Date of Adoption: July 10, 2002.

     Purpose: Adopting new WAC 388-112-0200 through 388-112-0410. These rules implement requirements for licensed boarding home administrators and caregivers to have continuing education; moves all training requirements for these two settings into one training WAC; and implements processes for approval of alternative curricula and instructors. Proposed amendments to WAC 388-78A-060 filed as WSR 01-23-074 were withdrawn.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-78A-050.

     Statutory Authority for Adoption: RCW 18.20.090, 70.128.040, 74.39A.050, and 34.05.020.

     Other Authority: Chapter 121, Laws of 2000 and chapter 233, Laws of 2002.

      Adopted under notice filed as WSR 01-23-074 on November 20, 2001, and supplemental notice filed as WSR 02-11-031 on May 7, 2002.

     Changes Other than Editing from Proposed to Adopted Version: These rules were originally filed as WSR 01-23-074. As a result of public comments and statutory directives, the rules were revised, renumbered, and reproposed.

Rules as Proposed	Changes (additions underlined, deletions struck through)	Explanation of changes
WAC 388-112-0225	May specialty training be used to meet continuing education requirements? Manager Sspecialty training and caregiver specialty training, using an approved curriculum, except any specialty training completed through a challenge test, may be used to meet continuing education requirements.	Clarify separate manager and caregiver specialty training, and that an approved curriculum must be used.
WAC 388-112-0240	What are the documentation requirements for continuing education? (1) (c) The instructor's name, name of the home or training entity giving the training, or the name of the video, on-line class, professional journal, or equivalent instruction materials completed;	Clarification, since instructor's name alone will not identify the home or other training entity involved.
WAC 388-112-0245	Who is required to complete continuing education training, and when? (3) Boarding home administrators (or their designees) and caregivers must complete ten hours of continuing education each calendar year (January 1 through December 31) after the year in which they successfully complete basic or modified basic training. A boarding home administrator with a current nursing home administrator license is exempt from this requirement.	Exemption for administrators with NH license based on public comment.
WAC 388-112-0260	What are the CPR and first aid training requirements? (4) Boarding home administrators who provide direct care, and caregivers must take possess a valid CPR and first aid card or certificate within thirty days of employment, and must maintain valid cards or certificates. Boarding home licensed nurses must possess a valid CPR card or certificate within thirty days of employment, and must maintain a valid card or certificate.	Based on public comment, licensed nurses are not required to take first aid; only BH administrators who provide direct care are required to take first aid. "Possess a valid card" rewording based on public comment that someone may already possess a valid card, and should not have to retake the training.
WAC 388-112-0285	What documentation is required for residential care administrator training? (1) (c) The location of name of the training entity giving the training;	Clarify the meaning of "location" because some people thought it meant the city, not the training entity.
WAC 388-112-0300	What training must include the DSHS-developed competency test? Basic, modified basic, manager specialty, caregiver specialty in boarding homes, and nurse-delegation core training must include the DSHS-developed competency test.	Renumbering; clarify separate specialty training for caregivers and managers; clarify that only the BH caregiver specialty includes a test, and not the AFH caregiver specialty training.
WAC 388-112-0305	How must competency test administration be standardized? To standardize competency test administration, testing must include the following components: (1) The person teaching the course must oversee administer or supervise the administration of all testing; and	"Oversee" was not clear, so it was reworded for clarity, based on comments.
WAC 388-112-0320	What trainings must be taught with a curriculum approved by DSHS? (1) (c) Manager mental health, dementia, and developmental disabilities specialty training; (d) Caregiver specialty training in boarding homes; and (e) Any training that integrates basic with a manager specialty training or caregiver specialty training. ... (4) A curriculum other than the DSHS curriculum must be approved by attestation before it is used. An attestation that the curriculum meets all requirements under this chapter will be sufficient for initial approval. Final approval will be based on curriculum review, as described under WAC 388-112-0330.	Separate references to manager and caregiver specialty. Clarify that a review and final approval will follow.
