π©ββοΈ Caregiver Onboarding β Phase 1: Before Orientation
Docs required BEFORE caregiver attends orientation β sent via SignNow
β‘
π
Application
w/ Emergency Contacts
β
β‘
π
BG Consent
Background check signed
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β
π
Resume + ID
Govt ID + SS Card
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β
π
Credentials
CPR, License, 2 Refs
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β
π
Background Screening
DPS, Sex Offender, NAR, EMR, Drug, TB
π Caregiver Onboarding β Phase 2: At Orientation
Danny handles all of these in person on orientation day
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π
W-4 + I-9
Tax + eligibility forms
β
β‘
π¦
Direct Deposit
SurePayroll setup
β
β‘
π
Availability Sheet
Shift preferences
β
β‘
π
Hep B Form
Consent or Declination
β
β‘
ποΈ
Orientation Checklist
Signed + dated
β
β‘
π§ͺ
Workplace Test
In-person competency
βοΈ Caregiver Onboarding β Phase 3: After Orientation
All sent via SignNow after orientation passes β must complete before first shift
π΄Offer Letter
π΄Welcome Letter
π΄TB Memo or Results
β
Employee Handbook (signed)
π΄Non-Compete Agreement
π΄Workers Comp Acknowledgement
β
HIPAA Confidentiality (signed)
π΄Patient Rights Acknowledgement
π΄Company Policies Acknowledgement
π΄ANE Acknowledgement
π΄Job Description (signed)
π΄Skills Validation Checklist
π΄Competency Test β Workplace Violence
π΄Competency Test β Infection Control
π΄Competency Test β Bloodborne Pathogen
π΄Competency Test β HIPAA
π΄Emergency Preparedness Acknowledgement
π Caregiver Onboarding β Phase 4: Recurring
Ongoing compliance requirements β automated reminders to be built
π
Annual Performance Evaluation (12 mo)
π
Annual Competency Tests (12 mo)
π
TB Test / Memo Renewal (12 mo)
π
Background Check Renewal (12 mo)
π
OIG / SAM Recheck (12 mo)
π
CPR Certification Renewal (24 mo)
π Client Intake Flow
From first inquiry to active client β all required by TX HCSSA 26 TAC Β§558.301
β
π
New Inquiry
GHL pipeline created
β
β
ποΈ
Assessment Scheduled
Danny does in-home visit
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β‘
π
Needs Assessment
Home + care assessment
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β
π
ISP Created
Individual Service Plan
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β
βοΈ
Docs Signed
All intake forms via SignNow
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β
π©ββοΈ
Caregiver Assigned
WellSky schedule set
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β
π
Active Client
Services started
βοΈ GHL Automations
Workflows built and pending for Caring Hands
π΄k12 β Assessment Done β SignNow
π΄k29 β Caregiver Accepted β SignNow
β‘k17 β Docs Signed β WellSky Alert
π΄k15 β Referral Partner Nurture
π΄k16 β Indeed Applicant β GHL
π΄k11 β Assessment Scheduled β SMS
π΄k7 β CTE Follow-Up Sequence
βk57 β Voice AI (needs phone)
βk58 β Conversation AI (needs phone)
βk56 β A2P 10DLC (needs port)
π§ Systems & Tools
Every tool Caring Hands uses and what it does
π D:\CARE\ β Master Folder Structure
Based on Texas HCSSA 26 TAC Chapter 558 compliance requirements. Red = HHSC required. Orange = operational best practice.
π΄ Compliance β HHSC checks this first during unannounced surveys
π 01_COMPLIANCE\
βββ π License_And_Registration\
β βββ HCSSA PAS License (current)HHSC Required
β βββ License Renewal Dates tracker
β βββ EIN LetterIRS Required
β βββ LLC Certificate of Formation
β βββ Business Address Proof
βββ π QAPI\ (Quality Assurance & Performance Improvement)
β βββ QAPI Program DescriptionHHSC Required
β βββ Annual QAPI Report
β βββ Incident Log
β βββ Corrective Action Plans
βββ π Survey_Readiness\
β βββ HHSC Survey Checklist
β βββ Deficiency Correction Log
βββ π Abuse_Neglect_Exploitation\
βββ ANE Reporting PolicyHHSC Required
βββ ANE Incident Reports
βββ CIMS Reporting Log
π΄ HR / Personnel β Required by 26 TAC Β§558.246
π 02_HR\
βββ π Caregiver_Files\ (one subfolder per caregiver)
β βββ π [LastName_FirstName]\
β βββ Application + Emergency ContactsRequired
β βββ Resume
β βββ Govt-Issued ID copyRequired
β βββ Social Security Card copy
β βββ HS Diploma / GEDRequired
β βββ CPR Certification (renew every 2 yrs)Required
β βββ Driver License + Auto Insurance
β βββ Caregiver License (if CNA/HHA)
β βββ 2 Professional References (documented)Required
