🔎 Role snapshot

• Provide hands-on daily living support to residents (ADLs, mobility, non-clinical care) and supervision to ensure safety.

• Support community integration, rights protection, and resident well-being.

• Work under the supervision of a House Supervisor, RN/LPN, or program director; collaborate with nursing, therapy, case management, and family/facilitators.

🎯 Core qualifications (typical)

• Education: 18 years of age or older; high school diploma or GED preferred.

• Experience: Prior direct care or HCBS/residential care experience is a plus but not always required.

• Background checks: Successful completion of fingerprint/background checks per HHSC/employer policy.

• Licensing/credentials: No professional license is typically required; some programs may value CNA/medical-related credentials or medication-aided training if applicable.

• Driving (if required): Valid driver’s license and clean driving record if transporting residents or supplies.

🧠 Training, certifications, and ongoing development

• Orientation: Agency-specific onboarding on policies, resident rights, confidentiality, and TAC/HHSC requirements.

• Core trainings:

  • Person-centered planning basics

  • Abuse/neglect reporting and safeguarding residents

  • Infection control, hand hygiene, and PPE

  • Safety, crisis de-escalation, and de-escalation techniques (CPI or similar)

  • Rights of residents and protection measures

  • Basic first aid/CPR (likely required or strongly encouraged)

• Ongoing competencies: Regular in-service trainings and skill validations (ADL support, documentation, incident reporting).

🛡️ Health, safety, and professional responsibilities

• Health status: Meet employer and HHSC health requirements; required immunizations as applicable.

• Safety culture: Adhere to safety policies; report hazards and incidents promptly.

• Infection control: Follow facility cleaning/disinfection protocols and PPE guidelines.

• Rights & dignity: Respect resident rights; maintain confidentiality and professional boundaries.

🧰 Duties & responsibilities

• Assist residents with activities of daily living (bathing, dressing, grooming, toileting) and mobility.

• Support meal preparation, feeding assistance, and nutritional monitoring as directed.

• Assist with medication reminders or administration only if trained and authorized by policy (often via a separate medication-aided path or under supervision).

• Help with transportation or accompany residents to appointments if permitted.

• Monitor health status, report changes to nurses or supervisors, and document observations.

• Document care provided, incidents, and daily activities; maintain shift handoffs.

• Engage residents in social, recreational, and community activities as appropriate.

🧩 Supervision, collaboration, and workflow

• Report to House Supervisor or Program Supervisor; work with DSP teams to ensure consistency of care.

• Collaborate with nursing, therapy, case management, and family members to support resident goals.

• Follow supervision and escalation protocols for incidents, safety concerns, or health changes.

📋 Documentation & compliance

• Maintain accurate records of care provided, observations, and incident reports per agency policy.

• Ensure adherence to TAC/HHSC requirements for the service type.

• Protect resident privacy and comply with HIPAA and data security policies.

Note: Most of the openings are for LIVE-IN positions