WAC 388-112-0335	What are the requirements for a boarding home or adult family home that wishes to conduct basic, modified basic, manager specialty, or caregiver specialty staff training? (1) A boarding home or adult family home wishing to conduct basic, modified basic, manager specialty, or caregiver specialty training for boarding home caregivers may do so if the home:	Renumbering within the section for clarity. Clarify manager and caregiver specialty training, and that this does not apply to AFH caregiver specialty training.
	(1a) Verifies ...; (2b) Teaches ...	Internal renumbering.
	(3c) Notifies DSHS in writing of the home's intent to conduct staff training prior to providing the home's first training, and when changing training plans, including:	Clarification based on public comment.
	(ai) Home name; (bii) Name of training(s) ...; (ciii) Name of curriculum(s) ...;	Internal renumbering.
	(iv) Name of lead instructor and instructor's past employment in boarding homes and adult family homes; and	Add information needed per WAC 388-112-0345.
	(dv) Whether the home ... (4d) Ensures that ...;	Internal renumbering.
	(5e) Provides a certificate ...: (ai) The trainee's ... (bii) The name ...;	Internal renumbering.
	(ciii) The location name of the home giving of the training;	Clarification.
	(div) The instructor's ... (ev) The date(s) ...; (6f) Keeps a copy ...; (7g) Keeps ... (8h) Reports ....	Internal renumbering.
	(2) An adult family home wishing to conduct caregiver specialty training that is taught by the provider, resident manager, or person knowledgeable about the specialty area, as required under WAC 388-112-0110 subsection (3), must document the specialty training as provided under WAC 388-112-0155.	Clarify that AFH requirements are different from BH; not changing from current WAC except to clarify documentation requirement.
	(3) The home's instructor has been a licensee, boarding home administrator, or adult family home resident manager, as applicable, of any home while it was under subject to temporary management or subject to a revocation or summary suspension of the home's license, a stop placement of admissions order, a condition on the license related to resident care, or a civil fine of five thousand dollars or more, while the instructor was the licensee, administrator, or resident manager; or	Response to public comment, that someone coming in after a home is under enforcement, to help the home improve, should not be prohibited from becoming an instructor.
WAC 388-112-0345	(4) The home has been operated under temporary management or has been subject to a revocation or suspension of the home's license, a stop placement of admissions order, a condition on the license related to resident care, or a civil fine of five thousand dollars or more within the previous twelve months.	Response to public comment, adding a clear time limit to this subsection.
WAC 388-112-0380	(1)(a) Upon initial approval or hire, must have: (i) A high school diploma and one year of professional or caregiving experience within the last five years in an adult family home, boarding home, supported living through DDD per chapter 388-820 WAC, or home care setting; or (ii) An associate degree in a health field and six months professional or caregiving experience within the last five years in an adult family home, boarding home, supported living through DDD per chapter 388-820 WAC, or home care setting.	These changes were made in response to public comment to allow professional experience as well as caregiving experience to meet the work requirement.
	(b) Meet up to Must have forty hours of the one hundred hours of teaching experience, hour for hour, by teaching while being mentored by an instructor who meets these qualifications; and attend a class in adult education that meets the requirements of WAC 388-112-0400.	Clarification based on public comment.
WAC 388-112-0385	What are the minimum qualifications for instructors for manager and caregiver mental health specialty instructors? (1) Instructors for manager mental health specialty training: The minimum qualifications for instructors for manager mental health specialty, instructors, in addition to the general qualifications in WAC 388-112-0375, include:	Clarify there are different requirements for manager and caregiver training. This section includes both.
	(1a) The instructor ...;	Internal renumbering.
	(2b) Education - (ai) Bachelor's degree... (One year of education equals twenty-four semester hours, forty-five thirty-six quarter hours, or one hundred ninety-two hours of seminars, conferences, and continuing education.):	Equivalent number of quarter hours changed in response to public comment.
	(b) (ii) If required .... (3c) Work experience ... (4d) Teaching experience (ai) Two hundred hours... (bii) Successful completion ...: (Ai) For instructors ...; (iiB) For instructors ... (5e) Instructors ....	Internal renumbering.
	(2) Instructors for caregiver mental health specialty training:	Clarify separate training requirements.
