Pre-Service Training
Online Session Time — This Topic: 0:00  |  Total: 0:00 (recorded)
Required Pre-Service Training

Caregiver Orientation & Pre-Service Training

Welcome to Smith Premier Home Care, LLC. This online course is Part 1 of your initial caregiver orientation. Before your first client assignment, you must complete five hours of initial training: Part 1 is two hours of online orientation and a final knowledge assessment, and Part 2 is three hours of in-person instruction and competency evaluation. An additional five hours of initial training and a second competency evaluation are required within the first 30 days of employment. Complete the lessons, pass the final assessment with a score of at least 80%, and follow the agency policies and your assigned service plan.

Training Overview

  • 1
    Agency Orientation & Non-Medical Scope
  • 2
    Client Rights, Dignity, Privacy & Confidentiality
  • 3
    Infection Control, Hand Hygiene & Safety
  • 4
    Emergency Procedures, Incident & Abuse Reporting
  • 5
    ADLs, Communication, Documentation & Professional Conduct

Final knowledge assessment: 20 questions; passing score 80% or higher.

Enter Your Full Name to Begin

Module 1 of 5 — 20 Minutes

Agency Orientation & Non-Medical Scope

Smith Premier Home Care, LLC — Who We Are & What We Do
Welcome to Smith Premier Home Care, LLC

Smith Premier Home Care, LLC is a licensed non-medical home care agency based in Chicago, Illinois. Our mission is: To provide premier non-medical home care that honors the dignity of every client, supports every family, and sets the standard for compassionate service in Chicago and across Illinois.

As a caregiver for Smith Premier Home Care, you represent our agency in every client interaction. Our clients and their families are trusting us with their most precious loved ones. That trust must be earned and protected every single day.

Our Promise to Every Family

Compassion: We treat every client like family.
Dignity: We respect each individual and their unique journey.
Excellence: We are committed to the highest standard of care.
Trust: We build confidence through honesty, consistency, and dependability.
Respect: We value our clients, families, and caregivers.
Integrity: We do what's right, always.

Our Vision

To be recognized throughout Chicago and beyond as a premier home care agency, distinguished by compassionate service, exceptional caregivers, and an unwavering commitment to dignity, independence, and quality of life.

What Is Non-Medical Home Care?

Non-medical home care means providing assistance with daily living activities and personal support — without performing any clinical, medical, or skilled nursing procedures. Our caregivers help clients live comfortably and safely in their own homes.

Services you ARE authorized to provide:

  • Assistance with bathing, dressing, grooming, and personal hygiene
  • Meal preparation and feeding assistance
  • Light housekeeping and laundry
  • Companionship and social engagement
  • Mobility assistance and transfers (as outlined in the service plan)
  • Medication reminders — verbal reminders only that it is time to take medication
  • Accompanying clients on authorized shopping trips, errands, and appointments as outlined in the service plan. Employees may not transport clients in their personal vehicles
  • Safety supervision
⚠ Services You Are NEVER Authorized to Perform

You must NEVER perform skilled nursing tasks, administer medications, provide wound care, give injections, perform clinical assessments, or provide any service that requires a licensed medical provider. If a client or family asks you to do something medical, politely explain that it is outside your scope and contact your supervisor immediately.

Your Service Plan — The Most Important Document

Every client has an individualized Service Plan developed by the agency. This document outlines exactly which services are authorized for that specific client. You must:

  • Read the service plan before your first visit with any client
  • Only perform services listed in the service plan
  • Never exceed the scope of the service plan without supervisor approval
  • Report any changes in the client's needs or condition to your supervisor
Agency Policies & Your Responsibilities

As an employee of Smith Premier Home Care, LLC, you are expected to:

