I do not understand the reason for retaking the orientation test as an accurate measure when someone is found not competent. Most staff are able to reach the 80% (in fact I have never had someone get lower than a 90%) as it is a knowledge based test. The competencies are action based, and just because staff knows the answer to a question, does not mean they use that knowledge correctly in real time. 

I also would like to address the issue about a staff not being able to work provide any services should they not be found fully competent initially. We were told that if a staff is found not competent, and they have worked with individuals, we would have to pay back all revenues for the time the staff worked. As someone brought up in the roundtable meeting, this is a catch 22, especially for sponsor. You can't know if a staff is competent when they cannot work with the individual, especially as the competencies are individualized to that person. Also, it is cost prohibitive for the smaller organizations.