	(a) Caregiver mental health specialty may be taught by a boarding home administrator (or designee), adult family home provider, or corporate trainer, who has successfully completed the manager mental health specialty training. A qualified instructor under this subsection may teach caregiver specialty to caregivers employed at other home(s) licensed by the same licensee.	Options for in home training with reduced requirements, based on public comments about cost. This was moved into this section from sections 0110 and 0360, based on public comment.
	(b) Caregiver mental health specialty taught by a person who does not meet the requirements in subsection (2)(a) must meet the same requirements as the instructors for manager mental health specialty in subsection (1).	Clarification.
WAC 388-112-0390	What are the minimum qualifications for instructors for manager and caregiver dementia specialty instructors? (1) The minimum qualifications for instructors for manager dementia specialty instructors, in addition to the general qualifications under WAC 388-112-0375, include:	Clarify there are different requirements for manager and caregiver training. This section includes both. Internal renumbering throughout the section.
	(1a) The instructor ...	Internal renumbering throughout subsection (1).
	(2b) Education - (ai) Bachelor's degree, ... (One year of education equals twenty-four semester hours, forty-five thirty-six quarter hours, or one hundred ninety-two hours of seminars, conferences, and continuing education.)	Equivalent number of quarter hours changed in response to public comment.
	(b)(ii) If required ... (3c) Work experience ... (4d) Teaching ... (ai) Two hundred .. (ii) Successful completion ... (B) For instructors .... (5d) Instructors ....	Internal renumbering.
	(2) Instructors for caregiver dementia specialty training:	Clarify different requirements for caregiver training.
	(a) Caregiver dementia specialty may be taught by a boarding home administrator (or designee), adult family home provider, or corporate trainer, who has successfully completed the manager dementia specialty training. A qualified instructor under this subsection may teach caregiver specialty to caregivers employed at other home(s) licensed by the same licensee.	Options for home-based training with reduced requirements, based on public comments about cost. This was moved into this section from sections 0110 and 0360, based on public comment.
	(b) Caregiver dementia specialty taught by a person who does not meet the requirements in subsection (2)(a) must meet the same requirements as the instructors for manager dementia specialty in subsection (1).	Clarification.
WAC 388-112-0395	What are the minimum qualifications for instructors for manager and caregiver developmental disabilities specialty training instructors? (1) The minimum qualifications for instructors for manager developmental disabilities specialty instructors, in addition to the general qualifications under WAC 388-112-0375, includee:	Clarify there are different requirements for manager and caregiver training. This section includes both.
	(1a) Education ...: (i) Bachelor's ...	Internal renumbering.
	(bii) High school diploma ... (2b) Successful ... (3c) Teaching experience: (ai) Two hundred hours ... (bii) Successful ... (iA) For instructors ... (iiB) For instructors .... (4d) Instructors ...	Internal renumbering.
	(2) Instructors for caregiver developmental disabilities specialty training:	Identify caregiver training requirements.
	(c) Caregiver developmental disabilities specialty may be taught by a boarding home administrator (or designee), adult family home provider, or corporate trainer, who has successfully completed the manager developmental disabilities specialty training. A qualified instructor under this subsection may teach caregiver specialty to caregivers employed at other home(s) licensed by the same licensee.	Options for home-based training with reduced requirements, based on public comments about cost.
	(d) Caregiver developmental disabilities specialty taught by a person who does not meet the requirements in subsection (2)(a) must meet the same requirements as the instructors for manager developmental disabilities specialty in subsection (1).	Clarification, given option listed above.
WAC 388-112-0405	What physical resources are required for basic, modified basic, managers' specialty, caregivers' specialty, or nurse delegation core classroom training and testing? (1) Classroom space used for basic, modified basic, managers' specialty, caregiver specialty, or nurse delegation core classroom training must be accessible to trainees and provide adequate space for learning activities, comfort, lighting, lack of disturbance, and tools for effective teaching and learning learning such as white boards and flip charts. Appropriate supplies and equipment must be provided for teaching and practice of caregiving skills in the class being taught.	Clarify two types of specialty; editing.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 43, Amended 0, Repealed 1.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 43, Amended 0, Repealed 1.
     Effective Date of Rule: Thirty-one days after filing.

