Remove the requirement stating that personal care aides attend 12 hours of inservices a year.  Personal care aides complete monthly inservices provided by office staff and are then tested on their comprehension of this specific material. I strongly feel that the material provided prepares each aide for situations encountered on a daily basis. If caregivers are required to physically attend 12 hours of inservices yearly, they will not be able to meet the specified guidelines due to family obligations and other job schedules. Most personal care aides work at least two jobs and are single parents. To require personal care aides to complete 12 physical hours of inservices would be very unreasonable and unobtainable.

The RN supervisory visit should not be extended to 90 day visits. The majority of clients serviced require 30 or 60 day visits due to their condition. By requiring 90 day visits, hospitalizations will increase. Allowing a 30 or 60 day visit decreases hospitalizations because the clients care is being closely monitored by the RN and she can quickly catch a minor infection. I feel that 90 visits would greatly impact the health and well-being of clients.