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					                                           Key Personnel Requirements
                                                                                                                                  Notificatio
                                                                                                                                              n   of Chang
                                                                                                                                                          es to Key
Key Board Requirements:                            Notification of Changes to Key Personnel                                   NOTIFIC
                                                                                                                                         ATION O
                                                                                                                                                 F
                                                                                                                                                                                    Personne

                                                                                                                                                                               Notification of
                                                                                                                                                                                                 l

                                                                                                                                                              CHANGE                           Changes to
                                                                                                                            This no                                         TO KEY                        Key Personn
                                                                                                                            tifica                                                  PERSON                           el
                                                                                                                    28 days af tion is re as well as
   It is the board’s responsibility              are undischarged bankrupts (i.e., the period of their bankruptcy has not finished yet),quire
                                                                                                                   imposed.
                                                                                                                                              d un
                                                 people who have entered into an arrangement with creditors, including under a deed of oc der Section 9-1 of
                                                                                                                                ter the ch
                                                                                                                                          ange cu    Reaso for Ag
                                                                                                                                                          m
                                                                                                                                                             the
                                                 assignment or composition under the Bankruptcy Act), and who have not yet been released rs. Failure to con ply Change (ticAct 19
                                                                                                                                                                    ed Care
                                                                                                                                                                with this    k relevant box
                                                                                                                                                                                    97
                                                                                                                                                                                               NEL

                                                 from the arrangement.                                                                                                    responsib and must be subm
                                                                                                                                                                                            or boxes)

   through their audit, risk and
                                                                                                                                                                                    ilit                               y can resu           itte
                                                                                                                         PART A                                                1. New                                            lt in a sanc d within
                                                                                                                                –
                                                                                                                                For Com                         Key Personn                               n being                              tio
                                                 A person is taken to be of unsound mind for the purposes of Division 10A if, and only if, a io
                                                                                                                                           plet n         (including        el
                                                 registered medical practitioner has certified that he or she is mentally incapable of performing by the Approve a former Key Personne
                                                                                                                                                                   d Provid           l returning to
                                                                                                                                                                            er
   compliance committee,                         his or her duties as one of the Approved Provider's Key Personnel.                                                                                  a Key Perso
                                                                                                                        Full LEGA                                                                                nnel                                    position)
                                                                                                                                 L name of
                                                                                                                      ovPr                 Ap
                                                                                                                                          prov to
                                                 Under section 63 of the Act, it is the responsibility of each Approved ider
                                                                                                                         Provider of aged careed
                                                                                                                                                                                                                                    Date of effect
                                                 “take all reasonable steps specified in the Sanctions Principles to ensure that none of its Key

   key personnel register,                       Personnel is a disqualified individual”.
                                                                                                                       Approved
                                                                                                                                Pr
                                                                                                                               r’s ABN ovide
                                                 The reasonable steps that an Approved Provider must take are specified in section 22.3B of the
                                                                                                                                                                            2. Former
                                                                                                                                                                                      Memb           er of Key Pe
                                                                                                                                                                                                                                                                  /            /


                                                                                                                                                                                                                 rsonnel

   performance management                        Sanctions Principles and include:                           ABN Bran
                                                                                                                      ch               (if applica
                                                     Seeking an Australian Federal Police (AFP) criminal conviction record report for each new
                                                                                                                                                     ble)

                                                                                                                                                                                                                                  Date of effect
                                                     member of its Key Personnel. Key Personnel will need to give written consent for release of 3.
   system or similar mechanisms                      this information by the police to the Approved Provider. The AFP publishes a guide entitled
                                                     “Police Record Checks for Entitlements” on consent for obtaining personal information.
                                                                                                                Pe
                                                     There is a small fee for the check itself. Copies of the formrsonal Particulars the AFP
                                                                                                                   are available from
                                                                                                                                                                                    Disqualified

                                                                                                                                                                                   Reason this
                                                                                                                                                                                                 Ind

                                                                                                                                                                                               person
                                                                                                                                                                                                       ividual

                                                                                                                                                                                                         is disqualifie
                                                                                                                                                                                                                                                              /            /


                                                                                                                                    of the Ke                                                                             d:

   to ensure that they, and the                      website at: http://www.afp.gov.au

                                                    Conducting a search of bankruptcy records. The National Personal Insolvency Index (NPII)
                                                                                                                                              y Person
                                                                                                                                                       ne
                                                                                                                                                l about wh victed of
                                                                                                                                                         con
                                                                                                                                                            om the chan indictable offe
                                                                                                                                                                      ange is no
                                                                                                                                                                                   tified
                                                                                                                                                                                           nce
                                                                                                            Name                    Title
                                                    of proceedings under the Bankruptcy Act 1966 can be searched by contacting Insolvency Given Na      insolvent und

   organisation is compliant
                                                                                                                                                                      er administra
                                                                                                                                                    me(s)                             tion
                                                    and Trustee Service Australia (ITSA). There is a small fee for this service.
                                                                                                                                                        of unsound min Family Name
                                                                                                           Fo                                                          d
                                                    Conducting previous employment and referee checks. rmer name(s)