July 10, 2002

Brian H. Lindgren, Manager

Rules and Policies

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     (2) One hour of completed classroom instruction or other form of training (such as a video or on-line course) equals one hour of continuing education.

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     (1) Resident rights;

     (2) Personal care (such as transfers or skin care);

     (3) Mental illness;

     (4) Dementia;

     (5) Developmental disabilities;

     (6) Depression;

     (7) Medication assistance;

     (8) Communication skills;

     (9) Positive resident behavior support;

     (10) Developing or improving resident centered activities;

     (11) Dealing with wandering or aggressive resident behaviors; and

     (12) Medical conditions.

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     (1) If one or more specialty trainings are completed in the same year as basic or modified basic training, the specialty training hours may be applied toward the continuing education requirement for up to two calendar years following the year of completion of the basic and specialty trainings.

     (2) If one or more specialty trainings are completed in a different year than the year when basic or modified basic training was taken, the specialty training hours may be applied toward the continuing education requirement for the calendar year in which the specialty training is taken and the following calendar year.

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     (a) The trainee's name;

     (b) The title or content of the training;

     (c) The instructor's name, name of the home or training entity giving the training, or the name of the video, on-line class, professional journal, or equivalent instruction materials completed;

     (d) The number of hours of training; and

     (e) The date(s) of training.

     (2) The trainee must be given an original certificate or other documentation of continuing education.

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     (1) Adult family home providers (including entity representatives as defined under chapter 388-76 WAC), resident managers, and caregivers must complete ten hours of continuing education each calendar year (January 1 through December 31) after the year in which they successfully complete basic or modified basic training.

     (2) Continuing education must be on a topic relevant to the care setting and care needs of residents in adult family homes.

     Boarding Homes

     (3) Boarding home administrators (or their designees) and caregivers must complete ten hours of continuing education each calendar year (January 1 through December 31) after the year in which they successfully complete basic or modified basic training. A boarding home administrator with a current nursing home administrator license is exempt from this requirement.

     (4) Continuing education must be on a topic relevant to the care setting and care needs of residents in boarding homes.

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     (1) Adult family home providers and resident managers must possess a valid CPR and first aid card or certificate prior to providing care for residents, and must maintain valid cards or certificates.

     (2) Adult family home caregivers must obtain a valid CPR and first aid card or certificate:

     (a) Within thirty days of beginning to provide care for residents, if the provision of care for residents is directly supervised by a fully qualified caregiver who has a valid first aid and CPR card or certificate; or

     (b) Before providing care for residents, if the provision of care for residents is not directly supervised by a fully qualified caregiver who has a valid first aid and CPR card or certificate.

     (3) Adult family home caregivers must maintain valid CPR and first aid cards or certificates.

     Boarding Homes

     (4) Boarding home administrators who provide direct care, and caregivers must possess a valid CPR and first aid card or certificate within thirty days of employment, and must maintain valid cards or certificates. Boarding home licensed nurses must possess a valid CPR card or certificate within thirty days of employment, and must maintain a valid card or certificate.

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     (1) Business planning and marketing;

     (2) Fiscal planning and management;

     (3) Human resource planning;

     (4) Resident health services;

     (5) Nutrition and food service;

     (6) Working with people who are elderly, chronically mentally ill, or developmentally disabled;

     (7) The licensing process;

     (8) Social and recreational activities;

     (9) Resident rights;

     (10) Legal issues;

     (11) Physical maintenance and fire safety; and

     (12) Housekeeping.

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     (a) The trainee's name;

     (b) The name of the training;

     (c) The name of the training entity giving the training;

     (d) The instructor's name and signature; and

     (e) The date(s) of training.

     (2) The trainee must be given an original certificate. A copy of the certificate must be in the adult family home's files.

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     (1) Skills demonstration of ability to perform and/or implement specific caregiving approaches, and/or activities as appropriate for the training;

     (2) Written evaluation to show level of comprehension and knowledge of the learning outcomes for the training; and

     (3) A scoring guide for the tester with clearly stated criteria and minimum proficiency standards.

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     (1) The person teaching the course must administer or supervise the administration of all testing; and

     (2) The tester must follow DSHS guidelines for:

     (a) The maximum length of time allowed for testing;

     (b) The amount and nature of instruction given to students before beginning a test;

     (c) The amount of assistance to students allowed during testing;

     (d) The accommodation guidelines for students with disabilities; and

     (e) Accessibility guidelines for students with limited English proficiency.

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     (2) If a challenge test is available for a course, it may be taken only once. If the test is failed, the person must take the classroom course.

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     (a) Basic;

     (b) Modified basic;

     (c) Manager mental health, dementia, and developmental disabilities specialty training;

     (d) Caregiver specialty training in boarding homes; and

     (e) Any training that integrates basic training with a manager or caregiver specialty training.

