As a Direct Support Staff, you are accountable to the supervisor assigned to the site in which you work.   A Direct Support Staff is not authorized to work in excess of 40 hours per week unless directed to do so by supervisory staff.  The Direct Support Staff position is relied upon for ethical implementation of services and support.  You are delegated the authority, responsibility and accountability necessary to carry out assigned duties and to respond to emergency situations.  Supervisory staff is available to you on a 24-hour basis.  Since you will be working with people, you must be prepared to effectively deal with emergencies, health-related issues and unexpected interruption of duties.  We ask  you be flexible in routine, daily assignments, site assignments, hours of work and philosophical commitment.  Your actions will affect another person’s life, and it is expected you will be a positive, desirable role model.  Since you will be interacting with numerous professionals on a frequent basis, you are expected to represent yourself and the Agency in a positive, professional manner at all times.  You will be responsible for participating in Consumer’s Inter-disciplinary Teams and for providing active treatment to consumers.

Listed below are the essential functions of your position.  This list is not all inclusive and you will be required to perform other tasks as determined necessary by supervisory personnel:


  • Assists in the development of program goals, based on outcomes listed in the Individual Support Plan.
  • Assists as needed with documentation, consumer expenditures and budget development.
  • Carries out interventions described in Behavior Plans and Social Emotional Environmental (SEE) Plans.
  • Assists consumer’s with development of skills necessary to maximize independence.
  • Prepares meals or assists consumers with preparing meals according to individual nutrition standards and menus posted at the facility.
  • Assists consumers with identification and use of appropriate community resources.
  • Supports and assists consumers in carrying out Activities of Daily Living (ADLs).
  • Writes a case note reflective of actions taken to assist the consumer served prior to the end of each shift. Completes all documentation requirements in an objective, concise and comprehensive manner (i.e. score programming sheet including scoring point program work).
  • Informs supervisor of any changes in a consumer including subtle variances in demeanor, physical or mental health stability to ensure early detection of potential problems.
  • Ensures each consumer’s daily activity schedule is adhered to, and documents any variation to that schedule, informing supervisor of significant changes.
  • Reports all unusual incidents immediately in an accurate, objective manner as described by policy and procedure to supervisory personnel.
  • Maintains the site in accordance with internally established infection control standards and applicable federal, state and local health, fire and sanitation standards. Ensures the home is clean, safe and comfortable.
  • Accompanies consumers to medical and dental appointments. Must be able to professionally communicate relevant information about the consumer to the physician or practitioner.
  • Participates as a member of the Inter-disciplinary Team.
  • Promotes physical wellness, fitness and socialization.
  • Administers medication to individuals served according to doctor’s instructions listed on the Medication Administration Record (MAR).
  • Updates medication records, including MARs, medication inventories, and med error logs as necessary.
  • Contacts pharmacy for medication refills as needed.
  • Maintains compliance with applicable licensing regulations and accreditation standards.
  • Assists with grocery shopping, care of the vehicle, and other routine tasks as assigned by supervisor. Uses all vehicles, equipment and supplies in a lawful and appropriate manner.
  • Regularly attends and participates in staff meetings
  • Communicates with peers, supervisors, consumers, family and public in a mature, culturally and socially appropriate manner.
  • Must be familiar with and consult as needed the Agency Policy and Procedure Manual and the Regional Procedure Manual.
  • Utilizes on-call supervisory consultation as outlined in the regional on-call procedures.
  • Accurately documents hours worked on the appropriate time sheet at the beginning and end of each shift.
  • Transports consumers as necessary via Agency vehicle.
  • Miscellaneous duties and responsibilities as necessary and/or as directed by supervisory staff.


(Education and/or Experience/Physical Demands/Other Skills and Abilities)

Education and/or Experience:

  • High school diploma or GED equivalent.

Physical Demands:

  • Lifting: Must be physically able to assist in lifting a person up to 250 pounds (during bathing, toileting, seizures and in the event of accidental falls, etc.) and must be independently able to lift a minimum of 20 pounds (groceries, laundry, etc.).
  • Walking: Must be physically able to walk around a 1,500-2,000 square foot home and to various indoor/outdoor activities, both at the home and in the community.  Must be able to enter and exit Agency vehicles.
  • Bending/Reaching: Must be able to operate household appliances (stove, washer, dryer, microwave oven, etc.).  These tasks require the ability to bend, squat, kneel, push, pull, reach, twist and climb and include loading/unloading dishwasher, washer/dryer and placing groceries in cabinets of various heights, vacuuming, and washing floors, making/changing  beds, picking up dropped items and climbing up/down stairs as well as in/out of agency vehicles.
  • Sitting: Must be able to sit for sufficient periods of time to provide documentation associated with consumers and program, speaking with consumers and driving Agency vehicles.
  • Standing: Must be able to stand for sufficient periods of time to wash/dry dishes, load/unload dishwasher, load/unload washer/dryer, put away groceries and speak to consumers.
  • Hand Usage: Must be capable of continuous bilateral hand usage with simple grasping in order to perform all job functions.
  • Foot Usage: Must be able to operate foot controls in the Agency vehicles.
  • Speech: Must be physically able to communicate with consumers and with others.
  • Visual/Auditory: Must be able to monitor consumer’s actions and physical condition through sight and sound.
  • Must be physically able to assist consumers in safe evacuation from the site in the event of an emergency within timeframe specified by licensing requirements.
  • Must be physically able to perform CPR and First Aid in the event of an emergency.

Other Skills and Abilities:

  • Must read, write, speak and understand the English language.
  • Must possess and maintain a current, valid driver’s license from state of residency and be insurable under Step By Step’s insurance carrier’s regulations.
  • Must complete 24 hours of training within the training year, if required by regulations.
  • Must pass and maintain CPR and First Aid certification.
  • Must pass the Medication Administration Test and maintain Medication Administration Certification.
  • Must be physically able to pass Crisis Intervention Training.
  • Must be mentally and visually aware of consumers’ actions and physical condition.
  • Must be at least 18 years of age.
  • Must present and maintain a pleasant and professional demeanor at all times in order to remain open and accessible to all co-workers, management staff, and outside contacts.
  • Must be willing and able to attend conferences, seminars, trainings and meetings as instructed and serve on an Agency committees if requested.
  • Must adhere to Professional Standards as set forth by the Agency and maintain confidentiality at all times.
  • Must actively promote and personally observe safety and security procedures.