DHS 75.15(5)(c)1.1. A written job description including duties, responsibilities and qualifications required for the employee. DHS 75.15(5)(c)5.5. A copy of a signed statement regarding confidentiality of client information. DHS 75.15(5)(d)(d) Confidentiality. A service shall have written policies, procedures and staff training to ensure compliance with confidentiality provisions of 42 CFR part 2, 45 CFR parts 164 and 170, and s. 51.30, Stats., and ch. DHS 92. Each staff member shall sign a statement acknowledging his or her responsibility to maintain confidentiality of personal information about persons served. DHS 75.15(5)(e)(e) Policies, procedures, and service description. A service shall develop written policies, procedures, and service descriptions for each intervention service to be provided. DHS 75.15(5)(f)(f) Submissions to department. The service shall submit each service description, along with written policies and procedures, to the department with the initial certification application, and submit any updates to the department when needed. DHS 75.15(5)(g)(g) Staff knowledge and training. Service staff shall have knowledge, training, and experience in the service which they are responsible for providing, including substance use intervention, screening, and referral. DHS 75.15(5)(h)(h) Referral. The service shall develop and maintain a written record of certified substance use treatment resources for referral, and shall refer clients as indicated for further assessment and treatment services. DHS 75.15(5)(i)(i) Evaluation. The service shall have an evaluation plan that includes goals of the service, measurable outcomes and objectives related to the service goals, and an annual report of progress related to goals and objectives that is available to the department and the public. DHS 75.15(6)(6) Location of service delivery. An intervention service, other than an intoxicated driver service designated under s. DHS 62.04, may be provided in a variety of settings, such as clinical offices, schools, workplaces, community centers, or an individual’s home, with the length of service varying according to the type of activity and needs of the individual. An intervention service that provides services in community settings shall ensure the following: DHS 75.15(6)(a)(a) All requirements of this chapter are able to be met in the setting. DHS 75.15(6)(b)(b) The service shall have written policies and procedures concerning community-based service delivery. DHS 75.15(6)(c)(c) The service shall provide annual training for all staff that deliver services in the community regarding in-home and community safety, and avoiding sexual or other exploitative relationships with clients. A record of each training shall be available to the department upon request. DHS 75.15(7)(7) Case records for persons receiving intervention services. DHS 75.15(7)(a)(a) A service shall keep a case record for every person receiving intervention services, except where the only contact is made by telephone. DHS 75.15(7)(b)(b) A case record prepared under this subsection shall include all of the following information: DHS 75.15(7)(b)1.1. The individual’s name, address, phone contact information, date of birth, and relevant demographic information. DHS 75.15(7)(b)3.3. Substance use information about the individual and the reason for referral. DHS 75.15(7)(b)5.5. A sufficient assessment of the individual’s dimensional risk and severity of need to determine preliminary level of care. DHS 75.15(7)(b)6.6. Service recommendations, referrals, and follow-up services and activities completed for the individual. DHS 75.15(7)(b)7.7. Documentation of each contact the service has with the client or a collateral source. DHS 75.15(8)(8) Additional requirements for intoxicated driver services. DHS 75.15(8)(a)(a) If an intervention service is designated by a county human service board under s. DHS 62.04 as an intoxicated driver assessment facility, the intervention service shall also comply with the requirements under ch. DHS 62.