     (2) The residential care administrator training must use a curriculum approved by DSHS.

     (3) The nurse delegation training must use only the DSHS curriculum.

     (4) A curriculum other than the DSHS curriculum must be approved before it is used. An attestation that the curriculum meets all requirements under this chapter will be sufficient for initial approval. Final approval will be based on curriculum review, as described under WAC 388-112-0330.

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     (1) All the DSHS-published learning outcomes and competencies for the course;

     (2) Printed student materials that support the curriculum, a teacher's guide or manual, and learning resource materials such as learning activities, audio-visual materials, handouts, and books;

     (3) The recommended sequence and delivery of the material;

     (4) The teaching methods or approaches that will be used for different sections of the course, including for each lesson:

     (a) The expected learning outcomes;

     (b) Learning activities that incorporate adult learning principles and address the learning readiness of the student population;

     (c) Practice of skills to increase competency;

     (d) Feedback to the student on knowledge and skills;

     (e) An emphasis on facilitation by the teacher; and

     (f) An integration of knowledge and skills from previous lessons to build skills.

     (5) A list of the sources or references, if any, used to develop the curriculum;

     (6) Methods of teaching and student evaluation for students with limited English proficiency and/or learning disabilities; and

     (7) A plan for updating material. Substantial changes to a previously approved curriculum must be approved before they are used.

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     (a) Identification of where each DSHS-published required learning outcome and competency is located in the alternate curriculum;

     (b) All materials identified in WAC 388-112-0325; and

     (c) A letter from the boarding home administrator or adult family home provider attesting that the training curriculum addresses all of the training competencies identified by DSHS;

     (2) DSHS may approve a curriculum based upon the attestation in (1)(c) above, until it has been reviewed by DSHS;

     (3) If, upon review by DSHS, the curriculum is not approved, the alternative curriculum may not be used until all required revisions have been submitted and approved by DSHS.

     (4) After review of the alternative curriculum, DSHS will send a written response to the submitter, indicating approval or disapproval of the curriculum and if disapproved, the reasons for denial;

     (5) If the alternative curriculum is not approved, a revised curriculum may be re-submitted to DSHS for another review.

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     (a) Verifies and documents that all instructors meet each of the minimum instructor qualifications for the course they plan to teach;

     (b) Teaches using a complete DSHS-developed or approved alternative curriculum.

     (c) Notifies DSHS in writing of the home's intent to conduct staff training prior to providing the home's first training, and when changing training plans, including:

     (i) Home name;

     (ii) Name of training(s) the home will conduct;

     (iii) Name of curriculum(s) the home will use;

     (iv) Name of lead instructor and instructor's past employment in boarding homes and adult family homes; and

     (v) Whether the home will train only the home's staff, or will also train staff from other homes;

     (d) Ensures that DSHS competency tests are administered as required under this chapter;

     (e) Provides a certificate of completion of training to all staff that successfully complete the entire course, including:

     (i) The trainee's name;

     (ii) The name of the training;

     (iii) The name of the home giving the training;

     (iv) The instructor's name and signature; and

     (v) The date(s) of training;

     (f) Keeps a copy of student certificates on file for six years, and gives the original certificate to the trainee;

     (g) Keeps attendance records and testing records of students trained and tested on file for six years; and

     (h) Reports training data to DSHS in DSHS-identified time frames

     (2) An adult family home wishing to conduct caregiver specialty training that is taught by the provider, resident manager, or person knowledgeable about the specialty area, as required under WAC 388-112-0110 subsection (3), must document the specialty training as provided under WAC 388-112-0155.

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     (1) DSHS determines that the training fails to meet the standards under this chapter;

     (2) The home's instructor does not meet the applicable qualifications under WAC 388-112-0375 through 388-112-0395; or

     (3) The home's instructor has been a licensee, boarding home administrator, or adult family home resident manager, as applicable, of any home subject to temporary management or subject to a revocation or summary suspension of the home's license, a stop placement of admissions order, a condition on the license related to resident care, or a civil fine of five thousand dollars or more, while the instructor was the licensee, administrator, or resident manager; or

     (4) The home has been operated under temporary management or has been subject to a revocation or suspension of the home license, a stop placement of admissions order, a condition on the license related to resident care, or a civil fine of five thousand dollars or more, within the previous twelve months.