β βββ Background Check Consent + DPS ResultsRequired
β βββ Sex Offender Registry CheckRequired
β βββ Nurse Aide Registry (NAR) CheckRequired
β βββ Employee Misconduct Registry CheckRequired
β βββ OIG + SAM Exclusion CheckRequired
β βββ Drug Test Results
β βββ TB Test / TB Assessment MemoRequired
β βββ Hep B Consent or DeclinationOSHA
β βββ W-4 + I-9Federal
β βββ Direct Deposit Form
β βββ Availability Sheet
β βββ Offer Letter
β βββ Job Description (signed)Required
β βββ Employee Handbook (signed)Required
β βββ Non-Compete Agreement
β βββ HIPAA Confidentiality (signed)Required
β βββ Patient Rights AcknowledgementRequired
β βββ Company Policies AcknowledgementRequired
β βββ Workers Comp Acknowledgement
β βββ ANE AcknowledgementRequired
β βββ Orientation Checklist (signed + dated)Required
β βββ Skills Validation ChecklistRequired
β βββ Competency Test β Workplace ViolenceRequired
β βββ Competency Test β Infection ControlRequired
β βββ Competency Test β Bloodborne PathogenRequired
β βββ Competency Test β HIPAARequired
β βββ Emergency Preparedness AcknowledgementRequired
β βββ Annual Performance EvaluationsRequired
βββ π Applicants\ (pre-hire)
β βββ π [LastName_FirstName]\ β Application, Interview Notes, Status
βββ π Former_Employees\ (retain 5 years per TX law)
βββ π HR_Templates\
β βββ Blank Application Form
β βββ Offer Letter Template
β βββ Job Description β Caregiver/PCA
β βββ Performance Evaluation Form
βββ π Payroll\
βββ SurePayroll Records
βββ Pay Rate Log
π΄ Clients β Required by 26 TAC Β§558.301 + Β§558.404
π 03_CLIENTS\
βββ π Active_Clients\
β βββ π [LastName_FirstName]\
β βββ Client Intake FormRequired
β βββ Home Care Needs AssessmentRequired
β βββ Home Safety ChecklistRequired
β βββ Individual Service Plan (ISP)Required
β βββ Service Agreement (Private Pay)Required
β βββ Client Rights + Responsibilities (signed)Required
β βββ Grievance Policy (signed)Required
β βββ HIPAA AuthorizationRequired
β βββ Authorization for Emergency Medical CareRequired
β βββ Advance Directives DiscussionRequired
β βββ Infection Control + Emergency Prep PlanRequired
β βββ Care Notes / Visit Logs (EVV)
βββ π Discharged_Clients\
βββ π Client_Templates\
βββ Blank Intake Form
βββ Blank Needs Assessment
βββ Blank ISP Template
βββ Welcome Packet Template
π‘ Operations + Finance + Tech + Admin
π 04_OPERATIONS\
βββ π Policies_And_Procedures\HHSC Survey
β βββ Scope of Services Policy
β βββ Admission + Discharge Policy
β βββ Client Rights Policy
β βββ HIPAA + Confidentiality Policy
β βββ Infection Control PolicyOSHA
β βββ Emergency Preparedness Policy
β βββ Workplace Violence PolicySB463 2025
β βββ Weapons + Firearms Policy
β βββ ANE Reporting Policy
β βββ Record Retention Policy
βββ π SOPs\
β βββ Caregiver Onboarding SOP
β βββ Client Intake SOP
β βββ Scheduling + Shift Coverage SOP
β βββ Incident Reporting SOP
βββ π Training\
βββ Orientation CurriculumRequired
βββ Annual In-Service Training Log
π 05_FINANCE\
βββ Operations Manager Agreement ($800/mo)
βββ Client Invoices + Payment Records
βββ General Liability InsuranceRequired
βββ Workers Comp InsuranceRequired
βββ Tax Records
π 06_MARKETING\
βββ Phase 1β5 Materials (123 Consulting)
βββ Provider Lists β HHA (237), Hospice (71), SNF (56)
βββ Brand Assets (logo, colors, templates)
π 07_TECHNOLOGY\
βββ GHL β Location ID, API keys, pipeline IDs
βββ SignNow β Template links, webhook URLs
βββ WellSky β Caregiver logins, EVV config
βββ Scrum + Portal β Deploy configs, README
π 08_ADMIN\
βββ Business License + LLC Docs
βββ EIN + IRS Documents
βββ Insurance Certificates
βββ Meeting Notes + Decisions Log
β οΈ HHSC Survey Note: During an unannounced survey, inspectors will ask to see personnel files for every active caregiver, client records for every active client, your full Policies & Procedures manual, QAPI documentation, and orientation/training records. Red items above are checked first.
β‘ GHL Automation Status
All 12 automations β live, in progress, and blocked
π΄k12 β Assessment Done β SignNow
π΄k29 β Caregiver Accepted β SignNow
β‘k17 β Docs Signed β WellSky Alert
π΄k15 β Referral Partner Nurture
π΄k5 β Care In Homes Lead β CJ
π΄k16 β Indeed Applicant β GHL
π΄k11 β Assessment Scheduled β SMS
π΄k54 β Referral Received β CJ
π΄k7 β CTE Follow-Up Sequence
βk57 β Voice AI (needs phone)
βk58 β Conversation AI (needs phone)
βk56 β A2P 10DLC (needs port)