impair work performance.

6. Possession of firearms, weapons or explosives 7. Insubordination 8. Threatening, intimidating or coercing employees 9. Engaging in act of sabotage, destruction of property 10. Theft or unauthorized possession of company, client, or fellow employees property 11. Dishonesty; falsification or misrepresentation 12. Violating the non-compete agreement 13. Spreading malicious gossip and or rumors 14. Immoral conduct or indecency 15. Conducting a lottery or gambling 16. Unsatisfactory or careless work 17. Harassment (of any kind)


18. Leaving work before the end of a workday, not being ready to work at the start of the day 19. Sleeping on your shift 20. Excessive use of telephone for personal calls. 21. Smoking in client’s home or car. 22. Creating or contributing to unsanitary conditions. 23. Failure to report an absence or late arrival 24. Excessive absence or lateness. 25. Obscene or abusive language. 26. Speeding or careless driving. 27. Failure to immediately report damage to, or an accident involving company or client

property 28. Soliciting during working hours 29. Failure to use your timesheet; alteration of timesheets 30. Performing any activities that are not part of our service 31. “No Call, No Show” for an assigned shift We expect each person to act in a mature and responsible way at all times. The following list does not include all types of conduct that can result in disciplinary action, up to and including termination.

RESIGNATION OR TERMINATION I agree that all Comfort Keepers clients and prospects, their names, addresses, phone numbers and other personal/professional information is the confidential property of Comfort Keepers. In the event that I or Comfort Keepers terminate my employment I agree to have no further verbal, written or physical contact with Comfort Keepers clients or prospects without the express written permission of Comfort Keepers management. I further agree not to disclose the names, addresses, phone numbers or any other confidential information about Comfort Keepers prospects or clients to any third party for any reason without prior written permission of Comfort Keepers. I agree that all materials, including the Comfort Keepers Caregiver Manual, ID Badge, Journal Notes, Timesheets, forms(used & unused), etc., are the exclusive property of Comfort Keepers. In the event that I or Comfort Keepers terminate my employment I hereby, agree to return all Comfort Keepers property within 48 hours of resignation or termination.

Policies and Procedures October, 2013 - Comfort...

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