Background
The parties are entering into this Addendum to document the terms and conditions applicable to the Consumer’s participation in the PCA College Service Corps Program, requiring PCA services who require 10 or more hours of assessed PCA service per day, who direct their own care, designed to provide college students with becoming Personal Care Assistants (PCAs).
Consent
I consent to my participation in the PCA College Service Corp Program (“Program”) through the placement of one or more college students participating in the Program (“PCAs”) who will provide Personal Care Assistant services (“Services”) as a PCA, referred hereafter as Service Corps PCA under supervision of the PCA Agency.
Service Corps PCA
I acknowledge that the Service Corps PCA are provided a taxable honorarium during the duration of time in the PCA College Service Corps Program, and are paid as a PCA, employed by an authorized PCA Agency and as part of this Program by the PCA Agency and the Metropolitan Center for Independent Living (“MCIL”).
Feedback
I agree to provide feedback regarding the performance of the Service Corps PCA to MCIL and the PCA Agency as requested.
Underlying Agreement
- I agree to provide information, orientation, and training to the Service Corps PCA including safety and emergency procedures associated with Services in my home. If I am unable to provide training directly, I will contact the PCA Agency to arrange training.
- For my own safety, I will keep contact information current and up to date by providing my emergency contact information and any Health Care Directives to the PCA Agency, and I will make the information readily available to my Service Corps PCA.
- I agree to develop and revise, as needed, a care plan that details my health, safety and care needs and schedule based on my physician's orders and public health nurse assessment (“Care Plan”) and to share that with the Service Corps PCA.
- I agree to schedule the Service Corps PCA to meet the needs outlined in the established Care Plan.
- I agree to document all performance issues and immediately report them to the PCA Agency Program Manager. In addition, I will request my Service Corps PCA document their notice of voluntary termination in writing at any time a Service Corps PCA initiates a request to end participation. If I am going to terminate any Service Corps PCA, I will notify the PCA Agency Program Manager immediately and will have the reasons for termination documented.
- I will notify MCIL and the PCA Agency prior to terminating any Service Corps PCA and inform MCIL of the effective date of termination. I will notify MCIL and PCA Agency if assistance is needed in terminating a Service Corps PCA.
- If I have determined a Service Corps PCA is in violation of the Minnesota Vulnerable Adult or Maltreatment of Minors Acts, I will notify PCA Agency Program Manager immediately.
- I will immediately report to the PCA Agency Program Manager any Service Corps PCA injuries that occur while providing support for me.
- I will notify MCIL and the PCA Agency if there is a significant change in my health status.
- I will provide the Service Corps PCA with a safe work environment free from physical and environmental hazards, free from harassment, discrimination, verbal or physical abuse.
- I understand that this Addendum is an amendment to my current service agreement and does not supersede or replace my current service agreement.