| (a) A licensed assistant in speech-language pathology
(assistant) must be supervised by a licensed speech-language pathologist
who has been approved by the department to serve as the assistant's
supervisor (supervisor).
(b) A supervisor must agree to assume responsibility
for all services provided by the assistant. The supervisor must comply
with the requirements set out in the Act and §111.154.
(c) Supervisory Responsibility Statement Form. A Supervisory
Responsibility Statement Form shall be submitted in a manner prescribed
by the department by both the applicant and the proposed supervisor.
The proposed supervisor must meet with the requirements set out in
the Act and §111.154.
(1) Approval from the department shall be required
prior to practice by the assistant. The Supervisor Responsibility
Statement Form shall be submitted upon:
(A) application for an assistant license;
(B) any changes in supervision; and
(C) the addition of other supervisors.
(2) If more than one speech-language pathologist agrees
to supervise the assistant, each proposed supervisor must submit a
separate Supervisor Responsibility Statement Form in manner prescribed
by the department.
(3) The assistant may not practice without an approved
Supervisor Responsibility Statement Form. The supervisor may not allow
an assistant to practice before a Supervisor Responsibility Statement
Form is approved.
(4) The assistant shall only provide services for the
caseload of the assistant's supervisors who have current Supervisor
Responsibility Statement Forms on file with the department.
(5) If the supervisor ceases supervision of the assistant,
the supervisor shall notify the department, in a manner prescribed
by the department, and shall inform the assistant to stop practicing
immediately. The supervisor is responsible for the practice of the
assistant until notification has been received by the department.
(6) If the assistant's supervisor ceases supervision,
the assistant shall stop practicing immediately. The assistant may
not practice until a new Supervisor Responsibility Statement Form
has been submitted to and approved by the department.
(d) The supervisor shall assign duties and provide
appropriate supervision to the assistant.
(e) Direct supervision of the assistant may only occur
when the assistant provides services to existing clients or while
the assistant provides services to cases previously delegated to the
assistant. The supervisor may not make temporary, short-term assignments
from the supervisor's caseload to the assistant in order to fulfill
direct supervision requirements.
(f) Client Contacts.
(1) Initial contacts directly with the client shall
be conducted by the supervisor.
(2) Following the initial contact, the supervisor shall
determine whether the assistant has the competence to perform specific
duties before delegating tasks.
(g) Amount and Type of Supervision. Each supervisor
shall provide a minimum of eight (8) hours per calendar month of supervision
to the assistant. This subsection applies whether the assistant is
employed full-time or part-time.
(1) At least four (4) hours must be direct supervision.
(2) The remaining hours may be performed using indirect
supervision.
(3) If fewer than four (4) weeks are worked in a calendar
month, then the number of hours of supervision provided will be based
on the number of weeks worked. Two (2) hours of supervision must be
provided for each week worked, including one (1) hour of direct supervision
and one (1) hour of indirect supervision.
(4) Tele-supervision may be used for direct and indirect
supervision.
(5) When determining the amount and type of supervision,
the supervisor must consider the skill and experience of the assistant
as well as the services to be provided. The supervision hours established
in this subsection may be exceeded as determined by the supervisor.
(h) Delegating Clinical Tasks.
(1) The supervisor may delegate specific clinical tasks
to an assistant; however, the responsibility to the client for all
services provided cannot be delegated.
(2) The supervisor shall ensure that all services are
documented and provided in compliance with the Act and this chapter.
(3) The supervisor shall:
(A) in writing, determine the skills and assigned tasks
the assistant is able to carry out under §111.52. This document
must be agreed upon by the assistant and the supervisor;
(B) notify the client or client's legal guardian(s)
that services will be provided by a licensed assistant;
(C) develop the client's treatment program in all settings
and review it with the assistant who will provide the service; and
(D) maintain responsibility for the services provided
by the assistant.
(i) Admission, Review, and Dismissal Meetings. The
supervisor, prior to an Admission, Review and Dismissal (ARD) meeting,
shall:
(1) notify the parents of students with speech impairments
that services will be provided by the assistant and that the assistant
will represent Speech Pathology at the ARD;
(2) develop the student's new Individual Education
Program (IEP) goals and objectives and review them with the assistant;
and
(3) maintain undiminished responsibility for the services
provided and the actions of the assistant.
(j) Records. The supervisor shall maintain the following
records.
(1) The supervisor shall maintain for a period of three
years supervisory records that verify regularly scheduled monitoring,
assessment, and evaluation of the assistant's and client's performance.
Such documentation may be requested by the department.
(2) The supervisor shall keep job descriptions and
performance records of the assistant. Records shall be current and
made available upon request to the department.
(k) Supervision Audits. The department may audit a
random sampling of assistants for compliance with this section and §111.154.
(1) The department shall notify the assistant and the
supervisor in a manner prescribed by the department that the assistant
has been selected for an audit.
(2) Upon receipt of an audit notification, the assistant
and the supervisor shall provide in a manner prescribed by the department
the requested proof of compliance to the department.
(3) The assistant and the supervisor shall comply with
the department's request for documentation and information concerning
compliance with the audit.
(l) Notwithstanding the supervision provisions in this
section, the department may establish procedures, processes, and mechanisms
for the monitoring and reporting of the supervision requirements.
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