The assisted living facility (ALF) minimum core training curriculum is organized into 15 prescribed mandatory modules related to assisted living facilities and aging issues. Under each module, specific objectives are included, which trainees are expected to achieve. Successful completion of the core training is intended to prepare the trainee for passage of the core competency test and provide the basic tools for administering and managing an ALF. Module 1: Purpose of an Assisted Living Facility (ALF) Statutes and Rules: 429.01, F.S. Purpose: To introduce trainees to the purpose of an ALF. Objectives: Upon completion of this one hour module the trainee will be able to: 1.1 Define the term assisted living facility. 1.2 Demonstrate knowledge of the purpose and intent of assisted living facilities. Module 2: Licensing of an Assisted Living Facility Statutes and Rules: Chapters 415 and 419, F.S.; Sections 408.806, 429.04, 429.07, 429.075, 429.275, F.S.; Chapter 3 Section 310,and Chapter 4, Section 434 Florida Building Code (2010); Chapters 59A-35,64E-12, and 69A-40, F.A.C.; Sections 58A-5.014, 58A-5.016, 58A- 5.021, 58A-5.030, 58A-5.031, 58A-5.029, F.A.C. Purpose: To teach trainees the laws and rules related to opening, licensing, operating, and administering an assisted living facility in Florida. Objectives: Upon completion of this three hour module the trainee will be able to: 2.1 Demonstrate knowledge of Florida statutes and rules related to ALFs including authorizing statutes, general licensing requirements, community residential homes, adult protective services law, ALF rule, general licensing rule, building codes, life safety code, sanitation rule, food hygiene, and biomedical waste. 2.2 Demonstrate knowledge of common definitions used in administering and managing an ALF. 2.3 Define the difference in services provided by facilities holding a standard license and specialty license such as Limited Mental Health (LMH), Extended Congregate Care (ECC), and Limited Nursing Services (LNS). 2.4 Demonstrate knowledge of the licensing requirements and forms required and used for licensing purposes. 2.5 Demonstrate knowledge of the requirements for liability insurance. DOEA Form ALFCT-003, November 2013 1 Rule Chapter 58A-5.0191
Module 3: Residency Criteria and Assisted Living Services Statutes and Rules: Sections 429.01, 429.02, 429.255, 429.256, and 429.26, F.S.; Sections 58A-5.0131, 58A-5.016, 58A-5.0185, 58A- 5.0181, 58A-5.0182, 58A-5.0186, 58A-5.024, 58A-5.030, 58A-5.0185, and 58A-5.031, F.A.C. Purpose: To teach trainees about admission, continued residency, and discharge criteria. Objectives: Upon completion of this four hour module the trainee will be able to: 3.1 Demonstrate knowledge of the admission, termination (discharge), and relocation procedures. 3.2 Demonstrate an understanding regarding a resident's health assessment requirements and timeframes required by statute and rule (AHCA Form 1823). 3.3 Demonstrate an understanding of ALF residency criteria. 3.4 Demonstrate knowledge of the scope of the ALF s responsibilities in providing personal care services. 3.5 Demonstrate knowledge of the meaning of activities of daily living (ADLs). 3.6 Demonstrate knowledge of the activities program requirements (e.g. recreational and therapeutic activities.) 3.7 Demonstrate knowledge of responsibilities and practices for medication assistance. 3.8 Demonstrate knowledge of the statutes and rules regarding availability of third party services. 3.9 Demonstrate an understanding of the requirements for temporary emergency placement (Department of Children and Families). 3.10 Demonstrate knowledge of the special requirements regarding care for hospice residents (end of life and palliative care). Module 4: Records Statutes and Rules: Sections 429.294, 429.41, and 429.49, F.S.; Sections 58A-5.024 and 58A-5.025, F.A.C. Purpose: To teach trainees the appropriate way to maintain records in an ALF. Objectives: Upon completion of this two hour module the trainee will be able to: 4.1 Demonstrate knowledge of the requirement for facility records, including record retention. 4.2 Demonstrate knowledge of the requirement for staff records, including record retention. 4.3 Demonstrate an understanding of the components of a resident's record. 4.4 Demonstrate an understanding of the components of a resident contract and written statement. 4.5 Demonstrate knowledge concerning HIPAA compliance for record keeping. DOEA Form ALFCT-003, November 2013 2 Rule Chapter 58A-5.0191