  • Arrive on time for every scheduled shift
  • Notify Smith Premier as soon as practicable if you will be late or unable to work. When circumstances reasonably permit, provide at least two hours' notice before your scheduled shift. If an emergency makes advance notice impossible, notify the agency as soon as reasonably possible
  • Dress professionally and maintain appropriate personal hygiene
  • Maintain professionalism at all times in client homes
  • Never use a client's personal belongings, food, or property without explicit permission
  • Do not borrow from or lend money to clients, solicit inappropriate gifts, misuse client property, become involved in client finances without lawful authorization, or use the relationship for personal gain
  • Never bring unauthorized individuals into a client's home
  • Personal cell-phone use must not interfere with work responsibilities, safety, privacy, or client supervision. Agency-authorized timekeeping, visit verification, required agency communications, and emergencies are permitted
  • Document your visits accurately and honestly
Contact Your Supervisor When:

A client's condition changes — A client or family member asks you to do something outside your scope — You observe safety concerns in the home — You experience or witness any incident, accident, or concern — You are unsure whether something is within your role.

Module 2 of 5 — 20 Minutes

Client Rights, Dignity, Privacy & Confidentiality

Every client has rights. Your job is to honor them — always.
Client Rights

Every client receiving services from Smith Premier Home Care, LLC has the following rights. These are not suggestions — they are legal rights protected under Illinois law and agency policy.

  • Right to dignity and respect — Every client must be treated with courtesy, cultural sensitivity, and respect at all times, regardless of their condition, behavior, or background.
  • Right to privacy and confidentiality — Client information, health status, living situation, and personal matters are strictly confidential.
  • Right to participate in service planning — Clients have the right to have input into how and when services are delivered.
  • Right to refuse services — A client may refuse any service or request a different caregiver. Do not argue. Contact your supervisor.
  • Right to property respect — Client belongings must be treated with care. Never use, borrow, or remove client property.
  • Right to be free from abuse, neglect, and exploitation — Clients have the absolute right to be safe from harm by anyone — including agency staff.
  • Right to voice complaints — Clients may complain or raise concerns without fear of retaliation.
⚠ Zero Tolerance

Smith Premier Home Care maintains a zero-tolerance policy for abuse, neglect, exploitation, harassment, intimidation, or any conduct that threatens a client's safety or dignity. Violation of this policy will result in immediate termination and mandatory reporting to IDPH.

What Is Abuse, Neglect & Exploitation?

🚫 Abuse Includes:

  • Hitting, slapping, or physical harm
  • Yelling, threatening, or intimidating
  • Sexual contact of any kind
  • Isolating or confining a client
  • Emotional manipulation

🚫 Neglect Includes:

  • Leaving a client without notifying agency
  • Failing to provide authorized services
  • Ignoring a client's requests for help
  • Leaving a client in unsafe conditions
  • Withholding food, water, or hygiene

🚫 Exploitation Includes:

  • Taking money or valuables
  • Borrowing items without permission
  • Being named in a client's will
  • Soliciting inappropriate gifts or using the client relationship for personal gain
  • Using client accounts or cards

✅ You Must Report:

  • Any suspicion of abuse or neglect
  • Any unexplained injuries you observe
  • Any client who seems fearful
  • Missing money or valuables
  • Any unsafe situation immediately
Confidentiality & Privacy

Everything you see, hear, and experience in a client's home is strictly confidential. This includes:

  • The client's name, address, and health status
  • The client's family situation and personal matters
  • What the client's home looks like inside
  • Anything the client or family shares with you

Never discuss client information with family members outside the service, friends, or on social media. Violations of client confidentiality may result in termination and legal consequences.

Dignity in Practice

Always knock before entering a room. Always explain what you are doing before you do it. Always address clients by their preferred name. Never talk about a client as if they are not in the room. These simple practices are the foundation of dignified care.

Module 3 of 5 — 20 Minutes

Infection Control, Hand Hygiene & Safety

Protecting clients, yourself, and everyone in the home.
Why Infection Control Matters

Many of our clients are elderly or have health conditions that make them more vulnerable to infections. A simple cold that you recover from in a few days could be life-threatening to a client. Your infection prevention practices protect the people in your care.

Smith Premier Home Care follows infection prevention guidance from three required sources: the Centers for Disease Control and Prevention (CDC), the United States Public Health Service (USPHS), and the United States Department of Health and Human Services (HHS).

