(a) For the purposes of this section, the following terms are defined as follows. (1) Consultation--Evaluation and development of staff knowledge, skills, and abilities in the context of case-specific problem solving.(2) Record review--A review of documentation in child records to evaluate compliance with the requirements of this chapter, and quality, accuracy, and timeliness of documentation. It also includes feedback to staff to identify areas of strength and areas that need improvement.(3) Observation--Watching staff interactions with children and families and providing guidance and feedback about the interaction.(b) The subrecipient must comply with HHSC ECI requirements related to health regulations for all direct service staff. The subrecipient must comply with 2 CFR Part 3485 and Texas Health and Safety Code Chapter 81. (c) The subrecipient must comply with HHSC ECI requirements related to initial training requirements for direct service staff. Before providing services, all staff must: (1) with the exception of teachers of the deaf or hard of hearing, teachers of students with visual impairment, and certified orientation and mobility specialists, complete orientation training as required by HHSC ECI; (2) hold current certification in first-aid and cardiopulmonary resuscitation for children and infants; and (3) complete universal precautions training that aligns with recommendations from the Centers for Disease Control and Prevention. (d) The subrecipient must comply with HHSC ECI requirements related to continuing education requirements for direct service staff. All staff providing ECI services to children and families must maintain current certification in first aid and cardiopulmonary resuscitation for children and infants. (e) With the exception of teachers of the deaf or hard of hearing, teachers of students with visual impairments, and certified orientation and mobility specialists, the subrecipient must verify that all newly employed staff:(1) are qualified in terms of education and experience for their assigned scopes of responsibilities; (2) are competent to perform the job-related activities before providing ECI services; and (3) complete orientation training as required by HHSC ECI before providing ECI services. (f) The subrecipient must comply with HHSC ECI requirements related to supervision of direct service staff. A subrecipient must implement a system of supervision and oversight that consists of consultation, record review, and observation from a qualified supervisor. Supervisor qualifications are further described in §350.313(d) and §350.315(e) of this subchapter (relating to Early Intervention Specialist and Service Coordinator, respectively). (g) The subrecipient must follow all training requirements mandated by HHSC ECI.