Module 5: Human Resource Management Statutes and Rules: Sections 408.809, 429.275, 429.41, 429.52, F.S.; Sections 58A-5.0161, 58A-5.0181, 58A-5.0182, 58A-5.0186, 58A- 5.019, 58A-5.0191, 58A-5.024, 58A-5.030, 58A-5.029, 58A-5.031, F.A.C.; and 45 C.F.R. 164 (HIPAA Privacy Rule). Purpose: To teach trainees human resource management practices for operating an ALF. Objectives: Upon completion of this four (4) hour module the trainee will be able to: 5.1 5.2 5.3 Identify employment issues. Demonstrate knowledge of job descriptions and evaluations. Demonstrate knowledge of personnel policies and procedures. Demonstrate knowledge of background screening requirements (Clearinghouse). Demonstrate an understanding of the components of an employee orientation. Demonstrate an understanding of the requirements for facility staffing and contracted staff (through a staffing agency). Demonstrate knowledge of supervision of staff. Demonstrate knowledge of the minimum staffing requirements and how to calculate them. Demonstrate an understanding of the requirements for safety training. Identify the need for mandatory in service training for various staff members, including, but not limited to, infectious disease, resident's rights and abuse prevention, HIV/AIDS, CPR and first aid; and how to document training. Demonstrate awareness of the Centers for Disease Control (CDC) guidelines and reference materials. Demonstrate knowledge of infection control and universal precautions. Demonstrate knowledge of biomedical waste plan training. 5.4 Demonstrate knowledge of required staff training. 5.5 Demonstrate knowledge of the requirement for staff and facility records, including record retention. Demonstrate knowledge of the requirement for employment application w/references. Demonstrate knowledge of the requirement for the physician s statement (re: free from communicable disease). Demonstrate knowledge of the requirement for verification of health care licenses. Demonstrate knowledge of the requirement for E-Verify (Department of Homeland Security immigration status). 5.6 Demonstrate knowledge of qualifications and continuing education requirements for an administrator and a manager of an ALF. 5.7 Demonstrate knowledge of requirements for HIPAA compliance. DOEA Form ALFCT-003, November 2013 3 Rule Chapter 58A-5.0191
Module 6: Business Management and Operations Statutes and Rules: Sections 408.807, 429.04, 429.11, 429.12, 429.19, 429.195, 429.23, 429.275, 429.31, 429.41, 429.47, F.S.; Sections 58A-5.0131, 58A-5.014, 58A-5.0181, 58A-5.021, 58A-5.024, 58A-5.0241, 58A-5.0242, F.A.C. Purpose: To teach trainees business management and business operations related to the operation of an ALF. Objectives: Upon completion of this two hour module the trainee will be able to: 6.1 Understand basic business operations of an ALF. Define the term, adverse incident, and demonstrate knowledge of how to report an adverse incident. Demonstrate an understanding of an adverse incident report. Demonstrate knowledge of liability claim reporting. Demonstrate knowledge of notification of bankruptcy and foreclosure. Recognize and understand financial instability. 6.2 Demonstrate knowledge of the regulations regarding ALF advertising and prohibited advertising. 6.3 Demonstrate an understanding of rules regarding patient brokering. 6.4 Demonstrate an understanding of ALF marketing. 6.5 Demonstrate knowledge of ALF management strategies. 6.6 Demonstrate an understanding of customer service in an ALF. 6.7 Demonstrate knowledge of Managed Care Plans and workers compensation. 6.8 Demonstrate knowledge of the actions needed in case of change of ownership (CHOW). 6.9 Demonstrate knowledge of the actions required in case of voluntary or involuntary facility closure. 6.10 Demonstrate an understanding of risk management and quality assurance. Demonstrate the ability to access the Agency for Health Care Administration s (AHCA) Quality Assurance website. Identify and understand AHCA s Top Ten Deficiencies. Demonstrate ability to use the ASPEN (Automated Survey Processing Environment) regulations set and the AHCA survey process document to mock survey preparations. DOEA Form ALFCT-003, November 2013 4 Rule Chapter 58A-5.0191
