Ariz. Admin. Code § 4-33-702

Current through Register Vol. 30, No. 45, November 8, 2024

Section R4-33-702 - Minimum Standards for Assisted Living Facility Caregiver Training Program

A. Organization and administration. The owner of an assisted living facility caregiver training program shall:

1. Provide the Board with a written description of the training program that includes:

a. Length of the training program in hours:

i. Number of hours of instruction, and

ii. Number of hours of skills training, and

b. Educational goals that demonstrate the training program is consistent with state requirements;

2. Develop and adhere to written policies and procedures regarding:

a. Attendance. Ensure that a student receives at least 62 hours of instruction;

b. Grading. Require a student to attain at least 75 percent on each knowledge examination or 75 percent on a comprehensive knowledge examination;

c. Reexamination. Inform students that a reexamination:

i. Addresses the same competencies examined in the original examination,

ii. Contains items different from those on the original examination, and

iii. Is documented in the student's record;

d. Student records. Include the following information:

i. Records maintained,

ii. Retention period for each record,

iii. Location of records,

iv. Documents required under subsections (G)(1) and (G)(2), and

v. Procedure for accessing records and who is authorized to access records;

e. Student fees and financial aid, if any;

f. Withdrawal and dismissal;

g. Student grievances including a chain of command for disputing a grade;

h. Admission requirements including any criminal background or drug testing required;

i. Criteria for training program completion; and

j. Procedure for documenting that a student has received notice of the fingerprint clearance card requirement before the student is enrolled;

3. Date each policy and procedure developed under subsection (A)(2), review within one year from the date made and every year thereafter, update if necessary, and date the policy or procedure at the time of each review;

4. Provide each student who completes the training program with evidence of completion, within 15 days of completion, which includes the following:

a. Name of the student;

b. Name and instruction location of the training program;

c. Total number of hours in the training program devoted to instruction;

d. Number of hours in the training program devoted to skills training;

e. Date on which the training program was completed;

f. Board's approval number of the training program; and

g. Signature of the training program owner, administrator, or instructor;

5. Provide the Board, within 15 days of completion, the following information regarding each student who completed the training program:

a. Student's name, date of birth, Social Security number, address, and telephone number;

b. Student's examination score as provided by a Board-approved provider;

c. Name and instruction location of the training program;

d. Total number of instruction hours in the training program;

e. Number of skills training hours in the training program;

f. Date on which the training program was completed; and

g. Board's approval number of the training program; and

6. Execute and maintain under subsections (G)(1) and (G)(2) the following documents for each student:

a. A skills checklist containing documentation the student achieved competency in the assisted living facility caregiver skills listed in R4-33-703(C),

b. A copy of the current food-handler's card issued to the student by the county in which the student lives, and

c. An evaluation form containing the student's responses to questions about the quality of the instructional experiences provided by the training program.

B. Program administrator responsibilities. The owner of an assisted living facility caregiver training program shall ensure that a program administrator performs the following responsibilities:

1. Supervises and evaluates the training program,

2. Uses only instructors who are qualified under subsection (C), and

3. Makes the written policies and procedures required under subsection (A)(2) available to each student on or before the first day of the training program;

C. The owner of an assisted living facility caregiver training program shall ensure that a program instructor is qualified under subsection (C)(1), (C)(2), or (C)(3):

1. Is a certified assisted living facility manager:

a. Holds an assisted living facility manager certificate that is in good standing and issued under A.R.S. Title 36, Chapter 4;

b. Has held the assisted living facility manager certificate referenced in subsection (C)(1)(a) for at least two years;

c. Has not been subject to disciplinary action against the assisted living facility manager certificate during the last two years; and

d. Has at least two years' experience within the last five years as an assisted living facility manager of record immediately before becoming a training program instructor;

2. Is a licensed health professional:

a. Holds a license that is in good standing and issued under A.R.S. Title 32, Chapter, 13, 15, 17, or 25;

b. Has held the health professional license referenced in subsection (C)(2)(a) for at least two years;

c. Has not been subject to disciplinary action against the health professional license during the last two years; and

d. Has at least two years' experience within the last five years in management, operation, or training in assisted living immediately before becoming a training program instructor; or

3. Other qualified individual:

a. Holds at least a baccalaureate degree in a health-related field from an accredited college or university;

b. Has not been subject to disciplinary action against any professional or occupational license or certificate during the last two years; and

c. Has at least two years' experience within the last five years in management, operation, or training in assisted living immediately before becoming a training program instructor.

D. The owner of an assisted living facility caregiver training program shall ensure that a program instructor performs the following responsibilities:

1. Plans each learning experience,

2. Accomplishes educational goals of the training program and lesson objectives,

3. Enforces a grading policy that meets the requirement specified in subsection (A)(2)(b),

4. Requires satisfactory performance of all critical elements of each assisted living facility caregiver skill specified under R4-33-703(C),

5. Prevents a student from performing an activity unless the student has received instruction and been found able to perform the activity competently,

6. Is present during all instruction,

7. Supervises health professionals who assist in providing training program instruction, and

8. Ensures that a health professional who assists in providing training program instruction:

a. Is licensed or certified as a health professional,

b. Has at least one year of experience in the field of licensure or certification, and

c. Teaches only a learning activity that is within the scope of practice of the field of licensure or certification.