Hand Hygiene — The Single Most Important Practice

Proper handwashing is your most powerful tool against infection. You must wash your hands:

  • Before and after any contact with a client
  • Before preparing or handling food
  • After assisting with personal care tasks
  • After using the restroom
  • After removing gloves
  • After touching potentially contaminated surfaces
  • After coughing, sneezing, or blowing your nose
Proper Handwashing Steps

1. Wet hands with clean water. 2. Apply soap and lather for at least 20 seconds — scrub all surfaces including between fingers and under nails. 3. Rinse thoroughly. 4. Dry with a clean paper towel. 5. Use the towel to turn off the faucet. When soap and water are not available, use hand sanitizer with at least 60% alcohol and rub until completely dry.

Standard Precautions & Protective Supplies

Standard precautions means treating all body fluids as potentially infectious. Use protective supplies when appropriate:

  • Gloves — When providing personal care, cleaning, or when contact with body fluids is possible
  • Masks — When the client is ill or immunocompromised, or when directed by the agency. (Note: caregivers who are themselves ill must not report to a client's home — see Illness Reporting below.)
  • Disposable barriers — As needed for surface protection during care tasks

Always put on gloves before beginning personal care and remove them properly without touching the outside. Wash hands immediately after removing gloves.

Illness Reporting

If you are ill, you must notify the agency before your shift. Do not go to a client's home if you have:

  • Fever (temperature above 100°F / 37.8°C)
  • Vomiting or diarrhea
  • Symptoms of a contagious illness (strep throat, flu, COVID-19, etc.)
  • An open or draining wound on your hands
  • Known exposure to a communicable disease
⚠ Do Not Go to Work Sick

Going to a client's home while sick can be life-threatening to vulnerable clients. Contact your supervisor immediately if you develop symptoms. The agency will arrange coverage.

Home Safety Awareness

When you arrive at a client's home, observe the environment for safety concerns. Report these to your supervisor:

  • Loose rugs, cluttered walkways, or fall hazards
  • Poor lighting in areas where the client moves
  • Unsafe or broken equipment (wheelchairs, walkers, hospital beds)
  • Smoke, gas smells, or fire hazards
  • Aggressive animals
  • Visibly unsanitary conditions
  • Any condition that puts you or the client at risk
Body Mechanics & Injury Prevention

To protect yourself from injury when assisting clients with mobility or transfers:

  • Keep your back straight and bend at the knees when lifting
  • Keep the client or object close to your body
  • Never twist your back — pivot your feet instead
  • Ask for help when a task is beyond your physical ability
  • Never attempt a transfer or lift you are not trained and authorized to perform
  • Gait belts and transfer boards may be used when specified in the service plan; mechanical or electrical lift devices require assignment-specific training and a documented competency evaluation before use with that client — the service plan alone does not authorize their use

If you are injured on the job, report it to your supervisor immediately, no matter how minor it seems.

Module 4 of 5 — 20 Minutes

Emergency Procedures, Incident & Abuse Reporting

Knowing what to do when something goes wrong can save a life.
Emergency Response — The General Rule

In any emergency involving a client, follow this order of priority:

  1. Ensure your own safety first. You cannot help anyone if you are also injured.
  2. Call 911 immediately if the situation involves a medical emergency, fire, or immediate danger.
  3. Protect the client to the extent possible within your non-medical role — do not perform medical procedures.
  4. Contact agency administration as soon as the immediate situation is under control.
  5. Contact the client's emergency contact or responsible party.
  6. Document everything — time, what happened, actions taken, who you contacted.
⚠ Always Call 911 First in a Medical Emergency

If a client is unconscious, not breathing, having a stroke or heart attack, choking severely, or in immediate physical danger — call 911 before calling the agency. Emergency services are always your first call in a life-threatening situation.