Module 7: Enforcement Statutes and Rules: Sections 408.806, 408.813, 429.31, 429.34, and 429.41, F.S.; Section 58A-5.033, and 58A-5.0161, F.A.C. Purpose: To teach trainees the various agencies roles in enforcement activities as they apply to ALFs. Objectives: Upon completion of this three hour module the trainee will be able to: 7.1 7.2 Demonstrate knowledge of the various departments of the State of Florida and other entities that have the authority to conduct an administrative enforcement. Demonstrate an understanding of inspections. Demonstrate an understanding of abbreviated survey. Demonstrate an understanding of survey and classification of deficiencies. Demonstrate an understanding of employment of a consultant. Demonstrate an understanding of administrative sanctions including fines, penalties, and emergency orders. Demonstrate knowledge of AHCA s Survey Guidelines. Demonstrate knowledge of the ASPEN (Automated Survey Processing Environment) regulation set. 7.3 Demonstrate knowledge of the actions needed in case of voluntary or involuntary facility closure. 7.4 Demonstrate knowledge of AHCA s Top Ten Deficiencies. 7.5 Demonstrate knowledge of AHCA s Health Quality Assurance Web Site. DOEA Form ALFCT-003, November 2013 5 Rule Chapter 58A-5.0191
Module 8: Physical Plant Standards Statutes and Rules: Sections 408.821, 429.255, 429.11, 429.34, 429.41, 429.44, F.S.; Sections 58A-5.016, 58A-5.0161, 58A-5.019, 58A- 5.023; 58A-5.024, 58A-5.026, F.A.C.; Chapter 4, Section 434, and Chapter 3, Section 310, Florida Building Code (2010). Purpose: To teach trainees the physical plant standard requirements for operating an ALF. Objectives: Upon completion of this four hour module the trainee will be able to: 8.1 Demonstrate knowledge of the requirements for the physical plant as they relate to the Florida Building Code. 8.2 Demonstrate knowledge of the requirements regarding compliance with local regulatory agencies (i.e. health department and fire authority), fire and elopement standards and drills, and evacuation capability. Demonstrate knowledge of the components of comprehensive emergency management plan/disaster preparedness (Comprehensive Emergency Management Plan, CEMP), where to submit the plan, and how often to review the plan. 8.3 Demonstrate an understanding of the Emergency Status System (ESS). 8.4 8.5 8.6 Demonstrate an understanding of the Uniform Fire Safety Code standards for ALFs. Demonstrate knowledge of the requirements regarding compliance with fire evacuation drills in accordance with local regulatory agencies. Demonstrate knowledge of the requirements regarding compliance with evacuation capability and determination procedures in accordance with local regulatory agencies. Demonstrate knowledge of the requirements regarding compliance with automatic sprinkler systems in accordance with local regulatory agencies. Demonstrate knowledge of the physical plant standards and equipment maintenance requirements. Demonstrate an understanding of an Automated External Defibrillator (17 plus beds). Demonstrate an understanding of inspections (initial, ongoing, and renovations). Demonstrate an understanding of the requirements for building inspections. Demonstrate an understanding of the requirements for fire inspections. Demonstrate an understanding of the requirements for elevator inspections. Demonstrate an understanding of the requirements for sanitation. Demonstrate an understanding of the requirements for wells. Demonstrate an understanding of the requirements for septic tanks. Demonstrate an understanding of the requirements for oxygen storage. DOEA Form ALFCT-003, November 2013 6 Rule Chapter 58A-5.0191
