DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

(Developmental Disabilities Administration)

The purpose of this chapter is to describe the ((following)):

(1) Training ((and certification)) requirements that apply to the developmental disabilities administration's (DDA's) community residential ((service businesses (CRSB) RCW 74.39A.009)) providers beginning on January 1, 2016;

(2) ((Curricula and instructor)) Approval process and other requirements for instructors; and

(3) ((Curricula and instructor)) Approval process and other requirements for curricula.

(1) ((Long-term care workers (LTCW) and volunteers working for community residential service businesses (CRSB), including supported living services, DDA group homes, group training homes, and licensed staffed residential homes must follow the training requirements of this chapter)) The training requirements in this chapter apply to community residential service businesses as defined in RCW 74.39A.009, alternative living as defined in chapter 388-829A WAC, and companion homes as defined in chapter 388-829C WAC. In this chapter, the term service providers refers to all service providers within the scope of this chapter, which include:

(e) Companion home providers.

(2) DDA group homes((, also)) licensed as adult family homes or assisted living facilities((,)) must ((also)) meet ((home care aide certification)) the training requirements ((described in WAC 246-980-080. LTCW in all other CRSB settings must comply with the training and curricula requirements of)) in this chapter((,)) and the home care aidd certification requirements described in chapter 388-112 WAC. All other service providers listed in subsection (1) of this section must meet the training requirements in this chapter but are exempt from home care aide certification through the department of health.

"Agency orientation" is training provided to introduce a new employee to the agency.

"ALTSA" refers to the aging and long-term support administration.

"Approved training" is training ((that has been)) submitted to and approved by DSHS as evidenced by a curriculum number.

"Basic training" ((includes)) is seventy hours of required training((:)) that includes forty hours of DDA residential ((training)) services curriculum and thirty hours of additional topics outlined in ((WAC 388-829-0100 (1)(b))) this chapter.

(("))"Community residential service business" (((CRSB))) or "CRSB" has the same meaning as defined in RCW 74.39A.009.

"Competency" or "core competency" means the integrated knowledge, skills, or behavior expected of a LTCW after completing the training in a required topic area. Learning objectives are associated with each competency.

"DDA" refers to the developmental disabilities administration.

"DSHS-approved trainer" means an individual approved by DSHS to sign the seventy-five hour certificate.

"Direct support professional" or "DSP" means ((a paid individual who provides direct, personal, care services and support to one or more persons with developmental disabilities requiring long-term care. This term is more commonly accepted in CRSBs than LTCW)) any person who supports an individual with a developmental disability to implement the individual's individual support plan/person-centered service plan (ISP/PCSP). This includes staff who provide instruction and support services (ISS).

"DOH" refers to the department of health.

"DSHS" or "department" refers to the department of social and health services.

"Habilitation" means services defined to assist participants in acquiring, retaining, and improving the self-help, socialization, and adaptive skills necessary to reside successfully in home and community-based settings.

"Home care ((aid–certified (HCA-C))) aide-certified" or "HCA-C" means a person who has ((holds a current certificate issued by the DOH)) been certified by the department of health as a home care aide.

"Letter of exemption" means a letter ((provided during the calendar year 2015 which exempts CRSB staff)) that exempts DDA community residential staff from the seventy-five hours of training as required ((by Initiative 1163)) under chapter 74.39A RCW for staff hired prior to January 1, 2016.

"Long-term care worker (((LTCW)))" or "LTCW" ((includes all persons providing paid, personal care services for the elderly or persons with disabilities, including individual providers of home care services, direct care employees of home care agencies, providers of home care services to persons with developmental disabilities under Title 71A RCW, all direct care workers in state-licensed assisted living facilities, adult family homes, respite care providers, community residential service providers, and any other direct care staff providing home or community-based services to the elderly or persons with functional disabilities or developmental disabilities.

(3) Persons whose services are exclusively limited to assistance with "instrumental activities of daily living," as that term is defined in WAC 388-106-0010)) has the same meaning as defined in RCW 74.39A.009.

"Peer coach" means a person who has been trained in twelve hours of coaching skills and who works with new employees to coach them on working with individuals and their support needs. ((This coaching is a method of transferring knowledge about the individual to the new employee while building a positive relationship with the new employee and encouraging a positive relationship between the new employee and the individual they support.))

"Population-specific" refers to topics ((such as developmental disabilities, autism, and gerontology that are)) applicable to ((a group of people)) the unique needs of the population served.

"Training entity" means ((an)) a DSHS-contracted organization((, including an independent contractor, who is providing or may provide training under this section using approved curriculum.)) or independent entity that provides training ((entities must only deliver)) using DSHS-approved curriculum ((to CRSB staff)).

((The following chart provides a summary of the training and certification requirements. The remainder of the rules under this chapter contains a more detailed description of the requirements)) Required training for individuals hired or contracted to work in DDA community residential settings as a direct support professional or ISS staff on or after January 1, 2016 consists of seventy-five hours of training as follows:

(2) Seventy hours of basic training as described in WAC 388-829-0050 must be completed within one hundred twenty days of date of hire.

