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with Alzheimer’s disease, family issues, resident environment, and ethical issues. An additional four hours is required for direct care staff within nine months covering behavior management, assistance with ADLs, activities, stress management for caregivers, and medical information. Direct care staff must participate in four hours of continuing education each year.

Core training and Alzheimer’s disease training may be obtained from persons approved by the Department of Elder Affairs, or designee. The Department maintains a website listing approved trainers. Competency evaluations are conducted by the University of South Florida.

Background Check

Florida law requires ALF owners (if individuals), administrators, and financial officers to be screened by the FBI and FDLE. ALF owners or administrators must screen all employees who provide personal services to residents through FDLE. An FBI and FDLE screening must also be conducted on an officer or board member of a firm, corporation, partnership, or association, or any person owning 5% or more of the facility if the agency has probable cause to believe that such person has been convicted of any offense in Section 435.04, F.S., Employment Screening.


A RN or appropriate designee representing the licensing agency must visit ECC facilities quarterly to monitor residents and to determine facility compliance. An RN representing the agency must also visit LNS facilities twice a year to monitor residents who are receiving LNS and to determine facility compliance.

Rules adopted in 2001 allow facilities to voluntarily adopt an internal risk management and quality assurance program. Facilities are required to file preliminary and full adverse incident reports within one and 15 days respectively. The reports are confidential as provided by law and cannot be used in civil or administrative actions, except in disciplinary proceedings by the Florida Agency for Health Care Administration or appropriate regulatory board. Facilities must also report monthly liability claims filed. The quality assurance program is intended to assess care practices, incident reports, deficiencies, and resident grievances and develop plans of action in response to findings.


The base biennial fee for a standard ALF license is $335 per license plus $56 per private bed. Total fees for a standard license do not exceed $12,325. Facilities providing ECC services pay a fee of $467, plus $10 per bed. Facilities with a limited nursing license pay $276, plus $10 per bed.


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