Module 9: Financial Management Statutes and Rules: Chapter 409, F.S.; Sections 408.810, 429.20, 429.24, 429.275, 429.903, F.S.; Sections 58A-5.0131, 58A-5.016, 58A- 5.0181, 58A-5.021, 58A-5.024, 58A-5.029, F.A.C. Purpose: To teach trainees financial management practices related to operating an ALF. Objectives: Upon completion of this two hour module the trainee will be able to: 9.1 Demonstrate an understanding of generally accepted accounting principles. 9.2 Demonstrate an understanding of bookkeeping practices. 9.3 Demonstrate an understanding of budgeting, financial stability, and fiscal documentation. 9.4 Demonstrate an understanding of payroll. 9.5 Understand prohibited solicitation pertaining to third party supplementation 9.6 9.7 9.8 Demonstrate knowledge of for-profit/not-for-profit funding sources Demonstrate an understanding of volunteerism. Demonstrate knowledge of available community resources. Demonstrate an understanding of funding sources for resident care Demonstrate an understanding of Medicaid programs. Demonstrate an understanding of Veterans Long-Term Care insurance. Demonstrate an understanding of Optional State Supplementation (OSS), Demonstrate an understanding of county resources. Demonstrate an understanding of adult day services. Demonstrate an understanding of the management of resident funds. Demonstrate knowledge of surety bonds, representative payee, and power of attorney Demonstrate an understanding of ALF account (payroll, utilities, food,) Demonstrate an understanding of resident trust account Demonstrate an understanding of advance rent and security deposits Demonstrate an understanding of refunds DOEA Form ALFCT-003, November 2013 7 Rule Chapter 58A-5.0191
Module 10: Special Needs and Social Services Statutes and Rules: Sections 429.02, 429.075, 429.28, and 429.52, F.S.; Sections 58A-5.0181, 58A-5.0191, 58A-5.024, and 58A-5.029, F.A.C. Purpose: To teach trainees the services ALFs are required to provide for residents requiring limited mental health care. Objectives: Upon completion of this two hour module the trainee will be able to: 10.1 Demonstrate knowledge necessary to provide a mental health overview. 10.2 Demonstrate an understanding of appropriate health assessment. 10.3 Develop cooperative agreements and community living support plans. 10.4 Demonstrate an understanding of the various unique needs of residents. Demonstrate knowledge of developmental disabilities. Demonstrate knowledge of physical disabilities. 10.5 Demonstrate knowledge of various health conditions. 10.6 Demonstrate awareness of available social services. 10.7 Demonstrate awareness of available community resources (community integration). Demonstrate knowledge regarding physical activities and exercise. DOEA Form ALFCT-003, November 2013 8 Rule Chapter 58A-5.0191
Module 11: Resident Rights and Ethical Practices Statutes and Rules: Sections 429.27, 429.28, and 429.52, F.S.; Sections 58A-5.0181, 58A-5.0182, 58A-5.0185, 58A-5.0186, 58A- 5.0191, 58A-5.024, and 58A-5.030, F.A.C. Purpose: To teach trainees the importance of the residents rights and the importance of enforcing those rights. Objectives: Upon completion of this three hour module the trainee will be able to: 11.1 Demonstrate knowledge of the Residents Bill of Rights and enforcement. 11.2 Identify the ways for residents to file complaints and grievances, and ways for the facility to resolve complaints and grievances. 11.3 Demonstrate knowledge of the indicators and mandatory reporting requirements of abuse, neglect, and exploitation. 11.4 Demonstrate knowledge and understanding of surrogate decision makers for residents, including guardianship. 11.5 Demonstrate knowledge and understanding of the facilities policies and procedures regarding advance directives. Demonstrate knowledge of health care surrogate. 11.6 Demonstrate knowledge of power of attorney. 11.7 11.8 Demonstrate knowledge and understanding of the facilities policies and procedures regarding do not resuscitate orders (DNRO). Identify entities available for resident advocacy and ways to inform residents about them. Demonstrate knowledge and understanding of the Florida s Long-Term Care Ombudsman program. Demonstrate knowledge and understanding of the family and resident council. Module 12: Behavior Management Statutes and Rules: Section 429.41, F.S.; Sections 58A-5.0182, 58A-5.0185, and 58A-5.0191, F.A.C. Purpose: To teach trainees behavior management practices as related to ALFs. Objectives: Upon completion of this three hour module the trainee will be able to: 12.1 Demonstrate knowledge of aggression and management practices for de-escalation. 12.2 Demonstrate knowledge of the Baker Act. 12.3 Demonstrate knowledge of the requirements regarding elopement prevention. 12.4 Demonstrate knowledge of crisis intervention techniques. DOEA Form ALFCT-003, November 2013 9 Rule Chapter 58A-5.0191