   will all key personnel                        These records are to be retained by the Approved Provider as proof of compliance with
                                                                                                        Date of bir
                                                 the Act. You are not required to forward copies to the Department. th
                                                                                                                                             Date the per
                                                                                                                                                          son ceased
                                                                                                                                                                     to fill a Key Pe
                                                                                                                                                                                        rsonnel positio
                                                                                                                                                                                                        n
                                                                                                                                                                                                                                                          /           /

   requirements.                                                                                               Relev
                                                 Where a change to the Approved Provider's Key Personnel isant Key Personnelbecause a
                                                                                                                   wholly or partly
                                                                                                            Position                             DECLARAT
                                                 particular person is, or is about to become, a disqualified individual, the Approved Provider must
                                                                                                                                                           ION BY APPR
                                                                                                                                                                          OVED PROV
                                                                                                                                                                                        IDER
                                                 notify the Department of the reason why the person is, or is about to become, a disqualified I hereby declare the info
                                                                                                                                                                       rmation provid
                                                 individual.                                               Se                                                                         ed in this Pa
                                                                                                                                                                                                   rt
                                                                                                                 rvice type                    For any new                                              A is true and
                                                                                                                            *
   Individual directors have                                                                                                                                Ke                                                           correct.
                                                                                                                                              reasonable ste y Personnel named in this
                                                                                                                                                      RACS   ps specified                   Part A, I dec
                                                                                                             Service ID                       the AgedCP
                                                                                                                                                    CA Care Ac             in section 22.                 lare that the
                                                                                                                        *                                       t 1997 to ens
                                                                                                                                                                   Flexible ure tha       3B of the Sa                    Approved Pro
                                                                                                                                              seen the per                            t the person     nctions Princi                    vider has tak
                                                 Other changes to the Approved Provider                                                                    son’s comple
                                                                                                                                                                         ted Part B ret             is not a disqua ples in accordance with            en all

   to provide all necessary                                                                           Service na
                                                 Under section 9.1 of the Act, any change of circumstances thatme*
                                                                                                                 materially affects an Approved
                                                                                                                                               Name of per

                                                 Provider’s suitability to be a provider of aged care must be notified in writing to the appropriate
                                                                                                                                                           son signing
                                                                                                                                                                                       urn, which is
                                                                                                                                                                                                      attached.
                                                                                                                                                                                                                     lified individual             section 63 of
                                                                                                                                                                                                                                      . I declare tha
                                                                                                                                                                                                                                                     t I have

                                                                                                                                                  Position

   information to ensure they are                State/Territory Office of the Department of Health andposit
                                                 occurs.
                                                                                                       *If Ageing within 28 days after the change
                                                                                                              ion is spec
                                                                                                                          ific to one
                                                                                                                                      se    rvice.
                                                                                                                                                                  Signed
                                                 Please also advise the Department in writing if any of the name or address details of the
   approved as key personnel                     Approved Provider or its services change.
                                                                                                                                                               Note: This
                                                                                                                                                               give assura
                                                                                                                                                                          declaration
                                                                                                                                                                                      should only
                                                                                                                                                                                                                                Date
                                                                                                                                                                                                                                                    /      /
                                                                                                                                                                          nces and en                be signed

   and the organisation has to                                                                        March 20
                                                                                                              02
                                                                                                                                                                                      ter into contr
                                                                                                                                                                                                     acts and co
                                                                                                                                                                                                                by those pe
                                                                                                                                                                                                                 mmitments
                                                                                                                                                                                                                           rsons who
                                                                                                                                                                                                                           on behalf of
                                                                                                                                                                                                                                        are legally
                                                                                                                                                                                                                                        the Approved
                                                                                                                                                                                                                                                      empowered
                                                                                                                                                                                                                                                        Provider.
                                                                                                                                                                                                                                                                  to
                                                                                                                                Common

   retain all documentation as                                                                                                        wealth De
                                                                                                                                               partm        ent of He


                                                                                                                                                       Page rch
                                                                                                                                                                     alth and
                                                                                                                                                                              Ag   eing
                                                 March 2002           Commonwealth Department of Health and Ageing
                                                                                                                                                         Ma 3                                                             Page 4

   proof of compliance.
                                                                                                                                                                     2002
                                                                                                                                                                                          Commonwe
                                                                                                                                                                                                  alth Departm
                                                                                                                                                                                                                 ent of Health
                                                                                                                                                                                                                                 and Ageing

                                                                                                                                                                                                                                                                          Page 5




                                                                                                                                                                                                                                                              Governance &
            The Aged Care
                                                                                                                                                                                                                                                           Accreditation Toolbox
  Standards and Accreditation Agency Ltd
                                                                                                                                                                                                                                                           Session 2.1, Page 20


                                                                                                                                                                              Facilitator’s Presentation Guide Page 172

				
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Description: Key Personnel Requirements