E. Skill training requirements. The owner of an assisted living facility caregiver training program shall:

1. Provide each student with at least 12 hours of instructor-supervised skills training, and

2. Ensure that each student develops skill proficiency in the subjects listed in R4-33-703(C).

F. Instructional and educational resources. The owner of an assisted living facility caregiver training program shall provide, or provide access to, the following instructional and educational resources adequate to implement the training program for all students and staff:

1. Current reference materials related to the level of the curriculum;

2. Equipment in functional condition for simulating resident care, including:

a. Patient bed, over-bed table, and nightstand;

b. Privacy curtain and call bell;

c. Thermometers, stethoscopes, including a teaching stethoscope, blood-pressure cuff, and balance scale;

d. Hygiene supplies, elimination equipment, drainage devices, and linens;

e. Hand-washing equipment and clean gloves; and

f. Wheelchair, gait belt, walker, anti-embolic hose, and cane;

3. Computer in good working condition;

4. Audio-visual equipment and media; and

5. Designated space that provides a clean, distraction-free, learning environment for accomplishing educational goals of the training program;

G. Records. The owner of an assisted living facility caregiver training program shall:

1. Maintain the following training program records for three years:

a. Curriculum and course schedule for each student cohort;

b. Results of state-approved written examination and skills checklist;

c. Evaluation forms completed by students, a summary of the evaluation forms for each student cohort, and measures taken, if any, to improve the training program based on student evaluations; and

d. Copy of all Board reports, applications, or correspondence related to the training program; and

2. Maintain the following student records for three years:

a. Name, date of birth, and Social Security number;

b. Completed skills checklist;

c. Attendance record including a record of any make-up class sessions;

d. Score on each test, quiz, and examination and, if applicable, whether a test, quiz, or examination was retaken;

e. Documentation from the program instructor indicating the:

i. Number of skills training hours completed by the student,

ii. Student performance during the skills training, and

iii. Verification of total number of instruction hours completed by the student; and

f. Copy of the evidence of completion issued to the student as required under subsection (A)(4);

H. Examination and evaluation requirements for students. The owner of an assisted living facility caregiver training program shall ensure each student in the training program:

1. Takes an examination that covers each of the subjects listed in R4-33-703(C) and passes each examination using the standard specified in subsection (A)(2)(b);

2. Is evaluated and determined to possess the practical skills listed in R4-33-703(C);

3. Passes, using the standard specified in subsection (A)(2)(b), a final examination approved by the Board and given by a Board-approved provider; and

4. Does not take the final examination referenced in subsection (H)(3) more than three times. If a student fails the final examination referenced in subsection (H)(3) three times, the student is able to obtain evidence of completion only by taking the assisted living facility caregiver training program again;

I. Examination passing standard. The owner of an assisted living facility caregiver training program shall attain an annual first-time passing rate of 70 percent for all students who take the examination specified under subsection (H)(3). The Board may waive this requirement for a program if fewer than 10 students took the examination during the year.

J. Periodic evaluation. The owner of an assisted living facility caregiver training program shall allow a representative of the Board or a state agency designated by the Board to conduct:

1. A scheduled evaluation:

a. Before initial approval of the training program as specified under R4-33-704(D),

b. Before renewal of the training program approval as specified under R4-33-705(C), and

c. During a time of correction as specified under R4-33-706(B); and

2. An onsite unscheduled evaluation of the training program if the evaluation is in response to a complaint or reasonable cause, as determined by the Board;

K. Notice of change. The owner of an assisted living facility caregiver training program shall provide the documentation and information specified regarding the following changes within 10 days after making the change:

1. New training program administrator. Name and license number;

2. New instructor. Name, license number, and evidence of being qualified under subsection (C);

3. Decrease in number of training program hours. Description of and reason for the change, a revised curriculum outline, and revised course schedule;

4. Change in location at which instruction is provided. Address and description of new location; and

5. For a training program that is based within an assisted living facility:

a. Change in name of the facility. Former and new name of the assisted living facility; and

b. Change in ownership of the facility. Names of the former and current owners of the assisted living facility.

L. Medication management training program. The owner of an assisted living facility caregiver training program may provide a medication management training program for a student who, at the time of admission, is in good standing and a CNA, LNA, or DCW. The owner shall ensure the medication management training program provides the instruction listed in subsection R4-33-703(C)(14) and meets the standards in R4-33-703.1.

Ariz. Admin. Code § R4-33-702

New Section made by final rulemaking at 19 A.A.R. 1619, effective August 4, 2013 (Supp. 13-2). Amended by final rulemaking at 24 A.A.R. 2734, effective 11/10/2018. Amended by final rulemaking at 26 A.A.R. 1465, effective 9/5/2020. Amended by final rulemaking at 29 A.A.R. 1556, effective 6/15/2023.