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advantageous to both members and would be <br /> teimbursable if the amount of time spent is not <br /> materially increased in order to serve the non- <br /> participant household member. <br /> 5. �lomemaker/Personal Cate Services <br /> The primary functions of a nomemaker/personal <br /> care workez are to perform personal care and <br /> household tasks and activities related to <br /> supporting participants in their homes. Other <br /> dUties include providing 6upervisory and <br /> supportive services to maintain the health and <br /> safety of a participant when the caregiver needs <br /> a period of relief or is unable to provide care. <br /> Homemaker/personal care services must be provided <br /> in accordance vith the approved plan of care by <br /> an agency, properly licensed or zegulated by <br /> . standards established by an agency of State <br /> goveznment, whose professional 6taff train, <br /> assign and supervise the homemaker/personal care <br /> worker and who are responsible for evaluating <br /> whether the service given meets agreed upon <br /> quality standazds and the assessed needs of <br /> participants as 6pecified in the approved plan of <br /> care. 1►gencies providing homemaker/personal care <br /> services are tequired to report to the <br /> demonstration site any observed changes in the <br /> participant•s condition or family cituation which <br /> might affect his/her currently approved plan of <br /> care. - <br /> Services vhich aifiy- be provided include: <br /> a. assistance vith or iuperv�sion of taskc ' � <br /> associated vith activities of daily living, <br /> e.g., bathing, toileting, grooming and <br /> dressing, transferring and use of adaptive <br /> equipment, vhere indicated; _ _ <br /> b. periozmance of or assistance vith task6 <br /> related to raintaining a snfe and t�ealthy <br /> living environment, e.g.,: <br /> light cleaning tasks in areas of the Aome <br /> used by the partieipant, e.q., dusting, <br /> vacuuming, damp mopping; - <br /> preparation of a shopping list appropriate <br /> � to a participant•c dietary needc and <br /> financial circumstances as necessary and <br /> pzeparation of �eals; <br /> B-7 <br />