The seventy-five hour certificate is a combination of orientation, safety, and basic training that when completed adds up to seventy-five hours. The certificate covers:

(1) Five hours of orientation and safety training as described in WAC 388-829-0045; and

(2) Seventy hours of basic training as described in WAC 388-829-0050, which includes:

(a) Forty hours of DDA-developed residential services curriculum; and

(b) Thirty hours of additional training as described in WAC 388-829-0050.

(b) Complete(d) training requirements in existing rules at time of hire by February 29, 2016)) The documentation required to show completion of the seventy-five hour training is a DSHS seventy-five hour training certificate signed by a DSHS-approved trainer.

(5) Registered nurses, licensed practical nurses, nurse technicians, or advanced registered nurse practitioner under chapter 18.79 RCW; Nursing assistants-certified under chapter 18.88A RCW)) (1) A seventy-five hour training certificate remains valid if the certificate holder changes employers and meets continuing education requirements.

(2) For the purpose of becoming a home care aide-certified (HCA-C) through the department of health, the DDA seventy-five hour training certificate is invalid after two years.

Beginning January 1, 2016, the following individuals are exempt from the DDA community residential seventy-five hour training requirement:

(1) DDA community residential staff who have:

(a) Been continuously employed since December 31, 2015;

(b) Completed training requirements that were in place when he or she was hired;

(c) Completed the training requirements by February 29, 2016; and

(d) Proof that twelve hours of continuing education were completed during the previous year;

(2) Under RCW 18.88B.041, an individual with special education training and an endorsement granted by the superintendent of public instruction; and

(3) Registered nurses, licensed practical nurses, nurse technicians, advanced registered nurse practitioners as defined in chapter 18.79 RCW, and nursing assistants-certified (CAN) as defined in chapter 18.88A RCW.

(3) Thirty hours peer coaching, specialty training, population specific training, CPR and bloodborne pathogens/HIV training)) Exempt individuals hired on or after January 1, 2016, must meet the following the training requirements:

(4) All community residential staff must complete twelve hours of continuing education per year.

(2) Anyone who wants to complete the home care aid certification process)) (1) Training entities must not develop their own curriculum for the five hour orientation and safety course.

(3) For children's staffed residential settings refer to chapters 388-826 and 388-145 WAC.

(d) Client confidentiality)) Basic training is seventy hours of required training that must include:

(d) On-the-job training hours, including client-specific training, when the instructor is a trained peer coach as described in WAC 388-829-0060.

(2) LTCW orientation is the first part of the five hour certificate)) The training entities and instructors for DDA community residential settings are approved as follows:

(3) Other training entities must be approved by DDA or ALTSA and entities must ensure their instructors meet the criteria described in chapter 388-112 WAC.

(3) Volunteers who will have indirect supervision during direct support duties)) Instructors who provide on-the-job training, including client-specific training, must:

(2) Complete at least twelve hours of department approved peer coaching.

(9) Respect for individual's property including their food, home, water, electricity or anything paid for out of the individual's account)) DDA community residential instructors who want to instruct staff on the DDA forty-hour residential training curriculum must:

(4) Use the forty-hour DDA residential services curriculum to teach the course.

((Safety training is part of the LTCW requirements and must be provided by approved instructors. It is three hours of training developed by DDA and includes basic safety precautions, emergency procedures, and infection control. There is no test for safety training)) Nurse delegation core training is described in chapter 388-112 WAC.

(1) Nurse delegation core training may occur in the same year as basic training and counts as nine hours of continuing education.

(2) Specialized diabetes training may occur in the same year as basic training and counts as three hours of continuing education.

(3) If nurse delegation core training or specialized diabetes training occurs in the same year as basic training, the provider maximum hours for each training may be applied towards the continuing education requirement for the following year.

(4) Nurse delegation core and specialized diabetes trainings do not apply towards basic training.

(g) Individuals involved with law enforcement)) Continuing education (CE) is annual training designed to increase a service provider's knowledge and skills on topics relevant to the care, support, and instruction needs of the individuals he or she support.

(1) Effective January 1, 2016, service providers must complete twelve hours of continuing education (CE) each year, except in the calendar year they complete the one-time basic training requirement.

(2) Service providers who are not credentialed through the department of health (DOH) must complete their CE by the end of the calendar year.

(3) Service providers must complete DOH-required CE (such as home care aide certification) by their birth date each year.

(5) There is no challenge test for subsection (2)(a) or (b))) A service provider must not repeat continuing education (CE) courses except under the following conditions:

(2) The service provider has documented evidence justifying the need for retraining.

(17) Building positive relationships)) Continuing education certificates must contain the following information:

(8) Date(s) of training.

(1) DSHS may deny or terminate a training contract.

(2) DSHS may rescind approval of an instructor or training entity.

(4) Volunteers who will provide direct support services with indirect supervision. Family members are not considered to be volunteers)) Qualified instructors may use continuing education (CE) curriculum with a DDA or ALTSA approval code with permission from the curriculum owner.