12.5 Demonstrate knowledge of the standards related to the use of physical and chemical restraints. Module 13: Alzheimer s Disease And Related Disorders Statutes and Rules: Section 429.178, F.S. and Section 58A-5.0191, F.A.C. Purpose: To teach trainees about Alzheimer s disease and related disorders. Objectives: Upon completion of this four hour module the trainee will be able to: 13.1 Demonstrate knowledge of the staffing and training requirements regarding care for residents with Alzheimer's disease and related disorders and how to document this training (initial and continuing education unit [CEU]). 13.2 Demonstrate an understanding concerning Alzheimer s disease and related disorders. 13.3 Demonstrate an understanding concerning the characteristics of Alzheimer s disease and related disorders. 13.4 Demonstrate knowledge of methods for communicating with residents with Alzheimer s disease and related disorders. 13.5 Demonstrate an understanding of resident environment. 13.6 Demonstrate an understanding of family issues. 13.7 Demonstrate an understanding of ethical issues. DOEA Form ALFCT-003, November 2013 10 Rule Chapter 58A-5.0191
Module 14: Food and Nutrition Services Statutes and Rules: Sections 429.07 and 429.52, F.S.; Sections 58A-5.0161, 58A-5.0181, 58A-5.0191, 58A-5.020, and 58A-5.023, F.A.C. Purpose: To teach trainees about the food service and nutritional responsibilities of operating an ALF. Objectives: Upon completion of this two hour module the trainee will be able to: 14.1 Demonstrate an understanding of the nutrition requirements and dietary guidelines. 14.2 Demonstrate knowledge of conditions warranting services of a registered dietician or licensed dietician or nutritionist. 14.3 Demonstrate an understanding of dietary standards. Demonstrate an understanding of the regular and therapeutic menu review process. Demonstrate an understanding of the requirements for menu substitutions. Demonstrate an understanding of requirements and the purpose of maintaining a non perishable food supply. 14.4 Demonstrate an understanding of standards applying to food hygiene. 14.5 Demonstrate an understanding of contracted food service. 14.6 Demonstrate an understanding of cultural preferences. 14.7 Demonstrate an understanding of standards related to food safety. Demonstrate an understanding of food temperatures and handling. Demonstrate an understanding of standards related to food storage. Demonstrate an understanding of standards related to equipment (dishwasher, separate hand washing sink). DOEA Form ALFCT-003, November 2013 11 Rule Chapter 58A-5.0191
Module 15: Medication Practices Statutes and Rules: Sections 429.255, 429.256, and 429.42, F.S.; Section 58A-5.0185, F.A.C. Purpose: To teach trainees the responsibilities for managing residents medications and the various methods of medication administration in an ALF. Objectives: Upon completion of this three hour module the trainee will be able to: 15.1 Demonstrate an understanding of various methods of medication administration (self-administration; assistance with selfadministration, administration of medication). 15.2 Demonstrate the tasks required to provide assistance with self-administration of medication. 15.3 Demonstrate knowledge of medication administration responsibilities. 15.4 Demonstrate an understanding of pill organizers and medication packaging. 15.5 Demonstrate knowledge of medication records. 15.6 Demonstrate knowledge of medication storage and disposal. 15.7 Demonstrate knowledge of the correct medication labeling and orders. 15.8 Demonstrate knowledge of rules regarding over the counter and sample prescription medications. 15.9 Demonstrate knowledge of the conditions requiring the services of licensed pharmacist or registered nurse. DOEA Form ALFCT-003, November 2013 12 Rule Chapter 58A-5.0191