     (5) Nothing in this section shall be construed to limit DSHS' authority under chapters 388-76 or 388-78A WAC to require the immediate enforcement, pending any appeal, of a condition on the home license prohibiting the home from conducting its own training programs.

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     (2) Nurse delegation training and residential care administrator training must be taught by an instructor who is approved by DSHS.

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     (1) Coordinating and teaching classes,

     (2) Assuring that the curriculum used is taught as designed,

     (3) Selecting qualified guest speakers where applicable,

     (4) Administering or overseeing the administration of DSHS competency and challenge tests,

     (5) Maintaining training records including student tests and attendance records for a minimum of six years,

     (6) Reporting training data to DSHS in DSHS-identified time frames, and

     (7) Issuing or re-issuing training certificates to students.

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     (a) DSHS must approve any instructor under contract with DSHS to conduct basic, modified basic, specialty, or nurse delegation core training classes using the training curricula developed by DSHS.

     (b) DSHS may select contracted instructors through a purchased services contract procurement pursuant to chapter 236-48 WAC or through other applicable contracting procedures. Contractors must meet the minimum qualifications for instructors under this chapter and any additional qualifications established through a request for qualifications and quotations (RFQQ) or other applicable contracting procedure.

     (2) Homes conducting their own training

     Homes conducting their own training programs using the training curricula developed by DSHS or alternative curricula approved by DSHS must ensure that their instructors meet the minimum qualifications for instructors under this chapter.

     (3) Other instructors

     DSHS must approve all other instructors not described in subsection (1) and (2) of this section.

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     (2) DSHS may terminate any training contract in accordance with the terms of the contract. The contractor's administrative remedies shall be limited to those specified in the contract.

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     (1) Twenty-one years of age; and

     (2) Has not had a professional health care or social services license or certification revoked in Washington state (however, no license or certification is required).

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     (1) Education and work experience:

     (a) Upon initial approval or hire, must have:

     (i) A high school diploma and one year of professional or caregiving experience within the last five years in an adult family home, boarding home, supported living through DDD per chapter 388-820 WAC, or home care setting; or

     (ii) An associate degree in a health field and six months professional or caregiving experience within the last five years in an adult family home, boarding home, supported living through DDD per chapter 388-820 WAC, or home care setting.

     (2) Teaching experience:

     (a) Must have one hundred hours of experience teaching adults on topics directly related to the basic training; or

     (b) Must have forty hours of teaching while being mentored by an instructor who meets these qualifications, and attend a class in adult education that meets the requirements of WAC 388-112-0400.

     (3) The instructor must be experienced in caregiving practices and capable of demonstrating competency with respect to the course content or units being taught;

     (4) Instructors who will administer tests must have experience or training in assessment and competency testing; and

     (5) If required under WAC 388-112-0075 or 388-112-0105, instructors must successfully complete basic or modified basic training prior to beginning to train others.

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     (a) The instructor must be experienced in mental health caregiving practices and capable of demonstrating competency in the entire course content;

     (b) Education

     (i) Bachelor's degree, registered nurse, or mental health specialist, with at least one year of education in seminars, conferences, continuing education, or in college classes, in subjects directly related to mental health, such as, but not limited to, psychology. (One year of education equals twenty-four semester hours, thirty-six quarter hours, or one hundred ninety-two hours of seminars, conferences, and continuing education.)

     (ii) If required under WAC 388-112-0160, successful completion of the mental health specialty training, prior to beginning to train others.

     (c) Work experience - Two years full-time equivalent direct work experience with people who have a mental illness; and

     (d) Teaching experience

     (i) Two hundred hours experience teaching mental health or closely related subjects; and

     (ii) Successful completion of an adult education class or train the trainer as follows:

     (A) For instructors teaching alternate curricula, a class in adult education that meets the requirements of WAC 388-112-0400, or a train the trainer class for the curriculum they are teaching;

     (B) For instructors teaching DSHS-developed mental health specialty training, successful completion of the DSHS-developed train the trainer.

     (e) Instructors who will administer tests must have experience or training in assessment and competency testing.

     (2) Instructors for caregiver mental health specialty training:

     (a) Caregiver mental health specialty may be taught by a boarding home administrator (or designee), adult family home provider, or corporate trainer, who has successfully completed the manager mental health specialty training. A qualified instructor under this subsection may teach caregiver specialty to caregivers employed at other home(s) licensed by the same licensee.