Specific Emergency Situations

🔥 Fire

  • Get the client and yourself out safely
  • Close doors behind you
  • Call 911 from outside
  • Do not re-enter the building
  • Contact agency immediately

🩹 Fall or Injury

  • Do not move the client if you suspect a serious injury
  • Call 911 if there is pain, confusion, or inability to move
  • Stay calm and reassure the client
  • Contact agency and emergency contact
  • Document exactly what happened

💊 Medical Emergency

  • Call 911 immediately
  • Do not administer medications or perform medical procedures
  • Stay with the client until help arrives
  • Have client's medication list ready for paramedics if available

🏠 Unable to Access Home

  • Contact agency immediately
  • Do not break in or force entry
  • Contact the emergency contact
  • If you suspect a fall or emergency inside, call 911
Incident Reporting

An incident is any unexpected event that involves or could affect a client's safety, wellbeing, or the agency's operations. You must report ALL incidents to your supervisor immediately — even if no one was hurt. This includes:

  • Client falls — even if the client says they are fine
  • Any injury to a client or yourself
  • Medication errors (gave incorrect reminder, missed scheduled reminder)
  • Property damage in a client's home
  • Aggressive behavior by a client or anyone in the home
  • Exposure to blood or body fluids
  • Any situation that felt unsafe

When in doubt — report it. It is always better to report something that turns out to be minor than to fail to report something that turns out to be serious.

Mandated Reporting — Your Legal Obligation

As a caregiver for Smith Premier Home Care, LLC, you are a mandated reporter. Illinois law imposes direct reporting duties in specified circumstances, and agency policy requires you to promptly raise and report suspected abuse, neglect, or financial exploitation. Do not assume that notifying only the agency satisfies a required external report.

You must report if you suspect:

  • A client is being abused physically, emotionally, or sexually by anyone
  • A client is being neglected by family members or other caregivers
  • A client is being financially exploited
  • A client appears fearful or is being threatened

If you reasonably suspect abuse, neglect, or financial exploitation involving an adult served by Illinois Adult Protective Services, promptly call Illinois APS at 1-866-800-1409 and notify the Administrator. Do not wait for proof or investigate on your own. Reporting to the Administrator does not replace a required direct report. If anyone is in immediate danger, call 911 first. For suspected child abuse or other situations outside APS jurisdiction, use the appropriate reporting authority and follow applicable mandatory-reporting requirements. Document what you observed.

You Are Protected When Reporting in Good Faith

Illinois law provides protections to individuals who report suspected abuse, neglect, or financial exploitation in good faith.

Reporting in good faith means making an honest report based on a genuine concern or reasonable suspicion, even when abuse has not been proven.

You do not need to investigate or obtain proof before reporting. Illinois law also prohibits employer retaliation against employees who make good-faith reports.

Always follow required reporting procedures and promptly notify the appropriate reporting authority and agency management.

Module 5 of 5 — 25 Minutes

ADLs, Communication, Documentation & Professional Conduct

The practical skills and standards that define excellent caregiving.
Activities of Daily Living (ADLs)

ADLs are the routine activities people do every day. As a caregiver, you may be authorized to assist clients with some or all of the following, as specified in their individual service plan:

Personal Care

  • Bathing and showering assistance
  • Dressing and undressing
  • Grooming (hair, nails, oral care)
  • Toileting and incontinence care
  • Skin care and repositioning reminders

Household Support

  • Meal preparation and feeding
  • Light housekeeping and laundry
  • Grocery shopping and errands
  • Appointment accompaniment
  • Home organization and safety
Always Follow the Service Plan

Only perform ADL assistance that is explicitly listed in the client's service plan. If a client asks you to do something not in their plan, contact your supervisor before proceeding.

ADL Skills & Scope — Task by Task

77 Ill. Adm. Code 245.71(e)(4) requires specific training on each of the following ADL tasks. This section names each one individually so there is no ambiguity about what is and is not within a home services worker's scope. Detailed task-by-task limits for each are set out in 77 Ill. Adm. Code 245.40(c)(4)(A)–(P), summarized in the task list below.

Personal Care Tasks

  • Bathing — bed bath, tub, or shower assistance
  • Skin care — preventative care of unbroken skin only; never wound care or treatment of active skin conditions
  • Hair care — shampooing, drying, combing, styling with non-medicated products
  • Nail care — soaking, pushing back cuticles without utensils, filing only; never nail trimming
  • Mouth care — denture care and basic oral hygiene for conscious clients
  • Shaving — electric or safety razor only
  • Dressing — ordinary clothing and over-the-counter support stockings only

Mobility & Function Tasks

  • Feeding — only when the client can independently swallow and sit upright; never tube or syringe feeding
  • Ambulation — assisting a client already trained on any adaptive equipment they use
  • Exercise — passive encouragement of normal movement and prescribed exercise programs only
  • Transfers — only when the client can reliably assist; mechanical/electrical lift devices require assignment-specific training and competency evaluation first
  • Positioning — simple repositioning in bed, wheelchair, or furniture when the client can direct the change
  • Toileting — assistance to/from the bathroom, bedpans, commodes, and incontinence care
  • Medication reminding — verbal reminders only, per Smith Premier Home Care policy (see Module 1)
When In Doubt, Don't Guess

If a client's needs for any of these tasks appear to exceed what is described here — for example, active wound care, a mechanical lift you have not been evaluated on, or feeding a client with swallowing difficulty — stop and contact your supervisor before proceeding. These situations may require a home health or home nursing agency instead.

Communicating with Clients Who Have Special Needs

Some clients may have hearing loss, vision impairment, cognitive decline, dementia, speech difficulties, or language barriers. Here is how to communicate effectively:

  • Hearing impairment — Face the client when speaking, speak clearly and at a moderate pace, do not shout, reduce background noise, use written notes if helpful
  • Vision impairment — Announce your presence when entering a room, describe what you are doing before you do it, do not rearrange items without informing the client
  • Dementia or cognitive decline — Use simple, short sentences, speak calmly and reassuringly, maintain eye contact, use their name, do not argue or correct repeatedly, redirect gently when needed
  • Speech difficulties — Be patient, allow extra time for the client to communicate, do not finish their sentences, confirm understanding
  • Language barriers — Contact the agency for translation assistance, use simple words and gestures, never make assumptions about understanding
Working with Clients Who Have Dementia

Clients with Alzheimer's disease or related dementia require a calm, patient, and structured approach. Key practices include:

  • Establish a consistent routine — familiarity is comforting to clients with dementia
  • Approach from the front, move slowly, and use a calm tone of voice
  • Break tasks into small, simple steps
  • Use redirection rather than confrontation when a client is agitated or confused
  • Never argue with a client about what is real or not real to them
  • Report any sudden changes in behavior or confusion level to your supervisor immediately
  • Maintain a safe environment — remove tripping hazards, ensure the client cannot access unsafe areas
Documentation Standards

Accurate documentation is a professional and regulatory requirement. You must document your visits honestly and thoroughly. Documentation may include:

  • Date and time of your arrival and departure
  • Services provided during the visit
  • Client's mood, behavior, and any observed changes
  • Any concerns, incidents, or safety issues observed
  • Any client refusals of service
  • Your signature

Never falsify documentation. Never document services you did not provide. Never backdate or alter visit records. Falsification of records is grounds for immediate termination and may result in legal consequences.

Professional Conduct Standards

Your professionalism reflects on Smith Premier Home Care, LLC and on every client and family we serve. You are expected to:

  • Be punctual and reliable — clients depend on you
  • Dress appropriately — clean, neat clothing appropriate for in-home care
  • Maintain professional boundaries — you are a caregiver, not a friend, family member, or financial advisor
  • Never discuss your personal problems with clients
  • Never make promises to clients that the agency cannot keep
  • Respect cultural differences and practices in client homes
  • Treat every client as you would want your own loved one to be treated
The Standard We Hold

Smith Premier Home Care was built on the belief that every senior deserves to feel seen, respected, and genuinely cared for — not just checked on. Everything you do in a client's home either honors that standard or falls short of it. We ask you to honor it every single visit.

Competency Evaluation

Answer all questions. You need 80% or higher to pass. Read each question carefully.