     (b) Caregiver mental health specialty taught by a person who does not meet the requirements in subsection (2)(a) must meet the same requirements as the instructors for manager mental health specialty in subsection (1).

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     (a) The instructor must be experienced in dementia caregiving practices and capable of demonstrating competency in the entire course content;

     (b) Education

     (i) Bachelor's degree, registered nurse, or mental health specialist, with at least one year of education in seminars, conferences, continuing education or college classes, in dementia or subjects directly related to dementia, such as, but not limited to, psychology. (One year of education equals twenty-four semester hours, thirty-six quarter hours, or at least one hundred ninety-two hours of seminars, conferences, or continuing education.)

     (ii) If required under WAC 388-112-0160, successful completion of the dementia specialty training, prior to beginning to train others.

     (c) Work experience - Two years full-time equivalent direct work experience with people who have dementia; and

     (d) Teaching experience

     (i) Two hundred hours experience teaching dementia or closely related subjects; and

     (ii) Successful completion of an adult education class or train the trainer as follows:

     (A) For instructors teaching alternate curricula, a class in adult education that meets the requirements of WAC 388-112-0400, or a train the trainer class for the curriculum they are teaching;

     (B) For instructors teaching DSHS-developed dementia specialty training, successful completion of the DSHS-developed train the trainer.

     (d) Instructors who will administer tests must have experience or training in assessment and competency testing.

     (2) Instructors for caregiver dementia specialty training:

     (a) Caregiver dementia specialty may be taught by a boarding home administrator (or designee), adult family home provider, or corporate trainer, who has successfully completed the manager dementia specialty training. A qualified instructor under this subsection may teach caregiver specialty to caregivers employed at other home(s) licensed by the same licensee.

     (b) Caregiver dementia specialty taught by a person who does not meet the requirements in subsection (2)(a) must meet the same requirements as the instructors for manager dementia specialty in subsection (1).

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     (a) Education and work experience:

     (i) Bachelor's degree with at least two years of full-time work experience in the field of disabilities; or

     (ii) High school diploma or equivalent, with four years full time work experience in the field of developmental disabilities, including two years full time direct work experience with people who have a developmental disability.

     (b) Successful completion of developmental disabilities specialty training under WAC 388-112-0120; and

     (c) Teaching experience:

     (i) Two hundred hours of teaching experience; and

     (ii) Successful completion of adult education or train the trainer as follows:

     (A) For instructors teaching alternative curricula, a class in adult education that meets the requirements of WAC 388-112-0400, or a train the trainer class for the curriculum they are teaching;

     (B) For instructors teaching DSHS-developed developmental disabilities specialty training, successful completion of the DSHS-developed train the trainer.

     (d) Instructors who will administer tests must have experience in assessment and competency testing.

     (2) Instructors for caregiver developmental disabilities specialty training:

     (a) Caregiver developmental disabilities specialty may be taught by a boarding home administrator (or designee), adult family home provider, or corporate trainer, who has successfully completed the manager developmental disabilities specialty training. A qualified instructor under this subsection may teach caregiver specialty to caregivers employed at other home(s) licensed by the same licensee.

     (b) Caregiver developmental disabilities specialty taught by a person who does not meet the requirements in subsection (2)(a) must meet the same requirements as the instructors for manager developmental disabilities specialty in subsection (1).

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     (1) Adult education theory and practice principles;

     (2) Instructor facilitation techniques;

     (3) Facilitating learning activities for adults;

     (4) Administering competency testing; and

     (5) Working with adults with special training needs (for example, English as a second language or learning and literacy issues).

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     (2) Testing sites must provide adequate space for testing, comfort, lighting, and lack of disturbance appropriate for the written or skills test being conducted. Appropriate supplies and equipment necessary for the particular test must be provided.

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     (1) Training, including all breaks, must not exceed eight hours within one day;

     (2) Training provided in short time segments must include an entire unit, skill or concept;

     (3) Training must include regular breaks; and

     (4) Students attending a classroom training must not be expected to leave the class to attend to job duties, except in an emergency.

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     (a) Develop and maintain written job descriptions for the administrator and each staff position;

     (b) Verify work references;

     (c) Verify required credentialling is current and in good standing for licensed and certified staff;

     (d) Document and retain weekly staffing schedules, as planned and worked, for the last twelve months;

     (e) Provide sufficient, trained staff in each boarding home to:

     (i) Furnish the services and care needed by residents;

     (ii) Maintain the boarding home free of safety hazards; and

     (iii) Implement fire and disaster plans;

     (f) Assure one or more resident-care staff eighteen years of age or older, with current cardiopulmonary resuscitation and first-aid cards, is present to assist residents at all times:

     (i) On the boarding home premises when one or more residents are present;

     (ii) Off the boarding home premises during boarding home activities; and

     (iii) When staff transport a resident;

     (g) Assure staff provide "on-premises" supervision when any resident is working for, or employed by, the boarding home; and

     (h) Provide staff orientation and appropriate training for expected duties, including:

     (i) Organization of boarding home;

     (ii) Physical boarding home layout;

     (iii) Specific duties and responsibilities; and

     (iv) Policies, procedures, and equipment necessary to perform duties.

     (2) The licensee shall ensure that the administrator and staff complete any training required under chapter 388-112 WAC.

     (3) The licensee shall, in addition to following WISHA requirements, protect residents from tuberculosis by requiring each staff person to have, upon employment:

     (a) A tuberculin skin test by the Mantoux method, unless the staff person:

     (i) Documents a previous positive Mantoux skin test, which is ten or more millimeters of induration read at forty-eight to seventy-two hours;

     (ii) Documents meeting the requirements of this subsection within the six months preceding the date of employment; or

     (iii) Provides a written waiver from the department or authorized local health department stating the Mantoux skin test presents a hazard to the staff person's health;

     (b) A second test one to three weeks after a negative Mantoux skin test for staff thirty-five years of age or older;

     (c) A chest x-ray within seven days of any positive Mantoux skin test.

     (((3))) (4) The licensee shall report positive chest x-rays to the appropriate public health authority, and follow precautions ordered by a physician or public health authority.

     (((4))) (5) The licensee shall retain records of tuberculin test results, reports of x-ray findings, exceptions, physician or public health official orders, and waivers in the boarding home.

     (((5) The licensee shall assure that all resident-care staff including those transporting residents and supervising resident activities, except licensed staff whose professional training exceeds first-responder training, have within thirty days of employment:

     (a) Current cardiopulmonary resuscitation cards from instructors certified by:

     (i) American Red Cross;

     (ii) American Heart Association;

     (iii) United States Bureau of Mines; or

     (iv) Washington state department of labor and industries; and

     (b) Current first-aid cards from instructors certified as in (a) of this subsection, except nurses do not need first-aid cards.))

     (6) The licensee shall restrict a staff person's contact with residents when the staff person has a known communicable disease in the infectious stage which is likely to be spread in the boarding home setting or by casual contact.

     (7) The licensee shall assure any staff person suspected or accused of abuse does not have access to any resident until the licensee investigates and takes action to assure resident safety to the satisfaction of the department.

     (8) The licensee shall not interfere with the investigation of a complaint, coerce a resident, or conceal evidence of alleged improprieties occurring within the boarding home.

     (9) The licensee shall prohibit an employee from being directly employed by a resident or a resident's family during the hours the employee is working for the boarding home.

     (10) The licensee shall maintain the following documentation on the boarding home premises, during employment, and at least two years following termination of employment:

     (a) Staff orientation and training pertinent to duties, including but not limited to cardiopulmonary resuscitation, first-aid, tuberculin skin testing and HIV/AIDS training;

     (b) Criminal history disclosure and background checks as required in WAC 388-78A-045; and

     (c) Verification of contacting work references and professional licensing and certification boards as required by subsection (1) of this section.

[Statutory Authority: RCW 18.20.240. 99-15-067, § 388-78A-050, filed 7/19/99, effective 8/19/99; 98-20-021, recodified as § 388-78A-050, filed 9/25/98, effective 9/25/98. Statutory Authority: RCW 18.20.090. 94-13-180, § 246-316-050, filed 6/21/94, effective 7/22/94. Statutory Authority: RCW 43.43.830 through 43.43.842. 93-16-030 (Order 381), § 246-316-050, filed 7/26/93, effective 8/26/93. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as § 246-316-050, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.20.090. 89-09-034 (Order 2786), § 248-16-046, filed 4/14/89.]

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